Advil cold and sinus high blood pressure

Decongestants can pose a dangerous risk to people with hypertension. Try these other steps to safely treat a cold or allergies.

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.

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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 hypertension

If you can’t 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 you’re on the road to recovery

Before taking any new medication

Always 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.

High blood pressure, known medically as hypertension, is extremely common, affecting about half of American adults. People with high blood pressure or heart disease should be aware that common over-the-counter (OTC) medications, including cold medicine and decongestants, can raise blood pressure.

If you have hypertension you should talk with your healthcare provider about alternatives to cold and cough medicine for people with high blood pressure.

This article will cover how OTC drugs, including cough medicine, sinus medicine, and decongestants, can cause side effects for people with high blood pressure. It will also discuss safer options for people with high blood pressure. 

Cold Medicine to Avoid With Hypertension

There are lots of different types of cold and flu medications. Many of them combine decongestants, cough suppressants, and pain relievers (which also reduce fever). Although these ingredients can help you feel better, they might make heart disease and high blood pressure worse.

If you have high blood pressure, you should always talk to your healthcare provider before using OTC medications. There are two common ingredients that you should be particularly mindful of. 

Decongestants

Decongestants work by causing blood vessels to shrink. This helps treat congestion, which happens when blood vessels in the nose become swollen. Unfortunately, decongestants can also raise blood pressure.

People with high blood pressure should talk to their healthcare provider before using decongestants, including those containing pseudoephedrine or phenylephrine. 

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are common OTC pain relievers and fever reducers. Aleve (naproxen sodium) and Advil and Motrin (ibuprofen) are all NSAIDs. Although these are effective for treating pain, they can cause a rise in blood pressure when they’re taken by mouth.

They can increase the risk for heart attack (blockage of blood flow to the heart muscle) and stroke (blockage of blood flow to the brain or a bleed in the brain) as well, so people with high blood pressure are advised not to use NSAIDs.

Finding Safe and Effective Cold Medicine

It’s possible to find a safe cold medicine for high blood pressure. However, it may take some extra work.

Talk to Your Healthcare Provider About Options

It’s best to start by asking your healthcare provider for their recommendations so you can be prepared before you are sick with a cold or the flu. They can give you a list of medications that are safe to address various symptoms, such as nasal or sinus congestion, fever, aches, or cough.

Your healthcare provider can also tell you which medications to avoid and may suggest several ways you can deal with these symptoms without medications.

Learn to Read Drug Labels

When you’re selecting an over-the-counter medication, learn to read drug labels. It’s most important to look at the active ingredients. Those are the ingredients that have the biggest impact on your body. If you have high blood pressure, avoid medications that have the following active ingredients:

• Pseudoephedrine (a decongestant): Brand names include Sudafed and Drixoral.
• Phenylephrine (a decongestant): Brand names include Neo-Synephrine and Sudafed PE.
• Ibuprofen (an NSAID): Brand names include Advil, Motrin, and Nuprin
• Naproxen (an NSAID): Brand names include Aleve and Naprosyn.

Each of these comes in several other brands, and they may also be present in multisymptom cold and flu medications that combine different active ingredients.

Treating a Cold With High Blood Pressure

There are safe alternatives to cold medicine for people with high blood pressure. Talk with your healthcare provider about what will work best for you. Here’s what you can consider:

Over-the-Counter Medications

These OTC medications are safe for people with high blood pressure, but can alleviate some of the symptoms of colds:

• Antihistamines: Antihistamines can help clear congestion and are generally safer than decongestants for people with high blood pressure. They’re more often used for allergies but can also help with cold symptoms. 
• Tylenol: Tylenol’s active ingredient is acetaminophen, which has not been linked to high blood pressure. If you have aches, pain, or fever with your cold, Tylenol can help. 

Other Remedies

You can also control your symptoms with home remedies and natural remedies for colds, including:

• Saline nasal sprays to clear congestion
• A hot shower and humidifier to soothe coughing
• Honey to reduce coughing

Summary

People with high blood pressure need to be cautious about using over-the-counter cold medications. Common ingredients in cold medicines, including decongestants and NSAID pain relievers, can increase blood pressure.

If you have high blood pressure, ask your doctor about safer ways to treat a cold, including using Tylenol, antihistamines, and natural remedies. 

A Word From Verywell 

Dealing with a cold can be miserable. When you’re not feeling well, it may be hard to remember which cold medicines are safe if you have underlying health conditions. Plan ahead by talking to your healthcare provider when you’re well about how to treat a cold, with your hypertension and heart health in mind. 

Frequently Asked Questions

• What are the risks of taking over-the-counter cold medicine with hypertension?

  Many OTC cold medicines contain decongestants and NSAID pain relievers. Both of these medications can raise blood pressure, so if you have hypertension you should ask your doctor before taking them. 

• Are topical decongestants safe with high blood pressure?

  Topical decongestants work directly in the nasal passages and are not absorbed in the bloodstream to travel throughout the body the way that decongestants taken orally can.

  They might be safer because they stay in the nasal area, but you should still talk to your healthcare provider before using them if you have high blood pressure. 

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

By Kelly Burch
Kelly Burch is has written about health topics for more than a decade. Her writing has appeared in The Washington Post, The Chicago Tribune, and more.

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