Is Nasal Inflammation After Using Vitis Gel an Allergic Reaction? - Ophthalmology

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After using Vitis gel, inflammation of the nasal mucosa occurred, but the medication's package insert does not mention this side effect. Is this phenomenon considered an allergic reaction?


I visited a doctor due to dry eye syndrome.
The doctor advised me to use artificial tears every two hours during the day and to apply Vitis gel before bedtime.
However, a few hours after applying the gel, I wake up due to nasal pain (feeling like my sinuses are inflamed).
I couldn't find any information regarding this issue in the medication's instructions or on websites, so I'm unsure if this eye ointment is the cause.
Therefore, I am inquiring about it.
Thank you, doctor.

Lu Yi, 50~59 year old female. Ask Date: 2024/05/07

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, the symptoms of nasal pain and sinusitis after using Vitus gel cannot be ruled out as being related to the medication.
Although the product insert does not explicitly mention this side effect, individual responses can vary due to differences in physiology.
However, I have not encountered such a situation before.
I recommend that you discontinue the use of Vitus gel immediately and consult with an ophthalmologist and an otolaryngologist for further evaluation of your symptoms and medication use.

Reply Date: 2024/05/07

More Info


Nasal inflammation after using Vitis Gel could potentially be an allergic reaction or an irritation caused by the gel itself. Vitis Gel is primarily designed for ocular use, specifically to provide lubrication and relief for dry eyes. However, when applied, it can inadvertently affect nearby areas, including the nasal passages, especially if the gel drips or is absorbed into the nasal cavity.


Understanding the Symptoms
The symptoms you describe—nasal pain and a sensation of sinus inflammation—could arise from several factors:
1. Irritation: The ingredients in Vitis Gel, while safe for ocular use, may cause irritation in the nasal mucosa if they come into contact with it. This could lead to inflammation, resulting in discomfort or pain.

2. Allergic Reaction: If you have a sensitivity or allergy to one of the components in the gel, this could manifest as nasal inflammation. Allergic reactions can vary widely in their presentation, from mild irritation to more severe symptoms.

3. Nasal Congestion: The use of any gel or liquid in the eye area can sometimes lead to post-nasal drip or congestion, which may cause discomfort in the sinuses.


Recommendations
1. Monitor Symptoms: Keep track of your symptoms. If the nasal pain persists or worsens, it would be prudent to consult with your healthcare provider. They may recommend an alternative treatment for dry eyes that does not exacerbate your nasal symptoms.

2. Consult an Allergist: If you suspect an allergic reaction, consider seeing an allergist. They can perform tests to determine if you are allergic to any components of the Vitis Gel or other substances.

3. Alternative Treatments: Discuss with your doctor the possibility of using different artificial tears or gels that may be less likely to cause nasal irritation. There are many formulations available, and some may be better suited to your needs without causing side effects.

4. Nasal Care: In the meantime, consider using saline nasal sprays or rinses to help soothe your nasal passages and reduce inflammation. This can help clear out any irritants and provide relief.

5. Follow-Up: If your symptoms do not improve or if you experience additional symptoms such as fever, increased nasal discharge, or facial pain, it is essential to follow up with your healthcare provider. They may want to evaluate you for other conditions, such as sinusitis or other forms of nasal inflammation.


Conclusion
In summary, while it is possible that Vitis Gel could cause nasal inflammation, it is essential to consider other factors that may contribute to your symptoms. Monitoring your condition and consulting with your healthcare provider will help determine the best course of action. If you experience persistent or severe symptoms, do not hesitate to seek medical advice.

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