Alternative to pseudoephedrine?

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DeltaWardog

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Can anyone recommend a good alternative to pseudoephedrine for help with keeping eustachian tubes cleared up during a dive trip? Sudafed has long been in my dive kit but I recently learned it is illegal in Mexico (where I dive most trips) and people have been jailed for bringing it on vacation. I'm not willing to risk that so looking for an alternative. I have found plenty of lists of what doesn't work during my search but no positive alternative recommendations except Flonase, and I would rather not use a spray if I can help it. Thanks.
 

Marie13

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There’s nothing else that really works. You might try Flonase, although I don’t know why you’re objecting to a spray. I actually have to use both daily due to allergies.
 

michael-fisch

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Any prescription cortesone works wonders, I personally like Decortine 20mg 2x Daily starting the night before diving. after 2-3 days you should be able to cut the dosage in half (10mg 2x daily). now all you have to do is find a Dr that will write you a decent sized prescription (like 50 or 100x 20mg pills). Side effects can include an altered sense of smell, taste, reduced resistance to sunburn, and many others - but for me , even though I'm a Type 1 diabetic, its worth it.

Michael
 

JohnN

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There’s nothing that really works. You might try Flonase, although I don’t know why you’re objecting to a spray. I actually have to use both daily due to allergies.
I suffer from seasonal pollen allergies. Give Flonase ( or the generic equivalent) at least a week to become effective
 

drk5036

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for me, the neilmed sinus rinse did wonders. I used to always have trouble with sinus squeezes. I used it twice a day for a about a week or two prior to a driving trip, and realized on that trip I didn't get squeezes anymore. And since then, they've never come back. Maybe I had a chronic infection that it helped clear out? Anyway, it's a non-pharmaceutical thing you can easily try.
 

Esprise Me

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Have you already tried phenylephrine, AKA Sudafed PE? You can buy it without ID stateside and it's legal in Mexico. Some say it doesn't work as well; others feel it works well enough.
 

Joneill

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for me, the neilmed sinus rinse did wonders. I used to always have trouble with sinus squeezes. I used it twice a day for a about a week or two prior to a driving trip, and realized on that trip I didn't get squeezes anymore. And since then, they've never come back. Maybe I had a chronic infection that it helped clear out? Anyway, it's a non-pharmaceutical thing you can easily try.
I use a NeilMed neti pot with their saline rinse before every dive trip - I think it helps as well.
 

rob.mwpropane

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I'm in the same boat, horrible sinuses.. I do the rinse, sudafed, flonase daily. Recently added ibuprofen the morning of each dive.

I feel your pain.

On a side note, if you crush up the sudafed and put in in a small baggie they'll never know. You'll be fine:)
 

Joris Vd

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I have chronical sinusitis. For me a low dose cortisone nasal spray works best to keep the upper airways somewhat clear. The benefit of these is that you well never ever get a reverse block using these. I would be careful with oral cortisone tablets as some people get heavy side effects from them. (both psychological and physical).
 
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