The active ingredient in the spray I think you’re talking about is Oxymetazoline, which causes blood vessels to constrict. This has a huge effect on reducing mucous production, and *some* effect on reducing swelling. For minor, transient cases this can really unblock someone, but past a certain level of inflammation you’ll get the “Illusion of having an unblocked nose,” as you put it. There’s also a lot of downsides, you can experience rebound congestion, and habitual use can lead to long-term rebound upon discontinuation.
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