does amlodipine cause post nasal drip

and Privacy Policy and steps will be taken to remove posts identified Changing the air filters on your HVAC system frequently. It's a common diagnosis. This is called post-nasal drip, and it can cause a cough. Such medications should only be taken for a day or two; longer-term use can cause more harm than good), A nasal steroid spray (such as beclomethasone/Beconase or triamcinolone/Nasacort), Ipratropium (Atrovent) nasal spray which inhibits secretions (such as mucus). You also should speak to your provider or a pharmacist about possible drug interactions. The thickened or excess mucus thats unable to drain properly can result from any of the following causes: If your post nasal drip last for more than 10 days, smells foul, or youre wheezing, you should seek medical attention. Nasal Pruritis: What Does It Mean When Your Nose Itches? Sore irritated throat. But when you feel like mucus is gathering in your throat or dripping from the back of your nose, it becomes more obvious. You should be redirected automatically to target URL: https://www.ehealthme.com/ds/amlodipine/nasal-discharge/. If you have repeated cases of postnasal drip or other symptoms along with it, reach out to your healthcare provider. Cerner Multum, Inc. "UK Summary of Product Characteristics." It also can trigger a cough, which often gets worse at night. These, too, can aggravate post nasal drip symptoms. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. How long does amlodipine stay in your system? Your tonsils and other tissues in your throat may swell up, leading to discomfort. It feels like my throat is running. i have stopped the water tabs , typing this now have go get a drink tea .lol. Very rare amlodipine side effects (affect fewer than 1 in 10,000 people) You may report them to the FDA. https://patient.info/forums/discuss/amlopidine-and-post-nasal-drip-257337. However, with medication, natural remedies, and lifestyle changes, you can get rid of this annoying condition. Some older, sedating antihistamines may dry and thicken post-nasal secretions more; newer non-drowsy antihistamines do not have this effect. Are you getting nasal polyp surgery so you can finally breathe easier? Side effects include: Edema, dizziness, flushing, palpitations, fatigue, nausea, abdominal pain, somnolence. i am trying to get off meds by losing weight and cutting out Alcohol and salt from my diet. It's important to see a healthcare provider to rule out the need for antibiotics, but at home you can try: Gastroesophageal reflux disease (GERD), or acid reflux, can cause post-nasal drip. We want the forums to be a useful resource for our users but it is important to remember that the forums are Diffusing peppermint, eucalyptus, or fennel essential oils may also offer some relief. . If you have a deviated septum, it means the wall of cartilage between your nostrils (septum) is crooked. All rights reserved. The mucus begins to 'drip' down the throat, causing your throat to become irritated, which in turn makes you cough. If you need information collateral to help your clients to buy in to the notion of food sensitivities, this is a simple write-up from Dr. Mark Hyman (on Dr. Oz) which . So perhaps you could try Losartan Potassium - my pharmacist says it is the BP pill about which he hears the least complaints of side effects from his customers. (https://pubmed.ncbi.nlm.nih.gov/33910865/). Get useful, helpful and relevant health + wellness information. Allergies, Infections, Acid Reflux, and More. Post nasal drip occurs when the sinuses create too much mucus, causing a build up in the back of the nose and throat 1 2. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 8 years ago, Use of the forums is subject to our Terms of Use " Source:" Norvasc Reviews & Ratings View full report on drug related nasal congestion Did the author experience nasal congestion while taking norvasc? While the most common symptoms of a food allergy in dogs include skin irritations and ear infections, you might also . You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. 1650 Diagonal Road, Alexandria, VA 22314Tel 703-836-4444, Copyright 2023. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. In fact, postnasal drip is one of the most common causes . It happens when the amount or quality of the mucus that's typically produced in the airways has changed and is now causing irritation. We comply with the HONcode standard for trustworthy health information. Find out more about the community of physician experts who can help you to Be ENT Smart and how the information was developed. