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Do Allergy Medicines Interact With My Blood Pressure Medication
Most antihistamines are generally safe to take with your blood pressure medication. However, keep in mind the following drug interactions if you are taking medication for your blood pressure:
- fexofenadine : Carvedilol may increase the effects of fexofenadine. Use fexofenadine cautiously if you are taking carvedilol.
- cetirizine and levocetirizine : You may experience increased drowsiness if you take cetirizine or levocetirizine in combination with methyldopa .
- diphenhydramine : Any product containing diphenhydramine may counteract the effects of many of your blood pressure medications. Be sure to talk with your pharmacist before taking any diphenhydramine products.
What Allergy Medicines Can I Safely Take If I Have Heart Disease Or High Blood Pressure
Dr. Wayne Leimbach, Director of Interventional Laboratories at Oklahoma Heart Institute, shares insights on allergies, heart disease and high blood pressure on our blog today.
Springtime brings not only beautiful weather and beautiful flowers, but it also brings high pollen counts and suffering to people with allergies. Many people often ask what allergy medicines they can take safely if they have heart disease or high blood pressure. Many allergy medications include decongestants that can raise blood pressure, create palpitations and interfere with some other heart medications.
Medications that often can be safely used by people with significant allergies include nasal corticosteroids. In addition, antihistamines such as fexofenadine , cetirizine , loratadine and diphenhydramine are very effective.
Often manufacturers will include a decongestant with the antihistamines in order to provide additional control of the runny nose often seen with allergies. Manufacturers will often add the letter D to the medicine to indicate which of the antihistamines also contain a decongestant. These decongestants can be phenylephrine, pseudoephedrine or oxymetazoline.
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Which Allergy Medications Affect My Blood Pressure
You should avoid decongestants if you have high blood pressure or heart problems. Decongestants constrict blood vessels to open nasal passages and facilitate breathing. Because decongestants constrict blood vessels throughout your body, they can worsen hypertension. Additionally, decongestants stimulate the release of norepinephrine in your body, which raises your blood pressure and your heart rate.
When choosing an allergy medication, be aware of combination products that contain decongestants. Products that contain a decongestant typically have the words sinus, cold, congestion, or on the label. They may also be labeled with the letters D, PD, or PE after the name.
Examples of allergy medicines that contain decongestants include the following:
- Sudafed Sinus and Allergy
The list above is a small sample of allergy medications that contain decongestants. Always check with your pharmacist before choosing allergy medications.
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Other Ways To Reduce And Relieve Allergy Symptoms
While allergies can produce a variety of symptoms, one of the most common is itching, burning, stinging, or watery eyes. When you have an allergic reaction to pollen, dust, pet dander, or any allergen, the histamines released by your body can leave your eyes irritated until the allergen is gone. One effective method of relieving these symptoms is the use of eyedrops.
Allergy eye drops, such as Ophthalmic ketotifen and prescription ophthalmic olopatadine, and nonprescription ophthalmic olopatadine are safe options for itchy and watery eyes. Both ketotifen and olopatadine are antihistamines. These medications work by blocking the actions of histamines and provide safe, effective relief for itchy, watery eyes that are the result of many allergens.
Rinsing your nasal passageways with saline solution or nasal irrigation¹ is a simple, inexpensive, and effective way to relieve a variety of sinus and nasal conditions associated with allergies. Flushing the nasal cavity with saline solution can remove dust and pollen and help to loosen thick mucus. While plain water can irritate the mucous membranes, the saline solution can pass through delicate nasal membranes with little or no discomfort or irritation. In addition, nasal irrigation is safe for all ages, with no documented serious adverse effects reported.
While irrigation devices may differ slightly, they all work in the same fundamental way:
Three types of water are safe for use in nasal irrigation:
Benadryl Interactions With Lab Tests
Lab tests have not been reported to interact with Benadryl. If youd like additional information about having lab tests while taking Benadryl, talk with your doctor.
Benadryl and cannabis or CBD
Cannabis and cannabis products, such as cannabidiol , have not been specifically reported to interact with Benadryl. However, as with any drug or supplement, talk with your doctor before taking cannabis in combination with Benadryl. The impact of cannabis may affect how well you stick to your Benadryl treatment plan.
Note: Cannabis is illegal at a federal level but is legal in many states to varying degrees.
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Find Out More About Your Medicine
The leaflet that comes in the packet with your medicine will have detailed information about it, including how to take it and what side effects you might get.
If you no longer have the leaflet that came with your medicine, you can search for an online version of it using our medicines guide.
You may also find information on individual antihistamines on these websites:
Questions To Ask Your Doctor
- Do I need an antihistamine?
- Can I take one over the counter, or do I need a prescription?
- Which over-the-counter type of antihistamine is the best for my symptoms?
- What are the side effects of this type or brand?
- Is there anything I should avoid doing while Im taking an antihistamine?
- How long should I take it?
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What Allergy Medicines Can I Take If I Have High Blood Pressure
Although some allergy medicines affect your blood pressure or interact with your blood pressure medication, safe options for treating your allergy symptoms exist if you have high blood pressure.
Second-generation antihistamines that are not combined with decongestants are generally safe to use if you are not taking the blood pressure medicines listed in the drug interaction section above. Second-generation antihistamines include the following:
If your symptoms include nasal congestion, the following options are generally safe to use as decongestants:
- steroid nasal sprays, such as Flonase , Nasacort , and Rhinocort
- antihistamine nasal sprays, such as Astelin and Patanase
- saline nasal sprays or rinses, such as Ayr, Ocean, Simply Saline, or Neti Pot
Antihistamine eye drops, such as Pataday and Zaditor , are safe options for itchy watery eyes.
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