What is the best way to treat problematic nasal congestion?

According to a review article in Allergy and Asthma Proceedings, May-June, 2008 Vol. 29, No 3 pg 232-240, intranasal steroids were the most potent allergy medications for treating all allergy symptoms including nasal congestion.

I think it is important to have an INS as the anchor in my treatment plan for the majority of my rhinitis patients. I use several different brands depending on what is covered by the patient's insurance, and their ability to comfortably use the device.

Proper nasal spray technique is very important (click here for more on this).

I also inform my patients about the importance of timing (using INS after the shower or bath, in order to have the nasal passages cleared out).

Consistent use (not missing doses) and when to back down or off the INS is also important to discuss.

Successful management of moderate to severe nasal congestion and other symptoms of rhinitis require a comprehensive evaluation with focus on trigger factors, environmental controls and other health problems that may contribute to the problem. See an allergy specialist if you continue to have unmet needs in the treatment of your nasal problems.