Can Nasal Sprays Cause Dizziness? Side Effects and Solutions

Q: Can Nasal Sprays Cause Dizziness? Side Effects and Solutions

Hello： Generally, nasal sprays are less likely to cause dizziness as a side effect. <br>If you experience discomfort, it is advisable to return for a follow-up appointment and consult your physician about possibly switching to another medication. <br>Wishing you safety and health

Using a nasal spray can cause dizziness?

Hello, doctor.
Previously, I had a nasal endoscopy at a nearby clinic, and the physician mentioned that my adenoids might be enlarged, recommending that I go to a larger hospital for further examination.
Last week, I visited Guangtian Hospital, where Dr.
Lai Ren-tsung said there was no issue and strongly advised against surgery, suggesting that I use a nasal spray instead.
I was prescribed Aiminshi nasal spray and was instructed to return for a follow-up in three months.
I have a question: I only spray once a day, but I feel a bit dizzy, especially in the back of my head, and there is a heavy sensation on both sides.
Could this be caused by the nasal spray? Should I stop the medication or continue using it? I have only been using it for less than a month.
Or could it be due to other reasons? Thank you, Dr.
Zheng, for your guidance.

jason, 20~29 year old female. Ask Date: 2019/08/31

Dr. Zheng Jueyi reply Otolaryngology

Hello: Generally, nasal sprays are less likely to cause dizziness as a side effect.
If you experience discomfort, it is advisable to return for a follow-up appointment and consult your physician about possibly switching to another medication.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/08/31

More Info

Nasal sprays can indeed cause dizziness as a side effect, although this is not universally experienced by all users. The dizziness you are feeling, particularly the sensation of heaviness in the back of your head and on either side, may be related to the nasal spray you are using, especially if it contains a decongestant or other active ingredients that can affect the central nervous system.
When using nasal sprays, especially those that contain corticosteroids or decongestants, it is important to be aware of potential side effects. Corticosteroid nasal sprays, like the one you mentioned (艾敏釋, or Fluticasone), are generally well-tolerated, but they can cause side effects such as nasal irritation, dryness, and in some cases, systemic effects if used inappropriately or for extended periods. Decongestant nasal sprays, on the other hand, can lead to rebound congestion if used for more than a few days, and they may also cause headaches or dizziness due to their vasoconstrictive properties.

The sensation of dizziness can also be influenced by other factors unrelated to the nasal spray. For instance, if you have underlying conditions such as allergies, sinusitis, or even issues related to the inner ear, these can contribute to feelings of dizziness or pressure in the head. Additionally, if you are experiencing nasal congestion, it can lead to changes in pressure in the sinuses and ears, which may also cause dizziness.

If you have been using the nasal spray for less than a month and are experiencing these symptoms, it is advisable to consult with your healthcare provider before making any changes to your medication regimen. They can help determine whether the dizziness is likely related to the nasal spray or if there may be another underlying cause that needs to be addressed.
In the meantime, here are a few suggestions to consider:
1. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur and their severity. This information can be helpful for your healthcare provider.

2. Hydration: Ensure you are well-hydrated, as dehydration can contribute to feelings of dizziness.

3. Nasal Spray Technique: Make sure you are using the nasal spray correctly. Incorrect usage can lead to increased side effects. Tilt your head slightly forward, insert the nozzle into one nostril, and spray while breathing in gently.

4. Avoid Overuse: If you are using a decongestant nasal spray, be cautious about overuse, as this can lead to rebound congestion and other complications.

5. Follow-Up: Schedule a follow-up appointment with your healthcare provider to discuss your symptoms and the effectiveness of the nasal spray. They may suggest alternative treatments or further evaluations.

In conclusion, while nasal sprays can cause dizziness in some individuals, it is essential to evaluate all potential causes of your symptoms. Consulting with your healthcare provider will help ensure that you receive the appropriate care and guidance tailored to your specific situation.

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