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Re:CVS ditches common cold meds after FDA advisers say they'... by junon on Tuesday October 24, 2023 @06:26PM (#38006538)
I'm more surprised Sudafed was shown as an OTC. Isn't that one of the ingredients in meth? Not really the subject of the article but it struck me as odd.
Re:CVS ditches common cold meds after FDA advisers say they'... by CaliforniaKarl on Tuesday October 24, 2023 @06:40PM (#38006693)
That picture shows "Sudafed PE". The product "Sudafed", which contains Pseudoephedrine, still exists.

As per https://nida.nih.gov/publications/drugfacts/over-counter-med..., "Over-the-counter (OTC) medicines are those that can be sold directly to people without a prescription.". Sudafed—the real Sudafed—is still OTC, by that definition.

Re:CVS ditches common cold meds after FDA advisers say they'... by timr on Tuesday October 24, 2023 @06:37PM (#38006641)
> Isn't that one of the ingredients in meth?

Not an ingredient -- a precursor. Methamphetamine, pseudoephedrine and and phenylephrine are very closely related:

https://cen.acs.org/content/dam/cen/83/13/8313govpol1imgs.gi...

To convert pseudoephedrine to meth you have to remove a hydroxyl (-OH) group in a way that leaves the resulting molecule in a specific isomer. Doing this at high yield is challenging, but it turns out that if you're willing to live with lots of horrible impurities, you can do it in a cola bottle.

Re:CVS ditches common cold meds after FDA advisers say they'... by culi on Tuesday October 24, 2023 @07:41PM (#38007236)
A fun fact is that both Ephedrine and PE are naturally derived from the Ephedra plant. During WW1 and WW2 there was a lot of research into how we can make these chemicals more potent and that's basically how we ended up with meth. Many soldiers came home after WW2 still addicted to meth and for a few years you could actually buy meth at your local drugstore as an OTC.
Re:CVS ditches common cold meds after FDA advisers say they'... by ksherlock on Tuesday October 24, 2023 @08:41PM (#38007740)
Yeah, Benzedrine inhaler tubes ("bennies") were banned in 1965.
Re:CVS ditches common cold meds after FDA advisers say they'... by striking on Tuesday October 24, 2023 @06:38PM (#38006659)
There's the Sudafed on the shelves, made with phenylephrine, and the Sudafed behind the counter, made with pseudoephedrine. (Technically both OTC.)

The Sudafed behind the counter actually works (really really well), but due to what you've described, you need to present ID and affirm that you'll abide by certain federal laws. Oh, and there's a low hard limit on how much you can buy at a time, which is fine if it's just you in your household but not so fine if absurd levels of congestion run in the family and you all live together.

Re:CVS ditches common cold meds after FDA advisers say they'... by a2tech on Tuesday October 24, 2023 @06:37PM (#38006656)
You can still get it over the counter, but you have to ask at the counter for it
Re:CVS ditches common cold meds after FDA advisers say they'... by barney54 on Tuesday October 24, 2023 @06:31PM (#38006581)
Not real Sudafed. Real Sudafed isn’t OTC because it is pseudoephedrine—in fact that’s where Sudafed got its name.
Re:CVS ditches common cold meds after FDA advisers say they'... by strifey on Tuesday October 24, 2023 @06:38PM (#38006671)
Real sudafed is OTC, you just need to ask for it at the counter. No prescription is required. They just don't have it on shelves, because they require you to show your ID when purchasing it. I'm assuming this is so they can track how much a person is buying to track people who are using it for illicit purposes.
Re:CVS ditches common cold meds after FDA advisers say they'... by theultdev on Tuesday October 24, 2023 @06:53PM (#38006810)
Behind the counter (BTC) is the specific term for these OTC medicines.
Re:CVS ditches common cold meds after FDA advisers say they'... by hcurtiss on Tuesday October 24, 2023 @06:54PM (#38006812)
Oregon requires a prescription.
Re:CVS ditches common cold meds after FDA advisers say they'... by strifey on Tuesday October 24, 2023 @07:06PM (#38006921)
Oof, remind me not to move there. I wouldn't survive an allergy season. Though to be fair, I imagine most GPs would write a prescription pretty quick.
Re:CVS ditches common cold meds after FDA advisers say they'... by jjulius on Tuesday October 24, 2023 @07:08PM (#38006937)
You can move here - prescriptions have not been required since January 1, 2022.
Re:CVS ditches common cold meds after FDA advisers say they'... by theultdev on Tuesday October 24, 2023 @09:05PM (#38007893)
You can just buy hard drugs there instead, it's Oregon!

But you will have to go to a shady place since they only decriminalized them...

If it seems stupid it's because it is.

Re:CVS ditches common cold meds after FDA advisers say they'... by jibolash on Tuesday October 24, 2023 @06:54PM (#38006815)
This category of drugs are referred to as Behind the Counter, https://www.fda.gov/drugs/information-drug-class/legal-requi...
Re:CVS ditches common cold meds after FDA advisers say they'... by strifey on Tuesday October 24, 2023 @07:01PM (#38006882)
Interesting, today I learned it had a more specific term. Still, saying something "isn't OTC" implies you need a prescription to most people. At least in my experience.
Re:CVS ditches common cold meds after FDA advisers say they'... by rubyfan on Tuesday October 24, 2023 @06:41PM (#38006695)
Wow, I have legit never made that connection.
Re:CVS ditches common cold meds after FDA advisers say they'... by delecti on Tuesday October 24, 2023 @06:33PM (#38006613)
Sudafed makes (or at least made) products with phenylephrine, the useless drug in question. Those products don't contain pseudoephedrine, which can indeed be used as a precursor to making meth.
Re:CVS ditches common cold meds after FDA advisers say they'... by aug_aug on Tuesday October 24, 2023 @06:40PM (#38006684)
Actually, Sudafed continues(d?) to make both, you just have to ask for the one with pseudoephedrine which is usually locked behind the counter. Not a meth chef here, but do I have allergies and get migraines, the only thing that seems to help is pseudoephedrine. When they introduced this crap however long ago I could immediately tell it did nothing compared to the 'original' version. Not surprised at all by this revelation/confirmation years later.
Re:CVS ditches common cold meds after FDA advisers say they'... by wging on Tuesday October 24, 2023 @06:43PM (#38006716)
Sudafed also makes pseudoephedrine HCl, which works. That’s why their name is a contraction of ‘pseudoephedrine’.
Re:CVS ditches common cold meds after FDA advisers say they'... by pbj1968 on Tuesday October 24, 2023 @06:32PM (#38006590)
It’s been fake Sudafed for 15 years thanks to people in Missouri having nothing better to do.
Re:CVS ditches common cold meds after FDA advisers say they'... by dylan604 on Tuesday October 24, 2023 @06:34PM (#38006616)
as if it's only a problem in Missouri. what ever gripe you have is totally useless here.
Re:CVS ditches common cold meds after FDA advisers say they'... by pbj1968 on Tuesday October 24, 2023 @06:51PM (#38006779)
Missouri was the meth capital of the United States and pioneered the laws restricting sales. Meth labs were never run off buying 2-3 boxes at a time - before the restrictions you could buy the pills by the thousands from compounding pharmacies. As much as I “appreciate” your downvote, my quality of life has been directly impacted by the sales restrictions. The only way I can buy enough to maintain the dose I need involves straw man purchases far more expensive than they used to be. Accordingly, I moved on to other medications which are not as effective.