Types of Nasal Sprays
“Nasal sprays can be great when used properly,” explains Jonathan M. Barrett, MD, Carilion Clinic Family Medicine. “Whether you need temporary relief from congestion or long-term help with allergies, picking the right spray is important to get the maximum benefit.”
There are 3 main types of nasal sprays:
- Saline: These are just simple saltwater solutions that help keep your nose moist and loosen up mucus. “They’re great for dry noses, mild congestion or extra relief when dealing with sinus infections,” says Dr. Barrett.
- Decongestant: Sprays like oxymetazoline (Afrin or Sinex) shrink swollen blood vessels in your nose, making it easier to breathe. They work fast, but don’t use them for more than 3 days straight—this can make your congestion come back even worse!
- Steroid: These sprays, like fluticasone (Flonase) and mometasone (Nasonex), help with inflammation caused by allergies or sinus issues. They take a little time to work but are great for long-term relief.
How to Use Nasal Spray the Right Way
Using nasal spray correctly makes all the difference. Dr. Barrett recommends following these steps:
- Blow your nose gently to clear things out before spraying
- Shake the bottle, if needed
- Keep your head upright or in a neutral position
- Insert and aim the nozzle slightly to the outer side (not straight up!)
- Spray while breathing in gently through your nose
- Repeat for the other nostril
- Try not to blow your nose for 5 – 10 minutes after using nasal spray
Dr. Barrett cautions against inhaling too hard after spraying, which can make the medication go down your throat instead of the sinuses. “If you can taste the nasal spray, you’re doing it incorrectly,” he notes.
Things to Keep in Mind
Just because nasal sprays are available over the counter doesn’t mean they can’t cause harm. Be sure to:
- Stick to the recommended dose to avoid side effects
- Keep decongestant spray use to a minimum
- Use steroid and antihistamine sprays regularly for best results (when needed)
- Clean the nozzle often to avoid bacteria buildup
- Avoid blowing your nose for several minutes after use to allow the medication to work
If your symptoms don’t improve after about a week or get worse, reach out to your doctor.
