Part 2 of Chapter Four: Three Level Plan to Cure and Prevent Sinusitis: Level Two – The Escalated Routine

Level Two – The Escalated Routine

In this level, we add measures to the ones described above to fight more difficult cases of recurring sinusitis. Nasal irrigation, antibiotics and oral mucus solvents / anti-inflammatory drugs play a very important role now. Stronger painkillers can be important to allow you to recover.

Nasal Irrigation:

If you have never considered nasal irrigation (jala neti), then it is about time you give this a try. There is no excuse not to do it if you often have sinusitis. It doesn’t hurt and is the most potent physical means of cleaning the nose from pain-producing, ductile coverings. If your nose if completely blocked, use a nasal spray first in order to decongest it. Try to limit the use of decongestant nasal spray as much as possible. However, if you use it, use it right: put it into both sides of the nose. Wait until the nose is free and avoid blowing your nose.

Now use a solution of clean salt and clean water (you might want to boil it and let it cool down to room temperature before use) to irrigate your nose. Use a suitable water container that allows to do this right. Ask in the pharmacy. Do not skip this measure! You should do jala neti as often as possible. Studies have shown that patients have seen effects as positive as when taking antibiotics. Make sure to use hand-warm water and the right concentration of salt so everything will be painless. You need to add about 2,5 g of salt to ¼ liters of clean water. After irrigation your nose, when all the water is used, gently blow out the water, with very low pressure, first at one side, then at the other. Snuffle to get the rest out of your nose. You can also immediately repeat the procedure.

Nasal irrigation is a cornerstone for effective sinusitis treatment.

Antibiotics:

There are a quite a few options for antibiotic treatment, depending on the germs you have caught and on what possible allergies you might have against antibiotics. However, if the bacteria you try to fight are resistant to the antibiotics you take, you have a problem. For antibiotic treatment, normally, there are more than a handful of choices, for example: Amoxicillin, then Amoxicillin plus clavulanic acid (if symptoms do not improve), then Clarithromycin, Doxycycline and also Cefaclor. If you are hypersensitive to penicillin, a physician might prescribe Clindamycin to you. If you feel very seasick and get nausea – you are not alone. The side effects of Clindamycin made me nuts – so I had to switch to Cefaclor. For me, Penecillin V doesn’t work any more because it seems I host resistant bacteria. If it is a virus, there is nothing you can (and should) do besides again taking maybe antibiotics to avoid a super infection with bacteria.

Gelomyrthol and other naturopathic drugs:

Gelomyrthol, with its active ingredients, cineole, limonene and alpha-pinene, is another cornerstone to effective sinusitis treatment. The oils inside the capsule are resorbed in the colon and enter into the blood stream. This is an excellent use of these potent substances, which have an anti-inflammatory and mucolytic effect. Take at least 3 to 4 capsules a day, before you eat something. This drug will help you so much. You should take this for at least a weak or two. You can take this also on a permanent basis. 

àMany people also take Sinupret ® Bionorica but I am not at all convinced of its healing power. However, you can try Angocin ® Repha, which is a herbal antibiotic. Make sure you double your water intake if you take high doses of it. Otherwise you will hear the song “king of hellfire” in your urethra and bladder when urinating. As many other medications, Angocin ® Repha can have side effects, so please read the package first.

I have combined Angocin, Serrapeptase and Gelomyrthol with very good results. 

Image above: Cineole: synonyms: Eucalyptol(e), 1,8-cineol(e), limonene oxide, cajeputol, 1,8-oxido-p-menthane.

Stronger painkiller:
If you feel you need a stronger painkiller, go ahead and ask for it. Do not make the mistake to use more of the same painkiller for stronger pain. Instead, consult your doctor and get a different painkiller. For example: Paracetamol for medium pain and light fever but Ibuprofen or Metamizol for stronger pain. This will help you to get some sleep. Be aware that Metamizol is very strong and is probably influencing the genetic code in cells. It can have long-term side effects.

Be aware that all painkillers have a negative effect on your digestion system and column. Drink enough water and sit upright for a few minutes when you take them. The probability of side effects increases with the quantity you take. Always read the package insert of any painkillers you ever use and always memorize the maximum dose you may take. Be careful with ASS (Aspirine): You can face many side effects when taking this with other medications. It may be contraindicated when you have a sinusitis.

