NAC nasal spray in thailand? My friend struggling for long time with Acute rhinosinusitis, doc. cant help

[Hello007]

Hi guys.

I feel so sorry for my female friend, single mother 35year old in Buriram.

Shes struggling make a living, but cant sleep because of her Acute rhinosinusitis, nosage block. 
Been going on for months and the doctors remedy doesnt work much.

I wonder if there is any of you going to pharmacy once in a while that have seen a N-acetylcysteine (NAC) inhalation spray there and what its name is?

Read several studies that it may have profound help.

Best regards

Mr Hello007=)

[FruitPudding]

Knowing what caused it might help.

[sustanon]

Have you tried oxymetazoline?

[metisdead]

Moved to the Health and Medicine forum. 

 

MOVED

[Sheryl]

NAC nasal spray is not available anywhere in Thailand that I know of.

 

I also doubt it would help much if at all since all it does is thin mucous. From the sounds of it this woman has either allergies or nasal polyps or both.

 

That the  treatment she received so far from the doctors she has seen so far did not help does not mean "doctor can't help".  It just means the correct treatment has not been tried  yet. Also good chance she has not even yet been seen by a proper ENT specialist. Nasal congestion is a very common complaint and her local hospital under the 30 baht scheme will initially just treat it like a common cold, and by a general doctor, not an ENT. Would take multiple repeat visits with her stressing the duration of the problem and that treatments have not worked, to make her way up the system to an ENT (which, unless she lives in the ampur, would involve a referral to another hospital). 

 

I find Thai patients often hesitate to return to a doctor and tell them a treatment is not working. There is a tendency to assume that if what was first prescribed did not work then "the doctor cannot help". This is not how medical practice works. There are a range of treatments available for most complaints and what is given initially does nto usually represent the full range of possible approaches, but the burden is on the patient to keep going back and be frank in telling them if something did not help.

 

If her issue is allergies, identifying the culprit and minimizing exposure if possible will be important.

 

If you really want to help this woman, pay for her to see an ENT specialist through the after hours clinic at Buriram hospital (regional government hospital). Probably just a few hundred baht. Odds are same doctor can be seen at this private hospital in Buriram https://www.buriram-ram.co.th/ but will cost a bit more there

 

If even ENT specialist at the regional hospital can't get to the bottom of it for her then next recourse should be Khon Kaen University Hospital ENT clinic but depending on where in Buriram she is, might involve a long trip so start in Buriram.

[Skipalongcassidy]

Don't put too much into seeing an ENT... my eustachian tubes are blocked and have been for two months now... the ENT at Bangkok Hospital does not seem to have the formula to relieve them as all that he has done is two costly procedures that I did not need... cleaned some wax out of one ear... and did a hearing test to prove that I couldn't hear as I told him... I am still looking for something to help clear my tubes but there does not seem to be any readily available cure.

[Sheryl]

1 hour ago, Skipalongcassidy said:

Don't put too much into seeing an ENT... my eustachian tubes are blocked and have been for two months now... the ENT at Bangkok Hospital does not seem to have the formula to relieve them as all that he has done is two costly procedures that I did not need... cleaned some wax out of one ear... and did a hearing test to prove that I couldn't hear as I told him... I am still looking for something to help clear my tubes but there does not seem to be any readily available cure.

 

How do you know it is the eustachian tube as opposed to other hearing issue?

 

ENTs have sub-specialties and there are a few  excellent ones specifically for hearing issues. Where in Thailand are you located?

[mstevens]

Xlear Rescue nasal spray is great. I'm not sure if you can get it in Thailand, but if you can, try it! I think it's available on iHerb.

 

https://xlear.co.nz/shop/xlear/sinus-care/rescue-xylitol-and-saline-nasal-spray-with-essential-oils/

[connda]

Oxymetazoline may work but is not a long-term solution as there is a "rebound-effect" with this medicine.
Do your female friend a favor and pay for her visit to an ENT to get a diagnosis. 

