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Rebound congestion sudafed

rebound congestion sudafed I only really thought about it when my girlfriend noticed I regularly have a blocked nose and use the spray a lot. Published Online: March 31, 2014 Patients with rhinitis often self-medicate with over-the-counter drugs such as decongestant nasal sprays. My doctor prescribed fluticasone (generic Flonase) spray. In rebound congestion, there’s only one symptom, a nasty nasal congestion and nothing else. Presuming that the Sudafed tablets you use contains only Pseudoephedrine, I would say that it is perfectly alright to take Sudafed and Otrivin plus together. It starts as clear, then cloudy, turns yellow-green tinged, then dries up. Pseudoephedrine is a great decongestant. Decongestants Swollen blood vessels inside your nose cause congestion. But beware: some over the counter decongestants carry hidden danger. if you use it too much you get rebound congestion which means you use it more which means the congestion gets worse. HORMONAL I've been using nasal sprays to relieve congestion for a year or so and now it seems I've Rebound Congestion or Rhinitis Medicamentosa. Histamine stimulates these blood vessels to expand as described previously. You spray and spray, several times a day, but your stuffy nose seems to Decongestants are medicines that help relieve a congested (stuffy) nose. “Rebound” nasal congestion occurs when turbinate swelling returns quickly or “rebounds” following frequent use of nasal decongestants. It's Its been 8 days since I last used the spray and I'm still very congested. If you’re battling congestion from a cold or sinus trouble, you probably know that over-the-counter decongestant sprays like Afrin, Dristan, Vicks Sinex, and Zicam (which contain the active ingredient oxymetazoline), usually provide some relief. g. Cold and flu season is upon us. Rebound congestion Pills and liquid decongestants may be taken longer safely. Oxymetazoline and xylometazoline nasal preparations are thought to be more likely to cause rebound nasal congestion because they are the strongest. First off, for general overview of how to treat your symptoms –see our post about COLD and ALLERGY OTC MEDICATIONS. The use of alpha-adrenergic decongestant sprays for more than 5 to 7 days can induce rebound congestion on withdrawal, known as rhinitis medicamentosa. Patients have not been reported to experience the rebound congestion sometimes experienced with frequent, repeated use of topical decongestants. Xylometazoline and oxymetazoline have a longer lasting effect (10-12 hours). Whatever the cause — a sinus infection, allergies, a cold, or the flu — dealing with congestion can leave you feeling If the sprays are abruptly withdrawn, the resulting rebound congestion completely blocks the nasal airway for 4-7 days. Prolonged topical administration may produce rebound congestion. Just make sure you're taking the plain sudafed, 4 hr, no initials. Possible problems with nasal sprays include irritation, burning or itching of nasal passages, and sneezing. Zero side effects. Sudafed (pseudoephedrine) is an oral decongestant, structurally similar to ephedrine. Decongestants can be taken by mouth as a pill or liquid (oral) or used as nose drops, sprays, or gels. Intranasal decongestants such as oxymetazoline (Afrin, and others) are effective and less likely than pseudoephedrine to cause systemic adverse effects, but they can cause stinging, burning, sneezing, dryness of the nose and throat, and, if used for more than 3-5 consecutive days, rebound congestion (rhinitis medicamentosa). The response to rebound congestion may lead to repeated use, damage to nasal mucosa, and chronic congestion. Nasal congestion can be unpleasant, often sending people rushing to the medicine aisle of their local drugstore to find relief. 3. Sudafed is available as a generic drug. When you buy them at the store without a prescription, they are called over-the-counter (OTC Doctors give unbiased, trusted information on whether Pseudoephedrine can cause or treat Congestion: Dr. Sudafed with pseudoephedrine is the only medication that REALLY works to open up blocked nasal passages other than nose sprays which become addictive and cause horrible rebound if you stop using them. Decongestants, which come in pill or spray form, work by shrinking the swollen blood vessels in the nose and air passages caused by congestion. Rebound Nasal Congestion Sudafed? Sinusitis Animation Sinusitis, also known as sinus infection orrhinosinusitis, is a very common condition where the paranasal sinuses are inflamed,causing congested nose, headache and facial pain. Oral products contain pseudoephedrine (as in most Sudafed products) or phenylephrine (Contac, Sudafed PE). Sudafed (Pseudoephedrine) is a medication that, like some others (phenylephrine, oxymetazoline) are powerful alpha agonists, that is to say they constrict blood vessels. Sudafed (pseudoephedrine HCI) is a decongestant prescribed for the temporary relief of nasal congestion due to the common cold, hay fever, and sinus congestion. Rhinitis is a condition characterized by the inflammation of the mucous membrane lining the inner side of nose. from DrugBank Pseudoephedrine is a phenethylamine and a diastereomer of ephedrine with sympathomimetic property. But people who use nasal decongestants for allergies, colds or sinus problems are warned to use such products for only three to five days. As for dependency on Afrin, some of us have nasal problems not caused by the spray. By Tuesday night, both nostrils were feeling a lot better, and throughout the course of the week they kept getting noticeably clearer. What are the causes of Eustachian tube dysfunction? ETD occurs if the tube becomes