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Does Losartan cause post nasal drip and excessive mucus? Stomach acid is very irritating to tissue outside of the stomach. We call it silent reflux because it doesn't have the best-known symptoms, heartburn or indigestion. Thin clear secretions can be due to colds and flu, allergies, cold temperatures, bright lights, certain foods or spices, pregnancy, and other hormonal changes. These are common symptoms of "silent reflux". Post-nasal drip can also be caused due to sinusitis. ACE inhibitors: upper respiratory symptoms. Doctors typically provide answers within 24 hours. Most of the time, you can treat the condition with simple home remedies and over-the-counter medications. I am contacting my surgery for a review of this medication. Postnasal drip has many causes, including allergies, infections, pregnancy, medications and GERD. Because of my extreme sensitivity to the previous drugs, at the moment I am being left on just the Losartan. Frequency of bacterial agents isolated from patients with chronic sinusitis in northern Iran. Steam inhalation can ease postnasal drip by thinning mucus. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Guinea pigs were treated twice daily for a 7 days with injection of saline IP in Group S and Group C and cefazolin sodium (i.m., 50 mg/kg/day) in group SC. Less common causes include something stuck inside the nose (common in small children), pregnancy, and certain medications. For chronic sinusitis, surgery to open the blocked sinuses may be required. appropriate medical assistance immediately. Typical surgeries may include: Your specialist also can talk to you about ways to manage your post-nasal drip at home if you are unable or unwilling to have surgery, or until the procedure can be done. It also has warming properties which aid with the treatment further. The addition of an Air Purifier and a Humidifier in your room can also help to reduce the symptoms of post nasal drip by keeping the air moist. Post-nasal drip can be caused by your anatomy. But it doesn't actually have to be chicken soup - any hot liquid can help thin the mucus and help you maintain hydration. Edibles and children: Poison center calls rise, Motorcycle rallies and organ donation: A curious connection, Low-carb diet helps cut blood sugar levels in people with prediabetes. Can cold/sinus congestion cause a whooshing sound in your ears (my right ear) in certain positions like bending my head forward/towards the right? i have been taking them for allergies, Can sinus issues cause upper lip to tingle slightly? If these approaches aren't effective, prescription treatments may be the next best steps, including: Other treatments depend on the cause of the post-nasal drip. It can also cause a sore throat, laryngitis, and a persistent cough. Youre struggling to breathe freely under normal circumstances even though theres no congestion present. Postnasal drip. Check with your doctor immediately if any of the following side effects occur while taking amlodipine / valsartan: More common Bloating or swelling of the face, arms, hands, lower legs, or feet rapid weight gain tingling of the hands or feet unusual weight gain or loss Less common Body aches or pain chills cough difficulty with breathing dizziness Glands in your nose and throat continually produce mucus, normally one to two quarts per day. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, (https://www.enthealth.org/conditions/post-nasal-drip/). This can prevent mucus from draining properly and can lead to postnasal drip. While gastroesophageal reflux disease (GERD) does not cause post-nasal drip, it can cause the same sensation. Post-nasal drip usually resolves on its own. To treat post-nasal drip caused by GERD at home: Some medications, such as birth control or blood pressure drugs, can cause post-nasal drip as a side effect. Postnasal drip and postnasal drip-related cough. Post-nasal drip can cause sore throat, cough, or throat clearing. Your Eustachian tubes are what connect your nose and throat to your middle ears. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. What changes in my symptoms should I look out for? I was prescribed 20mg Simvastatin which made me very weak. Upgrade to Patient Pro Medical Professional? went to dr and have no sinus infection. I would see the doctor again, there are other bp drugs they can give you. What serious complications could develop? A healthcare provider can help you to find the cause of your post-nasal drip and get relief. Rare side effects (affect between 1 in 1000 and 1 in 10,000 people) Feeling weak. Fill a neti pot with this solution. