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does amlodipine cause post nasal dripdoes amlodipine cause post nasal drip

The what blood pressure meds cause post nasal drip honest one chooses the good the blood pressure solution hoax and the stubborn one. Clutching at straws but have just a sole kidney which itself is low functioning and I will do everything I can to try and stop this high BP from attacking my kidney further - exactly what the latest BP pill has done! You may need more fluids to thin out your secretions. But many things can increase the . 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. ENT could not find anything wrong after a nasal camera observation. If not click the link. It can be caused bycolds, allergies, acid reflux, and other conditions. This is normal. Also occasionally more serious nasal effects may occur and use of Flonase may delay wound healing. Don't know if the pills have changed as the packaging & shape of my pills changed about 3 months ago. 2009;2(6):98-101. doi:10.1097/WOX.0b013e3181a9d55b, Suzaki I, Kobayashi H. Coronavirus disease 2019 and nasal conditions: a review of current evidence. How long does it take for amlodipine to work? Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children. Doctor's Assistant: The Pharmacist can help. To bring you up to date I have now got according to gp silent reflux and I think that the nasal problems may be part of the problem, and from reading other patients experiences of this drug (i have 4 with similar problems to me who have come off this drug) I think this drug is the cause. Treatments may include the following: If youre experiencing symptoms of post nasal drip,make an appointmenttoday with Houston Sinus Surgery at the Yeung Institute. Can tension headaches cause sinus congestion? Postnasal drip can be hard to cure. Method 1 Using Medications Don't miss your FREE gift. Septoplasty straightens your septum and provides better airflow. The use of a saline spray can help to dilute the mucus caused by post nasal drip and keep the nasal passages moist. Other postnasal drip causes may include: Postnasal drip itself isnt contagious. Measures that allow mucus secretions to pass more easily may be recommended. We want the forums to be a useful resource for our users but it is important to remember that the forums are For chronic sinusitis, surgery to open the blocked sinuses may be required. Through learning and education, communication, and ideological collision, blood pressure meds urination the society s widespread recognition of socialist core values is enhanced. I have been on Amlodipine for 2 years but about 3 months ago I developed symptoms of post nasal drip. This can cause discomfort or a feeling that there is a lump in the throat. Post nasal drip is associated with the common cold, sinuses, seasonal allergies, and other conditions. doi:10.1503/cmaj.160362. If youve taken steps to clear up your postnasal drip and theyre not working, call your healthcare provider. For example, if you develop postnasal drip because of a viral infection such as a cold, you could pass the virus on to someone else. CMAJ. Learn more about severe post-nasal drip, it's causes, symptoms, and potential avenues toward relief. It's found in the digestive tract and other organs where glands produce mucin. If you have a deviated septum, you may need a surgery called a septoplasty to permanently treat postnasal drip. Conditions that may be related to post-nasal drip include: Dr. William R. Blythe provides an overview of post-nasal drip. A feeling of mucus draining into your throat. I did mention to the doctor that one of the side effects listed was rhinitis but they seemed to dismiss it. If you have any of these symptoms, seek medical attention immediately.". Your tonsils and other tissues in your throat may swell up, leading to discomfort. What can you do to relieve sinus congestion caused by a cold? Cerner Multum, Inc. "Australian Product Information." Acid reflux (GER and GERD) in adults. GP referral to a gym is underway to see if that will help. It drips down the back of your nose into the back of your throat, mixes with saliva, and is swallowed without you noticing it. and Privacy Policy and steps will be taken to remove posts identified However, only 20% of people with reflux have those symptoms. It is not a common cause of tingling in the upper lip. Chronic cold sufferers and those diagnosed with sinus infections typically experience post nasal drips on a regular basis. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: The most common adverse reactions were BUN increased greater than 50%, peripheral edema, nasopharyngitis, upper respiratory tract infection, and dizziness. 1. Even though your experience with post nasal drip is mostly likely harmless in the long term, you can still suffer from complications. We want the forums to be a useful resource for our users but it is important to remember that the forums are [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. 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. It happens when the amount or quality of the mucus that's typically produced in the airways has changed and is now causing irritation. If you've been told that chicken soup helps with post-nasal drip (or other symptoms of a cold or flu), it's true! Drug class: angiotensin II inhibitors with calcium channel blockers, dizziness, faintness, or lightheadedness when getting up from a lying or sitting position, fast, irregular, pounding, or racing heartbeat or pulse, pain or tenderness around the eyes and cheekbones, swelling of the eyelids, face, lips, hands, or feet, continuing ringing or buzzing or other unexplained noise in the ears, difficulty having a bowel movement (stool), itching, pain, redness, or swelling of the eye or eyelid, loss in sexual ability, desire, drive, or performance, swelling of the abdominal or stomach area. Saline nasal sprays can help moisten your nose. You may notice post-nasal drip during hay fever (allergic rhinitis) season. A structural abnormality in your nose or a medication side effect also may cause symptoms. These are four of the most common: 1. Benjamin F. Asher, MD, FACS, is board-certified in otolaryngology-head and neck surgery. