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Respiratory Disorders (Expert Forum)
Cure for constant Post Nasal Drip and throat clearing
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Cure for constant Post Nasal Drip and throat clearing
by rflchamps, Jan 16, 2006 12:00AM
I have the constant Post Nasal Drip and throat clearing as a result of it. This has bothered me for about eighteen years and just keeps getting worse. Being a stand up comedian, this really hampers my profession.
On December 8,2005 I was doing a show in Virgina and saw a local doctor there. She gave me Tussionex and within the hour of the first dosage the drainage stopped. The next week was wonderful as I was even able to cough up stuff for the first time in a long time.
I have tried the 8 mg dosage of Chlorpheniramine but it doesn't work. I have taken hydrocodone before with dental problems and I know that after taking it I get the itch in the nose for about five minutes.
I am convinced that this is a cure and that the Chlorpheniramine somehow bonds to the hydrocodone to be most affective. Problem is ofcourse that it is a narcotic and no doctor will give that on a daily bases for the rest of my life.
Are there any other drugs that could possibly bond with the Chlorpheniramine and take it right to the nasal area?
I have done all the alergy testing three times. Head xray, Barium swallow, and all the prescription sprays, decongestants and antihistamines. Nothing has ever worked but this.
Steve
On December 8,2005 I was doing a show in Virgina and saw a local doctor there. She gave me Tussionex and within the hour of the first dosage the drainage stopped. The next week was wonderful as I was even able to cough up stuff for the first time in a long time.
I have tried the 8 mg dosage of Chlorpheniramine but it doesn't work. I have taken hydrocodone before with dental problems and I know that after taking it I get the itch in the nose for about five minutes.
I am convinced that this is a cure and that the Chlorpheniramine somehow bonds to the hydrocodone to be most affective. Problem is ofcourse that it is a narcotic and no doctor will give that on a daily bases for the rest of my life.
Are there any other drugs that could possibly bond with the Chlorpheniramine and take it right to the nasal area?
I have done all the alergy testing three times. Head xray, Barium swallow, and all the prescription sprays, decongestants and antihistamines. Nothing has ever worked but this.
Steve
Doctor's Answer
by National Jewish, Feb 01, 2006 12:00AM
, Feb 01, 2006 12:00AM
I know of no evidence that chlorpheniramine bonds with hydrocodone. I do not know of any way to explain the drainage stopping within an hour of when you took the first dose of Tussionex® (hydrocodone bitartrate and chlorpheniramine maleate). That is not the way Tussionex® (hydrocodone bitartrate and chlorpheniramine maleate) works.
Mucus from the nose and sinuses dripping down the back of the throat is called postnasal drip. The fat content in dairy products can thicken this mucus. Generally eating dairy products with less fat content is helpful. Drinking plenty of water will help to thin the mucus so that it moves more easily. As long as you are not on a fluid restriction you should be drinking 6 to 8 8-ounce glasses of non-caffeine non-alcoholic fluid daily. When you feel the need to clear your throat sip some water to clear the mucus.
An antihistamine, like the chlorpheniramine, can dry up the postnasal drip. However, it may make the mucus thicker and more difficult to move. A decongestant like Sudafed® (pseudoephedrine) can thin the postnasal drip and decrease the swelling so it drains easier. A combination antihistamine-decongestant will do both. Check with your doctor to see if a combination antihistamine-decongestant would help you more. Often an antihistamine and decongestant are taken only when the postnasal drip gets bad. It may be more helpful to take the antihistamine and decongestant on a regular basis. Singulair® (montelukast sodium) helps when the irritation is due to allergies.
A nasal wash helps remove mucus from your nose and sinuses. This can temporarily decrease the postnasal drip and lessen throat clearing. Please read our nasal wash treatment information at http://www.nationaljewish.org/disease-info/treatments/alt-ther/nasal-wash.aspx to learn more about this technique. Share this information with your doctor to see if you would benefit from this daily treatment. A nasal wash is most helpful when done daily. The best time of day to do a nasal wash is before using any nasal spray. Then the nasal spray can work better since the nasal and sinus tissue is free from mucus.
