Zyrtec and phenylephrine hcl

I have small internal hemorrhoids. My insurance doesn't cover the hydrocortisone hcl suppositories anymore. They were $10 for 60 last year but now they are $50 for only 12.
All the over the counter junk suppositories have bad chemicals like parabens and such. They are also pretty low potency also.
Could i just make my own suppositories using some organic cocoa butter and some crunched up phenylephrine hcl and/or hydrocortisone hcl pills? I already make my own body butters and such, so this would be super easy for me. The math for figuring out potency is easy so I don't need help with that.
I just need to know if it would be viable to make my own suppositories using the method I just described.
And yes I'm going to se my pcp to get a referral to a gi physician to get the banding done, I think that's what needs to be done to get rid of this permanently.

Info: 17F, Caucasian, 5'5/165cm 126lbs/57kgs, only current medications are 75mg spironolactone for hormonal acne and 20mg cetirizine (one 10mg tab in the morning, one at bedtime) for allergies
For as long as I can remember, I've had nasal congestion on both sides. I can't remember what it's like to functuonally breathe through my nose. I'm a mouth breather because it's the only way I can breathe, which negatively impacts my sleep quality, and I have to wear a mask at all times outside so people can't see me mouth breathing lol. It's also very uncomfortable; there's a constant feeling of pressure around my nose and eyes.
The oral medications I've tried are (all for at least a couple months, double the typical daily dose with permission from my doctor): -Allegra -Zyrtec (what I'm currently using) -Claritin -Hydroxyzine hcl (haven't tried the pamoate version)
The nasal sprays I've tried are (1-2 sprays in each nostril, twice a day): -Nasonex (mometasone) -Nasacort (triamcinolone) -Flonase (fluticasone) -Generic rhinocort (budesonide) I've never used any sprays containing phenylephrine or oxymetazoline, so I don't think it's possible to be rebound congestion.
And nothing has helped the congestion. I have seen improvement with red, itchy eyes and an itchy throat/roof of my mouth (I had an allergy panel done because I thought I was allergic to my cats, but apparently it's a dust mite allergy), but the congestion stays no matter what. When I look up my nose, the nasal walls(?) are always bright red and so swollen they're pressing together so no air can get through. At night, if I use breathe right strips, I can just barely breathe through my nose which reduces the dry throat and drooling I always wake up to, but it's not enough to be comfortable.
What can I do? Does this seem like something that might require surgical correction? Are there other medication classes that I could try? Anything helps, and thank you for reading this :'D

32M for 4M. Has allergies not responding to.4 week Zyrtec, and 2 weeks Allegra , ear infection.
Was recieving Walgreens mucus cough and congestion relief with zarbees cough syrup and an urgent care doctor said they didn’t like this combination. I can’t remember why though and Ingotta explain it to my ex so she can understand. Can anyone help me out here?
Walgreens cough syrup:
Ages 4-11 years. Dextromethorphan HBr 5 mg / cough suppressant.Guaifenesin 100 mg / expectorant.Phenylephrine HCI 2.5 mg / nasal decongestant.
Zarbees:
Zarbee's Kids Cough + Mucus Syrup Daytime is specifically tailored for children ages 2-6 with carefully selected and scientifically supported ingredients like: dark honey, proven to soothe coughs; ivy leaf, which helps clear mucus when coughing; and Zinc and elderberry extract, for immune support. Naturally sweetened, the only sugar in our bottles comes from our soothing dark honey, kids will love the natural mixed berry flavor. From the #1 Pediatrician Recommended Cough Syrup brand, Zarbee's cough syrups are a safe and effective way to calm coughs associated with hoarseness and irritants. Free of drugs, alcohol, artificial sweeteners, added flavors or dyes, or high fructose corn syrup. Allergen-Friendly: Gluten, dairy, egg, and peanut free. Made in USA Shake well before using. Take only as directed. Take as needed, not to exceed 2 servings per 24 hours. If taking the daytime and nighttime products together, do not exceed 2 servings of Cough + Mucus per 24 hours. For occasional use. Talk with your doctor before use if your child is taking medicine or is under a doctor's care for a medical condition. Re-close cap tightly after each use. ©Zarbee's, Inc.

