Rhinostat Nasal Spray Kit for Rebound Congestion

Rhinostat is a nasal spray kit meant to assist people in gradually weaning off of topical decongestants. It was created to help patients experiencing rebound congestion (rhinitis medicamentosa or nasal spray addiction). A brief explanation of this condition is that when certain types of nasal decongestants are used for longer than three days they can actually end up causing congestion and the only way the individual finds relief from this congestion is by using the very product that is responsible for their symptoms in the first place. This cycle can be hard to break but many medical professionals recommend gradually decreasing the dose of the offending decongestant, Rhinostat is designed to assist in this process.

There is not a specific test for diagnosing rebound congestion. Your physician will make a determination of this by asking questions related to the frequency and duration of nasal decongestants. Visual examination of your nasal mucous membranes will also likely appear to be red and swollen. Following the instructions on the bottles of nasal decongestants can dramatically reduce the likelihood of getting rebound congestion.

There are four different types of Rhinostat. The type of Rhinostat that is best for you will depend on the kind of nasal spray you have been overusing.

The kit includes two bottles. The first contains an exact formulation of the decongestant you have been using. The second contains this same formula minus the active ingredient. By combining the bottles, the dosage of decongestant given can be more precisely controlled by the patient.

Girl standing in field of flowers, blowing her nose into tissue
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Review of Research

Current guidelines and research show that discontinuation of the nasal decongestant is the best thing you can do. However, the rebound congestion may be so severe that you may want to treat the congestion in order to sleep or function. In this case, use of an intranasal glucocorticoid like fluticasone has been shown to treat the symptoms and may help to minimize the effects of rebound congestion. Be aware however that due to the removal of the nasal decongestant, you are still likely to experience a worsening of symptoms. This does not mean that fluticasone has failed.

Variations of Rhinostat

  • Oxymetazoline
  • Phenylepherine hcl In
  • Xylometazoline hcl
  • Naphazoline hcl (rarely used in the United States)

Rhinostat is not a new medication. The manufacturers claim that the way they dispense their nasal sprays makes it easier to control the dose, and therefore makes it easier to wean a person off of the nasal spray they are "addicted to." Rhinostat should only be used under the supervision of a physician. Side effects of this medication are specific to the active ingredient (above).

2 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Wahid NWB, Shermetaro C. Rhinitis medicamentosa. StatPearls.

  2. Rhinostate Labs. How Rhinostat works.

By Kristin Hayes, RN
Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children.