Allergy Medication And Hypertension
Some allergy medicines can affect your blood pressure or interact with your blood pressure medication. Don’t fret! There are safe options out there for treating your allergy symptoms relative to your high blood pressure and we will review them here.
While most antihistamines are generally safe to take with your blood pressure medication, we want you to keep in mind the following drug interactions if you are taking medicines for your blood pressure:
- Fexofenadine and Carvedilol : This may increase the side effects of fexofenadine. You may want to use fexofenadine cautiously if you are taking carvedilol.
- Cetirizine and levocetirizine : If either of these drugs is combined with methyldopa , you may experience increased drowsiness.
- Diphenhydramine : Make sure to talk with your doctor before taking any diphenhydramine products because any product containing itmay counteract the effects of some blood pressure medications.
Second-generation antihistamines that are not combined with decongestants are generally safe to use if you arenot taking the blood pressure medicines listed in the section above. The same goes for intranasal corticosteroids. Second-generation antihistamines and intranasal corticosteroids include the following:
Antihistamine eye drops, such as Pataday and Zaditor , are also safe options for itchy and watery eyes.
Why It Is Done
Allergy shots can reduce your reaction to allergens, which can result in fewer or less severe symptoms. They may also prevent children who have allergic rhinitis from getting asthma.footnote 1 Recommendations on when to get allergy shots vary, but in general you and your doctor may consider them when:
- Allergy symptoms are severe enough that the benefit from the shots outweighs the expense and the time spent getting the shots.
- You are allergic to only a few substances, and they are hard to avoid.
- Avoiding allergens and using medicine do not control symptoms, or you have to take medicine all the time to control symptoms.
- Side effects of medicines are a problem.
- You want a treatment for the cause of your allergy, rather than treatment for just the symptoms.
- You have another condition that is being affected by allergic rhinitis, such as asthma.
- You want to lower the chance that you will develop asthma.
Which Kind Of Alergy Medicine Can I Take Wtih Blood Pressure Meds
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How To Know Its Time To Try Allergy Shots
Allergy shots are not right for every patient. Any patient considering allergy shots should consult with their doctor or allergist to discuss their options. How can you know if allergy shots are right for you? Patients are a good fit for allergy shots if they:
- Have a condition that can be treated with allergy shots
- Wish to reduce long-term use of allergy medications
- Have no fear of needles
- Have no control over exposure to an allergen
- Have had little success with controlling symptoms via medications
Allergy Shots And Blood Pressure Medication
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How Much Do Allergy Shots Cost
Health insurance typically covers allergy shots. You may have to pay a copay for each visit. Copays are usually nominal fees.
If you dont have health insurance, have a high deductible, or if allergy shots arent covered under your plan, you may end up spending thousands of dollars a year.
One large 2019 study looked at the costs of allergy shots for people with commercial insurance or Medicare Advantage with Part D. Researchers examined data gathered between 2013 and 2015.
- The cost of allergy shots for 131,493 people totaled $253,301,575. This averages out to around $1,926 per person.
- People with allergies covered about 19 percent of the total costs, while insurers covered about 81 percent.
- On average, treatment lasted 463.1 days .
Before beginning any treatment, talk with your doctor about payment options and costs.
Keep in mind that allergy shots are a long-term commitment. They require many injections, so youll want to plan accordingly if youre paying out of pocket.
Also consider that, over time, allergy shots could save you money on sick visits and over-the-counter allergy medications.
Which Allergy Meds Are Safe For Your Heart
There are three major classes of allergy medications:
- anti-inflammatories
“In general, antihistamines are safe in patients with high blood pressure and other forms of heart disease,” explains Richard Krasuski, MD, director of adult congenital heart disease services at the Cleveland Clinic in Ohio, but an antihistamine may elevate blood pressure or increase heart rate, according to the U.S. Food and Drug Administration .
Antihistamines for allergies include common OTC allergy drugs such as loratadine , fexofenadine , and cetirizine . However, if the drug also has a D after the name, be aware that it contains an added decongestant that can cause problems.
The combination of decongestants and blood pressure problems can be big trouble, according to the American Heart Association. Dr. Krasuski says it’s important that people with high blood pressure and other heart problems avoid decongestants, especially pseudoephedrine . “They can raise the blood pressure and increase the pulse, neither of which is ideal in either problem,” he says. “They can also increase the risk for heart rhythm disturbances such as atrial fibrillation.”
“This can reduce the antihypertensive effects of blood pressure medications and lead to loss of blood pressure control,” adds Dr. Campbell.
