Decongestants can pose a dangerous risk to people with hypertension. Try these other steps to safely treat a cold or allergies. Show
Cold medicines are not off-limits if you have heart disease, but patients with high blood pressure, or hypertension, should check the label carefully when choosing a cold or allergy medicine. LISTEN UP: Add the new Michigan Medicine News Break to your Alexa-enabled device, or subscribe to our daily audio updates on iTunes, Google Play and Stitcher. That’s because decongestants such as pseudoephedrine, ephedrine, phenylephrine, naphazoline and oxymetazoline can increase your blood pressure and heart rate. Make sure the cold or allergy medication you plan to take is free of those ingredients. Decongestants can also prevent your blood pressure medication from working properly. And always check the active and inactive ingredient lists, because many medications are high in sodium, which also raises blood pressure. For allergy sufferers with heart disease, medicines such as Allegra, Zyrtec or Claritin should be safe. However, medicines containing decongestants — including Allegra-D, Zyrtec-D and Claritin-D — could increase your blood pressure and heart rate or interfere with your heart medication. Managing a cold with hypertensionIf you can’t take a decongestant because of high blood pressure, there are other ways to reduce your cold or allergy symptoms:
Before taking any new medicationAlways check with your pharmacist before you take a new medication, whether it’s for a cold, allergies or something else, to find out if it is compatible with certain medical conditions and your current drug therapy. SEE ALSO: Millions More People Now Have High Blood Pressure. Why That’s a Good Thing If you have a heart condition, be sure to discuss all medication choices with your cardiologist before taking anything. Table of Contents
If you have high blood pressure or are at risk of developing it, it’s important to use caution when choosing over-the-counter medications and prescription medications. Many drugs that are generally safe for most people could increase your blood pressure levels. Additionally, some medications may interfere with your blood pressure medication. Here’s a look at some of the most common over-the-counter and prescription medications and how they affect your blood pressure. Allergy, cold and flu medications and high blood pressureOver-the-counter allergy medications can provide relief from seasonal allergy symptoms, including sneezing, itchy eyes and a runny nose. Cold medicines usually alleviate multiple symptoms associated with colds and contain more than one drug. Most cold, flu and allergy medications contain one of AntihistaminesAntihistamines block or interfere with histamine, an immune system chemical that triggers allergy symptoms. These tend to be the best sinus meds for people with high blood pressure. ZyrtecZyrtec is the brand name version of cetirizine. It is also available with a decongestant as Zyrtec D (cetirizine and pseudoephedrine). Zyrtec doesn’t usually raise blood pressure, but Zyrtec D may. ClaritinClaritin is a brand name for the drug loratadine, which doesn’t usually raise blood pressure. Claritin-D, a combination of loratadine and pseudoephedrine, can elevate blood pressure. BenadrylBenadryl is the best-known brand name for the drug diphenhydramine. Normally, Benadryl does not cause high blood pressure when taken in standalone form. However, the combination drug Benadryl D can increase blood pressure because it contains diphenhydramine and pseudoephedrine. Nasal spraysSteroid nasal sprays reduce swelling in the nasal passages to alleviate congestion. These include fluticasone (Flonase) and triamcinolone (Nasacort). Steroid nasal sprays aren’t known to increase blood pressure. Saline nasal sprays thin mucus to alleviate congestion. These nasal sprays are a saline solution made of salt and water and include products like Ocean and Ayr. Saline nasal sprays aren’t known to increase blood pressure levels. PseudoephedrineThe sinus decongestant pseudoephedrine, the active drug in Sudafed, is known to raise blood pressure. Avoid these medications if you have high blood pressure. PhenylephrinePhenylephrine is a decongestant from the same class of drugs as pseudoephedrine. Although it doesn’t generally increase blood pressure, it’s possible — so consult your doctor before taking it. What cough medicine can I take with high blood pressure?There are two main types of cough medicine:
Generally, standalone antitussives and expectorants don’t raise blood pressure. However, many popular combination cold and flu medications also contain pseudoephedrine and NSAIDs, which may increase blood pressure. These drugs have the potential to increase blood pressure on their own and when taken in combination with cold medicines. Nyquil and high blood pressureNyquil is a popular brand name over-the-counter cold medication. The brand offers multiple products, each of which has different key ingredients. You should avoid most Nyquil liquid and capsule cold medications if you have high blood pressure. However, the brand does offer the product NyQuil HBP Cold & Flu medicine specifically for people with hypertension. It contains drugs that alleviate sneezing, sore throat, headache, fever, runny nose, cough and body aches but is free of medications that increase blood pressure. Pain relievers and high blood pressureThere are three main categories of over-the-counter pain relievers: Acetaminophen (Tylenol)Acetaminophen acts on the part of the brain that receives pain messages and controls body temperature. Since acetaminophen doesn’t normally increase blood pressure, it’s a common pain reliever recommended for people with hypertension. Generally, doctors recommend that people with high blood pressure take acetaminophen for pain and fever relief. Non-steroidal anti-inflammatory drugs (NSAIDs)NSAIDs like aspirin, ibuprofen (Advil) and naproxen (Aleve) interfere with hormones that act on the nerves and cause pain sensations and swelling. These are known to increase blood pressure. Don’t start a low-dose aspirin regimen or use aspirin for pain relief without consulting your primary care physician. Combination drugsCombination pain relievers typically contain acetaminophen plus an NSAID and are most commonly used to treat