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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Should Solupred Be Taken To Treat Sinusitis?

I am 50 year old male, and suffering Sinusitis, ENT treatment is received and improved however loss of smell. When I use Solupred 5mg 1 week course I restore the smell on the first day of the course. Please advise how frequent I can use Solupred. Is it possible to use it for one day or must follow the course? Loss of smell is only restore when I use Solupred 5mg 1 week course. I restore the smell from the first day of usage. Can use frequently or any other option other than Solupred?
Thu, 6 Oct 2016
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General & Family Physician,  's  Response
Loss of smell is due to sinusitis and is due to physical blockage of the nose by nasal discharge and congestion. Solupred contains prednisolone. It relieves congestion and inflammation. But long term use is associated with lot of adverse effects such as infection, high blood pressure, weakening of bone and high blood sugar. You need treatment of sinusitis. Smell sensation will restore when sinusitis resolves.
Advice
1.     Stop Solupred
2.     Levocetirizine 5 mg daily per oral for 5 days
3.     Cefixime 100 mg every 12 hours per oral for 7 days
4.     Ambroxol 30 mg daily per oral for 5 days
5.     Do gargle with slight warm salt water four times daily
6.     Do not eat heavily at a time. Eat smaller meals
7.     Do not lie down immediately after meal
8.     Avoid dust, smoking, alcohol, dry environment and spicy food
9.     Avoid coffee and tea after meal
10.     Investigation – X – ray PNS
11.     Consult an ENT specialist for general examination of your nasal passage
I hope this information will help you. I will be happy if you ask another question
Thanks
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How Long Should Solupred Be Taken To Treat Sinusitis?

Loss of smell is due to sinusitis and is due to physical blockage of the nose by nasal discharge and congestion. Solupred contains prednisolone. It relieves congestion and inflammation. But long term use is associated with lot of adverse effects such as infection, high blood pressure, weakening of bone and high blood sugar. You need treatment of sinusitis. Smell sensation will restore when sinusitis resolves. Advice 1. Stop Solupred 2. Levocetirizine 5 mg daily per oral for 5 days 3. Cefixime 100 mg every 12 hours per oral for 7 days 4. Ambroxol 30 mg daily per oral for 5 days 5. Do gargle with slight warm salt water four times daily 6. Do not eat heavily at a time. Eat smaller meals 7. Do not lie down immediately after meal 8. Avoid dust, smoking, alcohol, dry environment and spicy food 9. Avoid coffee and tea after meal 10. Investigation – X – ray PNS 11. Consult an ENT specialist for general examination of your nasal passage I hope this information will help you. I will be happy if you ask another question Thanks