How can I treat nighttime nasal congestion?

Question

Hello doctor,

At night time while sleeping, the nasal passage of mine gets blocked. This results in the stuffy nose in the morning once I get up in the morning and I had to continuously sneeze for a long time in the morning hours. Whenever I take Cetrizine, or Levocetirizine, or L-Montas tablets at night time I get relief from this problem. But consumption of this tablet makes me feel sleepy, and drowsy throughout the day time.

I am currently on Glycomet-HS 1000 and Nexpro-40.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

As per your symptoms of nasal congestion and sneezing, you are likely to be suffering from allergic rhinitis. One thing that is of prime importance is the avoidance of allergens. Then, there is also the role of steroids. Since you are diabetic, systemic steroids are better avoided. However, topical steroid sprays can be used safely.

Are you using any steroid nasal sprays?

Revert with the answer to assist further.

Thank you, and take care.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

Duonase (Fluticasone propionate) is good. You should start with a couple of puffs twice a day for 15 days, then taper to two puffs once a day for the next 15 days, then one puff once a day for 15 days, and then stop.

However, remember any treatment for nasal allergies is bound to yield less than optimal results if one does not avoid exposure to dust and other allergens. Of particular importance is the avoidance of household dust. This contains a mite that acts as an allergen and is probably the most important allergen in the case of perennial rhinitis. So, regularly change curtains, pillows, bed covers, and sheets. Further, do not enter a room for 30 minutes after cleaning. Similarly, wear masks to avoid other allergens like pollen and dust.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.