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Sudafed vs. Advil Allergy and Congestion

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Sudafed (pseudoephedrine) and Advil Allergy and Congestion Relief (ibuprofen/phenylephrine/chlorpheniramine) are both over-the-counter medications used to treat symptoms of allergies and the common cold, but they have some key differences. Sudafed is a single-ingredient decongestant that works by narrowing blood vessels in your nose and sinuses to relieve congestion and pressure. It comes in various formulations, including immediate-release and extended-release tablets, and is available in generic forms. On the other hand, Advil Allergy and Congestion Relief is a combination of three medications: ibuprofen (a pain reliever and anti-inflammatory), phenylephrine (a decongestant), and chlorpheniramine (an antihistamine). This combination helps relieve a wider range of symptoms, including runny nose, itchy eyes, and minor aches and pains, but it needs to be taken every 4 hours. Studies show that oral phenylephrine is not effective so Advil Allergy and Congestion Relief may not be the best option for managing congestion symptoms. Sudafed can cause side effects like anxiety and difficulty sleeping, while Advil Allergy and Congestion Relief can cause dizziness, sleepiness, and stomach issues. Additionally, Sudafed is not recommended during pregnancy, especially in the first trimester, whereas Advil Allergy and Congestion Relief should be avoided during the second half of pregnancy due to the risk of complications.

Sudafed

(pseudoephedrine)

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Advil Allergy and Congestion Relief

 

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Summary for Sudafed

Over-the-counter

Sudafed (pseudoephedrine) is a non-drowsy decongestant taken by mouth to treat nasal and sinus congestion from allergies and the common cold. It's available in a short-acting version that's taken once every 4 to 6 hours. It also comes in longer-acting versions that are taken every 12 or 24 hours, depending on the dose. Side effects of Sudafed (pseudoephedrine) include anxiety and headache. This medication might also keep you awake at night if you take it too close to bedtime. Sudafed (pseudoephedrine) is an OTC medication, but it's restricted, so you can only purchase it at the pharmacy counter.

Indications for Sudafed

  • Short-term relief of nasal and sinus congestion and pressure

Pros and Cons for Sudafed

Pros

  • Works well to treat congestion
  • Available in longer-acting versions that last 12 hours or 24 hours
  • Children's oral liquids can be taken by kids as young as 4 years old
  • Available as lower-cost generics

Cons

  • Several products have different age cut-offs for use in children, so can be confusing
  • Might make it hard for some people to sleep
  • Can raise blood pressure and heart rate
  • Not recommended during pregnancy

Common Side Effects for Sudafed

  • Sweating
  • Nervousness
  • Excitability
  • Difficulty sleeping
  • Low appetite
  • Difficulty urinating

Warnings for Sudafed

  • Fast heart rate and high blood pressure
  • Worsening of medical conditions
  • Accidental overdose

Summary for Advil Allergy and Congestion

Over-the-counter

Advil Allergy and Congestion Relief is a combination of three medications, chlorpheniramine (antihistamine), ibuprofen (non-steroidal anti-inflammatory drug (NSAID)), and phenylephrine (decongestant). It's available over the counter (OTC) and used to treat symptoms from allergies and the common cold.

Indications for Advil Allergy and Congestion

  • Short-term relief of symptoms from allergies and the common cold: runny nose, itchy or watery eyes, itchy nose or throat, sneezing, nasal congestion, sinus pressure, headache, minor aches and pains, fever
  • Lowers swelling in the sinuses around the nose
  • Restores breathing through the nose

Pros and Cons for Advil Allergy and Congestion

Pros

  • Can treat a wide variety of allergy and common cold symptoms
  • More convenient to take three medications in one pill
  • Available over the counter

Cons

  • Needs to be taken every 4 hours
  • More difficult to customize the dose since Advil Allergy and Congestion Relief is a combination of three medications
  • Can cause stomach bleeding or stomach ulcers
  • Can't be used in children younger than 12 years old, right before or after heart surgery, or with current or recent (within the last 14 days) use of monoamine oxidase inhibitors (MAOIs)

Common Side Effects for Advil Allergy and Congestion

  • Dizziness
  • Sleepiness
  • Constipation
  • Upset stomach
  • Heartburn
  • Nausea
  • Headache
  • Dry mouth

Warnings for Advil Allergy and Congestion

  • Stomach bleeding
  • Heart attack and stroke
  • Severe allergic reactions
  • Worsening of medical conditions
  • Accidental overdose
  • Potential harm to unborn baby

Prices with our coupons for Sudafed vs. Advil Allergy and Congestion

Price Card Drug Icon
Pseudoephedrine24 tablets / 30mg
$10.68-
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Advil Allergy And Congestion10 tablets / 200mg/10mg/4mg
$12.26$14.39
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