Your Sinusitis Treatment: A Guide to Common Medications - Pharmacology

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Inquiry about medications?


I recently visited an otolaryngologist, and the doctor diagnosed me with sinusitis.
They prescribed TARVID (100 mg), PRIMARAN (5 mg), RIC (CODECON 4 mg), MYLANT (SINWELL), LYSOZYME (90 mg), and PER (PILIAN 4 mg), along with K.....
(INTAL nasal spray) because I have thick, purulent postnasal drip.
Initially, the doctor said it was hypertrophic rhinitis, but during my second visit, they said it was sinusitis, and each time the medication was different.
After taking the medication, I experience numbness in my head, dry mouth, and dryness in my nose, and I'm concerned about potential side effects.
I would like to understand what these medications are.
Thank you.

Ke shui chong, 20~29 year old female. Ask Date: 2005/01/12

Dr. Wu Huiling reply Pharmacology


Hello! This question was answered on October 15, 2004.
Regarding the issues you raised: 1.
Please confirm the names of the medications again (for example, should Tarvid be Tarivid, and should Primaran be Primalan, etc.) in order to accurately grasp the medication information.
2.
Codecon is a relief medication for symptoms such as nasal congestion, runny nose, acute and chronic rhinitis, allergic rhinitis, and common cold.
Sinwell can treat heartburn, bloating, gastric ulcers, and excessive stomach acid.
Lysozyme is used for difficulty in expectoration caused by respiratory disorders, chronic sinusitis, and bleeding during or after minor surgeries.
These three medications should not cause the side effects you mentioned.
Pilian is an antihistamine allergy medication, and its side effects include nausea, dizziness, drowsiness, and dry mouth.
I am providing this information for your reference.

Reply Date: 2005/01/12

More Info


Understanding your sinusitis treatment can be quite complex, especially when multiple medications are involved. Sinusitis, or inflammation of the sinuses, can be caused by infections, allergies, or structural issues in the nasal passages. The medications prescribed by your ENT specialist are aimed at alleviating symptoms and addressing the underlying causes of your condition.

1. TARVID (100MG): This medication is likely a brand name for a type of antibiotic, commonly used to treat bacterial infections. In the context of sinusitis, it may be prescribed if your doctor suspects a bacterial infection is contributing to your symptoms. Antibiotics can help reduce inflammation and clear the infection, but they are ineffective against viral infections.

2. PRIMARAN (5MG): This medication is typically used to treat nausea and vomiting. It can also have a sedative effect, which might help if you're experiencing discomfort or anxiety related to your sinus issues. However, it can cause side effects such as drowsiness, dry mouth, and dizziness.

3. RIC (CODECON 4MG): This medication is often used as a decongestant and antihistamine. It can help relieve nasal congestion and reduce mucus production, which is particularly beneficial if you have thick nasal discharge. However, decongestants can sometimes lead to side effects like increased heart rate, insomnia, and dry mouth.

4. MYLANT (SINWELL): This medication is generally used to treat gastrointestinal issues, such as acid reflux or ulcers. While it may not directly address sinusitis, it could be prescribed if your doctor believes that gastrointestinal reflux is contributing to your nasal symptoms.

5. LYSOZYME (90MG): Lysozyme is an enzyme that has antibacterial properties and can help break down bacterial cell walls. It is often used in cases of respiratory infections to help clear mucus and reduce inflammation.

6. PER (PILIAN 4MG): This medication is likely an antihistamine, which can help alleviate allergy-related symptoms, including nasal congestion and runny nose. Antihistamines can cause drowsiness and dry mouth as side effects.

7. K..... (INTAL nasal spray): This is likely a corticosteroid nasal spray, which is commonly used to reduce inflammation in the nasal passages. It can be particularly effective for chronic sinusitis and allergic rhinitis. Side effects may include nasal irritation and dryness.

Given your symptoms of nasal congestion, thick mucus, and the sensation of pressure in your sinuses, it is understandable that your doctor has prescribed a combination of medications to address both the infection and the inflammation. The feeling of numbness in your head and dryness in your mouth and nose could be side effects of the medications, particularly the antihistamines and decongestants, which are known to cause dryness.

It is crucial to communicate any side effects you experience to your doctor, as they may need to adjust your treatment plan. If you feel that the medications are not effective or if the side effects are bothersome, your doctor may consider alternative treatments or medications.

In addition to medication, other supportive treatments for sinusitis may include saline nasal sprays or rinses, steam inhalation, and staying well-hydrated to help thin mucus. If your symptoms persist or worsen, further evaluation may be necessary to rule out other underlying conditions.

In summary, understanding the purpose of each medication can help you manage your sinusitis more effectively. Always consult with your healthcare provider before making any changes to your treatment plan, and do not hesitate to ask questions about your medications and their potential side effects.

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