Rhinitis medicamentosa. Put down the Afrin. Yeah...it's gonna suck for a while and we will try to minimize that but it still will suck.
Pt: But ...but what will I do?! I'll be so congested.
Me: Suffer. Temporarily.
Inevitably, there is bargaining of some sort. Folks want me to prescribe so their Afrin will be cheaper. Or they want something else that works just like Afrin that doesn't have the rebound congestion. And any alternative medications that take longer than 30 seconds to work, they've tried and stop taking because they don't work as well as Afrin.