Dangers Of Allergy Meds For Your Heart
Have high blood pressure, heart rhythm problems, or another heart condition? Heres what you need to know about allergy drugs.
Allergy medications might seem harmless enough they’re sold over the counter , so that makes them safe, right?
Though allergy drugs can stop the misery of seasonal bouts with pollen, hay fever, and grasses, some can aggravate a heart condition, or be downright dangerous when mixed with blood pressure drugs and certain heart medicines.
“If a patient has allergies or a cold and is considering OTC medications, it is always recommended to talk with the pharmacist on site, or to ask your physician for recommendations in the context of the other medications that are prescribed,” says L. Kristin Newby, MD, MHS, a cardiology professor at Duke Medicine in Durham, North Carolina.
“Some OTC medications for example, those containing pseudoephedrine or similar components may cause increases in heart rate or blood pressure that could exacerbate some cardiac conditions,” explains Dr. Newby.
Correction Of Phosphate Balance
If you have stage four or five kidney disease, you can get a build-up of phosphate in your body because your kidneys cannot get rid of it. Phosphate is a mineral that, with calcium, makes up most of your bones. Phosphate is obtained through diet, mainly dairy foods. The kidneys usually filter out excess phosphate. If phosphate levels rise too much, it can upset the normal calcium balance of the body. This can lead to thinning of the bones and furring of the arteries.
You may be asked to limit the amount of phosphate in your diet. Foods high in phosphate include red meat, dairy produce, eggs and fish. Your GP or dietitian should be able to advise you about how much phosphate you can eat. However, there is no advantage in reducing your intake of these foods unless you have a raised phosphate level. Always ask a healthcare professional before changing your diet.
If reducing the amount of phosphate in your diet does not lower your phosphate level enough, you may be given medicines called phosphate binders. These medicines bind to the phosphate in the food inside your stomach and stop it from being absorbed into your body.
To work properly, phosphate binders must be taken just before meals. The most commonly used phosphate binder is calcium carbonate, but there are also alternatives that may be more suitable for you.
The side effects of phosphate binders are uncommon but include:
- itchy skin
What Form Does This Medication Come In
Each white round, biconvex, bilayer tablet, debossed with ” REACTINE + ” on one side, contains 5 mg of cetirizine hydrochloride for immediate release and 120 mg of pseudoephedrine hydrochloride for extended release. Nonmedicinal ingredients: colloidal silicon dioxide, croscarmellose sodium, hydroxypropyl methylcellulose, lactose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, and titanium dioxide.
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Who Should Not Take This Medication
Do not take cetirizine – pseudoephedrine if you:
- are allergic to cetirizine, pseudoephedrine or any ingredients of the medication
- are allergic to hydroxyzine, another, similar antihistamine
- are taking or have taken a monoamine oxidase inhibitors within 14 days or intend to take such a medication in the next 14 days
- have an overactive thyroid gland
- have narrow-angle glaucoma
- have severe high blood pressure
- have severe coronary artery disease
Do not give this medication to children less than 12 years of age.
What Other Drugs Will Affect Allegra
Before taking this medication, tell your doctor if you regularly use other medicines that make you sleepy . They can add to sleepiness caused by Allegra.
Tell your doctor about all other medicines you use, especially:
This list is not complete and other drugs may interact with Allegra. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
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Cetirizine 10 Mg Film
Cetirizine 10 mg Film-Coated Tablets
PATIENT INFORMATION LEAFLET: INFORMATION FOR THE USER
Cetirizine 10 mg film-coated tablets
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
This medicine is available without prescription.
However, you still need to use Cetirizine 10 mg Tablets carefully to get the best results from it.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- You must contact a doctor if your symptoms worsen or do not improve after 3 days.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
- In this leaflet Cetirizine 10 mg film-coated tablets will be called Cetirizine 10 mg Tablets
What is in this leaflet:
1. What Cetirizine 10 mg Tablets are and what they are used for2. What you need to know before you take Cetirizine 10 mg Tablets3. How to take Cetirizine 10 mg Tablets4. Possible side effects5. How to store Cetirizine 10 mg Tablets6. Contents of the pack and other information
1. WHAT CETIRIZINE 10 MG TABLETS ARE AND WHAT THEY ARE USED FOR
Cetirizine hydrochloride is the active ingredient of Cetirizine 10 mg Tablets.
Cetirizine 10 mg Tablets is an antiallergic medication.
