A Patient Requests Medication for Insomnia

A patient requests medication for insomnia. The provider notes that the patient is restless and anxious with a heart rate of 90 beats/minute, and blood pressure of 130/85 mm Hg. Current medications are the combination product loratadine/pseudoephedrine every 12 hours for allergic rhinitis. What action will the provider take?

A) Discuss changing to an intranasal glucocorticoid and loratadine.
B) Evaluate the patient for acute pseudoephedrine toxicity.
C) Discuss changing to pseudoephedrine without loratadine.
D) Suggest switching to a topical decongestant to minimize systemic symptoms.