A doctor visit is required to confirm this diagnosis and initiate treatment. There are different ways to treat RM. Some physicians have used a weaning method that entails gradually weaker doses of the TND over several days. My preference is to prescribe a short course of oral steroid which is tapered (reduced gradually) every two days for a total of ten days. A nasal steroid spray is prescribed for long-term use. The nasal steroid sprays are not addictive and may help to maintain good airflow through the nasal passages as the oral steroid is eliminated. The patient is instructed to stop the TND within two days, allowing time for the oral steroid to take effect. If there is no history of blood pressure elevation, heart, thyroid or eye problems, an oral decongestant (e.g. Sudafed) may also be recommended. I also recommend nasal saline rinses. Rhinitis medicamentosa typically responds to treatment, but some patients end up going back to chronic use of TNDs after a period of weeks or month