Having asthma puts you at an increased risk for high blood pressure (hypertension), which must be treated as it can lead to heart attack, stroke, and kidney failure, as well as severe asthma complications. But using drugs to do that is complicated. 3,4 Also, beta-blockers used to treat high blood pressure may contribute to asthma. This medication class may cause coughs in about 10% of patients who use them. Calcium channel blockers are not considered harmful for people who have asthma.. They specifically prevent reabsorption of sodium by the kidneys, which then leads to the elimination of excess water in the urine as the body balances the concentration of water and sodium. There is a slightly increased risk of birth malformations in babies born to women who have asthma. Low potassium causes a number of harmful health effects, including muscle weakness, abnormalities in heart rhythm, and blood sugar imbalance. Many medications can be used to treat high blood pressure. Updated January 28, 2020. Asthma itself is associated with high blood pressure. Our nutrition guide can help. Blood vessels primarily have beta-1 receptors, so the increase in a beta-2 activity from these asthma drugs does not cause a substantial change in blood pressure. Richard N. Fogoros, MD, is a retired professor of medicine and board-certified internal medicine physician and cardiologist. Because you have beta receptors in your lungs as well, these drugs can also block beta receptors on respiratory passages and irritate the airways if you have asthma. And remember that lifestyle changes like getting more exercise, eating healthfully, and others can go a long way in helping to manage your hypertension as well. Patients can select from prescription and over-the-counter drugs that won’t interfere with their heart medications or overwhelm their dosing schedules. Hypertension and asthma: A comorbid relationship. Int J Gen Med. While effective for these purposes, beta-2 agonists can complicate hypertension to an extent. 2015;135(1):123-30.doi10.1016/j.jaci.2014.07.051. 2019;68(3):335-341.doi:10.1016/j.alit.2019.02.001, The Effects of Hypertension Medications on Asthma, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Looking to start a diet to better manage your high blood pressure? Any change in heart function can lead to hypertension, especially if a major cardiac event, such as a heart attack, occurs. Measuring somebody's blood pressure gives us an indication of how effectively their heart is working to pump blood around their body. I've had asthma all my life but was diagnosed with high blood pressure in 2001 and never had any problems with the medication for my blood pressure and asthma meds .I take two tablets a day for blood pressure which keeps it under control .its still high but not dangerously high and get it checked regularly .I keep active and eat a healthy diet .But your doctor will keep you right Research will focus on asthma and high blood pressure. Christiansen SC, Schatz M, Yang SJ, Ngor E, Chen W, Zuraw BL. People with high blood pressure tend to fare worse when infected with COVID-19, and the chronic condition can complicate their treatment in unexpected ways, new research shows. Beta-1-Selective Beta Blockers. ACE inhibitors are a class of medications used to treat hypertension, or high blood pressure. Interestingly, pregnant women who have asthma and high blood pressure can experience a decreased risk of pregnancy-induced hypertension with the use of short-acting beta-agonists. But blood pressure medication, if needed, could worsen asthma symptoms. American Academy of Asthma, Allergy and Immunology. So, is it possible asthma or COPD medicines explain the link? Aldosterone antagonists block the hormone aldosterone, which sometimes causes salt and fluid retention, contributing to high blood pressure. 2020;20(3):321-327.doi:10.2174/1871530319666190828145854, Murad H, Ghabrah T, Rafeeq M, Ali S. Subdiuretic dose of furosemide enhances albuterol effects in asthmatic mice rather than bumetanide. Is Accupril the Right ACE Inhibitor for Me? Even if you develop hypertension while you are being treated for asthma, your high blood pressure is more likely primary essential hypertension (without a known cause) than a side effect of your asthma medication. Again, there is usually not enough absorbed to cause high blood pressure. If you have asthma, steroid overdose may induce high blood pressure, however. That is one of several good reasons why you should never take more medication than prescribed. The effect of asthma inhalers on blood pressure is not measurable