Antibiotics: There are many antibiotic that are useful for treating acute sinusitis. The common antibiotics used for acute sinusitis are Zithromax, Augmentin, Keflex and Levaquin. These are all useful for reducing the bacterial growth of sinuses and help reduce inflammation. These antibiotics will help to clear up any green or yellow drainage and discharge. They do not make polyps disappear. Chronic sinusitis is treated surgically if it has been experienced for more than three months or is recurrent. Patients who have more than four to five sinus infections per year are considered to have chronic sinusitis.
Nasal Sprays: There are multiple nasal sprays that are useful for treating allergies. The cortisone nasal preparations include Flonase, Nasonex, Nasacort, Rhinocort and Omnaris. They will help with reducing mild inflammation of the nasal passageways and mildly improve airflow through the nose. All of these nasal sprays work quite well to reduce allergic rhinitis and seasonal rhinitis. The nasal sprays will not help with chronic sinusitis.
Antihistamine Nasal Sprays: There are two kinds of antihistamine nasal sprays – Astepro 0.15 and Pantanase. These are antihistamine preparations in a nasal spray formula and work quite well controlling allergy symptoms. They also have a mild decongestive effect that helps the airflow through the nose as well as drying up the nose quite effectively. They are excellent for a runny nose from whatever source.
Antihistamines: Antihistamines are available as a prescription and over the counter. As a prescription, there is Allegra, and a newer prescription antihistamine pill Xyzal, that both work well. Over the counter Claritin is an excellent antihistamine with very minimal side effects. Zyrtec is also an excellent antihistamine, however, about 10% of patients will get some sedation with it.
Leukotriene Inhibitors: Singular is an excellent example in this category and it has an FDA approval for allergies. It is an anti-inflammatory and it inhibits the pathway of inflammation of the nasal and bronchial passageways. It does help with both asthma and allergies and has minimal to no side effects. It can also be used as an additional treatment above and beyond antihistamines and nasal sprays and decongestants.
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