I have a vial of injectable Phenylephrine HCL with my Trimix and I was wondering if it can be frozen to preserve itself past the 30 day expiration date?
Also, could I freeze it in a syringe?

I have a vial of injectable Phenylephrine HCL from my doctor and I was wondering if it can be frozen to preserve itself past the 30 day expiration date?
Also, could I freeze it in a syringe?

I have a vial of injectable Phenylephrine HCL from my doctor and I was wondering if it can be frozen to preserve itself past the 30 day expiration date?
Also, could I freeze it in a syringe?

Hey all, I know this is not strictly a question about mountaineering, but it does relate closely to health and safety when you’re in challenging wilderness/alpine environments for extended periods of time.
I have been refining my wilderness medical kit to make sure I have all the essentials.
I am a geologist who works in the field daily, and also recreate extensively in the backcountry, recently getting more and more into mountaineering.
I am also commonly the only one in the group with a med kit that has more than bandaids, so I pack accepting that I’m essentially the group medic
I am trained to a WFR level, so my loadout reflects this level of training. ( i.e minimal advanced medication besides epi and antibiotics, but thorough with the fundamentals)
This is more of my loadout for general field work and day trips, and I pare down to be lighter when I climb or do long distance backpacking trips.
Here is my list so far:
TUMMY:
-Loperamide HCL (Imodium) + Simethicone (gasx)
-Bismuth subsalicylate (pepto)
-Polyethylene glycol 3350 (miralax)
.
ANTIHISTAMINE:
-Diphenhydramine (Benadryl)
-cetirizine hcl (Zyrtec)
.
NSAIDs:
-disprin (chewable baby aspirin )
-ibuprofen (advil)
-naproxen (Aleive)
.
Cold/Flu:
-acetaminophen (Tylenol)
-Pseudoephedrine (Sudafed)
-Guaifensin (muscinex)
-phenylephrine
.
ETC.
-Acetazolamide (diamox)
-Methylprednisolone (for extended care after administering epinephrine if evacuation is delayed)
-doxycycline (antibiotic/antimalaria)
-azithromycin
-albuterol
-epinephrine
-naloxene (narcan)
-electrolyte salts
-glucose gel
Am I missing anything? Any input is greatly appreciated, thanks,

Hey all,
I have been refining my wilderness medical kit to make sure I have all the essentials.
I am a geologist who works in the field daily, and also recreate extensively in the backcountry.
I am also commonly the only one in the group with a med kit that has more than bandaids, so I pack accepting that I’m essentially the group medic
I am trained to a WFR level, so my loadout reflects this level of training. ( i.e minimal advanced medication besides epi and antibiotics, but thorough with the fundamentals)
Here is my list so far:
TUMMY:
-Loperamide HCL (Imodium) + Simethicone (gasx)
-Bismuth subsalicylate (pepto)
-Polyethylene glycol 3350 (miralax)
.
ANTIHISTAMINE:
-Diphenhydramine (Benadryl)
-cetirizine hcl (Zyrtec)
.
NSAIDs:
-disprin (chewable baby aspirin )
-ibuprofen (advil)
-naproxen (Aleive)
.
Cold/Flu:
-acetaminophen (Tylenol)
-Pseudoephedrine (Sudafed)
-Guaifensin (muscinex)
-phenylephrine
.
ETC.
-Acetazolamide (diamox)
-Methylprednisolone (for extended care after administering epinephrine if evacuation is delayed)
-doxycycline (antibiotic/antimalaria)
-azithromycin
-albuterol
-epinephrine
-naloxene (narcan)
-electrolyte salts
-glucose gel
Am I missing anything? Any input is greatly appreciated, thanks,

