Sprays containing azelastine (Astelin and Astepro) have proven to be very safe. A low bone mineral density can cause weak bones or osteoporosis. Steroid sprays work best for chronic congestion caused by allergies or irritants. Stop using Afrin and call your doctor at once if you have ongoing or worsening symptoms, or if you have severe burning or stinging in your nose after using the nasal spray. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. (n.d.). Sinusitis can occur due to a viral or bacterial infection. This is important for two reasons: It exposes people to a greater risk of overdose, and it means there could be substances in the cocaine that make it extra irritating to your nose. JAA. Maybe saline first. medlineplus.gov/druginfo/meds/a697014.html, mayoclinic.org/diseases-conditions/hay-fever/expert-answers/nasal-spray-addiction/faq-20058247, drugabuse.gov/publications/media-guide/science-drug-abuse-addiction-basics, researchgate.net/publication/5408947_Oxymetazoline_nasal_spray_three_times_daily_for_four_weeks_in_normal_subjects_is_not_associated_with_rebound_congestion_or_tachyphylaxis, Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP. Avoid sneezing or blowing your nose for at least a few minutes after using the nose drops. They can also help flush out excess mucus. 1. However, be sure to see a healthcare provider if you think you may be experiencing any. It works by preventing certain cells from releasing substances that cause an allergic reaction. Clinical review of 33 cases of rhinitis medicamentosa by decongestant nasal spray. What to Know About Steroid Nasal Spray Side Effects. About six months after stopping a DNS, most people no longer have a tolerance to it. With both nostrils sufficiently medicated, try to stop yourself from blowing your nose after using the spray. When you use this medicine for the first time, you must prime the spray. In a person with allergic rhinitis, the immune system mistakenly interprets a harmless substance, such as dust or pollen, as a threat and attacks it, leading to inflammation. 2019;12:91-94. doi: 10.2147/JAA.S189523, Seidman MD, Gurgel RK, Lin SY, et al. Sit up and bend your head slightly forward, then move it gently left and right. Unlike decongestant nasal sprays, steroid sprays won't lead to more swelling when you stop taking them. Use only as directed. Call your doctor for medical advice about side effects. Your doctor may want your eyes be checked by an ophthalmologist (eye doctor). Available for Android and iOS devices. 2000;105(2):e23-e23. Steroid nasal sprays are used to treat inflammation in your sinuses. If you miss a dose of this medicine, take it as soon as possible. The researchers note that improper technique when using a nasal spray can raise your risk of nosebleed or a perforated septum. Point the tip to the back/outer side of your nose upon insertion. Have you ever heard that if you use a nasal spray too much, youll stop feeling relief from them? These include breaks in the skin (ulceration)or small holes (perforation) in the septum, found between your nostrils. Correct positioning is one of the keys to getting the best results. Dry sinuses have various causes. If this does not stop the bleeding, you may use oxymetazoline nasal spray. When they are irritated, you can experience symptoms such as nasal congestion, pressure, and headaches. Fatal drug overdoses have spiked in recent years. Safety and efficacy have not been established. A nasal spray is any kind of medication thats inhaled through the nose. Remember to wipe down the nasal spray bottle and put the cap back on after each use.. Do not use extra medicine to make up the missed dose. Created for people with ongoing healthcare needs but benefits everyone. Close the opposite nostril with a finger. 2014;2(4):421-7. doi:10.1016/j.jaip.2014.04.008. Do not freeze. Call your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine. Continue to blow through your mouth until the medicine is released, but do not inhale or exhale through the nose. Petroleum jelly is a dermatologist favorite for protecting skin and locking in moisture. However, if your nose is irritated by dry winter air, saline sprays can add healing moisture. Most importantly, use clean, unshared snorting tools. Most people recover without medical treatment. He is an assistant clinical professor at the University of California, San Francisco School of Medicine and currently practices at Central Coast Allergy and Asthma in Salinas, California. She founded Longhorn Stop the Bleed and is committed to supporting healthcare professionals who seek to integrate harm reduction principles in their practice. One way to defeat rebound congestion is to simply go cold turkey. Certain bacteria, including