Does pseudoephedrine cause rhinitis medicamentosa?

Does pseudoephedrine cause rhinitis medicamentosa?

Commonly used in the United States, oral decongestants do not cause rhinitis medicamentosa but are not as effective as their topical counterparts. Pseudoephedrine hydrochloride and phenylephrine are the most commonly used oral decongestants.

Does pseudoephedrine cause rebound congestion?

Do oral decongestants cause rebound congestion, too? As for the varieties of oxymetazoline or phenylephrin that are taken orally, such as Sudafed, Dr. Ahmed says there’s little risk of rebound congestion.

Can decongestants cause rebound nasal congestion?

Rebound congestion can develop from using a nasal decongestant more times in one day or more days than the label says. As the medicine wears off, sinus membranes swell, causing congestion, and a person may respond by using a higher dose of decongestant.

Does pseudoephedrine treat rhinitis?

Pseudoephedrine is a potent decongestant that is often combined with antihistamines to treat seasonal allergic rhinitis.

Does Sudafed help with rebound congestion?

In addition, “Oral decongestants like pseudoephedrine or phenylephrine tablets can decongest without the threat of rebound congestion,” he says. If you feel only Afrin spray will work, Dr.

Which Meds cause rhinitis medicamentosa?

Rhinitis medicamentosa is a consequence of overuse of a topical vasoconstrictor, most commonly oxymetazoline (Afrin). This patient had been using Afrin two or three times a day for several months.

Is it OK to take pseudoephedrine every day?

Is it safe to take for a long time? Decongestants should only be used for a short time, usually less than 10 days. If you take them for longer, you’re more likely to get side effects. Only take pseudoephedrine for longer than 10 days if a doctor has said it’s OK.

Which is safer phenylephrine or pseudoephedrine?

Studies have shown that phenylephrine is an inferior, or less effective, decongestant than pseudoephedrine.

How long does it take to recover from rebound nasal congestion?

Recovery typically takes less than one week and withdrawal symptoms can be easily managed. Research suggests that the best way to stop overusing DNSs is to switch to a steroid nasal spray.

What medications cause rhinitis medicamentosa?

Rhinitis medicamentosa and medicine-induced rhinitis A number of oral medications are implicated in causing rhinitis through other mechanisms, including ACE inhibitors, reserpine, alpha blockers (e.g., terazosin), sildenafil, chlorpromazine, oral contraceptives, aspirin and other NSAIDs.

What are the side effects of pseudoephedrine?

Common side effects include feeling sick, headaches, a dry mouth, a fast or irregular heartbeat, or increased blood pressure. It might also make you feel restless, nervous or shaky. Pseudoephedrine is also called by the brand names Sudafed or Galpseud Linctus.

How do you treat Medicamentosa rhinitis?


  1. To effectively treat rhinitis medicamentosa you must stop using nasal spray.
  2. To ease mild congestion, your doctor may recommend a saline nasal spray.
  3. To treat more severe congestion, your doctor may prescribe an oral steroid to reduce inflammation.

What is rhinitis medicamentosa?

What is rhinitis medicamentosa? If the mucus membrane in your nose is irritated and inflamed, you may have rhinitis. When this is caused by allergies — allergic rhinitis — it’s known as hay fever. A less common form of this condition is rhinitis medicamentosa, also known as rebound congestion.

Can nasal decongestants cause rhinitis medicamentosa?

It can happen when you overuse a nasal decongestant. Instead of making you feel better, the medication further irritates your nasal linings. Although rhinitis medicamentosa isn’t common, you may be at risk if you regularly use nasal sprays like phenylephrine (4-Way Nasal Spray or Neo-Synephrine) or oxymetazoline (Zicam).

What happens when you stop taking medication for rhinitis medicamentosa?

But if rhinitis medicamentosa is to blame, your symptoms should improve after you stop using the medication. It’s not easy to diagnose rhinitis medicamentosa, because medication use may not be the problem. For example, you may actually have chronic rhinitis that doesn’t respond to your decongestant. Your doctor can help reach a diagnosis.

What is the difference between phenylephrine and pseudoephedrine?

Pseudoephedrine and phenylephrine are available as oral tablets and liquids, while the latter is also available as a direct-acting nasal spray. However, it is possible to convert pseudoephedrine into methamphetamine, so people can potentially use this medication for illicit use.