Suggest Treatment For Recurrent Nasal Polyps
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Fri, 22 Jul 2016
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Fri, 22 Jul 2016
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Sat, 13 Aug 2016
                                                
                                                
                                                Last reviewed on
                                             
                                            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.
                            
                                    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.
                                    
                            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
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    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
                            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
                                    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.
                                    
                            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.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                Answered by
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
                        
                                
                                