Decongestant nasal spray prior to surgery?

Question

I was wondering when I need to stop using nasal decongestant spray prior to my upcoming rhinoplasty surgery as I really struggle to sleep without it.

Eric M. Joseph, MD · Answer

This is recommended since it is a vasoconstrictor, and theoretically a decongestant could compromise the blood supply to an operated nasal septum. So good news is that we have had excellent success in weaning people off of topical nasal decongestant sprays with turbinate injections with triamcinolone acetonide. Typically two or three injections at monthly intervals or slightly less, may be curative provided that you continue on with a topical nasal steroid spray and a topical antihistamine spray. I hope this helps! Sincerely, Dr Joseph

Randal Haworth, MD, FACS · Answer

It's crucial to follow your surgeon's specific instructions, but generally, you might be advised to stop using nasal decongestant spray about two weeks before rhinoplasty to minimize potential complications. Always consult with your surgeon for personalized guidance.

Merve Selimbabaogullari, MD · Answer

Hello. I recommend you to leave the nasal decongestant spray as soon as possible because its use for a long time is addictive. definitely not a condition we recommend.

Mats Hagstrom, MD (license on probation) · Answer

Decongestant spray can become very habit forming. 
I suggest you discuss with your provider.
Most people will have rebound congestion after stopping chronic use 
Mats Hagstrom MD

Decongestant nasal spray prior to surgery?

Answers (4)

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