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Last updated on Oct 11, 2022. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Read our editorial policy. Even though your experience with post nasal drip is mostly likely harmless in the long term, you can still suffer from complications. O 0, 3. In children, thick or foul-smelling secretions from one side of the nose can mean that something is stuck in the nose such as a bean, wadded paper, or piece of a toy. sinus congestion is always worse when i'm tense. Scoop some of the ointment with your fingers and apply it on your chest and throat In some cases, you may also benefit from losing weight or taking medication for acid reflux disease. Although there is usually no infection, the tonsils and other tissues in the throat may swell. American Academy of Otolaryngology-Head and Neck Surgery. A neti pot that irrigates the sinuses may also help. I have friends on it and they only suffer from ankle swelling as do I. Tests and diagnosis Your doctor will ask about your symptoms and examine your nose and throat. sores, ulcers, or white spots on the lips, tongue, or inside the mouth. 14 days ago I began taking amlodipine-valsartin 5-160mg for elevated blood pressure (155-160/70-80). This is normal. 1,622 satisfied customers. Decongestants, including pseudoephedrine, phenylephrine, and Afrin (, Drinking as much water or other fluids as possible, Using vapor rubs, cough drops, or other products containing menthol, Using humidifiers and nasal saline mists that can help to thin mucus, Try an over-the-counter antacid, such as Tums or. Located above and below the eyes and sinus headache is in the front of the face/forehead .A headache towards the top or back of the head is more assoc Sinus congestion usually gives headaches over the involved sinuses and not all over the head. Since postnasal drip often coincides with other health conditions, the best treatment solution is to identify the cause. Patient is a UK registered trade mark. Nasal inflammation, causing a blocked or runny nose. However, prolonged post-nasal drip can also lead to unwanted complications, such as ear and nose infections, which are typically accompanied by nausea. Pfizer U.S. Pharmaceuticals (2002): 2. To avoid this, here are several ways to get rid of post-nasal drip: Probiotics You won't always need to see a healthcare provider to manage it, and you can try some of the home remedies discussed here. Cleveland Clinic Community Care puts patients first by offering comprehensive, coordinated, personalized healthcare. If you are pregnant, do not take any drugs to treat post-nasal drip without talking to your healthcare provider. 8 users are following. 3. Read our, Causes and Risk Factors of Gastroesophageal Reflux Disease (GERD), Treating Post-Nasal Drip Caused by Structural (Anatomical) Abnormalities. Some cases of hepatitis, jaundice, and/or hepatic enzyme elevations were severe enough to require hospitalization; however, the association with this drug was uncertain in most cases. Very effective in reducing b.p. Your doc can make a referral. Headache occurred commonly during clinical trials, especially at the beginning of treatment. The constant presence of mucus draining down your throat causes irritation. Mucus moistens and cleans the nasal lining, moistens air, traps and clears what is inhaled, and helps fight infection. If thin secretions become thick, and turn green or yellow, it is possible that a bacterial sinus infection is developing. What Causes Post-nasal Drip? They have the same effect so I don't take those either. BONUS! Cerner Multum, Inc. "Australian Product Information." Saline nasal sprays can help loosen mucus and clear nasal passages to stop post-nasal drip. This irritation is what causes the feeling of post-nasal drip. How can you relieve post-nasal drip naturally? Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Unfortunately, your spouses snoring has other plans, robbing you of your much-needed rest. GERD occurs when stomach acid comes back up into the esophagus. I did not even consider the bp tablets at the time. It can happen for a number of reasons: allergies, viral infections (including the common cold), sinus infections, irritants in the air (such as fumes or dust). Research in rabbits does show that losartan is less likely than lisinopril to cause a cough (Journal of Physiology and Pharmacology, April 2013). I stopped those so have been put on 600mg Gemfibrozil, to be taken half an hour before breakfast and evening meal. Over the years I have had various conditions and problems and started to look into the drugs I am taking for side effects and interactions. Symptom relief may include medicines like: In addition, immunotherapy with allergy shots or drops under your tongue may be a good remedy for the condition. He/she specializes in this combo of sinus pain and headache. Learn how to stay ENT healthy, prevent problems, and manage existing conditions to improve your, or a loved ones, daily life. Your healthcare provider may diagnose postnasal drip by performing a physical exam of your ears, nose and throat. Patient does not provide medical advice, diagnosis or treatment. A stuffy nose isnt exactly life-threatening, but it can be an annoying condition to deal with, especially if the congestion occurs with regularity. The same is true of a sinus infection if your sinuses are clogged. While the condition isnt usually serious, it can be annoying. Acid reflux (GER and GERD) in adults. Edema, flushing, palpitations, and somnolence may be more common in women than men. There are many things you can do at home to help clear up your postnasal drip. Postnasal drip is when more mucus than normal gathers and drips down the back of your throat. It's often caused by things like the common cold or allergies, and it may come with a cough or other symptoms. coughing lots of mucus hacked up sounds awful, often in the morning, after sneezing and sometimes for no reason at all. The information on ENThealth.org is provided solely for educational purposes and does not represent medical advice, nor is it a substitute for seeking professional medical care. Inhale steam. It's been suggested that drinking apple cider vinegar or inhaling its steam can relieve the sensation of post-nasal drip because the strong odor and taste can loosen mucus and prevent it from building up. Some people throw up because of an ACEi-induced cough. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Here are just a few stories: Mix tsp salt w 1 cup lukewarm water. Exforge (amlodipine-valsartan)." Injury and death to the developing fetus may result from drugs that act directly on the renin-angiotensin system. All rights reserved. 2021;35(3):1409-1417. doi:10.21873%2Finvivo.12393. a rash on skin, or discoloration of fingers or toes. It is rare to have true postnasal dripping with no obvious nasal and sinus symptoms. I found out that rhinitis is a rare side effect of amlodipine. It is not a common cause of tingling in the upper lip. You might have post-nasal drip if you, well, feel mucus dripping in the back of your throat, find yourself swallowing or clearing your throat often or have a sore throat, the Foundation points out. At home, a pregnant person can safely manage the symptoms with: If your hormonal changes are caused by menopause or another condition, you can use the home remedies discussed in this article. Cold temperatures, changing weather and dryness in the air. stomach pain or bloating with fever, nausea, or vomiting. Commonly reported side effects of amlodipine include: edema. appropriate medical assistance immediately. Learn more about severe post-nasal drip, it's causes, symptoms, and potential avenues toward relief. Think you need to consult an ENT specialist? 4 problems that can develop from post nasal drip. Sleep in an elevated position instead of lying flat. This article explains post-nasal drip and some common symptoms that occur. It usually doesn't bother us, and most of the time we aren't aware of it. which was mild. Check with your doctor immediately if any of the following side effects occur while taking amlodipine / valsartan: Get emergency help immediately if any of the following symptoms of overdose occur while taking amlodipine / valsartan: Some side effects of amlodipine / valsartan may occur that usually do not need medical attention. Increased hepatic enzymes were mostly consistent with cholestasis. Usually with plenty of fluids and decongestants gets better in a mat Could sinus congestion cause narrow angle closure glaucoma? Chronic cough, reflux, postnasal drip syndrome, and the otolaryngologist. Redirecting. Avoid trigger foods, such as chocolate, fizzy