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Improvement of CPAP tolerance and adherence in a patient with obstructive sleep apnea with the use of nasal steroids and nasal oxymetazoline.
J Clin Sleep Med
November 2024
Indiana University School of Medicine, Department of Internal Medicine, Division of General Internal Medicine.
Article Synopsis
- Challenging adherence to positive airway pressure (PAP) therapy in patients with allergic rhinitis was highlighted in a case study of a 62-year-old male with obstructive sleep apnea (OSA) who struggled with PAP for ten years.
- The combination of daily intranasal oxymetazoline and fluticasone significantly improved his tolerance and adherence to PAP therapy, unlike using fluticasone alone.
- This approach may help enhance CPAP tolerance in patients with OSA and rhinitis, offering a promising area for future exploration to improve treatment adherence.
Outcomes after Functional Nasal Surgery in Patients with Versus without Rhinitis Medicamentosa.
Laryngoscope
October 2024
Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.
Objective: Topical nasal decongestants (TNDs) are used to reduce nasal soft tissue edema and obstruction. However, after frequent TND use, patients can develop rhinitis medicamentosa (RM) with rebound nasal edema and obstruction. Management of RM has centered largely on TND cessation ± intranasal corticosteroids.
View Article and Find Full Text PDFRise and fall of decongestants in treating nasal congestion related diseases.
Expert Opin Pharmacother
October 2024
Department of Otorhinolaryngology & Clinical Allergy Center, The First Affiliated Hospital, Nanjing Medical University, Nanjing, China.
Article Synopsis
- Decongestants are medicines that help relieve stuffy noses caused by illnesses like colds and allergies.
- This article reviews research to help doctors use decongestants safely and effectively for their patients.
- It's important to use decongestants carefully and avoid buying products with unknown ingredients, as improper use can cause more problems.
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Ugeskr Laeger
September 2024
Afdeling for Øre-Næse-Halskirurgi og Audiologi, Københavns Universitetshospital - Rigshospitalet.
Article Synopsis
- - Sales of over-the-counter decongestant nasal sprays in Denmark have doubled from 2011 to 2023.
- - Prolonged use of these sprays can lead to risks like rhinitis medicamentosa, a condition that worsens nasal congestion.
- - There is a crucial need for better patient education on safe usage and side effects, along with more research to help health authorities regulate these products effectively.
Pharmacists' Attitudes Towards Long-Term Use of Nasal Decongestants: A Cross-Sectional Study.
J Multidiscip Healthc
March 2024
College of Medicine, Prince Sattam Bin Abdulaziz, Alkharj, Saudi Arabia.
Background: Rhinitis medicamentosa is a nonallergic inflammation of the nasal mucosa caused by topical decongestants overuse. It mainly affects young and middle-aged adults. Therefore, the aim of this study was to investigate the attitudes of pharmacists regarding the utilization of over-the-counter intranasal decongestants.
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