I have been diagnosed with Nasal Rhinitus, Tinnitus and Eustachain tube dysfunction. The generic medication recommended is very expense and insurance will only pay $8 toward the cost of $87(PHP Select). I currently am unemployed. I have high blood pressure and Clarinex D/Sudfed causes my blood pressure to go up. I will begin taking Fluticasone spray and Claritin tab 10mg.