Take 1 Sudafed tablet on the morning of flight. Take 1 Sudafed tablet about 2 hours before landing. Spray nose with Otrivine well about 1 hour and then again 30 minutes before landing.
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Avoid overuse, however, because nasal sprays taken over three to four days can increase congestion. Use decongestant pills cautiously. Decongestants taken by mouth might help if taken 30 minutes to an hour before an airplane flight.
Two of the most common ways to manage sinus pain while flying are chewing gum or sipping water during take-off and landing. You can also try taking medications such as decongestants or using the Valsalva maneuver.
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.
These drugs are usually taken shortly before a flight. They include: Anti-anxiety medication, such as diazepam (Valium) or alprazolam (Xanax). Motion sickness medication, such as dimenhydrinate (Dramamine).
If you suffer from allergies, consider a non-sedating antihistamine instead, such as loratadine (Claritin®) or fexofenadine (Allegra). Claritin and Allegra do not have wait times (after the initial ground trial).
People often come to us requesting the doctor or nurse to prescribe diazepam for fear of flying or assist with sleep during flights. Diazepam is a sedative, which means it makes you sleepy and more relaxed.