1. Nasal steroid sprays aka “intranasal steroids.” Two of these are over the counter now— Flonase Allergy Relief ( fluticasone propionate ) and Nasacort Allergy ( triamcinolone acetonide )—so you can buy them and try them on your own. Intranasal steroids are more effective than oral antihistamines and should be first line treatment here. Onset of action is a few hours but they may take a few days to get rid of your cough. If it works for you, continue therapy for 3 months. For comparisons of the nasal sprays see my previous blog .
Though they each try to get your symptoms under control, they do it by different mechanisms which when taken altogether, can work even better than by itself.
So, using the table below, a patient can generally take one medication from each column at the same time (but not more than one medication contained within a column unless directed by your doctor). For example (highlighted in BOLD ), a patient can choose to take allegra, nasonex, singulair, patanase, nasalcrom, and saline flushes all at the same time.
Steroid Nasal Spray
Anti-Histamine Nasal Spray
Cromolyn Nasal Spray
Structural problems with the nose and sinuses may ultimately require surgical correction to cure them. This should be done only after more conservative measures have been tried and failed. Septal deviation, septal spurs, septal perforation, enlargement of the turbinates, and nasal/sinus polyps can lead to pooling of or overproduction of secretions, blockage of the normal pathways leading to chronic sinusitis, and chronic irritation. The surgery is performed by an ear-nose-throat doctor (otolaryngologist). Surgery can also enhance the delivery of nasal medications and rinses into the nasal cavities.