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40 mcg inhaled twice daily, approximately 12 hours apart, is the recommended starting dose. For patients who do not respond adequately to 40 mcg after 2 weeks of therapy, increasing the dosage to 80 mcg twice daily may provide additional asthma control. The maximum recommended dosage is 80 mcg twice daily. The starting dosage is based on the severity of asthma, including consideration of the patients’ current control of asthma symptoms and risk of future exacerbation. Improvement in asthma symptoms can occur within 24 hours of the beginning of treatment and should be expected within the first or second week, but maximum benefit should not be expected until 3 to 4 weeks of therapy. Improvement in pulmonary function is usually apparent within 1 to 4 weeks after the start of therapy. The National Asthma Education and Prevention Program Expert Panel defines low dose therapy as 80 to 160 mcg/day, medium dose as 161 to 320 mcg/day, and high dose therapy as more than 320 mcg/day for children ages 5 to 11 years. The Global Initiative for Asthma (GINA) guidelines define low dose therapy as 100 mcg/day in this age group. Titrate to the lowest effective dose once asthma stability is achieved.

I have been suffering from sinusitis for a couple years now...tried the doctor route of antibiotics and steroids...was thinking I was going to have to go to an allergist....but simply hate taking drugs....it is not bad everyday but I suffer more days than not...nothing will move...it gets stuck in my head and sinus cavity and causes teeth pain...then had someone tell me about the all natural raw honey and happened to have some in the house...I was told one tsp but as severe as mine is I was wondering the different ways and how often I should take a tsp....I started with a tsp on Friday....yesterday it drained all day long...throat was very raw so I did 2 tsp...today it is still moving but can fill teeth pain tonight....how much should I do in a day and is there some way I can use it to wash the nasal cavity out?? Any help would be GREATLY APPRECIATED!!

Miserable and needing relief in South Texas~!!

Angela's Comments:

First of all, so sorry that you're having to deal with this sinus issue. My heart goes out to you. I'd be happy to make some recommendations. I would start with 1 full tablespoon of raw honey each morning. Make sure it is real, raw honey though. Non-pasteurized, non-filtered, non-heated. After ten days, reassess. If you are improving, stick with one tablespoon. If not, try 2 tablespoons, one in the morning, one in the evening. I have listed a recent study on raw honey and sinus help down below for your reference.

I would also recommend you get yourself some high quality bee propolis tincture. Propolis is a wonderful anti-bacterial and anti-inflammatory and has good activity in the mouth and sinus area. It is also helpful with allergies.

Being a nutritionist at heart, I can't help but make one very important dietary recommendation to you. This has helped more of my clients than I can count as well as many of my friends and family members - eliminate all dairy out of your diet for ten days and see if your symptoms improve. I am willing to bet that they will! So, that includes all cow's milk, cheese and yogurt.


Raw Honey Kills Bacteria That Cause Chronic Sinusitis

Do you have chronic sinus issues?
A new study from researchers at the University of Amsterdam shows honey to be effective in killing bacteria that cause chronic sinusitis. Chronic sinusitis affects millions of people every year.

In chronic sinusitis, the mucous membranes in the sinus cavities become inflamed, causing headaches, stuffy nose, and difficulty breathing.

Though it can be caused by allergies, chronic sinusitis can also be caused by bacteria that colonize in the nose and sinuses.

What I suggest for people suffering with sinus issues is to consume 1 to 2 tablespoons of quality raw honey per day on its own or in herbal tea.

With out this drug my asthmatic child would be seriously ill on a regular basis. My child has serious allergies to mold and pollen she often develops sinus infections which develop into upper respiratory infections which then compromise her breathing. Nothing has ever worked to prevent this cycle of events. A few years ago we put her on Qsnal and it was a miracle. The 2 times either her father or her pediatrician have tried to take her off of it she was severely ill almost to the point of needing to be hospitalized. Qnsal 40 has giving my daughter back her life. There are no more consistent sinus infections due to her allergies.

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