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Medical Forum / Diseases and Disorders / Sinusitis / January 2004

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Flonase - ? how to use for max effectiveness

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I-Tal - 11 Jan 2004 17:16 GMT
I've been suffering from chronic swelling in my sinuses. No real
infection, drainage or stuffiness to speak of - it's just like the
openings have narrowed or swollen almost shut. I'm sure many of you
are all too familiar with how very unpleasant and discomforting it is
when you absolutely cannot or almost cannot pull any air thru either
nostril.

Anyway, I was given Flonase nose spray. It seems to help, but I was
given no instructions into its usage. Just two sprays per day in each
nostril. It seems I can hardly feel or detect anything when I use it.
Two sprays is not a lot of fluid. Should you direct the spray as far
up into your nose as possible? Should you try to drag it up into your
sinuses by 'snorting' after you spray it, etc?

Any other tips on how to open up the nasal passages without using
those extremely insidious over the counter meds like oxymetazonline
(sp?) and phenylephrine hydrochloride - which actually magically open
up my sinuses very nicely but have horrendous rebound effect when used
for more than a few applications.

Any guidance would be greatly appreciated.
Don Brady - 11 Jan 2004 21:10 GMT
>I've been suffering from chronic swelling in my sinuses. No real
>infection, drainage or stuffiness to speak of - it's just like the
[quoted text clipped - 9 lines]
>up into your nose as possible? Should you try to drag it up into your
>sinuses by 'snorting' after you spray it, etc?

You should aim outward toward the outer edge of the eye, not the middle meatus
area, where the sinuses drain - there is a space there if you can find it.

Do not go straight up.

>Any other tips on how to open up the nasal passages

Rest and hot drinks help.

> without using
>those extremely insidious over the counter meds like oxymetazonline
>(sp?) and phenylephrine hydrochloride - which actually magically open
>up my sinuses very nicely but have horrendous rebound effect when used
>for more than a few applications.
Johnny1000@webtv.net - 11 Jan 2004 22:02 GMT
Hi I-Tal ...Have you tried irrigating with "cold" salty water. ....This
regimen seems to works for me, if I'm feeling stuffy.

With regards to the Flonase use... You should be "snorting" it at the
same time that you spray it in. ...I usually use it only once a
day...When my nose is as clear as possible. However, when I first
started, the Pharm. recommended a shot in each nostril in the morning,
and a shot in each at night.  Additionally, It does no good if it just
runs out as soon as you spray the stuff in, because of  blockage. ...So
when you do use it, try to position the tip so it's not pointing towards
a nasal wall. You obviously want to get that mist in as far as possible.
Good luck...Jon
Jim Jam - 11 Jan 2004 22:15 GMT
I used flonase and others. You should not exceed 2 sprays per nostral
per day. Just breath normally when using. Dont snort it. I did that and
I felt bad. The nurse said not to breath it in fast. It took 2 days for
it to work for me. Some people say 3-4 days. Others say it worked in
just a few hours. I put the tip inside about 1/4 inch and point it away
from my septum. If I breath in to hard it does not seem to work as well.
I guess it goes in the throat if you snort it. You dont want it in your
system you want it only in the nose. Try to take it the same time each
day. Good luck
Steven Litvintchouk - 12 Jan 2004 00:05 GMT
> I've been suffering from chronic swelling in my sinuses. No real
> infection, drainage or stuffiness to speak of - it's just like the
[quoted text clipped - 11 lines]
>
> Any other tips on how to open up the nasal passages....

I use "Breathe-Right" nasal strips.  Basically they're little springy
band-aids you apply to your nose to pull your nostrils apart.  No, it
doesn't hurt.

Exact fit is crucial for effectiveness.  So be prepared to buy BOTH the
large and small size nasal strips the first time, and be prepared to
experiment with fitting them on slightly different places on your nose.
 I had been sure I would need the large size for my nose but it turned
out the small size worked better for me.

-- Steven L.
Susan - 13 Jan 2004 03:57 GMT
>I use "Breathe-Right" nasal strips.

Yes, they are amazing. I was shocked at how much they opened things up
overnight when I first tried them. I always keep them in the house in case I
get a cold.  

Another word about using Flonase...goes without saying for many here, but do
take the advice of the poster who said try to stick to the same time each day.
It's made a huge, huge difference for me since I've been using it consistently.
Susan
I-Tal - 14 Jan 2004 16:31 GMT
hey, thanks a lot everyone for the helpful tips on using Flonase.

i wonder now - are there any other nasal sprays similar to Flonase
that others find work even better?

i'm gonna give those nasal strips a try also.
Steven Litvintchouk - 14 Jan 2004 19:07 GMT
> hey, thanks a lot everyone for the helpful tips on using Flonase.
>
> i wonder now - are there any other nasal sprays similar to Flonase
> that others find work even better?

It appears to be idiosyncratic--different people find that different
nasal sprays work best for them.

In my case, I'm sensitive to some of the inert ingredients (e.g.
propellant, preservatives) in some nasal sprays but not others.

Try a few of them--Rhinocort, Nasonex, Flonase--till you find one that
works best for you.

-- Steven L.
 
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