MDM Health

Sinus Infection Treatment with High Blood Pressure

Sinus infection is the infection of sinuses, air-filled cavities in the skull (such as between the eyes, behind the nose, forehead, and cheekbones). Typically, it doesn’t cause serious problem and easy to treat. But if you have high blood pressure (hypertension), it could be more challenging since some treatments may cause a spike in blood pressure.

Hypertension (brief summary)

When your heart pumps the blood throughout the body (when it beats), the blood moves and pushes against your arteries. And the strength (pressure) of this pushing is what we call as ‘blood pressure’.

You probably have hypertension if your blood pressure is consistently higher than normal (140 /90 or higher). Normally, it should be around 120 /80.

Hypertension is linked to a wide range of health conditions (from mild to serious). But in essence, it will cause extra pressure on your heart and arteries. As a result, this will increase the risk of heart disease, stroke, kidney disease, dementia, metabolic syndrome, and more.

The bad news, there is usually no early symptoms of the condition. So you need to check your blood pressure! This is the only way to know whether or not you have hypertension.

The cause of the problem can vary, even there is usually no single cause for hypertension. In general, it’s associated with the following risk factors:

  1. Poor, unhealthy diet such as too much salt and lack of fiber.
  2. Sedentary lifestyle.
  3. Overweight or obesity.
  4. Abusing alcohol.
  5. If you’re a smoker.
  6. Poorly controlled stress.
  7. In fact hypertension is more common in elderly people. This suggests that the risk increases with age.
  8. Hypertension is likely to run in families. If you have first degree relative (such as parent, daughter, or sister) has or has had hypertension, you have a higher-than-normal risk to develop the same condition.
  9. Race! Without known reason, it seems that the condition is slightly more common in blacks than whites.
  10. Underlying medical condition. For example, hypertension is common in people with kidney disease. Interestingly, kidney disease is also a common consequence of hypertension.

More risk factors that you have mean the greater risk of developing the condition.

Some lifestyle measures (such as healthy-balanced diet and regular exercise) can really help lower your blood pressure. But sometimes these are not enough and you may need to take blood pressure medication to help control it.

There are many types of blood pressure medications to choose from. The common ones include thiazide diuretics, ACE inhibitors, calcium channel blockers, and angiotensin receptor blockers.

Each case can be different. Even what works so well for your relative or friend may not work well for you. Your doctor who knows most about your condition can help prescribe which one that works best.

Treating sinus infection with high blood pressure

Sinus infection, also known as ‘sinusitis’, is usually mild and easy to treat. It rarely leads to serious complications! But if it has caused its complications, some could be serious.

The treatment usually starts with simple remedies, like nasal solution to help relieve the congestion more quickly. If the problem doesn’t improve, it may progress to more advanced strategies (like prescription medicine therapy or even surgery if necessary, depending on the underlying cause of the problem).

If you have high blood pressure, your sinusitis treatment should not cause a spike in your blood pressure! And if you are taking your blood pressure medicine, make sure there is no risk for drug interaction (ask your doctor for more guidance)!

What is drug interaction? It is a term used to describe the possible interaction of two or more different medicines when taken at the same time. They can influence each other, which may lead to decreased effectiveness of the medicine or/and cause increased side effects.

Sinusitis is classified into several types by how long it lasts. It can be acute, sub-acute, chronic, and recurrent (learn more in here).

The good news, most cases of sinus infection are acute. Acute means the problem lasts less than 4 weeks. It is relatively easier to treat, and even it often gets better in time (without treatment). Lifestyle measures such as keeping hydrated and adequate rest are usually enough to cope with. See also home remedies for sinusitis in this section!

However sometimes lifestyle measures alone are not enough. If you do need to take medication to help get rid of your sinusitis, there are some choices available. And to keep safe, the following are some easy checklists to remember for treating sinusitis with high blood pressure:

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Avoid any over-the-counter decongestants!

Sinus infection can lead to inflammation and buildup of mucus that can block your nasal cavity. As a result, you can have nasal congestion.

But if you have hypertension, don’t not use any over-the-counter decongestants (including for multi-symptom cold remedies containing decongestants)! Decongestants – like pseudoephedrine, oxymetazoline, naphazoline, phenylephrine, and ephedrine – can have an effect on your blood vessels.

Instead, try alternative remedies to cope with nasal congestion. For example, try saline nasal spray! It can help flush your sinus civilities without needing to worry about your high blood pressure!

The same goes for your cold medication!

Avoid over-the-counter cold medicine that contains decongestants!

The good news, there are quite many choices to choose from. Even some are designed for people with hypertension. For instance, Coricidin HBP (it is free of any decongestant and safe for hypertension).

Warning; it’s always important to take the medicine as well as prescribed or follow the dosing instructions! Even though it doesn’t contain decongestant, but it may have powerful substances such as dextromethorphan which could be fatal if you take higher than the recommendation!

Additionally – don’t use any over-the-counter cold medicine for toddlers with sinusitis, because it is useless or even could be counterproductive (pose the risk of negative side effects)!

How about allergy medicines?

The cause of sinusitis can vary. Allergy is often to blame and this is particularly true for many cases of sinusitis in children.

In adults with allergy, the sinusitis symptoms could be worse and more difficult to cope with. So if you have allergy, avoid any allergen (such as animal dander, mold, weed pollen, and dust mites) that may trigger your allergic reaction!

Sometimes medicine may be required to help control your allergy. For such case, talk first with your doctor! Fortunately most common medicines for allergies are antihistamines, which are safe for most people with hypertension. But again, ask first to keep safe!