I have a quick query- the use of sympathomimetic decongestants is a not allowed in hypertensive, diabetes etc but my notes state that topical can be used. I was under the impression that the packets of nasal decongestants say speak with dr etc if taking decongestants.
My question is can we recommend topical decongestants to those with high BP etc?
Well I have used a decongestant spray at night for 10 years. However, when initially diagnosed with BP had been taking pseudo orally in an attempt (fruitless) to stop a severe nose bleed. Ended up in hospital with BP of 220.
So I would say No to oral but yes to careful use of topical.
johnep
Just to add to the debate re decongestants/pseudoephedrine - the packaging for sudafed says not for hypertensives, diabetics etc - I had a gentleman who wanted to purchase sudafed but was taking ramipril to control blood pressure - he said he'd taken sudafed before with no problem - now assuming the gp is monitoring his bp on a regular basis & he is normotensive (the gent said he was monitoring his own bp & this was fine! & he also said he had monitored it whilst taking sudafed & it was fine!)....could we supply the sudafed OR would you be inclined to recommend alternatives OR refer to gp?
This is not a qualified opinion but I would recommend alternatives. Ramipril is an alpha antagonist where as pseudoephedrine is an agonist, the opposing action surely cant be good.And the home monitoring blood pressure devices arent brilliant! The consequences of high blood pressure are far greater than that of a stuffy nose etc
depends how adamant the patient is in wanting the decongestant. i would strongly try and avoid selling it, but if he was that adamant i might be inclined to sell it to him, and warn him to monitor his BP...although home etsting BP kits aren't the most reliable of equipment...
not quite sure how you came to the conclusion of ramipril being an alpha antagonist..surly its an ACE inhibitor...
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