In my opinion it is definitely worth trying the steroids.
Is the pred a tablet? my experience is that locally applied steroid up the nose is more effective and has less potential for side effects. I found steroid sprays ineffective but there are liquid preps available.
If in the uk ask your GP or ENT consultant for Betnesol drops and apply these in the inverted head position - if it is going to have an effect it should within 7 days. In the UK Flixonase can be obtained as a liquid preparation (Flixonase nasules). I found this preparation is also effective but takes longer to have an effect i.e. 2 weeks as opposed to 2 days with Betnesol . Not sure about availability of these or similar in other countries.
If
this works then you can try sprays which do not require the hassle of the inverted head position but i have found that these do not get the steroid high enough up the nose to have an effect.
Probably worth having the CT scan first though to get a picture of the situation before treatment.
Good luck
paul
From: Chris <cxthom@...> To: anosmia@yahoogroups.com Sent: Wednesday, 8 July, 2009 21:51:21 Subject: [anosmia] Prednisone
So I went to the ENT today after having hyposmia for about 6 weeks now following a URI. After having read everything there is to read about the condition (I'm something of a hypochondriac at the best of times) on the Web, I was prepared for the ENT verdict, but admittedly somewhat surprised when he finally delivered it. He basically said 'Dunno, probably viral.. dunno if you'll get it all back.. who knows.' No smell test and no assessment of continuing sinus pressure and any possible links to hyposmia.
He ordered a CT and prescribed some Prednisone and Flixonase.
Is there really no new knowledge or research done on this subject? Seems so weird to me.. I have fairly pronounced tinnitus as well (what's next?!) - a couple of years ago they were saying the same thing: nothing to do. But now we do have Neuromonics treatment which is highly effective for people with this condition, and Xanax works as well.. really wondering why sos conditions leave even experts stone cold.
Anyway, has anyone used Flixonase? I'm VERY skeptical about putting anything up my nose at this point. I've still got decent smell if I hold things up to my nose, but sense of taste is pretty poor - I downed two glasses of Maker's Mark (bourbon) this evening and it tasted like spicy water. I'd like to hold on to that at least!
Also, should I wait for the CT scan before ingesting Prednisone? Some people seem to get something out of this treatment, so I'm willing to give it a try to see if it gets me back to 'normal' (or at least clue me in on whether it is a viral or inflammatory problem). But the CT isn't for a couple of weeks, and the treatment might affect the results of the CT.. anyone have advice?
So I went to the ENT today after having hyposmia for about 6 weeks now following a URI. After having read everything there is to read about the condition (I'm...
In my opinion it is definitely worth trying the steroids. Is the pred a tablet? my experience is that locally applied steroid up the nose is more effective and...
Thanks Paul. I got the drugs - will give them a shot. The Pred is tabs and the Flixonase is drops like you said. I'll start the drops and see how it goes.. ...
Hi, There is well documented variety of anosmia called steroid-dependent anosmia. The diagnostic criterion is whether steroids such as oral prednisone or...
Hi Francis I just need a little clarification. When you add budesonide/Pulmicort to your saline rinse is the pulmicort in the form of drops or is it a spray?...
I have a very small collection of links at http://personal.ecu.edu/wuenschk/Viral-Links.htm . If you are aware of Internet documents that would be good to add...
... that I use in a small spray bottle; but I also use the nasal rinse, and never thought to administer it that way... I use the Nealmed Sinus rinse 2x day ...
Hi Pat, From the label: Budesonide inhalation suspension 0.5mg/2ml, for use in a jet nebulizer "for inhalation use only" (yeah right). My doctor said that ...
Twice every day. Part of the routine, like brushing teeth. Francis ... use in a ... said ... asthma ... liquid. I ... 250 ml ... of ... it hard ... which ... ...
There are some low cost Budesonide nose spray that have Pulmicort/budesonide as one of their main constituents. Here, a fairly low cost one is Butacort. Get...
Hi Ron, Thanks for this great info. You're right about the commercial salt packets being kind of a ripoff given that they're only sodium chloride and sodium ...
Hi Francis, good to hear from you. Â The packets are not really a rip off (in N America) they are a manifestation of laziness + marketing and packaging, and...
It sounds like you had the good fortune to find a first rate group of specialists. I am happy to report that I have not had to use systemic steroids during...
Very little research Chris, most of which is dedicated to the causes rather than treatment of anosmia. You've seen the stuff I have and there's not a lot...
Mick O'Hare
Mick.O'Hare@...
Jul 9, 2009 9:12 am
Mick: Yeah, the booze helps.. So weird cause I can smell it fine, but then it goes in the mouth and not much happens. It's like the front door of my nose is...
I seem to recall that happening to me to a certain extent. Smelling coffee or bread baking, then when I came to taste it - nothing. The fact that you have...
Mick O'Hare
Mick.O'Hare@...
Jul 9, 2009 4:08 pm
This happens to me too , mainly when i want to enjoy a rare smoke i.e. I can sometimes smell at persiods - but not often - very well , then I have smoke...