NHS warns people may risk dependence on some nose sprays

The NHS warns using certain over-the-counter decongestant nose sprays for more than seven days can cause rebound congestion and may lead to dependence. The Royal Pharmaceutical Society found many pharmacists say patients are unaware of this risk and has called for clearer packaging warnings.

The NHS has warned that using some over-the-counter decongestant nose sprays for more than seven days can make congestion worse. This worsening is called rebound congestion and can lead users to continue the spray and develop a dependence. The Royal Pharmaceutical Society reported that nearly 60% of pharmacists believe patients are unaware of this risk. The RPS and NHS have urged clearer warnings on packaging and said patients should speak to a pharmacist or GP if symptoms do not improve. Key points: - The NHS says prolonged use (longer than seven days) of certain decongestant nose sprays can worsen stuffiness, a phenomenon known as rebound congestion. - The rebound risk is associated with sprays containing xylometazoline and oxymetazoline; steroid or saline sprays typically do not carry this risk. - The Royal Pharmaceutical Society found many pharmacists report low public awareness and has called for more prominent packaging warnings and for people to consult a pharmacist or GP if symptoms persist. Summary: Health officials say misuse of some decongestant sprays can prolong symptoms and create a cycle of dependence. Professional bodies have called for clearer packaging warnings; it is not yet clear whether those warnings will be changed.