SubEx
Phenylephrine·Relieve allergy symptoms·finding 14 of 15
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★★☆Single study — solid evidence, such as one good trial or a large observational dataset, but not replicated at the top tier.

Physical & body · no significant effect · single study

One trial: pseudoephedrine eased congestion, phenylephrine did not

One dose each, in 39 people with hay fever in a pollen chamber: pseudoephedrine 60 mg eased congestion over 6 hours, and phenylephrine 12 mg did no better than placebo.

What the study found

Pseudoephedrine beat phenylephrine and placebo in one pollen chamber

In a pollen chamber, 39 people with grass allergy took one dose each of phenylephrine 12 mg, pseudoephedrine 60 mg and a placebo, on separate days. Over 6 hours pseudoephedrine eased congestion more than both, and airflow measures agreed. Phenylephrine could not be told apart from placebo.

The caveat · Earlier doses may have carried over

Each person took all three in turn, and the authors flag that earlier doses may have carried over: in the first round alone, phenylephrine's gap over placebo was 64% of pseudoephedrine's, against 17% across all rounds. It tested a single dose. The congestion came from pollen, not a cold.