Short-term, have her try these.  Look up "nasal dilators" on Lazada,

[Hummin]

4 hours ago, Sheryl said:

NAC nasal spray is not available anywhere in Thailand that I know of.

 

I also doubt it would help much if at all since all it does is thin mucous. From the sounds of it this woman has either allergies or nasal polyps or both.

 

That the  treatment she received so far from the doctors she has seen so far did not help does not mean "doctor can't help".  It just means the correct treatment has not been tried  yet. Also good chance she has not even yet been seen by a proper ENT specialist. Nasal congestion is a very common complaint and her local hospital under the 30 baht scheme will initially just treat it like a common cold, and by a general doctor, not an ENT. Would take multiple repeat visits with her stressing the duration of the problem and that treatments have not worked, to make her way up the system to an ENT (which, unless she lives in the ampur, would involve a referral to another hospital). 

 

I find Thai patients often hesitate to return to a doctor and tell them a treatment is not working. There is a tendency to assume that if what was first prescribed did not work then "the doctor cannot help". This is not how medical practice works. There are a range of treatments available for most complaints and what is given initially does nto usually represent the full range of possible approaches, but the burden is on the patient to keep going back and be frank in telling them if something did not help.

 

If her issue is allergies, identifying the culprit and minimizing exposure if possible will be important.

 

If you really want to help this woman, pay for her to see an ENT specialist through the after hours clinic at Buriram hospital (regional government hospital). Probably just a few hundred baht. Odds are same doctor can be seen at this private hospital in Buriram https://www.buriram-ram.co.th/ but will cost a bit more there

 

If even ENT specialist at the regional hospital can't get to the bottom of it for her then next recourse should be Khon Kaen University Hospital ENT clinic but depending on where in Buriram she is, might involve a long trip so start in Buriram.

I also struggled with breathing, and Dr's could not find anything, not even allergies, but at the end allergy medication was the solution. I also had periodic headaches and insomnia. One telfast or Zyrtec made me sleep as a baby when taken in the evening.

 

I also use eucalyptus balm under my nose and at my troath, never struggled again in almost 20 years. Even dr can't find any reason for allergies, worth trying. Zyrtec make me more sleepy than Telfast, and the local version of Zyrtec contain the same drug cetirizin is very cheap in comparison, and works as good as the original.

[HarrySeaman]

Try looking for RINOFLUIMUCIL.  It may sold by this name in Thailand.

[radiochaser]

15 hours ago, Hello007 said:

Hi guys.

I feel so sorry for my female friend, single mother 35year old in Buriram.

Shes struggling make a living, but cant sleep because of her Acute rhinosinusitis, nosage block. 
Been going on for months and the doctors remedy doesnt work much.

I wonder if there is any of you going to pharmacy once in a while that have seen a N-acetylcysteine (NAC) inhalation spray there and what its name is?

Read several studies that it may have profound help.

Best regards

Mr Hello007=)

This might not be her issue. 

 

I had problems breathing through my nose for years.  Not a problem anymore. 

An EENT doctor said I had a sinus infection, prescribe an antibiotic and a few days later, I could breath easy through my nose.

Edited September 9, 2023 by radiochaser

[Troy Tempest]

I share the same problem.

 

I find Nasonex with a few whiffs of Tiger Balm brings good relief.

 

[chilly07]

15 hours ago, sustanon said:

Have you tried oxymetazoline?

Brand name Otrivin-works for me! 

[PETERTHEEATER]

44 minutes ago, Troy Tempest said:

I share the same problem.

 

I find Nasonex with a few whiffs of Tiger Balm brings good relief.

 

This is Mometasone Fuorate which is prescribed to me for shrinking nasal polyps. Also prescribed for Allergic Rhinitis. 

[tanner]

17 hours ago, Hello007 said:

Hi guys.

I feel so sorry for my female friend, single mother 35year old in Buriram.

