{"id":7999,"date":"2023-01-10T11:01:02","date_gmt":"2023-01-10T11:01:02","guid":{"rendered":"https:\/\/www.ent.gr\/?p=7999"},"modified":"2023-02-10T13:07:08","modified_gmt":"2023-02-10T10:07:08","slug":"nasal-spray-the-corticosteroids-are-not-the-problem","status":"publish","type":"post","link":"https:\/\/ent.gr\/en\/nasal-spray-the-corticosteroids-are-not-the-problem\/","title":{"rendered":"Nasal spray, the corticosteroids are not the problem."},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ent.gr\/en\/nasal-spray-the-corticosteroids-are-not-the-problem\/#What_we_need_to_know_about_these_sprays_in_order_to_get_the_best_result_but_also_to_avoid_unpleasant_side_effects_and_problems\" >What we need to know about these sprays, in order to get the best result but also to avoid unpleasant side effects and problems:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ent.gr\/en\/nasal-spray-the-corticosteroids-are-not-the-problem\/#However_prolonged_use_of_nasal_spray_can_have_unpleasant_effects_the_main_of_which_are\" >However, prolonged use of nasal spray can have unpleasant effects, the main of which are:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ent.gr\/en\/nasal-spray-the-corticosteroids-are-not-the-problem\/#Are_cortisocosteroid_nasal_sprays_dangerous\" >Are cortisocosteroid nasal sprays dangerous?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ent.gr\/en\/nasal-spray-the-corticosteroids-are-not-the-problem\/#How_should_nasal_spray_be_used\" >How should nasal spray be used?<\/a><\/li><\/ul><\/nav><\/div>\n<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<span style=\"font-family: helvetica; font-size: 14pt;\">A runny nose and a blocked <a href=\"https:\/\/ent.gr\/en\/ent-nose\/the-nose\/\">nose<\/a> are the most common symptoms of a common cold, which afflict many of us, especially in the winter months.\u00a0<\/span><span style=\"font-family: helvetica; font-size: 14pt;\">An easy solution, albeit a temporary one, is the use of a decongestant nasal spray. In fact, a medical prescription is not even required in order to purchase one in Greece and in most countries of the world.\u00a0<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_we_need_to_know_about_these_sprays_in_order_to_get_the_best_result_but_also_to_avoid_unpleasant_side_effects_and_problems\"><\/span><span style=\"font-family: verdana, geneva; font-size: 18pt;\">What we need to know about these sprays, in order to get the best result but also to avoid unpleasant side effects and problems:<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">The use of decongestant spray should not be more than 7 days! <\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Decongestant sprays work by causing the blood vessels in the nose to constrict causing the inside lining to shrink, thus, breathing becomes easier.<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\"><span style=\"font-family: helvetica; font-size: 14pt;\">Simultaneously, the glands that produce the mucus also contract, therefore, secretion also decreases.<\/span><\/span>\n<div id=\"attachment_10806\" style=\"width: 310px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10806\" class=\"wp-image-10806 size-medium\" title=\"Nasal Spray.eviasis\" src=\"https:\/\/ent.gr\/wp-content\/uploads\/2023\/01\/Blocked-nose-300x200.jpg\" alt=\"Nasal Spray.eviasis\" width=\"300\" height=\"200\" \/><p id=\"caption-attachment-10806\" class=\"wp-caption-text\">Blocked Nose.Nasal Spray<\/p><\/div><\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"However_prolonged_use_of_nasal_spray_can_have_unpleasant_effects_the_main_of_which_are\"><\/span><span style=\"font-family: verdana, geneva; font-size: 18pt;\">However, prolonged use of nasal spray can have unpleasant effects, the main of which are:<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Addiction: A larger and larger dose is required, for the same effect,\u00a0while without a spray, the nose is always blocked.<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Rebound effect: When, finally, the use is stopped, the nose is more clogged than before.<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Medicinal rhinitis: Prolonged or chronic use, due to the disturbance of blood supply, causes serious damage to sensitive mucosal cells.<\/span><\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Are_cortisocosteroid_nasal_sprays_dangerous\"><\/span><span style=\"font-size: 18pt; font-family: verdana, geneva;\">Are cortisocosteroid nasal sprays dangerous?<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-family: helvetica; font-size: 14pt;\">Nasal sprays that contain only corticosteroids do not cause immediate decongestion, so there is no point in using them for colds or other acute inflammations of the nose. These sprays are indicated in chronic rhinitis or sinusitis and nasal polyps, where they relieve or, often, control chronic inflammation.