Over-the-counter treatments for sinusitis
Pro Research Analysisby 
Searched over 200M research papers
Common Over-the-Counter (OTC) Medications for Sinusitis
A wide range of over-the-counter treatments are available for sinusitis, including internationally patented medications, homeopathic remedies, herbal products, and combination therapies. These are offered in various forms such as nasal sprays, tablets, and drops. The most commonly used OTC options are decongestants and nasal sympathomimetics for topical use, followed by herbal secretory agents and antihistamines. These products are widely accessible and trusted by consumers, with pharmacists playing a key role in guiding their use .
Effectiveness of OTC Treatments in Children
When it comes to children with acute sinusitis, the evidence supporting the effectiveness of OTC treatments like decongestants, antihistamines, and nasal irrigation is limited. Current research does not provide strong support for the use of these medications in treating acute sinusitis in children, indicating that their benefits remain unproven in this population .
OTC Management of Chronic Sinusitis
For chronic sinusitis, several OTC options are available, including saline sprays and decongestants. Topical glucocorticosteroids and antibiotics are also used, but these often require a prescription. Saline sprays and decongestants are the main OTC choices for symptom relief in chronic cases .
Herbal and Natural Supplements
Recent studies suggest that certain natural supplements may help manage chronic sinusitis symptoms. An oral supplement containing Ribes nigrum, Boswellia serrata, Bromelain, and Vitamin D, when used alongside nasal steroid sprays, has shown to improve nasal symptoms and reduce inflammation. This combination may offer a supportive role in managing chronic sinusitis, especially for those seeking alternatives to traditional medications .
Safety Considerations: Sinus Irrigation
Sinus irrigation, such as using a Neti Pot, is a popular OTC remedy for sinus congestion. While generally considered safe, there have been rare reports of serious infections, such as Streptococcus pneumoniae meningitis, potentially linked to its use. It is important to use sterile or distilled water for sinus rinses and to be aware of potential risks, especially in individuals with a history of sinusitis .
Conclusion
OTC treatments for sinusitis include decongestants, antihistamines, saline sprays, herbal remedies, and sinus irrigation. While these options are widely available and trusted, their effectiveness—especially in children—remains uncertain. Natural supplements may offer additional benefits for chronic sinusitis. Users should be mindful of safety, particularly with sinus irrigation, and consult healthcare professionals for guidance.
Sources and full results
Most relevant research papers on this topic