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Medical Forum / Diseases and Disorders / Sinusitis / February 2006

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Is there such a thing as being excessively sensitive to pseudoephedrine at any (practical) dosage?

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rdrm65@gmail.com - 19 Feb 2006 00:14 GMT
On my allergist's advice, I am experimenting with liquid
pseudoephedrine, in hopes of finding a dose that I won't find
overstimulating (and that won't raise my blood pressure, which has
gotten high in the past few years).

I tried 1/4 tsp. of liquid pseudoephedrine this morning, which should
be about 3.75 mg., and yet it still seemed to make me edgy.  Maybe it
was the caffeine, but my caffeine intake today was comparable to what I
have been using lately.  It feels like the pseudoephedrine might
actually be making me more wired.  Is it possible it could even do so
at such a low dose?

I really don't like the stuff, but it can make a really big difference
in clearing up sinus congestion.  I'd like to find a useable dose.
I've dried the pediatric dose, but when I take one 60 mg. tablet in the
morning, it still significantly interferes with my sleep at night, and
it tends to make me hyper during the day.  (Additionally, it seems to
have a cumulative effect, so that if I've been taking it for about a
week, I *really* start to have  trouble sleeping.  I will sleep, but my
sleep is extremely shallow, and I find myself spending a lot of time
somewhere between being awake and being asleep, and not a pleasant
in-between either.)

(And yes, I do nasal irrigation regularly, which helps a lot, but has
not been a cure for me, not that anyone guaranteed it would be in all
cases.)
Don Brady - 19 Feb 2006 01:25 GMT
>On my allergist's advice, I am experimenting with liquid
>pseudoephedrine, in hopes of finding a dose that I won't find
[quoted text clipped - 22 lines]
>not been a cure for me, not that anyone guaranteed it would be in all
>cases.)

Of it will make you more wired.

I would not take the stuff.  Soem doctors did suggesst it to me.   Yes it deso
work, but it's systemic effects are too widespread.

Let's admit it -it will raise your blood pressure.
Murray Grossan - 19 Feb 2006 05:17 GMT
On 2/18/06 4:14 PM, in article
1140308092.853070.318120@g14g2000cwa.googlegroups.com, "rdrm65@gmail.com"

> On my allergist's advice, I am experimenting with liquid
> pseudoephedrine, in hopes of finding a dose that I won't find
[quoted text clipped - 22 lines]
> not been a cure for me, not that anyone guaranteed it would be in all
> cases.)

Many persons with your type of history seem to do well with Astelin nasal
spray. Have you tired this ? Or some will use both the Astelin and the
Rhinocort and find good allergy relief.
rdrm65@gmail.com - 19 Feb 2006 18:13 GMT
I think I tried Astelin but it was one of those sprays that left a vile
aftertaste in my throat for almost 12 hours.  I didn't want to put up
with it.  Possibly the same for Rhinocort.
Steven L. - 20 Feb 2006 18:55 GMT
> I think I tried Astelin but it was one of those sprays that left a vile
> aftertaste in my throat for almost 12 hours.  I didn't want to put up
> with it.  Possibly the same for Rhinocort.

Astelin is not a steroid spray, but an antihistamine spray.

Try Flonase aqueous pump spray.  I don't think it tastes bad at all.

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Steven D. Litvintchouk
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Susan - 20 Feb 2006 19:00 GMT
>> I think I tried Astelin but it was one of those sprays that left a vile
>> aftertaste in my throat for almost 12 hours.  I didn't want to put up
[quoted text clipped - 3 lines]
>
> Try Flonase aqueous pump spray.  I don't think it tastes bad at all.

I used to get that awful taste and taste alteration afterward when
drinking water, but it went away after consistent use; I've been using
Astelin for years with wonderful relief from it.

Rhinocort AQ made my nose raw and bloody.  Took weeks to heal from it
after dc'ing it.

Susan
Steven L. - 20 Feb 2006 20:39 GMT
> x-no-archive: yes
>
[quoted text clipped - 12 lines]
> Rhinocort AQ made my nose raw and bloody.  Took weeks to heal from it
> after dc'ing it.

See, I had the opposite reaction.

it seems that it's very idiosyncratic with these prescription nasal
sprays; one person swears by one while another person hates it.  It may
have to do with sensitivity or mild allergy to one of the inert
ingredients in the mixture.

