Why Is This Medication Prescribed
Loratadine is used to temporarily relieve the symptoms of hay fever and other allergies. These symptoms include sneezing, runny nose, and itchy eyes, nose, or throat. Loratadine is also used to treat itching and redness caused by hives. However, loratadine does not prevent hives or other allergic skin reactions. Loratadine is in a class of medications called antihistamines. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Loratadine is also available in combination with pseudoephedrine . This monograph only includes information about the use of loratadine alone. If you are taking the loratadine and pseudoephedrine combination product, read the information on the package label or ask your doctor or pharmacist for more information.
What Side Effects May I Notice From Receiving This Medicine
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash or hives, swelling of the face, lips, or tongue
- breathing problems
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Nonprescription Products To Avoid With Hypertension
W. Steven Pray, PhD, DPhBernhardt Professor, Nonprescription Products and DevicesCollege of Pharmacy, Southwestern Oklahoma State UniversityWeatherford, Oklahoma
US Pharm.
Researchers have charted an alarming rise in the number of persons with hypertension. For example, the number rose by 30% from 1994 to 2000.1 The CDC estimated the percentage of noninstitutionalized adults aged 20 years and above with hypertension to be 32%.2 The number of ambulatory visits that have hypertension as the primary diagnosis is estimated to be 40.5 million.2 In 2006, there were 23,855 deaths due to hypertension, or 8 per 100,000 population.2
The National Institutes of Health has provided this hypertension advice for the lay public: Most of the time, high blood pressure can be controlled with medicine and lifestyle changes.3 Of course, this optimistic statement assumes that patients do not unknowingly take any action that would raise their blood pressure. For instance, some nonprescription medications may cause dangerous rises in blood pressure, and the labels reflect that danger by recommending that patients speak to a physician before using them. However, some patients ignore the labels completely. Others may choose to ask the pharmacist about the warning. For this reason, it is important for pharmacists to be aware of which products carry the warning and which alternative products may be recommended.
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How Should I Take Wal
Use exactly as directed on the label, or as prescribed by your doctor. Cold or allergy medicine is only for short-term use.
Wal-itin is usually taken once per day.
Swallow the regular tablet whole.
Allow the orally disintegrating tablet to dissolve in your mouth without chewing.
You must chew the chewable tablet before you swallow it.
Measure liquid medicine with the supplied syringe or a dose-measuring device .
A child’s dose is based on age and some forms of loratadine are not for use in children younger than 6 years old. Carefully follow the dosing instructions provided with this medicine.
Store at room temperature away from moisture and heat.
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Which Otc Allergy Meds Put You At Risk For High Blood Pressure
There are three common types of allergy medications
- Steroid nasal sprays
While all three types carry some risk for heart patients or those with blood pressure issues, OTC decongestants require the most care and caution. The two chemicals in most decongestants phenylephrine and pseudoephedrine work to help tighten the blood vessels in your nasal passages which helps open them up. Unfortunately, they have the same effect elsewhere in the body resulting in higher blood pressure and pulse rates. You can avoid medications with these two chemicals just by looking at the packaging: OTC decongestants have a D at the end of their name, like Claritin-D ®.
Why Is My Heart Beating So Fast For No Reason
Many times, fast or irregular heartbeats are caused by normal life situations, like drinking too much caffeine or having anxiety. But if you notice that your heart is beating quickly a lot, you should consider seeing a cardiologist to make sure you don’t have a dangerous, undiagnosed heart condition.
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When Should A Patient Be Followed Up With After Starting Blood Pressure Meds
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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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Should Certain Ingredients Be Avoided And Why
Antihistamine medications can come with a range of adverse effects, depending on the specific drug. For example, while most allergy medications are considered to be safe for people with high blood pressure, some, such as terfenadine and astemizole, can cause arrhythmias in some patients.
Typically, first-generation antihistamines produce more side effects than second or third-generation antihistamines. Drugs such as diphenhydramine, clemastine, triprolidine, and ketotifen can cross the blood-brain barrier easier than newer antihistamines, sometimes impacting cognitive function. The blood-brain barrier refers to a critical part of the immune system, which keeps pathogens from moving from the bloodstream, into the brain.
Antihistamines that can help with the congestion associated with allergies and are safer for the heart include cetirizine, fexofenadine, and loratadine.
If you have high blood pressure, you should not use decongestants. Although these medicines can relieve nasal congestion and improve breathing, decongestants can worsen your existing high blood pressure.
With the many over-the-counter allergy medications available, it’s always best to check with your doctor before taking any medicine if you are unsure about its compatibility with your high blood pressure.
Allergy Medicine For High Blood Pressure: How To Choose Safely
Allergy Medicine for High Blood Pressure: How to Choose Safely
Finding a safe allergy medicine for high blood pressure can be tricky if you dont know what to look for. Dont make the mistake of assuming that a product is safe for everyone just because its available without a prescription. Many medications marketed for allergy treatment can raise your blood pressure, which isnt desirable if yours is too high to begin with.
Avoiding medications that can worsen hypertension starts with reading the labels carefully. Here are some tips to help you select a safe medication for your allergies:
Allergy Medicine for High Blood Pressure: How to Choose Safely
Most medications that can help to clear a stuffy nose or clogged sinuses contain medications known as decongestants, which may raise your blood pressure. Decongestants are most likely to affect your blood pressure if you take them by mouth , however, this can even happen when you use them in the form of a nasal spray. Some examples of ingredients to look out for when reading labels include phenylephrine, pseudoephedrine, and oxymetazoline.
Look for labels with the letter D in the name
> Read the warnings and cautions on the label before choosing an allergy medicine for high blood pressure
Any allergy medication that could raise your blood pressure should have a warning on the label that says so. These warnings are usually in very small print, though.