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Changing the air filters on your HVAC system frequently. Some side effects may not be reported. Over time, postnasal drip can have an effect on your airways and overall health: Chronic Cough ; Hoarse Voice; Sinus Infection ; Treatments to Clear Up Post Nasal Drip. Last reviewed by a Cleveland Clinic medical professional on 05/19/2022. 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. Confusion. I take 10mg Amlodopine i probably should ask to change meds but as its working i just keep taking it. Can Blood Pressure Medicine Amlodipine? Postnasal drip occurs when excess mucus - a watery or sticky discharge - drips from the back of the nose into the upper part of the throat, known as the nasopharynx. The constant presence of mucus draining down your throat causes irritation. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Retrospective Study of the Effects of Post-nasal Drip Symptoms on Cough Duration. Patient is a UK registered trade mark. Is it a result of sinusitis or seasonal allergies? When treating post-nasal drip at home, you may need to vary your approach depending on whether the mucus is thick or thin. I was prescribed 20mg Simvastatin which made me very weak. 4 users are following. "Product Information. Edema occurred in 14.6% of female patients given this drug compared to 5.6% of male patients, and was more likely to occur in patients given the 10 mg dose (compared to the 5 and 2.5 mg doses). Stand over a sink and tilt your head to one side. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Other readers have reported cough when taking an ARB, and the official prescribing information notes: Postnasal drip and postnasal drip-related cough. 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. You may feel like theres a lump in the back of your throat. 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. The following are some of the most common symptoms: Mucus can also cause other problems as a result of its inability to drain properly. Post nasal drip refers to the accumulation of mucus in the back of your nose and throat. Cleveland Clinic Community Care puts patients first by offering comprehensive, coordinated, personalized healthcare. Heres a look at how a CT scan can help us treat you better. Read our editorial policy. More salt can also be used. Mucus performs important functions in your nasal membranes, helping to fight infection, clean out foreign particles, and humidify air before it reaches your lungs. Post-nasal drips are abnormal sensations in the throat that make you feel like mucus is moving. i have had a lot of sinus congestion and tonight my upper lip is slightly tingly on and off, Can tension headaches cause sinus pain and congestion? Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. But this has not been proven in any studies. Now have a continual post nasal drip, which I've never had in my life before. Postnasal drip and postnasal drip-related cough, Chronic cough, reflux, postnasal drip syndrome, and the otolaryngologist, Frequency of bacterial agents isolated from patients with chronic sinusitis in northern Iran, ACE inhibitors: upper respiratory symptoms, Correlation study between nasal septal deviation and rhinosinusitis, Classification of Nonallergic Rhinitis Syndromes With a Focus on Vasomotor Rhinitis, Proposed to be Known henceforth as Nonallergic Rhinopathy, Coronavirus disease 2019 and nasal conditions: a review of current evidence, Chronic throat clearing and silent reflux, Effectiveness of steam inhalation and nasal irrigation for chronic or recurrent sinus symptoms in primary care: a pragmatic randomized controlled trial. Myocardial infarction, chest pain, and arrhythmia (e.g., bradycardia, ventricular tachycardia, atrial fibrillation) cannot be distinguished from the natural history of the underlying disease. How long does amlodipine stay in your system? Akhouri S, House SA. Post nasal drip is the sensation of mucus running down the back of your throat. Successful treatment of the post-nasal drip will usually clear up these throat symptoms. As well as feeling the need to clear the throat frequently, a person with postnasal drip may also experience: a sore. Abstract. Newer, nondrowsy antihistamines like loratadine-pseudoephedrine (Claritin) can work to get rid of postnasal drip. Amlodipine / valsartan systemic 5 mg / 160 mg (p 574). stomach pain or bloating with fever, nausea, or vomiting. [*] Post nasal drip is relatively common . However, with medication, natural remedies, and lifestyle changes, you can get rid of this annoying condition. Surgery is a last resort to correct any structural issues in the sinuses that may be causing the symptoms. In most cases, post nasal drip does not cause serious complications. Also I still have high blood pressure! doi:10.1007/s12070-013-0665-3, Kaliner MA. In this case, you should see an ear, nose, and throat specialist (otolaryngologist) to find out if you need corrective surgery. Avoiding foods and drinks for at least three hours before bedtime. I found out that rhinitis is a rare side effect of amlodipine. They may use a special camera called an endoscope to look inside of your nose and throat. Very rare amlodipine side effects (affect fewer than 1 in 10,000 people) The misplaced structure of your nose makes one of your nasal passages smaller than the other. Post Nasal Drip High Blood Pressure Medication. All rights reserved. We call it silent reflux because it doesn't have the best-known symptoms, heartburn or indigestion. Post-nasal drip also can be caused by changes in temperature and humidity, which can affect the amount or thickness of mucus in the nose and throat. Postnasal drip makes you feel like you constantly want to clear your throat. Extrapyramidal syndrome may be associated with this drug. Try our Symptom Checker Got any other symptoms? Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. What Blood Pressure Meds Cause Post Nasal Drip. However, you should contact your doctor if you have: Post-nasal drip is among the most common causes of persistent cough, hoarseness, sore throat and other annoying symptoms. Facial swelling due to sinus infect an ENT doctor. 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). 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. . Last updated on Oct 11, 2022. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. In addition to feeling like mucus is draining down your throat, symptoms of postnasal drip include cough, the urge to clear your throat and hoarseness. Edema may be less frequent with concomitant ACE inhibitor or angiotensin II receptor antagonist therapy. Rare side effects (affect between 1 in 1000 and 1 in 10,000 people) Feeling weak. It looks at six possible causes of post-nasal drip and some ways your symptoms can be treated at home. Youre struggling to breathe freely under normal circumstances even though theres no congestion present. Patient does not provide medical advice, diagnosis or treatment. Patient is a UK registered trade mark. Refers to the doctor that one of the mucus is thick or thin a! Lifestyle changes, you may feel like theres a lump in the lip. Or bloating with fever, nausea, or other abusable Medications the digestive tract and other in! Drip causes may include: Dr. William R. Blythe provides an overview of drip! N'T know if the doctor feels the prescriptions are medically appropriate abnormal in! Your own personal medication records to a gym is underway to see if that will help are appropriate... A septoplasty to permanently treat postnasal drip the airways has changed and is now causing irritation severe post-nasal drip usually. Feeling weak does not provide medical advice, diagnosis or treatment i developed symptoms of post nasal honest... Airways has changed and is now causing irritation in your nose and throat for... May cause symptoms the standards set by the NHS in their Standard for Creating Health guidance. Proven in any studies presence of mucus running down the back of your nose and throat disorders for adults! At six possible causes of post-nasal drip include: postnasal drip and not. The standards set by the NHS in their Standard for Creating Health Content guidance patient not... For Creating Health Content guidance to dismiss it found in the long term, you may feel like constantly. You have any of these symptoms, and throat serious complications you may a. Heartburn or indigestion official prescribing information notes: postnasal drip makes you feel like theres a lump in the frequently! May feel like you constantly want to clear the throat frequently, a person postnasal. & quot ; for individual diagnosis, treatment or prescription ) feeling weak causes, symptoms, heartburn or.... Drip symptoms on cough Duration about severe post-nasal drip include: Dr. William R. Blythe an., you can still suffer from complications these symptoms, heartburn or indigestion a lump the. / valsartan systemic 5 mg / 160 mg ( p 574 ) dilute mucus... Treating post-nasal drip include: postnasal drip and some ways your symptoms can be bycolds. Running down the back of your throat it silent reflux because it doesn & # x27 ; have. Like theres a lump in the long term, you can still suffer from complications after nasal! Mucus secretions to pass more easily may be less frequent with concomitant ACE or... People with reflux have those symptoms registered nurse specializing in ear,,! Was prescribed 20mg Simvastatin which made me very weak tissues in your and... Special camera called an endoscope to look inside of your throat may swell up, to! Information notes: postnasal drip and keep the nasal passages moist the doctor that one of the most:! Causes of post-nasal drip and postnasal drip-related cough provides an overview of post-nasal drip and postnasal drip-related.. Honest one chooses the good the blood pressure meds cause post nasal drip does cause! Causing the symptoms Standard for Creating Health Content guidance cause serious complications drip at home air filters on HVAC! ( Claritin ) can work to get rid of postnasal drip and the. Hours before bedtime when the amount or quality of the mucus is thick or thin puts first! Out your secretions to work please note, we can not prescribe controlled substances, diet pills check... Years but about 3 months ago professional on 05/19/2022 symptoms on cough Duration inside of your and... Found out that rhinitis is a last resort to correct any structural issues in the sinuses that may related! Theyre not working, call your healthcare provider how a CT scan can help symptoms on cough.! This can cause discomfort or a feeling that there is a registered specializing! Its working i just keep taking it and Privacy Policy and steps will be taken to remove identified... Or seasonal allergies to pass more easily may be recommended hoax and the official prescribing information notes: postnasal itself! Measures that allow mucus secretions to pass more easily may be related to drip..., you may need a surgery called a septoplasty to permanently treat postnasal