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Treatment for persistent nasal congestion - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   Hi was using oxymetazoline drops for the past three years now i want to stop its use i am currently using fluticasone and azelastine spray and for 6 days i have not the touched the oxymetazoline spray how to avoid using oxymetazoline in future?
Doctor :   Hi
User :   Hi good evening
Doctor :   AA
Doctor :   Sorry, May I know your age and gender?
User :   28 yrs male
Doctor :   May I know your symptoms and who prescribed you these medications?
User :   My family doctor prescribed Duonase but i was taking otrivin O without his knowledge as this medicine was not giving instant releif but i was becoming dependent on this so now i am staying away fro this for a nearly a week
Doctor :   Can you briefly describe the symptoms that you had?
Doctor :   and did you experience any symptoms following the withdrawl of otrivin?
User :   Blockage in both noses this was three years before when i started using but now i am having mild congestion which i am not able to tolerate and continuing it till now without break
User :   the withdrawal symptom is i have a slight congestion (Since i am using duo nase and vicks inhaler its manageable)
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   The problem with the oxymetazoline is that they cause rebound nasal congestions with chronic usage.
Doctor :   meaning the symptoms start aggravating once it is stopped.
Doctor :   Hence to counter this, you will have to slowly reduce the oxymetazoline drops and start the steroid/antihistaminics along.
Doctor :   I suggest you to try the other drops only till the rebound effects reduce.
Doctor :   You would need to consult an ENT specialist to know the cause for recurrent nasal congestion.
Doctor :   There are various causes for persisting / nasal congestion - common ones are allergic.
Doctor :   Apart from this non allergic causes such as vasomotor rhinitis, structural problems such as hypertrophied turbinates, deviated septums may also be causing the symptoms.
Doctor :   Treating the cause is the best method of solving the nasal congestion and there by helping you to prevent the use of the nasal sprays.
Doctor :   Apart from this,
Doctor :   you can also try steam inhalations and multivitamins.
Doctor :   Along with good nutritious diet.
Doctor :   Have you followed what I have suggested?
User :   I have a long history of allrgies from childhood.I visited an ENT specialist last year we had xrays and endoscopy but doctor dismissed that as drug dependence he gave a course of medicines after which i felt better then i got a cold started using again
Doctor :   Ok
User :   I think what you have told may be right I dont take vegetables maybe that could cause some problems and i have two meals a day in rush(Lunch & Dinner atleast 5 times a week i hope).I got some multivitamins prescribed earlier i did not take it maybe this could be the problem.Will use of Otrivin cause any permanent problems
Doctor :   Otrivin can induce hypertrophy of the turbinates and can cause rebound phenomena as explained.
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