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Medical Forum / Diseases and Disorders / Sinusitis / April 2005

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Is it okay to use Astelin spray with a steroid nasal spray?

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Susan - 21 Apr 2005 15:21 GMT
I have chronic sinusitis that is finally coming under control after a
month of Augmentin XR and nasal irrigation daily.  I still have pn drip,
though, and plenty of clear mucus. The reason I've become  very
concerned is that this is now triggering asthma, something I've not
suffered from in the past.

I gave up steroid sprays years ago, thinking they might contribute to
infections by immune suppression, but I have adverse reactions to
Singulair, and maybe Advair, too (elevated bp).

Does anyone here know if it's safe and/or advisable to combine Astelin
with occasional steroid nasal spray?  I've always gotten excellent
results from the Astelin, so I'm not about to give it up.

Susan
augustwestern - 21 Apr 2005 19:44 GMT
> x-no-archive: yes
(snip)

> Does anyone here know if it's safe and/or advisable to combine Astelin
> with occasional steroid nasal spray?  I've always gotten excellent
> results from the Astelin, so I'm not about to give it up.
>
> Susan

I'm not sure what benefit occasional steroid spray use would be, since
steroid sprays take at least 3 repeated days of use to have any significant
effect at all, and to truly work well, you would need to use them at least 1
squirt per side every day.

btw- I use Flonase every day and Astelin almost every day - with no apparent
negative effects.   AW
Murray Grossan - 22 Apr 2005 03:56 GMT
On 4/21/05 7:21 AM, in article 3cpr7cF6nht7qU1@individual.net, "Susan"

> x-no-archive: yes
>
[quoted text clipped - 13 lines]
>
> Susan
We regularly combine Astelin with a Steroid spray.
Are you using Pulsatile irrigation?
Susan - 22 Apr 2005 14:06 GMT
> We regularly combine Astelin with a Steroid spray.
> Are you using Pulsatile irrigation?

Thanks for the info, Murray.  Yes, I'm irrigating at least daily, using
some SinoFresh now and then in the evening, now that tree pollen is out.

I'm about to finish the Augmentin XR, and I still have only a very
small, almost pea sized area of soreness in the inner corner of my
browbone (it extended almost the length of my eye when I began abx).

I don't want to have to medicate again, this is the third round this
year. I just went back to my old allergist and am finally injecting
potent desensitization doses of my serum again; the new allergist was so
cautious (as convention dictates) that the shots had no effect at all.
I'm hoping that the dramatic relief I get from these shots will knock
down the allergy/infection/asthma cycle.  I feel a lot less dizzy and
weak today, having skipped Advair last night.

What drug would my doctor need to rx if we wanted to try irrigating with
an abx instead of using it orally?  The same one?

Thanks again,

Susan
Murray Grossan - 22 Apr 2005 16:42 GMT
On 4/22/05 6:06 AM, in article 3csb6cF6kvuhtU1@individual.net, "Susan"

> x-no-archive: yes
>
[quoted text clipped - 22 lines]
>
> Susan
If you are having a sinus - asthma cycle, the cause may be failure of your
nasal cilia to remove biofilm with its bacteria. Ask your doctor if using
pulsatile irrigation would be of benefit for you.
Susan - 22 Apr 2005 17:00 GMT
> On 4/22/05 6:06 AM, in article 3csb6cF6kvuhtU1@individual.net, "Susan"
>
[quoted text clipped - 28 lines]
> nasal cilia to remove biofilm with its bacteria. Ask your doctor if using
> pulsatile irrigation would be of benefit for you.

I've been using pulsatile irrigation for weeks, most of the time I've
been on the Augmentin.  I think it's helping, but if I get infected
again, I'd like to know which abx I can use with the irrigator, instead
of systemically?

Susan
Murray Grossan - 23 Apr 2005 03:09 GMT
On 4/22/05 9:00 AM, in article 3csld4F6m22njU1@individual.net, "Susan"

> I think it's helping, but if I get infected
> again, I'd like to know which abx I can use with the irrigator, instead
> of systemically?

Many doctors are switching to using the antibiotic via hydro pulse
irrigation. You remove the thick mucus to get the abx in better contact with
the bacteria too. If your doctor has any questions he can contact me
directly.

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