NHS Pharmacy First

Sinusitis: NHS Pharmacy First

If you have had sinus pain and a blocked nose for 10 days or more, a pharmacist can assess you through the NHS Pharmacy First service. The service is for people aged 12 and over. Video consultations are for people aged 16 and over; under-16s are seen in our Bury pharmacy.

The consultation is free. If you normally pay for prescriptions, the standard NHS prescription charge applies to any medicine supplied.

Who can use this service

You can use Pharmacy First for sinusitis if you are 12 or over and your symptoms have lasted 10 days or more.

The pharmacist will refer you to your GP or another service instead if, for example, you:

  • have had symptoms for less than 10 days (most sinusitis gets better on its own)
  • have blurred vision or any other change in your vision
  • have glaucoma
  • already use a steroid medicine (a tablet, inhaler, cream or nasal spray)
  • keep getting sinusitis, or have had symptoms for more than 12 weeks
  • have a weakened immune system
  • tried a steroid nasal spray for this episode and it didn’t help

Symptoms of sinusitis

  • pain, swelling and tenderness around your cheeks, eyes or forehead
  • a blocked or runny nose
  • a reduced sense of smell
  • green or yellow mucus from your nose
  • a high temperature
  • headache, toothache, bad breath, a cough or pressure in your ears

What happens in the consultation

The pharmacist asks about your symptoms, how long you’ve had them and your general health. Depending on what they find, they may:

  • give you self-care advice
  • recommend a treatment you can buy, or supply a treatment such as a steroid nasal spray or, in some cases, an antibiotic, where clinically appropriate
  • refer you to your GP or another service if you need further help

We tell your GP about your consultation on the same day or the next working day.

Things you can do to help

  • rest and drink plenty of fluids
  • take paracetamol or ibuprofen for pain (don’t give aspirin to children under 16)
  • rinse your nose with a salt water solution, up to 3 times a day
  • avoid anything you’re allergic to, and don’t smoke

Sinusitis usually clears up on its own within 4 weeks.

When to get urgent help

Call 999 or go to A&E if you have swelling or redness around your eye, changes in your vision, a severe headache, confusion, or a stiff neck.

Get an urgent GP appointment or call NHS 111 if you feel very unwell, painkillers don’t help, your symptoms are getting worse, or you have a weakened immune system.

See your GP if you haven’t improved after 7 days of treatment from a pharmacist or GP.

Frequently asked questions

How long does sinusitis last?
Sinusitis usually clears up on its own within 4 weeks. Pharmacy First is for symptoms that have lasted 10 days or more.
Will I get antibiotics for sinusitis?
Not usually. Most sinus infections are caused by viruses, and antibiotics don’t help. The pharmacist may suggest a steroid nasal spray or self-care instead, and supplies an antibiotic only where it is clinically appropriate.
Can I see a pharmacist for sinusitis by video?
Yes, if you’re 16 or over and live in England. Book online and we text you a secure video link.
Is the consultation free?
Yes. If you normally pay for prescriptions, the standard NHS prescription charge applies to any medicine supplied.
Can my child use this service?
Children aged 12 to 15 can be seen in our Bury pharmacy. For a child under 12, contact your GP or NHS 111.
How can I tell if a sinus infection is spreading?
Rarely, a sinus infection can spread to the area around the eye or further. Call 999 or go to an emergency department straight away if you have swelling or redness around your eye, changes in your vision, a severe headache, confusion or a stiff neck.
Is sinusitis contagious?
Sinusitis itself is not usually passed from person to person, but the cold or flu virus that often causes it can be. Wash your hands often and stay at home if you have a high temperature.
NHS Pharmacy First

Speak to a pharmacist

Book a free NHS video consultation, call us on 0161 222 1024, or visit us at 46 Walmersley Road, Bury BL9 6DP. Video consultations: Monday to Friday 9am to 2pm and 3:30pm to 6pm; Saturday and Sunday 10am to 2pm and 3:30pm to 6pm. Pharmacy opening hours: Monday to Friday 9am to 2pm and 3:30pm to 7pm; Saturday and Sunday 10am to 2pm and 3:30pm to 6pm.

Book a free NHS video consultation

This page is general information about an NHS service and does not replace advice from your GP. Sources: NHS website condition and contraception pages; NHS England Pharmacy First and Pharmacy Contraception Service specifications.