Managing A Cold With Hypertension
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
Take a pain reliever such as Tylenol or Motrin for fever, sore throat, body aches and headache
Flush your sinuses with a saline spray to relieve nasal congestion
Soothe a sore or scratchy throat with lozenges
Use a vaporizer or humidifier if necessary to boost humidity
Get plenty of rest
Return to your doctor after five to seven days to make sure youre on the road to recovery
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Driving Or Operating Heavy Machinery
This medicine can cause extreme drowsiness or dizziness in patients. Immediately after taking Doxycycline Tablet or its substitutes, do not drive or operate any heavy machinery.
In addition to the above precautions, make sure that you let the doctor if you are-
- Allergic to drugs such as clarithromycin, erythromycin
- Having issues in the kidneys, muscles, liver or heart
- Having a low level of potassium or magnesium
- Willing to conceive in the future
What The Treatment For Sinus Infections
In order to eradicate the infection, youll need an antibiotic.
Some people continue to experience a lingering sinus infection even after antibiotics. Sinuses are considered a closed cavity. Removing infection from a closed cavity can require more prolonged antibiotic usage compared to infections that occur in an open cavity .
A sinus infection might require 2-4 weeks of antibiotics plus additional methods to encourage drainage of the sinuses. For a sinus infection to clear completely, we often recommend saline sprays, topical steroid sprays , and decongestants in addition to an antibiotic.
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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.
When Should I Call My Healthcare Provider About Sinusitis
Though many cases of acute sinusitis can improve with little to no treatment, you should call the doctor if you experience any painful symptoms. An antibiotic may be needed for a bacterial infection.
If you find that your sinuses do not feel better after 10 days, symptoms have gotten worse, or you have symptoms that initially improved and then worsen five to six days later , you should contact your healthcare provider. Symptoms that continue after about four weeks may mean you have subacute or chronic sinusitis. If you develop other types of symptoms, such as severe eye swelling, or you are just not sure what you should do next, call your provider.
If you have facial pain, and you have healthy teeth, you can try things like nasal rinses and warm, wet washcloths on your face to see if you find some relief. If so, and if your symptoms go away in about 10 days, you probably have had acute sinusitis and it has gotten better on its own. If not, and you continue to feel ill after three or four weeks, call your provider.
Last reviewed by a Cleveland Clinic medical professional on 06/04/2020.
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Will My Sinus Infection Clear Up On Its Own
The first few weeks of the common cold arent fun, but the acute sinusitis that can pop up afterwards doesnt help either. Sinus congestion and the common cold, unfortunately, 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.
Sinus infections are caused when the cavities around your nasal passages become inflamed and swollen, which eventually interferes with drainage and causes mucus to build up. This tends to get annoying, because it makes breathing through the nose difficult. It also affects the area around your eyes and face, and can cause a throbbing headache.
When a sinus infection hits, its always 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 arent recommended within the first week of developing a cold. About 70 percent of sinus infections go away within two weeks without antibiotics.
Consider these other forms of treatments instead of antibiotics:
- 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. They can help to prevent and treat inflammation.
Antibiotics only will be needed if the infection is severe, recurrent or persistent.
Topics in this Post
Lets Start With The Basics The Difference Between Colds And Sinus Infections
In general, cold symptoms can include:
- Coughing and sneezing
Sinus infections often have similar symptoms, but they usually last longer a week or more, whereas colds often clear up within about a week. Typical sinusitis symptoms include:
- Yellow or green mucus discharge
- More intense headache
- Minor dizziness when moving
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How To Tell If You Have An Actual Sinus Infection
Even though we often say we have a sinus infection even if its just inflammation or an allergic response, there are symptoms of an actual infection that may be treatable with antibiotics. Nasal congestion and pain under the eyes or around the temples are, of course, main symptoms, but others include the loss of the sense of smell, green nasal discharge, mucus dripping down your throat, cough, fever, fatigue, sore throat, and even bad breath.
Sometimes, a sinus infection will clear up without intervention, but if you develop a fever of 100.4 degrees or higher, have your symptoms for 10 or more days, notice that your symptoms are getting worse and are not improved by OTC medications, or you have multiple infections in a years time, you should seek medical treatment as soon as possible.
Most Sinus Infections Dont Require Antibiotics
Ah, . The New England Journal of Medicine published a clinical practice review of acute sinus infections in adults, that is, sinus infections of up to four weeks. The need for an updated review was likely spurred by the disconcerting fact that while the vast majority of acute sinus infections will improve or even clear on their own without antibiotics within one to two weeks, most end up being treated with antibiotics.
It is this discrepancy that has clinical researchers and public health folks jumping up and down in alarm, because more unnecessary prescriptions for antibiotics mean more side effects and higher bacterial resistance rates. But on the other hand, while 85% of sinus infections improve or clear on their own, theres the 15% that do not. Potential complications are rare, but serious, and include brain infections, even abscesses.
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When Does Antibiotic Resistance Occur
Antibiotic resistance occurs in a persons own body and within the community when certain drugs no longer work for a specific type of germ. This can occur when bacteria change in response to exposure to antibiotics so that the antibiotics no longer work efficiently against the bacteria.
Therefore, allergists and other specialists recommend limiting the use of antibiotics unless:
- Symptoms last over seven to 10 days
- Specific symptoms are present
- A fever is present
What Are Risk Factors For Acute Sinusitis
Some people are more likely than others to get acute sinusitis. These include:
- People who have allergies.
