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sico 03-29-2009 08:05 AM

Sinus infection and Nasonex?
I have had acute sinus infection with polyps and a green discharge for a year and a half. No antibiotics have helped.
I do spray Nasonex but I am concerned because Nasonex reduces ones ability to fight infections. So a catch 22.
To stop the spray and wait for the infection to clear and have my polyps grow?
What to do?

gcsjr 03-29-2009 11:15 AM

Re: Sinus infection and Nasonex?
There is very little clinical evidence that Nasonex reduces one's ability to fight infections. For most people taking Nasonex at the recommended doses there amount that reaches the bloodstream is undetectable, which means it's not enough to weaken your body's immune system (oral steroids at higher doses taken over a long period of time can weaken the immune system but the amount that gets into your bloodstream is hundreds of times higher than what you would experience with Nasonex).

In all likelihood, your infection is being caused by the polyps blocking the normal drainage pathways in your sinuses, so dealing with the polyps will most likely address your infection as well. Unfortunately, very few people are successful in shrinking polyps with nasal steroid sprays - typically oral prednisone and/or surgery are required to address the polyps, with sprays like Nasonex helping to keep them from recurring.

Have you asked your doctor about a short course of oral steroids to help shrink the polyps?

sico 03-31-2009 10:38 AM

Re: Sinus infection and Nasonex?
Thank you Mr Smith.
I am scared of oral steroids from what I have read.
I live in South Africa and and operations for sinus is too expensive here. About $2000.00 so I must just live with it. $2000.00 is about about 5 months wages here. Gov hospitals do not do it as it is not life threatening.

gcsjr 03-31-2009 11:07 AM

Re: Sinus infection and Nasonex?
[QUOTE=sico;3940078]I am scared of oral steroids from what I have read.[/QUOTE]

There really isn't anything to be scared of. Oral steroids are extremely safe and effective as long as they're only taken for a short period of time as directed by a physician. Prednisone has been available as a prescription medication for 54 years and is commonly used to shrink nasal polyps.

I'm not sure what you've read, but if you can't afford surgery I would strongly recommend that you ask your doctor for a course of oral steroids.

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