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Over-the-counter medicine

Tetrahydrozoline

Tetrahydrozoline is an over-the-counter medicine. No generic is listed; pharmacies paid $0.0969 per mL (Qc eye drops 0.05%) in the October 7, 2026 NADAC survey.

  • No generic listed
  • Over the counter

Check it at the source: the tetrahydrozoline FDA label on DailyMed (effective December 30, 2025); every tetrahydrozoline label on DailyMed.

Highlights of the record

FDA label of December 30, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

relieves redness of the eye due to minor eye irritations

Forms and strengths

  • 0.05 g/100ml
  • 0.5 mg/ml

Solution/ drops; solution; liquid.

On the market

Generic approvals
1 first November 30, 1979; 1 with a marketed status in Drugs@FDA
Labelers listed (NDC)
24 of which 0 under generic applications, 0 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$0.0969 per mL Qc eye drops 0.05%
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
1 since 2014 0 Class I among all firms' recalls; latest July 17, 2014; 4 more by firms not listed as its makers
FAERS reports
294 through July 30, 2026

What is tetrahydrozoline used for?

From the label: indications and usage

relieves redness of the eye due to minor eye irritations

Source: FDA drug label (Foster and Thrive Original Formula Eye Drops), Strategic Sourcing Services LLC, effective December 30, 2025 (SPL set 002da62b-aec6-8e2a-e063-6294a90a5efc), via openFDA; the full label on DailyMed

Is there a generic for tetrahydrozoline?

The FDA approved the first generic tetrahydrozoline on November 30, 1979. 1 generic application is approved; 1 of it carries a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for tetrahydrozoline?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.0969 per mL (Qc eye drops 0.05%), down 24% from $0.127 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Qc eye drops 0.05% (generic)
$0.139
$0.0969
July 2025October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Qc eye drops 0.05%Generic$0.0969 per mLn/a-24%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

Has tetrahydrozoline been recalled?

The FDA's Enforcement Report lists 5 recalls naming tetrahydrozoline since 2014: 0 Class I (the most serious), 4 Class II, 1 Class III; 2 still ongoing. 4 of them are by firms that FDA's NDC Directory does not list as a maker of tetrahydrozoline and that hold no application for it in Drugs@FDA, such as compounding pharmacies or bulk-ingredient suppliers; the recall notice names the product recalled. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
March 3, 2026Class IIK.C. Pharmaceuticals, Inc not a listed makerLack of Assurance of Sterility
June 13, 2023Class IIK.C. Pharmaceuticals, Inc not a listed makerCGMP Deviations: good manufacturing deficiencies related to a lack of documentation of the fill line.
December 4, 2014Class IIIK C Pharmaceuticals Inc not a listed makerCGMP Deviations: Active Pharmaceutical Ingredient (API) used for manufacture was stored in a non-GMP compliant warehouse at S.I.M.S., Italy.
July 18, 2014Class IISpectrum Laboratory Products not a listed makerCGMP Deviations; Stored/dispensed in a non-GMP compliant warehouse at S.I.M.S., Italy.
July 17, 2014Class IISST CorporationCGMP Deviations; Stored/dispensed in a non-GMP compliant warehouse at S.I.M.S., Italy.

Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026

What do FAERS reports show for tetrahydrozoline?

The FDA Adverse Event Reporting System holds 294 reports that list tetrahydrozoline among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 20 are coded as a death and 65 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Fatigue109
  • Headache103
  • Off Label Use (a use or a product term, not a reaction)98
  • Pain98
  • Drug Ineffective (a use or a product term, not a reaction)97
  • Rash95
  • Abdominal Discomfort94
  • Weight Decreased94

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Tetrahydrozoline side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other