Drug-Induced Rhinitis and Rhinitis Medicamentosa

Purpose of the Review: The purpose of this review is to discuss the causes, management, and treatment for drug-induced rhinitis and rhinitis medicamentosa. The focus of this review is to use historic and recent literature to establish a framework with which to counsel and treat patients with drug-induced rhinitis. Recent Findings: Effective treatments for drug-induced rhinitis include stopping the offending medication and using alternative means to control residual or rebound congestion including intranasal steroids, oral steroids, and saline irrigations. Summary: Drug-induced rhinitis may be caused by a variety of medications including anti-inflammatory medications, neurogenic medications, antihypertensives, and decongestants. Effective treatment involves both patient-centered counseling and medical management of symptoms. Surgical options for refractory cases can help control symptoms. Most patients have excellent outcomes.