What is good for allergy drainage

American Rhinologic Society

Through research, education, and advocacy, the American Rhinologic Society is devoted to serving patients with nose, sinus, and skull base disorders. Their website’s thorough coverage of sinus-related issues includes rarer conditions, such as fungal sinusitis, which are often excluded from other informational sites. It also provides a valuable search tool to discover a doctor, as well as links to other medical societies and resources that are useful for patients.

Cleveland Clinic

Their website contains an exhaustive guide on sinusitis and an easy-to-use «Find a Doctor» search tool.


ENThealth provides useful information on how the ear, nose, and throat (ENT) are all connected, along with information about sinusitis and other related illnesses and symptoms, such as rhinitis, deviated septum, and postnasal drip.

As part of the American Academy of Otolaryngology — Head and Neck Surgery, this website is equipped with the ability to assist you discover an ENT specialist in your area.

Allegra and Zyrtec are both antihistamines, but is one more effective or less likely to cause sedation than the other?

Allegra has the lowest risk of sedation out of every antihistamines so is preferred if an antihistamine is needed for people working in safety-critical jobs. Even though Zyrtec is 3.5 times more likely to cause sedation than Allegra, it is still much less sedating than some older antihistamines such as promethazine.

Other differences:

  1. Several studies own found cetirizine (Zyrtec) to be more effective than fexofenadine (Allegra) at relieving symptoms of allergic rhinitis and urticaria, and it appears to own a longer duration of action.
  2. Allegra should not be taken with grapefruit juice.

    Zyrtec has no reported food interactions.

  3. Allegra works within two hours and Zyrtec works within one hour.
  4. Studies own not compared the effects of Allegra and Zyrtec for conditions such as postnasal drip, but research suggests intranasal antihistamines such as azelastine are more effective.
  5. Zyrtec and Allegra should not be taken at the same time, instead, if symptoms are persisting, it is better to take another drug with a diverse mechanism of action.

Allegra is a brand name for the drug fexofenadine and Zyrtec is a brand name for the drug cetirizine. Both fexofenadine and cetirizine are favorite antihistamines with numerous similarities but there are some significant differences.

Which is more sedating?

Allegra or Zyrtec?

Allegra (fexofenadine) and Zyrtec (cetirizine) are second-generation antihistamines. Second-generation antihistamines were first developed in the 1990s to provide allergy relief without the unwanted side effect of sedation common to first-generation antihistamines such as promethazine and diphenhydramine. However, it soon became apparent that not every second-generation antihistamines were equal when it came to not causing drowsiness or affecting other thought processes. Cetirizine is significantly more likely than fexofenadine to cause drowsiness.

Fexofenadine (Allegra), even in dosages exceeding those recommended, is the least sedating of every second-generation antihistamines, so is considered the antihistamine of choice for people in safety-critical jobs such as airline pilots.

Which is more effective for Allergic rhinitis?

Trials own shown both Allegra (fexofenadine) and Zyrtec (cetirizine) are significantly more effective than placebo (a pretend pill) for reducing symptoms associated with allergic rhinitis, hay fever, and other allergies.

Trials own not consistently shown that one antihistamine is more effective than another; however, one trial reported cetirizine produced a 26% greater reduction in the number of allergic rhinitis symptoms at 12 hours and 14% greater reduction in symptoms overall compared with fexofenadine. Cetirizine also appeared more effective for symptoms such as runny nose, sneezing, itchy/watery eyes, and itchy nose, mouth or throat.

Cetirizine was slightly more likely (0.8%) than fexofenadine to cause drowsiness. Another trial reported similar findings (33% greater reduction in allergic rhinitis symptoms) and also found cetirizine had a longer duration of effect.

Intranasal or ophthalmic (into the eye) antihistamines own a quicker onset of action than oral antihistamines (within about 15 minutes); however, they need to be istered several times daily. In people with allergic rhinoconjunctivitis and predominantly eye symptoms, ophthalmic antihistamines work much quicker (within 3 to 15 minutes) and are much more effective than any other form of treatment.

