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1 25th January 06:18
tony
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Default Couple of Questions - Bactroban and Singulair (zyrtec allergy antibiotic flonase)


My allergist prescribed a bactroban/saline mix today.

I'm taking zyrtec, using flonase and have been getting
allergy shots for 6 months without much relief.

Most days I need to take 90-120 mg of Sudafed
and 800-1200 mg of Ibuprofen to reduce the sinus
pain although the fatigue is always present.

Maxillary sinuses have been swollen and aching
for 3 years or longer.

I went through every type of antibiotic last year.
I had success with some antibiotics but the inflammation
came back even after 4 weeks on Levaquin.

2 CT scans in 2004 showed no disease or obstructions.

The allergist also wants me to try Singulair to see if
that will stop the sinus inflammation.

Any ideas ?

Thanks,

Tony
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2 25th January 06:18
susan
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Default Couple of Questions - Bactroban and Singulair (allergy allergies allergic sinus infection)


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How will you irrigate with this? How often, what dose, and which method?


Me, too, for years. I recently learned why most folks get no relief
from allergy shots; the doses of antigen in common practice are way too
low. I didn't know there was a difference til I left my old allergist,
whose shots gave me miraculous relief in the first several months for a
more local one after I moved. A year of conventional shots and all my
allergies are back! I went crawling back to the old allergist, who
desensitizes far more aggressively, and the first two shots gave me
relief already. His testing had revealed that I'd gotten worse in the
past year. He says I'll be back to where I was after 12 weeks of weekly
shots.

If he ever retires, I'm going to shoot myself. ;-)


I've been through similar, though, until this year, less severe stuff.

My experience has been like yours.

Same for me, except for mildly deviated septum.


Didn't help my sinus infection, though it made my allergies milder. I
had an unusual effect; it dangerously elevated my bp, so I quit it. It may help you.

I've recently learned the value of sinus irrigation, both with a squeeze
bottle or the pulsatile irrigator.

Also, drinking a LOT of water makes a big diff in thinning mucus so it's
more likely to drain.

Allergy barriers on bedding and a good bedroom air cleaner help me a
great deal; I don't know what you're allergic to, but if dust is in the
equation, go after it aggressively.

Susan
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3 25th January 06:18
augustwestern
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Posts: 1
Default Couple of Questions - Bactroban and Singulair (antibiotic sinus infection)


I've been doing this for 6 months. My Dr says to use this mix just as I
would an oral antibiotic, in other words, for 2-3-4 weeks when a chronic or
acute sinus infection is going on, then discontinue. The ointment mixes up
best and I use my regular Hydropulse saline salt/soda mix for the medium. So
far, so good, as I haven't needed any oral antibiotics and I've had 3 sinus
infections this year that did respond to this treatment after 3-5 days.

Helps me a little. Not a miracle drug as the ads would have you believe.
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4 25th January 06:18
susan
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Default Couple of Questions - Bactroban and Singulair


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Please describe this treatment further... you're irrigating with
ointment in saline solution? How much ointment and how frequently?

Susan
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5 25th January 06:18
tony
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Default Couple of Questions - Bactroban and Singulair (boil allergy pollen allergic sinusitis)


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I don't understand the script but the doc described it like
a small saline bottle that I would sniff twice a day. It sounds
like a waste of money to me. If the infection is inside the sinus,
the bactroban will only affect the tiny opening of the sinus in
the nasal passage. The pharmacy would make the mix and
provide a small saline bottle.


Allergy shots helped me back in 97/98 but I stopped
getting them after 18 months. My sinuses eventually
healed along with the help of Zyrtec and Flonase.

After a few years of feeling OK and just using an OTC
antihistamine duirng allergy season, my sinuses gradually
got worse and the sinusitis infections kept occuring until
it became a constant state - chronic sinusitis.

I'm not familiar with "aggressive" allergy shot treatment.
I've been getting shots every week for 6 months and
will reach a maintenance dose in 5 weeks. Then, I'll
be getting shots every 3 weeks. I think I get skin testing
done at the 2 year point.

I've been using a squeeze bottle - warm tap water and regular salt. It
cleans out the nasal passages and allows some fresh mucus to come
out of the sinuses. I wonder if I need to boil the tap water.

I drink water all day long.

I did all of those things back in 1997. I'm allergic to grass/weed/tree
pollen,
dust mites, animal dander, mold spores.

Thanks,

Tony
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6 25th January 06:18
susan
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Default Couple of Questions - Bactroban and Singulair (pollen)


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Yabbut, oral antibiotics don't get in there very well, either. At least
this may penetrate as well without much systemic effect.

I've read that the benefits of desensitization wear off within a few
years. In my case, sooner, even with the new shots.

My allergist uses stronger doses than conventional allergists, who seem
to use doses so unlikely to provoke an adverse reaction that they also
don't work. After a year of weekly shots, I wasn't even up to
desensitization dose levels! It sounds as if your allergist is more
aggressive than average, too. I will be up to my maintenance level
probably after 12 weeks, and be retested then. After that, every 6 months.


I filter it in a Brita, and I nuke it. Seems only prudent not to
introduce any more potential pathogens.


Then you're ahead of me. I have to make a big effort in this direction.


Very similar to me. Dust mites and dust are my worst, then ragweed.
Followed by tree, grass pollen and cats (I have two).