A prescription antihistamine nasal spray, like Astelin® (azelastine), helps when the postnasal drip is due to allergies. When the postnasal drip is thin and watery Atrovent® Nasal Spray (ipratropium bromide) may help to dry this up. A prescription nasal steroid spray decreases mucus production by decreasing the inflammation of the nose and sinuses. This may prevent the postnasal drip and throat clearing. A nasal steroid spray does not provide immediate relief of symptoms. It may need to be used every day for several weeks to months for it to help. Sometimes it takes the antihistamine, the decongestant, and the nasal wash followed by Astelin® (azelastine), Atrovent® Nasal Spray (ipratropium bromide), and the nasal steroid spray ALL used routinely to keep the postnasal drip from bothering you.
You should also have a CT scan of your sinuses.
Mucus from the nose and sinuses dripping down the back of the throat is called postnasal drip. The fat content in dairy products can thicken this mucus. Generally eating dairy products with less fat content is helpful. Drinking plenty of water will help to thin the mucus so that it moves more easily. As long as you are not on a fluid restriction you should be drinking 6 to 8 8-ounce glasses of non-caffeine non-alcoholic fluid daily. When you feel the need to clear your throat sip some water to clear the mucus.
An antihistamine, like the chlorpheniramine, can dry up the postnasal drip. However, it may make the mucus thicker and more difficult to move. A decongestant like Sudafed® (pseudoephedrine) can thin the postnasal drip and decrease the swelling so it drains easier. A combination antihistamine-decongestant will do both. Check with your doctor to see if a combination antihistamine-decongestant would help you more. Often an antihistamine and decongestant are taken only when the postnasal drip gets bad. It may be more helpful to take the antihistamine and decongestant on a regular basis. Singulair® (montelukast sodium) helps when the irritation is due to allergies.
A nasal wash helps remove mucus from your nose and sinuses. This can temporarily decrease the postnasal drip and lessen throat clearing. Please read our nasal wash treatment information at http://www.nationaljewish.org/disease-info/treatments/alt-ther/nasal-wash.aspx to learn more about this technique. Share this information with your doctor to see if you would benefit from this daily treatment. A nasal wash is most helpful when done daily. The best time of day to do a nasal wash is before using any nasal spray. Then the nasal spray can work better since the nasal and sinus tissue is free from mucus.
A prescription antihistamine nasal spray, like Astelin® (azelastine), helps when the postnasal drip is due to allergies. When the postnasal drip is thin and watery Atrovent® Nasal Spray (ipratropium bromide) may help to dry this up. A prescription nasal steroid spray decreases mucus production by decreasing the inflammation of the nose and sinuses. This may prevent the postnasal drip and throat clearing. A nasal steroid spray does not provide immediate relief of symptoms. It may need to be used every day for several weeks to months for it to help. Sometimes it takes the antihistamine, the decongestant, and the nasal wash followed by Astelin® (azelastine), Atrovent® Nasal Spray (ipratropium bromide), and the nasal steroid spray ALL used routinely to keep the postnasal drip from bothering you.
You should also have a CT scan of your sinuses.
My son had chronic sinusitis and our regular doctors kept treating him with antibiotics. About the time they referred him to a specialist, I had tracked down a doctor Norton Fishman (M.D.)who practices complimentary medicine, now located in Bethesda, Maryland.
Although the ear, nose, throat specialist's (Dr. Lisk) skin pricks for allergies were negative, the other doctor did a blood test and stool test which revealed six food allergies and an intestinal yeast overgrowth. Five of the food allergies were protein, including antibodies to egg whites. The non-protein allergy was chocolate.
He was also very low on several minerals. Some were two deviations below normal, including zinc which is very important for the immune system and needs to be balanced with copper.
He was missing two necessary bacterial flora, with something else on a pathogenic level.
This type of yeast overgrowth is related to sinus infections.
For the yeast overgrowth, Dr. Fishman treated him with a prescriptive drug, an over the counter remedy (as recommended by the lab) and many nutritional supplements, not an antibiotic.
Dr. Lisk had a cat scan done, which showed all of my son's sinus cavity was infected. Dr. Lisk did do surgery for him.
He got well!
If anyone has any ideas please let me know.