Nasal Irrigation Instructions

Dr Roth often uses customised nasal irrigation solutions. These may be necessary for some types of sinus problems. Here is a list of some common combinations for your reference.

Budesonide (pulmicort) nasal irrigations (for chronic rhinosinusitis and nasal polyp disease)
Follow the instructions to prepare your 240mL rinse bottle with saline as normal. After filling the bottle to the top line, add the salt packet (as normal) and then add one respule of budesonide. Shake the bottle well to ensure that everything is dissolved. Rinse 60mL (one quarter) into each nostril. This will use half the bottle in the morning. Then rinse the other half of the solution in the evening.

Diprosone solution

2.5cm of Diprosone OV 0.5mg/g cream (30g tube) placed in rinse bottle.

Saline Solution Recipe

• 1/2 Litre of Water (boiled then cooled to room temperature)
• 1 teaspoon Salt
• 1/4 teaspoon bicarbonate of soda
• Mix together and wash through nose once a day