When I lay in my bed at night my nasal becomes congested and I am unable to sleep. To remedy this problem I have been using a oxymetazoline nasal spray. I use one squirt in each nostral every night, I have been doing this for probably 10 years. My question is what are the long term consequences of using oxymetazoline once a day and if its time for me to give us this drug??
Reply: --------------------------
Chronic use of over-the-counter topical decongestant nasal sprays such as oxymetazoline (Afrin) or neo-synephrine is potentially hazardous. The most common problem seen with daily use of such nasal sprays for more than a week is a condition known as rhinitis medicamentosa. Rhinitis medicamentosa results in dependency and increased frequency of need for such sprays to keep the nasal passages open. The condition is thought to be related to chronic vasoconstriction of the blood vessels in the lining of the nose resulting in oxygen deprivation in these tissues and secondary swelling. Rhinitis medicamentosa can subsequently lead to chronic sinusitis. Another significant risk of chronic use of such sprays is perforation of the nasal septum. This can then lead to recurrent nose bleeding, crusting, and even external cosmetic deformities of the nose.
It is very important to know that these sprays are designed ONLY for short term use (1-3 consecutive days). Such sprays can be extremely helpful for certain conditions such as nasal congestion due to colds, sinusitis, etc. - but should generally not be used for more than 3 days in a row.
Nocturnal nasal airway obstruction may be related to septal deformity or allergy. Safer means of symptomatic improvement are available - I would consult with an otolaryngologist regarding this.
--
Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
NOTICE: OFCN is not engaged in the rendering of professional medical services. The information contained on this system or any other OFCN system should not supplant individual professional consultation. It is offered exclusively as a community education service. Advice on individual problems must be obtained directly from a professional.
Click here to review
previous Ear, Nose and Throat Clinic consultations