Middlebury

 

Help For Sinus Congestion

Patient Instructions

  1. Afrin Nasal Spray
    • 1-2 sprays in each nostril every 12 hours for 3 days THEN STOP
    • Use longer than this can result in a rebound runny nose which is difficult to treat.
    • After each spray, gently sniff 3 times.
  2. Sinus Rinse® Instructions (watch the video)
    • Use as directed 30 minutes after Afrin Spray 2 times per day
    • Mix with distilled or spring water (NO TAP WATER) per package instructions
    • Can be used longer than 3 days

Nasal Irrigation (Sinus Rinse)

The establishment of a more normal nasal environment through moisturizing, humidification, and mechanical cleansing can be extremely helpful in the treatment of patients with chronic sinusitis. A number of studies support this modality.

A randomized controlled trial of 6 weeks of nasal irrigation with hypertonic saline in 69 patients with frequent sinusitis showed significant improvement in sinus symptoms and a reduction in antibiotic usage in the irrigation group. Rabago D; Zgierska A; Mundt M; Barrett B; Bobula J; Maberry R, Efficacy of daily hypertonic saline nasal irrigation among patients with sinusitis: a randomized controlled trial,J Fam Pract 2002 Dec;51(12):1049-55.

Patients who complain of nasal congestion or drainage from excessive mucus production are instructed to irrigate their nose twice a day with warm saline solution using a bulb syringe. The saline is gently squirted into one nostril and then the other while bending over a sink. The solution should drain out of the nostrils, carrying with it excess mucus from within the nose and sinuses. This relatively simple technique can provide great symptomatic relief in many patients with sinusitis.

Oxymetazoline (aka Afrin):

USE - Adjunctive therapy of middle ear infections, associated with acute or chronic rhinitis, the common cold, sinusitis hay fever, or other allergies

ADVERSE REACTIONS -

> 10%
Local: Transient burning, stinging
Respiratory: Dryness of the nasal mucosa, sneezing

1% to 10%
Cardiovascular: Hypertension, palpitation
Respiratory: Rebound congestion with prolonged use

CONTRAINDICATIONS - Hypersensitivity to oxymetazoline or any component of the formulation

WARNINGS / PRECAUTIONS - Rebound congestion may occur with extended use (>3 days): use with caution in the presence of hypertension, diabetes, hyperthyroidism, heart disease, coronary artery disease, cerebral arteriosclerosis, or long-standing bronchial asthma

DRUG INTERACTIONS - Increased toxicity with MAO inhibitors

MECHANISM OF ACTION - Stimulates alpha-adrenergic receptors in the arterioles of the nasal mucosa to produce vasoconstriction

PHARMACODYNAMICS / KINETICS
Onset of action: Intranasal: 5-10 minutes

Duration: 5-6 hours

If you would like to talk with a nurse at Parton Health, please call 802-443-5135.

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