Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
161 Doctors are Online

Taking medicine for asthma and sinus. Facing toothache and headache. Alternate medicine?

User rating for this question
Answered by

ENT Specialist
Practicing since : 1991
Answered : 2451 Questions
I have sinus/asthma problem and my ENT surgeon has advised on Glemont F, Medrol 4mg and becozinc along with fluticasone nasal sprays for period of 2 weeks before I go for blood test and CT scan.
I am facing severe toothache, leading to headache as well. I heard that I cannot take ibuprofen with Medrol. Could you please suggest any alternate medicine for toothache/headache along with the medicines listed above that would be safe to take and can reduce the tooth/head pain.
Posted Thu, 21 Mar 2013 in Medicines and Side Effects
Answered by Dr. Sumit Bhatti 23 minutes later

Thank you for your query.

1. Ibuprofen and Methylprednisolone (Medrol) both cause gastrointestinal side effects.

2. However, 4 mg (even 3 to 4 times a day) is a small dose and since you are taking it for only two weeks (is it a tapering dose?) you can safely take both medicines.

3. The only precaution that you may take is to take the medicines at different times. For example, Medrol before and Ibuprofen after a meal or alternatively separated by a few hours.

4. You may request the doctor to prescribe an antibiotic for your severe tooth ache. This is because steroids may flare up an infection if taken without an antibiotic cover.

5. The above treatment is fine and the suggestion to take two weeks of medication before going in for a CT scan is excellent. You may share the CT scan images (not the report) here for an accurate assessment.

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

Above answer was peer-reviewed by
Follow-up: Taking medicine for asthma and sinus. Facing toothache and headache. Alternate medicine? 22 minutes later
Thanks Dr. XXXXXXX for answering the query in detail.
The medicines are started just 4 days back during my first consultation with ENT, and I was informed that there are chances of nasal polyps being developed.
The toothache is specially at tooth area where I had gone for root canal treatment two years back, so like you said, I understand now it may be because of some infection being flared up. This toothache along with headache happens specially during afternoon and continues till night until I take a pain killer (combiflam). My current medicine dosages are :
Morning : Medrol + Glemont F + fluticasone nasal spray (after food)
Night : Medrol + Becozing +fluticasone nasal spray (after food)

As I could consult my doctor only after a week when he is back, could you please suggest any anti-biotic for a week that could be taken with combiflam. Also, should I replace combiflam with paracetamol if you think it could be safer.

Thanks !
Answered by Dr. Sumit Bhatti 5 hours later

Thank you for writing back.

1. The combination of nasal polyps, asthma and aspirin hypersensitivity is known as Samter's Triad. The CT PNS (Para Nasal Sinuses) Scan will settle the issue.

2. You must always take medication under the supervision of a local physician. Augmentin (amoxicillin + clavulanic acid) or Pecef Duo (Cefpodoxime + clavulanic acid) are good options.

3. You may try plain Paracetamol and if it is adequate, continue with Paracetamol. Another reason for avoiding Combiflam is that Ibuprofen worsens asthma.

I hope I have answered your query. If you have any follow up queries, I will be available to answer them.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Internal Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor