What medicines to use for the treatment of sinusitis?

The main purpose of using drugs for sinusitis is to suppress the development of an infectious process and inflammation in the paranasal sinuses, relieve mucosal edema, relieve pain and intoxication, and prevent scar tissue from the nasal sinuses.

For the treatment of this disease, you may need such effective drugs as synupret, sinuforte, antibiotics, vasoconstrictor drops or spray, as well as immunomodulators. This is the best medicine for the rapid treatment of sinusitis.

However, only a specialist can prescribe such drugs, because with independent or improper treatment, the inflammation can become chronic or the patient risks getting one of the many complications of this ailment.

What cures for sinusitis help better?

For effective treatment of sinusitis is necessary to apply complex therapy. For this purpose, certain groups of drugs are prescribed:

  • antibacterial drugs - the destruction of the infection;
  • analgesics - reduction of pain;
  • decongestants - removal of edema from the nasal mucosa;
  • corticosteroids - reducing inflammation in the nasal cavity;
  • mucolytics - dilution of mucus and relief of its exit from the nasal sinuses.

The main areas of treatment include:

  • removal of inflammatory secretions and reduction of edema in the maxillary sinuses;
  • reduction of pain and pressure;
  • the destruction of the infection;
  • prevent the formation of scar tissue.

Properly selected drugs can quickly cure sinusitis of mild and moderate severity, which in turn will help to avoid puncture of the maxillary sinus.


For mild acute sinusitis, usually only symptomatic medications are prescribed. If the symptoms of the disease persist for more than five days or the person’s condition worsens, then systemic antibiotic therapy will be required in such a situation.

The following antibiotics are commonly used:

  1. Amoxicillin;
  2. Macrolides (azithromycin, clarithromycin, macropen);
  3. Fluoroquinolones (levofloxacin, sparfloxacin);
  4. Topical (local) antibiotics (for example, bioparox) are prescribed for mild sinus as the main drug.

When choosing a drug should take into account the sensitivity to it of microorganisms that most often cause sinusitis.

Vasoconstrictor drugs

They relieve puffiness, thus facilitating nasal breathing and outflow of exudate. These drops affect the vessels located in the nasal mucosa and, forcing them to narrow, reduce the formation of mucus and tissue swelling, freeing the nasal passages to breathe.

The best drops for the treatment of sinusitis can be considered:

  1. Xylometazoline-based preparations - galazolin, otrivin, dnos, tizin xylo, and so on;
  2. Phenylephrine - vibrocil, adrianol;
  3. Naphazoline - sanorin;
  4. Oxymetazoline - nazol and others.

Do not forget that vasoconstrictor drops dry the nasal mucosa and they can be used no more than 5 days in a row, besides, they are addictive.

Nasal wash

For washing, ready-made solutions are used, such as Salin, Aqua Maris, Humer, which are not drugs.

The composition of Aqua Maris and Humer preparations includes sterile seawater, and during the washing procedure, not only the nasal passages are cleaned, but also local immunity is strengthened due to the trace elements contained.

Also at home you can rinse your nose with ordinary lightly salted water, this option can be used as an alternative to the above medicines.


Mucolytic agents (Mukodin, Fluimucil, Fluditec) are active on mucus, reduce its viscosity, facilitate the evacuation of secretions from the maxillary sinuses. Mucolytics are usually used in combination with antibacterial drugs and physiotherapy. Usually these funds are produced in the form of drops and syrups.

Subject to the instructions and dosages, mucolytic drugs for sinusitis and sinusitis are safe and contribute to faster recovery.


Can be used in the treatment of both viral and bacterial sinusitis, alone or in combination with antibiotic tablets.

Most often, these drugs are prescribed in the following cases:

  • lack of effectiveness of treatment by other methods;
  • the presence of severe edema and inflammation;
  • the presence of polyps in the nose.

A pronounced anti-edema and anti-inflammatory effect is especially important in patients with concomitant allergic rhinitis.

Sinuforte from antritis

Sinuforte is considered to be perhaps the most effective medicine for sinusitis on the modern pharmaceutical market.

The drug, made from cyclamen extract, has pronounced anti-edema and mucolytic properties. The use of Sinuforte greatly simplifies the process of evacuating the discharge of the sinuses into the nasopharynx. Price around 2 500 rubles.


The main advantage of this drug, of course, is that it consists of herbal ingredients: elder flowers, gentian root, sorrel grass, verbena grass, primrose flowers. Thanks to this unique composition, Sinupret causes antimicrobial, antiviral, and immunostimulating effects in the treatment of sinusitis.

The price of Sinupret is only 355 rubles, and the quality of the drug speaks for itself. Therefore, he has recently become the most prescribed drug for sinus.


Polydex with phenylephrine is a spray against antritis, which has a pronounced antibacterial, vasoconstrictor and anti-inflammatory effect.

The therapeutic effect of the constituent components of this drug is based on their ability to block the process of protein synthesis in the cells of harmful microorganisms, thus violating the permeability of their cell membranes. Price 270 rub.

Other medicines

These are antipyretic and anti-inflammatory drugs (Nurofen, Ibuprofen, Paracetamol), as well as antiallergic agents of 2 and 3 generations, reducing swelling of the sinuses and nose mucosa (Loratadin, Desloratadine, Tsetrin, Zinnerite, Claritin, Clarisens).

Thus, antibiotic treatment of antritis is not a prerequisite for successful conservative therapy. It is much more important that the edema is eliminated, the outflow of the sinus contents is adjusted, and local rehabilitation of the inflammation center is carried out.

Watch the video: Aspirin Treatment for Chronic Sinusitis - Mayo Clinic (December 2019).


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