Stony Brook Medicine Health News
A young women on her couch, using a nasal stick for decongesting her nose.

Is That “Quick Relief” Nasal Stick Harming Your Teen’s Nose?

Lately, a TikTok trend has popularized “nasal sticks” among teens, with videos claiming quick relief for stuffy noses and even boosts in energy or mood.

While seem harmless, overuse can actually make nasal problems worse. Before your teen follows the hype, here’s what to know about how nasal sticks work — and when they can cause more harm than good.

What Are Over-the-Counter Nasal Decongestant Sticks?

Nasal sticks are small, often “natural”-branded inhalers with essential oils (like menthol eucalyptus or lavender) or medicated ingredients.

Teens use them because they’re:

  • Easy to carry and discreet
  • Provide quick, cooling relief for stuffy noses
  • Sold without a prescription

But the effects are short-lived as relief usually lasts less than an hour. Teens may use them several times a day, assuming there’s no risk in doing so.

The Hidden Risks

  • Rebound congestion: Using medicated sticks for more than a few days can worsen stuffiness after stopping. This is called rhinitis medicamentosa or rebound congestion and it’s caused by inflammation of the nasal passages.

  • Irritation: Even non-medicated, essential oil sticks can irritate the nasal passages and respiratory tract if overused.

  • Masking real problems: Regular use can hide underlying allergies or sinus issues, delaying proper care.

  • Dependence: Over time, teens may feel they “need” the stick to breathe, sleep or get through activities.

Signs of Nasal Stick Overuse

Watch for these red flags:

  • Using nasal sticks more than three to five days in a row, or several times daily
  • Always carrying or buying new sticks
  • Constant complaints of blocked nose and only brief relief after using the stick
  • Avoiding medical advice, relying only on the sticks

What Caregivers Can Do

  • Talk openly: Have a friendly, honest chat about the risks and why “natural” doesn’t always mean safe.

  • Suggest safer solutions: Recommend saline sprays, humidifiers and allergy management, used as directed by your healthcare provider, instead of regular stick use.

  • Read labels together: Check package instructions and don’t exceed recommended use (usually no more than three to five days).

  • Watch for signs: If congestion lasts more than a week or keeps coming back, encourage a visit with a healthcare provider.

Nasal sticks can provide quick relief, but overuse, even of “natural” essential oil types, can cause ongoing nasal problems. Open conversation, safe alternatives and prompt medical attention when symptoms don’t go away are the best ways to keep your teen’s respiratory tract healthy.

  • Allison Hotze, DNP
    Pediatrics

    Allison Hotze, DNP, RN, CPNP, is an advanced practice nurse and nurse educator specializing in pediatrics. She has a joint appointment with the Stony Brook University Schools of Medicine and Nursing. Before working in primary care, she cared for patients in pediatric orthopedics at Shriners Hospital St. Louis. She has professional interests in the importance of play for development, health equity, and quality improvement.

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This article is intended to be general and/or educational in nature. Always consult your healthcare professional for help, diagnosis, guidance and treatment.