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Is it OK to take a decongestant before flying?

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.



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Use an over-the-counter nasal spray. If you have nasal congestion, use a nasal spray about 30 minutes to an hour before takeoff and landing.

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With a doctor's approval, adults can take a decongestant. “If it's a short flight, take it [the decongestant] before leaving,” House says. If it's a long flight, eight hours or so, you might take it an hour or so before the scheduled landing.

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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).

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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.

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If you have sinus pressure during flights then you should bring along a decongestant spray (Oxymetazoline or Phenylephrine), found in the nasal aisle at the drug store, and use it approximately one hour before a flight of any duration.

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Flying whilst infected with a cold increases the risk of physical damage to the inner ear and sinuses.

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If you start to notice this pressure building, you can try some of these strategies:
  1. Take an antihistamine if needed before your flight. ...
  2. Yawn or swallow during takeoff.
  3. Try chewing a piece of gum or candy during takeoff, if yawning and swallowing don't work for you.


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If you have any allergy or cold-related symptoms, make sure you take an antihistamine or decongestant spray at least 30-45 minutes before your flight. Following this method can help alleviate any additional sinus pressure.

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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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With the right preparation, your in-flight experience can be allergy-free and clear for landing before you leave the ground. So, to help keep the friendly skies friendly, be sure to use your favorite FLONASE allergy relief nasal spray the morning of your flight.

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It is important to note that an airline has the right to refuse a passenger if staff believe that the passenger meets the following conditions: if the passenger could be considered a potential safety hazard, might require medical attention during the flight, has a condition that might deteriorate during the flight, or ...

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If you fly with a head cold or seasonal allergies, Dr. Pinkston said it's possible you may significantly stretch your eardrum because your Eustachian tubes wouldn't be working properly to equalize pressure. If the stretching of the eardrum is considerable, these problems may occur: Capillaries in the ear break.

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The dry air, low pressure, and the low amount of oxygen cause the immune system to weaken and can lead to inflamed sinus cavities. This, in addition to being confined in a small area with little airflow, makes it hard to avoid getting sinusitis from another sick passenger.

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Does the FAA have a list of prescription and over-the-counter drugs that pilots can and cannot take while flying?
  • Tranquilizers, such as but not limited to Valium, Librium, Ativan.
  • Most antidepressants. ...
  • Opiates, such as Morphine, Codeine, Lortab, Percodan, Oxycontin.
  • Muscle relaxants, such as Soma, Sonata, Flexeril.


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