TREATMENT PLAN
TREATMENT PLAN
Conservative:
- Saline irrigation/nasal douching
- Analgesia
- Decongestants
Medical:
Acute bacterial:
- Phenoxymethylpenicillin 5 days
- Co-amoxiclav if severe
- Doxycycline/clarithromycin if penicillin allergic
Chronic:
- Manage associated conditions (asthma/polyps)
- Intranasal corticosteroids (3-month trial)
- Nasal irrigation/douching
- Secondary care referral if refract
PROGNOSIS
- Viral cases: self-limiting
- Chronic cases: can significantly impact quality of life