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Doctor insights on: Best Sinus Nasal Sprays

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I have nasonex (mometasone) and astelin (nasal spray) but I am not sure wich one will be the best for sinus congestion. Please suggest me which one to take.

I have nasonex (mometasone) and astelin (nasal spray) but I am not sure wich one will be the best for sinus congestion. Please suggest me which one to take.

They are different: The best first line treatment should include saline nasal irrigation and nasal steroid spray. The steroid spray is long acting and takes affect over the first few weeks of use. The steroid spray helps decrease long term nasal inflammation. Astelin is a topical antihistamine (like claritin) and can be used in conjunction for symptomatic relief.

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Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


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Rebound effect Zicam sinus relief nasal spray 3 days in a row?

Rebound effect Zicam sinus relief nasal spray 3 days in a row?

Beware!: Otc decongestant sprays such as zicam, afrin, etc (oxymetazoline) can definitely cause rebound congestion typically after 5 to 7 days of use. This condition is called rhinitis medicamentosa, and long-term use of such medications can be difficult to treat. For severe cases, an allergist or ENT physician can recommend weaning protocols in conjunction with proper rhinitis therapy.

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What traditional treatment that I can use to cure my sinus? Besides using nasal spray.

What traditional treatment that I can use to cure my sinus? Besides using nasal spray.

Saline rinses: Thoroughly irrigating the nose with saline solution solves a variety of sinus problems and helps restore the normal functioning of the nasal lining. Just spritzing with saline spray really isn't enough; you need a sinus rinse bottle or netty pot.

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I have a bad sinus. It has been since 2011, I tried to take nasal spray and etc but its still not working. Should I try homeopathy to cure my sinus?

I have a bad sinus. It has been since 2011, I tried to take nasal spray and etc but its still not working. Should I try homeopathy to cure my sinus?

Homeopathy & sinus: I agree with dr. Baker that sinus issues can be troublesome. Beyond offering decongestants, intermittent antibiotics, and sometimes surgery, conventional medicine is limited. First, if you haven't been evaluated by an ENT doctor, please do that so you know what you're dealing with. Homeopathy can be an effective treatment -- but you need a good homeopath & the treatment involves your whole self.

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Can nasarel nasal spray cause sinus problems?

Can nasarel nasal spray cause sinus problems?

No: Nasarel (flunisolide) is a prescription topical corticosteroid spray used to treat allergic rhinitis & may be useful in related conditions like nasal polyps. Nasarel is one of the earliest developed topical steroid sprays. Its not used very much anymore because it causes nasal stinging. It is not a vasoconstrictor/decongestant like afrin. Continued use does not cause blockage of sinus openings.

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Sinus blockage. I want to get rid of it so what should I try in a nasal spray?

Nasal spray/ sinuses: Your best, first step, is to use saline nasal irrigations. Twice a day for the first 5 to 7 days, then once daily there after. If you have allergies, take your doctor recommended oral medications +/- nose sprays.

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Can I take stacker 2 or3 and use synex 12 hour nasal spray? Right now I take zyrtec for my sinus problem also.

Can I take stacker 2 or3 and use synex 12 hour nasal spray? Right now I take zyrtec for my sinus problem also.

No nasal decongestan: Be aware that over the counter nasal decongestant sprays are extremely addictive and should only be used for 3 days max. You can use zyrtec d or go to your doc and get a prescription for a steroid nasal sprays that is much better and is not habit forming.

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I use reactine and claritan for allergies. Would nasal spray be useful o only for sinus symptoms?

I use reactine and claritan for allergies. Would nasal spray be useful o only for sinus symptoms?

Yes: There are many nasal sprays that could be helpful. Saline sprays may help flush the nose out and let the cilia of the nasal lining work more effectively. Topical nasal steroids sprays have been shown to be some of the most effective nasal allergy medicines to treat chronic sinusitis and improve nasal congestion and drainage. There are topical antihistamine proven effective as well.

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I used my longtime boyfriends nasal spray today because I caught a nasty cold that he had a few days ago. What's my risk for sinus infection?

I used my longtime boyfriends nasal spray today because I caught a nasty cold that he had a few days ago. What's my risk for sinus infection?

Nasal spray: Would not use someone else's spray due to risk of spreading infection plus the spray is meant for treatment of allergies. You should be evaluated if you think you have sinus infection or a cold

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Can nasarel nasal spray cause dental and sinus problems?

Probably not: Any over the counter nasal spray used for more than a few days may cause a condition called rhinitis medicamentosa. This condition may lead to irreversible damage to cilia (small hairs of the mucosa) and rebound where the nose is worse than before you started the medication. Any nasal condition, whether allergic or non-allergic should be managed by an ENT doctor.

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Steriod nasal spray- how long does it take to work for sinus headache?

Steroid nasal sprays: While steroid nasal sprays may have some activity on reducing nasal inflammation as soon as 12 hours after a single dose, they don't achieve their maximum effect for several days. If you are having nasal congestion causing a sinus headache, you may need to take an oral or intranasal decongestant or antihistamine to get more temporary relief while the steroid spray takes effect.

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Is it possible for me to use Mucinex (guaifenesin) sinus max nasal spray on my four year old?

Not recommended: The dose would be too high and most likely would be not effective for the child.

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Is it ok to use xlear xylitol nasal spray containg grapeseed extract 5 1/2 weeks after sinus surgery?

Nasal spray: I would call the ENT physician who performed your procedure to see if this is okay.

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Just had sinus surgery yesterday, can I use a nasal spray to help clean with the packing still in nostrils?

Just had sinus surgery yesterday, can I use a nasal spray to help clean with the packing still in nostrils?

Nasal spray use?: Depends on what kind of packing your surgeon placed. Please call your ENT specialist, so that they can let you know what their preference is.

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Just had sinus surgery yesterday, they put in dissolvable packing and stints, can I use a nasal spray to help clean out nostrils?

Just had sinus surgery yesterday, they put in dissolvable packing and stints, can I use a nasal spray to help clean out nostrils?

Try saline.: You may first want to check with your surgeon because there are several different kinds of packing. Usually, over the counter nasal saline (salt water) sprays are very useful after sinus surgery to help rinse away dried blood and crusting. They can be used with splints or stents in place. Do not use any prescription nose sprays until your ENT surgeon says it's OK to do so.

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I'm using homeopathy to cure my sinus, but is it effective? Because the homeopathy doc told me that using nasal spray is bad because it contains mercury

Huh???: No medicated nasal sprays in use today contain mercury. I am not well versed in homeopathy but suggest that if this practitioner gave you this information then he or she should not be trusted. Traditional medical therapy is extremely effective in treating nasal and sinus problems.

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Should I use otrivine nasal spray and sudafed Pseudoephedrine prior to my flight to try and prevent sinus barotrauma? Will this do the trick?

Should I use otrivine nasal spray and sudafed Pseudoephedrine prior to my flight to try and prevent sinus barotrauma? Will this do the trick?

May help: This combination may be helpful in keeping your nasal and sinus openings more patent if you have problem with nasal congestion. However without knowing whether there are other issues such as the size of the sinus openings etc, it is impossible to tell.

Dr. John McClay
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