Shes struggling make a living, but cant sleep because of her Acute rhinosinusitis, nosage block. 
Been going on for months and the doctors remedy doesnt work much.

I wonder if there is any of you going to pharmacy once in a while that have seen a N-acetylcysteine (NAC) inhalation spray there and what its name is?

Read several studies that it may have profound help.

Best regards

Mr Hello007=)

Any pharmacy will have 'Nasol' nasal spray, excellent stuff !.

[msbkk]

1 hour ago, chilly07 said:

Brand name Otrivin-works for me! 

Otrivin works indeed well but can be used only short term. It can have unpleasant side effects if used on a regular basis.

[Bosse137]

Perhaps could try "hashi" or "nasic" ;saline for nasal cleansing.Cheap and easy to find.

[msbkk]

10 minutes ago, Bosse137 said:

Perhaps could try "hashi" or "nasic" ;saline for nasal cleansing.Cheap and easy to find.

Indeed recommended. I personally would recommend to use the saline with a  so called Neti Pot or Water Pulse device (Iherb or Lazada or others) as a better applicator. 

Edited September 9, 2023 by msbkk

[Bosse137]

7 minutes ago, msbkk said:

Indeed recommended. I personally would recommend to use the saline with a  so called Neti Pot or Water Pulse device (Iherb or Lazada or others) as a better applicator. 

For me,the device included in the startkit is good enough.If not,then,by all means,spend some on  more sofisticated kit.

[xtrnuno41]

Xylometazoline works great but to find it in Thailand?

When i was in Thailand, my wife found a similar product (Satun), but had to run some stores to have something like this. She took my empty bottle with her and somehow found. It was not exactly the same, but worked as well. Cant remember the name, but had methazoline in name, maybe it was indeed oxymethazoline

 

However you need to be careful in use with it. My sis used it long time , any time, resulting in glands effected negative.

I do have some more problems in Thailand and then im even sleeping with an apneu machine. On the machine is a filter. But even at home sometimes need to use xylo. But had in Thailand more problems. Weird, as room is clean, we kept it clean and closed. But still. Soap? building materials? No clue.

 

All started when i had a minor problem with nose and ENT suggested septum correction. Minor problem solved, but major problem replaced it, blocking nose.

Suggestion of ENT was: do it again. So hopefully , I did.

However without a succes again.

So a-lining nose septum was not the right thing to do?

In order to have less problem with blocking nose, would be returning the way it was and then back to minor problem? DOnt know, I passed for a third time and live with the sometimes blocking nose for decades. Also found away to have less problem by adjusting the way to go to sleep. 

 

First time I did while being knocked out complete, took me many hours to really awake again, of course in the middle of the night.

So second time did a local, however that one is a really adrenaline generating procedure. Though nose, and more, was sedated, I could feel the scalpel scratching my nose nostrils. Weird.

After that operation I was loaded with adrenaline and was up and wandering around. Another ENT was surprised to see me walking around.

 

OK some life experience on nose, but for blocking nose, oxymethazoline or xylomethazoline, but be AWARE of long time, negative use effect.

 

For using it efficient. Lay down sideways and put a drop in nose hole, on other side of on where you are laying down. Rub when it is in and also snif in on that nose hole. Wait for 5-10 minutes, lying down sideways. It takes time to start working.

If you have spray, then spray in and snif in instantly and then lay down sideways.

Also do some rubbing then on nose hole.

If one hole is open, you could be able to sleep then. If really bothering, then also other nose hole.

[Don Chance]

6 hours ago, mstevens said:

Xlear Rescue nasal spray is great. I'm not sure if you can get it in Thailand, but if you can, try it! I think it's available on iHerb.

 

https://xlear.co.nz/shop/xlear/sinus-care/rescue-xylitol-and-saline-nasal-spray-with-essential-oils/

I just make my own. You can order xylitol on lazada.

 

All you need to do is boil some water for 1-2 minutes then add some xylitol. The get a nasal dropper and apply it.

 

Make sure you boil the water well or you might get a brain ameba!

