instruction: hello doctor I am suffering from sinusitis for the last six months I have tried lots of medicines but there is no improvement because of the current scenario of couid 19 I cannot visit any ent specialist please help me and prescribe some medicines
output: hi yes I understand how frustrating your problem can be sinusitis is usually secondary to a certain problem such as allergy which is the most common cause once other rare causes are ruled out so considering the treatment of this particular issue we need to always treat the primary from its root source so that the effect remains for a longer time with the least amount of medications what can be done if you are having underlying allergic issues such as sneezing watery nasal discharge ear fullness heaviness in the head and facial regions we need to treat the allergy first you need to wear an n95 mask and nothing else other than that to prevent any irritative substance such as dust fumes from entering your nose and initiating the allergic cascade mechanism leading to its symptoms wearing a mask even at home avoiding exposure to dust and other substances which instigate sneezing according to me is the single most important factor which you have to take care of as other things mentioned below are all for symptomatic relief and we are not treating the allergy as such precisely speaking take tablet sinarest acetaminophen chlorpheniramine and pseudoephedrine one tablet two times a day after food for 10 days allegra fexofenadine and montelukast one tablet two twice for 10 days duonase nasal spray two puffs in both nostrils twice daily for three continuous months do not inhale while applying the spray tablet mucomix 600 my one tablet twice daily for 10 days do steam inhalation two or three times a day for supportive relief take wysolone 10 my once a day after breakfast for 10 days tablet pan pantoprazole one tablet before breakfast for 10days clarithromycin 500 my twice daily for one month saltwater gargles to 10 times a day will keep irritative substances away from the throat all these medications will be useful only if you strictly follow the precautionary measures the requirement of medications will automatically reduce once your symptoms come down with a decreased allergic load please do get a noncontrast it computed tomography of the nose and paranasal sinuses and show it to me once you get it done in the subsequent follow ups I advise you for a follow up after two weeks of treatment so I can evaluate and let you know about the further requirement of medications I hope this helps