What to do if you have high blood pressure and have a cold
Recently, the response measures for patients with hypertension after catching a cold have become a hot topic. As seasons change and temperatures fluctuate, the combination of high cold incidence periods and chronic disease management has attracted widespread attention. The following is a practical guide compiled based on the hot spots on the entire network in the past 10 days.
1. Special risks of colds in patients with hypertension

| risk factors | Specific performance | Data reference |
|---|---|---|
| blood pressure fluctuations | Nasal congestion leads to hypoxia and coughing increases chest pressure | 35% of patients experienced an increase in blood pressure of more than 20mmHg |
| drug interactions | Compound cold medicine contains blood pressure-boosting ingredients | 62% OTC cold medicine contains pseudoephedrine |
| Risk of complications | Induce cardiovascular and cerebrovascular events | Risk of stroke increases 2-3 times during colds |
2. Medication Safety Guidelines
Patients with high blood pressure need to pay special attention to the ingredients of cold medicines. The following is a comparison of common medicines:
| drug type | safe ingredients | Dangerous ingredients | Examples of recommended brands |
|---|---|---|---|
| Reduce fever and relieve pain | Acetaminophen | Ibuprofen (may affect blood pressure medications) | Tylenol |
| cough medicine | Dextromethorphan | Codeine (increases blood pressure) | Hui Feining |
| Nasal congestion relief | saline spray | pseudoephedrine | Nuosqing |
3. Non-drug management plan
According to recent expert recommendations from tertiary hospitals:
| measures | Specific operations | Effect |
|---|---|---|
| blood pressure monitoring | Measure once in the morning and once in the evening, and record the changes | Detect 90% of abnormal fluctuations in advance |
| diet modification | Daily sodium intake <3g, increase vitamin C | Shorten the course of illness by 1-2 days |
| physical cooling | Use warm water to bathe below 38.5℃ | Avoid the risk of overdose |
4. Medical warning signs
The following situations require immediate medical attention:
| Symptoms | Hazard level | possible consequences |
|---|---|---|
| Persistent headache + blurred vision | ★★★★★ | hypertensive crisis |
| Chest tightness + blood pressure >180/110 | ★★★★☆ | acute heart failure |
| Fever >3 days that does not go away | ★★★☆☆ | secondary infection |
5. Recent hot questions and answers
According to the analysis of 23,000 consultation data from a health platform within 10 days:
| High frequency problem | Professional answers | frequency of occurrence |
|---|---|---|
| Can I get the flu vaccine? | Vaccination is recommended when blood pressure is stable | 4287 times |
| Is Chinese medicine safer? | Be careful with prescriptions containing ephedra | 3921 times |
| Interval time between fever reducers | At least 4-6 hours | 3546 times |
6. Things to note during the recovery period
① Continue to monitor blood pressure for 1 week after cold symptoms disappear
② Gradually resume exercise, starting with indoor walking
③ If fatigue or dizziness occurs, electrolytes need to be rechecked
④ Avoid the synergistic effect of stopping cold medicine and antihypertensive medicine
Recent research shows that scientifically managed hypertension patients shorten the duration of colds by an average of 30%. It is recommended to collect this guide and forward it to middle-aged and elderly people in need. If symptoms persist or worsen, please see a cardiovascular specialist promptly.
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