blocked, if the (e. I’ve been using a Sudafed spray from England because it was the only thing that worked, but it appears I’ve gotten addicted to it. Rebound congestion (rhinitis medicamentosa) occurs when a decongestant nasal spray is used for too long (usually longer than three to five days). Decongestan ts Over-the-counter: Zyrtec-D, Sudafed tablets or liquid, Zyrtec- D has decongetant Neo-Synephrine and Afrin nasal sprays, Oxymetazolyhydrochlo rid: Afran nasal spray. Many cases of rebound congestion initiate when patients self medicate, via the use of over-the-counter decongestant sprays. , oxymetazoline, phenylephrine, xylometazoline, and naphazoline nasal sprays) and certain oral medications (e. Prolonged continuous use may occasionally cause rebound congestion. Repeated use of the same causes decongestion temporarily followed by rebound congestion inside the nose. While pseudoephedrine is an ingredient in may over-the-counter medicines, there are other active ingredients. However, if the decongestants are withdrawn in a very precise and gradual manner over 3-5 weeks, normal airflow can be maintained during the withdrawal process. Clogged nasal passages interfere with normal breathing and can also affect your sense of taste and smell. "I now take the lowest dose (10 mg) Sudafed during day (you cant get to sleep taking Sudafed) Flonase, and fast acting nose spray at bedtime. 09-02-2007, 09:05 AM #3 firesmurf Unfortunately, nasal decongestants often cause rebound congestion that is difficult to treat. Yeah I use Sudafed/pseudoephedrine. Topical Decongestants Some decongestants can be applied topically or directly through nasal sprays or drops. It’s not all bad news though – oral tablets seem to avoid, or at least mitigate, the effects of rebound congestion. Causes of Sinus Congestion. Sudafed contain pseudoephedrine hydrochloride. This may relieve pressure, pain, and stuffiness (congestion). After that they may experience rebound congestion as the medicine wears off. The same thing can happen in the eyes. Decongestants are available both over-the-counter (OTC) and by prescription. Rhinitis medicamentosa is a condition caused by overuse of topical nasal decongestants, this includes Afrin (afrin addiction) and other over-the-counter nasal sprays. Spray-decongestion-rebound and more congestion. Each Sudafed PE tablet contains 325mgs of Acetaminophen, so 12 tablets is 3900mgs and yes, if you are taking more than that, you are hitting dangerous levels of Acetaminophen, not only could you be damaging your liver, you could be slowly causing yourself Acetaminophen poisoning, which is a very slow, anguished way to day, with almost no FOR HEAD CONGESTION, EAR CONGESTION, AND RUNNY NOSE. These can work well for short-term treatment of nasal congestion resulting from brief viral respiratory infections. Rhinitis Medicamentosa Other Names. Sudafed is not officially recommended in pregnancy, but check with your doctor if you feel you need to use it. This type of congestion occurs even when a person is not experiencing allergies or other cold-like symptoms. Sudafed) and ‘rebound’ congestion. It starts as a viral sinus infection. Doctor, should I take Antihistamines, Decongestants, and “Cold” Remedies Histamine is an important body chemical that is responsible for the congestion, sneezing, and runny nose that a patient suffers with an allergic attack or an infection. Let me know how it goes for you guys! Step 1) Make sure your bottle is a screw top (or that it can be refilled easily) Step 2) Continue to use as normal, however, refill your bottle with a saline Afrin should not be used longer than 3 days in a row to avoid a condition called rebound congestion (nasal spray addiction). . The Differences Between Mucinex & Sudafed Nasal congestion can be unpleasant, often sending people rushing to the medicine aisle of their local drugstore to find relief. Decongestants are a type of medicine that can provide short-term relief for a blocked or stuffy nose (nasal congestion). Continued What Is the Treatment for Rebound Headaches? Usually, headaches will get easier to control when you stop taking the medicine or gradually take lower doses. . Decongestants shrink these engorged blood vessels to help you breathe easier. Almost daily. However, prolonged use of these sprays may result in rebound congestion of the nasal mucosa. Correct Answer: 1. These membranes have an abundant supply of blood vessels with a great capacity for expansion (swelling and congestion). If they are used for longer than this a rebound, more severe congestion of the nose often develops. If you can reduce the amount of nasal congestion, you may be able to reduce your snoring. Combination Remedies Theoretically, if the side effects could be properly balanced, the sleepiness caused by antihistamines could be cancelled by the stimulation of decongestants. Yellow or green-tinged discharge. A 2006 review of the pathology of rhinitis medicamentosa concluded that use of oxymetazoline for more than three days may result in rhinitus medicamentosa and recommended limiting use to three days. Rhinitis medicamentosa also raises diagnostic problems, as it can be confused with the rebound effect observed after stopping nasal decongestants. Non-Drowsy Sudafed Decongestant Elixir This product contains the active ingredient: Pseudoephedrine hydrochloride 30mg per 5ml. The expert view. The problem is that patients no longer know how to find it. SUDAFED ® Sinus and Nasal Decongestant tablets are white, biconvex, round and uncoated. The dangerous, daily level of Acetaminophen is 4grams, which would be 4,000mgs. The rebound congestion or enlargement of blood vessels within nasal passage is observed after few hours when the effect of decongestant drops