Post Nasal Drip

During the winter months often cold often affects us. Although this disease is not serious or life threatening, certainly it can make us miserable. There is no magic wand that can help us with post nasal drip cough, but in further notice you will be able to find out more about post nasal drip treatment. So what is post nasal drip?

Sometimes you can feel like you have a lump in your throat. This is known as post nasal drip, and causes about seven percent of coughing. When the mucus becomes thick or if there is many of it – usually due to allergies or infections such as colds – there is a reflex cough in which mucus drips down the throat. Such a condition can be treated successfully, and if you are suffering with irritating cough, be sure to consult your doctor about treatment.

Post Nasal Drip Remedies

Steroid nasal sprays

Experts recommend the use within of nasal glucocorticoids (steroid spray applied directly into the nose) as first line of post nasal drip treatment. Steroids are known to have potent anti-inflammatory and anti-allergic impact and they are known to alleviate most of the associated symptoms of runny and itchy nose, nasal congestion, sneezing, and post nasal drip.

Their use must be monitored and narrowed toward the doctor prescription, hence a long-term use can have significant side effects. Examples of nasal steroids include:

  • Beclomethasone (Beconase.)
  • Flunisolide (Nasarel)
  • Budesonide (Rhinocort.)
  • Fluticasone propionate (Flonase.)
  • Mometasone Furoate (Nasonex.)
  • Fluticasone Furoate (Veramyst).

This post nasal treatment is usually used once or twice a day. It is recommended to tilt the head forward during administration to avoid spraying the back of the throat instead of nose.

These medications [prednisone, methylprednisolone (Medrol.), hydrocortisone (Hydrocortone, cortisol)] are highly effective during allergies; but there is the potential for serious side effects if used for extended periods. They are best for short-term management of allergic problems, and a doctor must always monitor their use. This post nasal drip remedy is reserved for very severe cases that do not respond to conventional treatment of nasal steroids and antihistamines.


Allergy medications such as antihistamines, are also commonly used for allergic rhinitis and post nasal drip. They is commonly used as second line treatment after nasal steroids or in combination with them. Histamines are naturally occurring as chemical release in response to exposure to allergens, which are responsible for congestion, sneezing, and runny nose typical allergic reactions. Antihistamines are drugs that block the histamine reaction. These medications work best when given before exposure. This remedy is very effective if you want to stop post nasal drip.

Antihistamines can be divided into two groups:

  • Soothing, or first-generation [diphenhydramine (Benadryl.), chlorpheniramine (Klor-Trimeton), Clemastin (Tavist)].
  • Non-sedating second-generation [loratadine. (Claritin), cetirizine. (Zyrtec)]. Non-sedating antihistamines can have serious drug interactions.

There is a antihistamine nasal preparation which has been shown to be highly effective in treating allergic rhinitis, called Azelastine nasal (Astelin.).

Decongestant sprays

Examples of decongestant sprays are:

  • Oxymetazoline (Afrin)
  • Phenylephrine (Neo-Synephrine)

Decongestant sprays quickly reduce swelling of nasal tissues, which reduce the blood vessels. They improve breathing  in short term. This is a very effective post nasal treatment, but unfortunately, if used more than a few days can become very addictive (rhinitis medicamentosa). Prolonged use can lead to serious damage. Therefore, their use should be limited to only 3 to 7 days.

Oral decongestants

Oral decongestants temporarily reduce swelling of the sinuses and nasal tissues leading to improved breathing and reducing of obstruction. They can also stimulate the heart and increase blood pressure. The most common decongestant is pseudoephedrine (Sudafed).

Cromolyn sodium (Nasalcrom)

Cromolyn sodium (Nasalcrom) is a spray that helps to stabilize allergy cells (mast cells) by preventing release of allergy mediators such as histamine. They are most effective when used before the start of allergy season, or prior exposure to known allergens. Due to very few side effects this post nasal drip treatment is a great way to get rid of posta nasal drip.

Montelukast. (Singulair)

Montelukast. (Singulair) is one of post nasal drip remedies that acts like an antihistamine. It has been shown to be used less then steroid nasal sprays, but is still just as effective as some antihistamines. This type of treatment may be helpful in patients who do not want to use nasal sprays or those with co-existing asthma.


These drugs consist of one or more drugs against allergies. They are usually a combination of antihistamine and decongestant. Other common combinations include mucus thinning agents, anti-cough agents, ibuprofen (Advil) or acetaminophen (Tylenol). They help to simplify dosing and often will work together or for further use or prevent side effects that eliminate or reduce the total side effects. In recent time doctors tend to use these combinations when a patient feels any of post nasal symptoms, since these combinations have proven that they are perhaps the best of all post nasal remedies. This is because experienced doctors combine only the best out of all post nasal remedies and use the perfect dosage for post nasal treatment.

We left one of the best post nasal remedies for the end. That is propolis, so be sure to check our propolis benefits article if you happen to experience any of post nasal symptoms. We also recommend amazing article about treatment of nasal polyps.