It was created to help patients experiencing rebound congestion (rhinitis medicamentosa or nasal spray addiction). rebound nasal congestion was discovered by Watanabe et al after 4 weeks treatment. Simply so, how do you treat rebound congestion? CONCLUSIONS: All three RCT’s showed that Afrin is effective in treating nasal congestion in normal, healthy adults. This suggests that the combination can be a safe and effective treatment option for children who have allergic rhinitis or adenoid hypertrophy. congestion for which topical nasal decongestants were ini-tially prescribed during repeated use or after stopping this treatment [10,11]. How is rebound congestion treated? What happened to McCall is known as the rebound phenomenon. Their sinuses are chronically blocked and they keep using a nasal spray to clear them! 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. This article provides information regarding the causes and treatment of this nasal disorder. Strictly, this is rebound congestion and not an addiction. Over-the-counter decongestant nasal sprays quickly clear a stuffy nose. In severe cases, an oral steroid can be prescribed, which may help.” Dr. Gels adds that saline spray might help to reduce the inflammation. On the Rebound. They’re not alone either. 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 … In another study published in 2010, fluticasone (Flonase)—another intranasal steroid—was shown to also have a potential to reverse rebound congestion caused by oxymetazoline. With . Since the medicine is applied to your nose directly, you are quickly relieved. Rhinostat is a nasal spray kit meant to assist people in gradually weaning off of topical decongestants. Prescription nasal sprays containing steroids don't cause this rebound effect, so they can be used on a daily basis for years. James T C Li, M.D., Ph.D. The term ‘‘rebound congestion’’ was used for the first time in 1944 by Feinberg and Friedlaen-der to describe the nasal congestion experienced after the use of naphazoline [12]. Following prolonged use of decongestant nasal sprays, it can be very difficult and frustrating for patients to stop using the products. Rebound congestion treatment “One can use a nasal steroid (such as Flonase) to help limit the symptoms while the body recovers. Between doses, her congestion was getting worse. 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. Rebound congestion is caused by overuse of nasal decongestants according to the American Academy of Allergy, Asthma and Immunology. Your congestion only gets worse if you continue to use the nasal spray. 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. Stop using decongestant sprays gradually if your rebound congestion symptoms cause a great deal of pain or make it difficult to breathe. Rebound congestion is a medical terminology used to describe excessive addiction to nasal decongestants. The blood vessels will stop reacting to the medication over time. Though these products provide relief from congestion, continuing to use them only will worsen the rebound congestion. 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