$Unique_ID{BRK00546} $Pretitle{} $Title{High Blood Pressure Brought On by Cold Medicine} $Subject{medications hypertension cold medication preparation circulatory hypertension phenylpropanolamine appetite suppressant nasal decongestants hyperthyroidism heart disease diabetes mellitus medicine medicines} $Volume{G-0, R-0} $Log{ Anatomy of Blood Pressure*0009501.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. High Blood Pressure Brought On by Cold Medicine ------------------------------------------------------------------------------ QUESTION: As usual, I have had my one bad cold this year, but the experience became a frightening one when I developed a terrible headache, became upset and jittery to the point where my hand trembled. I visited my physician who discovered that my blood pressure was high. He told me that all of the symptoms were brought on by the cold medicine I had been taking. He was right, too, for they all disappeared when I stopped the medicine. I think you should warn your readers about this danger. ------------------------------------------------------------------------------ ANSWER: That is an excellent suggestion, although all who take over the counter cold medications may not undergo the number or extent of the side effects which you experienced. In fact most cold preparations are very safe and side effect free when taken as directed and when the patient is not unduly sensitive to a chemical that is commonly found in nonprescription cold preparations. Its called phenylpropanolamine, and it is used in over 100 different medications; used as an appetite suppressant for weight control, in nasal decongestants and cold medications, and for the premenstrual syndrome. Some times it is passed as a "street drug" as a substitute or combined with amphetamines. When cold sufferers mix several combination preparations in the hopes of a speedier recovery, they run the risk of taking too much of this ingredient, which may be a component of all--or at least some--of the over the counter products. Like any other medication, phenylpropanolamine must be used with respect, and only in doses indicated on the bottle. Patients with hyperthyroidism, hypertension or other heart related disease or diabetes should be most cautious. Of course if you are taking any other medication you should consult your pharmacist or physician before adding additional medications to your routine. The adverse effects associated with this medication most commonly affect the cardiovascular system, but can even include severe psychological disturbances, bizarre behavior and disorientation. To avoid these risks, read the label carefully, and be sure not accidentally "overdose" on a medication which can offer relief when properly used. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.