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TUESDAY, May 15 (HealthDay News) -- Corticosteroid nasal sprays apparently are not a silver bullet when it comes to symptom relief for acute sinusitis patients, a new review suggests. However, patients taking high doses of these medications were found to experience lower levels of symptoms in follow-up assessments, suggesting they were the most effective treatment in helping patients with symptoms, the researchers report, dbol nz. "We still do not have good data regarding the efficacy of topical steroids in reducing the overall severity of sinusitis symptomatology," study researcher Dr, winston silver. Michael Buhler, president of the American Academy of Allergy, Asthma and Immunology, in Washington, D, winston silver.C, winston silver., explained in a phone interview, winston silver. He said doctors and allergy specialists should still follow protocols -- including steroid treatment for severe symptoms -- for sinusitis patients with "moderate-severe" disease or at risk of developing it, "especially for those patients showing a significant correlation with exacerbation of acute sinusitis." But some data show a benefit with topical steroids for those with mild-to-moderate sinusitis, Buhler said, steroids for sale south africa. "Our data suggest that the use of topical steroids may be more beneficial in the setting of moderate-severe sinusitis compared to those who have severe disease, testo max really work." In an accompanying editorial published today in the Annals of Allergy, Asthma and Immunology, the New England Journal of Medicine and the Clinical Immunology, Buhler and his colleagues, led by Dr, winston silver. R, winston silver. David Schoenfeld, associate professor of medicine at Massachusetts General Hospital, warn against prescribing steroids for sinusitis patients due to concerns over possible adverse reactions to the drugs. Corticosteroid nasal sprays can be taken orally or injectable, steroids for sale south africa. They typically target the nasal cavity and upper airway and deliver a mild, but persistent, inflammatory response, according to the Web site of the Pharmaceutical Research & Manufacturers of America. For some patients, these drugs can produce a dramatic improvement in symptoms like nasal congestion and nasal discharge, and some may develop fewer persistent symptoms. There is not one specific formulation or active ingredient in the drugs used to treat sinusitis, but one company, AstraZeneca, in 2009 introduced a new formulation of corticosteroids that had better effects in moderate-to-severe symptoms. This latest review examined the use of the newer formulation as a treatment for patients with sinusitis in an outpatient setting, at least among patients who previously had a diagnosis of acute sinusitis and completed an assessment at least 28 days after the initial course of treatment, dbol year round.
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