Decongestants are under renewed scrutiny as the NHS warns Brits of being cautious about their use. These over-the-counter medication most commonly available as sprays, tablets, liquids, or powders, provide temporary relief by reducing the swelling of blood vessels in the nasal passages. However, they are not generally safe for everyone since there are some diseases which can be hazardous to people suffering from them, such as in cases of high blood pressure.The NHS has issued a warning that decongestants can be dangerous for people with severe medical conditions. Their effect of constricting blood vessels may eventually lead to a rise in blood pressure, making this drug inappropriate for anyone on antihypertensive medication. Who Should Avoid Decongestants?The NHS emphasizes for an essential knowledge of who should avoid these medications or consult a doctor before using them. Decongestants are contraindicated in the following group of individuals:- Individuals with hypertension: Their blood vessel-narrowing action will worsen hypertension - Diabetes patients: Decongestants may interfere with the sugar levels. - Hyperthyroidism individuals: Too sensitive to the effects of the thyroid due to the overactive thyroid gland.- They also exacerbate urinary retention in men with prostatic hypertrophy. - They can raise intraocular pressure and worsen the disease in patients with glaucoma. - In people suffering from liver, kidney, heart, and circulation diseases, an influence of decongestants on blood vessels may aggravate the disease. How Over-the-counter Decongestants are Risk for Children, Pregnant and Breastfeeding Women The NHS has also specifically advised the vulnerable groups: - Use of decongestants should be avoided completely for children under 6 years of age. - For children between 6 to 11 years of age, its use is only acceptable and not more than five days, and it is to be under pharmacist guidance only.- Pregnant individuals: Decongestants should only be used if explicitly advised by a healthcare provider. - Breastfeeding individuals: Ingestible decongestants are discouraged due to potential transfer to breast milk and harm to the baby. The NHS's alert reminds everyone that although easily obtainable, decongestants are not without their risks. While many consumers remain uninformed about the fact that these medications could have systemic effects in addition to actions in the nasal passages, "all-in-one" cold and flu remedies combining decongestants with painkillers or antihistamines indeed amplify the risk of side effects, especially among those with underlying medical conditions.Link Between Decongestants and Sleep DisruptionThe impact of decongestants on the sleep is not studied much. These drugs, especially those containing pseudoephedrine, have stimulant properties that can cause insomnia, restlessness or changed sleeping habits. Naturally, people who already have difficultly with a good night's sleep will continue to have problems when taking the drug; thus, the underlying health issues are exacerbated. Sleep deprivation over long periods has implications of long-term increased risks for heart disease, diabetes, and decreased immune function-all risk factors which already affect hypertensive patients.This makes it important for patients to advise their GP or pharmacist and read the patient information leaflet accompanying these medicines. Awareness can prevent complications and proper usage. Safer Alternatives to DecongestantsFor those who are advised not to take decongestants, there is always another way to overcome the symptoms of nasal congestion.1. Saline Nasal Sprays: It helps moisturize the nasal passages and reduces swelling without affecting blood vessels.2. Steam Inhalation: Inhaling steam helps to ease nasal passages due to congestion.3. Humidifiers: Moisture added to the air prevents nasal dryness and discomfort.4. Herbal Remedies: Ingredients such as eucalyptus or menthol in rubs or inhalers provide relief without systemic effects.5. Hydration: Drinking plenty of water can thin mucus and improve sinus drainage. To avoid this, patients should choose non-stimulant versions or take them earlier in the day so that they do not enter the bloodstream when sleep cycles are at their most active.Because decongestants are a convenient solution to treat nasal congestion, there are hidden risks associated with taking them. As such, the risk warning by the NHS emphasizes the need to customize medication to health requirements, particularly those having high blood pressure or other underlying conditions. Through safer alternatives and the awareness of their wider effects, individuals can help manage symptoms of colds and allergies without undermining their health status. Always consult a health professional to determine the best course of treatment.