Can Oxymetazoline hydrochloride nasal drops be used daily?

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First, it is important to understand that Oxymetazoline contains a local vasoconstrictor as its active ingredient. It should not be used continuously for more than four to five days. You have been using it for eight to 10 years, which has led to rhinitis medicamentosa, a kind of dependence on the drops. When you use the drops, your nose becomes unblocked, but after a few hours, it becomes congested again on its own. This cycle has worsened over the years due to the prolonged use of Oxymetazoline.

I recommend that you first stop using the drops and switch to Oxymetazoline 0.01 %, using it for five days. After that, discontinue it and start using plain saline. Continue with saline for one week. This gradual tapering will help relieve the issue over time. Subsequently, you should use Fluticasone propionate nasal spray, two puffs in each nostril twice daily for two weeks, then once daily for a month.

For allergy management, during acute attacks, I suggest taking a combination of Fexofenadine and Montelukast. The Fluticasone propionate nasal spray will also help relieve and prevent nasal allergies. Consult your specialist doctor to discuss this treatment and obtain their consent. Remember, effective management of allergies relies heavily on avoiding the allergen as much as possible; prevention is often the best cure.

I hope this helps.

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