Hi. Sorry for the slow reply. My understanding from several ENT docs Ive seen over the years is long term use of products like Afrin can cause nose bleeds. It actually drys the out the tissue. I was told to use very sparingly. They prefer I not to use at all. It does work to clear your sinuses but there are side effects. I’ve stopped using it. Little background, I’ve broken my nose twice and then had surgery to “fix”. So I’ve been down this road with Afrin and cauterization. Cauterization can be a limited fix as well. Help this helps. Good luck with it all.