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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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Tips For Choosing Suitable Medications
When at the pharmacy, a person should look for medications that do not contain decongestants or NSAIDs other than aspirin. A person should read the product label carefully and look at the active ingredients list. This is where drug manufacturers typically list the drugs and their effects.
A person should also avoid medications that are high in sodium. These ingredients can also increase a persons blood pressure.
Some medications, such as NSAIDs, have warning labels on the packaging. The warning is about how the medication may increase a persons blood pressure. People with hypertension or heart disease should avoid any medications that have this label.
Finally, if a person is not sure, they can ask the pharmacist or their doctor. They should mention any conditions they have, such as hypertension or heart disease, as well as any medications they are taking. The pharmacist or doctor will then outline which medications are safe for the person to take.
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How Is High Blood Pressure Treated
Treatment depends on how high your blood pressure is. For people whose systolic reading falls in the range 120 to 129 and the diastolic reading is equal to or less than 80, lifestyle changes are usually recommended over medications. These may include:
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If treatment is considered necessary, sometimes more than one medication is prescribed. Medications for high blood pressure include:
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For each person theres an ideal combination of medications and dosages that would best control their hypertension. Some people havent yet received that ideal combination. Its important to work with a doctor who is familiar with the range of medications and who knows what works best for each individual.
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If you cant take a decongestant because of high blood pressure, there are other ways to reduce your cold or allergy symptoms:
Take Coricidin HBP, which is free of decongestants
Drink plenty of fluids including water, juice, tea and soup to prevent dehydration and clear mucus from your lungs
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Return to your doctor after five to seven days to make sure youre on the road to recovery
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When it comes to over-the-counter medicine, doctors are more concerned about what you are taking when you have high blood pressure, or hypertension 1. Certain OTC medicine can raise your blood pressure including anti-inflammatory medication such as aspirin and ibuprofen, migraine headache medications, decongestants, weight loss medicine and other products. However, there are OTC vitamin and mineral supplements that may lower blood pressure.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
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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
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Antihistamine eye drops, such as Pataday and Zaditor , are safe options for itchy watery eyes.
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There are four main types of medicine to lower blood pressure.
- . ACE inhibitors help to control hormones that play a role in blood pressure control. They help the blood vessels to relax and widen, lowering blood pressure. Most have names that end in pril, for example, enalapril, lisinopril, perindopril and Ramipril.
- . These work in a similar way to ACE inhibitors, controlling the hormones that affect blood pressure, so you probably wont take ACE inhibitors and ARBs at the same time. Theyre usually used if ACE inhibitors are causing side effects. Most have names that end in artan, for example, candesartan, irbesartan, losartan, valsartan and olmesartan.
- . These allow the artery walls to relax, making them wider. This allows more blood to pass through, lowering blood pressure. Most have names that end in pine , for example, amlodipine, felodipine and nifedipine.
- . These are sometimes known as water pills because they remove excess fluid from the body, including from the blood. This means there is less pressure on the blood vessel walls. Most have names that end in ide, for example, indapamide and bendroflumethiazide.
Sometimes these medications wont be suitable, for example if youre pregnant or breastfeeding, if you have certain other health problems, or youre taking other medications which could react with them.
Alternatively, you might need to take another type of medication as well to lower your blood pressure enough.
The other medications available include:
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