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Is it okay to use nasal sprays for my sinus congestion?

There is a lot of congestion in my nose from what I think is just a cold. I was looking into getting a nasal spray to help clear it up so I can breathe at night. Are nasal sprays safe or should a doctor prescribe one?
The answer to this depends on what you mean by nasal spray. There are some nasal sprays which are just saline water, and these are totally safe. Similarly, nasal irrigation systems, such as the Nettipot, are quite safe and are very useful for clearing up nasal allergies and sinus congestion. On the other hand, if you mean a spray that is labeled as a "nasal decongestant" then you need to be careful. Nasal decongestants are medications that work by decreasing the flow of blood to the nasal lining. Although they are instantly effective, they should only be used for no more than 3 days before discontinuing them. This is because, if you continue to use them, your body will actually adapt to the medication and something called rebound congestion will occur - paradoxically, using the decongestant will actually make you more congested! If your symptoms of sinus congestion have been going on for more than a week or so, you may want to see your primary care doctor. They will be able to evaluate your symptoms, and they can offer you additional prescription medication options that will potentially help to clear up your symptoms more quickly. I hope you are feeling better soon!
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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