Edited September 9, 2023 by Don Chance

[swm59nj]

I have allergies for many years.  In the USA it is referred to as seasonal allergies.  At times I would get the stuffy nose during sleep but not often. But when I was living in Bangkok I was instructed to use the treatment method all year around.  Which is a nasal spray and antihistamine tablet.  And nasal irrigation as necessary. Sometimes in Bangkok I did follow ups with an ENT.  My symptoms were managed and I hardly would get any symptoms.
Im using this as an example.  I’m not saying your friend’s issue is the same.  
I went to an ENT initially.  He used a scope up into the nose to look for any abnormalities.  This is done in office as part of the examination. I was also given a CT scan of the area in question. 
Your friend needs to see an ENT to see the cause of her issues.  She possibly could have nasal polyps.  If she is your friend maybe you can help her to see an ENT. 

 

[Alainpm]

On 9/8/2023 at 5:00 PM, Hello007 said:

Hi guys.

I feel so sorry for my female friend, single mother 35year old in Buriram.

Shes struggling make a living, but cant sleep because of her Acute rhinosinusitis, nosage block. 
Been going on for months and the doctors remedy doesnt work much.

I wonder if there is any of you going to pharmacy once in a while that have seen a N-acetylcysteine (NAC) inhalation spray there and what its name is?

Read several studies that it may have profound help.

Best regards

Mr Hello007=)

She can use a lota (it is a traditional tool for yoga) that she fills withsalted water (previously boiled)  and rinse the nose and cleanse the sinuses. search for "lota sinuses and nose cleaning" on google ..  it is painful while using it (when sinuses are infected) but it works. Anything else is just short time relief with no long time recovery effects. Her sinuses are infected and this is the only solution. Add one drop of eucalyptus oil to the water and shake well before using. It will help disinfect the sinuses and reduce sinuses pain while using the lota. also it will prevent inflamation of the optic nerve that passes just next to the sinuses..  this has to be done every day (two lota full of water ) for several months, several times a year for 2 years to treat the problem once for all. I see many thais using their menthol sticks, which, although widely used, are useless for treating their sinuses problem for real. 

[Skipalongcassidy]

20 hours ago, Sheryl said:

 

How do you know it is the eustachian tube as opposed to other hearing issue?

 

ENTs have sub-specialties and there are a few  excellent ones specifically for hearing issues. Where in Thailand are you located?

I went back to the hospital yesterday because my ear was driving me crazy... I saw a different Dr and guess what... he also said that my ear was ok... just a little swollen... well, I told him to look again and to look and see if there was anything in my ear canal... I had taken a picture earlier that day and noticed a dark circle in the canal... and lo and behold there it was... one of the ear pads from my now discarded earphones was lodged in my ear... had been ever since my original visit to the ENT 2 weeks ago... long story short.. both Dr's missed that there was something in my ear and were both treating me for a blocked Eustachian tube...   I told him to look again and remove whatever it was in my ear... he removed it and I can hear in that ear just fine again.  I fear telling you where I live.

[fvw53]

A few days ago an OP had the same question. "Mometasone spray" solved my problem within one week after suffering many years of a "rebound" of my previous nose spray

[Jaybott]

As someone mentioned, try Nasonex. It's available at most pharmacies, I get mine at Fascino.  It sounds like she may have nasal polyps.

[Hello007]

12 hours ago, fvw53 said:

A few days ago an OP had the same question. "Mometasone spray" solved my problem within one week after suffering many years of a "rebound" of my previous nose spray

Thanks is this sold in thailand pharmacy?

[Hello007]

Okey thanks for replies everyone, i will bring the message

[Sheryl]

12 minutes ago, Hello007 said:

Thanks is this sold in thailand pharmacy?

It is, under several different brand names (including Nasonex)  but as it is a steroid I do not advise self prescribing it. She needs to first see an ENT. Any sort of active infaction must first be ruled out. In addition there are sometimes systemic effects with long term use.