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Medical Forum / Diseases and Disorders / Sinusitis / November 2003Nasal Steroids
Has anyone found that nasal steroids like Rhinocourt AQ really give them major benefits ? If they have how so ? jon >Has anyone found that nasal steroids like Rhinocourt AQ >really give them major benefits ? If they have how so ? Yes they open up the nose and even sinuses to help allow air flow and help reduce the risk of sinusitis. They work well for me. They may not for everyone. Currently I'm trying a combination. Flonase in the AM, Astelin in the PM. (My ENT and I have gone through a few different combinations). So far, it's only a few weeks but I have noticed less sneezing. Although this week I've been fighting a "regular" cold so it's hard to truly measure improvement. I guess that my sinuses did not become inflamed from the cold is a good thing. From what I know, which isn't a lot compared to some of the other regulars here, it is a bit of trial and error. Where possible, get samples from your doctor so that you're not paying for prescriptions that you might not end up using. Hope that helps. Susan Thanks. jon Nasal steroids have really helped me. I stared out on Flonase but after a few months I started having nose bleeds, so I was switched to Rhinocort Aqua about a year ago. Before I started nasal steroids, I had a bad throat 7 days a week. At this point, my throat feels irritated perhaps 2-3 times a month, and even when it feels irritated, if feels better than it did before the steroids. Apart from that, I feel quite healthy. So they've definitely helped me, but it took a lot longer than a few days for the medication to kick in. Usually they say it'll take a few days - I'd say for me it was about a month before I really started to notice a difference, and then there was gradual improvement over about 9 months to a year before I reached the point I'm at now. So it wasn't instantaneous relief and I'm glad I stayed on them to see what happened. Does Rhinocourt Aqua help to control swelling or does it just stop the sore throats for you ? jon > Nasal steroids have really helped me. I stared out on Flonase but after a > few months I started having nose bleeds, so I was switched to Rhinocort Aqua [quoted text clipped - 8 lines] > point I'm at now. So it wasn't instantaneous relief and I'm glad I stayed > on them to see what happened. > Does Rhinocourt Aqua help to control swelling or does > it just stop the sore throats for you ? I never had sore throats. I had problems with feeling pressure in the throat area and the rhinocort has really helped. Whether it's because it's controlling swelling is something I couldn't tell you because doctors weren't able to figure out what was behind it all. > I never had sore throats. I had problems with feeling pressure in the > throat area and the rhinocort has really helped. Whether it's because it's > controlling swelling is something I couldn't tell you because doctors > weren't able to figure out what was behind it all. Tried Rhinocort AQ today for the first time. Totally stopped the swelling in the passages between my nose and sinuses. Lasted all day ! This was the best day I have had in a long time. Lots more energy, felt like my old self. jon > > Does Rhinocourt Aqua help to control swelling or does > > it just stop the sore throats for you ? [quoted text clipped - 3 lines] > controlling swelling is something I couldn't tell you because doctors > weren't able to figure out what was behind it all. >Tried Rhinocort AQ today for the first time. Totally stopped the >swelling in the passages between my nose and sinuses. Lasted all day ! >This was the best day I have had in a long time. Lots more energy, >felt like my old self. The various nasal steroids do operate via completely different pathways, so it is logical that some may work much better than others for a given person.... "The various nasal steroids do operate via completely different pathways, so it is logical that some may work much better than others for a given person...." Does anyone really understand exactly how and why nasal steroids work or is this like SSRI drugs where no one really understands exactly how and why they work ? Basically, if one needs an SSRI drug they have to experiment till they find the right one. jon > >Tried Rhinocort AQ today for the first time. Totally stopped the > >swelling in the passages between my nose and sinuses. Lasted all day ! [quoted text clipped - 3 lines] > The various nasal steroids do operate via completely different pathways, so it > is logical that some may work much better than others for a given person.... >"The various nasal steroids do operate via completely different pathways, >so it is logical that some may work much better than others for a given [quoted text clipped - 3 lines] >steroids work or is this like SSRI drugs where no one really >understands exactly how and why they work ? Oh they do understand. Some bind to certain types of blood cells that contrinute to inflammation - others work differently..... >Basically, if one needs an SSRI drug they have to experiment >till they find the right one. Nasal steroids have been around for about 20 years now and their effect and mechanisms are understood. Think of it like eye drops. You can take a cortisone by mouth for an eye inflammation or you can just use the eye drops. The advantage of just using eye drops / or nasal spray is that it goes to the local area and not to your toes. If nasal steroids work for you the advantage is that you avoid a systemic medication. However if you have itching eyes and throat along with nasal allergiies, the allergy pill may work best for you. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com What do you take ? jon >Yes they open up the nose and even sinuses to help allow air flow and >help reduce the risk of sinusitis. What do you take ? jon > >Has anyone found that nasal steroids like Rhinocourt AQ > >really give them major benefits ? If they have how so ? [quoted text clipped - 3 lines] > > They work well for me. They may not for everyone. >>Yes they open up the nose and even sinuses to help allow air flow and >>help reduce the risk of sinusitis. > >What do you take ? I am taking Nasonex. Nasarel also worked well for me.... "I am taking Nasonex. Nasarel also worked well for me...." Thanks. jon > >>Yes they open up the nose and even sinuses to help allow air flow and > >>help reduce the risk of sinusitis. > > > >What do you take ? > > I am taking Nasonex. Nasarel also worked well for me.... I took flonase last year. It works good but after a while (1 month) it feels irratating (slight burning)... It does keep the swelling down. That is all I wanted. It is not perfect. Some days my nose would close some. The main thing is not to skip a day or more. I have seasonal problems so I stop