Common over the counter decongestants include Sudafed ® and Dimetapp ® (pseudoephedrine). Combination decongestant/antihistamine medicines are available over the counter. These medicines, available as tablet, syrup or nasal spray, may help unblock the openings of the sinuses and temporarily reduce symptoms of nasal congestion. Inappropriate use of antibiotics can lead to bacterial resistance and side effects, thus these medications must be used carefully and thoughtfully. The majority of episodes of sinusitis (upper airway infection) are successfully treated without the use of antibiotics by treatments directed at the nasal inflammation and specific symptoms. The choice of antibiotic depends on several factors such as: drug allergies, past use of antibiotics and your symptoms. In some cases, your healthcare provider can collect mucus from your nose and send it to the laboratory for culture to confirm the presence of bacteria. This test can also help in the selection of the proper antibiotic to fight the infection. These infections usually respond to antibiotic treatment, however, you may need to continue treatment for one to three weeks or longer. Such an infection can be difficult to treat because the bacteria thrive in the warm, moist and dark areas of the sinus cavities. In some cases of sinusitis, but certainly not all, the underlying cause will be a bacterial infection. We recommend trying to spray the medication towards the sidewalls of the nose (laterally), rather than along the nasal septum in the center.Īntibiotics are medicines designed to treat bacterial infections. When used properly, steroid nasal sprays are safe and effective, however, nasal dryness and bleeding are possible side effects when using these medications. Nasacort AQ ®, Nasacort ® (triamcinolone) Several steroid nasal sprays are available and include: If you have occasional sinusitis episodes, you may only require periodic use.The combination of nasal wash and nasal steroid sprays can be highly effective for many patients with nasal and sinus problems. If you have chronic sinusitis, you may benefit from continued daily use of this medication. A steroid nasal spray does not provide immediate relief of symptoms and may require several weeks of routine use to be effective. This will decrease symptoms of nasal congestion and improve sinus drainage. Learn more.Ī prescription steroid nasal spray can decrease nasal inflammation and mucus production. After doing a nasal wash, wait until the draining stops then use your nasal spray as prescribed by your health care provider. We often recommend doing a nasal wash before using medicated nasal sprays. It also helps to clear out environmental triggers from the nasal lining. This can temporarily reduce symptoms of nasal congestion and postnasal drip. The management of acute sinusitis is different than the management of chronic sinusitis, but may utilize many similar medications. Here a few recommended treatments:Ī saltwater, or saline, nasal wash helps remove mucus and bacterial from the nose and sinuses. Your healthcare provider will treat an infection, if present, and try to reduce the symptoms of a runny or congested nose. This may include a combination of medical treatments. The primary goal when treating sinusitis is to decrease the inflammation in the nose and sinus openings to improve sinus drainage.
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