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Doctor insights on: Decongestant Sinus Medication

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Please what are decongestants? And what is a sinus? Thanks a lot

Please what are decongestants? And what is a sinus? Thanks a lot

Sinus air filters: Your sinuses are air filtering chambers, they are behind your cheekbones and behind your forehead and nose. They filter the air that you breathe in and remove allergens. Sometimes when people have allergies or infection the sinuses get very congested. Decongestants are medications that can decrease the congestion in the sinuses. ...Read more

Dr. Abraham Jaskiel
3 doctors shared insights

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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What do you do next when sinus decongestant medicine does not work?

What do you do next when sinus decongestant medicine does not work?

2 answers: First, consider that sinus congestion, which is often viral and (non-infectious) post-viral inflammation, takes time to get better. Second, if you're getting worse, develop fever, express pus (often greenish) from you nose, or have progressive facial pain, there may be superimposed bacterial infection requiring an antibiotic. See your doctor. ...Read more

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I am having a hard time clearing up sinus congestion, dispite using OTC decongestants. Help!

I am having a hard time clearing up sinus congestion, dispite using OTC decongestants. Help!

Oral or spray?: If you are using a nasal spray, this can develop into a rebound congestion called rhinitis medicamentosa. This suggest the use of the med, it wears off and the nose tissue swells again Develops after about one week of usage. The treatment is going without the decongestant. If this is an oral pill see the doctor for further advice. Your doctor can provide info on both. ...Read more

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I've been getting sinus headaches for over a week now. Decongestants work for a few hours but nothing really works what shall I do now???

I've been getting sinus headaches for over a week now. Decongestants work for a few hours but nothing really works what shall I do now???

Sinus infection: it sound like you might need some abx for a sinus infection. if you can't or won't take abx, you can do sinus rinses 2-3 times per day. those will get rid of a sinus infection as well, it will just take more time. ...Read more

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Have a bad sinus headache. Looking for a good antihistimane with decongestant in it?

Have a bad sinus headache.  Looking for a good antihistimane with decongestant in it?

Need diagnosis: Although headache may be associated with sinusitis, there are more important symptoms associated with rhino-sinusitis. These are yellow-green nasal discharge, fullness, or pressure in the face, pain between the eyes and post-nasal drainage. Headache as an isolated symptom is not commonly caused by a sinus infection. The gold standard to make a diagnosis of sinusitis is a cat scan of sinuses. ...Read more

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Chronic infection or uveruse? Got sinus infect 6 week ago, started using OTC decongestant sprays. Congestion and infection symptoms keep getting worse

Could be both: If your sinus symptoms are from infection, you may still have a smoldering sinus infection. However, your symptoms may now be due to rhinitis medicamentosa, a condition caused by prolonged over use of nasal decongestant type medications. You need to visit your doctor and stop using the nasal medications. ...Read more

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I have a severe sinus infection am takin amoxicillan a decongestant and ibprofen for the swellin should I also take an antihistamin?

I have a severe sinus infection am takin amoxicillan a decongestant and ibprofen for the swellin should I also take an antihistamin?

It depends: Only take an antihistamine if you are sure you have allergy symptoms during this time of year. Taking an antihistamine when you don't need it will cause your nose and sinuses to dry out too much. This could make your sinus symptoms worse. ...Read more

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Will taking an antihistamine w/decongestant before sinus CT give false results?

Will taking an antihistamine w/decongestant before sinus CT give false results?

No: Decongestants reduce the swelling in the nose, but do not clear out the sinuses to the point of changing ct results. Other pathologies will be completely unaffected. ...Read more

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Can you take a decongestant when taking prednisone 20mg ( 2perday for 5days) like mucinex: d ? I was prescribed prednisone for sinus infection

Can you take a decongestant when taking prednisone 20mg ( 2perday for 5days)  like mucinex: d  ? I was prescribed prednisone for sinus infection

Preferably not: Mucinex (guaifenesin) d contains Guaifenesin Pseudoephedrine 120mg which can raise blood pressure, make you jittery, "hyper" and cause heartburn and constipation. Prednisone 40 mg may worsen the side effects, like high blood pressure, thyroid problem or diabetes. You should rinse y our nose with saline and use a nasal decongestant like oxymetazoline (afrin) for 5 days. Guaifenesin may help (mucinex (guaifenesin) without d). ...Read more

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What decongestant, nasal spray and antibiotic should I take for mild ethmoid sinus disease?

What decongestant, nasal spray and antibiotic should I take for mild ethmoid sinus disease?

Sinus disease: this is a complex question and it depends on the severity of your symptoms and if this is a chronic problem. Chronic sinusitis is best treated with saline nasal washes. you should see your doctor if this is an acute problem for proper treatment ...Read more

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Is it safe to take an antihistamine and a decongestant everyday to help combat chronic sinus infections?

Is it safe to take an antihistamine and a decongestant everyday to help combat chronic sinus infections?

In general, yes: Improving nasal function will decrease the incidence and severity of sinusitis. If you are allergic and congested then a combination of an antihistamine decongestant can be of help. So can intranasal steroids and other measures. If you have recurrent infections an allergy evaluation and a good ENT evaluation can be of great benefit. ...Read more

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I have sinus pressure and congestion, foggy headed and slightly dizzy alot.I avoid decongestants because of blood pressure issues.What else can I use?

I have sinus pressure and congestion, foggy headed and slightly dizzy alot.I avoid decongestants because of blood pressure issues.What else can I use?

