Antihistamines interfere with histamines, thereby relieving allergy symptoms. low blood pressure; ... Second- and third-generation antihistamines do not have sedative properties. You should not use decongestants if you have: High blood pressure Diphenhydramine (Benadryl) and chlorpheniramine (Chlor-Trimeton) are considered "classic" antihistamines. Dizziness, low blood pressure, a headache, rapid heartbeat, disturbed coordination, abdominal discomfort and a thickening of mucus in the airways may also occur. How Antihistamines Work. This makes your heart beat faster and causes your blood pressure to go up. Do not use this medicine if you are also using a nitrate medicine, often used to treat angina or high blood pressure. Adrenaline opens your airways, causes your blood vessels to shrink, and moves more blood to your heart and lungs. ... (PM) pain relievers contain this sedating antihistamine. ... which is a first-generation sedating antihistamine, may cause … If you know anything about high blood pressure or hypertension, you would appreciate that blood vessel constriction causes elevated blood pressure. Benadryl is a decongestant which works by constricting blood vessels. The histamine receptors seem created to balance each other out in the heart, with the H1 receptor causing vasoconstriction and the H2 receptor causing an increase in heart rate and vasodilation. May cause a dry mouth, which may increase the risk of dental caries and worsen the symptoms of gastroesophageal reflux disease (GERD) if Benadryl is taken on a regular basis. The second-generation antihistamines do not cross the blood-brain barrier to the extent that first-generation do and therefore do not cause drowsiness at standard dosage levels. What this means is that drugs with diphenhydramine can affect blood pressure. Second-generation antihistamines are considered to be safer than first generation antihistamines because they don’t cause drowsiness and interact with fewer drugs. "In general, antihistamines are safe in patients with high blood pressure and other forms of heart disease," explains Richard Krasuski, MD, … During a severe allergic reaction, histamines may actually cause your blood pressure to fall. This may explain why some of [1a] us suffer from low blood pressure and others of high pressure, or those (like me) who have swung back and forth. Anyone with a history of high blood pressure, circulation problems or any kind of heart condition should consult with their doctor before taking a decongestant. Several classes of antihistamines are available for treating allergies. That sounds reassuring, but you will notice that the commercial does not say acetaminophen (Tylenol) won’t raise blood pressure at all. Earlier we mentioned that allergies cause the release of histamines from special immune cells that react to allergens. Because decongestants act like adrenaline, they can also raise your blood pressure and pulse. But, in addition to H1, earlier antihistamines can also cross into the brain and bind to receptors for acetylcholine, a neurotransmitter involved in muscle contraction and blood vessel dilation. Nitrate medicines include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitro-Dur®, Nitrol® ointment, Nitrolingual® spray, Nitrostat®, and Transderm Nitro®.

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