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HomeExclusiveWhich Decongestants Are Safe For High Blood Pressure

Which Decongestants Are Safe For High Blood Pressure

Do Antihistamines Cause Dementia

I have high blood pressure. Why should I avoid decongestants? What can I take instead?

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.

Migraine Headache Drugs And Blood Pressure

Some migraine headache drugs work by tightening blood vessels in your head. This relieves migraine pain. However, the medication also constricts blood vessels throughout your body. This can make blood pressure rise, perhaps to dangerous levels.

If you have high blood pressure or any other type of heart disease, talk with your doctor before taking medication for migraines or severe headaches.

How Much Beet Juice Should I Drink To Lower My Blood Pressure

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Risks Of Decongestants For People With Hypertension

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.

Which Cold And Flu Medicines Are Safer For People With High Blood Pressure

CORICIDIN COUGH &  COLD HBP Antihistamine &  Cough Suppressant Total 16 ...
  • Pain relievers. Acetaminophen and aspirin can be used to manage sore throat, headaches and other body aches and fever. Note: those who already take baby aspirin should check with a doctor if they can have regular strength aspirin to manage colds and flu symptoms.
  • Guaifenesin is an option to help thin and clear mucus
  • Dextromethorphan can be used to suppress coughs
  • Antihistamine drugs like chlorpheniramine, doxylamine can be used for runny nose
  • Special cough and cold medicine labeled as decongestant-free, designed for those with hypertension. For example, the brand Coricidin HBP is marketed To promote cough relief for people with high blood pressure. Other formulas are for cold and flu, for daytime and nighttime symptoms. The key active ingredients include : Guaifenesin, dextromethorphan, acetaminophen, Chlorpheniramine, doxylamine. NyQuil Cold & Flu HBP is another product created to manage symptoms of colds and flu in individuals with high blood pressure. The active ingredients are doxylamine, acetaminophen and dextromethorphan and should be used at bedtime. Dayquil HBP cold Flu from the same brand contains acetaminophen and dextromethorphan and is recommended for daytime use.

Take over-the-counter medication only when needed, and seek medical advice from a doctor or pharmacist if symptoms do not improve or they get worse.

Getting plenty of rest and adjusting the temperature and humidity at home can also improve the symptoms.

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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?

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

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Side Effects Of Antihistamines

Like all medicines, antihistamines can cause side effects.

Side effects of antihistamines that make you drowsy can include:

  • sleepiness and reduced co-ordination, reaction speed and judgement do not drive or use machinery after taking these antihistamines
  • dry mouth
  • feeling sick
  • drowsiness although this is less common than with older types of antihistamines

Check the leaflet that comes with your medicine for a full list of possible side effects and advice about when to get medical help.

If you think your medicine has caused an unwanted side effect, you can report it through the Yellow Card Scheme.

RELATED: 10 Allergy-Fighting Tricks You May Not Have Tried

If you continue to suffer from allergy symptoms but cant take allergy medications because of high blood pressure or other heart problems, there are other ways you can help mitigate the sneezing, sniffling, coughing, and watery eyes that allergies can trigger.

Consider these allergy-control methods:

  • Run a dehumidifier, because mold loves moisture.
  • Use allergen-reducing bedding such as mattress and pillow protectors.
  • Try a saline nasal spray or wash to reduce nasal congestion.

What Other Drugs Could Interact With This Medication

Blood Pressure Facts: Cold & Flu Medicine

There may be an interaction between cetirizine pseudoephedrine and any of the following:

  • acetazolamide
  • zolpidem
  • zopiclone

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

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Blood Pressure Spikes And Lows While On Medication

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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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Keeping Kidneys Safe: Smart Choices About Medicines

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If you have chronic kidney disease , diabetes, or high blood pressureor if you take certain blood pressure medicines that affect your kidneysyou should take steps to protect your kidneys from harm.

ACE inhibitors and ARBs are two types of blood pressure medicine that may slow the loss of kidney function and delay kidney failure. You can tell if youre taking one of these medicines by its generic name. ACE inhibitors end in pril and ARBs have generic names that end in sartan for example, lisinopril and losartan.

You may also take a diuretic, sometimes called a water pill, to meet your blood pressure goals.

The information below explains

  • actions you can take to keep your kidneys safe while taking these blood pressure medicines
  • why you sometimes need to take special care with medicines for example, when youre sick, dehydrated, or thinking about whether or not to take an over-the-counter medicine

Urgent Advice: Call 111 For Advice Now If:

Coricidin Hbp Antihistamine Cough &  Cold Suppressant Tablets, 16 Count ...
  • you take too much pseudoephedrine

Taking too much pseudoephedrine can be dangerous.

It can make you restless or your heartbeat fast, and make you feel sick or vomit. You may also have difficulty peeing.

Go to or call 111.

If you need to go to A& E, do not drive yourself. Get someone else to drive you or call for an ambulance.

Take the pseudoephedrine packet or leaflet inside it, plus any remaining medicine, with you.

