> The doctor should be fine with prescribing a TCA as he has tried amitryptaline with her last year in an attempt to try and allow her to get some sleep. Her Sinus pain is bad enough that she's spent the last 5 years or so having to take 60 mg of di-hydrocodeine every night but she still sleeps very few (less than 4) hours a night.
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> The antihistamine she uses is Benadryl as well as steroid nose sprays. She also has a course of Prednisilone as many times a year as she is able without thinning her skin too badly. As well as 30 day courses of antibiotics every other month or so when the sinuses get infected.
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> Sadly she's had no luck with allergy specialists either, even being seen at a specialist centre in Southampton for a while.
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> I've come across Montlukast with regard to my son's asthma. It's used as a 2nd line treatment here if the usual Ventolin / Becotide combinations don't work. I'm not sure if my mother has tried it though.
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> I guess it's why I got my hopes up a little when I saw the post mentioning Desipramine having really helped someone with chronic sinus problems. It's a real shame it doesn't seem to be available over here in the UK.
I've never heard of such a nasty sinus problem. Is it associated with other really bad allergy symptoms? If so, maybe she should try the allergy shots. If it's just the sinus pain, has she had X-rays or any imaging done of her sinuses? There could be something wrong that has to be fixed surgically.
Has she had the skin test for allergies? If so, what is she allergic to?
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this signature | Show by default | Change to hide (next time)Not a doctor. Contact a doctor for medical advice.
20mg citalopram, 40mg d-amphetamine, 15mg mirtazapine, 300mg bupropion
dx: chronic MDD, probable ADHD (inattentive)