Doctors Lounge - Cardiology Answers
Forum Name: Hypertension
Question: Hypertension & Seasonal Allergy Meds
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|hinchcliffe - Thu May 08, 2008 3:10 pm||
Hello, My blood pressure is usually good in the 125/80 range. My seasonal allergies have been very bad this year and the doctor gave me Allegra & Flonase, neither of which helped very much. She told me to stop the Allegra and try over the counter Claritin-again not much relief. Was switched to Zyrtec and Nasonex, which have helped, but suddenly my blood pressure has shot up to the 150/160 range. Could it be from these meds? I'm not taking any other meds, am 54 years old and have lost 20 pounds over the last 10 weeks, so blood pressure should be improving not increasing. If these meds could be the cause, how long after discontinuing use, would blood pressure drop? Thank you.
|John Kenyon, CNA - Wed Jul 09, 2008 4:18 pm||
Hello hinchcliffe -
While most allergy medication-related blood pressure problems are traceable to decongenstants rather than antihistimines (or antihistimines which contain psuedoephedrine, usually having a "D" after the regular name), it is well known that some people can have both increased heart rate and increased blood pressure as side effects of plain (no "D") antihistamines, and this seems very likely what has happened in your case. But first, please be certain none of the drugs you've been taking have had that "D" suffix, and that you haven't taken Sudafed or generic pseudoephedrine either, as that will most definitely raise the BP in most people, though not always as high as you report.
As far as how long to correct, if the problem is being caused by the antihistimine use, a week or so at most and the drugs should be totally cleared from your system and if that was the culprit your BP should return to normal levels.
Oh, also, sometimes significant weight loss can actually precipitate a short-term but marked rise in BP before things normalize. True, more often than not it is the other way around, and that is one of the hoped-for benefits, sometimes the loss of the weight tricks the blood pressure regulator, which takes a little while to adjust to the lessened load it is supporting.
Hope this is helpful to you. Please do follow up with us.
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