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Rhinitis Medicamentosa
Aka: Rhinitis Medicamentosa
- Pathophysiology
- Associated with topical agent use >5-7 days
- Tachyphylaxis associated with medications
- Nasal Decongestants (Afrin, Neo-Synephrine)
- Nasal spray preservative Benzalkonium chloride
- Other associated medications
- Reserpine
- Oral Contraceptive pills
- Inderal
- Aldomet
- Symptoms
- Rebound nasal Congestion after nasal Decongestant
- Signs
- Fiery red edema at nasal mucosa
- Management
- Intranasal Steroid (e.g. Vancenase)
- Withdrawal of nasal Decongestant
- Prevention
- Avoid prolonged use of nasal Decongestants
- Reference
- Graf (1997) J Allergy 52(40 suppl): 28-34 [PubMed]