Brief Answer: Better to avoid them... Detailed Answer: Hi, Decongestants have potential to raise heart rate as well as blood pressure. If your nose is congested badly I would choose topical decongestant instead of oral drugs as to avoid significant systemic effects. Alternatively I would advice you to use only steam inhalation to take care of congestion. Hope this answers your query. Let me know if you need clarifications. Regards

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Brief Answer: Otrivin... Detailed Answer: Psedoephedrine available in the market as Otrivin nasal spray and drops is a classical example of topical decongestant. The adrenergic effects are more localised - limited to the nose and very rarely they cause systemic effects - increased heart rate and blood pressure. Though Otrivin is more safe, I would recommend you to try steam inhalational more frequently and use decongestant sparingly. Hope this helped. Regards

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