Hi,
She has two different set of conditions. Number one its
sinusitis for that she needs a different management next comes
depression and fatigue for that we need a different management. Let us see one by one.
I) Sinusitis
1) Antihypertensive medications like
Losartan does not cause sinusitis.
2) If her sinusitis is recurrent we should rule out the cause whether it is bacterial or viral or sometimes fungal too.
3) Avoid all triggering factors for sinusitis such as dust.
4) Ask her to take steam it really helps in opening her sinuses and helps it drain better.
5) Protect her from direct exposure to cold during the winter season.
6) If everything fails and the chronicity continues we can consider surgical procedures like FESS (Functional Endoscopic
Sinus surgery) which may help the sinuses to drain better.
II) Depression/Fatigue
1) Depression is a common adverse effect of blood pressure lowering drugs like
Atenolol which is a
beta blocker.
2) If it still continues you can talk to your doctor to switch the medication.
3) Ask her to try relaxation methods like
meditation which may help.
4) Mild to moderate physical activity can also reduce depression drastically.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Moses John Wesley,
General & Family Physician