I use an over-the-counter nasal spray for congestion associated with allergies. Should I be concerned about nasal spray addiction?
Answer From James T C Li, M.D., Ph.D.
What you may be referring to is a rebound effect that can occur if you use over-the-counter nasal decongestant sprays regularly. After a few days of using this type of nasal spray, your nose may become less responsive to the effects of the medication.
As a result, you may need to use more and more of the medication to control congestion. Your congestion also may worsen if you stop using the medication. Some people may mistake this rebound effect for addiction, but it isn't.
True addiction is a compulsive physiological need for and use of a habit-forming substance known to be physically, psychologically or socially harmful. Over-the-counter nasal sprays don't cause the physiological cravings that mark an addiction.
To prevent rebound congestion, use over-the-counter decongestant nasal sprays for no more than three days in a row, with as few doses as possible each day. Prescription nasal sprays containing steroids don't cause this rebound effect, so they can be used on a daily basis for years.
Dec. 12, 2020
See more Expert Answers
- DeShazo RD, et al. Pharmacotherapy of allergic rhinitis. https://www.uptodate.com/contents/search. Accessed Nov. 18, 2020.
- Understanding the different types of nasal sprays. The American Academy of Otolaryngic Allergy. https://aaoallergy.org/allergy/you-want-me-to-spray-what-up-my-nose-%EF%BB%BF/. Accessed Nov. 18, 2020.
- Drug, brains, and behavior: The science of addiction. https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction. Accessed Nov. 17, 2020.
- Segboer C, et al. Intranasal corticosteroids for non-allergic rhinitis. Cochrane Database of Systematic Reviews. https://www.cochranelibrary.com. Accessed Nov. 18, 2020.