Sinusitis - Pharmacy first

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Sinusitis is a common condition that causes inflammation of the sinuses, often following a cold or viral infection. For adults and children aged 12 years and older, the Pharmacy First service under NHS care offers quicker access to advice and treatment for acute sinusitis. This service provides a convenient alternative to visiting a GP, allowing eligible patients to manage their symptoms more efficiently.

What Is Acute Sinusitis?

Acute sinusitis is a short-term inflammation of the sinuses, typically lasting less than 10 days (and up to 12 weeks in some cases). It is often caused by a viral infection and presents with the following symptoms:

• Facial pain or pressure around the eyes, nose, or forehead.
• Blocked or runny nose, with yellow or green mucus.
• Reduced sense of smell or taste.
• Headache, ear pain, or toothache.

Most cases resolve without the need for antibiotics, but Pharmacy First can help manage symptoms and provide appropriate care.

How the Pharmacy First Service Works

1. Consultation:

   • Visit your local pharmacy and explain your symptoms.
   • The pharmacist will ask about the duration and severity of your symptoms, as well as your medical history.

2. Assessment and Advice:

   • If the sinusitis is mild and likely viral, the pharmacist will provide advice on symptom management and recommend over-the-counter remedies.
   • In cases of suspected bacterial sinusitis (e.g., symptoms lasting more than 10 days, severe facial pain, or fever), they may recommend further assessment or refer you to a GP.

3. Treatment Options:

   • Pain relief options such as paracetamol or ibuprofen may be recommended to manage pain and reduce fever.
   • Decongestants or saline nasal sprays can help relieve nasal congestion.
   • The pharmacist will advise on whether antibiotics are needed, though they are rarely necessary for sinusitis.

Benefits of Using Pharmacy First

• Faster Access: No need to book a GP appointment.
• Convenience: Pharmacies are often open in the evenings and on weekends.
• Effective Management: Pharmacists can provide expert advice, recommend treatments, and escalate care if needed.

When to Seek Further Medical Attention

You should see a GP or seek urgent care if:

• Symptoms last longer than 10 days without improvement or worsen after initially getting better.
• You experience severe symptoms, such as:
  • Swelling around the eyes.
  • Double vision or difficulty seeing.
  • A high fever or signs of a serious infection.
• You have frequent or recurring sinus infections.

Self-Care Tips for Managing Acute Sinusitis

• Stay hydrated: Drinking plenty of fluids can help thin mucus and reduce congestion.
• Inhale steam: Breathing in steam or using a humidifier can relieve nasal congestion.
• Rest: Give your body time to recover.
• Use warm compresses: Applying a warm cloth to your face can ease facial pain.

Key Takeaways

If you or your child aged 12 years or older has symptoms of acute sinusitis, the NHS Pharmacy First service provides a convenient way to access advice and treatment. Acting early can help relieve symptoms and prevent complications. Visit your local pharmacy for expert assessment and care tailored to your needs.