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Older adults-Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of pseudoephedrine in the elderly with use in other age groups.

Other medicines-Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking pseudoephedrine, it is especially important that your health care professional know if you are taking any of the following:

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Beta-blockers (acebutolol [e.g., Sectral], atenolol [e.g., Tenormin], betaxolol [e.g., Kerlone], bisoprolol [e.g., Zebeta], carteolol [e.g., Cartrol], labetalol [e.g., Normodyne], metoprolol [e.g., Lopressor], nadolol [e.g., Corgard], oxprenolol [e.g., Trasicor], penbutolol [e.g., Levatol], pindolol [e.g., Visken], propranolol [e.g., Inderal], sotalol [e.g., Sotacor], timolol [e.g., Blocadren])-Pseudoephedrine may decrease the effect of these medicines; also, taking pseudoephedrine with beta-blockers may increase the chance of side effects Cocaine-Using cocaine with pseudoephedrine may increase the effects of either one of these medicines on the heart and increase the chance of side effects Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])-Taking pseudoephedrine while you are taking or within 2 weeks of taking monoamine oxidase (MAO) inhibitors may increase the chance of serious side effects

Other medical problems-The presence of other medical problems may affect the use of pseudoephedrine. Make sure you tell your doctor if you have any other medical problems, especially: Diabetes mellitus (sugar diabetes)-Use of pseudoephedrine may cause an increase in blood glucose levels Enlarged prostate or Glaucoma, or a predisposition to glaucoma or Heart disease or blood vessel disease or High blood pressure-Pseudoephedrine may make the condition worse Overactive thyroid-Use of pseudoephedrine may make the condition worse

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Proper Use of This Medicine For patients taking pseudoephedrine extended-release capsules:

Swallow the capsule whole. However, if the capsule is too large to swallow, you may mix the contents of the capsule with jam or jelly and swallow without chewing. Do not crush or chew before swallowing. For patients taking pseudoephedrine extended-release tablets:

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Swallow the tablet whole. Do not break, crush, or chew before swallowing. To help prevent trouble in sleeping, take the last dose of pseudoephedrine for each day a few hours before bedtime. If you have any questions about this, check with your doctor.

Take this medicine only as directed. Do not take more of it, do not take it more often, and do not take it for a longer period of time than recommended on the label (usually 7 days), unless otherwise directed by your doctor. To do so may increase the chance of side effects.