Hey all,
I have been refining my wilderness medical kit to make sure I have all the essentials.
I am a geologist who works in the field daily, and also recreate extensively in the backcountry.
I am also commonly the only one in the group with a med kit that has more than bandaids, so I pack accepting that I’m essentially the group medic
I am trained to a WFR level, so my loadout reflects this level of training. ( i.e minimal advanced medication besides epi and antibiotics, but thorough with the fundamentals)
Here is my list so far:
TUMMY:
-Loperamide HCL (Imodium) + Simethicone (gasx)
-Bismuth subsalicylate (pepto)
-Polyethylene glycol 3350 (miralax)
.
ANTIHISTAMINE:
-Diphenhydramine (Benadryl)
-cetirizine hcl (Zyrtec)
.
NSAIDs:
-disprin (chewable baby aspirin )
-ibuprofen (advil)
-naproxen (Aleive)
.
Cold/Flu:
-acetaminophen (Tylenol)
-Pseudoephedrine (Sudafed)
-Guaifensin (muscinex)
-phenylephrine
.
ETC.
-Acetazolamide (diamox)
-Methylprednisolone (for extended care after administering epinephrine if evacuation is delayed)
-doxycycline (antibiotic/antimalaria)
-azithromycin
-albuterol
-epinephrine
-naloxene (narcan)
-electrolyte salts
-glucose gel
Am I missing anything? Any input is greatly appreciated, thanks,

Hey all,
I have been refining my wilderness medical kit to make sure I have all the essentials.
I am a geologist who works in the field daily, and also recreate extensively in the backcountry.
I am also commonly the only one in the group with a med kit that has more than bandaids, so I pack accepting that I’m essentially the group medic
I am trained to a WFR level, so my loadout reflects this level of training. ( i.e minimal advanced medication besides epi and antibiotics, but thorough with the fundamentals)
Here is my list so far:
TUMMY:
-Loperamide HCL (Imodium) + Simethicone (gasx)
-Bismuth subsalicylate (pepto)
-Polyethylene glycol 3350 (miralax)
.
ANTIHISTAMINE:
-Diphenhydramine (Benadryl)
-cetirizine hcl (Zyrtec)
.
NSAIDs:
-disprin (chewable baby aspirin )
-ibuprofen (advil)
-naproxen (Aleive)
.
Cold/Flu:
-acetaminophen (Tylenol)
-Pseudoephedrine (Sudafed)
-Guaifensin (muscinex)
-phenylephrine
.
ETC.
-Acetazolamide (diamox)
-Methylprednisolone (for extended care after administering epinephrine if evacuation is delayed)
-doxycycline (antibiotic/antimalaria)
-azithromycin
-albuterol
-epinephrine
-naloxene (narcan)
-electrolyte salts
-glucose gel
Am I missing anything? Any input is greatly appreciated, thanks,

