The invention relates to a new topical nasal pharmaceutical composition for the treatment and prophylaxis of Rhinosinusitis (RS), comprising a homogeneous
aqueous suspension with a therapeutically effective amount of the following well-known active ingredients:
Rifamycin, an antibiotic and anti-inflammatory agent for topical or local use;
fluticasone propionate, an anti-inflammatory agent for local use; optionally, oxymetazoline
hydrochloride, a
decongestant; and bacterial antigens, local immunostimulants; 0.9%
saline solution, a vehicle; and pharmaceutically acceptable excipients q.s., which are formulated for topical administration via
nasal spray. The combination of these compounds produces
synergy, resulting in a greater local antibiotic, anti-inflammatory,
decongestant and immunomodulatory effect at the specific
site of action. Its effectiveness in
chronic rhinosinusitis is particularly notable in low doses. So is its good tolerance, absence of adverse effects, and ease of application. No rebound congestion has been reported with prolonged use.