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Should you take Sudafed before flying?

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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To ease discomfort, you can take a nonsteroidal anti-inflammatory drug, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), or an analgesic pain reliever, such as acetaminophen (Tylenol, others).

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Treat congestion before your trip
If you're congested from allergies or an upper respiratory infection, it's important to do what you can to resolve the congestion before you fly. Common treatments for congestion include antihistamines, decongestants, and nasal steroid sprays.

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If you have nasal congestion, use a nasal spray about 30 minutes to an hour before takeoff and landing. Avoid overuse, however, because nasal sprays taken over three to four days can increase congestion. Use decongestant pills cautiously.

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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.

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Some studies suggest that the cabin pressure changes in the airplane, which are more pronounced during takeoff and landing, affects the head and sinuses in a way that triggers a headache.

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Sit away from the engine.
Seats in the front rows are farthest away from the engine and therefore better for your hearing. However, if you have to sit farther back in the plane, choose an aisle seat as they are several decibels quieter than window seats.

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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 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).

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