Decongestant medication 

Introduction  

A woman using a nasal spray

Decongestant medicines are available as tablets or a nasal spray

Why is my nose blocked?

The inside of your nose is lined with many tiny blood vessels. When these blood vessels are irritated by something, such as an infection or an allergy, more blood flows to them as part of your body's immune response.

This extra blood makes your blood vessels swell up so they block your nasal airway, making it difficult for you to breathe through your nose.

Decongestants are a type of medicine that can provide short-term relief for a blocked nose (nasal congestion). They can be taken to ease the symptoms of mild conditions such as the common cold, hay fever or nasal allergies.

Many decongestants can be bought over the counter in pharmacies without a prescription. They are available as tablets or a nasal spray.

How decongestants work

Decongestants reduce the swelling of the blood vessels inside your nose (see box). This helps to open up your nasal airway, making breathing easier.

However, although decongestants can help you to breathe more easily, they cannot cure the underlying cause of your blocked nose, such as a cold or allergy.

Also, decongestants are effective in clearing nasal congestion over short periods of time. It is unlikely they will work for more than five to seven days, and they can even cause your nose to become more blocked once you stop taking them (rebound congestion).

Names

Some of the most common decongestants are:

  • pseudoephedrine
  • oxymetazoline
  • phenylephrine
  • xylometazoline

Last reviewed: 21/05/2010

Next review due: 21/05/2012