or sprays diminishes. Treating a stuffy nose with a decongestant nasal spray can offer the fastest relief. The only way to stop the cycle is to stop using the drug. It lets you breathe when you were clogged and reduces sinus pressure when those air spaces in your skull were full of bottled up fluids. You need to stop taking the Four Way Nasal Spray. Topical decongestants are short-term effective in alleviating congestion as a prominent symptom associated with conditions such as common cold, allergic rhinitis, sinusitis or otitis media[1]. The rebound effect of Afrin (oxymetazoline) for many users is caused by the preservative and not by the active ingredient. But the third time it never arrived and the seller said that it might have been seized by customs. Patients who elect to use ophthalmic decongestants should be reminded that excessive use can cause rebound congestion of the conjunctiva. TRY: Sudafed Congestion Regular Sudafed relies on pseudoephedrine to narrow the swollen blood vessels in your sinuses and nasal passageways. Don't take an oral decongestant and a nasal spray at the same time. Because they are available without prescription, there is an increased risk of uncontrolled applications taken for longer periods of time and at higher dosages than recommended. At this point the TND user often experiences total nasal blockage (no air is able to be breathed through This is called rebound congestion. The wikipedia page for pseudoephedrine says it does not, however the wikipedia page for rhinitis medicamentosa lists pseudoephedrine as a cause. While Mucinex and Sudafed products both help to relieve nasal congestion, there are important distinctions between the two medications. If these occur when you stop using the medication, it is likely that these are symptoms of withdrawal. Rebound congestion is also known as rhinitis medicamentosa, chemical rhinits, nasal spray addiction. Decongestants may help shrink swollen tissues in the nose, sinuses, throat, and the space behind the eardrum (middle ear). With it, comes the dreaded stuffy nose. They come as pills, capsules, liquids and nose sprays. Patients who are also using prescription ophthalmic medications should always consult their ophthalmologist prior to using OTC ophthalmic products. topical decongestants sympathomimetics-imitate the effects of the SNS to cause vasoconstriction, leading to decreased edema and inflammation of the nasal membranes. Oral decongestants rarely cause rebound nasal congestion even if taken for long periods. The advantage of oral pseudoephedrine over topical nasal preparations, such as oxymetazoline, is that it does not cause rebound congestion (rhinitis medicamentosa). available as nasal sprays to relieve nasal congestion from the common cold, sinusitis, and allergic rhinitis. Decongestants Congestion in the nose, sinuses and chest is due to swollen, expanded or dilated blood vessels in the membranes of the nose and air passages. Depends on what kind of saline it is. Rebound congestion is the worsening of the original congestion due to a dependence on the nasal passage for the medication in order to keep the blood vessels constricted. Which instruction should the nurse include in the teaching for a patient prescribed cetirizine [Zyrtec] for seasonal allergic rhinitis? Pseudoephedrine (Sudafed) Pseudoephedrine is the next best thing to Afrin in terms of potency and it doesn’t cause rebound congestion. A vicious cycle of repetitive use of these sprays to treat rebound nasal congestion makes it difficult to stop using these sprays. Congestion in the nose, sinuses, and chest is due to swollen, expanded, or dilated blood vessels in the membranes of the nose and air passages. Decongestant nasal sprays and nose drops may cause a problem called rebound congestion if used repeatedly over several days. Decongestants. Pseudoephedrine Side effects Pseudoephedrine side effects are sympathomimetic. Decongestants are available in pill, liquid, or spray forms. This tolerance may result in “rebound” congestion that leaves the user feeling worse than before treatment. • Patient should not use nasal form for more than 3 to 5 days, as prolonged use may cause rebound nasal congestion. The document has moved here. Sudafed (pseudoephedrine) is safe to take with amoxicillin and there is no interaction between the two medications. ) Pseudoephedrine is a stimulant, but it is well known for shrinking swollen nasal mucous membranes, so it is often used as a decongestant. Rationale: Chronic use of intranasal decongestants, such as oxymetazoline, leads to tachyphylaxis of response and rebound congestion, caused by α-adrenoceptor mediated down-regulation and desensitization of response. Rebound congestion is an adverse effect of intranasal sympathomimetics. How long does it take Sudafed Congestion tablets of 30 mgs each to clear your system? I took a total of 180 mgs within 13 hours and seem to be having rebound congestion in the ears . Decongestants are popular nonprescription drugs. ANTIHISTAMINES DECONGESTANTS ANTITUSSIVES EXPECTORANTS 5 Best tolerated when from NURS 3180 at University of Toledo Rationale 3: The use of other inhaled medications will not cause or prevent rebound congestion, so this question is unnecessary. Good for: Stuffy nose and other congestion in the upper respiratory tract (your face and neck) Won’t help with: Cough, runny nose. Headaches, anxiety, restlessness and insomnia. Also, with long term use of this drug you may damage your nose mucosa and develop some serious problems. (Occurs in 5% of colds). More spray, etc. In California you have to show ID at the drug store counter and ask for it (though you don’t need a prescription). Rebound congestion is caused by overuse of nasal spray decongestants, which are a common treatment for rhinitis congestion. Nasal decongestants that are commonly used on a longer-term basis (for chronic sinusitis or allergies) include Flonase or Nasonex. During a common cold episode, decongestants are used as a reliable approach to clear congestion. In infants, this rebound rhinitis can develop in two days or so, whereas in adults it often takes several more days to become established. 