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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Angela5 on July 15, 2001, at 7:29:30
I have a nasty cold, and am utterly miserable... I take Nardil, Wellbutrin, and Hytrin daily. Are there any decongestants, etc. that are safe with this?
Thanks,
Angela
Posted by Else on July 15, 2001, at 8:20:14
In reply to are there any decongestants, etc. safe w/ Nardil?, posted by Angela5 on July 15, 2001, at 7:29:30
> I have a nasty cold, and am utterly miserable... I take Nardil, Wellbutrin, and Hytrin daily. Are there any decongestants, etc. that are safe with this?
>
> Thanks,
>
> AngelaCoffee & hot soup? I know where I live, all the OTC stuff like Sudafed and ppa are out of the question.
Posted by Elizabeth on July 15, 2001, at 17:36:49
In reply to are there any decongestants, etc. safe w/ Nardil?, posted by Angela5 on July 15, 2001, at 7:29:30
> I have a nasty cold, and am utterly miserable... I take Nardil, Wellbutrin, and Hytrin daily. Are there any decongestants, etc. that are safe with this?
Intranasal oxymetazoline (e.g., Afrin) should be okay: it acts locally, and even if some gets into your bloodstream, the concentration will be so tiny that it won't be clinically significant.
Oral decongestants like pseudoephedrine are right out, of course.
-elizabeth
Posted by Kim on July 19, 2001, at 23:10:31
In reply to Re: are there any decongestants, etc. safe w/ Nardil? » Angela5, posted by Elizabeth on July 15, 2001, at 17:36:49
I'm on Parnate--another MAOI. My pdoc says it is okay for me to use antihistamines but not decongestants. They seem to help. I usually use a spray, like Afrin recommended above for a cold. He told me that Tylenol PM has an antihistamine in it, and I can use it if I have trouble sleeping. (As if---!)
Kim
Posted by Elizabeth on July 20, 2001, at 16:54:04
In reply to Re: are there any decongestants, etc. safe w/ Nardil?, posted by Kim on July 19, 2001, at 23:10:31
> I'm on Parnate--another MAOI. My pdoc says it is okay for me to use antihistamines but not decongestants. They seem to help.
They can. They tend to dry your mucous membranes, which may be helpful or it may be really bad if you have a cold. If the congestion is related to allergies, antihistamines are definitely the way to go.
> He told me that Tylenol PM has an antihistamine in it, and I can use it if I have trouble sleeping. (As if---!)
That's silly! Benadryl by itself is fine as a sedative. You don't need the Tylenol unless you're in pain. (Although I've never been convinced that Tylenol does anything for pain, either.)
-elizabeth
Posted by Bill L on July 23, 2001, at 8:21:41
In reply to Re: are there any decongestants, etc. safe w/ Nardil? » Kim, posted by Elizabeth on July 20, 2001, at 16:54:04
I use a prescription steroid nose spray called Nasocort. It works very well and is safe for long term use unlike the OTC nose sprays. Ask your doc.
> > I'm on Parnate--another MAOI. My pdoc says it is okay for me to use antihistamines but not decongestants. They seem to help.
>
> They can. They tend to dry your mucous membranes, which may be helpful or it may be really bad if you have a cold. If the congestion is related to allergies, antihistamines are definitely the way to go.
>
> > He told me that Tylenol PM has an antihistamine in it, and I can use it if I have trouble sleeping. (As if---!)
>
> That's silly! Benadryl by itself is fine as a sedative. You don't need the Tylenol unless you're in pain. (Although I've never been convinced that Tylenol does anything for pain, either.)
>
> -elizabeth
Posted by Elizabeth on July 23, 2001, at 13:02:27
In reply to Re: are there any decongestants, etc. safe w/ Nardil?, posted by Bill L on July 23, 2001, at 8:21:41
> I use a prescription steroid nose spray called Nasocort. It works very well and is safe for long term use unlike the OTC nose sprays. Ask your doc.
Nasocort is a steroid nasal spray. It wouldn't cause any problems with Nardil. (I took Beconase, a similar product, for allergies when I was on Nardil.) Steroids won't necessarily be good decongestants, though. Afrin is safe to use too, and it will directly address nasal congestion. (If you're really neurotic about MAOI interactions :-) then you might want to monitor your BP the first few times you try it.)
-elizabeth
This is the end of the thread.
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