1. About one hour before expected descent, take a decongestant (such as Sudafed- 12hr). 2. About 30 minutes before the flight use a nasal spray (such as Afrin or Neo-Synephrine).
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Spray Afrin nasal decongestant spray twice into each nostril one hour prior to flying. Begin taking a decongestant, like Sudafed, one hour before the flight. Both of these medications can be purchased over-the-counter in a drug store.
Your middle ear connects to the back of your nose via the eustachian tube, which can become blocked by congestion, preventing pressure equalization. When you fly and the air pressure around you changes, the pressure within your blocked sinuses or ears stays the same, causing a great deal of pain.
If your sinuses are congested, however, there will be an unbalanced amount of pressure. Not only can that be a very painful experience, but it can also increase nasal congestion, heighten allergies, worsen colds, and even trauma to the sinuses, if severe enough.
These include any hormone-based drugs, like the contraceptive pill and some fertility medicines, and drugs used to prevent heart attack and stroke. Antihistamines should also not be used to help passengers sleep during a flight.
As a general rule, flying with a sinus infection and a congested nose is not advised. Changes in cabin air pressure affect the air inside and outside of your head. As a result, clogged sinuses, which prevent you from equalizing pressure differences, can be excruciatingly painful.
When the plane changes elevation during descent and ascent the sinuses must equilibrate to match the air pressure in the cabin but when the sinuses and eustachian tubes are blocked equilibration can be an issue. The pain occurs because of the restriction of air flow causing pressure in our sinuses.
It is recommended that if you have a cold that you do not fly; this should be enforced by airlines in the case of aircrew, and aircrew are required to self-report any symptoms of cold, flu, or similar.