• Scan bar code for pre-screening consultation
  • Free NHS funded service
  • Complete the online consultation followed by video call from the convenience of your home.
  • Free delivery of medication delivered to your home.
  • Request in confidence from UK Registered Pharmacy

This service is only suitable for adults and children aged 12 years and over.

This service is NOT suitable for immunosuppressed individuals, chronic sinusitis (sinusitis that causes symptoms that last for more than 12 weeks), pregnant individuals under 16 years.

Please see your own GP if you do not fit the criteria.

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Product Description

Sinusitis (sinus infection)
Sinusitis is swelling of the sinuses, usually caused by an infection. It’s common and usually clears up on its own within 2 to 3 weeks. But medicines can help if it’s taking a long time to go away.

Check if you have sinusitis
Sinusitis is common after a cold or flu.

Symptoms of sinusitis include:

pain, swelling and tenderness around your cheeks, eyes or forehead
a blocked nose
a reduced sense of smell
green or yellow mucus from your nose
a sinus headache
a high temperature
bad breath
Signs of sinusitis in young children may also include irritability, difficulty feeding, and breathing through their mouth.

You can often treat mild sinusitis without seeing a GP by:

getting plenty of rest
drinking plenty of fluids
taking painkillers, such as paracetamol or ibuprofen (do not give aspirin to children under 16)
avoiding allergic triggers and not smoking
cleaning your nose with a salt water solution to ease congestion
If you have a high temperature or you do not feel well enough to do your normal activities, try to stay at home and avoid contact with other people until you feel better.

How to clean your nose with a homemade salt water solution
A pharmacist can help with sinusitis
A pharmacist can advise you about medicines that can help, such as:

decongestant nasal sprays or drops to unblock your nose (decongestants should not be taken by children under 6)
salt water nasal sprays or solutions to rinse out the inside of your nose
You can buy nasal sprays without a prescription, but they should not be used for more than 1 week.

See a GP if:
your symptoms are severe
painkillers do not help or your symptoms get worse
your symptoms do not improve after 1 week
you keep getting sinusitis


Sinusitis: do I need antibiotics?

Sinusitis is a common infection after a cold or flu and is usually caused by a virus. Symptoms include pain around the eyes or cheeks, a blocked nose, headaches and a temperature. People usually get better within 2 to 3 weeks without antibiotics.

Using antibiotics when they are not needed means they may not work as well in the future. This is a serious health risk so NICE has written advice about when to offer antibiotics for some common conditions.

Most people with sinusitis won’t be offered antibiotics because:

  • Your sinusitis will normally get better within 2 to 3 weeks whether you take antibiotics or not.
  • Only about 10 out of every 100 people with sinusitis benefit from an antibiotic and the benefit is small.
  • The chances of an antibiotic helping your symptoms are about the same as your chances of getting side effects like nausea and diarrhoea.

Talk to your local pharmacist about other ways to help with symptoms, such as taking painkillers. You may like to try nasal decongestants or cleaning the inside of your nose with saline solution, although not enough research has been done to prove that these treatments work.

You will be prescribed antibiotics if you need them, such as if you are very unwell or are at risk of complications. In some cases the prescriber may talk to you about a back-up antibiotic prescription. You can use this to get an antibiotic if you don’t start to feel better after a few more days, or start to feel worse.


How to look after yourself and your family.

  • Have plenty of rest.
  •  Drink enough fluids to avoid feeling thirsty.
  •  Ask your local pharmacist to recommend medicines to help your symptoms or pain (or both).
  •  Fever is a sign the body is fighting the infection and usually gets better by itself in most cases. You can use paracetamol if you or your child are uncomfortable as a result of a fever.
  •   Use a tissue and wash your hands with soap to help prevent spread of your infection to your family, friends and others you meet.

When to get Help



If you or your child has any of these symptoms, are getting worse or are sicker than you would expect (even if your/their temperature falls), trust your instincts and seek medical advice urgently from NHS 111 or your GP. If a child under the age of 5 has any of symptoms 1–3 go to A&E immediately or call 999.

1.     If your skin is very cold or has a strange colour, or you develop an unusual rash.

2.     If you have new feelings of confusion, or drowsiness, or have slurred speech.

3.     If you have difficulty breathing. Signs that suggest breathing problems can be:

•    breathing quickly

•    turning blue around the lips and the skin below the mouth

•    skin between or above the ribs getting sucked or pulled in with every breath

4.     If you develop a severe headache and are sick.

5.     If you develop chest pain.

6.     If you have difficulty swallowing or are drooling.

7.     If you cough up blood.

8.     If you are passing little or no urine.

9.     If you are feeling a lot worse.


Less serious signs that can usually wait until the next available medical appointment:

10.   If you are not starting to improve a little by the time given in ‘Most are better by’.

11.   Children with middle-ear infection: if fluid is coming out of their ears or they have new deafness.

Mild side effects such as diarrhoea: seek medical attention if you are concerned.


  • Colds, most coughs, sinusitis, ear infections, sore throats, and other infections often get better without antibiotics, as your body can usually fight these infections on its own.
  •  Taking any antibiotics makes bacteria that live inside your body more resistant. This means that antibiotics may not work when you really need them.
  •   Antibiotics can cause side effects such as rashes, thrush, stomach pains, diarrhoea, reactions to sunlight, other symptoms; or being sick if you drink alcohol with the antibiotic metronidazole.
  • Find out more about how you can make better use of antibiotics and help keep this vital treatment effective by visiting