Nasal irrigations may alleviate thickened secretions. These can be performed two to four times a day either with a nasal douche device or a Water Pik® with a nasal irrigation nozzle. Warm water with baking soda or salt (½ to 1 tsp. to the pint) or Alkalol,® a nonprescription irrigating solution (full strength or diluted by half warm water). may be helpful. Finally, use of simple saline (salt) nonprescription nasal sprays (., Ocean®, Ayr®, or Nasal®) to moisten the nose is often very beneficial.
Another frequently encountered side effect is excessive dryness of the mouth, nose, and eyes. Less common side effects include restlessness, nervousness, over excitability, insomnia, dizziness, headaches, euphoria, fainting, visual disturbances, decreased appetite, nausea, vomiting, abdominal distress, constipation, diarrhea, increased or decreased urination, high or low blood pressure, nightmares (especially in children), sore throat, unusual bleeding or bruising, chest tightness or palpitations. Consult your allergist-immunologist should these reactions occur.