This inconspicuous little helper helps us clear blocked nasal cavities in case of a cold or allergy. It is a nasal spray. We would never have dreamed that it could have any unwanted effects or perhaps cause addiction. However, the latest study published in an online magazine suggests the exact opposite. We should use nasal sprays with discretion.
The rule is: do not use for more than 5 days!
People who use nasal decongestant sprays for nasal congestion caused by allergies and colds are advised to use them for only five days – or risk addiction. Over-the-counter nasal sprays, sold under various brand names, work by shrinking swollen blood vessels in the nose, helping to open the airways and make breathing easier in the short term.
However, the Medicines and Healthcare products Regulatory Agency (MHRA) in Great Britain has warned that the active ingredients in the sprays can cause “rebound congestion” – a phenomenon in which blood vessels become dependent on the drug. This worsens nasal congestion, leading to a vicious cycle in which patients become dependent on medications to help them breathe and, in some cases, develop a psychological dependence on these products.
This condition, medically known as drug rhinitiscan affect anyone who overuses nasal sprays, causing irritation, runny nose, sneezing, and stuffy nose. Some patients with a history of the condition are even forced to undergo surgery to address the damage caused by the chronic swelling, which can lead to breathing problems and facial disfigurement.
The spray itself is not a threat, but two of its components are
If we were to change it to change, there is nothing wrong with the spray itself. On the contrary, if you only use a natural spray with pure seawater, it is beneficial even for a longer period of time. Two components, which are also the main active ingredient in these nasal sprays, are especially risky. The health watchdog is now urging people not to use sprays containing xylometazoline and oxymetazoline – active substances in decongestants – for more than five days.
The MHRA said it would update packaging and patient leaflets to reflect the guidance, although full implementation could take several months. Meanwhile, officials are urging people to follow the guidelines now. If you are already using such a spray, talk to your healthcare professional about stopping the drug and whether alternative treatments might help.
These nasal sprays are a safe and effective treatment when used as directed. It is important to always read the written information for the user, which is part of the medicine package, as well as the information on the outer packaging. Professor Amira Guirguisová, Chief Scientist at the Royal Faculty of Pharmacy, added: “We support clearer product information and improved packaging, along with consistent public information to raise awareness that these products are for short-term use only and to prevent foreseeable harm.”
Addiction to nasal sprays has a more psychological background
Many people spray these sprays before going to bed, for example, thinking that they will breathe better and stop snoring. Experts say that most patients addicted to nasal sprays are able to successfully wean themselves off the drug and suffer no long-term damage to the nose. There is also no reason to use other nasal sprays in the treatment than we mentioned above; ordinary sea water is enough to moisten the mucous membranes abundantly.
If someone has nasal congestion due to a cold or seasonal allergy that lasts for a long time, it is a good idea to consult a doctor about alternatives to nasal sprays that are more suitable for long-term use.
