Doctor insights on:
How To Avoid Afrin Rebound
Medicine Nose: That's what rhinitis medicamentosa means. Lots of opinions here; i like dr. Klein's the best. This addiction involves 2 problems - tachyphylaxis - the effects of the spray wear off quickly & rebound - when it wears off you are more stuffed then before you started. "cold turkey" works in 3 days. Topical nasal steroids and saline spray make "rehab" a lot easier. Good luck! ...Read moreSee 3 more doctor answers
Allergies: Spray saline into your nostrils frequently to flush out allergens and irritants. You will get the best care in a long term relationship with a provider who knows you over time. Discuss this with that provider. ...Read more
Can taper dose...: ...slowly over a period of a week or two, but after a few days of having no drug in your system you'll still be back to making basal levels of stomach acid. Perhaps a step-down to an H2-blocker or use of antacids may achieve your goal. ...Read more
Any helpful ideas for how to more comfortably wean down from chronic afrin (oxymetazoline) during allergy season? The rebound rhinitis is tough!
Afrin (oxymetazoline) overuse: Topical decongestants, like afrin, reduce nasal congestion by constricting blood vessels in the nasal membranes and reducing blood flow. While they help reduce nasal congestion temporarily, after 3-5 days, the membranes can become even more swollen after they wear off. The answer is using other medications during a pollen season, such as nasal steroids, oral and topical antihistamines, etc. ...Read moreSee 3 more doctor answers
Possibly: I wouldn't necessarily use the word "addicted" when talking about afrin, but, as with any decongestant nasal spray such as afrin, you can get what is called rebound congestion if you use it for more than 2-3 days. This is a condition where the congestion actually gets worse, even while continuing to use the afrin, so you want to restrict use to 2-3 days only. ...Read more
Should I use otrivine nasal spray and sudafed Pseudoephedrine prior to my flight to try and prevent sinus barotrauma? Will this do the trick?
May help: This combination may be helpful in keeping your nasal and sinus openings more patent if you have problem with nasal congestion. However without knowing whether there are other issues such as the size of the sinus openings etc, it is impossible to tell. ...Read more
Requires expert care: Withdrawing from clozapine may come with *many* potential consequences. I hope you have someone with sufficient expertise to help with the process. The anticholinergic withdrawal syndrome (AWS) is often described as flu-like malaise. Brain-permable anticholinergic meds like benztropine (Cogentin) or scopolamine would be reasonable treatments for AWS. This should be undertaken w a psychiatrist. ...Read more
Is stopping diphenhydramine for sleep going to cause any rebound insomnia or other symptoms? If so how long to overcome rebound symptoms?
Dependance: I am not aware of any dependance related to this drug (antihistamine), but the symptome of insomnia probably needs to be addressed probably with some lifestyle changes and some physical activity during the day to make you feel more tired and desiring to sleep without medications. Hope this is somewhat helpful. ...Read moreSee 1 more doctor answer
Do you and how to taper or wean off amlodipine. Can you stop abruptly when switching to spironolactone, ? Thanks.
Doctor's advice: Starting and stopping medications can be complex. The proper way to stop a medicine depends on the reasons that the medicine is being used, and the effects that the medicine is having. It is impossible to answer your question without more detail and you should ask your doctor for advice. Amlodipine and spironolactone are not similar medications and one does not replace the other. ...Read more
Genetic +environment: Genetic plays a role, but environmental exposures play a bigger role in development/severity of asthma. Living in rural/farms has lower risk compare to urban environments. Certain occupational/chemical exposures incur even higher risks. If you don't have asthma, then minimize exposure to smoke/chemicals may help. If yes, then follow doc for eval/treatment to better control your asthma. Good luck. ...Read moreSee 2 more doctor answers
Maybe yes - maybe no: Sleep disturbance is a possible side effect of afrin (oxymetazoline). However, if a person was having problems with sleep due to congestion - then use of afrin (oxymetazoline) may help to improve quality of sleep. Remember that Afrin (oxymetazoline) use is limited to 3 to 5 days. ...Read moreSee 1 more doctor answer
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