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StJimmy75 t1_izkygzt wrote

Reply to comment by Kabc in Post viral cough: why does it get worse after you get better? by [deleted]

Are there any signs that antihistamines would make it worse or is it just try it and stop if it gets worse?

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Kabc t1_izl9v2e wrote

It varies. I would say that if you have a more rhinorrhea (nasal drippings) antihistamines will work better.

Sometimes, you can have tympanic membrane bulging (TM for short) from sinus pressure. This can be without an infection. Antihistamines CAN help with that (Benadryl seems to work well, but obvious need to take it at night). Short course of steroids are really effective to help that as well.

NOTE; I wouldn’t take random advice from peeps on Reddit, but this is what I have seen in my personal bubble of patients I have

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[deleted] OP t1_izm9j05 wrote

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Pharmie2013 t1_izmd8cs wrote

2nd gen antihistamines don’t typically work as well for this. Diphenhydramine and chlorpheniramine should be the go to.

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OnenonlyAl t1_izmdt07 wrote

That's great info, I'll start to have to incorporate that more. Surprised my the otolaryngologist I followed recommended more 2nd generations. Maybe due to less drowsiness during the day. Makes sense though!

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