A sinus infection causes facial pressure, congestion, and thick nasal mucus, and some cases clear up within days, but others linger or return. When you understand your treatment options, you may make better choices about your care. Here are some medications and home methods for managing symptoms of this condition:
Nasal Decongestant Sprays
Nasal decongestant sprays shrink swollen blood vessels in the nose, and breathing may feel easier within minutes. Oxymetazoline is a one over-the-counter option for a sinus infection. Most labels advise against use beyond three days because longer use may cause rebound congestion.
Rebound congestion happens when nasal tissue swells again after the spray wears off. You may feel the urge to spray more often, and the cycle may continue. Oral decongestants like pseudoephedrine offer another option. Talk to a provider first if you have high blood pressure or heart problems.
Topical Corticosteroids
Topical corticosteroid sprays are used to reduce swelling inside the nose and sinuses. They work slowly, and full effect may take one to two weeks of daily use. If you use one, follow these steps for proper technique. Fluticasone and mometasone are over-the-counter and prescription options. Take these steps:
- Shake the bottle before each use.
- Tilt your head slightly forward.
- Aim the tip toward the outer wall of your nostril.
- Breathe in gently as you spray.
Antibiotic and Antihistamine Medications
Most sinus infections start with a virus, and antibiotics do not treat viruses. A provider may prescribe an antibiotic if symptoms persist. Worsening symptoms after early improvement may also point to a bacterial infection. A high fever with facial pain for several days is another sign.
If you receive an antibiotic, take every dose as directed. Amoxicillin with clavulanate is a typical first choice. Stopping early may let bacteria survive, and the infection may return. Tell your provider about any drug allergies before you start treatment.
Antihistamines treat a different problem. They block histamine, which your body releases during an allergic reaction. Allergies may trigger sinus swelling, so an antihistamine may help with allergy-related symptoms. Older types like diphenhydramine often cause drowsiness.
Saline-based Washes
Saline washes rinse mucus and irritants from your nasal passages. You may use a squeeze bottle, or you may use a neti pot. People use saline daily because it contains no medication. Saline sprays offer a gentler option for daily moisture.
Tap water may contain organisms that cause serious infections in the nasal passages. Use only safe water for each rinse. The list below shows safe choices, and each one works with standard saline packets.
- Distilled water from a store
- Sterile water labeled for medical use
- Tap water boiled for one minute and cooled to lukewarm
- Filtered water with a pore size of 1 micron or smaller
Get Sinus Infection Treatment
Home care works for many mild cases, but some symptoms need a medical exam. Seek care for symptoms that persist or a high fever. Go to an emergency room if you notice eye swelling, vision changes, a stiff neck, or other symptoms. A provider at an urgent care center may examine your sinuses and recommend a treatment that fits your symptoms.
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