rosefox: Green books on library shelves. (Default)
Asher Rose Fox ([personal profile] rosefox) wrote in [personal profile] sovay 2020-05-16 05:57 am (UTC)

This advice works just as well with antibiotics as without, and I may even have given it to you before: ask to be prescribed budesonide to put in a sinus rinse, and rinse with it twice a day (adding it to a standard saline rinse). It's a steroid, and you can get it over the counter in a spray bottle (very similar to fluticasone/Flonase), but the ampules for sinus rinses are meant to be used in nebulizers, so they're prescription only.

The big, big caveat is that budesonide in this form is absurdly expensive without insurance, and I don't know what kind of prescription coverage you have. Every time I get my box of ampules I look at the label that says "Base price: $800. Your copay: $15" and hate this fucking country a little more. But if it is covered, it's absolutely worth trying. If not, see about getting the OTC spray version.

Saline sinus rinses are good regardless. A NeilMed sinus rinse thingo is the way to go, much better than a neti pot: you control the flow by squeezing the bottle, and you face down over a sink rather than tilting your head awkwardly to the side.

Singing is a goodness and so is sleep, and I'm glad you're getting both.

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