When your over the counter decongestant nasal spray creates a dependency, whereby, to stop use it causes increased nasal congestion, you have developed a condition commonly known as nasal spray addiction (rhinitis medicamentosa).
Over the counter decongestant nasal sprays containing oxymetazoline, xylometazoline, phenylepherine etc. (topical vacoconstrictors) temporarily reduce the size of the nasal turbinates, open the nasal passages and provide relief from nasal congestion etc. However when these are used for more than 3 consecutive days they cause rebound congestion. Rebound congestion is the result of abnormal hypertrophy (enlargement) and swelling of the nasal membranes. This blocks the nasal passages causing the nasal congestion and associated symptoms. This rebound congestion is temporarily relieved by using the offending nasal spray. Therefore a vicious cycle of dependency ensues.
The delicate lining of the nasal passages can be permanently damaged.
The main symptoms are;- difficulty in breathing and severe sinus congestion, easily agitated, reduced sense of smell (in some cases a complete loss), frequent nose bleeds, damaged and perforated nasal septum, anxiety and nervousness, dry nasal linings which can be crusty, higher than normal heart rate.
It is important to note that the nasal spray addiction is a consequence of using a decongestant nasal spray to relieve the symptoms of a previous sinus condition. Therefore once the nasal spray addiction has been dealt with it may still be necessary to treat the cause of the original sinus condition such as infection or allergies
Go ‘Cold turkey’ – Stop using the decongestant nasal spray. The rebound congestion can last from four days onwards and as with all cold turkey methods it is very difficult.
Stop one nostril at a time – By discontinuing use one nostril at a time you can deal with the negative symptoms of the rebound congestion while still maintaning some degree of breathing.
Gradual weaning – Gradually reduce the strength of your decongestant nasal spray by adding saline solution to it, a little at a time. The rate at which you add the saline depends on the individual and the main aim is not to cause rebound congestion due to the mixture being too weak. This does not work for everyone but is definitely worth a try.
Natural nose sprays – SinuSoothe in particular is doctor recommended and can be used to replace the decongestant nasal spray. The ingredients have been clinically proven to reduce inflammation and have decongestant and expectorant properties therefore it is extremely effective at relieving nasal congestion. It can also moisturize dry nasal passages and assist in healing damaged tissue. It is completely safe and non-addictive.
Saline nasal sprays – Saline nasal sprays such as Sterimar may be useful for moisturizing the nasal passages and relieving nasal congestion. They can be either isotonic or hypertonic solutions. These can be used long term, have no side effects and are non-addictive. They may help reduce inflammation. Unfortunately for many sufferers saline nasal sprays are ineffective.
Nasal irrigation – A neti pot is used to irrigate the sinuses with either an isotonic or hypertonic solution. An isotonic solution has the same salt concentration as your body. A hypertonic solution has a higher salt content and may be more useful at drawing moisture and mucous from the sinuses. This may help reduce inflammation and relieve nasal congestion. It is a good practice for keeping your sinuses clean and removing irritants. It is completely safe provided you use the correct saline solution. However it is usually carried out in the home environment, is not convenient and many people either do not like the process and/or find it difficult to do.
Anti-inflammatories (natural) – By reducing inflammation you may adequately relieve the symptoms of nasal spray addiction. Ginger, turmeric and omega oils are particularly effective and can be used instead of the pharmaceutical type. They usually do not cause side effects.
As with all medical conditions you should consult your doctor before undertaking new treatments.
Want to find out more about nasal sprays and natural nasal sprays, then visit Rachel at SinuSoothe’s website where she is always glad to help. Rachel Scott Ph.D. is an expert in the treatment of sinus conditions.
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