Sinusitis Treatment

Sinusitis is treated with medications and home treatment methods, such as applying moist heat to your face. The goals of treatment for sinusitis are to:

• Improve drainage of mucus and reduce swelling in the sinuses.
• Relieve pain and pressure.
• Clear up any infection.
• Prevent the formation of scar tissue, and avoid permanent damage to the tissues lining the nose and sinuses.

Medications may be used to treat sinusitis, especially when it is caused by a bacterial infection. There are varying lengths of treatment with medications-treatment may be as short as three days or last as long as several weeks or more. Medications most often used to treat sinusitis include a combination of:

• Antibiotics, such as amoxicillin, which kill bacteria.
• Decongestants, such as pseudoephedrine hydrochloride, which reduce the swelling of the mucous membranes in the nose.
• Analgesics, such as aspirin, acetaminophen, or ibuprofen, to relieve pain.
• Mucolytics, such as guaifenesin, which thin the mucus.
• Corticosteroids, such as beclomethasone dipropionate or prednisone, which reduce inflammation in the nasal passages. These medications may also be used as an inhaled nasal spray.

Inhaled antibiotics are a fairly new treatment choice for chronic sinusitis. Initial studies show that since inhaled antibiotics make direct contact with the mucous membranes, they may be effective when other treatments have failed.²

It is possible to develop "double sickening" while being treated for acute or chronic sinusitis. At first, you may begin to feel better from antibiotics and home treatment, but then your symptoms become worse and additional treatment may be needed.

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