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Q. I am using Nasivion daily for nasal congestion. Shall I continue the same?

Answered by
Dr. Shyam Kalyan. N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 13, 2017

Hi doctor,

I am 28 years old. I am using Nasivion 0.05% daily for around three to four times for the last 8 to 10 years. Also, I am allergic to many things. Please help me with this health issue.

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Hello,

Welcome to icliniq.com.

We are happy to help you.

  • First of all, please understand that Nasivion (Oxymetazoline) has a local vasoconstrictor as an active ingredient. It should not be used for more than four or five days continuously.
  • You have been using it for 8 to 10 years. You are suffering from rhinitis medicamentosa, which is a sort of addiction to the drops.
  • When you put the drops your nose is unblocked and after a few hours it gets congested again on its own. This cycle repeats itself and over the years has got worsened due to the use of Nasivion by you.
  • Now, I would first suggest you to stop the drops and start on Nasivion mini. This has a concentration of 0.01% and use it for five days. Then you stop mini and start Nasivion S, plain saline. Continue saline for a week's time. This tapering will relieve you from the problem gradually.
  • Subsequently, you will have to put yourself on Flomist nasal spray (Fluticasone propionate) two puffs in each nostril twice daily for two weeks and thereafter once daily for a month.
  • Regarding allergy, during acute attacks I suggest tablet Allegra M (Fexofenadine and Montelukast combination). Flomist nasal spray helps to relieve and prevent nasal allergies as well. Consult your specialist doctor, discuss with him or her and take the treatment with consent.
  • However, the key to effective management of allergies is meticulous avoidance of allergen. This prevention is the best cure.

For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist


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