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Cold Meds For High Blood Pressure

Pick The Right Medication

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Some cold medications can raise your blood pressure. Thats why its essential to choose a cold medication designed for people with high blood pressure. There are several cold medications on the market that dont contain .

Decongestants can raise blood pressure, so its best to avoid them if you have hypertension. Painkillers containing naproxen sodium may raise blood pressure, so avoiding them is better.

Also, look for cold medications that dont contain ingredients like nonsteroidal anti-inflammatory drugs. A painkiller will also work to relieve sore throat, headache, and body aches.

You may take aspirin or acetaminophen. Try Coricidin HBP for the common cold, free from any decongestants. Besides, these drugs can help relieve pain and fever without raising blood pressure.

Cold Medicine To Avoid With Hypertension

There are lots of different types of cold and flu medications. Many of them combine decongestants, cough suppressants, and pain relievers . Although these ingredients can help you feel better, they might make heart disease and high blood pressure worse.

If you have high blood pressure, you should always talk to your healthcare provider before using OTC medications. There are two common ingredients that you should be particularly mindful of.

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Blood Pressure And Cough And Cold Medications

Many cough and cold medications contain NSAIDs to relieve pain. NSAIDs may increase your blood pressure. Cough and cold medicines also frequently contain . Decongestants can make blood pressure worse in two ways:

  • Decongestants may make your blood pressure and heart rate rise.
  • Decongestants may prevent high blood pressure drugs from working properly.

What can you do? Avoid using cough and cold medicine that contains NSAIDs or decongestants. Ask your doctor for suggestions about other ways to ease symptoms of cold, flu, or sinus problems.

The Science Behind Pseudoephedrine

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When you have a cold or an allergy attack, your white blood cells gather in your nasal passages and sinuses. This causes nasal membranes to swell and increases mucus production. Pseudoephedrine constricts these blood vessels, which decreases drainage.

But those same constricted vessels might also increase your blood pressure and heart rate.

Pharmacist Kayla Ryan explains the mechanism of pseudoephedrine. Pseudoephedrine is chemically similar to adrenaline, so the body recognizes it as adrenaline, causing the blood pressure and heart rate to increase.

She refers to one of the last major studies of the effects of pseudoephedrine on blood pressure, which took place in 2005. This study found that pseudoephedrine increased systolic blood pressure by one point on average, while heart rate increased by an average of three beats per minute.

Ryan adds that the immediate-release products had a greater impact on heart rate and blood pressure than their 12 hour or 24 hour extended-release counterparts, which showed a smaller increase in blood pressure.

In 2005, the FDA passed the Combat Methamphetamine Act, which requires pharmacies to sell all medications containing pseudoephedrine behind the counter. At your local drugstore, youll find cards in the cold and flu aisle with information for these medications. You can take the card to the pharmacist, who is required to scan your drivers license before purchase.

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Can I Take Tylenol Cold And Flu With High Blood Pressure

According to the ingredients listed by the manufacturer, Tylenol Cold and Flu products contain phenylephrine, which is used as a nasal decongestant. Decongestants are not recommended for people with high blood pressure trying to keep it under control.

Additionally, among the other warnings associated with this product is the recommendation to consult with your doctor before taking it if you have high blood pressure.

Risks Of Decongestants For People With Hypertension

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The inside of the nose is lined by many tiny blood vessels. When an infection or allergy occurs, more blood starts flowing to these vessels as an immune response. Due to this increase in the blood flow the vessels swell and block the nose, thereby causing breathing problems. The decongestants reduce the swelling of these blood vessels and makes breathing easier. Also, these medications increase the blood pressure as a result of constriction of the blood vessels.

People affected by high blood pressure are always advised to read the labels on any over-the-counter medications before buying them. Having a blood pressure of 120/80 mm Hg or greater, makes this point even more important to remember. Apart from elevating the blood pressure, decongestants are known to interfere with other hypertension medications. There are several medications to treat cold and flu which contain decongestants. Common examples include ephedrine, phenylephrine, and phenylpropanolamine. Also, synephrine, oxymetazoline, levmetamfetamine. tetrahydrozoline, propylhexedrine, and naphazoline are some other medications which contain decongestants and must be avoided by patients having high blood pressure.

According to the American Heart Association, prescribed decongestant drugs which can be taken for relieving nasal congestion, without affecting the blood pressure levels, are Coriciden HBP, Chlor-Trimeton, Benadryl, and Tavist-1.

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What Other Treatment Options Can Safely Relieve Cold And Flu Symptoms For People With High Blood Pressure

Over-the-counter cold and flu medications are not the only treatment option for many cold and flu symptoms. Often, mild to moderate symptoms can be relieved with safe treatments that do not affect your blood pressure.

Here are some of them:

Saline nasal spray

Using a saline nasal spray is an effective option for clearing nasal congestion. A saline nasal spray can help flush your sinuses and wash away particles, allergens, and germs.

Saltwater gargle

Gargling with warm salt water or drinking warm water or tea with lemon juice and honey can often relieve a sore or scratchy throat.

Rest and plenty of fluids

If you feel ill and start to show symptoms of a cold or the flu, take it easy and rest. Also, drinking plenty of fluids such as water, juice, tea, or soup will keep you hydrated and help clear the phlegm and mucus from your lungs.

Alternative Decongestants For Patients With High Blood Pressure

Its allergy season and you cant breathe the fresh air because your nose is congested and stuffed. You visit the pharmacy and purchase a box of Sudafed. Your pharmacist asks if you have a history of high blood pressure, and you answer yes. The pharmacist replies that she does not recommend Sudafed for you, but why?

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What Are Safe Alternatives To Pseudoephedrine In Patients With High Blood Pressure

There are a few safe and effective alternatives to pseudoephedrine in patients with high blood pressure that can relieve nasal or sinus congestion symptoms. Placing a humidifier in the bedroom keeps moisture in the air, which helps prevent your nasal passages from drying out. Humidifiers can also help break up mucus and soothe inflamed nasal passageways.3 In addition, propping your head up on 2 pillows may help the mucus flow out of your nose and relieve some congestion. Saline sprays are also another safe option that can loosen congestion and improve drainage.3 If a patient with high blood pressure insists on taking a medication that includes pseudoephedrine, their pharmacist or physician will recommend the patient to monitor their blood pressure and take a sustained-release formulation to reduce the risk of increasing blood pressure.3

Next time you have sinus or nasal congestion, ask your physician before using pseudoephedrine if you have high blood pressure. Your local pharmacist can also help manage nasal congestion symptoms, provide valuable information regarding safer alternatives, and ensure optimal drug selection in patients with high blood pressure.


  • Salerno SM, Jackson JL, Berbano EP. Effect of Oral Pseudoephedrine on Blood Pressure and Heart Rate: A Meta-analysis. Arch Intern Med. 2005 165:16861694. doi:10.1001/archinte.165.15.1686.
  • More Meds That Can Raise Blood Pressure

    When should you take your blood pressure medicine?

    Besides pseudoephedrine, cold and allergy sufferers with hypertension should be wary of:

    • Afrin nasal spray
    • Multi-symptom cold products with NSAIDs

    If you take prescription medications that increase your blood pressure, such as Adderall or albuterol inhalers, the oxymetazoline in Afrin can also increase your blood pressure through a combined effect.

    NSAIDs cause the body to retain fluid and may affect kidney function, which may increase blood pressure.

    Fortunately, if you have high blood pressure, there are safer alternatives when cold and allergy season come around.

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