Nasal products: If you have poorly controlled high bp, you are right to avoid decongestants containing Ephedrine or pseudoephedrine. You can safely use anti-histamines (eg loratidine). You can also use nasal steroids or nasal saline rinse. If your BP is well-controlled, short term use of the full range of decongestants is probably fine. ...Read more

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Having deviated septum surg, turbinate reduc. , sinus balloon dilation. When should I stop taking otc nasal decongestants (benzedrex, etc.) ?

Nasal surgery : You should ask these questions to your surgeon as she/he may have particular preferences. Hopefully, you have not been using topical nasal decongestant sprays, as they should not be used long term and not before nasal surgery. Oral decongestants can be taken up to the day of surgery, if needed. ...Read more

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Told take decongestant for URI w/ sinus infection & laryngitis. Won't it make the laryngitis worse? Saw ENT & no vocal cord issues but got prednisone.

Likely safe, but...: Seems like you have already been seen by at least one physician and maybe more than one.The best time to ask questions about med recommendations and review concerns is with the physician prescribing the treatment.So i would contact your physician mainly. In general using decongestants may be helpful, or may not. Studies are not impressive. Hydrate, avoid smoke, consider saline irrigation.Talk to doc. ...Read more

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Sinus relief medications without decongestin benefit. Whats wrong?

Congestion not it: If you are feeling a "sinus" type headache and are taking decongestants to relieve it without relief, it could be that these "sinus" type of headache str not related to your sinuses at all. It may be that these headaches are really tension or migraine type headaches. ...Read more

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Hello Dr. Is it ok if i take allegra (fexofenadine) 180mg with sinus medication which has (Acetaminophen 325mg, guaifenesin 200mg and phenylephrine HCL 5mg)?

Hello Dr. Is it ok if i take allegra (fexofenadine) 180mg with sinus medication which has (Acetaminophen 325mg, guaifenesin 200mg and phenylephrine HCL 5mg)?

Yes, no problem: No interaction between all the mentioned drugs, I would like to thank you for listing the ingredients in full, be cautious though if you have high blood pressure and take phynylepherine. Good that you asked, always exercise caution with multiple medications, wish you wellness ...Read more

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I have severe sinus pressure/pain/congestion. What can I do to take care of it? Phenylephrine hci 10mg?

I have severe sinus pressure/pain/congestion. What can I do to take care of it? Phenylephrine hci 10mg?

Sinus pain/Pressure: Greetings. The first thing I recommend would be 800 mg of ibuprofen 3x/day with food. Add Afrin nasal spray 2x/day for 5 days with the OTC decongestant. This should make you feel better quickly. See your doctor if the symptoms worsen or a fever develops. An antibiotic may be needed. ...Read more

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Im at work with sinus headache and congestion. Ive taken 20mgs of phenylephrine like 3 hours ago. would it hurt me to take one 30mg pseudophedrine?

Im at work with sinus headache and congestion. Ive taken 20mgs of phenylephrine like 3 hours ago. would it hurt me to take one 30mg pseudophedrine?

Depends: There are unfortunate systemic side effects of oral decongestants that include elevated blood pressure, sometimes cardiac hyper-excitability with palpitations or worse. Nasal decongestant like oxymetazoline may be effective (use carefully per insert) with less systemic effects. Good hydration helps to thin mucus as drainage through the sinus openings may cause pain. Guaifenesin can also help. ...Read more

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I have a sinus infection and normal saline does not work for me is it safe to use nasal four it says it contains phenylephrine hci 1%?

Sinus: As long as you have no heart disease or blood pressure issues you can use the spray for three days then stop it as it can cause rebound swelling. Also consider a sinus rinse ...Read more

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I was prescribed omnicef (cefdinir) for a sinus infection but I am still experiencing congestion. Can I take phenylephrine or pseudoephedrine to help?

Sinusitis symptoms: Decongestants such as phenylephrine and pseudoephedrine can be used in combination with antibiotics to help relieve nasal congestion that is frequently still present in the beginning of treatment. Products that contain guaifenesin are especially helpful as they help thin secretions and promote drainage. ...Read more

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Took a Claritin (loratadine) D 24 hrs 10 hours ago, forgot and took a allergy sinus med with acetaminophen, phenylephrine and diphenhydramine. Am I in danger?

Took a Claritin (loratadine) D 24 hrs  10 hours ago, forgot and took a allergy sinus med with acetaminophen, phenylephrine and diphenhydramine. Am I in danger?

Unlikely : But if you feel your heart racing, or otherwise that something is not right, call your primary care or go to the ER. It is very unlikely however that you will need medical attention for this. Hope this helps, and that you feel better soon! ...Read more

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Can I take Tylenol (acetaminophen) Sinus Extra Strength (500mg Acetaminophen, 5mg Phenylephrine) for sinusitis if I take 20mg generic Celexa and 30 mg Adderall daily?

Can I take Tylenol (acetaminophen) Sinus Extra Strength (500mg Acetaminophen, 5mg Phenylephrine) for sinusitis if I take 20mg generic Celexa and 30 mg Adderall daily?

Drug interactions: Always tell your prescribing docs everything you take, including OTC medications & dietary supplements. Phenylephrine in Tylenol (acetaminophen) Sinus has moderate interaction w/Adderall. Bu interestingly, or perhaps more worrisome, Celexa aka citalopram, has major interactions w/Adderall. Check out http://www.drugs.com/interactions-check.php?drug_list=190-1645,679-335,78-9929 then discuss w/prescribing docs. ...Read more

Dr. Maxime Cannesson
545 doctors shared insights

Phenylephrine (Definition)

Phenylephrine hydrochloride is a decongestant which is a kind of antihistamine type drug (common ...Read more


Dr. Thomas Josa
293 doctors shared insights

Decongestant (Definition)

Decongestants are a kind of common ...Read more