Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Sudafed (pseudoephedrine) and Advil Sinus Congestion and Pain (ibuprofen/phenylephrine) are both over-the-counter medications used to relieve congestion, but they have some key differences. Sudafed (pseudoephedrine) is a decongestant that works by narrowing blood vessels in your nose and sinuses, helping to clear congestion and pressure. It comes in various formulations, including immediate-release and extended-release tablets, and is available as a generic. However, it can cause side effects like anxiety, headache, and difficulty sleeping. It may also raise your blood pressure. On the other hand, Advil Sinus Congestion and Pain combines the nonsteroidal anti-inflammatory drug (NSAID) ibuprofen and a decongestant (phenylephrine) to treat pain, fever, and swelling. Studies show that oral phenylephrine isn't an effective decongestant. That's why Advil Sinus Congestion and Pain may not be the best choice for managing congestion. It is taken every 4 hours and is not suitable for children under 12. It can also cause stomach bleeding, ulcers, and other serious side effects, especially if used for a long time or in high doses. Both medications should be used with caution if you have certain medical conditions or are taking other medications.
Sudafed (pseudoephedrine)
Ibuprofen/phenylephrine
Sudafed (pseudoephedrine)
Ibuprofen/phenylephrine
Summary of Sudafed vs. Advil Congestion
Summary for Alpha agonist
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.
Summary for NSAID / Decongestant
Ibuprofen/phenylephrine is a combination of two medications used to treat pain and congestion, which are symptoms of the common cold or flu. It's available over the counter (OTC) and as a lower-cost generic medication. Using it longer than recommended can put you at risk for side effects such as stomach bleeds.
Indications of Sudafed vs. Advil Congestion
Indications for
•Short-term relief of nasal and sinus congestion and pressure
Indications for
•Short-term relief of symptoms from the common cold or flu: headache, fever, sinus pressure, nasal congestion, minor body aches and pains
•Lowers swelling in nasal passages
•Improves freer breathing through the nose
Pros and Cons of Sudafed vs. Advil Congestion
Pros and Const for Alpha agonist
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
Pros and Const for NSAID / Decongestant
Pros
•Can treat a wide variety of common cold or flu symptoms
•More convenient to take two medications in one pill
•Available over the counter
•Available as lower-cost generics
Cons
•Needs to be taken every 4 hours
•More difficult to customize the dose since ibuprofen/phenylephrine is a combination of two 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 of Sudafed vs. Advil Congestion
Common Side Effects for
•Sweating
•Nervousness
•Excitability
•Difficulty sleeping
•Low appetite
•Difficulty urinating
Common Side Effects for
•Dizziness
•Difficulty sleeping
•Restlessness
•Stomach upset
•Heartburn
•Nausea
•Skin rashes
Warnings of Sudafed vs. Advil Congestion
Common Side Effects for
•Fast heart rate and high blood pressure
•Worsening of medical conditions
•Accidental overdose
Common Side Effects for
•Stomach bleeding
•Heart attack and stroke
•Worsening of medical conditions
•Severe allergic reactions
•Potential harm to unborn baby
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