Nonprescription Products To Avoid With Hypertension
W. Steven Pray, PhD, DPhBernhardt Professor, Nonprescription Products and DevicesCollege of Pharmacy, Southwestern Oklahoma State UniversityWeatherford, Oklahoma
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 To Use Afrin Sinus 005 % Nasal Spray
Gently blow your nose before using this drug. Use your finger to close the nostril on the side not receiving the medication. While keeping your head upright, place the spray tip into the open nostril. Spray the medication into the open nostril as you breathe in through your nose. Sniff hard a few times to be sure the medication reaches deep into the nose. Repeat these steps for the other nostril if needed.
Avoid spraying the medication into your eyes or onto the middle of the inside of your nose .
Rinse the spray tip with hot water or wipe with a clean tissue after each use. Make sure that water does not get inside the container. Replace cap after each use.
This medication provides only temporary relief. Do not use more often, use more sprays, or use longer than directed because doing so may increase the risk of side effects. Also, do not use this medication for more than 3 days or it may cause a condition called rebound congestion. Symptoms of rebound congestion include long-term redness and swelling inside the nose and increased runny nose. If this occurs, stop using this medication and consult your doctor or pharmacist.
Inform your doctor if your condition worsens or persists after 3 days.
Anatomy Of The Paranasal Sinuses
The paranasal sinuses comprise four pairs of sinuses that surround the nose and drain into the nasal cavity by way of narrow channels called ostia . Mucus leaving the frontal and maxillary sinuses drains through the ethmoid sinuses , so a backup in the ethmoids is likely to clog the other two types of sinuses. The sphenoid sinuses are located deep in the skull, behind the eyes. Sinusitis develops when one or more sinuses become blocked.
There are millions of bacteria in our noses, and most of the time, theyre harmless. Even when a few creep into the sinuses, they dont cause trouble, as long as they keep draining into the nose along with mucus. But if sinus drainage is blocked, glands in the sinuses continue to produce mucus, and the resulting pool of backed-up mucus provides what Dr. Metson calls the perfect culture medium. The bacteria grow out of control, causing infection, and the immune system kicks off an inflammatory response. The result: swelling, which causes and facial pain mucus buildup, which produces congestion and an influx of white blood cells to fight the bacteria, which thickens the mucus and may tint it yellow or green. Other symptoms include loss of smell or taste, cough, bad breath, fever, toothache, and fullness in the ears.
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How To Treat Sinus Headache If You Have Both High Blood Pressure And Are Taking Thyroid Medicine
- 17 Jan 2015 by Dan2525
Mucinex Cold & Sinus, can cause or raise blood pressure, I take thyroid medicine you could take it with that, I would consult with your Doctor before taking it, there are some over the counter medâs that you can take with high blood pressure, clorcentin is one, I know I didnât spell that right, you could also call the drugstore and ask them Iâm sure they would know what would be best for you to take.
Ask your doc or pharmacist about taking Claritin â itâs okay for HBP, but Iâm not sure about the thyroid.
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How Do I Know If I Have Acute Sinusitis
A cold that starts to get better and then gets worse may be a sign of a sinus infection. Pain that is on only one side of your face or pain that starts when you lean forward can also be a sign of acute sinusitis. Other symptoms include a fever, thick green or yellow nasal mucus, and an ache in your upper teeth.
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Best For Essential Oils: Arm Hammer Sinus Max Spray
Arm Hammer makes beautiful and great sprays with classic and smartly chosen materials. The Arm Hammer Sinus Max Spray does for other products and it works great. Simply saline contains arm & hammer baking soda for a drug-free way to dry mucus, clear nasal passages, and reduce snoring, making it safe to use with your cold or allergy medicine. This nighttime nasal spray helps relieve colds and allergies congestion, and is made with soothing eucalyptus for better sleep.
Most importantly, the arm hammer sinus max spray makes you sneeze, is great for allergic rhinitis and it is used for quick results.