drinks, or spicy foods. Move your head back, forward, and sideways. But it may be that the only way to avoid this side effect is by not taking the drug. With some over-the-counter medications and other home remedies, it should clear up on its own. Throat clearing. You may have a bacterial infection or other condition that requires medical care. I believe I am limited in what groups of medication I can take because I have asthma before being diagnosed with high BP. Post-nasal drip due to allergies, which is also called allergic rhinitis, is commonplace and affects more than 60 million people in the United States.Coming close behind is chronic nonallergic rhinitis, which affects up to 30 million people, and it occurs for a number of reasons, from age to hormones.. Cecil Yeung, MD, and our team here at Houston Sinus Surgery have a singular goal when it . In Vivo. Surgery is a last resort to correct any structural issues in the sinuses that may be causing the symptoms. Post-nasal drip. Hi Louise ,my story with Lodi , Grommets , blocked Etruscan tube, polyps removed, dry mouth, keep drinking tea up to 15 cups a day, fair enough might be the other meds , i,m taking for BP, mucus in nose , flem back of throat , nasal spray , to help breathe, swollen ankles, , but just me i just might have found some thing that is helping D Ribose , I dont see anyone here mentioning Constipation , plus the need to pee all the time , how to cure the dry mouth & stop drinking tea that is causing me to pee . That's the bad news. American Academy of OtolaryngologyHead and Neck Surgery Foundation, Treating Acute Bacterial Rhinosinusitis (ABRS), World Sinus Health Awareness Day Resources, American Academy of OtolaryngologyHead and Neck Surgery Foundation, Feeling of mucus drainage into the throat, Vasomotor rhinitis (overly sensitive nose). It drips down the back of your nose into the back of your throat, mixes with saliva, and is swallowed without you noticing it. What medications cause swollen ankles and feet? doi:10.5539/gjhs.v8n5p239, Pinargote P, Guillen D, Guarderas JC. Your sinuses are congested, making it hard to breathe, and you may have even developed a sinus headache. Some side effects may not be reported. By Kristin Hayes, RN Treating your symptoms at home can go a long way toward helping you to feel better. Other readers have reported cough when taking an ARB, and the official prescribing information notes: Amlodipine is available as amlodipine besylate, which was initially approved in 1987 by the FDA. Myocardial infarction, chest pain, and arrhythmia (e.g., bradycardia, ventricular tachycardia, atrial fibrillation) cannot be distinguished from the natural history of the underlying disease. The good news is that most of the causes can be quickly identified and most will improve with treatment. There is a natural nasal spray called Headache lasting that long should be evaluated. Successful treatment of the post-nasal drip will usually clear up these throat symptoms. Can sinus congestion cause headaches that can appear anywhere? Little P, Stuart B, Mullee M, et al. Measures that allow mucus secretions to pass more easily may be recommended. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Blow your nose to release mucus and the solution. Thanks for visiting. 2023 Dotdash Media, Inc. All rights reserved. 7 If you have what seems to be post-nasal drip without a confirmed cause, see your healthcare provider. swelling of the face, mouth, hands, or feet. and Privacy Policy and steps will be taken to remove posts identified Drug class: calcium channel blocking agents. 3 Home Remedies for a Baby's Cough and Chest Congestion, Causes and Treatments for Nasal or Sinus Congestion. My gp did not seem to think it caused rhinitis and as I had a lot to contend with I just let it go. What to do? There are a number of treatment options, including home remedies and over-the-counter medications: Keep in mind that many of these medications are combined in over-the-counter products. Who needs treatment for ocular hypertension? [Ref], Very common (10% or more): BUN increased greater than 50% (up to 10.9%), Common (1% to 10%): Hypokalemia, serum potassium increased greater than 20%, Uncommon (0.1% to 1%): Anorexia, hypercalcemia, hyperlipidemia, hyperuricemia, hyponatremia, gout, non-insulin-dependent diabetes mellitus, hypercholesterolemia, Uncommon (0.1% to 1%): Weight increased, weight decreased, Very rare (less than 0.01%): Hyperglycemia, Frequency not reported: