Although nearly half of all U.S. adults have high blood pressure, only 29% think that over-the-counter pain relievers can raise blood pressure, according to a new survey conducted on behalf of the American Heart Association (AHA). Additionally, only 53% of people diagnosed with high blood pressure check with their doctor before taking the medication—a potentially dangerous misstep, as many OTC pain relievers, including ibuprofen and naproxen sodium (Aleve), can increase blood pressure. Show
The survey, which polled 2,013 U.S. adults age 18 and older, also found:
Known as the “silent killer” due to its lack of apparent symptoms, hypertension (or high blood pressure) is determined by consistent systolic readings over 130 mmHg and diastolic readings over 80 mmHg. It’s also a significant risk factor of both heart disease and stroke in the U.S. There are many lifestyle factors that can aid in reducing blood pressure, and knowing how certain medications affect your body is one of them. If you have high blood pressure and are looking for actionable ways to bring your readings back into the normal range, start by speaking with your health care provider about potential drugs to avoid. It can also help to monitor your blood pressure at home multiple times a day. This practice keeps you aware of blood pressure fluctuations and can reveal how lifestyle factors, such as diet, exercise, stress and sleep, may be associated with its elevation. Peace Of Mind Starts With Precision Oxiline blood pressure monitors have large and easy-to-use displays with seamless bluetooth connectivity for accurate data sharing. Updated on September 16, 2022 Ibuprofen can cause your
blood pressure drugs to be less effective, as can other medications. There's a good chance you may be taking one or more of them. Several popular over-the-counter (OTC) remedies do that, including some antacids, as well as a number of prescription drugs. Proper
blood pressure control is important for your cardiovascular health. So it's wise to key an eye on your blood pressure readings if you're taking anything that could cause a problem. That includes vitamins and other supplements that can affect your blood pressure. This article looks at common drug types that can make your
hypertension (high blood pressure) worse. It also discusses what they're typically used to treat and what you can try instead, keeping in mind that you should always discuss medication used with your healthcare provider. 1 frankieleon / Flickr / CC BY 2.0 Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most popular over-the-counter (OTC) medicines in the world. They're used to:
While NSAIDs are typically safe, prolonged use can raise your blood pressure. Long-term use has also been linked to changes in kidney function. The kidneys play a key role in blood pressure regulation. There's research evidence that finds NSAIDs may increase cardiovascular risks, like heart attack and stroke, in some people. OTC NSAIDs include:
Ask your healthcare provider about pain-relief options that may be safer for you. What Is the Safest Anti-Inflammatory?All NSAIDs, except for aspirin, are linked to a higher risk of heart problems. They also present gastrointestinal and renal (kidney) concerns that grow with higher doses and length of time you take them. Aspirin is an option but it increases the risk of bleeding, so it's not for everyone. More research is needed, but some findings suggest Aleve (naproxen) may be safer for the heart. 2 Nasal DecongestantsTom Merton / Getty Images Decongestants slow the production of mucus, which can clog breathing passages. They do this by constricting blood vessels in your nose and sinuses. That opens airways and makes you feel less stuffed up from colds or allergies. Most decongestants contain either:
Those are both stimulants known to increase blood pressure. When used short-term, decongestants are largely safe and effective. But overuse may raise blood pressure and undermine your treatment. Look for non-stimulant decongestants, which may be just as effective for certain nasal conditions. 3 Multi-Symptom Cold and Flu RemediesJupiterimages / Getty Images Dozens of combination pills, syrups, and tablets are marketed for cold and flu symptoms. Each has a different blend of similar ingredients. These include:
Constricted blood vessels and fluid retention are effects of these drugs when taken together. They can cause short-term blood pressure increases and make your treatment less effective. 4 Hormonal Birth ControlPhotoAlto / Getty Images Virtually all hormonal birth control pills, patches, and devices can raise blood pressure. Blood-vessel constriction is a common side effect of these products. They often have a larger effect on women who smoke, are overweight, or are over age 35. Oral contraceptives with lower-dose estrogen may have lesser effects on blood pressure. If you still have a problem while taking these, you may need to consider other forms of birth control. Increased MonitoringNot all women are affected by hormonal birth control. But if you have hypertension, your healthcare provider will likely want to monitor you closely. Ideally, you should get checked every six to 12 months. 5 Antidepressant DrugsJonathan Nourok / Getty Images Antidepressants change the activity of neurotransmitters (brain chemicals) tied to mood. They include:
These drugs increase your levels of adrenaline and other stimulating hormones. That can increase blood pressure. Dopamine is even used in emergencies to raise critically low blood pressure. Several antidepressant classes are linked to increased blood pressure, such as:
Ups and Downs of MAOIs*MAOIs alone can lower your blood pressure. But they can lead to dangerously high blood pressure when combined with:
SummaryDrugs that increase blood pressure either constrict blood vessels, increase fluid retention, or raise hormone levels. Use care with NSAIDs, decongestants, combination cold and flu medicines, hormonal birth control, and antidepressants. A Word From Verywell If you take any of these OTC drugs, talk to your healthcare provider about your risk of
hypertension. You may want to check your blood pressure at home until you know how the medication affects you. You may need to switch drugs, lower your dosage, or up the dosage of an anti-hypertensive drug. Frequently Asked Questions
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Craig O. Weber, MD Thanks for your feedback! What kind of pain reliever can I take with high blood pressure?Acetaminophen (Tylenol) is often the pain reliever of choice for people with high blood pressure (hypertension) because most other options are types of nonsteroidal anti-inflammatory drugs like ibuprofen (Motrin, Advil) or naproxen (Naprosyn, Aleve), which can raise blood pressure.
Who should not use Aleve?You should not use naproxen if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID. Ask a doctor before giving naproxen to a child younger than 12 years old. If you are pregnant, you should not take naproxen unless your doctor tells you to.
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