These drugs don’t need a prescription and can help tame your symptoms:Decongestants. These medicines help reduce the swelling in your nasal passages and ease the stuffiness and sinus pressure. They come as nasal sprays, like naphazoline (Privine), oxymetazoline (Afrin, Dristan, Nostrilla, Vicks Sinus Nasal Spray), or phenylephrine (Neo-Synephrine, Sinex, Rhinall). They also come as pills, such as phenylephrine (Sudafed PE, and others) and pseudoephedrine (Sudafed).
Follow the directions for using them. Don’t use a decongestant you take by mouth for more than a week without checking with your doctor. You shouldn’t use a decongestant nasal spray for more than 3 days, or it could make your congestion worse. Also, they can raise your blood pressure, so check with your doctor first if you have any health issues or take other medicines. Never give
decongestants or any over-the-counter cold medicine to children under age 4.
Antihistamines. If allergies are behind your nasal congestion and sinus pressure, controlling them will ease your symptoms. Look for allergy medications that have an antihistamine to relieve sniffling and sneezing along with a decongestant for congestion and sinus pressure.
You may also find antihistamines in some multi-symptom cold medicines which can help a runny nose and sneezing. You’ll usually find them in nighttime cold medicine, because they can make you sleepy. Read and follow the label, and talk to your doctor or pharmacist if you have questions.Steroid nasal sprays. These can also help with allergy stuffiness. Ask your doctor if you should use ones that you can buy without a prescription. They can take a couple of days to kick in, so start them before you have symptoms and use them throughout your allergy season.Menthol. Medicated ointments that have this or camphor in them can help you breathe better. You can rub them on your chest or upper lip. You can also buy types that you place in warm water and breathe in the vapor, which helps open up your airways.Pain relievers. Although they won’t clear up congestion, pain relievers such as acetaminophen, ibuprofen, and naproxen can ease the pain caused by sinus pressure. Follow the dosing instructions on the label.
When to See Your Doctor
Check in with them if you have nasal congestion and sinus pressure for more than 7 days. Make the call sooner if your symptoms are severe.
