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					Originally Posted by ChrisJericho  Ok, so I went to the doctor today and she said I had sinusitus and prescribed me flonase to take for awhile. I can use it for a long time and there won't be such harsh side effects as the OTC nasal sprays.
 So I'll see how this goes. It should take about 2-3 days before I feel the full effects. Thanks for everyone's imput.
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 Nasal corticosteroids are the only long-term solution.  Local absorption is in the upper 90% range while absorption into the bloodstream is 1-3%  
As peopel have said, pseudophedrine and oxymetazoline are great for occasional congestion only.  Pseudophedrine not only induces rebound congestion, it causes a major spike in blood pressure after three to four days and produces diminishing returns at the same time, reverting to approximately placebo levels after roughly a week.  At 10mg, Phenylephrine doesn't outperform placebo (unless you believe the GSK study that has an obvious incentive to find it effective.  I think the dose you need is around 50mg, which has adverse effects if I'm remembering correctly.