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Medical Forum / Diseases and Disorders / Sinusitis / November 2003

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Afrin Question

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Mike - 03 Nov 2003 02:05 GMT
How many days should it take for the congestion cased by over use of
Afrin to subside ?  I have been using Afrin for a few months and
realize I need to stop.  I went 5 days without using it.  Yes,  I was
very miserable and could not sleep well due to my inflamed sinus's.
But a week later without any Afrin use and I am still severely
congested and breathing through my nose at night is nearly impossible.
Thanks.

Mike
Steven D. Litvintchouk - 03 Nov 2003 19:07 GMT
> How many days should it take for the congestion cased by over use of
> Afrin to subside ?  I have been using Afrin for a few months and
> realize I need to stop.  I went 5 days without using it.  

Unfortunately, continued overuse of Afrin can cause chronic long-term
inflammation of the sinuses, a condition called "rhinitis
medicamentosa."  In fact, my ENT told me he's seen people who overused
Afrin and ended up with ulcers in their nasal passages.  Just like
people who snort cocaine regularly--the effect on the nasal passages is
similar.

If you're in that situation, you need to see a doctor and get either
prescription steroid nasal spray or maybe even oral steroids.  That's
the only way to knock down that chronic inflammation.

If that fails too, then it means you did indeed injure the mucosa of
your nasal passages with the Afrin.  In the absolutely worst case
scenario, you might now need surgery to scrape away that inflamed tissue.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Mike - 04 Nov 2003 02:03 GMT
>> How many days should it take for the congestion cased by over use of
>> Afrin to subside ?  I have been using Afrin for a few months and
[quoted text clipped - 14 lines]
>your nasal passages with the Afrin.  In the absolutely worst case
>scenario, you might now need surgery to scrape away that inflamed tissue.

Ouch!  Well, I am glad to report that today things seem to be much
better.  I have only used an oral decongestant and as I type both
nostrils are clear.  Now to try some sleep!  Thanks for the
information.

Mike
Don Brady - 03 Nov 2003 20:17 GMT
>How many days should it take for the congestion cased by over use of
>Afrin to subside ?  I have been using Afrin for a few months and
>realize I need to stop.  I went 5 days without using it.  Yes,  I was
>very miserable and could not sleep well due to my inflamed sinus's.
>But a week later without any Afrin use and I am still severely
>congested and breathing through my nose at night is nearly impossible.

Steven posted a fairly full answer.

A short course of oral steroid has a very good chance of doing the trick.
Your doctor (preferably but not absolutely essentially an ENT) can prescribe
that.
ENTconsult - 04 Nov 2003 05:42 GMT
one method of getting off afrin is to dilute it with saline 1/2 and 1/2. Use
that for a week. The dilute that one 1/2 and 1/2 for a week. Keep on diluting
it that way and you may get to a dose that you can stop with.
Murray Grossan, M.D.
http://www.ent-consult.com
http://www.hydromedonline.com
 
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