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Hisham Al-Obaidi, Lecturer in Pharmacy and Pharmaceutical Sciences - Advanced Pharmacist Practitioner at London Ambulance NHS trust, University of Reading

A common nasal decongestant lacks evidence but is still sold in the UK

For years, the drug phenylephrine has been a popular choice for relieving nasal congestion, however, the US Food and Drug Administration (FDA) is considering removing oral phenylephrine medicines from pharmacy shelves. Recent FDA findings suggest it lacks effectiveness.

Phenylephrine became widely used in cold and flu products as a safer alternative to pseudoephedrine. While pseudoephedrine is effective, it carries some misuse risks – with criminals using it to make methamphetamine. However, recent studies question whether phenylephrine is effective when taken orally.

In the UK and other countries, there is now a discussion about the ethics of continuing to sell it. So, should the UK take action?

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