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Phenylpropanolamine PPA is a sympathomimetic agent which is used as a decongestant and appetite suppressant. In veterinary medicine, it is used to control urinary incontinence in dogs. There are four optical isomers of PPA: dextro- and levo-norephedrine, and dextro- and levo-norpseudoephedrine. Exogenous compounds in this family are degraded too rapidly by monoamine oxidase to be active at all but the highest doses. In Canada, it was withdrawn from the market on 31 May PPA acts primarily as a selective norepinephrine releasing agent.