Because of my post yesterday afternoon, a local friend attempted
to give me some of their surplus Zyrtec, running into extra hassles
on the road wending hither from yon. I was, and am, grateful for
the effort. But just as we were saying goodbye, I took a closer
look and realized to my horror that this was a newer, improvified
version. It was time-release, and it was Zyrtec-D.
Investigating farther, we discovered that the "-D" meant what
I feared: to have a new version to market the newness of, and
probably to have a product that still had patent protection,
they did what all greedy antihistamine-makers seem to do at the
seventeen year mark nowadays, and made a version with pseudoephederine
added to it.
Which means unlucky folks like myself can't take it. The effects
of Sudafed on me are quite unpleasant. I discovered this back when
Seldane still worked for me and I still had medical coverage.
I called my HMO to say, "It's spring, there's pollen, and I need
my Seldane prescription renewed. No, I don't need a decongestant,
just the antihistamine. If the antihistamine does its job, the
decongestant will be moot." They said they'd call it in to the
pharmacy. Well that year they had pens and notepads and calendars
in front of them pushing the then-brand-new Seldane-D, so that's
what they called in.
The morning after I took my first dose, I called back to
ask, "What the Hell is in that stuff that makes it different
from plain old Seldane? I didn't stop shaking all night,
I didn't sleep, and I felt like crap the whole time and still
do!" The answer: pseudoephederine ... when I had specifically
said "No thanks" to decongestants. The next time I saw my
doctor (as opposed to phoning other people in her office or
at the HMO's HQ), I brought it up again, and she said that
I probably couldn't take any other decongestants either, and
neither could she for the same reason. (I did eventually get
my plain Seldane that spring.)
For people who can take pseudoephederine,
is there any actual benefit to having both drugs in one pill?
Do you still need a decongestant if your antihistamine is
effective? Or is this only a marketing/patent ploy
without real benefit to patients? (It makes more
sense to me in cold remedies than it does in allergy meds.
The other place I have to watch out for it is in cough syrup.)
Anyhow, I'm grateful for the thought and the effort, and
am disappointed that my friend wound up making a wasted trip.
In the meantime, I'm glad to have learned it's OTC in Canada,
so relief will arrive at some point in generic form.