January 31, 2007

Nasal Steroids DO Help Resolve Sinusitis More Quickly Than Antibiotics Alone

Not sure why more doctors don't prescribe nasal steroids (ie, flonase, nasacort, rhinocort, nasonex, etc) in addition to antibiotics to treat sinusitis, especially those in which it is recurrent or chronic. It's been shown that nasal steroids do help more than antibiotics alone. The study I'm most familiar with is the one published in JAMA in 2001.

Reference: Comparison of cefuroxime with or without intranasal fluticasone for the treatment of rhinosinusitis. The CAFFS Trial: a randomized controlled trial. JAMA. 286(24):3097-105, 2001. Link

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Dr. Christopher Chang is a private practice otolaryngology, head & neck surgeon specializing in the treatment of problems related to the ear, nose, and throat. Located in Warrenton, VA about 45 minutes west of Washington DC, he also provides inhalant allergy testing/treatment, hearing tests, and dispenses hearing aids.

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