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The nasal steroid spray nasonex was approved by the fda for the treatment of nasal polyps a year ago this month, largely on the strength of the newly reported study. However, cpap alone may not be effective at treating osa and nasal polyps; to manage both conditions, you may need to try cpap plus medicine like short-term oral corticosteroids, longer-term corticosteroid sprays, biologic injections that cut off inflammation at its root, or minimally invasive surgery. Evidence-based information on oral steroids in nasal polyps from hundreds of trustworthy sources for health and social care. Oral corticosteroids are the mainstay of medical treatment for nasal polyps. These nonspecific anti-inflammatory agents work quickly to significantly reduce the size of inflammatory polyps and improve symptoms. Doctors may prescribe steroid nasal sprays or prednisone for relief, which can stop symptoms or get rid of polyps altogether. Symptoms and polyps may come back, though. A gp should be able to tell if you have nasal polyps by looking inside your nose. If you have nasal polyps, you'll usually be given steroid nose drops or a spray to shrink the polyps. You may be given steroid tablets, usually for up to 2 weeks, if: your polyps are large; nose drops and sprays did not work. Many physicians recommend a course of oral steroids prior to surgery to reduce mucosal inflammation, decrease bleeding during surgery, and help with visualization of the polyps. Nasal steroid sprays should be used preventatively after surgery to delay or prevent recurrence. People often have recurrence of polyps even following surgery. Your doctor may suggest you take oral steroids first to shrink your polyps, if they are large polyps and you are having very bad symptoms, and that you then take a nasal spray. 4) oral steroids if a patient has had nasal polyps previously diagnosed / treated by an otolaryngologist, and there has been a significant deterioration in symptoms, please check previous correspondences as advice may have been given for this situation. Oral steroids are not advised unless there are obvious polyps associated with severe symptoms. I have chronic sinusitis and nasal polyps. I switched doctors and the new specialist suggested trying oral steroids, something that my previous doctor never mentioned. What do you think? a. I think a short course of five to seven days of oral steroids is worth a try, particularly if your sinusitis isn't getting any better. Without these medications, the polyps often come back or grow in size. It should probably be mentioned that nasonex is the only steroid nasal spray that has an fda indication for nasal polyps. No other steroid nasal spray has this indication. Van zele t, gevaert p, holtappels g, et al. Oral steroids and doxycycline: two different approaches to treat nasal polyps. J allergy clin immunol 2010; 125:1069. Bülbül t, bülbül og, güçlü o, et al
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