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Johns Hopkins Health Alert

Medications to Avoid

Comments (1)

 

A number of drugs and dietary supplements can worsen blood pressure. Medications that can worsen hypertension include ibuprofen (Motrin, Advil); corticosteroids like prednisone; cyclosporine (Gengraf, Neoral, Sandimmune; used to suppress the immune system); epoetin alfa (Epogen, Procrit; used to treat anemia in cancer patients); estrogens such as those in hormone replacement therapy; migraine drugs such as sumatriptan (Imitrex); and nasal decongestants. Over-the-counter cough, cold, and asthma medications also may raise blood pressure, so always check with your doctor before using one.
It's also important to get your doctor's approval before using any dietary or herbal supplements. These products are not regulated by the FDA, but in some cases, they can be just as powerful as any drug. Although the sale of ephedra-containing dietary supplements has been banned in the U.S. by the FDA they can be purchased online.  
Bottom line: Make sure all of your doctors know that you have high blood pressure and be sure to ask whether any new medication or supplement will have a negative effect on your blood pressure control.

If you have high blood pressure, you should know that certain prescription and over-the-counter medications may raise your blood pressure. Recently a reader asked us: Which medications and dietary supplements should I avoid if I have high blood pressure? Here’s our advice …

A number of drugs and dietary supplements can worsen blood pressure. Medications that can worsen hypertension include ibuprofen (Motrin, Advil); corticosteroids like prednisone; cyclosporine (Gengraf, Neoral, Sandimmune; used to suppress the immune system); epoetin alfa (Epogen, Procrit; used to treat anemia in cancer patients); estrogens such as those in hormone replacement therapy; migraine drugs such as sumatriptan (Imitrex); and nasal decongestants. Over-the-counter cough, cold, and asthma medications also may raise blood pressure, so always check with your doctor before using one.

It's also important to get your doctor's approval before using any dietary or herbal supplements. These products are not regulated by the FDA, but in some cases, they can be just as powerful as any drug. Although the sale of ephedra-containing dietary supplements has been banned in the U.S. by the FDA they can be purchased online.  

Bottom line: Make sure all of your doctors know that you have high blood pressure and be sure to ask whether any new medication or supplement will have a negative effect on your blood pressure control.

Posted in Hypertension and Stroke on July 13, 2010
Reviewed February 2011


Medical Disclaimer: This information is not intended to substitute for the advice of a physician. Click here for additional information: Johns Hopkins Health Alerts Disclaimer


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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or Remedy Health Media, LLC, which has no responsibility for any comments posted on this site.


I want to know, while I am getting progressively worse with memory, when should I go see a specialist for testing & diagnosis?

Posted by: forgetful | July 24, 2010 6:28 PM

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