Most buyers opine that the spray has a couple of versions of simple saline, one for allergies, one for sinuses and the nighttime. Also, a few say that the spray will conceivably last till itssssss expiration date. Moreover, they say that the spray is designed to spray out and not suction back in, which reduces contamination and makes it last longer. In conclusion, the tone of buyers is very positive and we believe that the spray suits the purpose.
Top Customer Quotes:
- This can list the ingredients as.
- It is kind of intense the first couple of times.
- This has ingredients purified water, is used for essential oils and it works well.
- This stuff has more controlled power behind the spray & a great distribution tip.
Potential Side Effects Of Nasal Decongestants
Potential side effects of using nasal decongestants may include:4
- increased heart rate and blood pressure
- increased nervousness
- restlessness or trouble sleeping.
Speak to your doctor before using a nasal decongestant if you have any of the following pre-existing conditions: 4
- heart disease
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Types Of Otc Nasal Sprays
OTC nasal sprays can be categorized by their active ingredients .
- Steroid. OTC steroid nasal sprays are mean to reduce inflammation. Thats why theyre recommended for treating allergies and chronic sinusitis. The steroid sprays may contain budesonide or fluticasone.
- Antihistamine. Antihistamine sprays are meant to blunt the impact of an allergen that your body is reacting to. These products are mostly recommended for allergies. Active antihistamine ingredients in nasal sprays are azelastine or olopatadine.
- Nasal decongestant. These types of sprays aim to shrink irritated blood vessels that line your nose, reducing inflammation to help you breathe more easily. Ingredients may include oxymetazoline hydrochloride or phenylephrine hydrochloride.
- Saline. Saline sprays dont contain active ingredients, but they can loosen mucus and help you to breathe more easily.
Side Effects Of Taking Sudafed For Sinus Infection
Although this medicine can help in relieving out various symptoms of sinusitis, it can incur some unwanted side effects also. However, these occur only in rare instances and may require immediate medical attention.
If any of the following side effects develop after taking Sudafed for sinus infection, talk to your doctor without any further delay.
- Difficulty resting
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Common Side Effects Of Afrin Vs Flonase
Afrin is known to cause a temporary, local irritation to the nasal mucosa, and this can induce sneezing. This should pass within a few minutes of administration. If Afrin is used for more than three days, patients may experience rebound congestion. This phenomenon, also known as rhinitis medicamentosa, is believed to be caused when the vasoconstriction induced by Afrin cuts off blood supply to the local tissues. This leads to swelling and inflammation. The sensation of the rebound congestion is said to feel worse than the original congestion Afrin was treating.
Flonase has a relatively high incidence of headaches with as much as 16% of patients experiencing headache after Flonase administration. Another very common side effect is nose bleeds or epistaxis.
Both Afrin and Flonase can cause local irritation of the nasal mucosa.
The following chart is not intended to be a complete list of all possible side effects. Please consult your doctor or pharmacist for a list of all possible side effects.
How Are Sinus Headaches Prevented
If you have reoccurring sinus headaches as a symptom of sinusitis or seasonal allergies, you may need to consider prescription medication to manage the condition.
Lifestyle changes to reduce congestion, such as avoiding allergens and incorporating aerobic exercise into your routine, might decrease how many headaches you get.
In cases of chronic sinusitis, a nasal surgery such as a balloon sinuplasty might be the only way to stop getting more sinus headaches.
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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.
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Best With Fast Delivery: Sudafed Sinus Max Spray
The Sudafed Sinus Max Sprays material feels more premium than its price would suggest. The sudafed sinus max spray works very well and it works fast. This sinus congestion & pressure relief medicine also helps reduce nasal swelling to help you breathe easier, and can be taken every 4 hours as necessary for effective relief of cold and allergy symptoms. Further, it is designed for maximum strength formula, is consistent and is, most importantly ,.
Lastly, the sudafed sinus maxspray is available and it is great for sinus pressure.
Almost all customers agree that the spray is made in Germany but distributed by Johnson & Johnson in Fort Wahsington, pa. Furthermore, a few also found that the spray can be used by adults and children 12 years and over. Overall, many buyers have used the sudafed sinusmax spray for more than a few months without any complaints, and it shows no sign of giving up.