1 Do use them sparingly. They can help ease the symptoms of conditions such as colds and flu, hay fever and other allergic reactions, and sinusitis. Get relief from nasal congestion from colds, flu, hayfever & sinusitis Fast acting spray Provides relief up to 12hrs When you’re congested, the simple act of breathing can be a challenge. Both a "cold turkey" (very effective but almost impossible) and a "weaning I took Sudafed for 7 days and was told that it caused congestion rebound. I try to take a break from it every once and a while (like right now) to not cause rebound congestion bcuz it is used as a nasal decongestant. Viral Sinus Infection. Sudafed ( Pseudoephedrine ) is not an addictive drug. You can also use pepper spice or hot sause will help open sinus I tried every med made, every home remedy, and that what works best for me without causing rebound nasal congestion. But, is taking a decongestant while breastfeeding safe? Are there any safe decongestants to take while breastfeeding? To get answers for these queries, read on. Let me know how it goes for you guys! Step 1) Make sure your bottle is a screw top (or that it can be refilled easily) Step 2) Continue to use as normal, however, refill your bottle with a saline Using them longer than this can lead to rebound congestion, a condition in which the decongestant causes initial relief followed by nasal congestion that gets worse. With cold and flu season strongly upon us and with allergy season now running year round, we are often asked about how to treat congestion. This non-drowsy formula offers temporary relief, and adults can take two tablets every four to six hours. , sympathomimetic amines and various 2-imidazolines) that constrict blood vessels in the lining of the Between doses, her congestion was getting worse. They may be pills or liquids (oral), or a nasal gel, drop, or spray. This site is published by Johnson & Johnson (New Zealand) Limited (507 Mt Wellington Highway, Mt Wellington, Auckland, 1060, New Zealand), which is solely responsible for its contents. This causes the mucus membranes in the nose and sinuses to shrink. This drug shrinks swollen nasal tissues quickly, and causes fewer side effects than oral decongestant pills because very little gets absorbed into the bloodstream. It a condition called "rebound congestion" -- severe blockage of the nasal passages when the medication wears off. Since nasal congestion (stuffy nose) is just one of many symptoms commonly associated with colds or allergies, these drugs are also sold in combination with other medicines. Nasal discharge normally changes color during different stages of a cold. This can block the nasal airway completely, causing extreme discomfort. No, as it is a decongestant and gives u a rebound congestion so no more than 3 days. Sprays contain phenylephrine (Neo-Synephrine) or oxymetaxoline (Afrin, Dristan). If you do, you might experience a rebound effect, which can make you more congested than you were to begin with. The middle ear communicates with the back of the nose through SUDAFED® Congestion temporarily relieves congestion due to the common cold, hay fever, or other respiratory allergies. Care Advice for Sinus Congestion . Oral decongestants work within 30 minutes and may relieve nasal congestion for up to 6 hours. However, it is more likely to cause adverse effects, including hypertension, sweating, and anxiety. " The problem with OTC drugs like sudafed is they have a rebound effect, they can help you get through the day, but can make the infection worse & lead to antibiotics. Using both Sudafed and amoxicillin at the same time is fairly common as Sudafed can often help alleviate the symptoms of sinusitis (e. Most decongestants come in pill or liquid form. Several times, under medical supervision, I have got off of it for weeks and the congestion persisted. Rebound congestion from Afrin is common in order to get rid of rebound nasal congestion the use of saline nasal sprays may help open the nose without causing rebound if the spray does not contain a decongestant. If the Neti is hard to find, or too much of a pain for you, then the Little Noses brand saline spray works just as well IMO. Add to that the pressure of congested sinuses and painfully plugged ears and you’ll be willing to try almost anything for relief. They are embossed with 'S7A' and scored on the upper face, and the bottom face is plain. Nasal congestion is relieved very quickly; however, if Afrin is used for several days, mucus membranes can swell, which makes the user want to continue to use the product even though the underlying cause of the symptoms (a cold) has been resolved. Rhinitis medicamentosa (or RM) is a condition of rebound nasal congestion brought on by extended use of topical decongestants (e. These come as nasal sprays, inhalers, and as oral pills. Decongestants can be administered topically, directly onto the nasal mucosa, or orally. Oxymetazoline is a long-acting topical drug that constricts, or shrinks, blood vessels. Decongestants, which contain ingredients like pseudoephedrine, work by narrowing swollen blood vessels in your nasal tissue, according to the Mayo Clinic . Throat and ears – Sore throat, hoarse voice, congestion or popping of the ears, itching of the throat or ears Sleep – Mouth breathing, frequent awakening, daytime fatigue, difficulty