Never blow your nose again:
I can only suggest that you really try to stick to this rule whenever possible. You should snuffle instead blowing your nose if this is possible. Blowing your nose may be responsible for many bacterial infections, according to some research. Avoid this by all means, no matter how ridiculous you may find this.

Check the sinusitis rates of countries where snuffling is normal and blowing the nose is uncommon. Compare this rates to the western world, and you know what I am talking about. Go on blowing your nose if you want more super infections and complications. Stop doing it if you want to improve our situation.

Clean your PC’s keyboard and stop eating in front of computer:
Keyboard can be very dirty places. Scientifically, many keyboard would require a biohazard label: They host a high concentration of bacteria and viruses on their surface and beneath.

Do never, ever touch your nose, or the inside of your nose while at work. Clean your keyboard regularly. Stop the habit of eating (with your fingers) at the desk (where your keyboard and mouse is located). If you do not believe me, check the reports in the internet. A flu, a cold or whatever respiratory tract infection can be “eaten” by eating at your desk.

Taking the suggestions of your ORL seriously, consider the following measures, as described above, if you do not have an allergy.

CSV-Data for this table:

After waking up; Before lunch; After lunch; Before dinner; Before going to bed

Antibiotics (+ Clavulanic acid) – follow instructions of your ORL

Inhalation 10 Minutes when possible

Nasal irrigation before: Ortiven® if needed; Nasal irrigation; Nasal irrigation before: Ortiven® if needed; Nasal irrigation ; Nasal irrigation before: Ortiven® if needed

Aniflazym® Takeda 2x; Aniflazym® Takeda 2x; ; Aniflazym® Takeda 2x;

Bef. breakf.: Gelomyrthol forte®1-2x; before lunch:Gelomyrthol forte® 1x; ; bef. dinner: Gelomyrthol forte® 1x;

Nasodren - do not overuse; ; ; ; Nasodren - do not overuse

Perenterol® Forte:1x (if you have diarrhea: 2x); Perenterol® Forte:1x (if you have diarrhea: 2x); ; Perenterol® Forte:1x (if you have diarrhea: 2x);

; ; Painkiller, if needed Paracetamol or Metamizole(!); ; Painkiller, if needed Paracetamol  or Metamizole(!)

Reduce sport to a minimum for at least 6 weeks, never blow your nose again

Quit smoking, Additional sleep (as much as possible)

Clean your computers keyboard / stop eating in front of computer and do not touch your nose while at work

___________________

Trade names may differ in your country. The following are the active pharmaceutical ingredients mentioned in the table:

• “Inhalation”: The following ingredients are suggested: 57% Cineole, 29% Levomenthol, 14 % racematic campher
• Ortiven®: Nasal decongestant with Xylometazoline
• Aniflazym® Takeda: 1 Tablet contains: 5 mg Serrapeptase (=10,000 units)
• Nasodren: Natural extract of cyclamen europeum L
• Perenterol® Forte: 1 capsule contains 250 mg dry yeast with saccharomyces boulardii
• Paracetamol: (also: Acetaminophen), Painkiller with
  N-(4-hydroxyphenyl)acetamide. Don’t overuse!
• Diclophenac: Painkiller with
  2-(2-(2,6-dichlorophenylamino)phenyl)acetic acid. Don’t overuse!
• Metamizole: Potent Painkiller with
  Sodium [(2,3-dihydro- 1,5-dimethyl- 3-oxo- 2-phenyl- 1H- pyrazol- 4-yl) methylamino] methanesulfonate.
  This pain killer is banned in many countries, a prescription drug in Germany and an OTC drug in many others like Israel etc. Don’t overuse! Beware of possible (long-term) side effects.
• Gelomyrthol forte® Pohl Boskamp: 1 capsule contains 300 mg myrthole (which contains cineole, limonene and alpha-pinene)
• The author is not a physician. If you have any questions, ask your doctor or pharmacist. Read all package inserts carefully before you start taking/using medicines. If a medicine has been prescribed for you, do not pass it on to others. It may harm them, even if their symptoms are the same as yours. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

CN Chinese Translation (may contain errors)


