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Doctor insights on: Nasal Saline Vs Decongestants

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Can you please tell me how saline nasal spray and nasal decongestant differ?

Can you please tell me how saline nasal spray and nasal decongestant differ?

Salt water vs med: Nasal saline spray is a physiological salt solution which has the same salt content present in your blood. It is thus gentle enough to bathe, coat or rinse your nasal passageways without causing harm. Nasal decongestant sprays cause shrinkage of blood vessels thus reducing nasal congestion and also drying up the nose. Repeated use of decongestants is harmful to your nasal mucosal linings, avoid it! ...Read more

Saline (Definition)

Saline water is a general term for water that contains a significant concentration of dissolved salts (nacl). In medicine we use saline solution for IV hydration. Normal saline (ns) is the commonly-used phrase for a solution of 0.90% w/v of nacl, about 300 mosm/l or ...Read more


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My son 22 months old has a cold, nasal congestion. Is there any nasal decongestant spray that would help. I am using the saline spray and OTC zyrtec. ?

My son 22 months old has a cold, nasal congestion. Is there any nasal decongestant spray that would help. I am using the saline spray and OTC zyrtec. ?

Saline and suction.: The safest and most effective treatment is saline nose drops and suctioning. Elevating the head of the crib and using a humidifier help, too. Cold and cough medicines are proven ineffective and can have serious side effects, which is why the fda has been taking them off the market gradually. If this doesn't help, your child needs to see the doctor to see if it's more than a cold. ...Read more

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My 6 month old baby has been nose congested for 3 months now & snores at night, tried humidifier, saline drops, is it allegies? Can he take decongestant?

My 6 month old baby has been nose congested for 3 months now & snores at night, tried humidifier, saline drops, is it allegies? Can he take decongestant?

Not the best: Over the counter cold medicines are no longer recommended for children, because studies have not shown that they really help, and they often cause side effects. You should see your child's doctor to figure this out since it has lasted so long. It would be unusual to have this much trouble with allergies so young but there is a simple ige blood test to check for allergies. ...Read more

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My throat hurts one side, my nose is congested and I feel like I can't breathe when I'm drinking or trying to sleep, no saline or decongestant working?

My throat hurts one side, my nose is congested and I feel like I can't breathe when I'm drinking or trying to sleep, no saline or decongestant working?

INS: Still sounds like a viral infection ... But you can ease the symptoms a bit by adding an intranasal spray (Nasacort) and Chloraseptic Max cough drops (they have benzocaine which numbs the throat). Hope that helps & feel better! ...Read more

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I have a sinus infection and normal saline does not work for me is it safe to use nasal four it says it contains phenylephrine hci 1%?

I have a sinus infection and normal saline does not work for me is it safe to use nasal four it says it contains phenylephrine hci 1%?

Sinus: As long as you have no heart disease or blood pressure issues you can use the spray for three days then stop it as it can cause rebound swelling. Also consider a sinus rinse ...Read more

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Mistook phenylephrine Hydrochloride 1% nasal spray for my saline nasal spray so I sprayed a lot. Used neti pot afterward to get out as much as i could?

Mistook phenylephrine Hydrochloride 1% nasal spray for my saline nasal spray so I sprayed a lot. Used neti pot afterward to get out as much as i could?

Likely OK: With a single exposure, albeit with high doses, I'd doubt that you will suffer any significant side effects. ...Read more

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Can somebody get an overdose of nasal decongestant?

Can somebody get an overdose of nasal decongestant?

Possibly: Overdosing is technically speaking when you take more of a medicine than is prescribed. If you mean, can you get a serious medical complication from overuse, the answer is that it is possible, but uncommon. Overuse of nasal decongestants like afrin can lead to insomnia, increased heart rate and nervousness. Risk of more serious side effects higher if you have hypertension or heart disease. ...Read more

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Is there a nasal decongestant that has a long-lasting effect?

Is there a nasal decongestant that has a long-lasting effect?

Decongestant: For ongoing relief you really want to maintain decongestion without having to redose. Frequently, when people have allergies they benefit from allergy meds (nasal steroid and antihistamine) and possible phenylephrine decongestant that is 12-hours. It is taken once in the AM and repeated in the PM. This is ideal relief. 24-hour decongestants can dry your throat. ...Read more

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Should I use a nasal decongestant and fludocasone at the same time?

Yes: These drugs are compatible. If using topical nasal decongestant follow directions on bottle as prolonged use can create problems. Oral decongestants compatible. ...Read more

Dr. Jack Mutnick
1,167 doctors shared insights

Nasal (Definition)

NaSal is a nasal preparation which is a kind of ...Read more


Dr. Thomas Josa
271 doctors shared insights

Decongestant (Definition)

Decongestants are a kind of common ...Read more