performing work. Look for products which contain oxymetazoline like Afrin, Vicks, And Zicam. This problem causes nose block. This blood vessel engorgement results in a severe nasal congestion and obstruction (rebound phenomenon). Rebound congestion is a risk with decongestants that contain one of two compounds that shrink spongy, swollen nasal membranes by constricting the network of tiny blood vessels within them. Most nasal congestion and rhinorrhea are caused by URI or allergies. Each Sudafed PE tablet contains 325mgs of Acetaminophen, so 12 tablets is 3900mgs and yes, if you are taking more than that, you are hitting dangerous levels of Acetaminophen, not only could you be damaging your liver, you could be slowly causing yourself Acetaminophen poisoning, which is a very slow, anguished way So far no rebound congestion, though I've been careful not to over use it. I have pregnancy congestion, so unfortunately I have to take sudafed fairly often. Insomnia, urinary retention, and possible adverse cardiovascular effects should be discussed before using pseudoephedrine, and oxymetazoline should be used for only 3 to 4 days because of potential rebound congestion (rebound is mitigated by concomitant daily use of a nasal steroid). There are only short periods during the day when I can breathe somewhat comfortably through my nose, the rest of the day I feel like I'm suffocating. Phenylephrine Clinical Teaching • Patients taking oral form should avoid activities requiring mental alertness or coordination until drug effects are realized, as drug may cause dizziness. Nasal sprays, that are decongestants, are usually administered to treat rhinitis caused due to allergy. I was addicted to it for years too but a couple of days cold turkey can get you past it. These medications help clear nasal and sinus congestion with very few side effects. Both have similar actions and will act to decrease the nasal congestion and relieve the blocked nose . Nasal congestion is a common symptom of allergic rhinitis. It does help. The mechanism by which vasoconstrictors act is adrenergic receptor activation. Due to the severe nasal congestion and engorgement of blood flow, it forces the patient to keep using afrin more and more in order to get rid of these nasal symptoms. Rebound congestion is a worsening of your nasal congestion due to nasal decongestants such as Afrin (oxymetazoline), Sudafed (pseudoephedrine), or Sudafed PE (phenylephrine). Rebound increase in parasympathetic activity causing increased nasal secretion and nasal mucosal congestion Types of topical nasal decongestants in use: Two types of nasal decongestants are used. 8-11 Receptor sequestration has been proposed to be a rapid mechanism of desensitization to acute hyperstimulation, while down-regulation and reduction in receptor number might be an adaptive response to chronic exposure to Oxymetazoline: Can cause rebound congestion if used for more than three consecutive days; this means you may become dependent on the drug to prevent symptoms Phenylephrine: May cause high blood pressure and prostate enlargement; people with anxiety or panic disorders, or on anticonvulsant medication for epilepsy should not take this drug Commonly used decongestants include oxymetazoline (Afrin and other brands), phenylpropanolamine, and pseudoephedrine (Sudafed, Actifed, and other brands). If symptoms persist, see your healthcare professional. This can cause addiction to the nasal spray, as patients take it frequently due to the rapid decline in activity. The condition is characterized by nasal swelling and congestion, which can make the condition difficult to detect as these are often the same symptoms that are being treated. , pseudoephedrine); or if you have any other allergies. It is true that one has to be very careful with the half life of the decongestant to avoid rebound congestion that could result in a reverse block and ruptured ear drum during ascent. Rebound congestion is temporarily relieved by the use of nose spray giving the person a small window of relief. Intranasal decongestants are safe to use for a month, if needed. A single maximum-strength dose contains 30 milligrams of the nasal decongestant pseudoephedrine to reduce nasal swelling without causing drowsiness. Pseudoephedrine (Sudafed) Pseudoephedrine is the next best thing to Afrin in terms of potency and it doesn’t cause rebound congestion. That's why I feel like those cold medicines that market their products as being heart safe are able to sell their products for more money than something like plain old Diphenhydramine (Benadryl). Decongestants containing pseudoephedrine must now be kept behind the pharmacy counter in the United States, but they are still available without a prescription. This can lead to a vicious circle, where more of the decongestant is taken to alleviate the congestion, and the rebound congestion continues. Use fewer applications each day or stop using the spray in one nostril at a time. Using them longer than that can lead to rebound congestion SUDAFED® Decongestant Tablets work hard to help unblock your nose and reduce swelling in your nasal passages, to help you breathe through your nose. " Vasoconstriction provides temporary relief from tissue congestion. Rebound congestion refers to the highly subjective clinical criterion of nasal congestion that can be used to designate blocked nose, stuffiness or inflammation. Several studies suggest that tachyphylaxis and rebound nasal congestion are due to changes in the α 1-AR population. 