Is It Bad to Use Expired Nasal Spray?

Nasal sprays deliver medication directly into the nasal passages, providing relief for various conditions. These products range from simple saline solutions to medicated sprays containing decongestants, steroids, or antihistamines. While different types of nasal sprays serve distinct purposes, they all come with expiration dates to ensure product quality and effectiveness.

Changes in Expired Nasal Spray

Once a nasal spray passes its expiration date, changes can occur within the product. The active ingredients can degrade over time, leading to a loss of potency. This means an expired spray may not deliver the correct dosage of medication, potentially failing to relieve symptoms.

Chemical degradation can also alter the spray’s composition. Active ingredients may break down into new, potentially inactive, or irritating compounds. Factors like heat, humidity, and light can affect the drug’s stability, influencing these chemical changes.

Health Risks of Using Expired Nasal Spray

Using expired nasal spray can pose several health risks beyond reduced effectiveness. A concern is bacterial contamination. Liquid medications, especially once opened, are vulnerable to microbial growth. Preservatives in nasal sprays, which inhibit bacterial and fungal growth, can degrade over time, making the solution susceptible to contamination.

Introducing contaminants into the sensitive nasal passages can lead to infections, such as sinus infections. Degraded ingredients or newly formed chemical compounds in expired sprays can also cause irritation, burning sensations, or allergic reactions within the nasal lining. These reactions might include increased nasal congestion, a runny nose, or sneezing.

Additionally, the lack of efficacy from an expired nasal spray can prolong or worsen underlying symptoms. If the spray does not work as intended, the condition it is meant to treat might persist or escalate. This can lead to increased discomfort and potentially necessitate further medical intervention.

Safe Handling and Disposal

Proper handling and disposal of nasal sprays are important for maintaining efficacy and preventing health risks. To maximize the shelf life of an unopened nasal spray, store it in a cool, dry place, away from direct sunlight and humidity. Keeping the cap tightly closed also helps prevent premature degradation.

Once a nasal spray bottle has been opened, its “use by” period is often shorter than the printed expiration date, typically 30 to 90 days, due to an increased risk of contamination. Discard the spray after this recommended period, even if the official expiration date has not yet passed.

When disposing of expired or unused nasal spray, do not flush them down the toilet or pour them down the drain. Instead, check for local drug take-back programs, often available at pharmacies or police stations. If no such program is available, the FDA recommends mixing the medication with an undesirable substance like used coffee grounds or cat litter, placing it in a sealed bag or container, and then discarding it in household trash. Scratch out all personal information on the original packaging to protect privacy.