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Treatments for persistent rhinitis part 2

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Other nose sprays

The following are sometimes used. They tend to be used if there are problems with any of the above treatments. Sometimes one is used as an 'add on' treatment in addition to one or more of the above treatments if symptoms are not fully controlled:

Sodium cromoglicate nose spray. Like steroid sprays, it takes a while to build up its effect, and needs to be taken regularly. It is thought to work by stopping the release of histamine from certain cells. One disadvantage is that it needs to be taken 4-5 times a day (steroid sprays are taken 1-2 times a day).
Ipratropium bromide nose spray may be worth a try if you have a lot of watery discharge. It has no effect on sneezing or congestion.
Decongestant nose sprays that you can buy at pharmacies are not usually advised for more than a few days. They have an immediate effect to clear a blocked nose. However, if you use one for more than 5-7 days, a 'rebound', more severe congestion of the nose often develops. One may be useful for a few days to clear a blocked nose when you first use a steroid nose spray. The steroid can then get to the lining of the nose to work. Don't use decongestant nose sprays for more than seven days. You should also not use a decongestant nose spray if you are taking an antidepressant called a monoamine oxidase inhibitor (MAOI).