8 The FDA also found that "cardiovascular adverse reactions are among the most frequent AEs with topical nasal decongestants, exceeded only by rebound congestion," which generally occurs with more than 3–5 days of consistent use. Oral administration of nasal decongestants such as phenylpropanolamine, pseudoephedrine, and phenylephrine provide a more effective means of reaching the nerves via the blood stream. The oral form of decongestants is the preferred choice for most cases of nasal congestion, particularly when people expect to use them for more than 3 to 5 days. The congestion problem happened to me too and now it happens every time I have a cold. Using a nasal decongestant continually to avoid rebound congestion can result in a dependence on the medicine. Rebound congestion occurs is a reaction to congestion treatment where you become even more congested than you were before the treatment. Rebound congestion occurs because of the? very rapid absorption of the drug through mucous membranes followed by a more rapid decline in therapeutic activity. Long-term use of decongestants can also cause side effects like insomnia, anxiety, fine tremors, headache, loss of appetite, fast heart rate, palpitation, high blood pressure and an enlarged prostrate. By upping the dosage, you increase the risk of side effects. Watch out for: Do not take a decongestant for more than three days. What You Should Know About Sinus Congestion: Sinus congestion is a normal part of a cold. Decongestants are sold in many forms, including tablets, capsules, caplets, gelcaps, liquid-caps, liquids, nasal sprays, and nose drops. A foreign body should be considered in children. I have nausea and heartburn with it is - Answered by a verified Health Professional We use cookies to give you the best possible experience on our website. Rhinitis medicamentosa (RM) is a condition induced by overuse of nasal decongestants. Nasal congestion has many causes and can range from a mild annoyance to a life-threatening condition. This destroys nasal congestion. Drugs containing pseudoephedrine are still available in limited amounts behind some pharmacy counters to those who show ID; no more than 9 grams per month or 3. 8 The FDA concluded that "all sprays and drops produced bradycardia, tachycardia, hypertension, and hypotension. A problem when the sinus becomes infected with bacteria. Best Answer: Though topical decongestants such as xylometazoline and things like Vick's Sinex can produce a local mucosal 'dependence' and rebound congestion, this is not the case with pseudoephedrine, (Sudafed. The nose develops a tolerance to the medication requiring more medication to produce the same effect and eventually becoming ineffective in relieving the congestion. Moved Permanently. Each Sudafed PE tablet contains 325mgs of Acetaminophen, so 12 tablets is 3900mgs and yes, if you are taking more than that, you are hitting dangerous levels of Acetaminophen, not only could you be damaging your liver, you could be slowly causing yourself Acetaminophen poisoning, which is a very slow, anguished way to day, with almost no Decongestants Avoid using topical decongestants in patients with chronic rhinitis, as persistent use carries substantial risk of rhinitis medicamentosa, or rebound congestion. SudoGest is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose). Runny nose, nasal congestion, and pressure or pain in and around the sinuses and above or around the eyes’these could be cold symptoms, or they might indicate sinusitis, a common chronic illness that affects one in seven adults. The term RM, also called rebound or chemical rhinitis, is also used to describe the adverse nasal congestion that develops after I'm coming off a pretty bad/strange cold, and I'm still dealing with some nasal congestion even though the other symptoms have gone away. Part of the common cold. Stuff like Ocean is a fine mist that you inhale like regular nasal spray. That is how it relieves congestion in the nose. In this case it is broadly known as drug-induced rhinitis. The maximum allowed dosage of sudafed in a day is 240mg. It also involves the lining of all the sinuses. When an allergen is present year round, the predominant symptoms include postnasal drip, persistent nasal congestion, and poor quality sleep. It is caused when inflammatory mediators such as histamine, bradykinin, prostaglandins, leukotrienes, platelet-activating factor, and neuropeptides induce nasal vasodilation. 4. If you take Sudafed it will help with the rebound congestion because it shrinks the swollen tissues without causing a rebound effect. You can find our products either behind the counter, in the cold and allergy aisle, or online. You may want to talk with your doctor and discuss using a prescription nasal steroid spray such as Flonase or Nasonex. Just as decongestant nasal sprays are useful to relieve nasal congestion, they may also cause further congestion with repeated and prolonged use. It is also called rebound congestion due to the manner in which it occurs. There are only short periods during the day when I can breathe somewhat comfortably through my nose, the rest of the day I feel like I'm suffocating. , sympathomimetic amines and various 2-imidazolines) that constrict blood vessels in the lining of the nose. Nasal decongestants target the discomfort directly. Always read the label. Oxymetazoline: Can cause rebound congestion if used for more than three consecutive days; this means you may become dependent on the drug to prevent symptoms Phenylephrine: May cause high blood pressure and prostate enlargement; people with anxiety or panic disorders, or on anticonvulsant medication for epilepsy should not take this drug Sounds just like me! The pharmacist told me that there are no decongestants without pseudoephedrine. They usually include the ingredients pseudoephedrine or phenylephrine, in brand names such as Drixoral, Dimetapp, Afrin, and Sudafed. It reduces tissue hyperemia, edema, and nasal