except in certain circumstances when people have severe health risks. In: Pharmacology, 2nd Ed, Mycek, MJ, Harvey, RA, Champe, PC (Eds), Lippincott, Williams, and Wilkins, Philadelphia, PA 2000. p.217-222. Atenolol comes only as a tablet you take by mouth. The types and doses of asthma medications you need depend on your age, your symptoms, the severity of your asthma and medication side effects. Beta-2 agonists include long-acting beta-2 agonists (LABAs), used for ongoing asthma management, and short-acting types (SABAs), used for acute attacks. If your asthma worsens while you are pregnant, your doctor may need to adjust your asthma treatment plan. Clin Respir J. Read our, Medically reviewed by Richard N. Fogoros, MD, Medically reviewed by Yasmine S. Ali, MD, MSCI, Medically reviewed by Jurairat J. Molina, MD, Medically reviewed by Jeffrey S. Lander, MD, Verywell Health uses cookies to provide you with a great user experience. 2018;46(6):585‐593. This is not correlated with asthma medication use and the cause is not fully understood. Medications & Asthma Beta-blockers, over-the-counter pain relievers like non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin, and angiotensin-converting enzyme (ACE) inhibitors are widely used medicines that can trigger asthma symptoms. Ann Saudi Med. These medications are not considered harmful if you have asthma. It is really important that you get the right treatment to keep your blood pressure at optimal levels. The beta blockers used to treat high blood pressure are not very selective, so they don't do a good job distinguishing between the different types of receptors on the blood vessels and respiratory passages. Chronic high blood pressure, also known as hypertension, happens when your blood pressure stays high long-term. If your heart disease worsens or your heart rhythm becomes irregular, your heart function can affect your blood pressure. J Allergy Clin Immunol. In general, steroids and beta-agonists are the asthma drugs most associated with hypertension. In terms of dollar sales, recent statistics put the angiotensin II receptor blocker valsartan (Diovan) in the lead for high blood pressure medications, followed by the beta blocker metoprolol, the generic combination of valsartan and HCTZ, olmesartan … Beta-agonist medications like albuterol are used to treat asthma. Other drugs that commonly cause high blood pressure are: oestrogens and other hormones (eg the pill and HRT), migraine medications containing sumatriptan, decongestants containing pseudoephedrine, ciclosporin, old-fashioned MAOI antidepressants, and of course alcohol and illicit drugs like cocaine, ecstacy and amphetamines. I was prescribed Losartan for my high blood pressure in March, 2012 (when I was 57 years old). My cough never left me in spite of taking Monetelukast (with Cetirizine) everyday since my diagnosis. Should You Use Your Bronchodilator or Steroid Inhaler First? Asthma and risk of cardiovascular disease or all-cause mortality: a meta-analysis. Measuring somebody's blood pressure gives us an indication of how effectively their heart is working to pump blood around their body. They relax and widen the blood vessels by inhibiting the action of calcium, which plays a major role in activating muscles. If you have asthma, they will choose an antihypertensive that both allows you to get good control of your hypertension without affecting your asthma or interfering with its treatment. Higher blood pressure as a result of asthma can occur even when a major asthma attack isn't taking place. Two types of beta receptors are highly prevalent in the body. However, blood vessels do have some beta-2 receptors, and activating them in this way can affect blood pressure (though this is typically minimal). It can also help prevent heart attack or heart damage after a heart attack. They are usually prescribed for those whose high blood pressure is difficult to control or who have diabetes or heart failure. Updated Octiber 17, 2019. Last year, in May, 2013, I was diagnosed as an asthmatic because of a persistent cough. High blood pressure is often called a “silent killer” because many people have it ... asthma, diabetes, or ... • These drugs are made up of 2 different kinds of blood pressure drugs. At Apomeds, you will find a range of medicines in the field of chronic diseases. 1  While it is proven that high blood pressure can cause asthma, it must be noted; on the other hand, that drugs such as Very high corticosteroid dosage; sometimes used to treat asthma, can cause hypertension. 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