People with high blood pressure should avoid Pseudoephedrine..

Instead, they should try… neti pots?

Forget that this decongestant can be turned into methamphetamine. People with heart disease or hypertension should watch out for any legitimate drug that contains pseudoephedrine. See, pseudoephedrine doesn’t just constrict the blood vessels in your nose and sinuses; it can also raise blood pressure and heart rate, setting the stage for vascular catastrophe. Over the years, pseudoephedrine has been linked to heart attacks and strokes. “Pseudoephedrine can also worsen symptoms of benign prostate disease and glaucoma,” says Dr. Rodgers.

Your new strategy: Other OTC oral nasal decongestants can contain phenylephrine, which has a safety profile similar to pseudoephedrine’s. A 2007 review didn’t find enough evidence that phenylephrine was effective. Our advice: Avoid meds altogether and clear your nasal passages with a neti pot, the strangely named system that allows you to flush your sinuses with saline ($15, University of Wisconsin researchers found that people who used a neti pot felt their congestion and head pain improve by as much as 57 percent. Granted, the flushing sensation is odd at first, but give it a chance. Dr. Roizen did: “I do it every day after I brush my teeth,” he says.

About marypmadigan

Web designer (profession), foreign policy wonk (hobby).
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5 Responses to People with high blood pressure should avoid Pseudoephedrine..

  1. Actually, I found use of a neti pot increased sinus pain during the rest of the day, although initial relief is quite good. But that just may be particular to me.

  2. mary says:

    I’m very frightened by neti pots, so I’ve never tried them. But that’s what the doctors and many of my friends advise.

    It was just surprising to see that medications like Advil can cause that kind of problem.

  3. I’m very frightened by neti pots…


    I was hesitant initially, but the sensation is pretty much like getting water up your nose when swimming. Well, warm salty water up your nose. And it’s very messy, but you feel pretty good after it.

    Unless it gives you headaches later…

  4. mary says:

    Maybe that’s why I have netiphobia. I can’t stand getting water up my nose when I swim.

    If I have to chose between a neti and drugs, I’ll go for the drugs. I have very low blood pressure, so pseudoephedrine might be good for me..?

  5. Susan says:

    Advil is not related to pseudoephedrine. It is ibuprophen.

    Neti-pots offer a saline solution that simply rinse out the things in your nasal passages that might contribute to nasal irritation. Its sole purpose is to prevent irritation and to flush out any mucus that may have hardened. From that point of view, it could prevent a sinus infection by allowing your sinuses to drain properly. If you are already swollen or infected, a Neti-pot probably won’t help.

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