Brief Answer:
No interaction. Some practical advises how to use the steroid spray.

Detailed Answer:
Hello,

Thank you for using HealthcareMagic to post your health query.
I read carefully your question and I understand your concern.

There is no interaction between the two drugs so they can be used safely together.

Flonase is recommended to be used once/daily so don't use it more then once.

The numbness should go away if you do not use it anymore.

However, in case you decide to use it again, the correct use of steroid nasal sprays should be done with your head pointed slightly downward during spraying and avoid tilting the head back, as this can cause drainage of the medicine from the nose to the throat. Also, you should avoid pointing the spray at the septum, which can become irritated.
The full effect of the medicine is achieved when you use it regularly and for more then 3 weeks.

Hope this is helpful.
Let me know if you need more clarifications.
Otherwise please close and rate the answer.

Regards,
Dr. Papaqako

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Brief Answer:
Either one of the nasal steroids are advised.

Detailed Answer:
Hello,

Thank you for the follow up question.

First thing to try, if you haven't done already, is to determine what is happening that your sinus infection is not healing.
Most of the cases (90%), the sinusitis will heal by itself withing 2 weeks. But if not, then people are given antibiotics, especially if the secretions are thick and with yellow/green color. Once taken antibiotics and you still may need to take something to lower the swelling on the mucosa of the nose, if you are a person that suffer from allergies.

In that case nasal glucocorticoid sprays are recommended and they include either of budesonide, fluticasone propionate, mometasone furoate, triamcinolone acetonide, ciclesonide, beclomethasone dipropionate, or fluticasone furoate.

The efficacy of intranasal glucocorticoid sprays is supported by randomized trials but here is no compelling evidence that any one agent is more effective than another.
If obvious mucus or crusting is present, you can clean the nose with saline nasal sprays or irrigation before the nasal glucocorticoid is applied and apply it as explained in the previous answer. Also, it is very important as I said above, that you use it for longer then 3 weeks, because it is then that you feel the effect.

Hope this makes sense ans answers your question.

Regards,
Dr. Papaqako

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Brief Answer:
There are no other things that have proven to work.

Detailed Answer:
Hello dear,

Thank you for the feedback.

It is not that it is what I am recommending, but it is what the medical guidelines show that works.

I'd recommend for antibiotics, if you haven't used them and if this is going on for such a long time.

The antihistamines, the decongestants and all those- have proven NOT much of HELP.

Frankly speaking, I would not recommend something that I believe won't be helpful, and there are other alternatives which are proven helpful.

Note that, nasal irrigation that I mentioned above is a treatment in itself and I would recommend doing that regularly, because it is very helpful too.

Next step after the failed attempts of helping drain the sinuses with the advises above, is surgery. But I don't think that you would be requiring that since you have not been suffering from allergies.

Hope this helps to reassure and inform you more.

Regards,
Dr. Papaqako

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Brief Answer:
Practical extra information that may help.

Detailed Answer:
Dear XXXX,

Thank you for the detailed explanation. It surely is more clear now, and gives a better picture on how I can be helpful to you.

It looks like you have been trying many things. I am very sorry for all that you have gone though.

Here are some thoughts that may help:
-- Guaifenesin is an expectorant so wont help. By taking it you are just adding to yourself some side effects.
-- Sudafed helps with congestion, but has proven to be not of help with the overall duration of the symptoms of sinusitis.
-- Be careful with taking the apple cider vinegar, because it may cause an ulcer in the duodenum if taken in large amounts and with empty stomach.
-- If you smoke, quitting may help.
-- Role of intranasal corticosteroids: long-term (> 12 months) use of intranasal corticosteroids for management of chronic sinusitis considered safe and are used for both mild and severe disease.
-- If you have nasal polyps or adenoids then adenoidectomy may reduce symptoms.
-- Don't know if you have considered this but **oral bacterial lysate (Broncho-Vaxom) may reduce symptoms of chronic sinusitis in adults.
-- If the treatment available do not work then functional endoscopic sinus surgery (FESS) may be considered for patients with inadequate symptom relief from medical treatment.

I hope that any of these information will be somehow helpful so you can decide by being completely informed.

Regards,
Dr. Papaqako.

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