You have an itchy or stuffy nose but no other symptoms. Treatment includes gradually decreasing how often you use nasal sprays. Most people have no other symptoms of rhinitis medicamentosa after they stop using nasal sprays.
Rhinitis medicamentosa is a type of nasal congestion that occurs when you overuse nasal sprays. It causes irritation and inflammation in your nasal passages.
In rhinitis medicamentosa, you have a stuffy or runny nose, but no other cold, flu or allergy symptoms. Rhinitis medicamentosa is also called “rebound congestion.”
Rhinitis medicamentosa can affect anyone who uses nasal decongestant sprays, drops or gels. It usually affects people who use these sprays for seven to 10 days or longer.
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The main symptom of rhinitis medicamentosa is nasal congestion. You may experience:
Most types of rhinitis cause other symptoms that affect your eyes, ears or throat. However, rhinitis medicamentosa only affects your nasal passages.
Overusing nasal sprays can cause rhinitis medicamentosa, including:
Healthcare providers can often diagnose rhinitis medicamentosa by asking you about your symptoms and whether you use nasal sprays. It’s important to be honest with your healthcare provider about how often you’re using spray decongestants. Your provider may examine your nasal passages and throat to confirm or rule out a cold or other conditions.
The first step in treatment is gradually reducing your use of nasal sprays. Stopping abruptly can worsen your symptoms. Your healthcare provider will give you instructions to wean off the medications slowly.
When you’re no longer using nasal sprays, your provider may recommend other treatments to ease congestion, such as:
You can significantly reduce your risk of rhinitis medicamentosa by using nasal sprays only as directed. Read the package carefully if you use over-the-counter (OTC) nasal sprays to relieve congestion. All medications come with instructions for how much to take and how often.
See your healthcare provider if nasal sprays don’t reduce congestion. They can recommend other congestion treatments that don’t lead to rhinitis medicamentosa.
Most people experience symptom relief after they stop overusing nasal sprays. You increase your risk of developing small growths called polyps in your nasal passages if you continue using nasal sprays. If you develop polyps, you may need surgery to remove them.
After your symptoms go away, speak with your healthcare provider about alternate treatments for congestion. They can give you recommendations to avoid using nasal sprays in the future.
If you have rhinitis medicamentosa or think you could, you may want to ask your healthcare provider:
The word “rhinitis” means inflammation in your nose. In rhinitis medicamentosa, using specific drugs causes the inflammation.
Different triggers cause inflammation in other types of rhinitis. For example:
Yes. Most people don’t experience further symptoms after reducing how often they use nasal sprays.
Rhinitis medicamentosa typically lasts for as long as you overuse nasal sprays. The more you continue to use nasal sprays, the worse your symptoms could get.
A note from Cleveland Clinic
Rhinitis medicamentosa is a type of nasal congestion resulting from overusing nasal sprays. It may cause an itchy, stuffy or runny nose. Unlike other types of rhinitis, rhinitis medicamentosa doesn’t affect your eyes or throat. Treatment for rhinitis medicamentosa involves gradually decreasing how often you use nasal sprays. Most people don’t experience any further symptoms after weaning off these medicines.
Last reviewed by a Cleveland Clinic medical professional on 06/28/2022.
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