Top Customer Quotes:
- This feels better and it is pain free.
- This takes time to work plus it is better than the side effects.
- This is good for sinus pressure amid changing seasons.
- This is made for children under 12 years and it is highly recommended.
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Can Saline Spray Help With Your Sinus Infection
Facial pressure and pain, pounding headaches, and congestion are all typical hallmarks of a sinus infection, which is also known as sinusitis. There are many treatments available both OTC and by prescription, but how exactly does saline spray help sinus infections?
How To Use A Saline Rinse:
Using a saline rinse is relatively easy. An appropriate rinse is comprised of 1/2 teaspoon sea salt mixed into 1 cup of warm water. After the salt has dissolved in the water, it can be poured into a nasal spray bottle or neti pot. To complete the rinse, lean over the sink and insert the nozzle into the nose, squeezing to allow the mixture to enter the nose. Allow the rinse to travel through the nasal passages and exit the throat. Complete the rinse as often as needed, but wait at least 30 minutes between each rinse.
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Best With Great Seller: Vicks Sinus Severe Nasal Spray
The best part: Vicks Sinus Severe Nasal Spray costs comparatively little and it is available to ship in 24 hours. The vicks sinus severe nasalspray works perfectly, has inactive ingredients and it works fine. The sinex line of products alleviates sinus pressure and shrinks swollen nasal membranes to help you breathe more freelyno matter how stuffy you may be. The counter nasal spray that helps relieve the nasal stuffiness that often accompanies colds, hay fever, or upper respiratory allergies.
Finally, the Vicks sinussevere nasal spray makes for great company, can buy for good value and it works fast.
One customer says I have allergies and occasionally my nose stops up, and the sinex spray immediately gives me relief. . Almost all customers found that the spray is a bit strong, but does the trick. So, customers were very happy to recommend it to friends and families.
Why We Like This:
- It is very good and it has sodium citrate.
- Starts working instantly. Provides powerful sinus congestion relief in seconds.
- Delivers what they promise.
One customer says Product works as intended. . Almost all buyers found that the spray is good as they are in for a lot less.
Why We Like This:
Overall, at the price, they believe that they got a steal of a deal with it.
Why We Like This:
What Other Information Should I Know
Ask your pharmacist any questions you have about oxymetazoline nasal spray.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Afrin Vs Flonase: Differences Similarities And Which Is Better For You
Nasal congestion occurs when blood vessels and surrounding tissues of the nasal passageway become overwhelmed by excess fluid. This creates a stuffy or plugged feeling in the nose, which may make it difficult to breathe. Nasal congestion may be accompanied by a runny nose, sneezing, cough, or headache.
Afrin and Flonase are each nasal sprays that can provide a relief of symptoms related to nasal congestion. Though they are both nasal sprays, the mechanism by which they relieve congestion is very different.
Home Remedies For Stuffy Nose
#1 Steam Inhalation
It is a popular home remedy for instant relief from a stuffy nose. It works by lubricating the irritated respiratory tract and clearing the congestion. The simplest method to inhale steam is by taking in deep breaths while holding your head over a steaming pot of water.
#2 Saline Sprays
They are a combination of salt and sterile water and work by soothing nasal inflammation and thinning the mucus.
Note if used regularly, saline sprays may help rinse out pathogenic bacteria or pollen which irritate airways.
#3 Apple Cider Vinegar
According to anecdotal evidence, stuffy noses can be cleared by drinking diluted ACV. For this, just add 1 teaspoon of ACV to a cup of warm filtered water and drink it.
#4 Peppermint Essential Oil
Nasal congestion can be treated by inhaling aromas of the mixture of peppermint essential oil and warm water for approximately 20 minutes.
This happens due to a compound found in peppermint essential oil, called menthol. Eucalyptus essential oil can also be an adequate home remedy for a stuffy nose.
Garlic will reduce inflammation, fight infection, and support the immune system.
Note it works best when it is consumed raw.
Drinking plenty of water will thin out the mucus, which could help prevent blocked sinuses and relieve nasal congestion.
Images source Shutterstock & Getty
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