Q. I have severe nasal congestion. Can I use Pseudoephedrine and Otrivin together?

Answered by
Dr. Shyam Kalyan N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 20, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I am a 22 year old girl. I have severe nasal congestion from a suspected cold or sinus infection (I have not been to the doctor yet). When Pseudoephedrine (Sudafed tablets) was not working, the pharmacist suggested to try Otrivin Plus nasal spray. Both give slight relief but I forgot to ask if I can take both together. Is it okay if I take both simultaneously until I can get to my GP?

#

Hello, Welcome to icliniq.com. With the details provided, I understand that you are a 22 year old female suffering from cold or sinus infection causing nasal blockage. Currently you are taking Sudafed tablets and Otrivin plus nasal spray. Presuming that the Sudafed tablets you use contains only Pseudoephedrine, I would say that it is perfectly alright to take Sudafed and Otrivin plus together. Both have similar actions and will act to decrease the nasal congestion and relieve the blocked nose. Pseudoephedrine tablets will get absorbed into blood and act systemically. However otrivin nasal spray being sprayed into nasal mucosa will act only locally with very little systemic absorption through the blood vessels. The two compounds have slightly different mechanisms of action as well and use different set of receptors and messengers to bring about their action. You need to worry about their combined action only if you suffer from hypertension or elevated blood pressure. Otherwise till you meet your GP it is fine to take both together. However, do not take Pseudoephedrine more than twice a day in normal strength. If it is maximal strength tablet then take not more than once a day unless advised by your GP. However follow these general instructions till your GP makes a decisive diagnosis and institutes the most appropriate treatment for you.

  • Take plenty of hot water (3 to 4 liters daily).
  • After spray of Otrivin plus lie down for 5 minutes and thereafter inhale steam. Repeat this three times per day. Do not take the Otrivin plus spray continuously for more than 4 days as it will cause rebound congestion.
  • Avoid dust/ cold foods/ cold drinks/ smoke/ cold weather.
  • Do not travel and exert yourself a lot.
  • Take nutritious food rich in all vitamins and minerals.
  • After hair wash, dry your hair promptly.

Consult an allergy specialist online for further follow up -->  https://www.icliniq.com/ask-a-doctor-online/allergy-specialist


Was this answer helpful?

 | 

Related Questions:
My daughter has persistent breathing difficulty, cough and throat pain. Kindly help.

Hello doctor,

I have a sexual issue. I do not get wet. The vagina is moist initially, but as it is exposed to air and when foreplay increases, it gets drier. What should I do?

  Read full

Can sinusitis, dry nose and shivering during winters be prevented?

Hello doctor,

I have a sexual issue. I do not get wet. The vagina is moist initially, but as it is exposed to air and when foreplay increases, it gets drier. What should I do?

  Read full

I have sinusitis and feel like something is stuck in my neck. What can be done?

Hello doctor,

I have a sexual issue. I do not get wet. The vagina is moist initially, but as it is exposed to air and when foreplay increases, it gets drier. What should I do?

  Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


I have serious sleep paralysis with shortness of breath. Why?

Query: Hello doctor, I am having serious sleep paralysis. In it I feel like I can move my muscle a bit like slightly moving my finger or speaking short words like "maa". But I think I am hallucinating that too. Plus I am having acute bronchitis in this case and have to breathe through the mouth. So I have...  Read Full »

Why is there breathing difficulty in a person with deviated nasal septum?

Query: Hello doctor, I have a deviated nasal septum on the right side of my nose. I also have difficulty in breathing although I have deviated right side septum but still, I face breathing problems in the left side. I also sometimes feel pain on my face but my major problem is that if I use nasal sprays, ...  Read Full »

Is surgery a must for nasal turbinates problems?

Query: Hello doctor, I have a problem of nasal congestion for almost 15 days now. It started with running nose first and then the nose got blocked. In the past, I have taken antibiotic for eight days. For three days, I had taken Augmentin 375 twice a day and Erythrocin 500 one tablet a day for five days. I...  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Allergy Specialist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.