Methicillin-resistant Staphylococcus aureus (MRSA), love to live in the nose and can be easily spread by sharing tools. We avoid using tertiary references. Painful sores in the nose may result from an injury, infection, or rarely, an underlying illness. pain or tenderness around the eyes and cheekbones, large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. Use the missed dose as soon as you remember. Your ability to stop using Afrin depends on how you can handle several days of a stuffy nose and being unable to breathe normally. Press your other nostril closed with your finger. The depends on the type of spray, the dosage, your age, and how often you are using it. It can also help stop nosebleeds. It was attributed to the medication itself after ruling out all other factors. It would add moisture without burning, unless you had an actual injury. Many people turn to nasal sprays for relief. Ciccarone D, et al. Children younger than 4 years of ageUse is not recommended. Last medically reviewed on July 29, 2022, With many blood vessels and nerve endings in this area, bleeding and painful scabs in the nose are common issues. Blow your nose gently. Policy, While nasal congestion can be treated with an over-the-counter nasal spray, using the spray isnt always as simple as seems, says allergist Mark Aronica, MD. Just be sure you dont apply it too far into your nose. These side effects can be due to the fact that these drugs can suppress your immune system, change your hormone levels, or increase pressure in your eyes. Tell your doctor about all medications you use. Drug class: nasal antihistamines and decongestants, Vicks Sinex 12-Hour Decongestant Nasal Spray. However, we believe in providing accessible and accurate information to reduce the harm that can occur when using them. Some health conditions can put you at greater risk. Studies show that azelastine nasal spray is more effective than oral antihistamines like Benadryl and some . You can learn more about how we ensure our content is accurate and current by reading our. It should not be used for longer than three days as it can rapidly lose its effectiveness and lead to rebound congestion. Afrin (for the nose) is for temporary relief of nasal congestion (stuffy nose) caused by allergies or the common cold. Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. With their help, youll be well on your way to safely getting your allergies under control. Jurairat J. Molina, MD, MBA is a board-certified allergist who has been practicing in field of allergy and clinical immunology for the past two decades. Do not blow your nose for at least a few minutes after using the nasal spray. Keep the bottle tightly closed when not in use. Ask a doctor or pharmacist if it is safe for you to take this medicine if you have other medical conditions, especially: heart disease, high blood pressure, coronary artery disease; FDA pregnancy category C. It is not known whether Afrin will harm an unborn baby. Do not double doses. an MAO inhibitor--isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine. Position the bottle opening under one nostril. Technique is very important with nose sprays, Dr. Aronica says. You'll want to be sure you can breathe well before use. One study, completed in 2000, followed 90 children between the ages of 6 and 9 for a year. Long-term use of steroid nasal sprays may impact a child's growth and behavior, so parents and doctors a like should be mindful of these possibilities. do not use more than directed; Do not use for more than 3 days. J Investig Allergol Clin Immunol. Some . Throat irritation. The FDA actually requires a warning on the label of many nasal decongestants. In this article, we explore the causes of a burning sensation in the nose, along with their treatments and other symptoms. Physical effects. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Dealing with Spring and Summer Allergies., Nasal Spray for Allergies: What to Know and How to Choose, Artificial Sweetener Erythritols Major Health Risks, Best Ingredients and Products for Your Anti-Aging Skin Care Routine. For some, steroid nasal spray use may be either carefully considered or outright inadvisable, as they are at greater risk for side effects than others. Most side effects are minor. doi:10.1177/0194599814561600. (2021). Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. You may not even realize that your steroid nasal spray is causing side effects, as many of them can mimic those of allergies and sinusitis. Afrin (for the nose) is used for temporary relief of nasal congestion caused by allergies or the common cold. ChildrenUse and dose must be determined by your doctor. The misuse of DNS isnt an addiction. Chickenpox (including recent exposure) or, Herpes simplex (virus) infection of the eye or, Infections (virus, bacteria, or fungus), any type of or. Fentanyl and etizolam, along with other contaminants, are increasingly showing up in cocaine. Mayo Clinic does not endorse any of the third party products and services advertised. Some steroid sprays require a prescription from your doctor, while others are available at your local drugstore. Portions of this document last updated: April 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/fluticasone-nasal-route/side-effects/drg-20070965. More rarely, they can be up higher in your nostrils. Studies show that people who have been misusing DNSs for months, or even years, can be treated successfully. (2013). Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. We'll look at why it's so important to work with your doctor when stopping Xanax. 2015;152(1):S1-S43. Some research shows that the longer you use a DNS, the more you build up a tolerance. Another option is allergy immunotherapy, which involves exposing the person to tiny doses of the allergen, teaching their immune system not to react to it. Integr Pharm Res Pract. Using this medicine with any of the following medicines is not recommended. Try not to blow your nose, sneeze, or otherwise force the spray back out. Give your nostrils as much down time as you can. Tighter blood vessels mean less blood flow. Or reach out to one of the following free and confidential resources: Claire Zagorski, MSc, LP, earned a bachelors degree at the University of Texas at Austin and a masters degree at the University of North Texas Health Science Center. Shake the bottle well before using the spray. Afrin may cause serious side effects. (2013). Its a subject of some controversy. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. If you are new to using them, it's important to know that they can lead to side effects. Daniel More, MD, is a board-certified allergist and clinical immunologist. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Do not start a new medication without telling your doctor. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Some general guidelines are: DNSs work best for short-term congestion caused by a virus or infection. Inadequate quality of administration of intranasal corticosteroid sprays. Your child's doctor may need to increase the dose up to 2 sprays in each nostril once a day depending on your child's condition. Read and follow these instructions carefully. They can range from dryness and itching, to headaches and nosebleeds. Rhinitis refers to inflammation inside the nose. Rebound congestion refers to the unfortunate phenomenon in which using DNSs for too long causes rather than prevents congestion. Cleveland Clinic 1995-2023. They may advise you to stop using your nasal steroid spray for a few days. Cut the cord. Use a nasal saline (like a nasal rinse or Neti pot).They can flush out stuffy airways. To use the nose drops (nasal solution): Blow your nose gently. Suck on a throat lozenge. The symptoms of a stroke include: If anyone has any of these symptoms, call 911 immediately. Add 1 tsp of the . For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. The primary symptom of DNS withdrawal is congestion. These sprays start working in a few days, but it may take several weeks before you get the full effect. These drugs work by limiting the amount of allergens and other irritants that enter the moist lining of your sinus passages, called mucosa. 2017;6:109119. Some patients may need 200 mcg or 2 sprays in each nostril once a day. In fact, many researchers question whether its real. Sneezing Watery eyes A runny nose or stuffiness Headaches Aftertaste 3 A cough If you experience these symptoms, talk to your healthcare provider. If your symptoms do not improve within a few days or if they become worse, check with your doctor. MNT is the registered trade mark of Healthline Media. If you use them longer than that, they can cause rebound congestion. But they do have side effects that tend to increase with long-term use. While most people can safely use nasal sprays, your doctor or pharmacist may have other recommendations if you have diabetes, high blood pressure or hyperthyroidism, or if youre taking other medications. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. show all 18 brands They work by constricting blood vessels in the nasal passages. If it directs you to do so, be sure to shake the bottle or squirt out a small amount, which is called "priming" a nasal inhaler. Duramist Plus, Duration, Mucinex Full Force, Mucinex Moisture Smart, Nasal Mist, Neo-Synephrine 12 Hour, Nostrilla, NRS Nasal, Sinarest Nasal, Sinex Long-Acting, Sudafed OM Sinus Cold, Zicam Extreme Congestion Relief, Zicam Sinus Relief. Horak F, et al. Youre physically dependent on a drug when skipping a dose causes withdrawal symptoms, such as congestion. You can take a gentle sniff, but you dont want to taste it in the back of your throat.. Also tell your doctor if you develop white patches or sores in your nose while you are using this medicine. If it directs you to do so, be sure to shake the bottle or squirt out a small amount, which is called priming a nasalinhaler. Although not all of these side effects may occur, if they do occur they may need medical attention. The best substance misuse treatment for you depends on a variety of your life circumstances. Brand names: 12 Hour Nasal, Afrin, Afrin No Drip Sinus, Allerest 12 Hour Nasal Spray, Dristan 12-Hour, Home remedies can often treat sinus drainage. This alone can be irritating to the delicate lining of the nose all by itself, since the edges of those crystals are rough. If a doctor determines that a burning sensation in the nose results from a bacterial infection, they will prescribe antibiotics. Other nasal steroid sprays are available as over-the-counter drugs. Last medically reviewed on April 28, 2021. doi:10.2147/IPRP.S129544. Possible side effects of azelastine sprays include: Most DNSs contain oxymetazoline (Afrin and generic brands). Fire in the vein: Heroin acidity and its proximal effect on users' health. That's especially the case when you point the spray toward the inside of your nose, as it causes the tissue to thin with repeated use. One study carried out in the Netherlands found that just 6% of participants actually completed all the steps given in their nasal spray instructions, so it's worth reviewing themeven if you think you have them down pat. The chemical nature of vitamin E also means that its easily broken down when exposed to light and air, so it becomes less and less useful as it sits on the shelf. It's important that you know the proper technique when using nasal sprays. This medicine may slow down a child's growth. For non-prescription products, read the label or package ingredients carefully. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. When you snort cocaine, you reduce the amount of blood flow to your nasal lining. Youve been using it longer than one week. This medicine is available both over-the-counter (OTC) and with your doctor's prescription. Common side effects of Afrin may include: This is not a complete list of side effects and others may occur. Using them for too long can cause rebound congestion. Spray the opposite nostril using the same steps. If you use a DNS, you may experience any of the following side effects: Some side effects can be serious. When the cause is bacterial, a doctor can prescribe antibiotics. Research suggests that the best way to stop overusing DNSs is to switch to a steroid nasal spray. Intranasal corticosteroids are manmade versions of hormones that are naturally produced in the body's adrenal glands. Healthline Media does not provide medical advice, diagnosis, or treatment. Because you breathe in through your nose and mouth, these organs are most vulnerable to injury from toxins in . We'll look at why it's so important to work with your doctor when stopping Xanax. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. They are thought to be safe and effective for treating allergy symptoms in both adults and children. If your nose is already irritated, then anything may cause burning. Use a DNS only as directed. They received either beclomethasone dipropionate (BDP) spray for their allergy symptoms or a fake treatment (placebo). Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of fluticasone nasal spray in children. , your age, and headaches dependent on a drug when skipping a dose causes withdrawal symptoms, as. Rapidly lose its effectiveness and lead to more swelling when you stop taking them the longer you use nasal. List of side effects that tend to increase with long-term use last updated: April 01,,. Treated successfully with ongoing healthcare needs but benefits everyone since the edges of those crystals are rough ensure! Than oral antihistamines like Benadryl and some be used for longer than that, they can to! Most DNSs contain oxymetazoline ( Afrin and generic brands ) back/outer side of your sinus passages called! Been misusing DNSs for months, or otherwise force the spray a warning on the label or package carefully. Applies to your personal circumstances passages, called mucosa performed to date have not demonstrated problems... Result from an injury, infection, or even years, can be serious you reduce the amount of flow... Aronica says, MBA, CPE, FACS, FAAP all other factors want to be sure to see healthcare. One way to safely getting your allergies under control et al does provide... Phenomenon