sudafed (pseudoephedrine)

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This topic contains 18 replies, has 6 voices, and was last updated by  Robs back 2 months ago. This post has been viewed 535 times

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  • #420

    srm
    Participant

    I’ve read that I can’t bring pseudoephedrine to Mexico.  Is there an alternative that I can buy in Mexico?

    #433

    beam-eye
    Participant

    To be used for? (I assume it’s for pre-dive decongestant to clear ears?)

    #436

    srm
    Participant

    scuba, yes

     

    and

     

    eustachian tube dysfunction

    #460

    beam-eye
    Participant

    I’m not a dive person, and never recommend pseudoephedrine for anything. Best to ask a local dive shop what they use/recommend. Sorry.

    #662

    mstevens
    Participant

    Pseudoephedrine is banned in Mexico. There are good alternatives. However, if you have eustachian tube malfunction and intend to use a decongestant for diving, you really should discuss this with an ENT who is familiar with dive medicine. Have them consult with DAN.

    #664

    WaterRat
    Participant

    I’ve had a couple episodes of relatively severe eustachian tube malfunction. First time was during a dive, and for no apparent reason, and without warning.

    I went to the hyperbaric chamber and clinic on 10th. The doctor gave me two prescriptions and characteristically, an injection. I no longer have notes, but with two days off, I was better than new. Equalizing was literally effortless.

    Upon our return, I saw my internist, and after translating the treatment, he remarked, “interesting, not bad”, but recommended an appointment with an ENT.

    The ENT and I discussed possible causes (at great length, and in great detail), for the malfunction, essentially ruling out everything. He strongly suggested a pseudoephedrine regimen before and during a dive trip.

    My left ear has always been the most troublesome, and was surprised, as I’d followed the regimen during our trip in June, that my right ear was nearly impossible to equalize. I struggled through the first dive, as it was our last dive day, but could not equalize for the second dive.

    When I woke up the next morning, I realized why; I’d come down with a mild cold.

    When we ascended out of CUN, I had a little difficulty equalizing, but not too bad. The trouble came when we began our descent into IAH. I could not equalize. My ears remained equalized to the cabin pressure of about 6,800 feet. By the time we landed, I was essentially deaf, and I hurt.

    About midway through our 2 1/2 hour layover, where we were privileged to watch the prowess and authority of a gaggle of smiling TSA agents rocking back and forth from heel to ball, and fido. When they were sufficiently amused, and fido satiated, allowed 10 people at a time up the escalator, my left ear equalized for about 15 minutes, before I was as plugged up as ever, but in less pain.

    Again, while ascending, my ears cleared, but when we descended into our home port, I became as plugged up as ever, and in a bit more pain than before.

    I hightailed it to the Urgent Care Clinic the next morning, where she diagnosed a raging ear infection. She prescribed an antibiotic for the infection, and prednisone.

    Two days later, the pain was mostly gone, but I remained nearly completely deaf. I made another appointment with the ENT. The clinic authorities, wanting to milk me for as much as they could, insisted on an appointment with the audiologist first. She, (the audiologist) ascertained that I was indeed truthful, suffering from over 90% hearing loss, so was granted an audience with the ENT.

    This particular ENT, by his own admission, takes a pretty aggressive treatment posture. In lay terms, he cut my eardrums and suctioned out the accumulated fluid; a volume that was shocking to him. My hearing returned immediately. I heard a lot of cracking, popping and gurgling, but could hear. He told me that some ENT’s didn’t like to perform this procedure, and told me that in that case the treatment of choice, and the best choice available, was pseudoephedrine, where a patient could expect resolution anywhere from 7 – 14 days.

     

    #666

    beam-eye
    Participant

    ‘ENT ‘ (ear, nose, and throat doc) in Mexico is otorinolaryngologista. Surprisingly, every ordinary man-on-the-street local can pronounce it without a hitch (except me when I try to pronounce it in Spanish – it comes out fine in English, where I have lots of experience pronouncing it, but in Spanish the rolling rhythm throws me off at ‘laryngologista’, which is where I subconsciously begin to wonder where all those extra syllables are coming from, and did already say too many, or too few). Anyway, they fix ears, which is what this thread is all about. (Gordon, call me if you have another problem.)

    #1523

    bobsmartx
    Participant

    interesting. i have had trouble during some dives and i brought sudafed on our trips in 2014 and 2017. I had septoplasty and sinusplasty in 2016 and was certainly a lot better on the 2017 trip. I’d want the sudafed but will need to research some alternative for our next trip.

    #1531

    WaterRat
    Participant

    Both my ENT and PCP (an Internist), have told me that pseudoephedrine is the gold standard. If for some reason, that was no longer available, I’d bring either formulation of Afrin.

    I put my pseudoephedrine pills in with my bottle of Tums. In the extraordinarily unlikely event that I’d need to explain them, I’d simply tell them that they were also for stomach issues.

    If you’re still worried about repercussions, I’d highly recommend complete bed rest rather than international travel.

     

    • This reply was modified 2 months, 1 week ago by  WaterRat.
    #1533

    bobsmartx
    Participant

    oh, heck no. I’m gonna travel. somewhere in the cancun-tulum-cozumel triangle. as soon as possible. i’ll hide them in some tylenol or some such. gotta have them.

    i have used benadryl for allergies in the past. i don’t remember exactly what happened, but i vowed never to take that again on dive days.

    #1537

    beam-eye
    Participant

    Benadryl (generic: diphenhydramine) can put you to sleep, which is why you should never use it when diving. Fortunately for you, you’re here to tell us about it, and your post-action sit-rep that you don’t remember what happened is a pretty good reason to avoid it on dive days (and pre-dive days). Suerte…

    #1539

    bobsmartx
    Participant

    oh, i only meant that i can’t remember the effect I want to avoid in the future. I believe I experienced some seasickness which is foreign to me.

    the dive was otherwise spectaccular, as always.

    i think i want to, finally, dive cozumel next time I’m in the area.

    also, i miss emojis.

    #1550

    beam-eye
    Participant

    “i only meant that i can’t remember the effect I want to avoid in the future”. Yep, I think that just about says it all about the use of Benedryl when diving. Your witness, counselor…

    Humor aside, I’m just glad you’re here to reminisce about it (if only you could remember what you were reminiscing  about…which in fact sounds a lot like my problem, never mind the Bendryl). Suerte

    #1573

    mstevens
    Participant

    In terms of hiding pseudoephedrine to bring it into Mexico, it’s worth keeping in mind that this would be, quite literally, smuggling an illegal drug. Tourists have gone to jail for bringing in pseudoephedrine that was not hidden, so if someone were ever caught intentionally hiding it to smuggle it in I would envision severe penalties.

    It doesn’t really matter if someone understands or agrees with why a given substance is banned in a particular country. Those are still the laws.

    #1575

    WaterRat
    Participant

    As one approaching average intelligence, I do understand the laws of other countries other than my own.

    I have indeed, considered the risks, rewards, and possible penalties of my arguably disrespectful choice.  I will continue as I have for the reasons that I have already shared, as do hundreds if not more divers, as you know.

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