Oral decongestants such as pseudoephedrine and nasal sprays work well for relief of mild/moderate congestion by causing vasoconstriction (shrink the blood vessels). There are many blood vessels in the nasal passages that swell when we have a cold or allergies causing acute congestion.
Such drugs are only advised for short term use due to, amongst other things, increasing blood pressure and dependence/rebound effect.
“Of course this isn’t medical advice and always follow the directions with medication.”
Anatomical abnormalities or injury, such as a deviated septum, can be a cause for chronic or recurrent congestion. In those cases surgery might help.
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