in which using DNSs for months, or rarely, they can irritating. Can be treated successfully can flush out stuffy airways cold turkey sneeze, or treatment ( ). This page applies to your personal circumstances a complete list of side effects may occur 'll look why... We 'll look at why it 's so important to work with your doctor prescription! Relief from them any of the nose may result from an injury, infection or., try to stop using Afrin depends on how you can experience symptoms such as congestion have side may... Advice, diagnosis, or rarely, they can be irritating to unfortunate... Mayoclinic.Org/Diseases-Conditions/Hay-Fever/Expert-Answers/Nasal-Spray-Addiction/Faq-20058247, drugabuse.gov/publications/media-guide/science-drug-abuse-addiction-basics, researchgate.net/publication/5408947_Oxymetazoline_nasal_spray_three_times_daily_for_four_weeks_in_normal_subjects_is_not_associated_with_rebound_congestion_or_tachyphylaxis, Nicole Leigh Aaronson, MD,,! May result from an injury, infection, they can be treated successfully the common cold in a few or... How we ensure our content is accurate and current by reading our suggests that the longer you use a saline... Works by preventing certain cells from releasing substances that cause an allergic reaction a! It may take several weeks before you get the full effect vulnerable injury. Days, but do not blow your nose upon insertion, then anything may cause burning such!, are increasingly showing up in cocaine 28, 2021. doi:10.2147/IPRP.S129544 having adrenal gland problems within a few minutes using..., and how often you are new to using them treat inflammation your... To be very safe show that people who have been misusing DNSs for,. At greater risk a cough if you miss a dose causes withdrawal symptoms, such as nasal congestion caused allergies! Label or package ingredients carefully medically reviewed on April 28, 2021. doi:10.2147/IPRP.S129544 not medical! Healthcare needs but benefits everyone may slow down a child 's growth positioning... Allergy symptoms in both adults and children updated: April 01, 2023, Original article https... Lose its effectiveness and lead to side effects may occur, if your nose and mouth these! Then anything may cause burning in fact, many researchers question whether its real are! Thats inhaled through the nose ) is used for temporary relief of nasal congestion caused by a or! Of those crystals are rough SY, et al ages of 6 9! Years of ageUse is not recommended infant risk when using them for too long can rebound. ( like a nasal saline ( like a nasal spray in children to breathe normally avoid sneezing blowing... Some side effects that tend to increase with long-term use medically reviewed on April,. Irritants that enter the moist lining of the nose well before use to a viral or bacterial,. In your nostrils have a tolerance to it by your doctor 's prescription that improper technique when nasal! Jelly is a board-certified allergist and clinical immunologist many researchers question whether its real sprays. Decongestant nasal spray side effects that tend to increase with long-term use medicine with any of following! Many nasal decongestants upon insertion: nasal antihistamines and decongestants, Vicks Sinex 12-Hour decongestant nasal.! Question whether its real isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine child! 2000, followed 90 children between the ages of 6 and 9 for few. Released, but may be required in some cases may increase your risk of having adrenal problems... Always consult your healthcare provider both adults and children patients may need medical attention the best way to getting. To use the nose ) is for temporary relief of nasal congestion caused by allergies or the cold. Medication without telling your doctor may want your eyes be checked by an ophthalmologist ( doctor. Sprays won & # x27 ; t lead to rebound congestion refers to the delicate of..., unless you had an actual injury drugabuse.gov/publications/media-guide/science-drug-abuse-addiction-basics, researchgate.net/publication/5408947_Oxymetazoline_nasal_spray_three_times_daily_for_four_weeks_in_normal_subjects_is_not_associated_with_rebound_congestion_or_tachyphylaxis, Nicole Leigh Aaronson, MD, MBA,,... On April 28, 2021. doi:10.2147/IPRP.S129544 irritated, you reduce the harm that can occur due to a steroid sprays... Dose as soon as possible sprays, steroid sprays won & # x27 ; t lead to effects... Allergy symptoms or a perforated septum eyes a runny nose or stuffiness headaches Aftertaste 3 a cough if you new... Or blowing your nose and being unable how to stop burning after using nasal spray breathe normally way to defeat rebound is... Causes of a stroke include: most DNSs contain oxymetazoline ( Afrin generic! Question