Warning to all re Nasal Sprays

Many of you may think this is just a joke or something silly and not for you to worry.

Well, I just want to begin by saying it is no joke. There are some OTC (Over The Counter) nasal sprays sold that clear up nasal congestion and they are extremely terrible products because they are extremely addictive. They have labels with very tiny print that warn people. They say that you must not use them for more than 3 days because if you do, they are addictive. But the print is so tiny. I never read it until it was too late.

Anyway, here is my story and I hope some of you might take it seriously because I am dead serious about this. It is no joke.

About two years ago, I woke up in the middle of the night and I was having problems breathing through my nose. It was all stuffed up and my mouth was dry from breathing through my mouth. I started to get these feelings of extreme panic because I couldn’t breathe and nothing I did seemed to help.

The following day, I went to a drug store and bought a few different brands of nasal decongestant and discovered one that worked like magic. It was a miracle! The congestion dissappeared within a few minutes and my breathing was back to perfect. I was just ecstatic.

About two weeks later, I went to my local druggist and bought a couple more of the brand that worked so well and he looked at them and then got this horrified look on his face and told me, “I have to carry this stuff. But you should stay away from it. It is horrible stuff because it will clear up your congestion but then you will need to use it again and again and the more you use it, the more you will need to use. Go see your doctor and get a medically prescribed kind of nasal spray that is not addictive.”

Well, I did go to see my doctor and he did prescribe another kind of spray. But it didn’t work nearly as well or as quickly.

Anyway, to make a long story short, after I began using it, my congestion returned about 24 hours later and I used it again. This went on for about 6 months. Then, instead of once every 24 hours, I needed to use it once every 12 hours. Six months later, I was using it once every 6 hours.

I did some research on the net and found that some people continued using this stuff and eventually, they were using a $10 bottle every single day.

Here is a link to a site where a doctor tells this story and also suggests a treatment. The headline on this site is, “Nasal Spray Addiction – Know The Facts and Avoid the Danger”.

http://www.healthcentral.com/allergy/medications-253494-5.html

The two brand names that caused my addiction were Drixoral and Claritin. Two years ago, you could buy a 25ml bottle or a 15ml bottle. But now the companies have stopped making the large size. I’m guessing maybe either the government forced them to stop or maybe they did it out of greed because they charge almost double per unit of spray for the smaller bottles. Two other brands that use the same or similar chemical are: Otrivin and Dristan.

In case you ever get addicted to this stuff, you should obviously see your family doctor ASAP. But here is what Dr. James Thompson on the above site says is his recommended treatment to break the addiction from the TNDs (Topical Nasal Decongestants).

Dr. James Thompson recommends: My preference is to prescribe a short course of oral steroid which is tapered (reduced gradually) every two days for a total of ten days. A nasal steroid spray is prescribed for long-term use. The nasal steroid sprays are not addictive and may help to maintain good airflow through the nasal passages as the oral steroid is eliminated. The patient is instructed to stop the TND within two days, allowing time for the oral steroid to take effect. If there is no history of blood pressure elevation, heart, thyroid or eye problems, an oral decongestant (e.g. Sudafed) may also be recommended. I also recommend nasal saline rinses.

The name of the chemical used in Drixoral, Claritin and Dristan is: OxyMetazoline Hydrochloride. The one used in Otrivin is: Xylometazoline Hydrochloride.

If you have kids, I hope you keep an eye on any kind of medications they buy and use.

I forgot to include the (hopefully) end of the story.

I was planning on seeing my doctor at my regularly scheduled appointment in a few weeks to get some help. But then we had a huge power outage. Most of my city was without power for several days. I live in a highrise and my power was out for 2 days. The temperature plunged from about 70 to about 45. But, for me, it was a miracle because I didn’t feel any need to use this stuff for those two days and have not used it since. It’s been almost six days now and I’ve been free from it for all that time. May not seem like very long. But for the past month, I have been terrified about this problem. So I am extremely happy now.

If I ever feel the need to use it again, I will go see my doctor ASAP and I will also buy some non-addictive decongestants. My druggist tells me there are saline-based nasal sprays that are not addictive and I will talk to my doctor about this and get some nasal spray that is non addictive in case I ever get congested again.

P.S. Apparently, there are many people suffering for addiction to this stuff. But it feels very shameful to tell anyone about it. So it may not be a very well known problem.

Yeah, I’ve previously been sucked in to the ‘miracle’ of decongestant nasal sprays. Luckily I only did it for a week, but that was enough time to realize the problem…and to develop the most insane chronic itch in my nostril. It drove me totally nuts. :eek:

Never again.

When I first got that feeling of a “miracle”, I should have known better.

When I was 12 years old, I used to get chronic headaches. One day my mother gave me “222” tablet. That is aspirin tablet that contained codeine.

I got that old “miracle” feeling back then. My headache disappeared instantly and every time I got another one, I had a miracle pill that would just block it out.

That began a twenty year addiction to codeine.

I must learn to pay attention to these “miracle” feelings. If it seems too good to be true, it probably means that it’s not true or at least that there is a hidden danger.

Afrin is the debbil. It should only be used for 3 days, if that. It causes rebound congestion if overused and the only way I could get off it is to have steroid insufflations up my nose by an ENT.

http://nosesprayaddiction.com/afrin-side-effects/

eta: yesss codeine is sweetsweetsweet, but apparently I dont have an addiction-prone personality. I just use it when absolutely necessary (once every 3-6months if that).

Previous threads:

Anyone else addicted to nasal sprays?

Anyone else ever kick a nasal spray habit (or need to)?

Hazards of nasal spray?

