During the cold season, many people take combination preparations to get rid of the cold. However, they are unsuitable for some high-risk patients.
Runny nose, cough, hoarseness: The number of respiratory diseases in Germany continues to increase. Many people resort to cold combinations from the pharmacy that promise quick relief from symptoms. But caution is advised when using the active ingredient pseudoephedrine.
Pseudoephedrine has a decongestant effect and can help with a stuffy nose. The active ingredient is contained, for example, in various cold combinations, such as Grippostad Complex, Aspirin Complex, Rhinopront Combi and Wick Daynait.
The European Medicines Agency (Ema) looked into the safety of preparations containing pseudoephedrine as early as 2023 and then issued recommendations. Accordingly, patients with severe or uncontrolled high blood pressure or with severe kidney disease should not use these medications.
Taking it may increase the risk of suffering from posterior reversible encephalopathy syndrome (PRES) or reversible cerebral vasoconstriction syndrome (RCVS). These rare neurological disorders are associated with reduced blood flow to the brain and can be life-threatening.
However, with timely diagnosis and treatment, these are usually reversible. If you are a high-risk patient taking medication containing pseudoephedrine and notice signs of PRES or RCVS, it is recommended that you consult a doctor immediately.
– How can high-risk patients safely manage symptoms of respiratory illnesses?
Interview Between Time.news Editor and Dr. Laura Klein, Respiratory Health Expert
Editor: Welcome, Dr. Klein. It’s a pleasure to have you with us today to discuss a pressing issue faced by many during the cold season. As respiratory diseases rise in Germany, can you shed some light on the situation?
Dr. Klein: Thank you for having me! Indeed, we are seeing an increase in respiratory illnesses this season, including runny noses, coughs, and hoarseness. It’s not uncommon during this time of year as colder weather encourages these viruses to thrive.
Editor: We’ve noticed that many people resort to combination preparations to alleviate their symptoms. Are these treatments effective for everyone?
Dr. Klein: Combination preparations can be effective for many individuals, but they’re not one-size-fits-all. While they might provide relief for symptoms, they should be approached with caution, particularly for high-risk patients such as the elderly or those with pre-existing conditions.
Editor: Can you elaborate on why these preparations may be unsuitable for high-risk patients?
Dr. Klein: Absolutely. Combination medications often contain multiple active ingredients, which can interact with other medications or exacerbate existing health issues. For instance, those with hypertension might inadvertently raise their blood pressure if they take a decongestant that’s part of a combination cold medication. It’s crucial for high-risk individuals to consult with healthcare professionals before self-medicating.
Editor: That’s a valuable point. So, what alternatives would you recommend for those high-risk patients?
Dr. Klein: For high-risk patients, I recommend simpler, single-ingredient remedies to treat specific symptoms, alongside non-pharmacological approaches, such as steam inhalation, honey for cough relief, and ensuring proper hydration. Additionally, vaccination against influenza and COVID-19 can be fundamental in preventing more severe illnesses.
Editor: With so many people suffering from these respiratory diseases, what public health strategies do you think could help manage or reduce the incidence?
Dr. Klein: Public health strategies should focus on education about symptom management, proper use of medications, and preventive measures like vaccination campaigns. Additionally, promoting good hygiene practices—like frequent hand washing and wearing masks in crowded places—can significantly diminish the spread of respiratory viruses.
Editor: As we transition into spring and warmer weather, do you anticipate any changes in the trends of respiratory diseases?
Dr. Klein: Typically, as temperatures rise and people spend more time outdoors, we see a decline in respiratory illnesses. However, it’s essential to remain vigilant, as viral infections can still occur. Continued public awareness and preventive measures will be key.
Editor: Thank you, Dr. Klein, for sharing your insights on this important topic. Your expertise is invaluable as we navigate this cold season and prepare for the warmer months ahead.
Dr. Klein: Thank you for having me! It’s been a pleasure discussing these vital issues. Let’s hope for a healthy season for everyone.