Over-the-counter cold and flu medicines can affect your heart

Yes, cold and flu medications purchased over-the-counter (OTC) can harm your heart, particularly if you already have or are at risk for a heart condition. Here’s how:

  1. Decongestants (such as phenylephrine or pseudoephedrine)
  • These are common in medicines for the cold and flu.
  • Can increase blood pressure and heart rate.
  • some people may experience palpitations, an irregular heartbeat (arrhythmia), or even chest pain.
  1. NSAIDs (such as naproxen or ibuprofen)
  • Commonly used for fever or pain.
  • Can stress the heart, increase fluid retention, and raise blood pressure, particularly in people with heart disease.
  1. Medication in combination
  • Many cold and flu products combine multiple active ingredients.
  • Taking multiple meds or not reading labels carefully can lead to overdosing on one or more ingredients, which increases risk.

 People at Greater Danger:

  • Anyone with high blood pressure
  • Those with a history of heart attack, arrhythmias, or congestive heart failure
  • People on medications for blood pressure or heart conditions

 Safer Alternatives:

  • Congested nasal saline sprays
  • Warm honey and water for coughs
  • Acetaminophen (Tylenol) for pain/fever (less heart impact than NSAIDs)
  • If in doubt, always consult a physician or pharmacist.
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