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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Head And Chest Congestion With Productive Cough And Nausea. Taking Sudaphed And Ibuprofen. Any Other Medicine Required?

I ve been feeling ill for 2 weeks. Started with sneezing , runny nose, watery eyes, headaches , fatigue , temperature elevates mostly in the evening. Now I m still head congested but also chest congested with a productive cough and nausea. I ve been taking generic sudaphed and ibuprofen . Is there something different I should be taking?
posted on Mon, 29 Oct 2012
Twitter Tue, 30 Oct 2012 Answered on
Twitter Tue, 30 Oct 2012 Last reviewed on
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Allergist and Immunologist,  's  Response
Hello,
If you are taking sudafed for more than 5 days in a row, please STOP as you will get exactly the opposite symptoms since you started. This is called tachyphylaxis, meaning you develop tolerance to the chemical quickly and get the worse symptoms.
Antihistamines, nasal sprays for 2 weeks would be worthwhile (antihistamine nasal spray like azelastine or combined with a steroid for 6 weeks).
Allergy testing by skin prick tests or specific IgE blood test will be worthwhile if these symptoms do come in circles or have a seasonal pattern.
Thanks.
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Pulmonologist,  Dr. Shashi Dangwal's  Response
You seem to be suffering from `Upper Respiratory Tract Infection` which may have even gone down to the lungs. The medicines you are taking will give you only symptomatic relief. You need to take a proper course of anti biotics like augmentin625 theree times a day or azithral250 twice a day. This should be taken for a period of 5 to 7 days. If you continue to be unwell you may have to go in for a chest x ray and consult a pulmonologist.
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Head And Chest Congestion With Productive Cough And Nausea. Taking Sudaphed And Ibuprofen. Any Other Medicine Required?

Hello, If you are taking sudafed for more than 5 days in a row, please STOP as you will get exactly the opposite symptoms since you started. This is called tachyphylaxis, meaning you develop tolerance to the chemical quickly and get the worse symptoms. Antihistamines, nasal sprays for 2 weeks would be worthwhile (antihistamine nasal spray like azelastine or combined with a steroid for 6 weeks). Allergy testing by skin prick tests or specific IgE blood test will be worthwhile if these symptoms do come in circles or have a seasonal pattern. Thanks.