I take tenormin ,50 mg day for hypertension. Is it known to cause sinus congestion? What can I take for it?>
Answer--------
Tenormin is a commonly used anti-hypertensive medication known as a beta-selective adrenoreceptor blocking agent. It is very unlikely that it is a cause of nasal or sinus symptoms of any kind, but especially nasal or sinus congestion, assuming you mean obstruction. Beta blockers have apparently been associated with watery nasal drainage, however, this too is only a remote liklihood. Furthermore, I am aware of no known mechanism by which Tenormin might have an effect on nasal mucosa to cause sinus or nasal congestion.
As to what might be helpful for your symptom, more details regarding the nature of the symptom would be helpful such as duration; frequency; presence of associated symptoms such as drainage (thick or thin), sneezing, ocular symptoms, facial discomfort; seasonal vs perennial occurence etc. would ideally be provided in order to make the best recommendation. Additionally, a physical examination would be necessary to rule out obvious anatomic abnormalities or other signs that might point to a known etiology.
Generally speaking, non-allergic symptoms of nasal airway obstruction can respond to short term use of topical agents such as Afrin, Neo-synephrine, etc. although these over-the-counter preparations carry a risk of dependency due to a "rebound" effect and therefore should be limited to only 2-3 days of continuous use. Oral decongestants such as pseudoephedrine can be helpful and are available in both over-the-counter and prescription strengths. These oral decongestants also carry potential risk of side effects or complications. Decongestants may be poorly tolerated because of over-stimulation such as might be caused by too much caffeine. Also decongestants should be used with caution in patients with hypertension,thyroid disease, heart disease, diabetes, or prostate problems. Finally, topical nasal steroid medication may be helpful. These latter medications have the advantage of being well-tolerated having few side effects as well as few risks, even with long term use. Their main disadvantage is their effect is not immediate, often requiring several days of use before benefit occurs.
Antihistamines generally are used for allergy and would not likely be beneficial in the treatment of non-allergic nasal congestion.
--
Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
NOTICE: OFCN is not engaged in the rendering of professional medical services. The information contained on this system or any other OFCN system should not supplant individual professional consultation. It is offered exclusively as a community education service. Advice on individual problems must be obtained directly from a professional.
Click here to review
previous Ear, Nose and Throat Clinic consultations