Nasal congestion

Prescribing Notes:

• Inhalation of warm moist air is useful in the treatment of symptoms of acute infective conditions. The addition of menthol or eucalyptus oil may improve the efficacy of the inhalation.
• Sodium chloride 0.9% nasal drops may relieve nasal congestion by helping to liquefy nasal mucous secretions.
• Topical nasal decongestants are of limited value because they can give rise to rebound congestion on withdrawal. 
• Nasal decongestant sprays or drops containing xylometazoline hydrochloride, refer to: MHRA Drug Safety Update. Reminder these products should not be used for more than 5 days. 
• Intranasal sodium chloride is a safe choice for pregnant women.

Prescribing Notes:

• Inhalation of warm moist air may give symptomatic relief.
• Sodium chloride 0.9% nasal drops can relieve nasal congestion by helping liquefy nasal secretion and may be particularly helpful in infants.
• Intranasal sodium chloride is a safe choice for pregnant women.
• Topical nasal decongestants can give immediate relief but should be used short term as they can give rise to rebound congestion on withdrawal.
• Nasal decongestant sprays or drops containing xylometazoline hydrochloride, refer to: MHRA Drug Safety Update. Reminder these products should not be used for more than 5 days. 
• The CHM/MHRA has stated that non-prescription cough and cold medicines containing xylometazoline can be considered for up to 5 days’ treatment in children aged 6-12 years after basic principles of best care have been tried; these medicines should not be used in children under 6 years.

When to advise patient to contact GP
Patients with uncontrolled hypertension.