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The sinus flush or rinse kit that you can pick up at our office or local pharmacy can be a very powerful tool when it comes to treating chronic sinusitis. The Neil Med Rinse kit or Neti Pot are the most common devices used to irrigate the sinuses. These are a great option because they are cheap, readily available and simple to use.
In its most basic form a sinus flush uses warm water (very clean or distilled water) mixed with pure salt and baking soda to flush about a cup of water through the nose at a gentle, low pressure. This alone can significantly control sinus and allergy symptoms, especially in combination with a nasal steroid spray.
In patients with more severe forms of sinusitis, or who have had prior surgery, we may prescribe certain medications to add to your sinus flushes.
Note: For all rinses we recommend the use of warm distilled or bottled water.
Clean bottle between rinses and store upside down in a dry place.
Baby Shampoo Irrigations (we recommend Johnson and Johnson) Add a half teaspoon (2.5ml) to each 8 oz bottle of Neil Med Sinus rinse with 1 salt packet.
Mupiricin Sinus Irrigations (this is a prescription antibiotic ointment) - Add 1-2 inches of the ointment to each 8oz bottle of Neil Med Sinus rinse with 1 salt packet. Shake vigorously and use warm water to get ointment to dissolve.
Alternatively, you can prepare a large batch of this by adding 2 tubes of mupiricin and 16 packets of salt/baking soda from neil med rinse to a gallon of distilled water. This will provided enough irrigation for 8 days when using 2 times per day.
Betadyne Sinus Irrigations (provided by doctor) - Add a half teaspoon of betadyne to each 8oz bottle of Neil Med Sinus rinse with 1 salt packet. Note: Betadyne contains iodine and will stain clothes.
Pulmicort Sinus Irrigations (prescription) - Add 1 respule (0.5mg/2ml) to each 8oz bottle of Neil Med Sinus rinse with 1 salt packet.
Hypertonic saline irrigations - Simply add 2 salt packets to each 8oz bottle of Neil Med sinus rinse.
Homemade saline rinse - Add 3 teaspoons of pickling salt (iodine free) and 1 teaspoon of baking soda to each 8oz bottle of Neil Med sinus rinse.