Which nasal spray is best for sinusitis?

Generally, the selection of nasal sprays for sinusitis should be determined based on the patient's specific symptoms and the advice of a physician. Options include Budesonide nasal spray, Fluticasone propionate nasal spray, Fluticasone propionate nasal spray, Fluticasone propionate nasal spray, and Oxymetazoline hydrochloride nasal spray. Detailed explanations are as follows:

1. Budesonide Nasal Spray

Budesonide nasal spray is a glucocorticoid with potent local anti-inflammatory effects. It acts directly on nasal mucosa, exerting strong local anti-inflammatory and antiallergic actions. It is suitable for symptoms of sinusitis such as nasal congestion and rhinorrhea.

2. Fluticasone Propionate Nasal Spray

Fluticasone propionate nasal spray has anti-inflammatory and antiallergic effects. It can improve nasal inflammation, repair nasal mucosa, and relieve symptoms such as nasal congestion, runny nose, and sneezing. The daily dosage is very small and generally causes minimal systemic side effects. It is suitable for various sinusitis symptoms, particularly in patients with allergic reactions.

3. Mometasone Furoate Nasal Spray

Mometasone furoate nasal spray exerts potent anti-inflammatory effects within the nasal cavity. It can inhibit immune responses and reduce antibody production, thereby decreasing the release and activity of allergic mediators such as histamine and leukotrienes. This helps alleviate mucosal edema. It is indicated for nasal symptoms such as nasal congestion, rhinorrhea, and sneezing, as well as ocular symptoms like red eyes, itchy eyes, and tearing.

4. Azelastine Hydrochloride Nasal Spray

Azelastine hydrochloride nasal spray belongs to the class of antihistamine nasal sprays and is primarily used in the treatment of allergic rhinitis and sinusitis. It is suitable for allergic symptoms such as sneezing, nasal itching, and rhinorrhea.

5. Oxymetazoline Nasal Spray

Oxymetazoline nasal spray belongs to the class of vasoconstrictive nasal sprays. It acts quickly and rapidly improves nasal congestion. However, it should not be used for prolonged periods to avoid drug dependence. It is suitable for patients with severe nasal congestion, especially when rapid symptom relief is required.

Treatment of sinusitis does not rely solely on nasal sprays but should also incorporate oral medications, nasal irrigation, and other comprehensive treatment methods. During treatment, patients should follow medical advice, take medications as prescribed, and monitor changes in their condition.