Sleep apnea, phenylephrine and BP

Q: My blood pressure meds seem to control my blood pressure along with my BiPAP machine. To enable me to use the machine I must take phenylephrine for nasal congestion but it carries a warning for users with high BP. What can I do?

A: I will assume you are on BiPaP, a breathing device, for the treatment of sleep apnea. If you are overweight, lose weight. Both sleep apnea and high blood pressure are helped by weight reduction. At this point, you need to use your BiPap machine. Since your blood pressure is in control, your doctor has adjusted your medications appropriately to compensate for the use of the phenylephrine.

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