How Nasal Decongestants and Herbal Antiseptics Work

Nasal congestion, runny nose, and a feeling of heaviness in the sinuses are symptoms that interfere with free breathing and disrupt sleep. These issues often accompany acute viral infections, allergy flare-ups, or sinusitis.

To reduce swelling of the nasal mucosa and restore normal airflow, doctors prescribe decongestant nasal drops. For additional support, herbal antiseptics — gentle products with proven anti-inflammatory effects — can also be used.

Why Use Nasal Decongestants

The nasal mucosa acts as one of the body’s first defenses against viruses, bacteria, and allergens. When exposed to infections or irritants, blood vessels in the mucosa expand, causing swelling and increased mucus secretion. While this is a natural immune response, it also leads to discomfort — nasal obstruction, headaches, and poor sleep.

Decongestant drops (also called alpha-agonists) target alpha-adrenergic receptors in the blood vessel walls. After application, these medications cause the vessels to constrict, which:

• reduces blood flow to the mucosa,
• decreases swelling,
• opens up nasal passages,
• improves breathing within 5–10 minutes,
• lowers the risk of complications like sinusitis or otitis media.

Decongestants are especially important for conditions like viral colds, acute rhinitis, flu, sinusitis, and ear infections — they improve airflow through the eustachian tube during middle ear inflammation.

They are also used in allergy treatment. Seasonal or year-round allergies (to pollen, dust, pet dander) can cause nasal blockage and sneezing that interfere with daily life. In such cases, decongestants serve as an emergency aid but must be combined with antihistamines.

Additionally, nasal decongestants are prescribed:

• before diagnostic procedures (rhinoscopy, nasal endoscopy),
• as part of preoperative preparation (e.g., before maxillary sinus puncture),
• for mild nosebleeds to constrict vessels and stop bleeding.

⚠️ Important: Do not overuse nasal sprays. Using them for longer than 5–7 days can cause rebound congestion, where the vessels stop responding, and swelling becomes chronic. This condition, known as medicated rhinitis, requires long-term therapy.

That’s why it’s important to alternate decongestants with moisturizing sprays, herbal antiseptics, and saline solutions — and only use them under medical advice if symptoms persist.

For a full recovery plan, especially if you need both otc medication for sore throat and nasal decongestants, check the otc medication for colds section.

Effective Nasal Drops: How to Choose by Ingredients

Different runny nose treatments work in different ways depending on their active ingredients. Some drops act fast to relieve swelling, while others contain antiseptics or essential oils that calm inflammation and hydrate the mucosa. You’ll also find sprays with sea water, herbal-based formulas, anti-allergy blends, and multi-ingredient options.

The best product depends on the root cause of congestion, your age, and what results you’re looking for. Below are some trusted options available in the runny nose otc medicine section at USA Apteka.

Sanorin for Acute Rhinitis and Sinusitis

Sanorin is a fast-acting medication based on naphazoline. It relieves swelling and clears the nasal passages in just 5 minutes. It’s commonly used for:

• acute and allergic rhinitis,
• sinusitis,
• eustachian tube inflammation,
• nosebleeds (applied with soaked cotton swabs).

Sanorin is available as both drops and spray. Always follow the dosage and course length, especially in children. Avoid if you have hypertension, glaucoma, or hypersensitivity to any ingredients.

Snup: Decongestant Spray with Sea Water

Snup contains xylometazoline — a vasoconstrictor that relieves congestion and reduces discharge. What sets Snup apart is the inclusion of sea water, which moisturizes and prevents dryness in the nose. That makes it a gentler choice for:

• nasal blockage,
• viral or bacterial rhinitis,
• allergic reactions.

It comes in two strengths — for adults and for children aged 2 and up. The bottle with built-in spray applicator ensures easy use and avoids accidental overdosing.

Pinosol with Essential Oils for Nasal Relief

Pinosol is a natural alternative to synthetic decongestants. Its ingredients include essential oils of eucalyptus, pine, and mint, along with thymol and vitamin E. These components provide:

• antiseptic action,
• anti-inflammatory effects,
• tissue regeneration,
• mild vasoconstriction.

Pinosol is non-addictive and suitable for 7–10 day use. It works well in lingering colds, bacterial infections, or as a follow-up after conventional treatment. It is also effective in sinusitis as part of combination therapy and can be used for inhalation or as an ointment.

Where to Buy Nasal Remedies at USA Apteka

At USA Apteka, you’ll find a wide variety of nasal remedies — from fast-acting decongestants to gentle herbal drops. All items come from trusted pharmacies in Russia, Ukraine, and other CIS countries. Options include adult and child formulations in the form of drops, sprays, ointments, and rinses.

We process and ship orders quickly — same day on weekdays — and offer helpful customer support via live chat, WhatsApp, phone, email, or social media. Our loyal clients appreciate our care and service, which you can see from hundreds of positive reviews.

Order OTC-products you know and trust and feel better soon.