Since I discussed H2RAs, I thought I’d delve into its sibling medication, H1RAs, which are generally referred to as antihistamines. These are the meds that you take when you have an allergy resulting in a histamine release that might cause runny nose, congestion, coughing, sneezing, itchy/watery eyes, hives, etc. (Of course, if you have difficulty breathing and throat swelling, use an Epi pen/go to the ER.)They are divided into the first and second generation namely based on their FDA approval dates, but they also tend to have some different aspects associated with each grouping.
The OGs (1st Gen) cross the blood-brain barrier, so they have the most noticeable drowsiness effects but also potentially stronger effects on blocking histamine in multiple areas of the body (GI tract, blood vessels, respiratory tract). They are also less specific to bind only to histamine receptors so they can also have more anticholinergic (dec digestion, urination, and saliva) effects. Some oral options include diphenhydramine (Benadryl-OTC/Rx), doxylamine (Unisom-OTC/Rx), cyproheptadine (Rx), brompheniramine (Dimetapp-OTC/Rx), chlorpheniramine (Chlorine-Tabs-OTC/Rx), meclizine (Travel Ease-OTC/Rx), dimenhydrinate (Dramamine-OTC/Rx), hydroxyzine (Rx), promethazine (Phenergan-Rx), etc. These meds are meant to be used on an as needed basis unless under medical supervision. Caution should always be taken when driving due to drowsiness potentials.
Second gens are generally considered safer from less risk of drowsiness and drug interactions. Many are also longer lasting, so many can be dosed once every 24 hours continuously. Some oral options include loratidine (Claritin-OTC/Rx), cetirizine (Zyrtec-OTC/Rx), fexofenadine (Allegra-OTC/Rx), desloratidine (Clarinex-OTC/Rx), levocetirizine (Xyzal-OTC/Rx). These are all generally considered to be equally effective, so one is not necessarily recommended over the other. As with any drug, always tell your medical providers if you take any OTC meds because these can still have drug or disease state interactions.
Some antihistamines available in nasal spray and ophthalmic dosage forms include azelaztine (Astelin, Astepro-OTC/Rx, Optivar-Rx), olopatadine (Patanase-Rx, Pataday-OTC/Rx), ketotifen (Zaditor-OTC/Rx). These have less systemic side effects, while still exerting direct action against symptoms.
Other allergy medications include nasal decongestants taken orally like pseudoephedrine (Sudafed-OTC/Rx), and phenylephrine (Sudafed PE-OTC/Rx), or intranasally like phenylephrine (Neo-Synepherine-OTC/Rx), oxymetolazine (Afrin-OTC/Rx) and tetrahydrolozine (Tyzine-Rx). Oral nasal decongestants can increase blood pressure because they work to constrict blood vessels and should not be used long term. They can also cause CNS excitability and heighten anxiety. Nasal spray decongestants should be limited to only 3 days of consecutive use because they can cause symptoms to worsen with continuous prolonged use.
Corticosteroid nasal sprays may also be used to alleviate allergy symptoms from stuffy or runny nose like fluticasone (Flonase-OTC/Rx), mometasone (Nasonex-OTC/Rx), budesonide (Rhinocort-OTC/Rx), beclomethasone (Beconase-Rx), triamcinolone (Nasocort-OTC/Rx), and flunisolide (Rhinalar-Rx). These are listed in order of their general potency. They also have less systemic side effects, while still exerting direct action against symptoms, though it may take several weeks of regular use before their full effects can be felt. While there are some prescription steroid eye drops also available, these are generally reserved for more persistent, severe eye allergy symptoms.
Finally, there are also mast cell stabilizers like cromolyn (Gastrocro-PO-Rx, Nasalcrom-NS-OTC/Rx, and Ophth-Rx) and lukotriene receptor antagonists like montelukast (Singulair). Mast cell stabilizers work to prevent histamines from being released, and lukotriene blockers prevent their inflammatory action involved in allergic reactions and asthma.
There is no evidence that adding medications from the same drug type is beneficial (ex: 2 oral antihistamines), yet a combination of those from different types are often used (ex: oral, nasal, and/or eye drop antihistamines, decongestants, and steroids. As always folks, let your medical providers know if you are using these OTC.
I thought this link had some great info if you want to read more! Allergy medications: Know your options

Medicines at Dollar tree that are the same as their name brand counterparts- Zyrtec, Claritin, Dayquil sinus relief am and pm, mucinex, delsym, Immodium, Dulcolax, Afrin nasal spray, Benadryl, Tylenol, ibuprofen in children's liquid as well as adults, gas - X, Robitussin, Vicks vapor rub, etc. Same active ingredients, same doses. The only difference is the packaging and sometimes the amount of medicine you get. But Zyrtec allergy medicine, is 10mg Cetirizine at DT and is $1.25 for 10 pills vs. My local CVS green box allergy zyrtec knock off is $12 for 10 pills. Don't let big words intimidate you, know your active ingredients. Mucinex is Guaifenesin, Claritin is Loratidine, Benadryl is Diphenhydramine, Afrin nose spray is Oxymetazoline ,Delsym is dextromethorphan ,Dayquil and Nyquil, cold and flu or cold and sinus relief medicine is Phenylephrine, dextromethorphan and usually some type of antihistamine. Benadryl is Diphenhydramine,Immodium is Loperamide I could go on and on, but look up the name brand medicine you need's active ingredients. You can find a match in a lot of medications at dollar tree and will pay so much less than buying store brand pharmacy versions. The active ingredient is what makes it work, and its listed on the back of all medications.

So I've been taking Omeprazole for many years for excessive stomach acid, currently 2x the daily OTC dose as prescribed. A few years ago I noticed I was getting hives when I went outside. I've been to the allergist numerous times and there's nothing found in testing - just a mild allergy to pollen and animal dander (we have no pets). Basically diagnosed me with chronic urticaria and said there isn't much he can do besides tell me to ramp up the antihistamines. So I take 20mg of Cetirizine HCL(Zyrtec), also 2x the normal daily dose.
I've noticed the hives are slowly getting worse, and recently read that there might be a connection with PPIs amplifying hives/allergies. I don't feel like I'm allergic to Omeprazole itself as I don't notice anything when I take the pills, but I also can't just dump them to test the allergy theory as my acid comes back in a hurry.
Anyone have a hives or allergy amplification with Prilosec or other PPI meds?

