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Diseases & Conditions


When a person suffers from sinusitis, the hollow spaces around their cheekbones, eyes and nose are inflamed, either from an infection or for other reasons. More than 18 million people go to their doctor for sinusitis diagnosis and treatment every year, according to the Centers for Disease Control.

Causes of Sinusitis

Sinusitis can be caused by an allergy to fungi as well as a bacterial infection. However, the allergy to fungi that results in sinusitis is uncommon and usually affects people with a compromised immune system, such as people who suffer from HIV or whose immune systems have been weakened by chemotherapy.

Sinusitis caused by bacterial infection is more common. Sometimes, the bacterial infection is secondary to another problem that has blocked the sinuses. The bacteria proliferate in the blocked sinuses and lead to an infection. The initial blockage can be caused by the patient being allergic to pollen, dust mites or cigarette smoke. People who have hay fever and non-allergic rhinitis are also at greater risk for sinusitis.

Other things that put people at risk for sinusitis include drainage passages that are unusually narrow, polyps, tumors and a deviated septum.

Understanding Sinusitis and Asthma

Asthma sufferers are also more at risk from sinusitis. According to the CDC, more than half of patients with sinusitis also suffer from asthma that is moderate to severe. Asthma occurs when some sort of irritant affects the passages that let air into the lungs and cause them to narrow and secrete thick mucus.

Acute vs. Chronic Sinusitis

Though acute sinusitis can be caused by allergies, researchers are not quite sure what causes long-lasting, or chronic sinusitis. Some believe it's the result of an underlying infection or that people who suffer from chronic sinusitis have co-morbidities that make them more susceptible to the condition. Chronic sinusitis is also more difficult to treat than the acute version.

Treatment Available

There are several treatments for both acute and chronic sinusitis. These include allergy shots. These shots have tiny amounts of the substances the patient is allergic to, and as they are given over the course of a few years it is hoped that the patient's immune system will grow to tolerate them.

Other treatments include antihistamines and decongestants that lower the amounts of mucus caused by sinusitis and give the patient some relief. Antibiotics combat bacterial infections.

At Fusion RX, all of our customized treatments can be compounded for children.

Medications to Treat Sinusitis

Over-the-Counter Medications:

  • Amoxil
  • Omnicef
  • Afrin
  • Nasonex
  • Advil
  • Flonase

Compounded Medications:
We can create essentially any antibiotic or antifungal necessary, based on the results of the culture of the infection. We can make inhalation capsules or nasal spray solutions or nasal irrigations of the following:

  • Tobramycin
  • Vancomycin
  • Levofloxacin
  • Betamethasone
  • Budesonide
  • Amphotericin B
  • Mometasone
  • Terbinafine
  • "It is rare to find health professionals who are so willing to educate the patient on what they need to know."

    Clair C. | West Hollywood, CA