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Acute sinusitis: Do over-the-counter treatments help?

I have acute sinusitis, and my doctor doesn't think I need antibiotics. Are there any nonprescription medications that can help relieve my symptoms?

- No name / Minnesota

Mayo Clinic asthma and allergy specialist James Li, M.D., and colleagues answer select questions from readers.

Answer

Yes. Over-the-counter pain relievers and decongestants may help relieve facial pain and sinus congestion associated with acute sinusitis. Other home remedies you may want to try:

  • Steam your sinus cavities. Drape a towel over your head as you breathe in the steam from a bowl of hot water. Or take a hot shower, breathing in the warm, moist air.
  • Apply warm compresses. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.
  • Drink plenty of fluids. Consuming additional fluids helps dilute mucous secretions and promotes drainage.
  • Avoid alcohol. Drinking alcohol can worsen the swelling of the lining of your nose and sinuses.
  • Use a saline nasal spray. Spray a saline solution in your nose several times a day to relieve congestion.

Most people with acute sinusitis get better without antibiotics. However, if your symptoms last longer than a few days, talk to your doctor.

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Oct 7, 2008