If your ear, nose, and throat (ENT) provider or allergist has recommended a medicated nasal rinse, you may have been handed a list: crush this tablet, add that powder, mix in an ointment, and measure everything into a bottle of water. It is a lot to manage when your nose is already congested and your head hurts.

At Pharmaconic, our pharmacists prepare patient-specific formulations. For nasal rinses, we can combine the ingredients your provider prescribes into one capsule. You open it, pour it into your rinse bottle, and rinse as directed. Here is how it works and what we offer.

Conditions That May Lead to a Nasal Rinse

Your provider decides if a nasal rinse is right for you. These are some of the conditions where saline rinsing, with or without added medication, is part of a treatment plan:

• Chronic rhinosinusitis. This is inflammation of the nose and sinuses lasting at least three months, with symptoms such as nasal blockage or congestion, drainage, facial pain or pressure, or a reduced sense of smell.¹ A 2023 clinical review in American Family Physician puts its prevalence at roughly 1% to 7% and lists saline irrigation and intranasal corticosteroids as first-line treatments.¹
• Nasal polyps. Soft growths in the lining of the nose or sinuses that may occur along with chronic rhinosinusitis.¹
• Seasonal and other allergies. The CDC reports that 25.2% of U.S. adults and 20.6% of children had a diagnosed seasonal allergy in 2024.² Rinsing is one of the options providers may discuss for nasal allergy symptoms.
• Ongoing sinus infections. Your provider may prescribe a specific antibiotic or antifungal for irrigation after evaluating you.

Only your provider can tell you which ingredients, if any, belong in your rinse. We prepare exactly what is prescribed.

Why a Single Capsule?

Mixing a rinse at home can be harder than it sounds:

• Crushing tablets is messy and uneven.
• Several separate ingredients mean several products to keep track of every time you rinse.
• Measuring doses at home leaves room for error.
• Oil-based ointments, such as mupirocin, do not dilute properly in water.

With a compounded capsule, the pharmacist does the measuring and combining. You do three things:

1. Open the capsule.
2. Pour the contents into your nasal rinse bottle.
3. Rinse as directed by your provider and the label.

What We Can Prepare for Your Provider’s Prescription

Our ENT Allergy Order Form lets your provider choose from the following. Combinations are prepared into one capsule.

• Antibiotics for irrigation: gentamicin, vancomycin, tobramycin, levofloxacin, azithromycin, clindamycin, mupirocin
• Antifungals for irrigation: fluconazole, itraconazole, amphotericin B
• Mucolytic for irrigation: acetylcysteine
• Budesonide for irrigation
• Related options: betahistine dihydrochloride capsules and ketotifen capsules
• Custom lines: your provider can request other strengths or combinations, and our pharmacist will review them

These are available only by prescription. Compounded medications are prepared for one patient at a time and are not FDA-approved finished products.

Free Delivery Within 24 Hours

Skip the extra trip. We deliver your compounded capsules to your door for free within 24 hours.

Transparent Pricing

Item	Quantity	Cash Price
Compounded nasal rinse capsules, any combination of ingredients in one capsule	#60	$99
Nasal rinse bottle	1	$10

Compounded preparations are not covered by insurance. The price does not change based on the combination of ingredients your provider prescribes.

Talk to a Pharmacist

Our pharmacists are happy to walk you through how to open the capsule, add it to the bottle, and rinse, so you feel comfortable using it at home. Ask about your capsules when we call to schedule delivery.

Getting Started Is Simple

1. Order: Ask your provider to send your prescription to Pharmaconic Compounding Pharmacy by e-prescribe, fax, or email.
2. Confirm: Our pharmacist reviews your prescription and we contact you to review your order.
3. Deliver: Your capsules arrive free within 24 hours.

Sources

1. Keating MK, Phillips JC, Phillips J. Chronic rhinosinusitis. Am Fam Physician. 2023;108(4):370-377. aafp.org/afp/2023/1000/chronic-rhinosinusitis
2. Centers for Disease Control and Prevention, National Center for Health Statistics. FastStats: Allergies (data from the 2024 National Health Interview Survey). cdc.gov/nchs/fastats/allergies.htm

Header photo: “Nasendusche” by Rillke, via Wikimedia Commons, licensed under CC BY-SA 3.0.

Ready to Get Started?

Have questions about nasal rinse capsules? Reach out to David or Stan and ask your provider to send your prescription to Pharmaconic.

This article is for general information only and is not a substitute for medical advice. Always follow your provider’s instructions for your treatment plan.