headaches. It’s best to avoid combination medications if you have high blood pressure. What sleep aid can you take with high blood pressure?Over-the-counter sleep aids can help alleviate insomnia and are generally considered safe for most people to use for short periods. If you have high blood pressure, read the labels carefully when choosing a sleep aid. Antihistamine sleep aids like diphenhydramine, doxylamine succinate and cyclizine are unlikely to raise blood pressure. However, some antihistamine sleep aids, such as Advil-PM, contain NSAIDs, which can increase blood pressure. For pain relief plus a sleep aid, Tylenol PM that contains acetaminophen is generally a better option. Prescription medications and high blood pressureIt’s important to tell your doctor about all medications you’re taking, including vitamins and supplements. Some very common prescription medications can cause increases in blood pressure — or, if you’re taking blood pressure medication, cause low blood pressure. AdderallAdderall is a prescription medication used to treat attention-deficit hyperactivity disorder (ADHD). Since it can increase blood pressure levels, doctors typically don’t prescribe it for people who have uncontrolled hypertension or heart problems. People who take Adderall recreationally may experience high blood pressure, and in large doses, the risk increases. You should never take Adderall unless a doctor has prescribed it for you. Lexapro and ZoloftLexapro is the brand name for the prescription medication escitalopram, and Zoloft is the brand name for sertraline. Both of these commonly prescribed medications are in a class of drugs known as selective serotonin reuptake inhibitors (SSRIs) and are used to treat depression and generalized anxiety disorder (GAD). Lexapro and Zoloft aren’t generally known to increase blood pressure, but when they’re combined with monoamine oxidase (MAO) inhibitors like isocarboxazid (Marplan), linezolid (Zyvox) and phenelzine (Nardil), they can lead to dangerous blood pressure spikes as well as low sodium levels, which can lead to confusion, headaches and difficulty concentrating. This is most common in older adults who take both medications. Muscle relaxantsMuscle relaxants used to treat muscle spasms and cramping normally don’t increase blood pressure. In fact, they often lower it. As a result, muscle relaxers may not be safe to take with certain blood pressure medications. ViagraViagra (sildenafil) is a prescription medication used to treat erectile dysfunction in men. It causes blood vessels to widen, increasing blood flow to the penis. This actually lowers blood pressure. Taking Viagra with blood pressure medication can cause dizziness and fainting. As a result, doctors use caution when prescribing Viagra and similar medications for men taking blood pressure medication. Blood thinnersBlood thinners prevent clots from forming in blood and help blood circulate more freely through the body. Taking a blood thinner is unlikely to increase your blood pressure. However, people with uncontrolled high blood pressure are more at risk for bleeding while taking blood thinners. SteroidsPrescription steroids or corticosteroid medications like Prednisone reduce inflammation and treat a range of conditions. In some people, steroids can increase blood pressure. However, the benefits of steroids sometimes outweigh the risk of increased blood pressure and may be prescribed even if your blood pressure is already high. In this case, your doctor will keep a close eye on your blood pressure and may recommend that you follow a low-sodium diet. Your primary care provider is the best source of adviceThe information outlined above is general advice only. Your medical history may make an over-the-counter or prescription drug that’s generally safe for people with hypertension less than ideal for you. Only your primary care provider, armed with your medical history, can provide you with individual guidance on what drugs you should take and which you should avoid if you have high blood pressure. Always consult with your physician before you start any new over-the-counter medication or dietary supplement. Forward makes managing multiple medical conditions simplerWhen you have high blood pressure and another medical condition that requires treatment with over-the-counter or prescription medication, you need a specialized plan of care that addresses both. Acting as your primary care provider, we provide one-to-one, personalized care that takes into consideration your medical history and lifestyle. Our 12-week, doctor-led Healthy Heart Program can get you on the path to lowering your blood pressure, and we can help you determine which medications are the right fit for your unique needs. No long waits. One flat fee. No copays — ever.Fed up with a soul-sucking healthcare system? Same. With unlimited visits, personalized insights and real, actionable results, find out what it’s like to actually enjoy seeing your doctor.Does Benadryl affect high blood pressure?Normally, Benadryl does not cause high blood pressure when taken in standalone form. However, the combination drug Benadryl D can increase blood pressure because it contains diphenhydramine and pseudoephedrine.
Why should people with high blood pressure not take Benadryl?They may raise your blood pressure. They also keep some high blood pressure drugs from working the way they should.Be careful, because many allergy medications contain antihistamines and a decongestant. Watch out for combination medications for allergies that include decongestant ingredients.
What allergy medicine can I take with high blood pressure?If you have high blood pressure, antihistamines are generally safer to take than decongestants.. Cetirizine (Zyrtec). Fexofenadine (Allegra). Loratadine (Claritin). Levocetirizine (Xyzal). Desloratadine (Clarinex). What medicines should not be taken with Benadryl?You should not take any other antihistamines, including other forms of Benadryl, while you're using Benadryl. But other OTC medications may be safe to take with Benadryl. Examples of OTC drugs that don't have known interactions with Benadryl include: acetaminophen (Tylenol)
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Can you take benadryl with high blood pressure medicine
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