Last winter (2024) I began another sinus infection (chronic) and saw a new ENT doc. He prescribed doxycycline. To make a long story short, after 3 consecutive doses of doxycycline with no improvement, I saw another ENT doctor. I hit gold with him! He prescribed prednisone for 5 days, then azelastine nasal spray in the morning which stopped the constant nasal drip and momentasone nasal spray along with Claritin before bed. OMG, that took care of my sinus problem! I did have allergy testing which indicated dust mite allergies. That requires me to be very diligent about washing my bedding in hottest water weekly and I added a special allergen detergent that I got off Amazon.
Vacuuming bedroom weekly as well. I was good all summer without having to use any nasal sprays but now with fall allergies starting, I’ve had to resume them. Azelastine nadal spray for me is the gold standard!