Treatments for Postnasal Drip
Treatment for postnasal drip depends on the cause of the problem. Bacterial infections are treated with antibiotics. However, green or yellow mucus is not necessarily proof of a bacterial infection. Colds can also turn the mucus these colors and they are caused by viruses, which don't respond to antibiotics.
Antihistamines and decongestants can help with postnasal drip caused by sinusitis and viral infections. They can also be effective, along with steroid medications or nasal sprays, for postnasal drip caused by allergies. The older, over-the-counter antihistamines, including diphenhydramine (Benadryl) and chlorpheniramine (Chlor-Trimetron), might not be the best choices for postnasal drip. When they dry out mucus, they can actually thicken it. The newer generation of antihistamines, including loratadine (Claritin, Alavert), fexofenadine (Allegra), certirizine (Zyrtec), levocetirizine (Xyzal), and desloratadine (Clarinex), may be better options, and are less likely to cause drowsiness. It's a good idea to check with your doctor before treating your postnasal drip because all of these medications can have side effects that range from dizziness to dry mouth.
Another treatment option for postnasal drip is to thin your mucus. Mucus can have different consistencies. Thick mucus is stickier and more likely to cause you discomfort. Keeping the mucus thin helps prevent blockages in the ears and sinuses, which can lead to infections. A simple remedy to thin mucus is to drink more water.
Other methods you can try include:
- Taking a mucus-thinning medication such as guaifenesin (Mucinex)
- Using saline nasal sprays or nasal irrigation (such as a neti pot) to flush excess mucus, bacteria, allergens, and other irritating substances out of the sinuses
- Turning on a vaporizer or humidifier to increase the moisture in the air
Try propping up your pillows at night so that the mucus doesn't pool or collect in the back of your throat. If you have allergies, ways to reduce your triggers may include:
- Covering your mattresses and pillowcases with dust mite proof covers
- Washing all sheets, pillowcases, and mattress covers often in hot water
- Using special HEPA air filters in your home
- Dusting and vacuuming regularly
Call your doctor if the nasal drainage is foul smelling, you have a fever, you're wheezing, or your symptoms last for 10 days or more, because you might have a bacterial infection. Let your doctor know right away if you notice blood in your postnasal drip. If medication isn't helping your postnasal drip, you might need to see an otolaryngologist for evaluation, which may include a CT scan, X-rays, or other tests.