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January 31, 2007

Nasal Steroids DO Help Resolve Sinusitis More Quickly Than Antibiotics Alone

Not sure why more doctors don't prescribe nasal steroids (ie, flonase, nasacort, rhinocort, nasonex, etc) in addition to antibiotics to treat sinusitis, especially those in which it is recurrent or chronic. It's been shown that nasal steroids do help more than antibiotics alone. The study I'm most familiar with is the one published in JAMA in 2001. Reference: Comparison of cefuroxime with or without intranasal fluticasone for the treatment of rhinosinusitis. The CAFFS Trial: a r…
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January 29, 2007

January 25, 2007

January 24, 2007

January 17, 2007

Decongestants and Antihistamines Found Not to Help with Serous Otitis Media

There has been a recent Cochrane review regarding whether serous fluid in the middle ear improves with decongestants and/or anti-histamines which are commonly prescribed by both pediatricians and ENTs for this condition. This review which analyzed the results from 7 studies revealed that these medications had NO impact on the resolution of serous otitis media. In fact, there were significant side effects detected in 1 out of every 9 children prescribed these medications without any significant …
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January 10, 2007

Allergy Drops (Sublingual Immunotherapy or SLIT) Now Offered!

Allergy drops or sublingual immunotherapy (SLIT) is a viable alternative for patients who do not wish to or are unable to undergo allergy shots. These drops are administered under the tongue daily and can be given at home. Such patients may include those afraid of needles, patients who travel a lot (therefore unable to go to a physician office to get weekly allergy shots), patients on beta blockers (which is a contra-indication to allergy shots), or children. For more information, click here .…
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January 08, 2007

January 05, 2007

January 01, 2007


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