Taking Decongestants With Other Medicines
Ask a pharmacist or GP before taking decongestants if youâre taking other medicines.
For example, taking decongestants alongside some antidepressants can cause a dangerous rise in blood pressure.
Itâs also important to be careful when taking other medicines if youâre using an âall-in-1â decongestant remedy.
âAll-in-1â decongestants also contain painkillers or antihistamines, so it could be dangerous to take extra doses of these medicines at the same time.
Page last reviewed: 28 February 2019 Next review due: 28 February 2022
Side Effects Of Doxycycline For Sinus Infection
Generally, there are only some minor side effects after taking Doxycycline for sinus infection. Common side effects that can occur after taking doxycycline are-
- Diarrhea that is watery or bloody
- Irritation in the throat
- Little to almost no urination
- Lower count of white blood cells
- Iron supplements and laxatives
- Oral birth control pills
People who are in the habit of drinking alcohol are more likely to side effects of Doxycycline tablets, especially stomach upset. Moreover, when medicine is taken with milk or food it can reduce the absorption of medicine by the body.
The medicine also enhances the sensitivity of the skin to sunlight. Hence, when stepping out of the house, make sure you are properly covered and wearing sunglasses and sunscreen.
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Check If You Have Sinusitis
Symptoms of sinusitis include:
- pain, swelling and tenderness around your cheeks, eyes or forehead
- a reduced sense of smell
- green or yellow mucus from your nose
- a sinus headache
Signs of sinusitis in young children may also include irritability, difficulty feeding, and breathing through their mouth.
The sinuses are small, empty spaces behind your cheekbones and forehead that connect to the inside of the nose.
Sinusitis causes the lining of the sinuses to swell up.
This stops mucus draining into your nose and throat properly, making you feel blocked up.
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Can I Prevent Sinusitis
There is no sure-fire way to prevent sinusitis. But there are some things that might help.
- Donât smoke, and avoid other people’s smoke.
- Wash your hands often, especially during cold and flu season, and try not to touch your face.
- Stay away from things you know youâre allergic to. Talk to your doctor to see if you need prescription medicines, allergy shots, or other forms of immunotherapy.
If your sinus problems keep coming back, ask your doctor about the pros and cons of surgery to clean and drain the sinuses.
Do I Need Antibiotics
Antibiotics are seldom needed to treat sinusitis because sinusitis is mostly caused by viruses . Antibiotics only work against bacteria but not viruses. Using antibiotics when they are not needed can lead to antibiotic resistance. This is when overuse of antibiotics encourages the growth of bacteria that cant be controlled easily with drugs. That makes you more at risk of antibiotic-resistant infections in the future and makes antibiotics less effective for everyone.
- Antibiotics are considered when symptoms last longer than 10 days, start to improve but then worsen again, or are very severe such as a fever over 39°C, extreme pain and tenderness over your sinuses, or signs of a skin infection, such as a hot, red rash that spreads quickly.
- If you are given antibiotics, finish the full course.
- Read more about antibiotics for sinusitis Choosing Wisely, NZ
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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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But Sometimes Antibiotics For Sinus Infections Are Needed
So how does one judge when it is appropriate to prescribe antibiotics for a sinus infection? There are several sets of official guidelines, which are all similar. When a patient has thick, colorful nasal discharge and/or facial pressure or pain for at least 10 days, they meet criteria for antibiotic treatment. If a patient has had those symptoms, but the symptoms seemed to start improving and then got worse again, then even if its been less than 10 days, they meet criteria for antibiotic treatment.
The authors, however, also suggest that doctors discuss watchful waiting with patients and explain that most sinus infections clear up on their own in one to two weeks, and its a safe option to hold off on antibiotics. The symptoms can then be treated with a cocktail of over-the-counter medications and supportive care, like nasal saline irrigation, nasal steroid sprays, decongestants, and pain medications.
Of course, many patients expect and demand antibiotics for sinus infections, and even those who are open to watchful waiting may hear about the rare but possible complications of things like, oh, brain abscess, and opt to treat.
In the case of my patient above, she met criteria for treatment. She weighed the watchful waiting option against the potential risks of antibiotics for her sinus infection, and chose the prescription. I can tell you from very close follow-up that she improved quickly, though in truth, we will never really know if she would have gotten better anyway.
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How You Can Treat Sinusitis Yourself
You can often treat mild sinusitis without seeing a GP by:
- getting plenty of rest
- taking painkillers, such as paracetamol or ibuprofen
- avoiding allergic triggers and not smoking
- cleaning your nose with a salt water solution to ease congestion
If you have a high temperature or you do not feel well enough to do your normal activities, try to stay at home and avoid contact with other people until you feel better.
You do not need to use all of the solution, but make a fresh solution each time you clean your nose.
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
- saline nasal sprays or rinses, such as Ayr, Ocean, Simply Saline, or Neti Pot
Antihistamine eye drops, such as Pataday and Zaditor , are safe options for itchy watery eyes.
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When To Use And Avoid Antibiotics And Other Treatments To Try
A sinus infection can be treated with antibiotics when it is caused by bacteria. Sinus infections that have other causes, such as allergies or viruses, won’t benefit from antibiotics.
Most sinus infections don’t need antibiotics and will start to get better without treatment. Healthcare providers typically only prescribe antibiotics for sinus infections that don’t clear up on their own.
This article looks at what types of sinus infections can be treated with antibiotics. It also discusses over-the-counter treatments and home remedies.
