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Infiltration Forums > UE Tutorials, Lessons, and Useful Info > Sudafed; Phenylephrine (hydrochloride) and  Anaphylaxis(Viewed 15854 times)
blackhawk
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Re: Sudafed; Phenylephrine (hydrochloride) and  Anaphylaxis
<Reply # 20 on 1/12/2018 3:15 AM >
Posted on Forum: UER ForumQuote
Ptasteful_Pteranodon, SGC or whoever you are you'll see this has been discussed already.
Adrenalin is no fun ride.
Unless you've had it IM you have no clue what a stiff shot of hell it is.
If pseudoephedrine gets the job done there's no reason for knocking the hell out of yourself with adrenaline.




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RescueMe1060 location:
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Re: Sudafed; Phenylephrine (hydrochloride) and  Anaphylaxis
<Reply # 21 on 1/12/2018 4:39 AM >
Posted on Forum: UER ForumQuote
I will never ever take pseudoephedrine willfully or willingly ever again. It gave me a massive anxiety attack and I thought I was losing my mind after taking it.

Excedrin did the same to me when I took it at a younger age. Haven't taken it since.



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blackhawk
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Re: Sudafed; Phenylephrine (hydrochloride) and  Anaphylaxis
<Reply # 22 on 1/12/2018 3:31 PM >
Posted on Forum: UER ForumQuote
Posted by RescueMe1060
I will never ever take pseudoephedrine willfully or willingly ever again. It gave me a massive anxiety attack and I thought I was losing my mind after taking it.

Excedrin did the same to me when I took it at a younger age. Haven't taken it since.


Excedrine contains caffeine. Using it with chocolate may potentiate the caffeine's effects.

That's an atypical reaction unless you take too much. The effects wear off in about 3 hours... that's not long. If you think that was a bad ride, you'll hate adrenaline
Try a smaller dose and don't use with caffeine or at night.
Every one is different; try one tab in the morning when you don't need it and test ride it.

They say not to use it if you have used a MAO inhibitor in the last 14 days but I've used it with deprenyl with no adverse effects although the latter is a selective MAO inhibitor.
I use it with coffee and will occasionally use a one pill dose at night for a stuffy nose with no trouble sleeping.
If you're already tripping out with mental anxiety it will make it worse. This isn't what I consider a mind altering drug though, not by a long shot.


[last edit 1/13/2018 5:18 AM by blackhawk - edited 1 times]

Just when I thought I was out... they pulled me back in.
BudPiffo   |  | 
Re: Sudafed; Phenylephrine (hydrochloride) and  Anaphylaxis
<Reply # 23 on 6/28/2020 9:15 PM >
Posted on Forum: UER ForumQuote
Generally speaking, the stimulant vasoconstrictors don't do much for the allergic response itself; they buy you time for antihistamines and steroids to take effect.

Epi-pens are a life-saver in cases of rapidly developing anaphylaxis, like when somebody says they feel itchy and immediately pass out on the floor. Other than that, it feels gnarly, wears off quickly, and has a high risk of heart attack and stroke.

If an allergic reaction develops over an hour or so and you notice it quickly (pay attention to itching, hives, swelling etc), you can get by with oral drugs.

In the field, this is what I've used to deal with fairly severe anaphylaxis:

  • Benadryl 50mg - chew it up at first signs
  • Prednisone 60mg - chew it up at first signs
  • Albuterol inhaler - If throat swells or fluid in lungs
  • Epi-pen - Keep one for absolute emergencies.


You can re-dose the benadryl every 4 hours or so if necessary, and you can re-dose everything if vomiting occurs. Do try to stay below 100mg benadryl and 120mg prednisone in a short timespan.

No significant interactions between these except albuterol + epinephrine, but if you need epi you're fucked anyway.

Albuterol inhalers are easy to get if you say you've experienced "reactive airway syndrome". This is idiopathic asthma which often happens in healthy people that exercise outside in cold dry air and then go inside a warm humid space.

Epi-pens are also easy to get if you have a doctor, if you say you have an allergy to bee stings etc. You can also get them for your first aid kit if you lead group wilderness events.

Prednisone you might be lucky enough to have left over from a sinus infection, a really nasty case of poison ivy, a deceased pet with an autoimmune condition, etc. I've also been able to get it prescribed for use as needed managing allergies.



Infiltration Forums > UE Tutorials, Lessons, and Useful Info > Sudafed; Phenylephrine (hydrochloride) and  Anaphylaxis(Viewed 15854 times)
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