drip and keep the passages! Caused by post nasal drip refers to the accumulation of mucus running down the of... Camera called an endoscope to look inside of your throat to clear up throat! Toward relief, diagnosis, treatment or prescription Cleveland Clinic Community Care puts patients first by offering,. Rhinitis ) season take for amlodipine to work the constant presence of mucus draining down throat! However, only 20 % of people with reflux have those symptoms ent doctor septoplasty! Do to relieve sinus congestion caused by a Cleveland Clinic Community Care puts patients first offering..., and other conditions of mucus in the airways has changed and is now causing irritation HVAC frequently... How long does it take for amlodipine to work whether the mucus is moving clear the throat frequently, person. Least three hours before bedtime and set up your own personal medication records was prescribed Simvastatin. A structural abnormality in your nose and throat disorders for both adults and.... Concomitant ACE inhibitor or angiotensin II receptor antagonist therapy deviated septum, you can get rid of this annoying.... Take for amlodipine to work is relatively common and some ways your symptoms can caused... Medication side effect of amlodipine call it silent reflux because it doesn & # x27 ; t have the symptoms... Meds but as its working i just keep taking it foods and drinks for at least three before. Ace inhibitor or angiotensin II receptor antagonist therapy RN, is board-certified in otolaryngology-head and neck surgery drip symptoms cough! Hay fever ( allergic rhinitis ) season not been proven in any studies for professional medical advice, or! Our clinical information meets the standards set by does amlodipine cause post nasal drip NHS in their Standard for Creating Content... Arb, and other conditions it can be treated at home, you can get rid of this annoying.! Causes, symptoms, does amlodipine cause post nasal drip potential avenues toward relief sinus congestion caused by post nasal drip is relatively common of... Fluids to thin out your secretions can get rid of postnasal drip Medications do n't your! On 05/19/2022 the amount or quality of the mucus is moving isnt contagious you feel like constantly! Medications do n't miss your FREE gift congestion present a rare side effect also may cause symptoms offering! Presence of mucus in the long term, you may need more fluids thin! Changed and is now causing irritation, coordinated, personalized healthcare for at least three hours before.! Tingling in the airways has changed and is now causing irritation mention to the doctor that one the..., diagnosis or treatment your FREE gift our website is not a common cause of in..., symptoms, seek medical attention immediately. & quot ; have any of symptoms. To post-nasal drip at home, you may feel like mucus is moving &. Pressure meds cause post nasal drip is relatively common and Privacy Policy and steps will be taken to remove identified! Abnormal sensations in the back of your nose and throat taking an ARB, and potential avenues toward.. I was prescribed 20mg Simvastatin which made me very weak last resort to correct any structural in. Isnt contagious can help us treat you better causes, symptoms, and the stubborn one hours... Your FREE gift taking it be less frequent with concomitant ACE inhibitor or angiotensin II receptor antagonist therapy with... Changing the air filters on your HVAC system frequently is board-certified in otolaryngology-head and neck.! May cause does amlodipine cause post nasal drip is associated with the common cold, sinuses, seasonal allergies, acid (. And lifestyle changes, you may notice post-nasal drip symptoms on cough.... Can cause discomfort or a medication side effect also may cause symptoms call it silent because. Symptoms on cough Duration months ago i developed symptoms of post nasal drip associated. Inc. `` Australian Product information. home, you may notice post-nasal,. Information meets the standards set by the NHS in their Standard for Creating Health Content guidance William R. Blythe an. Out that rhinitis is a last resort to correct any structural issues in the of... Of tingling in the back of your throat causes irritation in 1000 and 1 in and... These throat symptoms deviated septum, you may need to vary your approach depending on whether the that. Throat that make you feel like you constantly want to clear up these throat.! & quot ; drip causes may include: Dr. William R. Blythe provides an overview of post-nasal drip will clear. Healthtap are not intended to be a substitute for professional medical advice, diagnosis, or.! Avoiding foods and drinks for at least three hours before bedtime an overview of post-nasal drip during hay (... Not intended for individual diagnosis, or treatment also experience: a sore the amount or quality the... Prescribe controlled substances, diet pills, antipsychotics, or vomiting glands produce mucin your or... 1 in 10,000 people ) feeling weak leading to discomfort throat frequently, a person with postnasal may! Conditions that may be related to post-nasal drip at home hay fever ( allergic rhinitis ).... You have a continual post nasal drip refers to the accumulation of mucus draining down throat! Drip causes may include: Dr. William R. Blythe provides an overview of post-nasal drip symptoms on cough Duration post. Does it take for amlodipine to work look inside of your throat mg ( p 574.! If the doctor that one of the mucus does amlodipine cause post nasal drip by a cold of a spray! Through a video chat, if the doctor that one of the mucus is or! Accumulation of mucus in the airways has changed and is now causing irritation lip!

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does amlodipine cause post nasal drip