1.STOP the nasal decongestant spray use immediately
2.High dose prednisone starting at 60mg tapered slowly over ~3 weeks
3.Start steroid nasal spray use
4.Start hypertonic saline flushes to the nose
Readers comments are welcome
Dr Samit Bali (Nagpur)
Throw the culprit medicine out, thus the urge is thrown with it.
Counseling to patient & relatives
Identify and treat the underlying pathology
Nasal saline flushes
Tapered steroid spray followed by nasal steroid spray.