Intranasal antihistamines are as effective as intranasal cromolyn, intranasal nedocromil, and leukotriene modifiers in seasonal allergic rhinitis; however, are not as effective at relieving nasal congestion and other symptoms as intranasal glucocorticoids.

Allegra Vs Zyrtec for urticaria and other skin reactions

All second generation antihistamines, including Allegra and Zyrtec, are effective for acute and chronic urticaria, although more trials own been conducted in people with chronic urticaria.

One trial found cetirizine to be more effective than fexofenadine at relieving symptoms in 97 patients with chronic urticaria with 51.9% of participants taking cetirizine reporting themselves as symptom-free after 28 days of treatment compared with only 4.4% of participants taking fexofenadine. Partial improvement was reported by 36.5% of people assigned cetirizine (42.2% assigned fexofenadine) and 11.5% experienced no improvement with cetirizine (53.3% with fexofenadine). No difference in side effects was noted between the two.

Allegra Vs Zyrtec for Postnasal Drip

Post nasal drip may happen for various reasons — allergies (particularly to dairy), colds or flu, various drugs (including birth control pills and high blood pressure tablets), freezing temperatures, bright lights, hormonal changes and spicy foods.

Thin postnasal drip secretions caused by allergies may be treated with antihistamines.

Second-generation antihistamines such as Allegra and Zyrtec may offer better relief than older-type antihistamines such as promethazine (older antihistamines tend to thicken post-nasal secretions). Intranasal antihistamines, such as azelastine, own a faster onset of action (15 minutes) and appear more effective than oral antihistamines although require more frequent istration. Other treatments include decongestants, cromolyn, and corticosteroid nasal sprays.

In the treatment of post nasal drip caused by nonallergic causes, oral second-generation antihistamines are not extremely effective.

However, the intranasal antihistamine azelastine is effective. Azelastine improves every rhinitis symptoms including nasal congestion, postnasal drip, sneezing and sleeping difficulty. The most common side effect is a metallic aftertaste; however, this is more likely at higher dosages and tends to dissipate with continued use.

Allegra Vs Zyrtec To Relieve Freezing Symptoms

Second-generation antihistamines (such as Allegra and Zyrtec) own limited effectiveness at relieving symptoms of freezing such as a runny nose and sneezing (only 45% of adults felt better after using them compared to 35% with placebo [a pretend pill]).

Effects were only noticeable if used within the first two days of a freezing, use of antihistamines made no difference thereafter.

Allegra Vs Zyrtec: istration

The antihistamine effects of Allegra and Zyrtec final for at least 24 hours, therefore, they are both given once daily. Fexofenadine, the athletic ingredient of Allegra works within two hours. Cetirizine, the athletic ingredient of Zyrtec works within one hour.

Allegra Vs Zyrtec: Side Effects, Interactions and Price

Side effects are generally mild with second-generation antihistamines and include a headache and rarely dry mouth, and nausea. Zyrtec is 3.5 times more likely than Allegra to cause sedation; however, Zyrtec is still much less sedating than older antihistamines such as promethazine.

Side effects are generally mild with second-generation antihistamines and include a headache and rarely dry mouth, and nausea.

Every the second generation antihistamines currently on the market appear free from adverse cardiovascular effects. Few major interactions own been reported with either Allegra or Zyrtec; however, there is the possibility that side effects such as sedation, confusion, and mental alertness may be enhanced if given with other drugs with this side effect.

Grapefruit juice appears to decrease the rate and extent of absorption of fexofenadine (Allegra) by about 30%. Cetirizine (Zyrtec) has no reported interactions with grapefruit or grapefruit products.

More studies are needed to determine if there are any interactions between second generation antihistamines and herbal products and other types of food. Always speak with your doctor of pharmacist before using any drugs in combination.

Cost is similar for 30 Allegra and 30 Zyrtec tablets and both are available as generics.

See also:Drugs.com Compare Tool — Allegra vs Zyrtec


  1. Post-Nasal Drip.

    American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/content/post-nasal-drip

  2. Mann RD, Pearce GL, Dunn N, Shakir S. Sedation with “non-sedating” antihistamines: four prescription-event monitoring studies in general practice. BMJ?: British Medical Journal. 2000;320(7243):1184-1187.
  3. Simon FER, Simons KJ. H1 Antihistamines: Current Status and Future Directions. The World Allergy Organization Journal.

