Rhinitis medicamentosa

Introduction: Rhinitis medicamentosa (RM) is a chronic inflammatory condition of the nasal mucosa caused by excessive use of topical nasal decongestants. This leads to tachyphylaxis, increased vascular permeability, chronic inflammation, and structural changes in the nasal mucosa, resulting in medi...

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Main Authors: Martyna Byrska, Hanna Barska-Kobylińska, Marta Janura, Maja Weimann, Grzegorz Przywara, Oliwia Biegańska, Emilia Biczak, Ewa Katarzyna Malaka, Marlena Zubiak, Sara Langner
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-05-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/60044
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author Martyna Byrska
Hanna Barska-Kobylińska
Marta Janura
Maja Weimann
Grzegorz Przywara
Oliwia Biegańska
Emilia Biczak
Ewa Katarzyna Malaka
Marlena Zubiak
Sara Langner
author_facet Martyna Byrska
Hanna Barska-Kobylińska
Marta Janura
Maja Weimann
Grzegorz Przywara
Oliwia Biegańska
Emilia Biczak
Ewa Katarzyna Malaka
Marlena Zubiak
Sara Langner
author_sort Martyna Byrska
collection DOAJ
description Introduction: Rhinitis medicamentosa (RM) is a chronic inflammatory condition of the nasal mucosa caused by excessive use of topical nasal decongestants. This leads to tachyphylaxis, increased vascular permeability, chronic inflammation, and structural changes in the nasal mucosa, resulting in medication dependence and persistent nasal congestion. Study Objective: This study aims to discuss the mechanisms underlying RM, its clinical consequences, diagnostic methods, and therapeutic strategies. Additionally, it highlights the importance of patient education and healthcare professional awareness in preventing RM and reducing its prevalence. Materials and Methods: A comprehensive literature review was conducted, analysing current scientific research on RM, including its pathophysiology, diagnostics and treatment methods. Additionally, the review explored the systemic implications, association with addiction, and the importance of prevention and education in managing the condition. Conclusions: There is a need for better education for both patients and healthcare professionals regarding RM. A key element of RM prevention is informing patients about the importance of limiting the use of these medications to a maximum of 5–7 days. Furthermore, further research is necessary to develop more effective therapeutic methods, including the potential use of alternative substances such as xylitol or hyaluronic acid in the regeneration of the nasal mucosa.
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issn 2391-8306
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publishDate 2025-05-01
publisher Kazimierz Wielki University
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spelling doaj-art-5e35fa4aa69040aab449fc0b4eff84282025-08-20T02:11:12ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-05-018110.12775/JEHS.2025.81.60044Rhinitis medicamentosaMartyna Byrska0https://orcid.org/0009-0008-1494-3903Hanna Barska-Kobylińska1https://orcid.org/0009-0004-7017-4812Marta Janura2https://orcid.org/0009-0004-4606-009XMaja Weimann 3https://orcid.org/0009-0004-1375-1337Grzegorz Przywara4https://orcid.org/0009-0004-4710-0663Oliwia Biegańska5https://orcid.org/0009-0006-0442-6211Emilia Biczak6https://orcid.org/0009-0003-7357-1832Ewa Katarzyna Malaka 7https://orcid.org/0009-0007-6746-698XMarlena Zubiak8https://orcid.org/0009-0009-5329-9214Sara Langner9https://orcid.org/0009-0009-4306-4024Jan Mikulicz-Radecki University Hospital, Wroclaw, PolandHealthcare Complex in Nysa, Bohaterów Warszawy 34, 48-300 Nysa, PolandJan Mikulicz-Radecki University Hospital, Wrocław, PolandInternship at Copernicus Hospital, Nowe Ogrody 1/6, 80-803, Gdańsk, PolandFaculty of Medicine, Wroclaw Medical University, Wrocław, PolandFaculty of Medicine, Wroclaw Medical University, Wrocław, PolandFaculty of Medicine, Wroclaw Medical University, Wrocław, PolandThe University Hospital in Krakow, Jakubowskiego 2 Street, 30-688 Kraków, PolandIndependent Public Provincial Hospital named after Pope John Paul II in Zamosc, Aleje Jana Pawła II 10, 22-400 Zamość, PolandCentral Teaching Hospital of the Medical University of Lodz, Pomorska 251, 92-213 Łódź, Poland Introduction: Rhinitis medicamentosa (RM) is a chronic inflammatory condition of the nasal mucosa caused by excessive use of topical nasal decongestants. This leads to tachyphylaxis, increased vascular permeability, chronic inflammation, and structural changes in the nasal mucosa, resulting in medication dependence and persistent nasal congestion. Study Objective: This study aims to discuss the mechanisms underlying RM, its clinical consequences, diagnostic methods, and therapeutic strategies. Additionally, it highlights the importance of patient education and healthcare professional awareness in preventing RM and reducing its prevalence. Materials and Methods: A comprehensive literature review was conducted, analysing current scientific research on RM, including its pathophysiology, diagnostics and treatment methods. Additionally, the review explored the systemic implications, association with addiction, and the importance of prevention and education in managing the condition. Conclusions: There is a need for better education for both patients and healthcare professionals regarding RM. A key element of RM prevention is informing patients about the importance of limiting the use of these medications to a maximum of 5–7 days. Furthermore, further research is necessary to develop more effective therapeutic methods, including the potential use of alternative substances such as xylitol or hyaluronic acid in the regeneration of the nasal mucosa. https://apcz.umk.pl/JEHS/article/view/60044rhinitis medicamentosapharmacologynasal decongestants
spellingShingle Martyna Byrska
Hanna Barska-Kobylińska
Marta Janura
Maja Weimann
Grzegorz Przywara
Oliwia Biegańska
Emilia Biczak
Ewa Katarzyna Malaka
Marlena Zubiak
Sara Langner
Rhinitis medicamentosa
Journal of Education, Health and Sport
rhinitis medicamentosa
pharmacology
nasal decongestants
title Rhinitis medicamentosa
title_full Rhinitis medicamentosa
title_fullStr Rhinitis medicamentosa
title_full_unstemmed Rhinitis medicamentosa
title_short Rhinitis medicamentosa
title_sort rhinitis medicamentosa
topic rhinitis medicamentosa
pharmacology
nasal decongestants
url https://apcz.umk.pl/JEHS/article/view/60044
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AT hannabarskakobylinska rhinitismedicamentosa
AT martajanura rhinitismedicamentosa
AT majaweimann rhinitismedicamentosa
AT grzegorzprzywara rhinitismedicamentosa
AT oliwiabieganska rhinitismedicamentosa
AT emiliabiczak rhinitismedicamentosa
AT ewakatarzynamalaka rhinitismedicamentosa
AT marlenazubiak rhinitismedicamentosa
AT saralangner rhinitismedicamentosa