Why Do Cold Medications Make Me Dizzy and Increase Heart Rate? - Pharmacology

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Cold medicine


I have a question.
I caught a cold and took cold medicine, but after taking it, I felt very dizzy and my heart was racing.
Why is that? How long does the medication usually take to work? Every time I go to see a doctor for a cold, I hesitate to take medicine because I'm afraid it will make me dizzy and my heart will race.
I really dislike that feeling.

yinzi, 10~19 year old female. Ask Date: 2008/12/20

Dr. Su Yuwen reply Pharmacology


Hello: Due to uncertainty about the medications you are taking, I sincerely suggest that you bring the details of your medications and prescription bag to your healthcare provider for further evaluation.
Thank you!

Reply Date: 2008/12/20

More Info


Cold medications can indeed cause side effects such as dizziness and an increased heart rate, and it's important to understand why this happens. Many over-the-counter cold medications contain ingredients that can affect your body in various ways, particularly those that are designed to relieve symptoms like nasal congestion, cough, and fever.

One common class of medications used in cold treatments is antihistamines, which are often included to help alleviate symptoms like runny nose and sneezing. While first-generation antihistamines (like diphenhydramine) are effective, they can also cause sedation and dizziness due to their ability to cross the blood-brain barrier and affect the central nervous system. This can lead to feelings of drowsiness or dizziness, especially if you are sensitive to these effects.

Additionally, many cold medications contain decongestants such as pseudoephedrine or phenylephrine. These substances work by constricting blood vessels in the nasal passages to reduce swelling and congestion. However, they can also stimulate the heart and increase blood pressure, which may lead to a faster heart rate (tachycardia) and feelings of anxiety or jitteriness. This is particularly concerning for individuals who may already have underlying heart conditions or anxiety disorders.

The duration of the effects of cold medications can vary depending on the specific ingredients and your individual metabolism. Generally, the effects of most cold medications can last anywhere from 4 to 12 hours, but this can vary widely. If you are experiencing significant side effects such as dizziness or a rapid heart rate, it is advisable to consult with a healthcare professional. They can help determine whether the specific medication you are taking is appropriate for you or if an alternative treatment might be better suited to your needs.

If you are hesitant to take cold medications due to these side effects, consider discussing your concerns with your doctor. They may recommend non-pharmacological approaches to managing your cold symptoms, such as staying hydrated, using saline nasal sprays, or employing steam inhalation to relieve congestion without the side effects associated with medications.

In summary, dizziness and increased heart rate from cold medications can be attributed to the effects of antihistamines and decongestants on your body. If you find these side effects intolerable, it is essential to communicate with your healthcare provider to explore safer alternatives or to manage your symptoms effectively without compromising your comfort and well-being.

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