    What is excellent for allergy drainage

    2008;1(9):145-155. doi:10.1186/1939-4551-1-9-145.

  4. Handa S, Dogra S, Kumar B. Comparative efficacy of cetirizine and fexofenadine in the treatment of chronic idiopathic urticaria.J Dermatolog Treat. 2004 Jan;15(1):55-7.
  5. Meltzer EO, Caballero F, Fromer LM, Krouse JH, Scadding G. Treatment of congestion in upper respiratory diseases. International Journal of General Medicine. 2010;3:69-91.
  6. Day JH1, Briscoe MP, Rafeiro E, et al. Comparative efficacy of cetirizine and fexofenadine for seasonal allergic rhinitis, 5-12 hours postdose, in the environmental exposure unit.

    Allergy Asthma Proc. 2005 Jul-Aug;26(4):275-82.

  7. Sharma M, Bennett C, Cohen SN, Carter B.

    What is excellent for allergy drainage

    H1-antihistamines for chronic spontaneous urticaria. Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD006137. DOI: 10.1002/14651858.CD006137.pub2

  8. Slater JW1, Zechnich AD, Haxby DG.Second-generation antihistamines: a comparative review.Drugs. 1999 Jan;57(1):31-47. http://www.ncbi.nlm.nih.gov/pubmed/9951950
  9. Banfield C, Gupta S, Marino M, et al. Grapefruit juice reduces the oral bioavailability of fexofenadine but not desloratadine.

    Clin Pharmacokinet. 2002;41(4):311-8.

  10. Hampel F, Ratner P, Mansfield L, et al. Fexofenadine hydrochloride, 180 mg, exhibits equivalent efficacy to cetirizine, 10 mg, with less drowsiness in patients with moderate-to-severe seasonal allergic rhinitis. Ann Allergy Asthma Immunol. 2003 Oct;91(4):354-61.

Common symptoms of sinus infection include:

  1. Nasal stuffiness or congestion
  2. Fever
  3. Postnasal drip
  4. Pain in the teeth
  5. Coughing
  6. Fatigue
  7. Tenderness of the face (particularly under the eyes or at the bridge of the nose)
  8. Discolored nasal discharge (greenish in color)
  9. Frontal headaches
  10. Bad breath

Sinus infection (sinusitis) is often confused with rhinitis, a medical term used to describe the symptoms that accompany nasal inflammation and irritation.

Rhinitis only involves the nasal passages. It could be caused by a freezing or allergies.

Allergies can frolic an significant role in chronic (long-lasting) or seasonal rhinitis episodes. Nasal and sinus passages become swollen, congested, and inflamed in an attempt to flush out offending inhaled particles that trigger allergies. Pollen are seasonal allergens. Molds, dust mites and pet dander can cause symptoms year-round.

Asthma also has been linked to chronic sinus infections.

Some people with a chronic nasal inflammation and irritation and/or asthma can develop a type of chronic sinusitis that is not caused by infection. Appropriate treatment of sinus infection often improves asthma symptoms.

How is sinus infection diagnosed?

Diagnosis depends on symptoms and requires an examination of the throat, nose and sinuses. Your allergist will glance for:

  1. Swelling of the nasal tissues
  2. Discolored (greenish) nasal discharge
  3. Redness
  4. Tenderness of the face
  5. Bad Breath

If your sinus infection lasts longer than eight weeks, or if standard antibiotic treatment is not working, a sinus CT scan may assist your allergist diagnose the problem.

Your allergist may examine your nose or sinus openings. The exam uses a endless, thin, flexible tube with a tiny camera and a light at one finish that is inserted through the nose. It is not painful. Your allergist may give you a light anesthetic nasal spray to make you more comfortable.

Mucus cultures: If your sinus infection is chronic or has not improved after several rounds of antibiotics, a mucus culture may assist to determine what is causing the infection. Most mucus samples are taken from the nose. However, it is sometimes necessary to get mucus (or pus) directly from the sinuses.

