NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Which decongestant is recommended to avoid in children under 2 according to FDA guidelines?

  1. Phenylephrine

  2. Pseudoephedrine

  3. Both Phenylephrine and Pseudoephedrine

  4. Oxymetazoline

The correct answer is: Both Phenylephrine and Pseudoephedrine

Phenylephrine and Pseudoephedrine are both decongestants commonly used in over-the-counter cold and allergy medications. However, recent FDA guidelines suggest avoiding these medications in children under the age of 2 due to potential side effects such as increased heart rate and blood pressure. While Oxymetazoline is also a decongestant, it is not explicitly mentioned in the FDA guidelines for children under 2. Therefore, the safest option for children under 2 would be to avoid both Phenylephrine and Pseudoephedrine altogether.

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