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Ask The Doctor: Can Allergies Cause High Blood Pressure
Q. I have allergies. Could they be the reason I have high blood pressure?
A. Although allergies dont usually directly increase blood pressure, they can contribute indirectly to high blood pressure in two very different ways.
If your allergies cause nasal congestion at night, they could interfere with your breathing when you sleep. This can promote, or worsen, the type of gasping-for-breath snoring known as sleep apnea, which can raise blood pressure. If you often wake up at night, or if your sleeping partner has noticed that you snore and sound like you choke or gasp for air every so often, talk with your doctor about being checked for sleep apnea.
Thomas Lee, M.D.
Can Allergy Medications Increase Blood Pressure
Although allergies don’t usually directly increase blood pressure, they can indirectly contribute to high blood pressure. When you choose to use decongestants, such as pseudoephedrine and phenylephrine , you can worsen the existing high blood pressure.
Although these medicines can ease nasal congestion and improve breathing, they can constrict blood vessels throughout the body, making the heart work harder to pump blood. This is what increases blood pressure.
When choosing an over-the-counter allergy medication, beware of combination products that contain decongestants. These products typically have the words sinus, cold, congestion, or decongestant on the label. They also might be labeled with the letters D, PD, or PE after the name.
If you choose to take an over-the-counter allergy product, look for one that doesn’t contain pseudoephedrine or phenylephrine. Some Antihistamines can help with the congestion that accompanies allergies and is safer for the heart, such as cetirizine , fexofenadine diphenhydramine , and loratadine .
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Warnings Of Claritin Vs Claritin
Claritin or Claritin-D should not be taken if you are allergic to any of the ingredients in these drugs or have ever had an allergic reaction to them.
Claritin-D should be used with caution in those with cardiovascular disorders. This medication should also be avoided in those with severe high blood pressure or coronary artery disease. Pseudoephedrine has been shown to increase blood pressure and heart rate in some people.
Talk to your doctor before using any Claritin products if you have a history of kidney or liver problems. Kidney or liver impairment may increase the risk of adverse effects while taking these drugs.
The Science Behind Pseudoephedrine
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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What’s The Problem With Claritin D
Claritin D is a good example of how medications can interfere with the body. If you have high blood pressure, anything that will stimulate the heart to work harder will increase the amount of pressure in your blood, further pushing your heart.
This could do further damage to the arteries. Also, some medicationshave bad interactions with each other.
Although you should check with your doctor about using Claritin and high blood pressure medications together, many people will be able to do so.
Can Allergy Meds Cause High Blood Pressure
Allergy medications usually donât cause high blood pressure, but with over-the-counter medications, exceptions to this rule can exist.
Antihistamines have two varieties: first-generation and second. Each has its own set of side effects.
First-generation antihistamines are medications that cross the blood-brain barrier, creating more potent side effects, including sedative properties. Both Benadryl and NyQuil are first-generation antihistamines.
In first-generation antihistamines, some of the most common side effects are:
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Why Is It Important To Speak To Your Healthcare Professional Before Taking Allergy Medication If You Have High Blood Pressure
While some allergy medications are safe to take with high blood pressure, many are not. For example, allergy medications that contain a decongestant should always be avoided, as well as some antihistamines. Additionally, there is also a risk of drug interactions that can lead to dangerously high blood pressure.
In some cases, interactions may increase the side effects of allergy medicine, while in others, it may counteract the effects of your blood pressure medication. Therefore, if you have high blood pressure, you should always consult your pharmacist or doctor before deciding to take over-the-counter allergy medication.
Allergy Medication And Hypertension
Some allergy medicines can affect your blood pressure or interact with your blood pressure medication. Dont fret! There are safe options out there for treating your allergy symptoms relative to your high blood pressure and we will review them here.
While most antihistamines are generally safe to take with your blood pressure medication, we want you to keep in mind the following drug interactions if you are taking medicines for your blood pressure:
- Fexofenadine and Carvedilol : This may increase the side effects of fexofenadine. You may want to use fexofenadine cautiously if you are taking carvedilol.
- Cetirizine and levocetirizine : If either of these drugs is combined with methyldopa , you may experience increased drowsiness.
- Diphenhydramine : Make sure to talk with your doctor before taking any diphenhydramine products because any product containing itmay counteract the effects of some blood pressure medications.
Second-generation antihistamines that are not combined with decongestants are generally safe to use if you arenot taking the blood pressure medicines listed in the section above. The same goes for intranasal corticosteroids. Second-generation antihistamines and intranasal corticosteroids include the following:
Antihistamine eye drops, such as Pataday and Zaditor , are also safe options for itchy and watery eyes.
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Do Antihistamines Cause Dementia
Long term use of some antihistamines may increase your risk of dementia. Diphenhydramine blocks the effects of a neurotransmitter called acetylcholine. This neurotransmitter is vital for memory and learning. Diphenhydramine increased the risk of dementia by 54% in one 3,000 patient study followed for seven years.
Can I Compare Prescription Prices Before Filling My Allergy Medicine
The majority of allergy medications are now available over the counter. This means that many insurance plans no longer cover your allergy medicine. If your insurance does not cover your medication, you can use a prescription savings card to get the lowest prescription price. You can save up to 80% or more off the retail price by using the ScriptSave® WellRx discount card at a pharmacy near you.
Rosanna Sutherby is a freelance medical writer who has been a practicing pharmacist in her community for close to 20 years. She obtained her Doctor of Pharmacy from Nova Southeastern University in Ft. Lauderdale, FL. She utilizes her clinical training in the pharmacy, where she helps patients manage disease states such as asthma, diabetes, heart disease, hypertension, and many others. Dr. Sutherby reviews and recommends drug regimens based on patients concurrent conditions and potential drug interactions.
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