https://www.FauquierENT.net – For patients who suffer from recurrent or persistent sinus infections as well as those wishing to diminish risk of a viral upper respiratory infections, medicated sinus rinses can be performed 1-2 times per day. Under the direction of a physician, such nasal rinses can be performed with betadine (aka, providone iodine prep solution) or ioRinse antiseptics which have both anti-bacterial as well as anti-viral properties or with prescription bactroban ointment which is effective against bacterial sinus infections. There are numerous other types of antibiotic sinus flushes available, but can only be obtained from compound pharmacies and are often not covered by insurance.
Just FYI, there’s even probiotic sinus flushes! More info here (look under probiotic section):
Published back in 2004, researchers noted that daily saline nasal spray (plain old saltwater) use appears to significantly prevent symptoms of the common cold (which includes coronaviruses) in a population of otherwise healthy adults [link]. Needless to say, one should avoid sharing the same saline nasal spray bottle.
There is also research that determined 0.23% betadine (aka, providone iodine prep solution) rapidly kills both bacteria and viruses within 15 seconds (in vitro).
Finally, a small study in 2021 suggested that betadine gargles and nasal flushes eradicated COVID in patients who are actively infected within 3 days.
Based on all this data, some ENTs advocate that saline rinses twice a day would probably work better than saline nasal spray. Additionally, adding betadine into the saline mixture might confer additional benefit due to their virucidal effects. A meta-analysis also supported use of betadine in this fashion.
To make your own 1% betadine saline solution to use in the nose whether by spray or rinse, just add 1/2 teaspoon of 10% betadine to 8 ounces (240ml) of saline. Just be aware of a mild temporary nasty aftertaste after using. There is a stain-free and “better” tasting betadine-like solution called ioRinse. Make sure to get the ENT-specific concentrate formulation.
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A daily nasal spray with saline prevents symptoms of rhinitis. Acta Otolaryngol. 2004 Nov;124(9):1059-62.
In Vitro Bactericidal and Virucidal Efficacy of Povidone-Iodine Gargle/Mouthwash Against Respiratory and Oral Tract Pathogens. Infect Dis Ther. 2018 Jun; 7(2): 249–259.
Consideration of povidone-iodine as a public health intervention for COVID-19: Utilization as “Personal Protective Equipment” for frontline providers exposed in high-risk head and neck and skull base oncology care. Oral Oncol. 2020 Apr 16 : 104724.
Topical preparations to reduce SARS‐CoV‐2 aerosolization in head and neck mucosal surgery. Head & Neck. First published: 25 April 2020. https://doi.org/10.1002/hed.26200
Povidone Iodine Mouthwash, Gargle, and Nasal Spray to Reduce Nasopharyngeal Viral Load in Patients With COVID-19. JAMA Otolaryngol Head Neck Surg. Published online February 4, 2021. doi:10.1001/jamaoto.2020.5490
Rinse Setup (0:39)
Betadine Flush (1:00)
ioRinse Flush (1:15)
Bactroban Flush (1:34)
Sinus Rinse (2:08)
Actor: Janine Collins
Marty Gots a Plan by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/
#sinusrinse #nasalrinse #noserinse #betadine #iorinse #sinusitis
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