In adults and children aged 6 year and above, Cetirizine 10 mg Tablets are indicated
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE CETIRIZINE 10 MG TABLETS
Antihypertensive Drugs Safe In Kidney Disease
Consequently, safety and efficacy data for antihypertensive drugs are lacking in children with CKD. Methods: We determined the incidence of adverse events in 10 pediatric antihypertensive trials to determine the effect of renal function on antihypertensive safety and efficacy in children.
of changes in concomitant antihypertensive medication or un-derlying renal disease. BP was reduced with equal efcacy dur-ing day- and nighttime. Urinary protein excretion was reduced by 50% on average, with similar relative efcacy in patients with hypo/dysplastic nephropathies and glomerulopathies. The
A variety of interventions can slow the progression of the renal disease, improve the quality of life for.
concentrations is the ideal way to document successful and safe control.
In conclusion, optimal BP reduction by antihypertensive treatment currently remains the most effective and safe intervention to convey renal and cardiovascular protection in patients with diabetic kidney disease. RAAS-I should be considered the treatment of choice, although ideal BP values remain a matter of debate.
statin medications and antihypertensive agents remain the first line of management of atherosclerotic renal artery disease, although a study proving this concept has never been performed.
But these drugs may not be the right thing if you have heart disease. NSAIDs can make your.
Medication Table, and Tips for Medication Safety. Institute for Safe Medication Practices.
Who Should Get An Annual Flu Shot
The Centers for Disease Control recommends the following groups receive an annual flu vaccine shot between November and February :
- All people aged six months and older.
It is especially important for certain individuals at high risk of flu complications and those who come in contact with people at high risk of complications to receive the flu vaccine. These people at high risk include:
- Residents of nursing homes and other long-term care facilities.
- People who have chronic medical conditions such as asthma, heart disease, diabetes, kidney and liver disorders and chronic lung diseases.
- People with a weakened immune system, for example, people with cancer, HIV/AIDS, or chronic steroid users.
- Household members and caregivers of patients at risk of complications from the flu.
- Women who are or will be pregnant during the flu season .
- Healthcare workers who come into close contact with patients in hospitals, nursing homes, long-term care facilities, and other healthcare facilities.
- Infants and children ages six months through 18 years who are taking long-term aspirin therapy. This puts these individuals at risk for experiencing Reye syndrome after flu infection.
- American Indians/Alaska natives.
- People who have close contact with children under five years of age for example, people who live with children, nannies and providers of daycare services.
- People who are morbidly obese .
Dialysis And Over The Counter Medications
It is safe to take most over the counter allergy medications in the normal doses as they are eliminated from your body through the liver. If you have liver problems check with your pharmacist or physician first before using.
Recommended Allergy Medications May cause drowsiness
Do not cause drowsiness
Constipation is a common problem for people receiving dialysis as both iron tablets and calcium tablets can cause this side effect. In addition, you may be on other medications, which can cause constipation .
If you are taking a medicine on a daily basis which can cause constipation you should also take a stool softener once or twice daily to prevent constipation. You do not need to take this with lots of additional fluid which is often recommended. If you are already constipated you can take a stimulant laxative. After the constipation is relieved go back to taking your stool softener daily. Do not use the stimulant laxative on a daily basis as your bowels will become used to the laxative and will not move on their own.
Bisacodyl , Senna glycosides , Lactulose syrup
Milk of Magnesia®, Magnesium citrate solution, Fleet Phospho-Soda®
Cough & Cold Medicine
It is safe to take most cough and cold medications, except if you have diabetes or high blood pressure.
Herbal products may interact with the other medications you are taking. You should check with the dialysis pharmacist or physician before using.
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Comparisons With Other Allergy Medications
Researchers are often studying, comparing, and improving antihistamines. Other popular brands on the market today are Allegra and Benadryl.
- Allegra contains the active ingredient fexofenadine. Allegra is non-sedating, so it should not make a person feel drowsy. Allegra is also a second-generation antihistamine.
- Benadryl contains the active ingredient diphenhydramine. This acts faster than the other three and aims to treat minor skin reactions, not seasonal allergies. Benadryl is a first-generation antihistamine, which makes it sedating, so people tend to feel drowsy after taking it.
When a person comes into contact with an allergen, their immune system reacts and produces a chemical called histamine.
Histamine causes many allergy symptoms, including inflammation of the skin or sinuses, pain, redness, and wheezing.
Immune responses also encourage extra mucus to develop, which helps to clear allergens from the nose and throat.
Allergy medications block histamine responses. This dulls the bodys response to minor or harmless allergens, such as pollen, dust, and pet dander.