Will My Sinus Infection Clear Up On Its Own
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The first few weeks of the common cold aren’ fun, but the acute sinusitis that can develop afterwards doesn’t help either. Unfortunately, sinus congestion and the common cold go hand in hand. Acute sinusitis frequently is caused by the common cold, but also can be caused by allergies and bacterial and fungal infections.
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When To See The Doctor
If you try the home remedies and they do not work, then you should consider visiting a doctor. A sinus infection that is diagnosed early can be treated faster. Do not wait for too long once you begin to notice symptoms of sinusitis. Use the medicines prescribed by the doctor so that you can manage the symptoms better.
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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What Are The Sinuses How Many Do We Have
A sinus is a hollow, air-filled cavity. For the purposes of this article, a sinus will refer to those hollow cavities that are in the skull and connected to the nasal airway by a narrow hole in the bone . Normally all sinuses are open to the nasal airway through an ostium. Humans have four pairs of these cavities each referred to as the
The four pairs of sinuses are often described as a unit and termed the paranasal sinuses. The cells of the inner lining of each sinus are mucus-secreting cells, epithelial cells, and some cells that are part of the immune system .
Functions of the sinuses include humidifying and warming inspired air, insulation of surrounding structures , increasing voice resonance, and as buffers against facial trauma. The sinuses decrease the weight of the skull. If the inflammation hinders the clearance of mucous or blocks the natural ostium, the inflammation may progress into a bacterial infection.
When To Take Antibioticsand When Other Treatments May Work Better
If youve been knocked out by sinus infection symptomsstuffiness, face pain or pressure, nasal dischargeyour doctor might recommend that you wait it out for a week or so before resorting to an antibiotic. And she or he might be right: Antibiotics are often not necessary for clearing up a sinus infection, according to recent research.
As a result, many health experts, including Zara Patel, M.D., a sinus infection expert and assistant professor of otolaryngology at Stanford University in Stanford, Calif., are urging doctors to think twice before prescribing antibiotics for sinus and other respiratory infections.
A 2016 study, published in JAMA, found that people who went to the doctor with a sinus infection were more likely to leave with a prescription for antibiotics than people seeing the doctor for any other reason . But some doctors, pointing to newer evidence, are starting to take a more cautious approach.
For acute sinusitis, there are very well-done studies indicating that antibiotics are not necessary in the vast majority of patients, and most people will be able to clear an infection on their own, Patel says.
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What Causes Sinus Pressure
Pressure in your sinuses is essentially swelling in response to any of three different causes: a pressure change between the air inside your sinuses and the air outside your sinuses , when irritants invade your sinuses , or when you have an anatomical issue .
Unfortunately, you can’t cater your sinus pressure treatment to the exact cause, but the good news is that most available remedies can work to reduce sinus inflammation and swelling regardless of what’s causing it.
Here’s a guide, according to experts, on the best ways to treat sinus pressure so you can start feeling better as soon as possible.
What Is A Sinus Infection
The sinuses are air-filled cavities around your face and nasal passages.
When you have a sinus infection, also called sinusitis, the lining of the sinuses becomes inflamed.
The inflammation can cause mucus to build up in the sinuses, which can lead to infection.
More than 30 million individuals are diagnosed with a sinus infection each year.
A large percentage of these infections resolve on their own.
- A weak immune system from illness or medication
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What Home Remedies Can Help Relieve Sinus Congestion
When your nose is stuffy and congested, you can keep your nasal passages and sinuses moist by:
- Using a humidifier or vaporizer
- Inhaling steam from a hot shower or pot of hot water
- Drinking plenty of fluids to thin out the mucus
- Using a saline nasal spray to keep your nasal passages from drying out
- Applying a warm, wet towel to your face to help open up your sinuses
- Avoiding chlorinated pools
- Trying a neti pot or nasal irrigator to flush out the sinuses
- Keeping your head elevated when lying down
- Avoiding blowing your nose too forcefully, which can force the mucus into your ears or other parts of the sinuses
- Applying eucalyptus oil to a tissue paper and sleeping next to it or adding it to hot water and inhaling the steam
Keeping Kidneys Safe: Smart Choices About Medicines
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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
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Antibiotics And Sinus Infections
When a sinus infection hits, it seems worse than what you remembered from the last time you had one. This may give you the idea that you need antibiotics, but most clear up without them. Antibiotics have no effect on viruses and aren’t recommended within the first week of developing a cold. About 70% of sinus infections go away within two weeks without antibiotics.
Consider these other forms of treatments instead of antibiotics:
- These medications are available for over-the-counter purchase. Be careful to only take these medications for a few days at most, as they can cause the return of more severe congestions.
- Over-the-counter pain relievers Aspirins, acetaminophen or ibuprofen can help relieve temporary pain.
- Saline nasal spray This is used to spray into your nose several times a day to rinse your nasal passages. It can help to prevent and treat inflammation.
Antibiotics only will be needed if the infection is severe, recurrent or persistent.
The likelihood of bacterial infection increases when:
- Symptoms last seven days or more, particularly when symptoms initially improve and then worsen.
- Mucus is thick and yellow or green in color.
- There is facial or sinus tenderness, particularly if it’s worse on one side of the face.
- Pain is present in the upper teeth and is worse on one side of the face.
If the infection becomes severe, recurrent or persistent, contact your provider.
Blood Pressure And Cough And Cold Medications
- Decongestants may make your blood pressure and heart rate rise.
- Decongestants may prevent high blood pressure drugs from working properly.
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