Dependence on vasoconstrictor nasal sprays for cold relief is a common issue that leads many people to rely on these medicines for longer than is wise. In a discussion with a public health outlet, Kristina Tadzhikulova, the head of the Ear, Nose and Throat department at the Vidnovsky Clinical Hospital in the Moscow region, outlined two clear pathways to address this challenge: conservative management and, when necessary, surgical intervention. This framing anchors the conversation in practical, everyday solutions while keeping surgery as a measured option for when non-invasive methods fall short.
Non-surgical management focuses on steady, everyday care that supports natural nasal function. Improving room ventilation to refresh indoor air, maintaining comfortable humidity levels, and rinsing nasal passages with saline solutions are central strategies. These steps can relieve congestion without contributing to a cycle of dependence on sprays. By creating a hospitable environment for the nose to heal, patients may experience gradual improvements in breathing and comfort, reducing the urge to reach for vasoconstrictors.
The clinician also emphasized that a person’s resolve plays a significant role. When someone commits to stopping the drops, a combination of conservative approaches and supportive therapies can lessen the urge by shifting attention to alternative relief methods. The goal is a careful restoration of nasal function over time while limiting exposure to vasoconstrictors. This approach respects the body’s pace and avoids rapid changes that can trigger rebound symptoms.
A practical step is to remove all bottles of vasoconstrictor drops from living spaces, cars, and work areas. Keeping them out of sight reduces the likelihood of impulsive use when congestion arises. Establishing a physical barrier—whether through storage choices or routine habits—helps patients break the habit and lean on safer modalities like saline rinses or humidified air.
Otolaryngologist Vladimir Zaitsev has previously noted that vasoconstrictors and antibiotics are not the most effective options for managing the common cold. He advised against excessive nose blowing, which can inflame the auditory tube and worsen discomfort. These insights underscore the value of balanced care and careful symptom management rather than a quick chemical fix. The emphasis is on steady, day-by-day strategies that support recovery without creating additional dependence.
Understanding what to expect during recovery is useful. A gradual reduction in spray use, paired with non-drug strategies such as saline rinses, humidified air, and steady hydration, can lead to lasting relief. In some cases, physicians may suggest a structured plan that combines education, reassurance, and gentle, incremental changes to break the cycle of dependence. The approach respects individual differences in anatomy, habit strength, and daily routines, offering a realistic path forward that does not rely on quick fixes.