With rebound congestion, a person may find that they need to use the spray more frequently over time, often several times a day or more. The term âârebound congestionââ was used for the ï¬rst time in 1944 by Feinberg and Friedlaen-der to describe the nasal congestion experienced after the use of naphazoline [12]. Over-the-counter decongestant nasal sprays quickly clear a stuffy nose. This suggests that the combination can be a safe and effective treatment option for children who have allergic rhinitis or adenoid hypertrophy. After subjects were treated with various doses of Afrin nasal spray, no . congestion for which topical nasal decongestants were ini-tially prescribed during repeated use or after stopping this treatment [10,11]. Following prolonged use of decongestant nasal sprays, it can be very difficult and frustrating for patients to stop using the products. Your congestion only gets worse if you continue to use the nasal spray. On the Rebound. Since the medicine is applied to your nose directly, you are quickly relieved. Typically, patients seek treatment from their physicians and will usually be prescribed steroids in addition to discontinuing the use of the decongestant nasal spray. In severe cases, an oral steroid can be prescribed, which may help.â Dr. Gels adds that saline spray might help to reduce the inflammation. Between doses, her congestion was getting worse. This article provides information regarding the causes and treatment of this nasal disorder. A brief explanation of this condition is that when certain types of nasal decongestants are used for longer than three days they can actually end up causing congestion ⦠rebound nasal congestion was discovered by Watanabe et al after 4 weeks treatment. Strictly, this is rebound congestion and not an addiction. Rhinitis medicamentosa (or RM) is a condition of rebound nasal congestion suspected to be brought on by extended use of topical decongestants (e.g., oxymetazoline, phenylephrine, xylometazoline, and naphazoline nasal sprays) and certain oral medications (e.g., sympathomimetic amines and various 2-imidazolines) that constrict blood vessels in the lining ⦠What happened to McCall is known as the rebound phenomenon. James T C Li, M.D., Ph.D. Rebound congestion treatment might be right for s everal of my patients as they have come to me with the fear that they may be addicted to their over-the-counter nasal spray. To prevent rebound congestion, use over-the-counter decongestant nasal sprays for no more than three days in a row, with as few doses as possible each day. CONCLUSIONS: All three RCTâs showed that Afrin is effective in treating nasal congestion in normal, healthy adults. Simply so, how do you treat rebound congestion? Though these products provide relief from congestion, continuing to use them only will worsen the rebound congestion. Rebound congestion is a medical terminology used to describe excessive addiction to nasal decongestants. Rebound congestion treatment âOne can use a nasal steroid (such as Flonase) to help limit the symptoms while the body recovers. Theyâre not alone either. It was created to help patients experiencing rebound congestion (rhinitis medicamentosa or nasal spray addiction). Their sinuses are chronically blocked and they keep using a nasal spray to clear them! Stop using decongestant sprays gradually if your rebound congestion symptoms cause a great deal of pain or make it difficult to breathe. How is rebound congestion treated? The blood vessels will stop reacting to the medication over time. Rebound congestion is caused by overuse of nasal decongestants according to the American Academy of Allergy, Asthma and Immunology. In another study published in 2010, fluticasone (Flonase)âanother intranasal steroidâwas shown to also have a potential to reverse rebound congestion caused by oxymetazoline. With . Prescription nasal sprays containing steroids don't cause this rebound effect, so they can be used on a daily basis for years. Rhinostat is a nasal spray kit meant to assist people in gradually weaning off of topical decongestants.
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