第二级 - 升级的常规
在这个层面上，我们添加的措施，上述的那些反复出现的斗争鼻窦炎较困难的个案。鼻灌溉，抗生素及口腔粘液溶剂/消炎药发挥着非常重要的角色了。更强的止痛药可能很重要，让你恢复。

鼻灌溉：
如果你从来没有考虑鼻灌溉（撤兵neti），那么是时候你试试这个。没有理由不这样做，如果你经常有鼻窦炎。它没有伤害，是从痛苦清洁鼻子生产，韧性覆盖最有效的物质手段。如果你的鼻子，如果完全被封锁，使用喷鼻首以便疏散拥挤了。尝试限制鼻塞的喷鼻剂的使用尽可能。但是，如果您使用它，使用它的权利：放进鼻子两边它。等到鼻子，并避免擤鼻子。

现在使用的清洁和清洁用水盐溶液（你可能想煮它并让它冷却到室温后使用），灌溉你的鼻子。用合适的水的容器，允许这样做的权利。问药房。不要跳过这一措施！你应该尽可能多特贾拉neti。研究表明，患者被视为积极的影响时服用抗生素。请务必使用手温暖的水和盐的浓度，使一切权利将是痛苦的。您需要添加的盐约2.5克至¼升的清洁水。灌溉后，你的鼻子，当所有的水使用，轻轻吹了水，非常低的压力，首先在一边，然后在其他的。鼻塞摆脱你的鼻子的休息。您也可以立即重复该过程。
鼻灌溉是一种有效的治疗鼻窦炎的基石。


抗生素：
有相当一对抗生素治疗数选择，具体取决于您已捕获并可能过敏什么你可能对抗生素的细菌。但是，如果您尝试细菌的斗争是对抗生素的抗药性你要，你有问题。对于抗生素治疗，通常，有超过少数的选择，例如：阿莫西林，阿莫西林，然后加克拉维酸（如果症状没有改善），然后克拉霉素，强力霉素和头孢克罗也。如果你对青霉素过敏，医生可能给你开克林霉素。如果你觉得非常晕船并获得恶心 - 你并不孤单。克林霉素的副作用使我坚果 - 所以我不得不改用头孢克罗。对我来说，Penecillin V行不通的，因为我似乎主机抗药性的细菌。如果它是一个病毒，没有什么可以（而且应该）做除了可能再次服用抗生素，以避免与超级细菌感染。

Gelomyrthol和其他自然疗法的药物：
Gelomyrthol，其活性成分，桉树脑，柠檬烯和α-蒎烯，是另一种有效的治疗鼻窦炎的基石。舱内的油是在结肠重吸收，进入血液。这是这些烈性物质，具有消炎和mucolytic使用效果良好。至少需要3至4粒一天，在你吃东西。这种药物可以帮助你这么多。你应该把这些薄弱至少两个。你也可以借此为长期的基础。

àMany人也采取仙璐贝® Bionorica但我不是在所有的治愈力量信服。但是，您可以尝试Angocin ® Repha，这是一个草药抗生素。请确保您双击您的取水口，如果你把它的高剂量。否则，你会听到这首歌“地狱火国王在尿道和膀胱”排尿时。正如许多其他药物，Angocin ® Repha可以有副作用，所以请阅读的首项。

我结合非常好的效果Angocin，Serrapeptase和Gelomyrthol。



上述图像：桉叶素：别名：桉油精（五），1,8 -桉油酚（五），柠檬烯氧化物，cajeputol，1,8 -氧化氨化对一薄荷烷。


更强的止痛药：
如果你觉得你需要一个强有力的止痛药，继续并提出要求。不要错误使用更有力的一样痛止痛药的。相反，请教医生，获得不同的止痛药。例如：对乙酰氨基酚，中型和轻型发烧疼痛，但布洛芬或Metamizol更有力的痛苦。这将帮助你去睡觉。请注意，Metamizol是十分强烈，并可能影响细胞内的遗传密码。它可以有长期的副作用。

请注意，所有的止痛药对你的消化系统和列的负面影响。喝足够的水，坐了几分钟直立时，带他们。在副作用您采取的数量增加的可能性。始终阅读任何您曾经使用止痛药，始终记住你的最大剂量可说明书。小心丛（阿司匹林）：你可以面对很多的副作用时，正与其他药物的。这可能是禁忌当你有鼻窦炎。