Claritin and Zyrtec are effective and safe for most people with minor allergies. However, as with all medications, there may be some side effects.
Loratadinepresent in Claritinmay not be safe for people with severe liver conditions. The liver has to break down loratadine. The kidneys break down cetirizinefound in Zyrtecand the body excretes it in the urine, largely unchanged.
How Does This Medication Work What Will It Do For Me
This combination product contains two active medications: cetirizine and pseudoephedrine. Cetirizine belongs to the class of medications called second-generation antihistaminesand more specifically, the class known as histamine receptor antagonists. Pseudoephedrine belongs to a group of medications called .
Cetirizine-pseudoephedrine is used to relieve symptoms of allergies such as sneezing, runny nose, nasal congestion and tearing, red eyes.
Cetirizine works by blocking the activity of histamine, a natural chemical produced by the body that is responsible for many allergy symptoms. Pseudoephedrine works by causing the blood vessels in the sinuses to narrow, reducing the swelling in the sinuses and making it easier to breathe. This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
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Effects Of Heat On Vulnerable Populations
The researchers note in their article that previous studies have been conducted in developed countries and were relatively small, preventing them from evaluating whether associations with ill health varied by sex, age, and region.
Large temperature variations, such as those experienced when going from the hot sun during the day to shivering cold at night, have an impact on the body, and on the kidneys in particular, that can persist for 2 days, they explain.
Children are particularly vulnerable because the body’s ability to regulate temperature isn’t fully developed at a young age.
“Preterm babies need to be put in an incubator because their thermoregulation mechanisms are developing. It is the same as when a young child with an ear infection or tonsillitis has a fever. They aren’t capable of fine-tuning it, something that they will be capable of doing in time,” noted Saldiva. Children also have a higher body-surface-area-to-mass ratio than adults, leaving them more exposed.
Females are also more vulnerable to heat because, proportionally, they have more body fat due to evolutionary factors, Saldiva explained. Variations in estrogen also interfere with the flexibility of blood vessels and with the thermoregulatory center.
All these situations force the kidneys to work harder.
How Should I Use This Medication
The recommended dose of cetirizine-pseudoephedrine for adults and children 12 years of age and older is one tablet taken every 12 hours. For adults over 65 years of age and people with reduced kidney or liver function, the recommended dose is one tablet taken every 24 hours.
This medication may be taken with food or on an empty stomach.
Swallow the tablet whole. Do not crush or chew the tablet at this will cause too much pseudoephedrine to be absorbed by your body at one time. This can lead to side effects.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important that this medication be taken exactly as prescribed by your doctor.
Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Do not dispose of medications in wastewater or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
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Xyzal Zyrtec And Drowsiness
Although both are considered nonsedating antihistamines, both Xyzal and Zyrtec have drowsiness as a potential side effect.
Zyrtec is considered a second-generation antihistamine, and Xyzal is a third-generation antihistamine. These medications are classified by how likely they are to reach the brain and cause drowsiness.
First-generation antihistamines, such as Benadryl , are the most likely to reach the brain and affect the nervous system. Theyre also more likely to result in drowsiness and sedation.
Second generation are less likely to reach the brain or be sedating, and third-generation antihistamines are the least likely. However, they all still have the potential to make you feel tired.
As you should with every medication, confer with your doctor before taking Xyzal or Zyrtec. Some important subjects to discuss with your doctor include:
How Should I Take Allegra
Use Allegra exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Take the regular tablet with a full glass of water. Do not use any other type of liquid. Shake the oral suspension well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
To take fexofenadine orally disintegrating tablets :
Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may damage the tablet.
Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
Swallow several times as the tablet dissolves. If desired, you may drink liquid to help swallow the dissolved tablet.
Take the Allegra disintegrating tablet on an empty stomach, at least 1 hour before or 2 hours after a meal.
Tell your doctor if your symptoms do not improve, or if they get worse after you start taking Allegra. Never use more than the recommended dose.
Store Allegra at room temperature away from moisture and heat. Keep the medicine bottle tightly closed.
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Cough And Cold Medicines
Many of the products available for coughs] and [colds contain a mixture of ingredients, so check the packaging carefully.
Any product that contains paracetamol.
What to avoid:
Some cough and cold remedies contain high doses of aspirin, which it’s best to avoid.
Many cold remedies also contain , which you should avoid if you have high blood pressure.
The best way to clear congestion is by steam inhalation with menthol or eucalyptus. For coughs, try a simple linctus or glycerine honey and lemon to soothe your throat.