- People who have structural problems with their noses or polyps, which are growths that can hang inside noses or sinus cavities.
- People who spend a great deal of time in places where infections happen, like preschools or day cares.
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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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Basics Of Doxycycline For Sinus Infection
According to a clinical trial published in the National Library of Medicine, doxycycline was far more effective than ampicillin in curing sinusitis in affected patients. 90% of the patients responded to the drug while only 35% responded to ampicillin. It was inferred that this is effective as it fights against the organisms as well as can penetrate the sinuses which act as a reservoir for the infections.
Doxycycline is an antibiotic that cures a wide variety of infections caused by different bacteria. Apart from sinusitis, it can also cure other bacterial infections including urinary tract infections, respiratory infections, eye infections, gonorrhea, syphilis, etc.
In addition to these infections, medicine is very effective in treating skin blemishes or acne. Moreover, it is believed that taking this drug also reduces the risk of malaria.
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Help For Sinus When I Have High Blood Pressure
Many people suffer from sinus trouble, whether it is a temporary sinus problem or chronic sinusitis. Sinus congestion can cause breathing difficulties, and the extreme congestion leads to sinus headache. Prolonged sinus congestion can lead to sinus infections. There are treatments for congested sinuses, but if you have high blood pressure you must be careful about which treatments you use, as some may actually raise blood pressure.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Using Antibiotics May Worksome Of The Time
Colds are caused by viruses, so medicines like antibiotics wont help. Consult a doctor if you have any questions, but generally speaking, the best approach is to treat symptoms. If a headache is bothering you, an over-the-counter pain reliever might help, while a nasal decongestant could help relieve a stuffy nose.
For sinusitis, sinus doctors sometimes prescribe antibiotics ONLY if a bacterial infection is suspected as the root cause. In other cases, oral or nasal steroids are recommended, along with mucus thinners or pain relievers.
Overmedicating or masking symptoms with the wrong medications can lead to more problems, so get personalized help from the start. Our NYC sinus doctors are here to discuss your symptoms and help you come up with a treatment plan thats right for you.
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Common Antibiotics For Sinus Infections
Antibiotics may be prescribed when symptoms of a sinus infection warrant such treatment. Common antibiotics for sinus infection include:
- Levaquin : Although this drug is often prescribed as a first line of therapy for sinusitis, it has serious side effects and should only be used as a last resort.
When To Consider Antibiotics For Sinus Infections
AAAAI advises that antibiotics for sinus infections should be considered only if you develop a fever of 102° F or higher, you have severe face pain and tenderness, your symptoms last longer than a week or so, or your symptoms improve and then worsen again.
Some patients with acute sinusitis do need antibiotics, and if they continue with a worsening infection without treatment, they can suffer dramatic complications such as loss of vision, meningitis, or brain abscess, Patel says.
If your doctor says you need an antibiotic, ask for generic amoxicillin/clavulanate, according to guidelines from UpToDate, which provides evidence-based treatment information to healthcare providers. Its usually the best choice and works as well as more expensive brand-name antibiotics.
Avoid taking fluoroquinolones, a group of antibiotics that includes ciprofloxacin and levofloxacin . Although widely used, the antibiotics are inappropriate for treating sinus infections and they pose serious risks.
In 2016, after a safety review, the Food and Drug Administration linked fluoroquinolones to disabling and potentially permanent side effects. The agency advised against using the drugs to treat common illnessesbronchitis, sinus infections, and urinary tract 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.
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We will ask you just a few more quick questions. Then, one of our board certified SmartDocMDs will review your history and provide a personalized diagnosis and treatment plan, typically within 30 minutes. This will include prescription medications as necessary, details about your potential condition, expectations, recommendations for treatment, tips for prevention, along with a doctors note for excuse from work/school.
Based on your online interview you may have a SINUS INFECTION. This can be caused by many things, but a BACTERIA seems most likely.
The good news is we can help you. Right now.
These sorts of sinus infections are usually treated with:
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Treating Sinus Infections: Dont Rush To Antibiotics
Millions of people are prescribed antibiotics each year for sinus infections, a frequent complication of the common cold, hay fever, and other respiratory allergies. In fact, 15 to 21 percent of all antibiotic prescriptions for adults in outpatient care are for treating sinus infections. Unfortunately, most of those people dont need the drugs. Heres why:
The drugs usually dont help.
Sinus infections can be painful. People with the condition usually have a stuffy nose combined with yellow, green, or gray nasal discharge plus pain or pressure around the eyes, cheeks, forehead, or teeth that worsens when they bend over. But sinus infections almost always stem from a viral infection, not a bacterial oneand antibiotics dont work against viruses. Even when bacteria are the cause, the infections often clear up on their own in a week or so. And antibiotics dont help ease allergies, either.
They can pose risks.
About one in four people who take antibiotics have side effects, such as stomach problems, dizziness, or rashes. Those problems clear up soon after stopping the drugs, but in rare cases antibiotics can cause severe allergic reactions. Overuse of antibiotics also promotes the growth of bacteria that cant be controlled easily with drugs. That makes you more vulnerable to antibiotic-resistant infections and undermines the good that antibiotics can do for others.
So when are antibiotics necessary?
How should you treat sinus infections?
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
- Difficulty breathing
- 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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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