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Decongestant
sprays are useful medicines in treating acute symptoms of sinusitis
and nasal allergy. Over the counter sprays such as Neosynephrine,
Afrin, 4way, Sinoff, Equate, Otrivin and others have decongestant
medicine in them. Continued use can create a problem known as Rhinitis
medicamentosa. In this type of sniffling stopped up nose problem,
the medicine creates an addiction in the tissue in the nose. When
the spray use is discontinued, the nasal tissue has a rebound inflammatory
swelling and causes recurrent obstruction. The cure for this nasal
inflammatory condition requires discontinuing the decongestant spray.
The best method of accomplishing this is covered in the following
instructions.
TAPERING INSTRUCTIONS
Begin any other
medications your doctor has prescribed and continue them through
this process as directed.
Choose the
side of your nose that is always the most open and discontinue the
decongestant spray on the opposite side first.
Continue the
decongestant spray in the more open nostril for the next several
days.
After 5 - 10
days discontinue the decongestant medicine on the more open side
as well.
Continue any
topical nasal steroid or antihistamine spray as directed by your
doctor for the next several weeks before attempting to do without
it as well. Remember, nasal steroid medicines do not work immediately
like the decongestants and require a long period of use to decrease
the inflammatory effects in the nose.
Dr. Love is Certified
by the American Board of Otolaryngology, Head and Neck Surgery and
has special training in Facial Plastic Surgery , Laser Surgery in
the Face and Head and Neck, and Adult and Pediatric Otolaryngology
and Nasal and Sinus Allergy. His practice is in Montgomery, Alabama.
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