Instant discontinuation of the topical nasal decongestant. Patients must be made aware of worsening of symptoms and not to confuse them with treatment failure.
Intranasal corticosteroids such as eclomethasone, budesonide, fluticasone, or triamcinolone can be used instead.
Provide Oral corticosteroids, Prednisolone tabs 5mg OD for 5 days
Provide Oral antihistamines such as cetirizine,promethazine,loratadine.
