Decongestants and Antihistamines for the Common Cold
What Are the Side Effects of Decongestants and Antihistamines?
Antihistamines used to relieve cold symptoms usually cause drowsiness. For this reason, they are typically found only in nighttime cold medicines. Other common side effects include dry mouth, dizziness, and headache.
Decongestants may keep you awake and are usually taken during the day. Nasal spray decongestants are less likely to keep you awake and may be helpful at night for congestion. But remember, you should not take them for more than three days as you may have an increase in congestion once you stop them if you use them longer.
Decongestants can also increase blood pressure, so people with high blood pressure or heart disease should check with their doctor before using them. There are decongestant-free cold medicines available if you have high blood pressure.
What Are Some Common Decongestants and Antihistamines for Colds?
There are many over-the-counter decongestants and antihistamines that can help treat cold symptoms such as runny noses, sneezing, and congestion. These symptom-relieving drugs are available separately and in combinations with other cold and pain drugs. If you choose a combination cold medicine, be sure you know everything that is in it. Check to see if it contains acetaminophen. If so, follow the directions on the label very carefully and do not take Tylenol or any other acetaminophen along with it. This could cause an overdose and serious liver damage can occur.
The following over-the-counter antihistamines and decongestant drugs are taken for relief of both cold and allergy symptoms.
|
Type of Decongestant or Antihistamine Cold Medicine |
Brand Name(s) |
Symptoms |
Possible Side Effects |
|
Antihistamine (tablets, caplets, or liquid) |
Itchy, runny nose and eyes; sneezing; itchy throat |
Drowsiness or grogginess, upset stomach, dry mouth, impaired coordination and judgment, urinary retention, loss of appetite, excitability (in children) |
|
|
Decongestant (tablets or caplets) |
Sudafed |
Congestion and pressure in head, nose, and ears |
Lightheadedness, wakefulness, nervousness, restlessness (jittery and shaky), increased blood pressure and heart rate; irregular heart beat |
|
Antihistamine/ |
Itchy, runny nose and eyes; sneezing; congestion |
Possible antihistamine and/or decongestant side effects |
|
|
Antihistamine/ |
Advil Cold and Sinus |
Itchy, runny nose and eyes; sneezing; congestion; headache |
Possible antihistamine and/or decongestant side effects |
|
Decongestant nose spray |
Afrin |
Nasal stuffiness |
Might lead to "rebound" congestion from dependence on the medicine if used for more than 3 days |
|
Antihistamine eye drops |
Visine-A (Formerly OcuHist) |
Itchy, watery eyes; eye redness |
Temporary stinging in the eyes or blurred vision; "rebound" redness of the eyes if overused |
WebMD Medical Reference
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