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management of acute sinusitis
Answer
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 29 July 2025
For acute sinusitis, consider topical corticosteroids such as fluticasone or mometasone furoate 1,2. Saline nasal irrigation may also be beneficial for acute upper respiratory tract infections [D et al., 2015]. If antibiotic treatment is indicated, phenoxymethylpenicillin is a consideration, adhering to national guidelines for duration of treatment 3.
Key References
- Fluticasone SmPC
- Mometasone furoate SmPC
- Phenoxymethylpenicillin SmPC
- Ceftazidime with avibactam SmPC
- NG233 - Otitis media with effusion in under 12s
- NG202 - Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s
- NG95 - Lyme disease
- (AW et al., 2012): IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults.
- (RM et al., 2015): Clinical practice guideline (update): adult sinusitis.
- (D et al., 2015): Saline nasal irrigation for acute upper respiratory tract infections.
- (S et al., 2016): Sinusitis.
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