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What Nasal Spray Can You Use With High Blood Pressure

Sinus Pain And Pressure

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Fluid trapped in the sinuses can fill the sinus cavities, causing intense pain and pressure. The sinuses may be sensitive to the touch. A person may have an urge to sneeze but be unable to do so.

The pain can be in the cheeks, around the eyes and nose, or in the forehead because these areas are where the sinuses are. Bending over may make the pain worse.

Sometimes, the pressure and pain are intense enough to interfere with sleep.

Sinusitis may also cause the tissue in the nose to swell.

How Does This Medication Work What Will It Do For Me

Xylometazoline belongs to a group of medications called nasal decongestants. It is used in a nasal spray and drops for the relief of symptoms of nasal congestion caused by allergies, sinus inflammation , and colds. It is also used to make rhinoscopy easier.

Xylometazoline starts working in 5 to 10 minutes. It works by narrowing the blood vessels in the lining of the nose. This helps to clear the symptoms of congestion.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

How To Use Nasal Sprays

Nasal sprays are medication and like any medication, if you take them wrong, you wont get their full benefits. With nasal sprays, it all comes down to proper usage.

Technique is very important with nose sprays, Dr. Aronica says. Sometimes, patients tell me their spray isnt working, but when we improve their technique, it really helps.

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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.
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    Healthy And Unhealthy Blood Pressure Ranges1

    To learn more about blood pressure levels, see the chart below.Note: A diagnosis of high blood pressure must be confirmed with a medical professional. A doctor should also evaluate any usually low blood pressure readings. Further, nothing here is meant as medical advice. If you have any concerns about your blood pressure, you should speak to your doctor.

    Reference: Journal of American Cardiology

    Heart Attack And Heart Disease

    High blood pressure can damage your arteries by making them less elastic, which decreases the flow of blood and oxygen to your heart and leads to heart disease. In addition, decreased blood flow to the heart can cause:

    • Chest pain, also called angina.
    • Heart attack, which happens when the blood supply to your heart is blocked and heart muscle begins to die without enough oxygen. The longer the blood flow is blocked, the greater the damage to the heart.
    • Heart failure, a condition that means your heart cant pump enough blood and oxygen to your other organs.

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    More Meds That Can Raise Blood Pressure

    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.

    What Is The Recommended Duration Of Treatment With Nasacort

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    If your symptoms dont improve after 7 days of medication, or if you have a fever, headache, cough, or skin rash, stop taking Nasacort Allergy 24HR and notify your doctor. There are bacteria and diseases that may be shared by sharing the nasal spray. Store in a dry, cool place, free from moisture and heat, at room temperature.

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    Which Nasal Sprays Are Safe To Use With High Blood Pressure

    Heart disease and stroke are two of the leading causes of death in the country, and high blood pressure increases the risk factor for both of these deadly conditions. What’s worse is that many people who have high blood pressure don’t even know they have it. Despite affecting 50% of men and 44% of women¹, there are few symptoms of high blood pressure .

    If you’ve been diagnosed with high blood pressure, your doctor will likely have discussed changes you’ll need to make to your lifestyle in order to minimize its impact. Your doctor will know about any potential conflicts when giving you prescription medicine, but when purchasing over-the-counter medicine, youll need to be diligent.

    In this article, we’ll help you understand how OTC nasal sprays may exacerbate your high blood pressure. However, given the severity of heart problems, you should also consult your doctor about your specific condition before taking new medications when you have high blood pressure.

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    Is It A Kidney Infection Or Something Else

    Your symptoms could also result from another common illness. Some similar conditions you may mistake for a kidney infection include:

    • Other UTIs. Other types of UTIs, such as those affecting the urethra and bladder, can also cause symptoms like urgent and painful urination, abdominal pain, and urine thats cloudy, foul-smelling, or bloody.
    • Kidney stones.Kidney stones are hard deposits of materials like calcium or uric acid that form in the kidneys. When they become lodged in the kidneys, they can cause pain in the abdomen, side, or back, as well as nausea and vomiting.
    • Lower back pain. If low back pain is your primary symptom, you may have a condition thats affecting your lower back. Examples include injuries, degenerative disc disease, and nerve compression.
    • Pregnancy. Symptoms like frequent urination, nausea and vomiting, and abdominal cramping can all be early signs of pregnancy.