Knowing what helpful of bacteria is causing the infection can lead to more effective antibiotic therapy.

A fungus could also cause your sinus infection. Confirming the presence of fungus is significant. Fungal sinus infection needs to be treated with antifungal agents, rather than antibiotics. In addition, some forms of fungal sinus infection – allergic fungal sinus infection, for example – do not reply to antifungal agents and often require the use of oral steroids.

Your allergist may consider ordering a sinus CT.

What is excellent for allergy drainage

This test can assist to define the extent of the infection. Your allergist may also send you to a specialist in allergy and immunology. The specialist will check for underlying factors such as allergies, asthma, structural defects, or a weakness of the immune system.

Biopsies: A harm of more serious types of fungal sinus infection is that the fungus could penetrate into nearby bone. Only a bone biopsy can determine if this has happened. Biopsies involving sinus tissue are taken with flexible instruments inserted through the nose.

Biopsies of the sinus tissue are also used to test for immotile cilia syndrome, a rare disorder that can cause people to suffer from recurrent infections, including chronic sinus infection, bronchitis and pneumonia.


The first approach in managing seasonal or perennial forms of hay fever should be to avoid the allergens that trigger symptoms.

Outdoor exposure

  1. Avoid using window fans that can draw pollens and molds into the house.
  2. Don’t hang clothing outdoors to dry; pollen may cling to towels and sheets.
  3. Stay indoors as much as possible when pollen counts are at their peak, generally during the midmorning and early evening (this may vary according to plant pollen), and when wind is blowing pollens around.
  4. Wear a pollen mask (such as a NIOSH-rated 95 filter mask) when mowing the lawn, raking leaves or gardening, and take appropriate medication beforehand.
  5. Wear glasses or sunglasses when outdoors to minimize the quantity of pollen getting into your eyes.
  6. Try not to rub your eyes; doing so will irritate them and could make your symptoms worse.

Indoor exposure

  1. Keep windows closed, and use air conditioning in your car and home.

    Make certain to hold your air conditioning unit clean.

  2. To limit exposure to mold, hold the humidity in your home low (between 30 and 50 percent) and clean your bathrooms, kitchen and basement regularly. Use a dehumidifier, especially in the basement and in other damp, humid places, and empty and clean it often. If mold is visible, clean it with mild detergent and a 5 percent bleach solution as directed by an allergist.
  3. Reduce exposure to dust mites, especially in the bedroom. Use “mite-proof” covers for pillows, comforters and duvets, and mattresses and box springs.

    What is excellent for allergy drainage

    Wash your bedding frequently, using boiling water (at least 130 degrees Fahrenheit).

  4. Clean floors with a damp rag or mop, rather than dry-dusting or sweeping.

Exposure to pets

  1. Wash your hands immediately after petting any animals; wash your clothes after visiting friends with pets.
  2. If you are allergic to a household pet, hold the animal out of your home as much as possible. If the pet must be inside, hold it out of the bedroom so you are not exposed to animal allergens while you sleep.
  3. Close the air ducts to your bedroom if you own forced-air or central heating or cooling. Replace carpeting with hardwood, tile or linoleum, every of which are easier to hold dander-free.


Many allergens that trigger allergic rhinitis are airborne, so you can’t always avoid them.

If your symptoms can’t be well-controlled by simply avoiding triggers, your allergist may recommend medications that reduce nasal congestion, sneezing, and an itchy and runny nose.

What is excellent for allergy drainage

They are available in numerous forms — oral tablets, liquid medication, nasal sprays and eyedrops. Some medications may own side effects, so discuss these treatments with your allergist so they can assist you live the life you want.


Antihistamines are commonly used to treat allergic rhinitis. These medications counter the effects of histamine, the irritating chemical released within your body when an allergic reaction takes put. Although other chemicals are involved, histamine is primarily responsible for causing the symptoms.

Antihistamines are found in eyedrops, nasal sprays and, most commonly, oral tablets and syrup.

Antihistamines assist to relieve nasal allergy symptoms such as:

  1. Sneezing and an itchy, runny nose
  2. Eye itching, burning, tearing and redness
  3. Itchy skin, hives and eczema

There are dozens of antihistamines; some are available over the counter, while others require a prescription. Patients reply to them in a wide variety of ways.

