Last week, we reviewed natural treatments for chronic sinusitis. Today, we are going to discuss Over-the-counter (OTC) medications that can help with chronic and acute sinus problems. Next week, we will discuss prescription treatments for chronic sinusitis.

My Go To OTC Choices

Afrin is a powerful nasal decongestant that provides fast relief by shrinking swollen nasal tissues.

DO NOT use Afrin for more than three days to avoid rebound congestion. If you are addicted to Afrin, see the newsletter I posted about this problem. I prefer the No Drip Afrin. It is the brand name. Same as any other form of Afrin. It’s just that the sprayer works better. It is more of a mist than a water gun.

Oral decongestants can be taken with Afrin.

I prefer Mucinex-D, which is a combination of the mucous thinner Mucinex and pseudoephedrine. Two strengths are available. You must get it from the pharmacist (no Rx required) so they can advise you which strength is best for you.

Afrin generally won’t make sleeping difficult, but pseudoephedrine can, so you may not want to take Mucinex-D at night.

I tell patients that if their symptoms are keeping them awake at night, go ahead and take the Mucinex-D, but if they can sleep, hold off on the Mucinex-D.

If you think allergies play a role in your symptoms, add oral antihistamines like Zyrtec, Claritin, Allegra, or Xyzal. Nasal antihistamines such as Astepro can help, too.

Nasal steroids such as Flonase don’t really help for several days, but if your symptoms usually last a while, you can start them.

Many OTC cold/sinus medications are products that have decongestants and pain medications such as Tylenol or Advil combined.

I prefer to take them separately. If you are uncomfortable, take Tylenol or Advil. If you are congested, take a decongestant. I think when you do that, you can more effectively target your symptoms and not take more than you need.

You should seek medical attention if your symptoms persist for over 10 days or are severe, including high fever. If you get more than 2 episodes of sinusitis per year, you should also seek medical attention.

All of the above medications have side effects and can affect certain medical conditions. Be sure to read the labels before taking them.

Till next week,
Jim Atkins, MD, Follow me on Twitter.
Lori Atkins, PA-C

P.S.

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