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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

Topical Hemorrhoid Products

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

More Tips For Avoiding Medication Problems

Be sure any medications you choose to use are safe for people who have high blood pressure. These suggestions can help:

  • Give a list of ALL the medications you use, both prescription and over-the-counter, to every doctor you visit, including dosages.
  • Read medication labels before buying over-the-counter preparations. Make sure the medicine doesn’t contain ingredients that could make your high blood pressure worse, such as NSAIDs or decongestants.
  • Talk to your doctor before using any over-the-counter medication, herbal preparation, vitamins, or other nutritional supplements. Ask for alternatives to potentially harmful medicines.

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Other Ways People With High Blood Pressure Can Treat A Cold:

Colds are notoriously difficult to cure, but many natural approaches can alleviate symptoms. Most of these are also safe for people with high blood pressure. Vitamin C, for example, wont prevent colds but it does seem to help people get over them faster.

Elderberry is another remedy that is increasingly popular to treat colds. Some people use the juice or make a syrup. Others collect the flowers and dry them to make a pleasant tea to treat a cough.

You may also have heard that zinc supplements can speed recovery from a cold. Scientific studies support that claim, although we dont yet know the correct dose. Any of these remedies work best when taken at the earliest appearance of symptoms, and none of them pose a special hazard for people with high blood pressure.

What Cough Medicine Can I Take With High Blood Pressure

Cold Medicine for High Blood Pressure | Vicks

If you’re looking for safe cough medicine, consider Coricidin HBP. This medicine is specifically manufactured to be safe for patients with high blood pressure. Nyquil also makes a cough syrup and liquid gel cap made for patients who have high blood pressure. At CVS Pharmacy, we also offer several CVS Health brand cough and cold medications made for people with high blood pressure. In general, stay away from products with decongestants and consult with your doctor if you’re concerned about any medications you’re taking to make sure they are safe to use.

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Can I Take Antihistamines If Im Pregnant Or Breastfeeding

Its safest to talk to your healthcare provider if you are pregnant, planning to become pregnant or are breastfeeding. Animal studies have shown that some antihistamines can cause birth defects. Small amounts of antihistamines pass on to your baby if you breastfeed. For these reasons your healthcare provider will want to talk with you and make careful choices if there is any concern for your or your childs safety.

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Why Is There A Warning About Heart Disease High Blood Pressure Or Diabetes

Contacî Cold + Flu advises patients suffering from heart disease, high blood pressure and/or diabetes to consult with their doctor before using Contac. Decongestants in cold medicines decrease the size of enlarged blood vessels in nasal passages, but they can also affect blood vessels in the rest of your body and raise blood pressure. For most people, this increase isnât significant. However, some people can have exaggerated responses to decongestants, contributing to dangerously high blood pressures. As stated on the label, check with your doctor before using Contac Cold + Flu if you have liver disease, heart disease, thyroid disease, diabetes, glaucoma, high blood pressure, trouble urinating due to an enlarged prostate gland , or a breathing problem such as emphysema or chronic bronchitis. Frequently Asked QuestionsContinue reading > >

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Interactions With Thyroid Medications

Hypothyroidism is managed with a synthetic form of thyroxine called levothyroxine, available under the brand names Synthroid or Levothroid.

People may be at increased risk of cardiovascular side effects if they take pseudoephedrine or phenylephrine and levothyroxine. This could be especially dangerous for someone who has preexisting heart disease.

Regardless of the type of thyroid disorder you have, whether you take medication to treat it, or happen to have a heart condition as well, it’s best to err on the side of caution before taking a decongestant for a cold or flu and speak with your healthcare provider.

Can You Take Mucinex With High Blood Pressure

Coricidin HBP Cold and Flu Medicine 10 Tablets

Mucinex is safe to take if you have high blood pressure. This medication contains an ingredient called guaifenesin, which is an expectorant that helps you cough up excess mucus. If you’re ever unsure about the medication you’re taking when you have a cold, ask your doctor for advice. They can recommend specific brands like Mucinex and others that will give you the relief you need without the potentially dangerous side effects.

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Mayo Clinic Q And A: Decongestants Sometimes Cause More Harm Than Good

DEAR MAYO CLINIC: Ive heard that nonprescription decongestants can have significant side effects. Is this true?

ANSWER: While many people rely on nasal decongestants to help ease symptoms of a cold or flu, these medications can sometimes cause more harm than good, especially if taken repeatedly. Examples of commonly used decongestants include phenylephrine and pseudoephedrine. Often, these ingredients are included in multi-symptom cold and flu preparations, such as Maximum Strength Mucinex D, Robitussin Multi-Symptom Cold, and Tylenol Sinus Congestion & Pain.

Taking a decongestant can temporarily ease congestion, but it can also create a slight increase in your blood pressure. If you already have high blood pressure, especially if its not controlled, this may be a concern. Decongestants also can interfere with the effectiveness of certain blood pressure medications. If youre on blood pressure medication, check with your doctor or pharmacist before taking a nasal decongestant.

Extended-release decongestants may be less likely to raise blood pressure than the immediate-release kind but can still cause problems. People who have conditions such as diabetes, benign prostatic hyperplasia , ischemic heart problems, thyroid disorders, glaucoma and seizures generally should avoid using nasal decongestants.


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