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After your Epley manoeuvre — patient information leaflet

  What this leaflet tells you This leaflet explains what to expect after the Epley (canalith repositioning) manoeuvre for posterior-canal BPPV, what you should and shouldn’t do, and when to seek help.   1. Quick summary — what the Epley did The manoeuvre moves tiny particles (otoconia) out of the balance canal of your inner ear and back into a place where they don’t cause spinning (vertigo). Most people feel much better after one or a few treatments. However BPPV can come back (recurrence is common).   2. How you may feel immediately afterwards You may feel dizzy or off-balance for a few minutes to a few hours; nausea is possible.   Some people feel better straightaway; others get gradual improvement over days.   Rarely ,you may have brief recurrences of vertigo — this does not always mean the manoeuvre failed.   3. Activity and posture — what the evidence says Good news: High-quality studies and recent guidelines show that strict he...

What are different types of nasal sprays?

Nasal sprays are a popular form of medication for treating nasal allergy symptoms. They are sprayed directly into the nose to target the symptoms without affecting the rest of the body. There are many types of nasal sprays available, both prescription and over-the-counter. Here is a quick guide to the different types:


Nasal Steroid Sprays: These are usually one of the first-line allergy therapies. They decrease inflammation within the nasal passages and relieve nasal congestion, sneezing, watery eyes, and runny nose. Many of these sprays are available over the counter. Some common generic and brand names include Budesonide, Ciclesonide, Fluticasone, Flunisolide, Mometasone, Rhinocort, Omnaris, Zetonna, Flonase, Nasonex, Nasacort, Xhance, Beconase, Nasarel, Qnasl, Vancenase, Veramyst, and Zetonna

Nasal Decongestant Sprays: These sprays temporarily relieve nasal congestion by constricting the blood vessels in the nose, reducing nasal swelling and congestion. They are available over the counter. However, they should be used  for maximum up to three days in a row, as they can cause rebound congestion. Some common generic and brand names include Oxymetazoline, Phenylephrine, Afrin, and Sudafed.



Nasal Antihistamine Sprays: These sprays are similar to oral antihistamines in that they block histamine. They are good at treating the runny nose aspect of allergies. The most common reaction is a bitter taste. Some common generic and brand names include Azelastine, olopatadine, Astelin, Astepro, and Patanase 



Saline Nasal Sprays: These use a saltwater solution to moisten nasal passages, which is excellent for dryness or congestion caused by allergies.

Saline Irrigation Sprays: Think of them as a deep clean for your nose! They flush out mucus and allergens, keeping your nasal passages clear.



Combination Nasal Steroid and Antihistamine Sprays: This nasal spray contains both a nasal steroid and an antihistamine (Azelastine and fluticasone). It is currently only available by prescription. The brand name is Dymista.

Nasal Anticholinergic Sprays: These sprays are suitable for treating runny nose in patients with both allergic and nonallergic rhinitis. They work by blocking acetylcholine, which decreases secretions from the glands in the nasal passage. Common reactions include dry mouth and sour taste. Some common generic and brand names include Ipratropium Bromide and Atrovent.

Nasal Cromolyn Sodium Spray: This nasal spray helps with nasal congestion, sneezing, and runny nose in allergy patients. It works by inhibiting mast cells. It is available over the counter. The most common side effects are nasal burning and bad taste. The generic name is Cromolyn nasal, and the brand name is Nasalcrom. 



Mr Gaurav Kumar
Ear Nose Throat Consultant

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Disclaimer: For general information only, always seek medical advice from your treating consultant.









 

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