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Suggest Treatment For Recurrent Nasal Polyps

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Posted on Sat, 13 Aug 2016
Question: Recently I have been taking Fluoxetine and clonazepam 0.5 for panic disorder as per the psychiatrist i have seen. I am taking these medication for 2 months and going to taper the doze. One I started taking these medication the symptoms are no more. However, I have nasal polyps recurred after surgery. And I have to go for another surgery soon. But till then Can I take predinisolone (Wysolone) to shrink the polyps, along with the cureeent medication I am taking.
doctor
Answered by Dr. Sumit Bhatti (52 minutes later)
Brief Answer:
Yes, you can take prednisolone. Try nasal washes as described.

Detailed Answer:
Hi,

Thank you for your query.

1. Yes, you can take prednisolone.

2. Upload images of your Sinus CT Scans. If will be helpful in guiding you.

3. In addition, you can use hypertonic saline nasal washes (such as Nasowash with added steroid. You can mix half a budesonide respule in each nasal wash (200 - 250 ml). This will help shrink the polyps and you may also be able to defer the next surgery.

4. These nasal saline and steroid washes have lesser side effects than high dose oral steroids.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sumit Bhatti (27 hours later)
Here we have nasowash solutions with low ml. Therefore mixing with budesonide is going to be difficult.
I am also taking levofloxacin 500 for 5 days for throat infection.
With this anti biotic and the above medication, can i take wysolone orally and what would be the dosage
doctor
Answered by Dr. Sumit Bhatti (4 hours later)
Brief Answer:
Details as described below:

Detailed Answer:
Hi,

Thank you for writing back.

1. With the above medication, you can take steroids.

2. Prednisolone 1mg/kg/day in three divided doses for 3-5 days, the taper by reducing to twice daily, then once daily over similar time intervals.

3. An antacid is usually prescribed with high dose of steroids.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Suggest Treatment For Recurrent Nasal Polyps

Brief Answer: Yes, you can take prednisolone. Try nasal washes as described. Detailed Answer: Hi, Thank you for your query. 1. Yes, you can take prednisolone. 2. Upload images of your Sinus CT Scans. If will be helpful in guiding you. 3. In addition, you can use hypertonic saline nasal washes (such as Nasowash with added steroid. You can mix half a budesonide respule in each nasal wash (200 - 250 ml). This will help shrink the polyps and you may also be able to defer the next surgery. 4. These nasal saline and steroid washes have lesser side effects than high dose oral steroids. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.