Rebound Congestion – Causes & Treatment

Rebound Congestion is associated with the medical condition known as Rhinitis Medicamentosa and is brought on by the prolonged use of topical decongestant nasal sprays.

Topical decongestant nasal sprays contain powerful and effective vasoconstrictors. When cold, flu or allergy symptoms disrupt comfortable nasal airflow, these agents provide fast acting relief which lasts (on average) between six and nine hours. Provided these sprays are not used more than 2-3 consecutive days, they are safe, effective and relatively free of unwanted side effects such as rebound congestion.

If the decongestant sprays are used for more than 3 consecutive days, cellular and histologic changes in the nasal mucosa will result. Once these changes occur, the nasal turbinates become abnormally enlarged once the last dose of the medication wears off (typically 6-9 hours later.) It is this swelling of the nasal mucosa that the term Rebound Congestion refers to.

Rebound Congestion occurs then the 3 turbinates (superior, middle and inferior) are abnormally enlarged and block the nasal airflow into the nasopharynx.

Rebound congestion is typically not accompanied by discharge (mucous) unless other underlying medical conditions are present, such as allergies or a sinus infection. Many cases of rebound congestion initiate when patients self medicate, via the use of over-the-counter decongestant sprays. These products all contain warnings against using them for more than 3-5 days, however the decongestant relief they provide has a fast onset and is very effective. The temptation to use them beyond the recommended period of time is very strong.

Treatment For Rebound Congestion

The cornerstone of the therapy is always the same; patients must discontinue their use of the decongestant nasal sprays. It is this aspect of the treatment that is always the most difficult. Once the decongestants are withdrawn, the mucosa will swell, blocking the airway and creating extreme discomfort. Steriods, saline nasal sprays and other treatments do not significantly improve airflow and the period of congestion and discomfort can last from 4-7 days. Very few patients are able to bear it and the treatments often fail.

An alternative method is to gradually wean patients from the decongestant sprays, as opposed to a “cold turkey” approach. By gradually titrating the dosage strength, patients can maintain comfortable airflow as they are being weaned from the decongestants. To facilitate the gradual withdrawal/weaning method, patients can use the Rhinostat System, available directly from Rhinostat Labs. Rhinostat is the only patented product which is specifically targeted for this patient population.

Airflow Comparison Chart: Patients using corticosteriods and placebo experience severely restricted airflow for the first 6-7 days, once the decongestants are withdrawn. Patients who are gradually weaned using Rhinostat maintain comfortable airflow during the entire withdrawal period. All patients have similar airflow after 10-14 days.

How To Obtain A Rhinostat Kit

Rhinostat works with physician’s offices as well as directly with patients. It is available without a prescription directly from Rhinostat Labs, located in Port Orange Florida.

Physicians may order a sample kit to be sent directly to their office. Visit Our Physician Sample Request Page.

Patients may order a kit directly from Rhinostat Labs. The cost per kit is $39. A single person requires only one kit. Rhinostat offers an unconditional money back guarantee. If, for any reason, you are unable to successfully wean yourself from decongestant nasal sprays using Rhinostat, simply return the kit to us for a cheerful and immediate refund of your purchase price. If you catch a cold or experience any problem during your withdrawal, Rhinostat will send you a second kit free of charge.

Since 1999, Rhinostat has been dedicated to helping all persons who have become dependent on decongestant nasal sprays. You will find us to be supportive and enthusiastic about helping you overcome this problem.