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The most common cause in COPD patients is inflammation of the blood vessels in your nose and sinuses. This inflammation may cause symptoms, such as a stuffy nose, resulting in a diagnosis of sinusitis or rhinitis.
The best treatment may be avoidance of allergens and respiratory viruses, although since allergens and viruses are so ubiquitous, they are often hard to avoid. Allergy medicines such as antihistamines, leukotriene antagonists such as Singulair, and nasal sprays that contain corticosteroids are common treatments. Sometimes rinsing your nose with salt water solutions may prove helpful.
Your doctor may also have other suggestions, such as desensitization or allergy shots.
Repeated use of Sudafed may cause rebound congestion is a worsening of your nasal congestion due to nasal decongestant sprays such as oxymetazoline. Rebound congestion is also known as rhinitis medicamentosa, chemical rhinitis, nasal spray addiction. Your nasal passages can develop a dependence to these medications in as little as 3 days; for this reason, the boxes and your doctors will tell you to only take these medications for no more than 3 days
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