Susan
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7 25th January 06:18
augustwestern
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Posts: 1
Default Couple of Questions - Bactroban and Singulair (antihistamines nasal)


I should note that I have colonized staph of the skin and nose that oral
antibiotics have been unable to eradicate. From what I'm told, having
colonized staph isn't all that uncommon. Staph is a ubiquitous germ in our
environment and once you become colonized, it is often difficult to
completely get rid of it.

The Dr suggested using a new Ocean bottle of saline for the saline medium
but since I had a spare brand new clean empty nasal atomizer spray bottle,
I used this new atomizer sprayer instead (holds about an oz. and a half of
water). For the saline portion I use my normal Hydropulse saline/soda rinse
mix which I mix up a gallon at a time using distilled water. I was told to
put about inch and a quarter strip of Bactroban ointment directly into the
spray bottle filled with saline solution and shake vigorously until the
Bactroban is in solution. This takes some hard shaking. I was told to use
only the Bactroban ointment as it was water soluble. I was then told to use
the mixed spray exactly as I would an oral antibiotic when I have a sinus
infection and feel like I need oral antibiotics. I then use the spray 2-3
times daily for 3 weeks or at least a week past when all signs of infection
have resolved. I shake it up and do a couple squirts on each side each time.
There is little or no taste that I can tell. So far, after about 2-3 days I
begin noticing an improvement. I do these Bactroban squirts an hour or so
after my normal saline Hydropulse irrigations, AM & PM.

Before making each new batch of Bactroban/saline mix, I do wash the spray
bottle out with dilute vinegar and then dilute bleach and water. I certainly
don't see any reason to pay a pharmacist to mix this up for you if you have
good hygiene.

I haven't needed any oral antibiotics since sometime last fall. I've used 4
rounds of this intranasal Bactroban saline mix in the past 5-6 months when
sinus infections were getting started. I feel this Bactroban/saline mix has
been a factor in these infections not progressing as they would have in the
past. I have also so far avoided the sinus surgery that 2 Drs had told me I
needed. Besides daily Hydropulse irrigations and this Bactroban mix, I do
Flonase daily and sometime antihistamines.

I can't say that the Bactroban/saline mix is a good idea for people with
sinus infections in general, but for me and my personal situation, it's
proven to be a very useful tool. I asked the Dr about becoming immune to the
positive effects of the Bactroban and he didn't see a problem as long as I
used the mixed spray just like you would an oral antibiotic.

btw- The same Dr who prescribed the Bactroban/saline mix also said that
daily irrigation with the Hydropulse was a must for me and a very good idea
for anyone with chronic sinus infections. AW
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8 25th January 06:18
susan
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Posts: 1
Default Couple of Questions - Bactroban and Singulair (penetration)


x-no-archive: yes

Thanks for all the info. You say your doc told you to use the mixture
like orals; you mean the length of time and frequency, right?

Also, why not put it in your pulsatile irrigator instead? I just read
an abstract finding that atomizers were the least effective at sinus
penetration, though clearly it's helping you.

Thanks again.

Susan
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9 25th January 08:47
steven l.
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Posts: 1
Default Couple of Questions - Bactroban and Singulair (allergic sinus infection)


My ENT has told me that there are no scientific studies that show any
significant effect from irrigation with antibiotics. At least there are
a few scientific studies that show some value with oral antibiotics.

And in my case, I turned out to be allergic to something in the
Bactroban ointment. Not the antibiotic itself, but perhaps whatever the
ointment is made of. Gave me far worse symptoms than before.


Over and over again on this NG, we hear from patients who say that they
have every symptom of a sinus infection even though the CT scans are
normal.

That was my experience too. I learned the hard way that CT scans have a
small percentage (maybe 5-10%) of false negatives--they can fail to show
localized sinus infections. I finally found an ENT who was willing to
do surgery on me based on my symptoms and history, rather than trust the
CT scan which was negative. And when he operated on me, sure enough, he
found serious problems in my sinuses that had not shown up on the CT
scan. He told me he had the CT scan films in the operating theater
during my surgery and what he saw as he operated didn't match the CT
scan films.

In the final ****ysis, exploratory surgery is the only real way to know
what's going on in your sinuses. The physician needs to push his
endoscope all the way into every sinus cavity, something that requires
you to be under general anesthesia. That is usually done only as part
of a surgical procedure.


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Steven D. Litvintchouk
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10 25th January 08:47
steven l.
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Posts: 1
Default Couple of Questions - Bactroban and Singulair (bacteria job nasal)


I raised that issue with my ENT, but he assured me that city tap water
is safe to use in most parts of the country. When I told him it wasn't
sterile, he replied, "Neither is your nose." Surveys have shown that
about one-third of healthy people have Staphylococcus aureus in their
nasal passages. Our nasal passages are lined with mucus whose job is to
trap germs and dust particles before they can enter the lungs. So
boiling or distilling the irrigation solution isn't worth much because
it's just going to mix with this contaminated nasal mucus anyway.

The benefit of flushing out stagnant secretions outweighs the fact that
you're stirring up bacteria in your nasal passages and perhaps flushing
them deeper into your nasopharynx.


--
Steven D. Litvintchouk
Email: sdlitvin@earthlinkNOSPAM.net

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