Doctor insights on:
Rebound Congestion From Nasal Spray
No single best spray: Unfortunately, there's no single best spray for everyone in the States where HealthTap docs are located. It's even trickier to determine best spray for someone outside of States, in say UK. Saline sprays (salt water) are safe. Sinus rinses are fine as long as you don't use tap water. In States, some corticosteroid sprays are available OTC w/o prescription. Stay away from nasal decongestants sprays ...Read more
I am experiencing nasal congestion, nasal drainage, runny nose, sneezing, post nasal drip and sinus pain.
Common cold: The common cold virus can cause all your symptoms; care is purely supportive in nature. Antibiotics can't cure a viral infection. If your symptoms persist for more than 10 days or progressively worsen, there may be a role for antibiotic treatment of a sinus infection. Please see a doctor if you're concerned. ...Read moreSee 1 more doctor answer
Probably so: This is quite common from otc sprays, check the box and if it says not to use for more than 3 days, you'll need prescription medication treatment. ...Read more
Antihistamine?: If you haven't already tried an antihistamine that might be worth a try. If you've been on antibiotics, it sounds like you've already seen your doctor at least once. At this point a follow up and consideration of additional testing and/or possible ENT referral may be in order. Good luck! ...Read moreSee 2 more doctor answers
Beware!: Otc decongestant sprays such as zicam, afrin, etc (oxymetazoline) can definitely cause rebound congestion typically after 5 to 7 days of use. This condition is called rhinitis medicamentosa, and long-term use of such medications can be difficult to treat. For severe cases, an allergist or ENT physician can recommend weaning protocols in conjunction with proper rhinitis therapy. ...Read more
Can anti-histamine + nasal irrigation + Cromolyn Sodium spray help reduce chronic nasal turbinate, nasopharynx inflammation & mucus membrane swelling?
Saline washes: It depends on the cause of the congestion, but saline nasal washes at least don't have side effects, unlike decongestants and antihistamines. If the saline doesn't help enough and your symptoms persist, it may be time to see your doctor. ...Read more
Very different: Nasonex (mometasone) is a prescription nasal steroid spray to effectively treat nasal allergies in patients over 2 years old. It is the most effective treatment for nasal allergies and used on a regular basis. Drixine is available over the counter oxymetazoline, a nasal decongestant which works quickly but designed for short term use (less than 4-6 days) due to risk of rebound nasal congestion. ...Read more
Chronic nasal congestion due to rhinitis. Are saline nasal sprays effective in the long term? Congestion will come back if stopped? Thanks.
Lots of Options: OTC non-sedating antihistamines like Allegra, Claritin, (loratadine) or Zyrtec are helpful for perennial allergic rhinitis symptoms, however the gold-standard treatment are daily intranasal steroid sprays if your symptoms are more severe. Avoidance of triggers is important as well and allergy shots are also an option. Saline sprays are useful but will not provide lasting relief used alone. See Allergist. ...Read more
Could 3-4 yearlong daily nasal spray addiction (xylometazolin) cause post nasal drip, and coughing/ constant airways irritation. Which mimic asthma?
No: not directly ...It sound like you should ask your PCP for a referral to a Board Certified ENT (Ear Nose Throat) Specialist!! Hope this helps BE WELL! Dr Z ...Read more
Is there any benefit from using otravin nasal spray and fluticasone to alleviate nasal turbinates hypertrophy?
Nose: Stay away from the OTC nasal sprays as they are addictive. Fluticasone is fine but takes three weeks to work. You need to look for a cause such as allergies. If none of that helps some people need an office procedure to reduce their size. See an ent and have them check your septum as well ...Read more
No: Nasarel (flunisolide) is a prescription topical corticosteroid spray used to treat allergic rhinitis & may be useful in related conditions like nasal polyps. Nasarel is one of the earliest developed topical steroid sprays. Its not used very much anymore because it causes nasal stinging. It is not a vasoconstrictor/decongestant like afrin. Continued use does not cause blockage of sinus openings. ...Read moreSee 1 more doctor answer
Can Ipratropium Bromide nasal spray help with post-nasal drip? No runny nose or front nasal discharge, just the drip. Not linked to allergy (per ENT)
Depends: It depends on the cause for the post-nasal drips. If the nasal drips is not linked to nasal stuffiness, sneezing, or runny nose, one needs to consider other causes (sinus infection for example). If your nose and eyes itch, it is likely from allergy which can confirmed by the history and skin testing. One can't tell whether one has an allergic problem by looking at the nose and throat alone. ...Read more
Big Difference: Saline nasal sprays are just salt water sprays. You can use saline as nasal sprays as often as you like for as long as you like. Neosynephrine nose drops, however, are decongesting nose drops. It works quite well but.....This may only be used for 3 days in a row as your nasal tissues can be physiological dependent on them (i.E you can get hooked on them). ...Read more
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