penicillin antibiotics dosing with the topical corticosteroid beclomethasone is employed to reverse local inflammation swelling and obstruction to mucous flow amoxicillin 250 mg one capsule three times a day for 10 days phenylephrine hcl 0 5 nasal spray 2 sprays in each nostril three times a day for the first three days of treatment buffered saline nasal spray 2 sprays in each nostril three times a day for subsequent seven days of treatment following treatment with phenylephrine this regimen employs ten days of dosing with the oral antibiotic amoxicillin to reverse bacterial overgrowth and dosing with the topical decongestant phenylepherine to reverse local swelling and obstruction to mucous flow phenylepherine is discontinued after three days because of the known side effect of rebound nasal congestion which may follow longer use and dosing with topical saline is thereafter employed to liquefy the mucous and promote drainage through the end of the ten day treatment course amoxicillin clavulanate 250 125 mg one capsule three times a day for 10 days pseudoephedrine hcl 120 mg one capsule twice a day for 10 days buffered saline nasal spray 2 sprays in each nostril three times a day for 10 days this regimen employs ten days of dosing with the oral antibiotic combination amoxicillin clavulanate to reverse bacterial overgrowth dosing with the oral decongestant pseudoephedrine hydrochloride to decrease congestion of the nasal and sinus membranes and dosing with topical saline to liquefy the mucous and promote drainage throughout the course of treatment other variations may occur to those skilled in the art which are within the scope of the invention as set forth in the appended claims those of skill in the art may also recognize modifications to.