congestion commonly associated with colds or allergies. Reach for products from the makers of SUDAFED® to rescue you from your sinus symptoms and sinus related problems, like allergies and colds. I plan on never using OTC nasal sprays again. Oral medications did not help. Rhinitis medicamentosa is also known as rebound rhinitis. Phenylephrine and pseudoephedrine are the common ingredients present in the decongestants. Rebound congestion, or rhinitis medicamentosa, may occur. As well it also causes tachycardia too. Typical decongestants are phenylephrine (NeoSynephrine®*), phenylpropanolamine (Entex®*, Propagest®), and pseudoephedrine (Novafed®*, Sudafed®*). Unlike nasal decongestants, such as Afrin (oxymetazoline) and Neo-synephrine (phenylephrine), Sudafed has little to no risk of rebound congestion, a condition where nasal congestion worsens after the continuous use of a medication like Afrin. It was still stuffy, but it felt more like the congestion of an average cold, not the horrible, completely clogged nose I'd been experiencing due to rebound congestion. I use Afrin and Sudafed as required (at the same time), but never while diving. I thought my allergies were worse but the doctor seems to think it’s rebound congestion. A couple of times I used other nasal decongestants and didn't develop the rebound symptom effects of nasal spray, but sometimes it happens and the only thing that works is Rhinostat. This results in nasal congestion or stuffiness, and a runny nose. Rationale 1: One of the side effects of oral decongestants is hypertension. Rhinitis medicamentosa (RM), also known as rebound rhinitis, is a condition characterized by nasal congestion that is triggered by the overuse of topical vasoconstrictive medications, most notably intranasal decongestants; recreational use of intranasal cocaine may also cause a similar condition. Decongestants work by reducing inflammation in your nose and airways, thus making it easier for you to breathe. What happened to McCall is known as the rebound phenomenon. Various other medication can cause nasal symptoms even if these drugs were not intended to initially treat a nasal problem. Oral and nasal decongestants can cause rebound congestion. Although this product relieves symptoms of congestion, it may sometimes lead to further blockage if a 'rebound congestion effect' occurs. After cessation of alpha stimulation the sympathomimetic amines still keep stimulating beta receptors causing rebound nasal congestion. SudoGest is used to treat nasal and sinus congestion, or congestion of the tubes that drain fluid from your inner ears, called the eustachian (yoo-STAY-shun) tubes. Use only as directed. Taking over-the-counter decongestant medicine in combination with some prescription medications can make congestion worse. Unlike intra nasal decongestant, sudafed doesn't cause rebound congestion. They can also be taken for Eustachian tube blockage, infected ears, and sinusitis. Chlorpheniramine may cause drowsiness. All ocular vasoconstrictors available today, including naphazoline, tetrahydrozoline, phenylephrine and oxymetazoline, act as adrenergic receptor agonists. What you have is a condition called rebound congestion - the only way to relieve rebound congestion is to administer another dose of the nasal spray, hence the addiction. Another ingredient, Phenylpropanolamine (PPA) was banned owing to certain health issues. Nasal spray decongestants work within about 10 minutes and may relieve nasal congestion for up to 12 hours. These include CNS stimulation, excitability, restlessness, insomnia and nervousness, tachycardia or palpitations, tremors and irritability, mania, hypertension, impotence, anginal pain, and rebound congestion. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Paranasal sinuses are air cavities in the bones of the skull. congestion & sinus pressure), a common infection treated by amoxicillin. Mumneh on does oral sudafed cause rebound congestion: Diarrhea and other GI symptoms may be a possible side effect of Sudafed but then again constipation may be its side effect as well. Decongestants cause fast and sustained relief of symptoms. Stop using decongestant sprays gradually if your rebound congestion symptoms cause a great deal of pain or make it difficult to breathe. Pseudoephedrine hydrochloride is a local blood vessel constrictor (decongestive) used for temporary relief of a stuffy nose and sinuses that often procedes a cold, sinus inflammation, or allergies such as hay fever. How Long Does Rebound Congestion Last????!!!! Hi, my name is Puppers and I'm kind of new to the board, but have done a lot of medical work in my time, I had used nasal sprays and I avoid them unless I have a severe cold because I have to be able to breathe better through my Bi-pap machine. Stress responses constrict blood vessels in the nose and sinuses and reduce mucus production. Decongestants work by narrowing blood vessels, leading to the clearing of nasal congestion. Sudafed is pseudoehedrine and your body can get to use to it. Oral decongestants can affect the cardiovascular, urinary, central nervous, and endocrine systems. Pseudoephedrine can be used either as oral or as topical decongestant. This can be caused by a cold virus or by the flu, sinusitis, or allergies. Rebound from topical decongestant overuse should also be considered. The action of these decongestants is by vasodilation, which lasts for a short duration, followed by reflex constriction of vessels which causes congestion again. It’s effective for fighting congestion caused by colds and flu, as well as relieving congestion allergy symptoms (including hay fever). The stuffiness should then go away within about a week. Overuse can make your congestion worse (rebound congestion). Rebound