Sympathomimetic decongestants like Phenylephrine and  Pseudoephedrine can:
  • Elevate blood pressure
  • Elevate intraocular pressure,
  • Worsen existing urinary obstruction (in elderly patients), and
  • Adversely interact with β-blockers, methyldopa, tricyclic antidepressants, oral hypoglycemic agents, and MAOIs.
  • Speed up the heart rate
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