Generally, the newer (second-generation) products work well and produce only minor side effects. Some people discover that an antihistamine becomes less effective as the allergy season worsens or as their allergies change over time.

If you discover that an antihistamine is becoming less effective, tell your allergist, who may recommend a diverse type or strength of antihistamine. If you own excessive nasal dryness or thick nasal mucus, consult an allergist before taking antihistamines. Contact your allergist for advice if an antihistamine causes drowsiness or other side effects.

Proper use: Short-acting antihistamines can be taken every four to six hours, while timed-release antihistamines are taken every 12 to 24 hours. The short-acting antihistamines are often most helpful if taken 30 minutes before an anticipated exposure to an allergen (such as at a picnic during ragweed season).

Timed-release antihistamines are better suited to long-term use for those who need daily medications. Proper use of these drugs is just as significant as their selection. The most effective way to use them is before symptoms develop. A dose taken early can eliminate the need for numerous later doses to reduce established symptoms. Numerous times a patient will tell that he or she “took one, and it didn’t work.” If the patient had taken the antihistamine regularly for three to four days to build up blood levels of the medication, it might own been effective.

Side effects: Older (first-generation) antihistamines may cause drowsiness or performance impairment, which can lead to accidents and personal injury.

Even when these medications are taken only at bedtime, they can still cause considerable impairment the following day, even in people who do not feel drowsy. For this reason, it is significant that you do not drive a car or work with dangerous machinery when you take a potentially sedating antihistamine. Some of the newer antihistamines do not cause drowsiness.

A frequent side effect is excessive dryness of the mouth, nose and eyes. Less common side effects include restlessness, nervousness, overexcitability, insomnia, dizziness, headaches, euphoria, fainting, visual disturbances, decreased appetite, nausea, vomiting, abdominal distress, constipation, diarrhea, increased or decreased urination, urinary retention, high or low blood pressure, nightmares (especially in children), sore throat, unusual bleeding or bruising, chest tightness or palpitations.

Men with prostate enlargement may encounter urinary problems while on antihistamines. Consult your allergist if these reactions occur.

Important precautions:

  1. Do not use more than one antihistamine at a time, unless prescribed.
  2. While antihistamines own been taken safely by millions of people in the final 50 years, don’t take antihistamines before telling your allergist if you are allergic to, or intolerant of, any medicine; are pregnant or intend to become pregnant while using this medication; are breast-feeding; own glaucoma or an enlarged prostate; or are ill.
  3. Follow your allergist’s instructions.
  4. Know how the medication affects you before working with heavy machinery, driving or doing other performance-intensive tasks; some products can slow your reaction time.
  5. Some antihistamines appear to be safe to take during pregnancy, but there own not been enough studies to determine the absolute safety of antihistamines in pregnancy.

    Again, consult your allergist or your obstetrician if you must take antihistamines.

  6. Keep these medications out of the reach of children.
  7. Alcohol and tranquilizers increase the sedation side effects of antihistamines.
  8. Never take anyone else’s medication.


Immunotherapy may be recommended for people who don’t reply well to treatment with medications or who experience side effects from medications, who own allergen exposure that is unavoidable or who desire a more permanent solution to their allergies.

Immunotherapy can be extremely effective in controlling allergic symptoms, but it doesn’t assist the symptoms produced by nonallergic rhinitis.

Two types of immunotherapy are available: allergy shots and sublingual (under-the-tongue) tablets.

  1. Allergy shots: A treatment program, which can take three to five years, consists of injections of a diluted allergy extract, istered frequently in increasing doses until a maintenance dose is reached. Then the injection schedule is changed so that the same dose is given with longer intervals between injections. Immunotherapy helps the body build resistance to the effects of the allergen, reduces the intensity of symptoms caused by allergen exposure and sometimes can actually make skin test reactions vanish.

    As resistance develops over several months, symptoms should improve.

  2. Sublingual tablets: This type of immunotherapy was approved by the Food and Drug istration in 2014. Starting several months before allergy season begins, patients dissolve a tablet under the tongue daily. Treatment can continue for as endless as three years. Only a few allergens (certain grass and ragweed pollens and home dust mite) can be treated now with this method, but it is a promising therapy for the future.

