When taken alongside propranolol, which blocks beta receptors, the unopposed alpha-adrenergic stimulation from these decongestants can cause a marked increase in blood pressure potentially severe in some individuals
Psychoneuroendocrinology 65:5466
For those with hypermobility and EDS specifically, Id flag the following as the minimum due diligence before starting these medications: A thorough GI history and ideally gastric emptying assessment if theres any existing dysmotility Baseline muscle mass measurement (DEXA or similar) given the sarcopenia risk A clear plan for high-protein diet and resistance-based exercise to mitigate muscle loss Baseline bone density if theres any existing concern Consideration of the nutritional picture specific to hypermobility, since these drugs can affect appetite and nutrient absorption A conversation specifically about MCAS if thats a feature of your presentation The medication options for hypermobility and EDS are limited and often unsatisfying, and its entirely understandable why people are looking at something new with genuine curiosity
Medical Weight Loss Clinic Being a medical weight loss clinic means we look at your health history and labs before starting
Lamers F, Milaneschi Y, Vinkers CH, Schoevers RA, Giltay EJ, Penninx BWJH
When you swallow a traditional pill, the harsh environment of the stomach and the enzymes in your digestive tract often break the molecule down before it can reach your bloodstream