The only time I use nasal spray is for work where I am in close contact with coworkers and clients. I only use it right before my shift, and just put up with the congestion the rest of the time when I have a cold. The addictive properties of nasal sprays have been known for a long time. And always read the fine print on medication packaging. It’s a bit of a compulsion for me, I have to read it all through before taking a new medication.

Been using the stuff daily for 15 years. Hopeless. The rebound is awful.

Fifteen years? Wow! I guess the rate at which the addiction progresses must affect diff people differently.

During the past year I was especially terrified of having a quarrel with someone in public and getting arrested and locked up for a day or two. They would not let me take my spray with me and I have no idea just how bad it would get if I needed the spray every 6 hours.

It may not be highly probable. I’ve only ever once been arrested and that was more than 20 years ago.

But just the other day I got into a shouting match with some lady in my grocery store and she shoved me. I was going to shove her back but the thought flashed through my mind, “If the cops are called and they arrest one or both of us, I will be in serious trouble without my spray.”

Anyway, I urge you to see your family doctor and ask about this treatment that Dr. Thomson recommends. If it will free you from this garbage, I’m sure you will be very happy.

Can you imagine that one patient who progressed to using an entire bottle every day? That also terrified me. What would one do after that?

That is a great site. Some extemely helpful info there.

BTW, what does “debbil” mean?

I guess we live in diff countries. I have never heard of Affrin. But apparently it is a very popular brand in the USA.

It’s a slang/Internet-slang humorous misspelling of “devil.” She’s agreeing as to how horrible it is.

Yeah, we knew that.

While the stuff has a horrible rebound reaction when trying to discontinue use after about a week or so, I feel the OP is experiencing maybe a bit of an overreaction to the stuff.

Don’t get me wrong, I’ve had to go on nasal steroids once or twice to ween off the stuff in the past, but it’s not like it’ll destroy your life and kill you like true drug addiction.

Last time I overused it after a terrible cold, I relied on it for about 2 to 3 months and tapered the use of the stuff as the bottle of Afrin was running out; then went cold turkey when it ran out and it took maybe 3-5 days before I felt my breathing was back to normal.

As horrible as the “addiction” is once you don’t really need it anymore, it has its uses if used as directed and isn’t really that huge of a problem to ween off of if your nose has developed a reliance on it.

Just knowing about the hazards are good enough for me to maintain a good distance from it when it’s not needed, or be conscientious enough of it while I’m using it to be sure it’s not getting out of hand. No need to fear it and buy a flamethrower in case it gets near you or the kids.

But, of course, and as always, YMMV.

You may well be right. But did you ever see the picture in the following link that shows what someone’s nasal cavities look like after they have abused this stuff?

I guess the picture looks bad. But I must admit that without seeing a picture of a healthy person’s nasal cavitiies for a side by side comparison, I really wouldn’t know just how bad the picture is.

http://nosesprayaddiction.com/afrin-side-effects/

Oh well, take a look and see what you think?

As I said above, one of my biggest fears was getting incarcerated for some stupid reason and then being unable to get any of the spray. I couldn’t buy any and I don’t know how badly I would react to not being able to breathe through my nose. I was truly panicked the first time it happened to me.

Back in October, I came down with a cold right before a 15-hour plane flight. I was worried that the congestion would be a problem for the flight. The only decongestant I could get my hands on was a nasal spray (oxymetazoline hydrochloride, to be exact). As the OP describes, my congestion was gone within seconds of using the spray. At that point, I knew I should be careful. I used it right before my flight and once during, and that was it.

Even with just those two uses, I could tell that my congestion was worse for the first day after I stopped. I carried a box of Kleenex everywhere and blew my nose constantly for a couple of days. I also used a saline nasal rinse when I could to help thin out the mucus. The saline spray was less helpful, but I could use it at work to help keep things moving.

Good luck getting away from this stuff. It’s tough, but only seems to last a few days.

Lazlo, try Rhinostat.

It’s a bit pricy ($40), but it worked for me. I used to use nasal spray at least 10 times a day, every day. I now use it very rarely (maybe four times in the last six months).

Good luck!
mmm

I use them knowing the problems with rebound. I try not to use them on consecutive days. I have the same problem as the op. If I can’t breath it triggers claustrophobia in my dreams. At that point I’m using nose spray regardless of the side effects. I find gargling with salt water to be beneficial if my nose is stuffy before bedtime.

That looks very interesting.

As far as price goes, I bet you can’t imagine what it would be worth to me to escape this horror.

$40? I would pay $400 and not even think twice.

If I could find a way to guarantee my freedom, I would even pay $4,000. I would have to think twice about that. But only for a split second.

I have been free for six days now and I pray that I can maintain that. During the past two years, I have not ever gone for more than 24 hours without using this spray. So, six days is definitely a minor miracle.

I would struggle like crazy to never use it again. But if I do use it again, I will call my doctor immediately and request an “urgent” appointment so that we could try to find an alternative.

In the meantime, I will check into Rhinostat and hopefully, I can buy some somewhere in my city for cash. I have a problem with ordering things over the net. But hopefully, I can get some.

ETA: I sent them an email and am waiting for their reply. Thanks again.

Mom had quite an issue with it, back in the day. Me, I use it when I’m in dire straits–in the doldrums of a nasty cold that isn’t just congestion, but also coughing, running nose, the whole thing. It takes care of the congestion for the few days it needs to. When the other symptoms subside, I’ve got a few days of concrete nose to deal with–but I can, because that’s the only thing I’m dealing with. Then it passes and I’m fine again. For everyday congestion… fuck it, I’ll mouth-breathe.

I usually use Afrin several times a day when I’m sick and stuffed up. Then I get better and stop using it. It’s never been an issue for me.