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Medical guidance on nasal congestion and decongestants

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2026-08-15 07:14 UTC → 2026-09-10 14:47 UTC · added ~~removed~~

Medical experts have issued guidance regarding prolonged nasal congestion and the risks associated with decongestant use. Initial warnings highlight that nasal blockage lasting over ten days may indicate sinusitis or allergic rhinitis rather than a common cold. Symptoms such as facial pain, fever, or eye swelling necessitate consultation with an ear-nose-throat (ENT) specialist. While home remedies like saline rinses are suggested, experts advise against the long-term use of nasal decongestant sprays to avoid rebound congestion. Further warnings detail the risks of nasal spray addiction. ENT specialist Associate Professor Lütfü Şeneldir notes that these products should typically be used for only three to five days. Prolonged use can lead to nasal mucosa dryness, nosebleeds, and enlarged nasal tissues. Systemic side effects may also include increased blood pressure and palpitations. If tissue enlargement becomes permanent, surgical intervention may be required. Dr. Davut Tepe, an ENT specialist, has expanded on these risks, specifically identifying decongestant sprays containing active ingredients like xylometazoline and oxymetazoline as drivers of dependency. He explains that nasal blood vessels become accustomed to the medication, causing increased congestion once the spray is discontinued—a cycle referred to as ‘nasal spray addiction’. To mitigate these risks, experts suggest that saline and seawater-based sprays are safe alternatives as they do not cause dependency and help moisturize nasal passages. While steroid or antihistamine sprays used for allergies lack addictive properties, they must be used according to medical guidelines. Dr. Tepe also recommends specific application techniques, such as tilting the head slightly forward and directing the spray toward the outer wall of the nasal cavity.

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