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Sudafed (pseudoephedrine) and other decongestants can cause erectile dysfunction (ED) in some men. If you are having trouble getting or maintaining an erection while taking Sudafed, your doctor or pharmacist can recommend a different medication.
Edit Answer here... Hi, pseudoephedrine is a nasal decongestant and helps in the better functioning of Eustachian tube (ET) also. ET dysfunction can be cause of vertigo and restoration of ET function may help in such vertigo. But pseudoephedrine should be taken under supervision and is not used in cardiac patients.