a Receptor agonists are used extensively as nasal decongestants, as discussed above. Sympath-omimetic decongestants should be used with great caution in patients with hypertension and in men with prostatic enlargement and not used by patients who are taking MAO inhibitors. Oral decongestants are much less likely to cause rebound congestion but carry a greater risk of inducing adverse systemic effects. Indeed, patients with uncontrolled hypertension or ischemic heart disease generally should avoid the oral consumption of OTC products or herbal preparations containing sympathomimetics.
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