Serum potassium increased[Ref], Common (1% to 10%): Asthenia, fatigue, facial edema, edema, peripheral edema, pitting edema, Uncommon (0.1% to 1%): Ear pain, chest pain, pyrexia, Very common (10% or more): Peripheral edema (up to 10.3%), Common (1% to 10%): Fatigue, edema, ankle swelling, Uncommon (0.1% to 1%): Gynecomastia, asthenia, discomfort, malaise, non-cardiac chest pain, pain, Common (1% to 10%): Flushing, hot flush, orthostatic blood pressure decrease, Uncommon (0.1% to 1%): Palpitation, tachycardia, orthostatic hypotension, Common (1% to 10%): Palpitation, flushing, Very rare (less than 0.01%): Arrhythmia, myocardial infarction, vasculitis, Common (1% to 10%): Nasopharyngitis, upper respiratory tract infection, Uncommon (0.1% to 1%): Cough, pharyngolaryngeal pain, sinusitis, bronchitis, pharyngitis, pharyngotonsillitis, bronchitis acute, tonsillitis, sinus congestion, dyspnea, epistaxis, productive cough, dysphonia, nasal congestion, Uncommon (0.1% to 1%): Coordination abnormal, dizziness postural, paresthesia, somnolence, vertigo, sciatica, cervicobrachial syndrome, carpal tunnel syndrome, hypoesthesia, sinus headache, Common (1% to 10%): Dizziness, headache, somnolence, Uncommon (0.1% to 1%): Dysgeusia, paresthesia, syncope, tremor, hypoesthesia, tinnitus, Very rare (less than 0.01%): Hypertonia, peripheral neuropathy, neuropathy, Frequency not reported: Extrapyramidal syndrome, Common (1% to 10%): Creatine kinase increased greater than 300%, Uncommon (0.1% to 1%): Arthralgia, back pain, joint swelling, epicondylitis, joint sprain, limb injury, muscle spasm, pain in extremity, myalgia, osteoarthritis, musculoskeletal chest pain, Rare (less than 0.1%): Sensation of heaviness, Uncommon (0.1% to 1%): Arthralgia, back pain, muscle spasm, myalgia, Postmarketing reports: Rhabdomyolysis[Ref], Very rare (less than 0.01%): Hypersensitivity, Frequency not reported: Hypersensitivity[Ref], Common (1% to 10%): Creatinine increased greater than 50%, Frequency not reported: Serum creatinine increased, renal failure and impairment[Ref], Common (1% to 10%): ALT increased greater than 150%, Very rare (less than 0.01%): Liver function test abnormal, serum bilirubin increased, hepatitis, intrahepatic cholestasis, jaundice, Frequency not reported: Liver function test abnormal, serum bilirubin increased[Ref], Uncommon (0.1% to 1%): Abdominal discomfort, abdominal distention, abdominal pain, upper abdominal pain, constipation, diarrhea, dry mouth, nausea, dyspepsia, gastritis, vomiting, colitis, gastroenteritis, Common (1% to 10%): Abdominal discomfort, upper abdominal pain, nausea, Uncommon (0.1% to 1%): Change of bowel habit, diarrhea, dry mouth, dyspepsia, vomiting, Very rare (less than 0.01%): Gastritis, gingival hyperplasia, pancreatitis, Uncommon (0.1% to 1%): Abdominal discomfort, upper abdominal pain[Ref], Uncommon (0.1% to 1%): Erythema, rash, pruritus, hyperhidrosis, eczema, Uncommon (0.1% to 1%): Alopecia, exanthema, hyperhidrosis, photosensitivity reaction, pruritus, purpura, rash, skin discoloration, Very rare (less than 0.01%): Angioedema, erythema multiforme, urticaria, exfoliative dermatitis, Stevens-Johnson syndrome, Quincke edema, Frequency not reported: Angioedema, dermatitis bullous, pruritus, rash[Ref], Uncommon (0.1% to 1%): Hematuria, pollakiuria, erectile dysfunction, Uncommon (0.1% to 1%): Micturition disorder, nocturia, pollakiuria, impotence[Ref], Uncommon (0.1% to 1%): Insomnia, anxiety, depression, Uncommon (0.1% to 1%): Depression, insomnia/sleep disorders, mood swings, Rare (less than 0.1%): Visual disturbance, Uncommon (0.1% to 1%): Visual disturbance, visual impairment[Ref], Very rare (less than 0.01%): Leukopenia, thrombocytopenia, Frequency not reported: Hemoglobin decreased, hematocrit decreased, neutropenia, thrombocytopenia[Ref], 1. The benefit of such a long half-life is the ability to have once-daily dosing. BMJ Case Rep. 2014;2014:bcr2014205462. Changing your diet is the most effective way to reduce reflux-related post-nasal drip. Post-nasal drip is when changes in the amount or quality of mucus you feel in your throat become noticeable. If you know what causes your allergies, avoid any of your allergy triggers at home. Dr. Yeung has more than 20 years of experience in treating nasal and sinus conditions such as post nasal drip and is dedicated to providing the least invasive, most effective treatment possible.

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does amlodipine cause post nasal drip