I read this and was puzzled, until I realized that you are talking about the pills. The nasal spray is effective, although probably not more effective than a saline solution.
I guess saline is a baseline against which effectiveness should be measured here, especially since nasal sprays are usually saline plus something. (I guess? Not sure about Sudafed specifically.)
Do people really want to spray PFAS water directly into their mucus lining?
I bought an Arm and Hammer Saline spray out of curiosity. It smelled awful, and the BPS lined can had an awful smell despite the ingredients being: water, salt, baking soda, and no suspicious preservatives.