Intranasal corticosteroids

Intranasal corticosteroids are the single most effective drug class for treating allergic rhinitis.

They can significantly reduce nasal congestion as well as sneezing, itching and a runny nose.

Ask your allergist about whether these medications are appropriate and safe for you. These sprays are designed to avoid the side effects that may happen from steroids that are taken by mouth or injection. Take care not to spray the medication against the middle portion of the nose (the nasal septum).

The most common side effects are local irritation and nasal bleeding. Some older preparations own been shown to own some effect on children’s growth; data about some newer steroids don’t indicate an effect on growth.

Nasal sprays

Nonprescription saline nasal sprays will assist counteract symptoms such as dry nasal passages or thick nasal mucus. Unlike decongestant nasal sprays, a saline nasal spray can be used as often as it is needed. Sometimes an allergist may recommend washing (douching) the nasal passage. There are numerous OTC delivery systems for saline rinses, including neti pots and saline rinse bottles.

Nasal cromolyn blocks the body’s release of allergy-causing substances.

It does not work in every patients. The full dose is four times daily, and improvement of symptoms may take several weeks. Nasal cromolyn can assist prevent allergic nasal reactions if taken prior to an allergen exposure.

Nasal ipratropium bromide spray can assist reduce nasal drainage from allergic rhinitis or some forms of nonallergic rhinitis.

Leukatriene pathway inhibitors

Leukotriene pathway inhibitors (montelukast, zafirlukast and zileuton) block the action of leukotriene, a substance in the body that can cause symptoms of allergic rhinitis.

These drugs are also used to treat asthma.


Decongestants assist relieve the stuffiness and pressure caused by swollen nasal tissue. They do not contain antihistamines, so they do not cause antihistaminic side effects. They do not relieve other symptoms of allergic rhinitis. Oral decongestants are available as prescription and nonprescription medications and are often found in combination with antihistamines or other medications. It is not unusual for patients using decongestants to experience insomnia if they take the medication in the afternoon or evening.

If this occurs, a dose reduction may be needed. At times, men with prostate enlargement may encounter urinary problems while on decongestants. Patients using medications to manage emotional or behavioral problems should discuss this with their allergist before using decongestants. Patients with high blood pressure or heart disease should check with their allergist before using. Pregnant patients should also check with their allergist before starting decongestants.

Nonprescription decongestant nasal sprays work within minutes and final for hours, but you should not use them for more than a few days at a time unless instructed by your allergist.

Prolonged use can cause rhinitis medicamentosa, or rebound swelling of the nasal tissue. Stopping the use of the decongestant nasal spray will cure that swelling, provided that there is no underlying disorder.

Oral decongestants are found in numerous over-the-counter (OTC) and prescription medications, and may be the treatment of choice for nasal congestion. They don’t cause rhinitis medicamentosa but need to be avoided by some patients with high blood pressure. If you own high blood pressure or heart problems, check with your allergist before using them.

Eye allergy preparations and eyedrops

Eye allergy preparations may be helpful when the eyes are affected by the same allergens that trigger rhinitis, causing redness, swelling, watery eyes and itching.

OTC eyedrops and oral medications are commonly used for short-term relief of some eye allergy symptoms. They may not relieve every symptoms, though, and prolonged use of some of these drops may actually cause your condition to worsen.

Prescription eyedrops and oral medications also are used to treat eye allergies.

What is excellent for allergy drainage

Prescription eyedrops provide both short- and long-term targeted relief of eye allergy symptoms, and can be used to manage them.

Check with your allergist or pharmacist if you are unsure about a specific drug or formula.

Treatments that are not recommended for allergic rhinitis

  1. Antibiotics: Effective for the treatment of bacterial infections, antibiotics do not affect the course of uncomplicated common colds (a viral infection) and are of no benefit for noninfectious rhinitis, including allergic rhinitis.
  2. Nasal surgery: Surgery is not a treatment for allergic rhinitis, but it may assist if patients own nasal polyps or chronic sinusitis that is not responsive to antibiotics or nasal steroid sprays.