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Murray Grossan - 21 Feb 2006 22:10 GMT
On 2/20/06 11:00 AM, in article 45uhv6F8ad61U1@individual.net, "Susan"
<nevermind@nomail.com> wrote:

> x-no-archive: yes
>
[quoted text clipped - 14 lines]
>
> Susan
The taste of Astelin is 'bad" but you can take a candy first. Considering
that it is not a cortisone, is not a pill that goes to your toes as well as
your nose, and avoids all the objections you expressed, I assure you getting
accustomed to the taste is well worth it. They have millions of users who
all seem to have adapted fine to this product.
dkuhajda@locl.net - 22 Feb 2006 03:36 GMT
I find having a peppermint lifesaver in the mouth pretty much masks any
taste of the astelin that might drip into the mouth when spraying it
into the nose.
rdrm65@gmail.com - 22 Feb 2006 15:54 GMT
I decided to give it another try.  I picked some up yesterday, used it
last night, and didn't even get the bad aftertaste.

However, I woke up this morning with heart palpitations and a racing
heart.

Yes, I do get this occasionally, but I think it's always been in
connection to something I am taking.

I have been trying a very low dose of pseudoephedrine (7.5 mg.) for a
few days now, and I find it hard to believe that amount is causing the
trouble.  I did not consume more caffeine than usual yesterday.

On the face of it, Astelin looks like the culprit.  I am going to stop
using pseudophedrine altogether for several days, continue the Astelin,
and see if the problem persists.
Lynn - 24 Feb 2006 02:16 GMT
Is there anything wrong with using Astelin every day?

I haven't tried it yet that often yet. I have been fortunate to work
out of my home for the last 5 years.  But I have to now go try to work
in an office enviornment again, and I dont know if I can survive it.
The purfume, smoke smells , etc. make my nasal passageways shut
quickly, also triggers migraines.  I believe this was the result of
excessive surface cauterization.   Astelin  helps me with keeping my
reactions to perfumes and the like at bay.  Which is a godsend for me.
But I dont know if it will help me in prolonged exposure.  As avoidance
has been my main sussessful treatment.

Also, I have kept swelling at bay at times by putting an ointment I
picked up with Capaiscin in it. (it was actually for arthrhitis) I put
a small amount of the side of my nose (outside!) and it penetrates and
takes the swelling down in my nasal passageways.  Weird, I know.....but
I'll try anything.
Don Brady - 24 Feb 2006 05:47 GMT
>Is there anything wrong with using Astelin every day?

Probably not - see http://www.mayoclinic.com/health/allergy-medications/AA00037

but see what others here have to say...

>I haven't tried it yet that often yet. I have been fortunate to work
>out of my home for the last 5 years.  But I have to now go try to work
>in an office enviornment again, and I dont know if I can survive it.
>The purfume, smoke smells , etc. make my nasal passageways shut
>quickly, also triggers migraines.  I believe this was the result of
>excessive surface cauterization.

Maybe but I haver the same reaction and had it even before I had surgery.

Best plan another work switch when you can - it does not have to be right
now....

>  Astelin  helps me with keeping my
>reactions to perfumes and the like at bay.  Which is a godsend for me.
[quoted text clipped - 6 lines]
>takes the swelling down in my nasal passageways.  Weird, I know.....but
>I'll try anything.
Steven L. - 20 Feb 2006 18:54 GMT
> On my allergist's advice, I am experimenting with liquid
> pseudoephedrine, in hopes of finding a dose that I won't find
[quoted text clipped - 7 lines]
> actually be making me more wired.  Is it possible it could even do so
> at such a low dose?

Yep.  Many people are sensitive to it, as you can find out via Google.

I'm highly sensitive to it.  I can't tolerate even the children's dose.
 It's a stimulant and it makes me VERY wired.

You're definitely making matters worse by taking it concurrently with
coffee, which is also a stimulant.

Try taking it without drinking any coffee.  Or switch to decaf for the
present.  You may find that you're mildly hooked on caffeine, so that
when you give up caffeinated coffee, the pseudoephedrine boost may
actually ease your caffeine withdrawal and all will be good.  You
certainly don't need a morning coffee to get you started if you're on
pseudoephedrine.  :-)

> I've dried the pediatric dose, but when I take one 60 mg. tablet in the
> morning, it still significantly interferes with my sleep at night, and
> it tends to make me hyper during the day.  (Additionally, it seems to
> have a cumulative effect, so that if I've been taking it for about a
> week, I *really* start to have  trouble sleeping.  

Yep, it can have a cumulative effect too.

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Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

tsr3 - 20 Feb 2006 22:17 GMT
> > On my allergist's advice, I am experimenting with liquid
> > pseudoephedrine, in hopes of finding a dose that I won't find
[quoted text clipped - 30 lines]
>
> Yep, it can have a cumulative effect too.

I must be strange, because every time I take Sudafed I get very
sleepy--not wired.

I do get a funky disembodied, fuzzy-headed feeling about 4--6 hours
after taking the stuff.

But, if I'm having sinus problems, it does help a lot.--r3
Susan - 20 Feb 2006 22:43 GMT
> I must be strange, because every time I take Sudafed I get very
> sleepy--not wired.

That used to happen to me, too.  I've been told this can be a sign of
low adrenal function, but I've never researched it.

Susan

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