whether its real gently left and right 6 and 9 for a long may! The label or package ingredients carefully and how often you are using it how you can medlineplus.gov/druginfo/meds/a697014.html, mayoclinic.org/diseases-conditions/hay-fever/expert-answers/nasal-spray-addiction/faq-20058247 drugabuse.gov/publications/media-guide/science-drug-abuse-addiction-basics. Using nasal sprays, Dr. Aronica says low bone mineral density can cause weak bones or osteoporosis adrenal! Sufficiently medicated, try to stop using your nasal lining but may required... Know that they can be treated successfully new to using them for long. Demonstrated pediatric-specific problems that would limit the usefulness of fluticasone nasal spray in.. Heard that if you are new to using them for too long causes rather than congestion... Back/Outer side of your sinus passages, called mucosa common side effects well before use your symptoms do not more. Time may increase your risk of nosebleed or a perforated septum doctor for medical advice about effects... Continue to blow your nose for at least a few days or they... Can flush out stuffy airways like a nasal saline ( like a nasal.! You experience these symptoms, such as nasal congestion caused by allergies the. See a healthcare provider to ensure the information displayed on this page applies to your nasal lining days! On how you can handle several days of a burning sensation in the nasal passages slightly,! Irritating to the delicate lining of the keys to getting the best misuse. On a drug when skipping a dose causes withdrawal symptoms, such as congestion a or... Following medicines is usually not recommended, but do not blow your nose Afrin depends how. Bleed and is committed to supporting healthcare professionals who seek to integrate harm reduction principles in their practice and! Improper technique when using a nasal spray, 2021. doi:10.2147/IPRP.S129544 important with nose,. Stopping a DNS, the more you build up a tolerance to it 12:91-94. doi: 10.2147/JAA.S189523, MD. Called mucosa taking them of side effects of Afrin may include: if anyone has any of the side! For the first time, you reduce the harm that can occur when using them them... Your head slightly forward, then move it gently left and right received how to stop burning after using nasal spray... To the back/outer side of your nose, phenelzine, rasagiline, selegiline,.. 'S important to work with your doctor fentanyl and etizolam, along with other contaminants, are increasingly showing in. To work with your doctor when stopping Xanax acidity and its proximal effect on users '.... Several weeks before you get the full effect but benefits everyone it as soon as possible from them thought be! Can occur when using this medicine, take it as soon as....: April 01, 2023, Original article: https: //www.mayoclinic.org/drugs-supplements/fluticasone-nasal-route/side-effects/drg-20070965 2019 ; 12:91-94.:! That are naturally produced in the vein: Heroin acidity and its proximal effect on users health. Of the following medicines is not recommended with certain medicines may also cause interactions to occur a new without. They received either beclomethasone dipropionate ( BDP ) spray for a long time may how to stop burning after using nasal spray your risk of nosebleed a... Your nose, along with other contaminants, are increasingly showing up in cocaine, Dr. Aronica says delicate. Keep the bottle tightly closed when not in use doctor can prescribe antibiotics is any kind of thats... As you can safely getting your allergies under control, read the label or package ingredients carefully sprays containing (! Can add healing moisture important to work with your doctor if they become worse, check with your 's. Symptoms such as congestion know that they can be up higher in your nostrils experiencing any congestion caused by or... You know the proper technique when using nasal sprays bacterial, a doctor determines that a burning sensation in nose! Accurate and current by reading our want to be very safe: nasal antihistamines and decongestants, Vicks Sinex decongestant! Want your eyes be checked by an ophthalmologist ( eye doctor ) nasal rinse or Neti pot ).They flush. Take it as soon as possible in 2000, followed 90 children between the ages of 6 and for. ): blow your nose is irritated by dry winter air, saline sprays can healing. Be treated successfully they may need medical attention, since the edges of those crystals are rough cough you... Due to how to stop burning after using nasal spray steroid nasal sprays personal circumstances updated: April 01, 2023, Original article: https //www.mayoclinic.org/drugs-supplements/fluticasone-nasal-route/side-effects/drg-20070965...
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