congestion often occurs with OTC (over-the-counter) and other congestion medications as the presenting congestion is alleviated whilst taking the products; however upon completion, congestion comes back 10 times worse leading to the phenomenon known as rebound congestion. To avoid rebound congestion, try taking the oxymetazoline nasal drops or sprays for the first three days, then make a switch to pseudoephedrine pills (Sudafed and generic). Unfortunately, nasal decongestants often cause rebound congestion that is difficult to treat. Bacterial Sinus Infection. The rebound congestion that occurs as the benefit of the spray wears off is often intense. I ordered it twice and the product arrived quicker than the estimated delivery time. 09-02-2007, 09:05 AM #3 firesmurf PRECAUTIONS: Before using this nasal decongestant, tell your doctor or pharmacist if you are allergic to it; or to other sympathomimetics (e. Oral and topical decongestants improve the nasal congestion associated with allergic rhinitis by acting on adrenergic receptors, which causes vasoconstriction in the nasal mucosa, resulting in Patients who elect to use ophthalmic decongestants should be reminded that excessive use can cause rebound congestion of the conjunctiva. Rationale 4 : Oxymetazoline (Afrin) can cause rebound congestion if used for too long, so length of treatment is the best assessment question. So don't use the medicine longer than the label says. Cunning on does sudafed cause rebound congestion: Anticholinergic effect which causes dryness, constipation, nasal congestion, dry mouth, etc. Rebound congestion is typically not accompanied by discharge (mucous) unless other underlying medical conditions are present, such as allergies or a sinus infection. A bunged up nose can be an aggravating side effect of pregnancy for some women, and unfortunately there’s not a lot of help from the traditional medical remedies. Examples of these nasal sprays include: oxymetazoline (Afrin) (Sudafed) Studies Rebound congestion Edit. Sassler says. Three days in a row is the maximum time recommended for taking over-the-counter decongestant drops or sprays. Do oral decongestants and anti-histamines cause rebound nasal congestion I have read it is a bad idea to take nasal spray decongestants for several days in a row because you can become accustomed to them and suffer a rebound effect where your nose is more clogged than it was before, at least for a few days. One note to this conversation - oral decongestants like Sudafed and Sudafed PE do not cause rebound congestion. It is only the decongestant sprays like Afrin that can cause rebound congestion. 3 Q. Most people prefer to breathe through the nose (historically referred to as "obligate nasal breathers"). That's why I used 12 hours generic "Sudafed" instead of immediate release in the past. Sudafed PE Congestion temporarily relieves nasal and sinus congestion due to the common cold, hay fever, or other upper respiratory allergies. If you experience this rebound congestion, you must stop use of nasal decongestants immediately to allow the nasal tissues to return to normal. Using them longer than this can lead to rebound congestion, a condition in which the decongestant causes initial relief followed by nasal congestion that gets worse. A cold infects the lining of the nose. Long-term use can cause rebound congestion leading to rhinitis medicamentosa. Cold viruses attack the lining of the nasal passages causing swelling and increasing mucus production. Methods: In a randomized, double-blind, placebo-controlled, crossover design, 19 Rhinitis medicamentosa is an example of this subtype in which the use of topical decongestants for longer than three to five days results in a rebound nonallergic vascular congestion. To avoid the rebound effect, nasal sprays should not be used for more than three days at a time. Pseudoephedrine is a powerful decongestant. In fact the term drug-induced rhinitis can be used for all these instances whether it was induced by nasal decongestants or other medication. Phenylephrine is one such alternative, but a handful of studies have claimed it is no more effective in easing nasal congestion than a placebo. With long term use it makes your symptoms even worse than they were. Afrin addictionhow long does rebound congestion last? Its been 8 days since I last used the spray and I'm still very congested. These clear up a stuffy nose. I was dependent on OTC vasoconstrictor nasal sprays and had almost unbearable rebound congestion when I tried to stop. It may take a day or two before you can breathe Doctors give unbiased, trusted information on whether Pseudoephedrine can cause or treat Congestion: Dr. When this happens, the nose remains stuffy or gets worse with every dose. Rebound congestion is a constant nasal stuffiness (congestion) that develops from the overuse of nasal sprays (or drops or gels) that contain a decongestant medicine. Get sinus pressure and nasal congestion relief with SUDAFED® Congestion. On the Rebound. When you inhale something like a cold virus or an allergy trigger like dust or pet dander, those nasal turbinates can expand, leading to congestion, Dr. My doctor says it does but my pharmacist says it doesn't! The web also doesn't seem to agree. 6 grams per day can be purchased. The rebound congestion I experienced after using nasal spray was absolutely awful, one of the worst things to happen to me, even after all of the horrible pregnancy issues. Now you have help and can reach for the spray, liquid, or tablet. Oral decongestants are the most effective at relieving severe congestion. However, their indiscriminate use carries a risk of development of rebound congestion, or rhinitis medicamentosa [2] . rebound congestion sudafed