18 M , 92 KG and 176 cm tall.
Since yesterday I have been experiencing a sudden pain in my head. It isn't constant. It happens randomly when I move my head . It is a mild pain and just happens for a second. I have caught cold recently and I have been taking a tablet with contents as follows:- Paracetamol I.P. 500 mg, - Diphenhydramine HCl I.P. 25 mg, - Phenylephrine HCl I.P. 5 mg, - Caffeine (anhydrous) I.P. 30 mg Someone has told me that I need glasses but my vision is pretty clear. My workload has increased recently due to which I am more stressed then usual. I did had less sleep than usual on the day this pain started.

TLDR: 5k run, pushed myself. 6 hrs work but then felt so tired, also why do my coworkers talk so much. Wearing a mask helped my sneeziness but could not stop the runny nose and slightly sore throat. Now I've taken one of those night-time fever tablets, hopefully I'll be able to sleep for more than 7 hours because my dark circles are getting worse.
Habits built:

1. Hours slept: 7
2. Meditating for 15 minutes daily- 0 min
3. Work hours logged- 0.75/1.5 hrs gym + 8/4 hours productive office work + 3/2 hr other work = 13 hrs work
4. Diet followed: (Target- 50g protein per day, <2000cal/day): idk
5. Daily outgoing expenditure: na
6. 2x45 min workouts: na
7. 3 liters water drunk: 1
8. 10 pages nonfiction: no
9. Progress pic: no
10. Cold shower: no
11. Actual work done:

• my stomach hurts and I feel sick
• Autometer code 90% complete just got the hardware pending and the display won't display 1/4th of itself
• My head also hurts and I feel tired. Maybe the night-time medicine is kicking in!
• It was 325mg acetaminophen, 10mg Dextromethorphan, 6.25mg doxylamine succinate, 5mg phenylephrine HCL

5 positive things-

1. I shouldn't be worried about taking acetaminophen
2. Really, I'm being dramatic over nothing
3. My parents just taught me to not take ibuprofen unless I'm actually in pain, and a mild headache (which is actually steadily increasing post-pill) does not feel good enough.
4. Should my headache be steadily increasing post-pill. It's probably because I've stared at a computer all day. This is normal and I should not be afraid of the acetaminophen
5. I wonder why they packaged it with two tablets per square of medicine, because I only really needed one. Maybe most people need more?

I had to travel fri-mon with one of my children over the weekend for a sports tournament and I left my 13 year old at home with my incompetent husband. She's usually self-sufficient and will entertain herself and make plans with friends but she got sick with chills and body aches the second day I was gone. I talked to her on the phone and told her to alternate Tylenol and Advil every two hours and see if that helped her feel better. But the next morning she had congestion and cough so I told my husband to go to the store and buy her Robitussin Severe Cough & Cold. He got it and gave her the bottle to keep in her room and didn't keep track of when she had what medicine. So she dosed herself with no supervision and she ended up taking the full dose of Robitussin every two hours until the bottle was gone WHILE simultaneously alternating a full dose of Advil and Tylenol every two hours. The bottle was gone within 24 hours. This puts her way above the limit on acetaminophen and also probably the ingredients for cough and decongestion. The packaging states no more than 6 doses in 24 hours and she exceeded that while adding the OTC painkillers. She was pretty sick and out of it and thought since I told her every two hours on the other stuff that she was supposed to go every two hours on the Robitussin too and she didn't know that Robitussin already had acetaminophen in it. I'm so angry that I can't leave my daughter with her father and expect him to properly take care of her.
How harmful is this? For reference she is the size of an adult woman at 5'7" and 145lbs but she's 13 years old. She seems ok, but the packaging mentions permanent liver damage. The medicines she took were Advil, Tylenol, Robitusssin (Acetaminophen, Dextromorphan, Guaifenesin, Phenylephrine Hcl).

