Non sedating decongestants
For the best result, antihistamines should be taken before allergic symptoms get well established.The most annoying side effect that antihistamines produce is drowsiness.Drugs in these categories are useful for relief of symptoms from allergies, upper respiratory infections (i.e., sinusitus, colds, flu), and vasomotor rhinitis (a chronic stuffy nose caused by such unrelated conditions as emotional stress, thyroid disease, pregnancy, and others).These drugs do not cure the allergies, infections, etc.; they only relieve the symptoms, thereby making the patient more comfortable.Decongestants are chemically related to adrenalin, the natural decongestant, which is also a type of stimulant.Therefore, the side effect of decongestants is a jittery or nervous feeling.The first few doses cause the most sleepiness; subsequent doses are usually less troublesome.Typical antihistamines include Benadryl,®* Chlor-Trimetron,®* Claritin,® Dimetane,®* Allegra,® PBZ,®* Polaramine,® Tavist,®* Teldrin,® Zyrtec,® etc.
It also impairs the circulation in the nose, which after a few hours, stimulates the vessels to expand to improve the blood flow again. An infant taken off the drops for 12 to 24 hours is cured, but well-established cases in adults often require more than a simple “cold turkey” withdrawal.
To avoid excessively stimulating effects, patients taking diet pills should not take decongestants.
Typical decongestants are phenylephrine (Neo-Synephrine®*), phenylpropanolamine (Dura-Vent,® Entex,®), and pseudoephedrine (Novafed,®* Sudafed®* etc.) * May be available over–the–counter without a prescription. Combination Remedies Theoretically, if the side effects could be properly balanced, the sleepiness sometimes caused by antihistamines could be cancelled by the stimulation of decongestants.
They need decongestants by mouth, sometimes corticosteroids, and possibly (in patients who continuously have used the sprays for months and years) a surgical procedure to the inside of the nose.
For this reason, the labels on these types of nose sprays contain the warning “Do not use this product for more than three days.”Nose sprays should be reserved for emergency and short term use.
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The patient should choose the remedy with ingredients best suited to combat his own symptoms.