Why High Blood Pressure and Cold Meds Don’t Mix

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

1:00 PM

Author | Mary C. Passow, RN, BSN

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.

LISTEN UP: Add the new Michigan Medicine News Break to your Alexa-enabled device, or subscribe to our daily audio updates on iTunes, Google Play and Stitcher.

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.


More Articles About: Heart Health Preventive Cardiology Hypertension and High Blood Pressure Common Cold Cardiovascular: Preventive Cardiology Allergies
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of health care news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories prescription pad drawn
Health Lab
Reducing dose of popular blood thinners may limit risk of future bleeding
For people taking the popular blood thinners rivaroxaban (brand name Xarelto) and apixaban (brand name Eliquis), after having a blood clot, a reduced dose may limit the future risk of bleeding as well as hospital visits, a Michigan Medicine-led study suggests.
Minding Memory with a microphone and a shadow of a microphone on a blue background
Minding Memory
Greenspace and Late-Life Cognitive Decline
In this episode Matt and Lauren will speak with Dr. Marcia Pescador Jimenez, an Assistant Professor in the Department of Epidemiology at Boston University whose research focuses on understanding the relationship between exposure to green space and health outcomes (including hypertension and cognitive measures). Emerging research has shown that midlife risk factors may delay or even prevent the onset of dementia later in life - among these include physical activity and social interaction. It’s not a stretch to imagine how a person’s environment may impact behaviors such as physical activity. For instance, there are places that lack sidewalks and parks that make exercising exceedingly difficult. Among environmental epidemiologists, there is growing interest in understanding how the built and natural environment influence our behaviors that, in turn, influence our health. We encourage you to listen to this episode while on a walk outside!
woman pregnant laying back with doctor looking at paper work and her getting blood pressure measured
Health Lab
Sharp spike seen in emergency visits for life threatening pregnancy complication
Hypertensive disorders of pregnancy, the second leading cause of maternal deaths worldwide, may be sending a significantly higher number of pregnant people to the emergency department.
Survival flight pilots and person standing by helicopter smiling
Health Lab
Motivational speaker reunites with Survival Flight nurses after sudden aortic dissection
A father and motivational speaker, who experienced an urgent heart problem, reunites with his Survival Flight nurses who helped save his life
yellow measurement yellow twirled around blue colored money signs and RX bottles and pills and shots
Health Lab
The heart of the question: Who can get Medicare-covered weight loss medicine?
Wegovy (semaglutide) now has Medicare approval for coverage among people with obesity and cardiovascular disease but no diabetes; a study looks at what level of risk might make someone eligible.
prescription pad blue yellow sketch
Health Lab
Risk of clots, stroke from incorrect blood thinner dosing reduced using online dashboard
Doctors and pharmacists treating people with blood thinners can now reduce the rate of inappropriate dosing — as well as blood clots and strokes that can result from it — using an electronic patient management system.