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Medical Forum / Diseases and Disorders / Sinusitis / February 2004

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After you use Flonase?

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iJah - 03 Feb 2004 06:35 GMT
i do flonase one nostril at a time, with few hours lag time until i do
the other nostril. i like to keep things staggered like this. call me
silly, but it's like a little insurance policy the thought being when
the effect wears off on one nostril and it is swollen too much,
possibly the other nostril will still be open because it's on a
different dosing schedule. so alternating gives us best chance for at
least one functional blowhole ;-) i'm really stretching - i know -
LOL.

anyway, here's the question:

does it make sense, would it be helpful, to tilt your head back and/or
lay with your face down  on the side of the nostril you just treated
to give the stuff a better chance to 'soak' in or get to where it
needs to go via gravity?

just seems like shooting it up your nose standing up leaves a lot of
chance for gravity to leave it drip right down the inside and out the
bottom of your nose where it does little good, no?
Don Brady - 03 Feb 2004 19:46 GMT
>i do flonase one nostril at a time, with few hours lag time until i do
>the other nostril. i like to keep things staggered like this. call me
[quoted text clipped - 11 lines]
>to give the stuff a better chance to 'soak' in or get to where it
>needs to go via gravity?

I think it as excellent idea.  

Dr. David Kennedy (who is very famous) suggests lying face down with head over
the edge of the bed for several minutes, at least for those who have had
surgery to open up the openings (I have).

Sometimes I do it with head back instead.

I have not really tried one side at a time but that could work as well.

By the way, I now use one well-places solid squirt at a time on each side for
maintenance use.  I find t works just as well.   I iamgne they allow a margin
for error.  But you mght want to stick wth two as I have no science to back up
what I say....

>just seems like shooting it up your nose standing up leaves a lot of
>chance for gravity to leave it drip right down the inside and out the
>bottom of your nose where it does little good, no?
ENTconsult - 04 Feb 2004 04:17 GMT
They just published a study on how to use the cortisone sprays and concluded
that head up, spray slightly to the tide towards the eye weas best.

They also did a study and found the the cheaper cortisone sprays were as
effective as the more expensive ones.
Murray Grossan, M.D.
http://www.ent-consult.com
Tony Banana - 04 Feb 2004 04:26 GMT
When are the going to allow us to purchase to cortisone sprays
without a prescription ?

Is there any push to do this just like the HMOs did with Claritin ?

Tony
nospam@nospam.au - 04 Feb 2004 13:51 GMT
I got to do that in England.. I got Beconase there for $6.00
a bottle!

I have to pay $75 for my rhinocort in the USA.

:When are the going to allow us to purchase to cortisone sprays
:without a prescription ?
:
:Is there any push to do this just like the HMOs did with Claritin ?
:
:Tony
Johnny1000@webtv.net - 04 Feb 2004 17:45 GMT
Forget the flonase. ...I wish they'd bring back that phenylpropanolamine
decongestant. ...It worked the best for clearing my sinuses.   ...Jon  
iJah - 04 Feb 2004 18:43 GMT
>Forget the flonase. ...I wish they'd bring back that phenylpropanolamine
>decongestant. ...It worked the best for clearing my sinuses.   ...Jon  

did the phenylpropanolamine have a rebound effect on you at all?

it would be great to find something to open up the nasal passages a
bit other than steriods that didn't have any rebound phenomena
associated with it.
Johnny1000@webtv.net - 05 Feb 2004 00:28 GMT
Hi iJah... When I used to use the Phenylpropanolamine, I wasn't aware
that I even had a sinus problem. It just seemed to work wonders for
clearing my nose. I don't recall any rebound effect from it, though.
..Mind you, It wasn't like I was using it on a daily basis either.
..I think if anything should be banned, it should be those decongestant
sprays like dristan, or otravin.  ...The use of these led to a major
sinus flare-up for me back in /83.    ...That other drug that replaced
the Phenyl... (can't think of its name, off hand), has a terrible effect
on me. I get all shaky, yet it seems to do nothing for my nose.   ...Jon
ENTconsult - 05 Feb 2004 04:29 GMT
When I used to use the Phenylpropanolamine, I wasn't aware
that I even had a sinus problem
The ban on this product makes no sense.
The only persons who had the heart problems were the ones who took it for
dieting way above the recommended dose.
These were young girls trying to diet and so they took 2 or 3 times above the
dose on the box.
This drug should be back as it is a good one.
Murray Grossan, M.D.
http://www.ent-consult.com
iJah - 04 Feb 2004 13:33 GMT
>They just published a study on how to use the cortisone sprays and concluded
>that head up, spray slightly to the tide towards the eye weas best.
[quoted text clipped - 3 lines]
>Murray Grossan, M.D.
>http://www.ent-consult.com

thanks doc,

what *exactly* are you shooting for by aiming towards the eye?

what is the 'target' in other words?

btw, thanks everyone for the responses.
nospam@nospam.au - 04 Feb 2004 13:51 GMT
:>They just published a study on how to use the cortisone sprays and concluded
:>that head up, spray slightly to the tide towards the eye weas best.
[quoted text clipped - 11 lines]
:
:btw, thanks everyone for the responses.

You don't want to hit the septum so you aim away from it and
towards the eyes.
ENTconsult - 06 Feb 2004 04:58 GMT
by aiming towards the eye you get most to the middle and inferior turbinate
area and avoid blasting the septum.
Murray Grossan, M.D.
http://www.ent-consult.com
 
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