Rebound congestion and
rhinitis medicamentosa: nasal decongestants in clinical practice.
Various medical conditions including intrinsic rhinitis, allergic rhinitis,
rhinitis medicamentosa and chronic hypertrophic rhinitis can also often result in hypertrophy of the inferior turbinates.
The use of alpha-adrenergic decongestant sprays for more than 5 to 7 days can induce rebound congestion on withdrawal, known as
rhinitis medicamentosa. (3) Repeated use of intranasal cocaine and methamphetamines can also result in rebound congestion.
of patients Allergic rhinitis 41
Rhinitis medicamentosa 22 Idiopathic rhinitis 19 Rhino sinusitis 9 DNS 9 Table 3: Post-operative follow up results Post-operative 1st month 3rd month 6th month 12th month follow up No.
Additionally, the prolonged use of these drugs can induce
rhinitis medicamentosa (Black and Remsen, 1980; Suleimani and Walker, 2007).
However, the benefit of topical decongestants often leads to the overuse of this form of therapy, which may lead to rebound or
rhinitis medicamentosa.
Cause of
rhinitis medicamentosa? Nasal decongestant sprays
Nasal turbinate congestion could indicate a viral aetiology, allergic or irritative rhinitis or
rhinitis medicamentosa due to decongestant abuse.
Patients in this group have conditions of varying etiologies, such as vasomotor rhinitis, atrophic rhinitis,
rhinitis medicamentosa, nonallergic rhinitis with eosinophilia, chronic rhinosinusitis, metabolic conditions, structural obstruction, and physical or chemical irritation of the nose.
Rhinitis medicamentosa is a special case, caused by the overuse of topical decongestants.
Rhinitis medicamentosa occurs when topical decongestants (nasal sprays) are used in excess.
Intrinsic rhinitis allergic rhinitis
rhinitis medicamentosa and chronic hypertrophic rhinitis often lead to hypertrophy of inferior turbinates1.