Unfortunately, there is no cure for VMR, however several medications are available to help alleviate symptoms. Immediate cessation of smoking and avoidance of second hand smoke is imperative as non-specific irritation from smoke will drive nasal drainage. One of the most effective treatments for VMR is the use of over-the-counter nasal saline spray or mist, which can be used as often as needed to soothe the nose and loosen any thick mucus.Nasal steroid sprays (Ex. Flonase, Veramyst, Nasonex), nasal antihistamine sprays (Ex. Astepro, Patanase) and nasal anti-cholinergics (Atrovent) can greatly decrease the amount of drainage produced from mucus glands within the nose. An oral decongestant can also be used to dry up watery drainage or to relieve nasal congestion, but these may cause insomnia or aggravate hypertension, so are generally used sparingly, particularly in elderly patients.