Most sinus infections are caused by viruses, not bacteria, so the best therapy is what we call "supportive." This means making yourself as comfortable as possible.
I recommend saline nasal spray to all of my patients with a sinus infection. This is a safe and effective, as well as non-pharmacologic, way to get rid of some of the mucus that makes you feel "stuffy."
Another safe medication is guaifenesin (brand name Mucinex), which helps to thin the mucus, and then you feel better.
What you want to stay away from in pregnancy are the "Ds" – decongestant drugs. These often contain pseudoephedrine, which can lead to heart palpitations in pregnant women.
Acetaminopen is safe to help with headache that often accompanies sinus infection.
If your symptoms persist longer than 2 weeks, call your doctor and they may want to see you in their office at that point.
– Dr. Jaime Rehmann Obst
Dr. Jaime Rehmann Obst sees patients at the M. Steven Piver, M.D. Center for Women’s Health & Wellness in Buffalo.
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