How to Stay Healthy, Breathe Easier, and Feel Energetic This Winter

Indoor allergies, freezing weather, less sunlight — winter can make it hard to stay well mentally and physically.

Discover out how to protect yourself against seasonal allergies, the winter blahs, freezing winds, comfort-eating traps, and fatigue this year.

Learn More About the Ultimate Winter Wellness Guide

Sinusitis can be a confusing thing to treat for anyone. Because a sinus infection can be so easily confused with a common freezing or an allergy, figuring out the best way to alleviate your symptoms can be difficult.

Even more challenging, a sinus infection can evolve over time from a viral infection to a bacterial infection, or even from a short-term acute infection to a long-term chronic illness.

We own provided for you the best sources of information on sinus infections to assist you rapidly define your ailment and get the best and most efficient treatment possible.

Sinusitis Treatment Regimen

Wellington S.

Tichenor, M.D.
642 Park Avenue
New York, N.Y.
212 517 6611

I own treated patients with sinus problems for about 25 years. In the past 10-15 years it seems sinus infections own gottenprogressively worse. More and more people suffer for longer andlonger periods of time. I am one of those sufferers. My sinusinfections started as a result of not being adequately treatedfor a freezing. Over the course of three years they gotprogressively worse.

As a result I ended up having to havesurgery (twice) and now own been essentially cured, but that doesn’t mean that I don’t still get occasional episodes of sinusitis. The sinusitis is much easier to treat, however. Fortunately,most patients are capable to be treated without surgery. Ninety to 95% of patients with chronic sinusitis can beeffectively treated with medical therapy.

You may then enquire, if 95% of people with sinusitis get better, whyhaven’t my symptoms gone away?

What is excellent for allergy drainage

The reason is extremely simple. Sinusitis is extremely hard to treat. As a result, patientstypically don’t get better quickly, and if they’re nottreated correctly they may never improve. If you’re notgetting better it doesn’t mean that you’re not gettinggood care, but it may mean you’re not getting the verybest care. Unfortunately most doctors don’t understand the bestway to treat it.

I am a medical specialist in treatment of sinusitis. Lots of people are surprised that I am not an ENT surgeon.

But going to an ENT is love going to a cardiovascular surgeon if you own chest pain from heart disease. You see a medical specialist first ( a cardiologist) for medical treatment.

This is not to tell that ENT surgeons shouldn’t treat sinusitis. Often they can, but if you see a surgeon, you are more likely to own surgery than if you see a medical specialist in sinusitis. And in addition if you own already had surgery, it may be much more hard for the ENT doctor to treat you.

My original training was in internal medicine and allergy, so although I don’t take care of general medical problems any more, I do take care of some patients with allergies and asthma.

(By the way lots of people withoutallergies see allergists; we don’t just give allergyshots — too bad most people don’t know that. They could getbetter a lot faster because we know a lot more about treatment of problems love asthma, allergies and sinusitis). In fact the vast majority of patients that I see don’t even own allergies at every, they own sinusitis.

This is the hardest section for me to record in thisentire website. I would love for you to be capable tounderstand how I treat patients in my office so that youcan get the best treatment for your sinusitis wherever youcan go for treatment.

If you own read this far, you probablyhave spent much time, energy and money trying to get better. Ifyou haven’t had to spend that much, you are fortunate. It is hard for most people tounderstand that a sinusitis specialist has special skills(and I’m not including surgery) which permit them to be successfulin treating a hard problem love sinusitis. That concept maybe hard to convey here, but by the time you’ve finishedbrowsing through this website, I hope I will own achieved it.

It is love a patient with chest pain going to see a cardiologist if the internist can’t take care of the problems initially.

Probably as a result of having sinus problems myself, I own mademany changes in the way I treat sinus infections-not so much inthe medications or dosages, but in terms of the approachto treatment. When I had sinus infections, I felt love lifewasn’t worth living any more, between the exhaustion, pain andjust feeling miserable. I was terrified of havingcomplications from the sinus infections, but even morescared of having surgery. I had side effects from themedications that nobody had heard of, and it seemed likethere was just one problem after another.

