Dear Joy,
My husband has a serious problem with nose bleeds. He uses Afrin as well as Nosebeeds QR. When his b/p is elevated, it seems to trigger the nose bleed. Keeping his systolic below 130 (with medication) seems to help prevent and stop the bleeding. Pinching the lower nose area for as long as 15 min. often helps. Keeping the lower nasal passage lubricated with boroleum (a couple of times per day) or certain prescribed nose drops, tend to prevent cracking and injury to the blood vessels. Our doctor prescribed Amicar, which seems to help stop the bleeding at times. When nothing else works, my husband usually requires a platelet transfusion.
Sorry about such a lengthy reply.
All the best, bety