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They Can Make Asthma And Eczema Better
When people think of allergy symptoms, they generally think of itchy eyes and a stuffy or runny nose, or anaphylactic shock. And while allergy shots can help prevent all of those, they can also help with related conditions as well.
If you have asthma, getting your allergies under control may also help reduce flare-ups, improve your breathing, and reduce your need for medications. Eczema, an inflammatory skin condition, is often associated with environmental allergies.
What Is Ideal Blood Pressure And Pulse Rate
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Follow These Helpful Tips If You Take Allergy Medications
- Before starting any new treatment, always talk to your provider or asthma specialist about treatment options while managing your diabetes.
- Stay prepared for any diabetic health risk by monitoring your blood sugar frequently. If you are having unusually high or low blood sugar readings, contact your healthcare provider.
- High blood sugar – Hyperglycemia
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They’re Not Recommended For Everyone
Most adultsand children ages 5 and upcan get allergy shots. But if you or your child has severe, uncontrolled asthma, your healthcare provider may recommend against them. “In our practice, if a patient’s asthma is flaring or even if they’re sick, we generally wait to give the shot until they’re feeling better,” Dr. Dziadzio said.
People who become pregnant while in the maintenance phase of allergy shots can continue their treatment, according to the AAAAI. But you shouldn’t start allergy shots for the first time, or increase dosage, while pregnant.
Certain medicines, like beta blockers, can reduce the effectiveness of epinephrinethe lifesaving drug used to treat anaphylactic shock. Because anaphylaxis is a rare but serious risk for people getting allergy shots, they may not be recommended for people who take these drugs.
Why Is My Blood Pressure Lower Than Usual
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What Other Drugs Will Affect Kenalog
Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.
Tell your doctor about all your current medicines. Many drugs can affect Kenalog-40, especially:
-
an antibiotic or antifungal medication
Antihistamines Can Make Allergy Shots Easier
Taking an oral antihistamine before each shot can help reduce side effects and reactions. “We really encourage patients to take them beforehand, especially as they get closer to their maintenance dose and their local reactions can get pretty bad,” Dr. Dziadzio said.
Of note, taking an antihistamine can help prevent most reactions but not all. MedlinePlus indicated that completing pretreatment with antihistamines “does not prevent anaphylaxis,” when the body has an extreme immune system response to something foreign.
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How Do You Prepare For An Allergy Shot
Before you start allergy shots, youll need a full evaluation. The doctor needs to test your allergies to know exactly which substances to use in the shots.
For example, if you have allergies during pollen season, theyll test for which types of pollen cause your symptoms. Ragweed, grasses, and various tree pollens are common culprits.
Allergy testing usually consists of skin pricking. During a skin prick test, your doctor will prick the skin on your back or forearm with several types of allergens to determine which ones cause reactions.
A type of specialist known as an allergist or an immunologist will conduct all testing and treatment with allergy shots.
Once your doctor has identified your allergens, youll start receiving allergy shots. The process is broken down into two phases:
What To Think About
Although some of the costs may not be covered by your provincial health plan, allergy shots may cost no more than the combined cost of medicine, doctor and emergency room visits, and missed days of school or work over several years. But you may need to take regular shots for 3 to 5 years. And it may take a year or more for symptoms to improve. If the treatment schedule would be hard for you to follow, you may want to think about other options. During your treatment, you should see your doctor at least once every 6 to 12 months.
Allergy shots treat an allergy to just one allergen or a very closely related group of them, such as grass pollens. If you are allergic to more than one type of allergen, you may need to receive shots for each type of allergen to relieve all of your symptoms. The allergens can usually be combined into one or two shots.
Children younger than 2 should not have allergy shots. Children ages 3 to 4 may find it hard to get many shots over a long period of time. Talk with your doctor about whether allergy shots are right for your child.
Older adults may be taking medicines or have other medical conditions that may increase the risk of a severe reaction to allergy shots.
You must report any delayed reaction to an allergy shot. Late reactions can happen any time within 24 hours after a shot. Reactions may just affect the injection site or they may affect your overall body .
Allergy shots should not be used when you:
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Alternative Methods For Controlling Allergies
If you continue to suffer from allergy symptoms but can’t take allergy medications because of high blood pressure or other heart problems, there are other ways you can help mitigate the sneezing, sniffling, coughing, and watery eyes that allergies can trigger.
Consider these allergy-control methods:
- Run a dehumidifier, because mold loves moisture.
- Use allergen-reducing bedding such as mattress and pillow protectors.
- Try a saline nasal spray or wash to reduce nasal congestion.