then if needed I start again. It might take a day or more to start working. Now I take rhinocort aqua. Its not as irratating and works good. And the spray nozzle is better. I did not like the nozzle on flonase because it always clogged half and the spray pattern was bad. But they are both good. See if your doctor will give you a sample of both. Mine did. At 77.00 dollars a bottle (without insurance) samples are great.:) What ever you do: STAY AWAY from OTC nose sprays, I got hooked on them in 3 days. Took 2 weeks to get off them and they can raise your blood pressure in some people. The saline products are fine. Good luck Don, It has been suggested that continued use of Nasal steroids can lean to 'nasal valve collapse.' Do you have any additional info. Regards, Robert > >Has anyone found that nasal steroids like Rhinocourt AQ > >really give them major benefits ? If they have how so ? [quoted text clipped - 3 lines] > > They work well for me. They may not for everyone. > It has been suggested that continued use of Nasal steroids can lean to >'nasal valve collapse.' Do you have any additional info. That risk is not mentioned at all in the nasal steriod prescribing information I looked at. It is important, though, to aim right. If you aimed right at a certain area, you might eventually be able to irrritate it enough to cause problems... Mainly people have erroneously aimed at the septum and in some cases perforated it eventually..... > Has anyone found that nasal steroids like Rhinocourt AQ > really give them major benefits ? If they have how so ? I've tried nasal steroids like Flonase and Rhinocort. But I never noticed any major improvement from them.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. "I've tried nasal steroids like Flonase and Rhinocort. But I never noticed any major improvement from them." Neither have I. What I really would like to do is find away to control the swelling in the passages from my nose to my sinuses on overcast days. All I do is get very tired and sleep and my nose stays stuffed. No discolored discharge, though. Just swelling. jon > > Has anyone found that nasal steroids like Rhinocourt AQ > > really give them major benefits ? If they have how so ? > > I've tried nasal steroids like Flonase and Rhinocort. But I never > noticed any major improvement from them. I said: No discolored discharge, though. Just swelling. I want to add: Should mention that this is on the second day. On the first very overcast day I do get a lot of discharge. jon > "I've tried nasal steroids like Flonase and Rhinocort. But > I never noticed any major improvement from them." [quoted text clipped - 14 lines] > > I've tried nasal steroids like Flonase and Rhinocort. But I never > > noticed any major improvement from them. >I said: > [quoted text clipped - 4 lines] >Should mention that this is on the second day. On the >first very overcast day I do get a lot of discharge. I've also noticed the connection between a change from clear to overcast weather and a sinusitis flareup. Have been taking Beconase for a couple years and it seems to keep things open. >>I said: >> [quoted text clipped - 7 lines] > I've also noticed the connection between a change from clear to > overcast weather and a sinusitis flareup. Me too. For me, some of the worst days here in Massachusetts are the damp, raw, overcast, drizzly, misty days. Both my sinusitis and my asthma are worse on those days. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >>>Should mention that this is on the second day. On the >>>first very overcast day I do get a lot of discharge. >> I've also noticed the connection between a change from clear to >> overcast weather and a sinusitis flareup. >Me too. >For me, some of the worst days here in Massachusetts are the damp, raw, >overcast, drizzly, misty days. Both my sinusitis and my asthma are >worse on those days. So, what do you think it is? Molds growing better on cloudy days? Barometric pressure? Humidity? >"I've tried nasal steroids like Flonase and Rhinocort. But >I never noticed any major improvement from them." [quoted text clipped - 6 lines] >nose stays stuffed. No discolored discharge, though. >Just swelling. Are you sure you are getting enough rest overall? > Are you sure you are getting enough rest overall? Yes. jon > >"I've tried nasal steroids like Flonase and Rhinocort. But > >I never noticed any major improvement from them." [quoted text clipped - 8 lines] > > Are you sure you are getting enough rest overall? > "I've tried nasal steroids like Flonase and Rhinocort. But > I never noticed any major improvement from them." [quoted text clipped - 6 lines] > nose stays stuffed. No discolored discharge, though. > Just swelling. If all you want to do is survive an occasional overcast day, then Afrin decongestant nasal spray should work fine. Since you're only using it for the one day at a time, there's no chance of you getting hooked on it. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. "If all you want to do is survive an occasional overcast day, then Afrin decongestant nasal spray should work fine. Since you're only using it for the one day at a time, there's no chance of you getting hooked on it." I guess I will get a bottle and wait till the weather drastically changes to try it. Otherwise, I'm not going to use it. Tried Rhinocort AQ today. Best I have felt in years. Started working in about 7 minutes and lasted all day. IMO, dealing with and coping with chronic sinusitis is often very complex. It really seems in my case that I need a variety of methods if I am going to have any kind of semi-normal life. I was really amazed how the passages to my sinus opened up and stayed open. Never got this effect with Nasaral, Flonase, Beconase, etc. Tried them all. First time for Rhinocort AQ. Nasaral was the only one to give me very short term relief.... maybe 30 minutes. I had shot of Kenalog that would last a week or two. Maybe three. It's been awhile since I had them. Rhinocort AQ is better, though. What do you think if keeping a Medral Dose Pack around to use when the weather really changes radically ? I'm in Arizona and the weather here is very consistent except for Monsoon season. Seem like a radical approach but I can't think of anything else if Rhinocort AQ does not stop this from happening or Afrin does not work. Don't like the effects of coming off a Medral Dose Pak either. The Medral Dose pack is the only thing I can remember that worked as well as Rhinocort AQ did for me today. jon > > "I've tried nasal steroids like Flonase and Rhinocort. But > > I never noticed any major improvement from them." [quoted text clipped - 10 lines] > decongestant nasal spray should work fine. Since you're only using it > for the one day at a time, there's no chance of you getting hooked on it. |
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