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Scientific Index

The Research

📊 Combination Therapy - Decongestant + Anti-Inflammatory Corticosteroid

Clinical trials evaluating decongestant-corticosteroid combinations for nasal patency and inflammation control.

Articles

The Safety And Risks Of Long-term Use Of Topical Nasal Decongestant And Nasal Steroids In The Treatment Of Chronic Rhinosinusitis

N.W. Chang, K.C. Chang, T.M. Foss

Journal of Allergy and Clinical Immunology • 2008

This retrospective study evaluated 131 patients (ages 6-84) with chronic sinus inflammation who used oxymetazoline nasal decongestant combined with nasal corticosteroids twice daily for 1-23 months (median 4 months). Patients applied oxymetazoline first, remained lying on their back for 5 minutes, then applied the steroid spray. All patients also performed saltwater rinses, with most receiving long-term low-dose antibiotic therapy.

Mometasone furoate nasal spray plus oxymetazoline nasal spray: short-term efficacy and safety in seasonal allergic rhinitis.

Eli O Meltzer, David I Bernstein, Bruce M Prenner, William E Berger, Tulin Shekar, Ariel A Teper

American Journal of Rhinology & Allergy • 2013

This Phase 2, double-blind, placebo-controlled clinical trial assessed the short-term efficacy and safety of combining mometasone furoate nasal spray (MFNS) with oxymetazoline (OXY) for the treatment of seasonal allergic rhinitis (SAR). Over a 15-day period, 705 adolescent and adult subjects were randomized to receive either MFNS alone, OXY alone, MFNS + OXY (once or three times daily), or placebo. The study measured changes in total nasal symptom score (TNSS) and early congestion relief.

Impact of Concomitant Administration of Mometasone Furoate and Oxymetazoline Nasal Sprays on Quality of Life in Subjects with Seasonal Allergic Rhinitis

G. Gross. E.O. Meltzer, D. Gates

Journal of Allergy and Clinical Immunology • 2010

This placebo-controlled trial assessed whether combining mometasone furoate (MFNS) and oxymetazoline (OXY) improves quality of life (QoL) in patients with seasonal allergic rhinitis (SAR). Subjects were randomized to one of several treatment arms: MFNS alone, OXY alone, MFNS + OXY once daily, MFNS + OXY three times daily, or placebo. The primary outcome was improvement in QoL as measured by the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ).

Fluticasone reverses oxymetazoline-induced tachyphylaxis of response and rebound congestion

Sriram Vaidyanathan, Peter Williamson, Karine Clearie, Faisel Khan, Brian Lipworth

American Journal of Respiratory and Critical Care Medicine • 2010

This randomized, double-blind, placebo-controlled, crossover study investigated whether intranasal fluticasone propionate can reverse oxymetazoline-induced tachyphylaxis (diminished decongestant response) and rebound congestion. Nineteen healthy volunteers were treated with oxymetazoline three times daily for 14 days, followed by fluticasone for an additional 3 days, with respiratory measurements taken at key intervals.

The effectiveness of oxymetazoline plus intranasal steroid in the treatment of chronic rhinitis: A randomized controlled trial.

Torpong Thongngarm, Paraya Assanasen, Panitan Pradubpongsa

Asian Pacific Journal of Allergy and Immunology • 2016

This 60-week, randomized, double-blind clinical trial evaluated whether adding oxymetazoline (a topical decongestant) to intranasal corticosteroids (INS) could provide greater symptom relief in patients with chronic rhinitis compared to INS alone. All participants had persistent nasal congestion despite prior use of INS and cetirizine.

Oxymetazoline adds to the effectiveness of fluticasone furoate in the treatment of allergic rhinitis: A randomized controlled trial

Fuad M. Baroody, David Brown, Laura Gavanescu

Journal of Allergy and Clinical Immunology • 2011

This randomized controlled trial assessed the efficacy of combining oxymetazoline, a topical decongestant, with fluticasone furoate, an intranasal corticosteroid, in treating allergic rhinitis. Participants were assigned to receive either the combination therapy, fluticasone furoate alone, oxymetazoline alone, or a placebo over a four-week period.he primary outcome measured was the total nasal symptom score (TNSS), with secondary outcomes including nasal volume assessed by acoustic rhinometry. Patients were treated once nightly for 4 weeks, with follow-up 2 weeks after treatment to assess symptom relief and safety.

Does oxymetazoline increase the efficacy of nasal steroids in treating nasal polyposis?

Virat Kirtsreesakul, Thitiporn Khanuengkitkong

American Journal of Rhinology & Allergy • 2016

This randomized, placebo-controlled clinical trial assessed whether adding oxymetazoline to intranasal corticosteroid therapy (mometasone furoate nasal spray, or MFNS) would enhance treatment outcomes in patients with nasal polyposis. The study evaluated symptom scores, airflow, mucociliary clearance, and polyp size over a 6-week period with twice-daily use.

Intranasal corticosteroid and oxymetazoline for chronic rhinitis: a systematic review

C L Neighbors, C Fernandez Salvador

The Journal of Laryngology & Otology • 2022

This systematic review analyzed published studies on the combined use of intranasal corticosteroids (INCS) and oxymetazoline for treating chronic rhinitis—including both allergic and nonallergic types. The goal was to evaluate the safety and efficacy of this combination, particularly in relation to concerns about oxymetazoline-induced rebound congestion (rhinitis medicamentosa).

A Real-World Observational Study to Evaluate the Safety and Effectiveness of Fluticasone Furoate–Oxymetazoline Fixed Dose Combination Nasal Spray in Patients with Allergic Rhinitis

Meenesh R. Juvekar

Clinical Drug Investigation • 2024

This prospective, open-label, single-arm, multicenter, real-world observational study evaluated the safety and effectiveness of a once-daily, fixed-dose nasal spray containing fluticasone furoate (a corticosteroid) and oxymetazoline hydrochloride (a decongestant) in patients diagnosed with allergic rhinitis (AR). A total of 388 patients were enrolled and treated for 28 days.