Nasal Decongestant Sprays And High Blood Pressure . taking a decongestant can temporarily ease congestion, but it can also create a slight increase in your blood pressure. They are in the same drug class. Designed to help relieve a stuffy nose so you can breathe easier, decongestant sprays work by. In theory, this should minimize cardiovascular effects. The medicines narrow blood vessels, which can reduce swelling in the nose area and other. most decongestants work by reducing the swelling of the blood vessels in your nose, throat and sinuses. for those with high blood pressure, phenylephrine is an alternative to pseudoephedrine. decongestants help open a stuffy nose. nasal sprays deliver a decongestant right where you need it. blood pressure guidelines suggest using decongestants for the shortest duration possible (no more than seven.
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