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What are the symptoms of rhinitis Medicamentosa?


  • Persistent nasal congestion without any allergy symptoms.
  • Nasal congestion that is persistent and occurs without any allergy triggers.
  • Nasal congestion worsening with increasing nasal spray frequency and dosage.

What causes Medicamentosa?

Rhinitis medicamentosa (RM), also known as rebound rhinitis, is a condition characterized by nasal congestion that is triggered by the overuse of topical vasoconstrictive medications, most notably intranasal decongestants; recreational use of intranasal cocaine may also cause a similar condition.

What causes rhinitis Medicamentosa?

Rhinitis medicamentosa (RM), also known as ‘rebound congestion’ is inflammation of the nasal mucosa caused by the overuse of topical nasal decongestants. It classifies as a subset of drug-induced rhinitis.

Can rhinitis affect eyes?

In patients with allergic rhinitis, eye symptoms including tearing, itching, and eye redness are an important part of the disease and the target of symptomatic therapy.

How do you overcome rhinitis in Medicamentosa?

The first step in treating rhinitis medicamentosa is to stop using the nasal spray. Abruptly stopping it, however, can sometimes lead to greater swelling and congestion. Your doctor may recommend gradually decreasing your use of the medication. If your congestion is mild, your doctor may recommend a saline nasal spray.

Is rhinitis Medicamentosa reversible?

Conclusion: Rhinitis medicamentosa with nasal congestion appears readily reversible with suitable treatment.

How long does Medicamentosa rhinitis last?

Approximately 90% of cases of OME resolve spontaneously within 6 months. There is significant controversy regarding the routine treatment of this condition. Most episodes resolve spontaneously within 1 to 2 months.

Can post nasal drip affect your eyes?

Watery eyes, fatigue, poor sense of smell, and puffiness under the eyes can be other symptoms seen with postnasal drip.

Can sinuses drain into eyes?

If you blow your nose and the nose is congested- or hold the nose too tightly when you blow- mucus from the nose can go the other way- through the tear ducts and around the eye.

How long does it take to treat rhinitis Medicamentosa?

However, because it is a simple pharmacodynamic phenomenon, patients should inevitably improve once receptor densities have returned to their predrug state. This typically takes 1 to 2 weeks, and in the intervening period the patient may benefit from oral decongestants to get through the periods of severe congestion.

How long does it take to get over rhinitis Medicamentosa?

Periods for recovery were as follows: 3 days in 19 cases (61.3%) and 1 week in 25 cases (80.6%). Duration of drug use did not correlate with the period required for recovery; therefore, these results suggest that patients with long-term drug use are able to improve quickly.

Can sinus problems cause eye watering?

– Infections and Inflammation: Whether you are under the weather from allergies, a sinus infection or other eye related infections, these can all be causes of epiphora. Allergies and infections trigger an inflammatory response in your eye creating excessive tearing to help keep your eye comfortable.

What are the side effects of rhinitis medicamentosa?

Mortality/Morbidity. Rhinitis medicamentosa can lead to chronic rhinosinusitis, atrophic rhinitis, turbinate hyperplasia, psychological dependence, and an abstinence syndrome upon intranasal decongestant withdrawal that may include headaches, sleep disturbances, restlessness, irritability, and anxiety.

How long does it take to recover from rhinitis medicamentosa?

With regular daily use, some patients may develop rhinitis medicamentosa in 3 days, whereas others may not have evidence of rebound congestion after 4 to 6 weeks of use. [2] Management of rhinitis medicamentosa is focused on withdrawal of intranasal decongestants and treatment of congestion and underlying conditions with appropriate interventions.

What can I take for nasal congestion and rhinorrhea?

Allergic congestion and rhinorrhea can be treated with antihistamines; in such cases, nonanticholinergic antihistamines (eg, fexofenadine 60 mg po bid) as needed provoke fewer adverse effects. Nasal corticosteroids (eg, mometasone 2 sprays each nostril daily) also help allergic conditions.

Which is the best medicine for allergic rhinitis?

Pharmacotherapy. Pharmacologic options for the treatment of allergic rhinitis include intranasal corticosteroids, oral and topical antihistamines, decongestants, intranasal cromolyn (Nasalcrom), intranasal anticholinergics, and leukotriene receptor antagonists. 4,5 The International Primary Care Respiratory Group,…