Prevention of Earache during Air Travel

• Using a nasal decongestant approximately one hour before take-off can sometimes help. Decongestants shrink the swollen nasal passages and open up the tube connecting the nose and the ear (eustacian) to help normalize ear pressure. They can be taken as pills by mouth or as a nasal spray.
  • Pseudophedrine (Sudafed): is available in pill form. Typical adult dosage is two 30 mg tablets every 6 hours. Read package instructions.
  • Phenylephrine nasal drops (Neo-Synephrine): are available over the counter. Clean out the nose before using. Spray each nostril once, wait one minute for absorption, and then spray a second time. Read package instructions.
  • Do not take these medications if you have high blood pressure, heart disease or prostate enlargement. Do not use these medications for more than 3 days. (Reason: excessive use can cause rebound nasal congestion.)
  • Read the package instructions thoroughly on all medications that you take.