A 29-year-old male asked:
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i use oxymetazoline based decongestants for over a decade every single day. when i stop my nose gets blocked bad. i have a horrible headache as well.

2 doctor answers
Dr. Devin Cunning
28 years experience ENT and Head and Neck Surgery
OxymetazolinRhinitis: See your ENT physician. Long term oxymetazoline use causes rebound nasal swelling and possibly nasal septal perforation. Your physician may place you on a nasal steroid spray and a short course of oral steroid if there's no contraindication.
Answered on Jul 28, 2014
Dr. Grant Brenner
23 years experience Psychiatry
Acclimated: People who use this kind of nasal spray get acclimated to it, and then get rebound congestion when they stop. You would be best served by talking with an ENT doctor to see if you can taper off of it and what is the best way, or if there are other issues you should be aware of.
Answered on Jun 10, 2015
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Dr. Rachel Chastanet
33 years experience Bariatrics
nasal steroids can be helpful in getting your nose "un-addicted" to decongestant nasal sprays. BTW, long term use of nasal decongestants (Afrin, Neosynephrine, and others) is harmful to the nose and can occasionally result in a hole developing in the nasal septum, and nose deformity.
Jul 28, 2014

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