A Patient Asks an NP About Using an Oral Over-The-Counter

A patient asks an NP about using an oral over-the-counter decongestant medication for nasal congestion associated with a viral upper respiratory illness.The NP learns that this patient uses loratadine (Claritin) ,a b-adrenergic blocker,and an intranasal corticosteroid.The NP would be concerned about which adverse effects?

A) Liver toxicity
B) Excessive drowsiness
C) Rebound congestion
D) Tremor, restlessness, and insomnia

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