ADVERTISEMENT

Q. My nasal congestion is worsening even after medications, and I am not able to sleep. Please help.

Answered by
Dr. Sandeep Shrestha
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 18, 2021

Hi doctor,

I have been having too much nasal congestion recently. And for the past three days now, I cannot get more than five to six hours of sleep due to my congestion. About five days ago, I had taken Afrin just once (twice in each nostril). While Afrin cleared me up and helped me sleep that night, I have not had a great night of sleep since. My congestion seems to be worse, but I did not use Afrin for more than three days. Is it possible that I developed rebound congestion because I started and stopped Afrin suddenly as I only took it once? And if so, should I retake Afrin tonight (it would be five days now since my last dose)? I am afraid of developing rebound congestion, which the box indicates can occur if taken for more than three days in a row. But at the same time, I have tried many other options (though not all). I have tried doing a sinus rinse with Budesonide four hours before bedtime, but that rinse did not help. I have also been using a spray with Azelastine and Fluticasone daily. My congestion is worse on the side I am not sleeping on (if I sleep on the left side, my right nostril is usually more plugged). Currently, I am using Dymista, sinus rinse with Budesonide, and Xyzal 5 mg. Please help.

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

As per your concern, you will not get rebound congestion after using it once. You do not have to worry. You can use it three times a day for seven days. You can also use it along with Fluticasone. As per your history, it seems you are suffering from allergic rhinitis. I suggest the following,

  • Tablet Levocetirizine 5 mg orally at night for seven days.
  • Nasal drop Oxymetazoline 0.05% two drops three times a day for seven days.

Steam inhalation twice a day will help. I hope this will help you. Thank you.

Hi doctor,

Thanks for the reply.

Can I take the 24-hour Pseudoephedrine with Afrin?

#

Hi,

Welcome back to icliniq.com.

Yes you can use it. But do not use for a prolonged period. Not more than seven days. If your symptoms improve you can use only Pseudoephedrine. Thank you.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
What could be the best medicine for allergic rhinitis?

.. of Azelastine hydrochloride and Fluticasone propionate) is a topical corticosteroid and is safe. Yes, you can take Paracetamol for fever. For allergic rhinitis, topical steroids are to be taken. Alternative treatment is to avoid the possible alle...   Read full

I am having nasal congestion and not getting relief from medicine or sprays. Why?

.. you are allergic to the two species of house dust mites. While it's true that you need antiallergic medicines, haven't you been explained about sufficient precautions to avoid allergies ? Allergen avoidance is the first and foremost technique to g...   Read full

What can be done for allergic rhinitis?

.. your concern. If possible kindly send photo of the wheals you are getting. Also, I would need to know how frequently you get them. Meanwhile, you can use the following medicine to help you with these symptoms. Levocetirizine 5mg, Montelukast 10 mg...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.