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A 38-year-old member asked:

which cold medicine can my father on blood pressure medicines with glaucoma take?

3 doctor answers6 doctors weighed in
Dr. Bud Kurwa
Dr. Bud Kurwa answered
Specializes in Ophthalmology
It depends: If he has closable angle glaucoma then he should be treated with laser and cured. Otherwise he should avoid medications that can dilate his pupils such as antihistamines.
Dr. Richard Bensinger
Ophthalmology 52 years experience
Meds in glaucoma: All drugs, over the counter or prescription, have in the package insert a legally ordered disclaimer: "do not use if you have glaucoma". If you have ordinary glaucoma, you can ignore this. If you know you have angle closure potential (uncommon) you have probably already had this treated. So over all you can ignore this warning.
Dr. Bud Kurwa
Dr. Bud Kurwa commented
Specializes in Ophthalmology
An interesting question. If a patient has angle closure glaucoma hopefully its been treated and there is no risk to pupil dilation. The vast majority of the glaucoma patients on drops have Open angle so are not at risk. So its the person who has narrow angles (closable) but has no glaucoma as such so they are at risk and will not know (since no glaucoma currently) so who is the warning for?
Mar 31, 2012
Dr. Beth Friedland
Ophthalmology 42 years experience
Angle closure risk: Angle closure glaucoma is rare but not everyone who has the potential for this condition has been treated, or even knows that they have it. Ask your father if he has open angle glaucoma, and then the most common cold medicines are safe to use. Generally avoid one with decongestants if you are on certain types of blood pressure meds, your family doctor can advise you if this is an issue.
Dr. Bud Kurwa
Dr. Bud Kurwa commented
Specializes in Ophthalmology
An interesting question. If a patient has angle closure glaucoma hopefully its been treated and there is no risk to pupil dilation. The vast majority of the glaucoma patients on drops have Open angle so are not at risk. So its the person who has narrow angles (closable) but has no glaucoma as such so they are at risk and will not know (since no glaucoma currently) so who is the warning for?
Mar 31, 2012

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A 37-year-old member asked:

What cold medicines can my father on blood pressure medicines with glaucoma take?

2 doctor answers4 doctors weighed in
Dr. Budi Bahureksa
Cardiology 31 years experience
OTC: Most over the counter (otc) cold remedies are ok - just beware of those containing pseudo Ephedrine (ephedrine sulfate) as this may increase BP and also potentially the pressure in the narrow angle glaucoma -- some rare allergy to the most common antihistamine (diphenhyramine or benadryl) occurs that may cause increase pulse and blood pressure.

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Last updated Dec 27, 2015

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