Have you ever read the warnings on an Otrivin bottle! This is a nice post to reassure us we will be most safe using topical decongestants in hypertensive of heart failure patients. In NZ there is no warning on the bottle but obviously there is in US. All oral decongestants carry a warning for heart failure and HT.

Nose spray and hemodynamics | SinaiEM

Ah, cold and flu season. It’s that joyous time of year when our department is flooded with miserable people complaining of sinus headaches, rhinorrhea and feeling terrible. We all know that for most viruses, symptomatic care is the way to go. A nose spray would be helpful, but what about all of th…