I ponder having gonethrough that made me 1) appreciate much more about how patientssuffer with sinus infections, 2) understand more about howpatients need to be treated as well as 3) empathize better withwhat they are going through.

The first time a patient comes into my office we own them fillout some forms, and then I will go over their history indetail. The history is probably the most importantpart of my evaluation. We get a strong suspicion not only ofwhether a sinusitis is brewing but also clues to treatment andfactors which may worsen it.

I spend a lot of time going throughmy patient’s history (you can’t do it in 5 minutes) and thendo an examination. I was trained as an internist, so I don’tjust glance at my patient’s nose, but also hear to their heartand lungs as well as whatever else is necessary. It takes along time (often 1-2 hours)to review every of the problemsas well as the kinds of treatments that are used. We don’t justtreat the initial symptoms, we desire to get you betterpermanently. It isn’t simple. It means taking medicationsand sometimes altering various things about your lifestyle.

Itcould be as simple as getting a vaporizer and putting it by yourbedside so your nose and throat don’t get dried out at night, orit may mean keeping a glass of water by your bedside. Butsometimes it means making major lifestyle changes.

People often enquire how endless they own to take medications. It isoften for weeks or months, but after a while, you usuallycan taper off the medications.

Some people do need to haveongoing treatment, but obviously we would love to attempt to minimizethat if at every possible. I talk to my patients about what can bedone in order to do that. What is critically significant though,is to get you over your sinusitis completely if it is at allpossible.


Of the commonly used medications, the ones we love to use as briefly as possible are the antibiotics.

Endless term use can cause resistant bacteria (a extremely serious problem now), allergy and side effects.

What is excellent for allergy drainage

Other medications we use commonly include mucus thinners, decongestants, steroid and antihistamine nasal sprays, and anti-inflammatory agents. We also sometimes use antifungal agents.
In the course of the relax of the website we will discuss most of the medications that need to be used to treat sinusitis. Because of the number of requests, we own included a partial list here. It is significant to realize that some or every of them may need to be used in each patient. Please discuss the medications with your doctor. Please do not send emails asking about specific medications as those must be discussed with your doctor. In some cases we own included hyperlinks explaining the medications.

In others you must use the search engine Please read through the website so that you can better understand what the various treatments can do:

The most significant treatments are in bold.

The costs of sinusitis treatment arenot so much the doctors bills, but medication and other costs,especially if you don’t own a prescription plan. Antibioticstypically may cost $100 per week, but if treatment isn’t optimal, there is also the potential loss ofwork time.

There are also laboratory costs and the costs of surgery if treatmentisn’t provided soon enough, which can run up to $100,000.


The Best Research Resources

American Academy of Allergy, Asthma, and Immunology

This academy’s website provides valuable information to assist readers determine the difference between colds, allergies, and sinusitis. A primer guide on sinusitis also provides more specific information about the chronic version of the illness. Additional resources include a «virtual allergist» that helps you to review your symptoms, as well as a database on pollen counts.

American College of Allergy, Asthma, and Immunology (ACAAI)

In addition to providing a comprehensive guide on sinus infections, the ACAAI website also contains a wealth of information on allergies, asthma, and immunology.

The site’s useful tools include a symptom checker, a way to search for an allergist in your area, and a function that allows you to ask an allergist questions about your symptoms.

Asthma and Allergy Foundation of America (AAFA)

For allergy sufferers, the AAFA website contains an easy-to-understand primer on sinusitis. It also provides comprehensive information on various types of allergies, including those with risk factors for sinusitis.

Centers for Disease Control and Prevention (CDC)

The CDC website provides basic information on sinus infections and other respiratory illnesses, such as common colds, bronchitis, ear infections, flu, and sore throat.

It offers guidance on how to get symptom relief for those illnesses, as well as preventative tips on practicing good hand hygiene, and a recommended immunization schedule.

U.S. National Library of Medicine

The U.S. National Library of Medicine is the world’s largest biomedical library. As part of the National Institutes of Health, their website provides the basics on sinus infection. It also contains a number of links to join you with more information on treatments, diagnostic procedures, and related issues.