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Choose Nasal Spray Wisely

Nasal sprays can seem like an easy solution to frustrating congestion and post-nasal drip. But knowing what type of nasal spray is right for you is an important first step.

Before choosing a nasal spray, visit your doctor to determine the cause of your congestion. 

Nasal congestion can be caused by a variety of issues, including seasonal allergies, sinus infections, a cold, or the flu. Understanding the problem can help determine whether it is an issue that needs temporary relief or chronic care. 

Following are the various types of nasal sprays available and the safest way to use them:

• Intranasal antihistamines. These work in a similar way to antihistamines taken by mouth but are delivered through a spray into the nasal passages. They offer relief for seasonal rhinitis and allergies and are non-drowsy.
• Intranasal steroids. This spray works well if you have chronic sinusitis symptoms that are not caused by allergies, including pressure and pain over your sinuses and both anterior and posterior nasal drainage. This spray is safe for long-term use, but it’s important to use it as directed by your doctor. Once you have the spray nozzle inside your nasal passage, aim toward the corner of your eye before you start spraying. If you don't aim it correctly, the pressure of the spray can perforate the septum over time.
• Saline spray. Saline sprays are a good way to moisturize your nasal passages when they dry out, especially during winter months. This type of spray also can be used as a decongestant and can be used as long as it’s needed. 
• Vasoconstrictors. These sprays can be found over-the-counter by names such as Afrin and Neo-Synephrine. While these are good for instant relief of nasal congestion from a cold or infection, you can be at risk while using them. They can seem helpful because they can clear airways quickly, but they shouldn’t be used for more than three days. Though they provide relief, they can make your nose more stuffed up after you quit using them. This causes a rebound effect for many people, who then have a hard time quitting the spray.

If you are having issues with nasal congestion, start by talking with your doctor before choosing a nasal spray, to make sure you have the best kind for your symptoms. And make sure to follow your physician’s instructions for using any type of nasal spray.

Source: American Academy of Family Physicians