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).

That is quite manageable: I rinse with saline twice a day and have since 2004 (I used to mix it myself, but the NeilMed packets have really cut down on my salt budget; I also don't use a neti pot, although I don't use the proprietary thingo, either) and I may still have a package of budesonide ampules hanging around, since they were prescribed me during another infection a couple of years ago. The issue at the time was that I couldn't buffer the steroid enough not to feel like I was snorting nitric acid every time and we reverted eventually to fluticasone. My allergist wanted to change my medication regimen entirely this spring, but (a) I had horrific side effects to two new prescriptions in a row (b) a pandemic happened, so the project is at the moment on hold. If the budesonide is still viable, I'll take suggestions about the buffering.

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

Thank you.