I’m not sure what is in the Codral specifically (I don’t think it’s available in the US) but generally these medications either have some kind of ephedrine-like substance (like pseudoephedrine, methylephedrine, phenylephedrine) or an antihistamine.
Ephedrines work by constricting blood vessels. In these types of medications, it works by constricting vessels in the nasal cavity and therefore reducing the swelling (which is what really causes the blocked nose).
Antihistamines block the histamines in our body, which is a signaling chemical of your immune system that alerts to the presence of antigens (like disease-causing bacteria). In allergic reactions, histamines are released in response to harmless allergens like pollen, and causes uncomfortable reactions like runny nose and itchy eyes. Antihistamines block the histamine receptors and reduce its effects.
ELI5: it either widens your nasal airways by un-swelling the tissues around it, or block the chemical that signals for that to happen in the first place.
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