• Use decongestant with a fluticasone based steroid, such as Flonase. See peer reviewed studies below that demonstrate decongestants and fluticasone increase effectiveness of steroid and reduce rebound.
  
• only once per day, at night prior to bed.
  
• only in one nostril, then switch nostrils after a few days.
  
• cut the decongestant with saline solution. The goal is to use as little decongestant as possible tp open the airways.
  

(01-26-2019, 09:15 AM)Dog Slobber Wrote: While waiting for my septoplasty and turbinate reduction, I became dependant on nasal decongestants (oxymetazoline or Xylometazoline based) Believe me, you don't want to go down that road.

Here are some things I learned that can help reduce the impacts or even prevent nasal decongestion rebound, and help you get off nasal decongestants should you start suffering from rebound:

• Use decongestant with a fluticasone based steroid, such as Flonase. See peer reviewed studies below that demonstrate decongestants and fluticasone increase effectiveness of steroid and reduce rebound.
  
• only once per day, at night prior to bed.
  
• only in one nostril, then switch nostrils after a few days.
  
• cut the decongestant with saline solution. The goal is to use as little decongestant as possible tp open the airways.
  

Peer reviewed studies that demonstrate Fluticasone with Decongestion reduces impacts of rebound and increases effectiveness.
https://www.ncbi.nlm.nih.gov/pubmed/20203244
https://www.jacionline.org/article/S0091-6749%2811%2900126-6/fulltext

Having said that, and using the above precautions, I still became dependant. My doctor helped me get off decongestant by prescribing Prednisone and I believe the above precautions lessened the impacts.

But please be careful and routinely give yourself extended breaks from it.

Thanks!
Arik