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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Sinus Pain With Severe Headache. How Many Chlorpheniramine With Pseudoephedrine HCL Can Be Taken?

I have some chlorpheniramine 4mg with pseudoephedrine HCL 60mg, how many can I take, I have a sinus pain with a headache that won't go away. I tried 1 pill this morning and 4 hours later I tried 2 with Acetaminopen 325 mg dextromethorphan HBr 10mg Guaifenesin 100mg and phenylephrine HCL 5mg in each pill. My headache is still here. I tried caffine, still here... the chlor. usually works but now I'm wondering if (since it's 4 hours later) I can take 2 pills with the chlorphen...
Fri, 5 Jul 2013
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General & Family Physician,  's  Response
Headache in sinusitis is due to inflammation of the sinus mucosa and accumulation of mucous and pus in the sinus cavity.Most of the medicine that you have mentioned above are decongestants that help in liquifying the hard secretions in the sinus and their drainage.But this will take time.Superadded infection will complicate things.So,expecting sudden recovery is difficult.
Since inflammation is at the heart of the pathology and the main cause for the pain, stronger anti inflammatory drugs than acetaminophen may be taken.This has to be supplemented with decongestants and antibiotics.Rest and plenty of oral fluids is needed.Nasal drops may open up the sinus openings and help in drainage which will again reduce pain.Surgery is the last option when all medical measures fail.
The decongestants mentioned above may be taken for 3 to 4 times at maximum and not more than that.
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Psychiatrist,  Dr. Dr.Nehal's  Response
Hi,
Thanks for using healthcare magic.

I have gone through your available history. You have not mentioned your age which is crucial factor is determining the dose of any drug.

Usual dose of chlorpheniramine ranges from 4-16mg but it depends on many factors including age.

Higher dose of chlorpheniramine may cause sedation and cognitive dullness.
So It is advisable to consult your doctor before doing self -medication.

I hope It will help you.

Thanks,
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Constant Sinus Pain With Severe Headache. How Many Chlorpheniramine With Pseudoephedrine HCL Can Be Taken?

Headache in sinusitis is due to inflammation of the sinus mucosa and accumulation of mucous and pus in the sinus cavity.Most of the medicine that you have mentioned above are decongestants that help in liquifying the hard secretions in the sinus and their drainage.But this will take time.Superadded infection will complicate things.So,expecting sudden recovery is difficult. Since inflammation is at the heart of the pathology and the main cause for the pain, stronger anti inflammatory drugs than acetaminophen may be taken.This has to be supplemented with decongestants and antibiotics.Rest and plenty of oral fluids is needed.Nasal drops may open up the sinus openings and help in drainage which will again reduce pain.Surgery is the last option when all medical measures fail. The decongestants mentioned above may be taken for 3 to 4 times at maximum and not more than that.