Long time Post nasal drip formally coralled by Entex La till that went away and knockoff replacements not effective. 2 yrs, now, constant ent. visits, 2 sinus ops. extra high mucus buildup and the post nasal drip. Drs. originally failed to diagnose sinus infection as fungal for 2+ months, by that time antibiotics ineffective (bacterial). Prednisone was calming it down while taking it only. All the coughing and choking on mucus pulled on shoulder blades and lower back muscles to point had to have lumbar block shots. Leg muscles tight like cramping all the time, not walking briskly anymore. (probably side effects) Have been searching for best med. to help out. All that coughing (a lot keeps me awake at night) has presented itself as a false positive for pneumonia, hard to breath at times, gets close to out of breath) takes about ten minutes of sitting still and deep breaths gets it back. (Symbacort and Xopenex hfa) I guess seems to work not sure though. Pulminary doc. finds no lung problems, apparantly no COPD. I keep telling Docs. that if they can control Mucus and Post nasal drip, I will stop choking and coughing and quit damaging or pulling muscles, and be able to exersize againg to rebuild strength. I guess they don't know or understand about all drugs available (if any) as they cannot come up with answers for me. What I need , if the Meth. heads haven't completely screwed up people like me that need this medication to breath right, is a prescription for higher amts. of antihistamine and psudoephedrine to fight both. It can be in 12 hr. or 24 dosages preferred.
Hunting for prescription drug with higher strength antihistamine and psudoephedrine for pnd +mucus?
- 26 Dec 2012 by geggleton
- 26 September 2013
- entex la, cough and nasal congestion, nasal congestion, rhinorrhea, sinus symptoms, prescription, sinus, antihistamine
Added 26 Dec 2012:
Also, have used for over a year, two types of Nebulizers (I guess) One is a cup style fits over my nose and nostrils with a anti.biotic vial, and 2 vials of some sinus stuff, air force and inhaled into nose and sinus passages. The other is a wand style, air forced, tank for meds if I have them and/or saline solution and goes in one nostril and suspost to circulate thru sinus cavitiis to clean out,(and I does help) but I am not sure there is enough pressure to reach the Frontal cavities as that seems to be my worse enemy.
Sorry in a hurry so didn't get to read your entire question, but I have had these problems all my life, & surgery too. What helps me the most is using Ocean Spray, & Azestaline nasal allergy spray. I have to lean over with my head upside down after spraying, but it really helps with the congestion & the morning phelgm. also a quick tip is to put a small dab of vasoline of a clean Q-tip up your nostril before bedtime. It coats the nasal passages very well. Just a dab, & only use one for each nostril so if you have an infection on one side you don't spread it to the other. Hope this helps you... Mary
This is an older question, but seeing as how this can be a chronic issue until you learn how to deal with it I'm going to respond anyways.
Whenever I get a cold, I recover from the infection <24 hours but the mucus produced often drains into my lungs and irritates them, sometimes leading to a violent cough that can last months if not properly managed. Ex g/f used to have something similar where she would ultimately have to go on prednisone every time she got a cold to stop her coughing.
The best way to control mucus production is a mixture of diet, lifestyle and medication. Instead of buying a combo of decongestant/antihistamine you should try buying all medications separately and dosing yourself as needed.
This way you can ensure proper medication at all times, instead of risking over/under medicating with a "cold" pill.
1) Proper Hydration. Super easy and super important. Helps keep mucus thinned out and easier to move/dispose of.
2) Guaifenesin. If the mucus is irritating your lungs and you're coughing a lot (wet cough) you should be taking this every four hours. Combined with proper hydration this will help keep the mucus looser and more able to be removed.
3) Pseudoephedrine. As you already seem to realize, phenylephrine doesn't work. Buy the largest pack of pseudoephedrine with nothing else else added into it. Take them as needed to keep your nose/nasal passage from getting stuffed up, as that will make it easier for mucus to get backed up. Its really important to take these right before bed.
4) Antihistamine. The most effect for purposes of mucus control are the older first gens, like Benadryl (diphenhydramine). This one in particular will also help with coughing in general and sleep. However, I can't take it during the day so I take a 24 hr loratadine. Loratadine used to come in 12 hour pills at the same dosage so I have no reservations about taking a second dose after 12 hours, especially if I am just beginning a regimen of antihistamine.
5) Avoid Dairy. I don't personal each much dairy so I cannot attest to the mucus-producing effects of this food group. But milk in particular is well-documented to increase mucus production.
If you buy the medications separately you can dose yourself. This is important because 1) time-release pills often don't last the duration they are advertised, 2) there are different dosing schedules for different medications, so the weak antihistamine in your cold pill will run out before your decongestant, etc. & 3) its much easier to time your doses, especially right before bed.
The most significant amount of post-nasal drip occurs when you are lying down or have your head tilted back. Sleep with your head (and upper torso if you can manage it) elevated and off to the side (face down is better) and time your medications so you are dosing right before bed. When sitting/standing try to keep your head/neck straight up or slightly tilted forward, when you tilt your head back you can probably feel the mucus in your sinus moving to the back and sliding down the throat.
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