Nasal Support
Also called chronic sinusitis, chronic rhinosinusitis, CRS, persistent sinus infection
Chronic sinusitis is common, and saline rinses and steroid sprays come first. When a nasal specialist orders a medicated spray, Mixwell in Chino, CA prepares it.
Signs people notice
- A blocked or stuffy nose
- Thick nasal drainage, or drainage down the back of the throat
- Pressure or pain in the face
- A reduced or lost sense of smell
- Tiredness
- Poor sleep
- Trouble concentrating
- Symptoms that last three months or longer
Clinical Overview
How Compounding Can Help
Common Formulas Prescribers Order for This
Each formula is prepared only with a valid prescription. Your prescriber decides what is appropriate.
What to ask your provider
- How long have my symptoms lasted, and do they fit chronic sinusitis?
- Do I need a nasal exam or a CT scan to confirm it?
- Am I rinsing and using a steroid spray the right way, and for long enough?
- Could allergies, polyps, or another condition be involved?
- Should I be seen by an ear, nose, and throat specialist?
- If I have had sinus surgery, is a culture needed before any antibiotic or antifungal treatment?
Common Questions
What is chronic sinusitis?
Chronic sinusitis, also called chronic rhinosinusitis, is long lasting inflammation of the nose and sinuses. It is diagnosed when at least two of four symptoms last three months or longer: a blocked nose, nasal drainage, facial pain or pressure, and a reduced sense of smell. An exam or scan also shows inflammation.
What helps chronic sinusitis first?
Saline rinses and steroid nose sprays are the first line treatments. Rinses of more than 60 mL work better than sprays, with full benefit by about 8 weeks. Decongestant sprays are not recommended because they can cause rebound congestion. If symptoms continue, your provider may refer you to an ear, nose, and throat specialist.
Do antibiotics help chronic sinusitis?
Short courses of antibiotics by mouth are not recommended for chronic sinusitis, even during flare ups, because they have not been shown to help. The 2021 international sinus guideline also recommends against routine antibiotic or antifungal nose sprays. A specialist may use them in select cases, such as after sinus surgery when a culture shows a specific infection.
Do I need a prescription for a compounded medication?
Yes. Every compounded preparation is made for one patient with a valid prescription from a licensed prescriber, such as a physician, nurse practitioner, dentist, or veterinarian. If you do not have one yet, ask your provider whether a compounded preparation fits your situation, and they can send the order to us.
References
Compounded in Chino, CA. Delivered across California.
- Chino
- Chino Hills
- Ontario
- Pomona
- Diamond Bar
- Rancho Cucamonga
- Eastvale
(909) 378-7301
Mixwell is a state licensed, non sterile compounding pharmacy and a PCCA member, preparing each formula in a lab built to USP 795 and USP 800 standards. Compounded medications are not reviewed or approved by the FDA and are dispensed only with a valid prescription. We do not prepare sterile products or injectables. Nothing here promises a specific result, and compounded preparations are not presented as superior to commercially available products. Mixwell does not accept insurance. Call for pricing.