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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Loratadine Advisable For Nasal Congestion?

Hello doctor. I am 67 female status post liposarcoma abdomen surgery last august. Doing well now after tough 4 MONTHS. I HAVE 1 KIDNEY FUNCTIONING WELL BUT HAS STAGE 2 DISEASE. I ALSO HAVE HISTOR OF AFIB BUT SINCE 2015 NEW BIVENTRICULAR PACEMAKER WITH ICD SO IM OFF ALL CARDIAC DRUGS. I AM ON 2 PRESCRIPTIONS DRUGS; ATIVAN FOR INSOMNIA AND GABAPENTIN FOR RESTLESS LEG SYNDROME. I AM UNABLE TO LIE DOWN TO SLEEP DUE TO NASAL CONGESTION. OTHERWISE IM FINE. I AM DOING NASAL SALINE RINSES BUT DOESNT HELP ME AT BEDTIME. I USE CPAP MASK. ARENT YOU GLAD YOU ASKED? ANYWAY WILL IT BE TOO RISKY TO TAKE A LORATADINe. Generally I dont use antihistamines because they can set off my resless legs but I need to sleep. What do you think? Thx
Mon, 30 Apr 2018
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General & Family Physician,  's  Response
Hello,

Loratadine drug must be used cautiously in patients who have chronic kidney disease. While a stage 2 disease is not concerning with respect to loratadine use, it must be done under supervision with appropriate dosage adjustments.

In my opinion, you should try using nasal sprays containing Oxymetazoline drug to clear your nose. One spray in each nostril before your sleep will do wonders. Do try it out.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Pranav Balakrishnan
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Is Loratadine Advisable For Nasal Congestion?

Hello, Loratadine drug must be used cautiously in patients who have chronic kidney disease. While a stage 2 disease is not concerning with respect to loratadine use, it must be done under supervision with appropriate dosage adjustments. In my opinion, you should try using nasal sprays containing Oxymetazoline drug to clear your nose. One spray in each nostril before your sleep will do wonders. Do try it out. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Pranav Balakrishnan