Nasal spray oil are also available. There is however no trial-verified evidence that they have a measurable effect on symptoms. Decongestant nasal sprays are available over-the-counter in many countries. They work to very quickly open up nasal passages by constricting blood vessels in the lining of the nose. Prolonged use of these types of sprays can damage the delicate mucous membranes in the nose. This causes increased inflammation, an effect known as rhinitis medicamentosa or the rebound effect. Decongestant nasal sprays are advised for short-term use only, preferably 5 to 7 days at maximum. Some doctors advise to use them 3 days
Post-nasal drip recommended if the PND is caused by allergies. First-generation antihistamines can have side effects including drowsiness however. Nasal steroid treatments, such as fluticasone propionate, may also provide relief. Decongestants such as Sudafed cause a reduction in membranes through the tightening of blood vessels which resultantly limit PND. Staying hydrated and avoiding alcoholic and caffeinated products which worsen symptoms is key. Avoiding cigarette smoke is also recommended because it can cause increased discomfort if inhaled. Drinking more fluids, especially those that can thin mucous (such as hot liquids), can be beneficial. Nasal irrigations such as saline-based nose sprays can be used