Y'all. I just started Paxlovid for a wicked Covid infection I picked up while in Florida and the metallic (?) medicinal (?) taste on my teeth is relentless and does not resolve with brushing, flossing, or fluoride swishing (sonic cleaning trays each time). Anyone with experience about how long this might last or whether anything helps? I'm drinking water, which helps only while I am actually drinking the water. I assume it is the Paxlovid, but I also got a steroid injection + oral steroids (which I am planning to discontinue because I hate them for other reasons) and a decongestant / antihistamine called Norel AD (Acetaminophen, Chlorpheniramine Maleate, Phenylephrine Hcl) -- maybe that's drying out my mouth?

I got sick recently and took ambroxol hydrochloride (cough medicine) and phenylephrine HCl and Chlorpheniramine (cold medicine). Im just worried if these medications may have an effect on my birth control pills.

my posts everywhere keep getting deleted i just need answers if anyone has them please help. firstly in my case i do not think that suicide is morally wrong because i am in so much pain and have been suffering for 20 years now and if i were dead i would finally be at peace. i am wanting to know if this is all going to kill me. i have a total of 36,081 mg of random medications and to be precise it is as follows:
8,750mg hydroxyzine (atarax)
3,410mg fluoxetine (prozac)
200mg escitalopram (lexapro)
290mg certirizine hydrochloride (zyrtec)
15,000mg ibuprofen
700mg benzonatate (tessalon perle)
675mg trazodone (desyrel)
1,800mg buproprion hcl (wellbutrin XI)
6mg aripiprazole (abilify)
3,800mg melatonin
1,450mg lamotrigine (lamictal)
the last time i overdosed on way more and i actually did die but i was brought back and pulled through with permanent health issues. but that time i called someone and this time i do not intend on calling anyone for help as i do not want to be saved. please help does anyone know if this will kill me ? i want to avoid just getting seriously sick again i just want to die.

33M Other disorders are mental health related and have changed over the years without noticable impact on the topic. Immune system tests typically come back above average and have most of my life. I also have very mild vitiligo.
I've dealt with awful sinus stoppage my whole life. As a kid, Flonase was fine and worked pretty well through to late teens. Since then and around my early 20s I started trying different antihistamines as I would wake to vomiting from drainage or fully unable to use my nose entirely(The reoccurring experience at it's worst going forward).
Allegra did next to nothing, Claritin did enough but it would only maintain effectiveness for about a month. Zyrtec would be too strong and caused nose bleeds. I just rotated between Zyrtec and Claritin for a while. I've added Flonase back into the mix in and out in conjunction over time however consistently after around 1.5-2 months of use I'll hit a point where my nose becomes so stuffed up again I can't use the spray. So I keep giving up on it. Finally a few years ago I discovered Xyzol and it's been a perfect fit, however ...
I'm 33 now and have been working with my current primary care. I've hit a rough patch in life and have been getting medication through Welvista, Xyzol just isn't in the budget to do twice a day which was required.
So the prescription now is fluticasone propionate and Azelastine HCI. I've given it 6 months, and it's a similar experience to flonase and doesn't seem to be seasonal. I hit a point I get so stuffed up I can only take a pill to get air through my nose. The Azelastine did seem to push back the stuffiness a few weeks. It just becomes not worth the fight, nevermind the back of throat sensitivity if it hits it. I've just been rationing a bottle of Xyzol when I get desperate. There have been days (usually multiple at a time) where I get so stuffed up I can feel blockage in my eustachian tubes similar to the early feeling of a sinus infection. It clears after a few days and I've noticed no consistent pattern of activity/change that would align with it outside of maybe temperature.
I have a primary care appointment in two weeks or so. Here are the antihistamines that Welvista currently supports: Cetirizine Diphenhydramine Hydroxyzine HCl Hydroxyzine Pamoate Loratadine
I'm over sprays as a whole. I see Zyrtec and Claritin in there which I might give another try as it's probably been 5+ years since I have.
What other medications could I even try at this point that are not spray based without being able to keep Xyzol in my system? Even with Xyzol I can still wake up stuffed up, which is why I have to do twice a day. With Xyzol it will usually only last an hour or so at least. Waking up stuffed up is miserable, as is mouth breathing during active hours of the day.
Guess I'm looking for general advice, or suggestions for topics or medication to discuss with my primary care. Even better if it overlaps with something on Welvista's list.