切勿再吹你的鼻子：
我只能建议你真正想坚持这一规则尽可能。你应该抽鼻子擤鼻子，而如果这是可能的。擤鼻子可能有责任为很多细菌感染，据一些研究。切忌这一点，无论多么荒谬，您可能会发现这一点。

检查国家snuffling是正常的，吹的鼻子鼻窦炎率是少见。比较此利率的西方世界，你知道我在说什么。在擤鼻子去，如果你想了解更多超级感染和并发症。停止做，如果你想改善我们的情况。

清洁电脑的键盘，并停止在电脑前吃：
键盘可以很肮脏的地方。科学，很多键盘需要生物危害标签：他们举办的细菌和病毒的表面和高浓度下。

你永远也不会在工作中接触你的鼻子，或者鼻子里。定期清洁键盘。停止吃（用手指）在办公桌习惯（在您的键盘和鼠标所在地）。如果你不相信我，请在互联网的报告。流感，感冒或其他呼吸道感染可“吃你的办公桌上吃”。

注意到你的魔术认真的建议，考虑采取以下措施，如上所述，如果您没有过敏。


CSV格式，此表数据：
醒来后，午饭前，午饭后，晚饭前，睡觉之前
抗生素（+克拉维酸） - 按照您的指示，魔术
吸入可能时10分钟
鼻前灌溉：Ortiven ®如果需要的话，鼻灌溉;鼻前灌溉：Ortiven ®如果需要的话，鼻灌溉;鼻灌溉前：如果需要Ortiven ®
Aniflazym ®武田2倍; Aniflazym ®武田2倍;; Aniflazym ®武田2倍;
比利时法郎。 breakf。：Gelomyrthol长处® 1 - 2倍，在午餐前：Gelomyrthol长处® 1X的;，比利时法郎。晚餐：Gelomyrthol长处® 1X的;
Nasodren - 不要过量使用，，，，Nasodren - 不要过量使用

Perenterol ®复地：1X的（如果您有腹泻：2倍）; Perenterol ®复地：1X的（如果您有腹泻：2倍）;; Perenterol ®复地：1X的（如果您有腹泻：2倍）;
;，斩妖除魔，如果需要对乙酰氨基酚或安乃近（！），止痛药，如果需要对乙酰氨基酚或安乃近（！）
减少运动至少6周到最低限度，没有你的鼻子再次打击
戒烟，附加睡眠（尽可能）
清洁您的计算机键盘/停止在电脑前吃，不碰你的鼻子在工作
___________________

商品名称可能不同，在贵国。下面的表中提到的活性药物成分：
“吸入”：以下成分为建议：57％桉叶素，29％Levomenthol，14％racematic campher
Ortiven ®：与Xylometazoline鼻鼻塞
Aniflazym ®武田：1片包含：5毫克Serrapeptase（= 1万辆）
Nasodren：天然提取仙客来europeum蜇
Perenterol ®福泰：1胶囊含有250毫克的酿酒酵母布拉干
扑热息痛：（也：对乙酰氨基酚），斩妖除魔的
ñ -（4 -羟苯基）乙酰胺。不要过度使用！
Diclophenac：斩妖除魔的
2 - （2 - （2,6 - dichlorophenylamino）苯基）乙酸。不要过度使用！
安乃近：烈性斩妖除魔的
钠[（2,3 -二氢1,5二甲基- 3 -氧代- 2 -苯基- 1H -吡唑4基）甲基]磺酸。
这种止痛药被禁止在许多国家，在德国处方药和许多其他国家如以色列等不要过度使用的非处方药！可能小心（长期）副作用。
Gelomyrthol长处®波尔博斯坎普：1胶囊含有300毫克myrthole（其中包含桉树脑，柠檬烯，α-蒎烯）
作者是不是医生。如果您有任何问题，请询问您的医生或药剂师。阅读所有说明书开始之前，请仔细服用/使用药物。如果药物已经为你规定，不传授给他人。它可能会伤害他们，即使他们的症状是你的一样。如果有任何的副作用变得严重，或者如果您发现任何一方不在本小册子中列出的影响，请告诉您的医生或药剂师。