Should you take a decongestant before flying?

Decongestants taken by mouth might help if taken 30 minutes to an hour before an airplane flight. However, if you have heart disease, a heart rhythm disorder or high blood pressure or you're pregnant, avoid taking an oral decongestant. Take allergy medication.



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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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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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In a recent study of adults with a history of recurrent ear pain associated with air travel, the administration of oral pseudoephedrine 30 minutes before flight departure significantly reduced the occurrence of ear pain during the flight.

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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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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.

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Try taking a decongestant or a nonsteroidal anti-inflammatory medicine before you get on the airplane, particularly if you are suffering from a head cold or swollen sinuses. If you have high blood pressure or heart problems, you should not take decongestants without approval of your healthcare provider.

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It's important to check with your doctor before you fly whether it's safe for you to travel. If you have a flare-up of your condition, with increased cough, sputum and breathlessness, your doctor may well recommend delaying travel until your symptoms are back to their normal level.

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What medication is used to make flying easier? Common over-the-counter medications used for flying anxiety are Dramamine, Ambien, and Benzodiazepines like Xanax. Natural medications include GABA supplements and Melatonin supplements or gummies.

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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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Try antihistamines: For those with allergy symptoms and air pressure regulation difficulties, medications like Claritin, Zyrtec, or Allegra may be a good option. Antihistamines are often formulated to include decongestants (such as Claritin-D, Allegra-D, and Zyrtec-D).

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During lift-off and landing, changes in the air pressure inside the plane's cabin, affects the air inside and outside of your head. If your sinuses are congested, this means an unbalanced amount of pressure, which can be a painful experience.

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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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Infectious Diseases
An airline can deny boarding of any passenger who looks unwell, especially if they suspect the passenger might be infectious (infect other passengers).

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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.

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However, flying is possible for cases of controlled chronic intracranial hypertension. In many cases following treatment and medications, the increased fluid and pressure around the brain is under control and flying is possible, but not completely painless.

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Why does this happen? Known as aerosinusitis, the inflammation in the paranasal sinus cavities (those are the air-filled spaces that stem from the sides of your nose to between your eyebrows) is caused by a difference in air pressures inside and outside the body.

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