Tuesday, July 3, 2012


Non-pharmacological treatments

These are solutions used for washing the nose and for decongestion and any dryness. There are signs that they do complement treatment, alleviating symptoms and being well tolerated by most patients. Although there is no proof that saline solution is a substitute for standard treatments, the inclusion of the use of a topical nasal saline solution probably improves symptom control in patients with chronic sinusal diseases. Recommendations cannot be made on any specific solutions, the dosage or the means of administration. No significant side effects have been reported.

  • Sterile physiological serum: Water + sodium chloride at 9%.
  • Isotonic and sterile seawater: Water + Sodium chloride + minerals.
  • Thermal water rich in sulphur.
They are used for instillations and nose washes 3 to 6 times a day and are recommended for the entire population:
  • Sprays:
    • Nasal spray: To wet the mucosa, insert the nozzle upright in the nostril and press the valve.
    • Washes: With the head tilted to one side, insert the applicator into the opposite nostril. The applicator should be cleaned after every use.
  • Single dose: In children, once the vial has been opened, carefully insert the container into one of the nostrils and press slightly on the vial to avoid the risk of contamination of the middle ear. Repeat in the other nostril. Dry any surplus liquid with a wipe, then blow the child’s  nose or use a nasal aspirator. Do not blow the nose violently in the 10 minutes following administration.

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