NHS Dudley Health Economy Medicines Formulary
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3.10 Systemic nasal decongestants

 General guidance

  • Systemic nasal decongestants taken orally may be less effective than if applied locally, but they do not give rise to rebound nasal congestion on withdrawal. Although some can have unwanted sympathomimetic effects.
  • However, their use should generally be avoided.

Recommended drugs



Drug Traffic Light Key:

Green – On Formulary

Amber – Restricted use, see local guidelines      

Purple – Specialist use/initiation

Red – Non Formulary


Relative Costs Key (where indicated):

£££££ - high

£££ - moderate

£ - low

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