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Suggest Remedy For Nasal Congestion And Swollen Lymph Node

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Posted on Wed, 14 Jan 2015
Question: Hi there. I'm currently taking 20mg citalopram daily. I have very painful nasal congestion with swollen lymph nodes everywhere (even behind my knees); is there any safe over the counter decongestant I can take? I am wondering about a drug interaction between citalopram and pheniramine maleate (20mg) and phenylephrine hydrochloride (10mg). I assume that acetaminophen and ibuproohen (taken sparingly) are relatively safe, but I can't breathe out of my nose, and steam isn't helping. Thank you!
doctor
Answered by Dr. Deepashree (26 minutes later)
Brief Answer:
decongestant nasal drops will be helpful.

Detailed Answer:
Hi, thanks for your query.
As per your history, acetaminophen and ibuprofen are nsaids. Anti inflammatory medicines.
They are not decongestant.
You can use nasal decongestant drops to relieve nose block.
Steroid nasal spray also are very useful. But this is prescribed medication.
I suggest you nasal saline drops which is available over the counter. Instill 2 drops in each nostril as many as times. Steam inhalation will help you.
Hope my answers have helped you. Thanks.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Deepashree (32 minutes later)
Yes, the ibuprophen is for the moderate pain associated with the lymph node swelling (as well as fever). Neti pot (flushing with saline) has been tried as well as steam but I am still too congested to breathe through my nose, and so cannot fall asleep. Is there a dangerous drug interaction between my antidepressant medication (SSRI) citalopram 20mg, and pheniramine maleate (20mg) and phenylephrine hydrochloride (10mg) which are found in my over-the-counter oral decongestant?
doctor
Answered by Dr. Deepashree (18 hours later)
Brief Answer:
No serious drug interactions.

Detailed Answer:
Hi, thanks for your query.
As far as my knowledge holds, there is no serious drug interactions.
It depends upon individual. You can take steroid nasal spray for release of the nose block. Hope my answers have helped you. Thanks.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Deepashree

ENT Specialist

Practicing since :2004

Answered : 937 Questions

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Suggest Remedy For Nasal Congestion And Swollen Lymph Node

Brief Answer: decongestant nasal drops will be helpful. Detailed Answer: Hi, thanks for your query. As per your history, acetaminophen and ibuprofen are nsaids. Anti inflammatory medicines. They are not decongestant. You can use nasal decongestant drops to relieve nose block. Steroid nasal spray also are very useful. But this is prescribed medication. I suggest you nasal saline drops which is available over the counter. Instill 2 drops in each nostril as many as times. Steam inhalation will help you. Hope my answers have helped you. Thanks.