Chinese patent medicine containing ephedrine should be used with caution in hypertension
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core tip: Patients with hypertension should choose cold medicine carefully. Should be based on their own blood pressure level, to choose the composition of their own cold medicine. Mild hypertension patients or blood pressure control is better, can take short-term pseudoephedrine hydrochloride content of cold medicine, but not commonly used.
Patients with hypertension should choose cold medicine carefully. Should be based on their own blood pressure level, to choose the composition of their own cold medicine. Mild hypertension patients or blood pressure control is better, can take short-term pseudoephedrine hydrochloride content of cold medicine, but not commonly used. Patients with moderate and severe hypertension and poor blood pressure control should be careful and should avoid using these drugs as far as possible.
Compound Apocynum tablet is a kind of antihypertensive drug which contains Apocynum, tetrandrine, hydralazine, hydrochlorothiazide, and so on, while Xichuan pill and compound loquat syrup are adrenaline-like drugs containing ephedrine, which can increase blood pressure in the systolic and diastolic period. If patients with hypertension take the Xichuan pill and compound loquat syrup when taking compound Apocynum tablets, the ephedrine components contained in them can weaken the antihypertensive effect of compound Apocynum tablets, reduce the curative effect, even make the blood pressure out of control and aggravate the condition of patients with hypertension.
So, what should be done after a cold or asthma occurs in patients with hypertension? Generally speaking, when patients with hypertension have a cold, they should choose cold medicines without ephedrine components, and when asthma, they can consider using isoproterenol, salbutamol or aminophylline, and other bronchiectasis agents to replace ephedrine.
It can be seen that when hypertension patients use antihypertensive drugs if they want to use traditional Chinese medicine or Chinese patent medicine to treat other diseases, it is necessary to find out whether the formula contains ephedra or ephedrine chemical components. If so, it should not be taken at the same time as the antihypertensive drugs being taken. If it is difficult to distinguish yourself, it is best to consult an experienced doctor.
The main components of various cold medicines sold in pharmacies are paracetamol (antipyretic and analgesic ingredients), pseudoephedrine hydrochloride (relieving nasal congestion), Dextromethorphan Hydrobromide (cough relieving ingredient), amantadine (antiviral component), and Chlorphenamine Maleate (antihistamine component). Although it can relieve the symptoms of cold to some extent, it can also bring some side effects. For example, the cold medicine that can reduce nasal congestion contains pseudoephedrine hydrochloride, which can contract the upper respiratory tract capillary, eliminate the congestion of nasopharyngeal mucosa and relieve the symptoms of nasal congestion, but at the same time, it can also increase the blood pressure, and the effect is obvious and lasting, and it can accelerate the heart rate and other adverse reactions, which will aggravate the condition of patients with hypertension.
For hypertension patients who want to use pseudoephedrine to relieve nasal congestion, experts suggest that an appropriate amount of pseudoephedrine nasal drops can be used, because local use of pseudoephedrine has a relatively small impact on blood pressure.
The best choice for patients with cold and hypertension is oral administration of shuanghuangling granules, such as xiaohuangling, xiaohuangling, etc. But the traditional Chinese medicine containing licorice ingredients should be taken with caution in patients with hypertension. Glycyrrhiza can be hydrolyzed into glycyrrhetinic acid, and its effect is similar to that of the adrenocortical hormone, causing the rise of blood pressure.
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