<\/span><\/p>\n<p><span style=\"font-family: helvetica; font-size: 14pt;\">The continuous use of sprays containing only cortisocosteroids is allowed, and for very long periods of time, always with the guidance of a specialist doctor. The reason is that the medicine they contain is absorbed into the circulation in zero or negligible amounts, hence, our nose gets cortisone but not us! Thus, the serious <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK531462\/\">side effects of chronic cortisone use,<\/a> such as hypertension, diabetes, osteoporosis, etc., are not caused.<\/span><\/p>\n<p><span style=\"font-family: helvetica; font-size: 14pt;\">At the same time, cortisone, when used topically in the nose, does not cause addiction and medicinal rhinitis, as with decongestants.<\/span><\/p>\n<p><span style=\"font-family: helvetica; font-size: 14pt;\">In conclusion, we should emphasize that it is not nasal sprays containing cortisone that are dangerous for prolonged use, but those containing decongestants!<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_should_nasal_spray_be_used\"><\/span><span style=\"font-family: verdana, geneva; font-size: 18pt;\">How should nasal spray be used?<img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10808 alignright\" src=\"https:\/\/ent.gr\/wp-content\/uploads\/2023\/01\/%CE%A1%CE%B9%CE%BD%CE%AF%CF%84%CE%B9%CE%B4%CE%B1.%CE%B5%CF%85%CE%AF%CE%B1%CF%83%CE%B9%CF%82-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" \/><\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Decongestant sprays are typically used 3 or 4 times a day, for 3 to 5 days.<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Cortisone sprays are used in therapeutic regimens longer than one month, usually 3-6 months (always according to the doctor&#8217;s instructions).<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Before the first use, it is recommended to spray into the air, so that the dosing vial is filled and the correct dose is administered from the first spray.<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Before using all sprays, it is good to blow our nose so that it is clear of secretions when it comes into contact with the medicine.<\/span><\/li>\n<li><span style=\"font-family: helvetica; font-size: 14pt;\">Spraying is more effective if we close the nostril we are not spraying with our finger.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: helvetica; font-size: 14pt;\">Finally, it is good to avoid inhaling strongly, at the same time as spraying. This causes a large amount of the medicine is drawn towards the pharynx and does not reach the nasal mucosa.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row pix_padding_top=&#8221;pix-top-no-padding&#8221; pix_padding_bottom=&#8221;pix-bottom-no-padding&#8221; gradient_colors=&#8221;%5B%7B%7D%5D&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Contact us&#8221; color=&#8221;turquoise&#8221; align=&#8221;center&#8221; i_icon_fontawesome=&#8221;fa fa-phone&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:%2Fen%2Fcontacts||target:%20_blank|&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Book an appointment&#8221; color=&#8221;turquoise&#8221; align=&#8221;center&#8221; i_icon_fontawesome=&#8221;fa fa-calendar&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:%2Fen%2Fappointment||target:%20_blank|&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Get directions&#8221; color=&#8221;turquoise&#8221; align=&#8221;center&#8221; i_icon_fontawesome=&#8221;fa fa-map-marker&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.google.com%2Fmaps%2Fdir%2F%2FEyiasis%2BENT%2BAcupuncture%2C%2BGeor.%2BDrosini%2B16%2C%2BKifisia%2B145%2B62%2F%4038.0718225%2C23.8122364%2C15z%2Fdata%3D!4m8!4m7!1m0!1m5!1m1!1s0x14a19edf40479729%3A0xa4593bd0e0aed04b!2m2!1d23.8122364!2d38.0718225||target:%20_blank|&#8221;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>A runny nose and a blocked nose are the most common symptoms of a common cold.\u00a0An easy solution, albeit a temporary one, is  the decongestant nasal spray&#8230;<\/p>\n","protected":false},"author":1,"featured_media":14720,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[144,148,149,143],"tags":[],"class_list":["post-7999","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allergic-rhinitis","category-ent-nose","category-ent-pediatric-ent","category-pediatric-ent"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/posts\/7999","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/comments?post=7999"}],"version-history":[{"count":0,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/posts\/7999\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/media\/14720"}],"wp:attachment":[{"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/media?parent=7999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/categories?post=7999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ent.gr\/en\/wp-json\/wp\/v2\/tags?post=7999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}