Q. I have read on your website about people who became nose drop junkies. I too had this problem.
Years ago, on assignment in Australia I was scuba diving. When I caught a cold I used Afrin to keep diving, and a year and a half later I was still using this nasal spray.
Not being able to breathe is horrible. I kept thinking I’d deal with it tomorrow; today I want to breathe.
I later did a story on cocaine treatment, and the director of the clinic told me about nose spray addiction. When nasal decongestants are used, the small blood vessels in the nose constrict. As the effect wears off, the nasal tissues become even more congested than before.
The cure was simple: I took an oral decongestant for two weeks. During that time breathing wasn’t perfect, but it finally returned to normal. I will never use nose spray again, now that I know it can be so addictive.
A. People don’t get high from nose drops, but many have difficulty kicking the habit. Rebound congestion is uncomfortable and can occur after three days of use. You are spot on with regard to the mechanism. The vasoconstriction effect of the decongestant spray allows you to breathe beautifully for several hours. But if you keep using the products day after day, the body adapts. When you stop suddenly the prolonged rebound congestion may be even worse than the original stuffiness.
Oral decongestants may help relieve symptoms, but some people need stronger medicine. Prescription steroids (pills or sprays) can relieve stuffiness while a person is gradually weaned off OTC nasal decongestants.
Some people have come up with elaborate dilution strategies whereby they gradually reduce the strength of the nasal spray decongestant with a saline solution and wean themselves first in one nostril and then eventually in the other.
The body is amazing in its ability to adapt to pharmaceuticals. Sometimes quitting a medicine can a lot harder than people think, and we’re not just talking about drugs of abuse. Even stopping acid-suppressing drugs used for easing symptoms of heartburn can be challenging. To read more about quitting proton pump inhibitors like Aciphex, Nexium, Prevacid, Prilosec and Protonix visit this link.