What should you know about medicines for sinus pressure?

Pressure around the cheeks, forehead, nose, or eyes can occur when the sinus lining swells and mucus cannot drain freely. A cold, allergy, or [Sinusitis](/conditions/sinusitis/) may cause this pattern. Facial pressure can also occur with [Migraine](/conditions/migraine/), so the location alone does not identify the cause. Symptoms that continue or return over a long period may fit [Chronic Sinusitis](/conditions/chronic-sinusitis/) and deserve a planned review. Treatment is chosen from the overall pattern, including blocked nose, discharge, fever, cough, smell changes, headache, and dental or eye symptoms.

Follow the label or clinician's directions for any pain reliever, and check before using a decongestant if you have high blood pressure, heart disease, glaucoma, prostate symptoms, or take regular medicines. A saline nasal spray or rinse may help clear mucus; use sterile or previously boiled and cooled water for a home rinse. A nasal steroid may be considered for inflammation or allergy, but it needs correct technique and regular use. Avoid prolonged use of decongestant nasal sprays because congestion can rebound. Rest, drink normally, and avoid smoke or other irritants.

Arrange prompt assessment for swelling or redness around an eye, vision changes, severe headache unlike your usual headaches, confusion, a stiff neck, facial weakness, or severe facial pain. Seek care if symptoms are worsening, persist without improvement, or include a high fever or significant illness. A clinician can distinguish sinus inflammation from other causes of [Facial Pain and Pressure](/symptoms/facial-pain-and-pressure/).

Ask whether your symptoms fit sinusitis, allergy, migraine, or another cause; which medicine is appropriate with your health history; and how to use a nasal spray correctly. Clarify how long to try it and which changes require review.