    Its always a good rule of thumb to seek medical attention if you experience any new or concerning symptoms. A healthcare professional can work with you to determine what may be causing them.

    Heres an idea of what you can expect when you seek care for a possible kidney infection.

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    Who Can Take Decongestants

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    Most people can use decongestants safely, but they’re not suitable for everyone.

    They should not be used by the following groups of people without getting advice from a pharmacist or GP first:

    • people taking other medicines
    • men with an enlarged prostate
    • people with liver, kidney, heart or circulation problems
    • people with increased pressure in the eye glaucoma

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    Medications To Avoid If You Have High Blood Pressure

    Blood pressure is best understood as the force of blood pressing against the walls of your arteries. A person can be diagnosed with high blood pressure, also called hypertension, when their blood pressure is consistently greater than 140/90 mm Hg.

    When a persons blood pressure is too high, their hearts need to work harder which can cause serious damage to the arteries. Over time, uncontrolled high blood pressure increases the risk of heart disease, stroke and kidney disease.

    Some medications can increase your blood pressure, so its important to be aware of which medications to avoid if your blood pressure is already elevated. If you are unsure of whether a medication might impact your current blood pressure state, your physician or pharmacist are the first resources you should consult. Often, they will be able to recommend an alternative product that will not affect your blood pressure.

    Oral Nasal Decongestants

    Oral nasal decongestants like Sudafed and Sudafed PE can increase blood pressure by elevating your heart rate and causing blood vessels to narrow, also known as vasoconstriction. Pseudoephedrine and phenylephedrine can also be found in many cold, cough and flu combination products. If you suffer from cold, cough or flu symptoms, try Coricidin HBP products.

    Topical Nasal Decongestants

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    Concerned About Your Blood Pressure? Our experienced team can answer your questions. Find an available appointment today.

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    Herbal Remedies

    Dont Share Your Nasal Spray

    To avoid spreading bacteria, keep your spray to yourself. You dont want anyone else sticking something up their nose thats just been in yours!

    Keep the bottle clean and only allow one person to use it, he says. Remember to wipe down the nasal spray bottle and put the cap back on after each use.

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    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.

    What Side Effects Are Possible With This Medication

    How to use nasal sprays correctly – Avoid the side effects and boost effectiveness

    Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

    The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

    The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

    Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

    • burning and stinging of the nose
    • dryness of the nose
    • rebound congestion
    • trouble sleeping

    Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.

    Check with your doctor as soon as possible if any of the following side effects occur:

    Stop taking the medication and seek immediate medical attention if any of the following occur:

    • difficulty breathing
    • swelling of face or throat

    Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

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    Safely Using Nasal Sprays With High Blood Pressure

    As you looked through the list of medications and their actions, one of them probably stood out more than the others in the context of high blood pressure. Nasal decongestants work by shrinking the size of the blood vessels in the nose. However, the drugs have no way of targeting just the vessels in the nose and therefore, will also reduce the size of other blood vessels in the body. As we discussed earlier in the article, shrinking blood vessels causes blood pressure to increase. So sprays containing nasal decongestants will certainly cause your blood pressure to rise. Whether it’s enough to put you at risk is something to discuss with your doctor before using one.

    The next class of nasal sprays to worry about is corticosteroids. This class of drugs includes cortisone. Cortisone is responsible for regulating several behaviors in your body, including the balance of water and electrolytes. Because of that, using cortisone nasal spray can result in fluid retention, which in turn can increase blood pressure. Once again, to be on the safe side, you should always ask your doctor before using a steroid-based nasal spray.

    Therefore, due to the risks associated with nasal decongestants and corticosteroids for people with high blood pressure, you should use antihistamines or saline-based nasal sprays. However, its always important to double-check that your OTC antihistamine spray doesnt contain decongestants.

    Pseudoephedrine And High Blood Pressure Interaction

    In 2005, a study showed that pseudoephedrine increased systolic blood pressure and heart rate, but had no effect on diastolic blood pressure.1 They also found that higher doses and immediate-release formulations of pseudoephedrine were associated with higher blood pressures.1 In addition, the study revealed that patients with well controlled hypertension had higher systolic and diastolic blood pressures after taking immediate release pseudoephedrine formulations.1

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