
Why Won’t My Sinus Infection Go Away?
A guide to persistent sinus symptoms, why some sinus infections take longer to clear than others, and when it may be time to seek professional advice. Contents What is a
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Sinusitis is inflammation of the sinuses, the air-filled spaces behind your cheeks, forehead, and eyes. It often develops after a cold or upper respiratory infection and can cause facial pain or pressure, a blocked or runny nose, headache, reduced sense of smell, and toothache.
Most cases are viral and improve on their own, but some bacterial sinus infections may benefit from targeted treatment. Through the NHS Pharmacy First service, trained pharmacy clinicians can assess your symptoms, how long they’ve lasted, and how severe they are, without needing a GP appointment.
Where appropriate, we can provide NHS treatment, advice on managing symptoms, and clear guidance on when to seek further medical help.
Safe, effective medications reviewed by our pharmacists
The Pharmacy First Service can assess common symptoms of sinusitis which includes:
Facial pain or pressure.
Blocked or congested nose.
Thick yellow or green nasal discharge.
Reduced sense of smell.
Headache.
Toothache or jaw discomfort.
Feeling generally unwell.
Symptoms can vary from person to person and may affect one or both sides of the face.
Yes.
The consultation is free for eligible NHS patients.
If medication is required, standard NHS prescription charges may apply unless you are entitled to free NHS prescriptions.
No.
Eligible patients can access sinusitis assessment and treatment directly through the pharmacy without needing a GP appointment or referral.
Many patients can be assessed and treated on the same day.
Availability may vary, so we recommend booking as soon as symptoms develop.
Sinusitis symptoms often improve within 7–10 days. If symptoms are severe, worsening, or lasting longer than expected, our clinicians can assess whether treatment is appropriate.
Many symptoms overlap.
A common cold usually causes nasal congestion and a runny nose that improves within a few days.
Sinusitis is more likely when symptoms include:
Facial pain or pressure.
Persistent nasal congestion.
Thick nasal discharge.
Reduced sense of smell.
Symptoms lasting longer than expected.
Our clinician can help determine whether sinusitis is the likely cause of your symptoms.
Many cases of acute sinusitis improve within 2 to 3 weeks without antibiotics.
However, symptoms that are severe, worsening, or lasting longer than expected may require assessment through the Pharmacy First Service.
When the sinuses become inflamed or blocked, pressure can build up within the sinus cavities.
This can cause pain or pressure around:
The cheeks.
The forehead.
Around the eyes.
The bridge of the nose.
The discomfort may worsen when bending forward.
Sinus headaches are headaches caused by inflammation and pressure within the sinuses.
They are often felt around the forehead, cheeks, eyes, or bridge of the nose and may worsen when bending over.
Yes.
Under the Pharmacy First Service, pharmacists can supply antibiotics for eligible patients when clinical assessment indicates they are appropriate.
Not all sinus infections require antibiotics, and treatment decisions are based on symptoms and clinical criteria. Steroid nasal sprays may also be recommended in some cases to help reduce inflammation within the nasal passages and sinuses, which can relieve congestion, facial pressure, and other sinusitis symptoms.

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