Non-eligible patients

Since not every patient may be eligible for the Pharmacy First service for sinusitis or for antibiotic supply, pharmacy teams can be on hand with self care strategies and OTC product advice that can help alleviate the uncomfortable symptoms of sinusitis such as nasal congestion, facial pain, headache, and pressure around the eyes.

“Oral decongestants such as pseudoephedrine or phenylephrine can help reduce nasal congestion by constricting blood vessels in the nasal passages,” says Jacquie Lee, Numark medication safety officer and information pharmacist. “Nasal decongestant sprays, like xylometazoline or oxymetazoline, can provide fast relief but should not be used for more than three to four days to avoid rebound congestion.”

OTC pain relievers such as ibuprofen or paracetamol can help alleviate facial pain and headaches associated with sinusitis, and Jacquie also says: “Nasal steroid sprays, such as fluticasone or betamethasone, can help reduce inflammation and relieve nasal congestion over time, although these are generally used on a regular basis for more persistent symptoms.”

There are also plenty of self care strategies that patients can try to help alleviate their symptoms without having to take medications.

“Inhaling steam can help moisten and soothe the nasal passages, relieving congestion and promoting drainage,” adds Jacquie. “So patients can be advised to take a hot shower or fill a bowl with hot water, drape a towel over their head, and breathe in the steam for several minutes – and sleeping with the head elevated can help reduce congestion and promote drainage.”

“For mild sinusitis you can advise patients to drink plenty of fluids, which can help thin mucus, and get plenty of rest,” says George Sandhu, deputy pharmacy superintendent at Well. “They should avoid things that trigger any allergies, and not smoke. They could also clean their nose with a saltwater solution or, if suitable for the patient, a salt water nasal spray.”

Good oral care is a must at all times, but for people experiencing halitosis due to sinusitis it’s a useful reminder of the importance of upping their dental hygiene by brushing teeth at least twice a day, alongside regular flossing. If the problem persists after the sinusitis has cleared up it’s important to note that bad breath can indicate bronchitis, diabetes, and gastrointestinal or kidney problems, so the person should come back and see the pharmacist or their GP for further checks.