What to do about sinusitisResearchers believe these results indicate that steroid nasal sprays should be part of a recommended treatment regimen for steroid nasal spray sinusitis with recurrent episodes of acute rhinosinusitis or chronic sinusitis. The study is in the Dec. In the United States, patients make 25 sinuistis visits annually for sinusitis symptoms. Nasal sprays containing corticosteriods such winstrol gains fluticasone propionate are used primarily to eteroid symptoms of allergies and post-nasal drip by reducing inflammation and swelling in the sinuses. The Duke researchers, led by Dr.
Chronic Sinusitis. Symptoms and causes of chronic sinusitis | Patient
Doctors often prescribe antibiotics to relieve acute sinusitis, which can develop following a chest cold. However, steroid nasal sprays — either alone or with antibiotic therapy — may better ease symptoms and speed recovery, suggests a new review by Israeli researchers.
Sinusitis is an inflammation of the mucous membranes that line the sinus cavities. Steroid sprays like Flonase, Nasonex and Rhinocort, which work by reducing inflammation to promote drainage in the sinuses, are often prescribed to treat chronic sinusitis and allergies symptoms.
In this review, Anca Zalmanovici, a family physician at Rabin Medical Center in Petach Tikva, and her co-author analyzed data from four randomized controlled trials including nearly 2, participants, all with clinical symptoms of acute sinusitis.
The review appears in the current issue of The Cochrane Library , a publication of The Cochrane Collaboration, an international organization that evaluates research in all aspects of health care. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing trials on a topic.
Two of the studies evaluated patients at treatment centers in the United States, one took place in Turkey and the other included 71 medical centers in 14 countries. Study participants, who underwent X-rays or nasal endoscopy to confirm diagnosis, received either a placebo or intranasal corticosteroids for two or three weeks, alone or in combination with antibiotics.
Intranasal corticosteroids used included fluticasone propionate Flonase , mometasone furoate Nasonex and budesonide Rhinocort. Overall, 73 percent of the patients treated with nasal steroids experienced relief or marked improvement of symptoms during the study period, compared with only Researchers pooled data from three of the four studies, excluding the lowest-quality study from the statistical analysis. None of the studies reported serious side effects, and rates of sinusitis relapse were similar between the treatment and placebo groups.
Stronger doses of nasal steroids appeared to work better. Patients receiving daily doses of micrograms were more likely to experience relief of sinusitis symptoms, than were patients receiving microgram doses. He added that the review lacked information about how individual diagnoses were made, and said that even with X-rays and nasal endoscopy, distinguishing between viral and bacterial infections can be difficult, a problem that may influence the choice of treatment.
Zalmanovici A, Yaphe J. Steroids for acute sinusitis Review. Cochrane Database of Systematic Reviews , Issue 2. The Cochrane Collaboration is an international nonprofit, independent organization that produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions.
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