Kieran Reynolds talks to Professor Alastair Hay and Simran Sirpal about some of the clinical issues surrounding the sinusitis service under Pharmacy First. Discussion includes why intranasal steroids are first line in suspected bacterial sinusitis, treating patients who are breastfeeding, as well as how to administer nasal sprays. (16m 58s)Professor Alistair Hay – GP & Professor of Primary Care, Bristol Medical SchoolSimran Sirpal – Community Pharmacist, Sirchem Pharmacy GroupKieran Reynolds – Specialist Pharmacist (Medicines Governance), SPSUseful links: NHS England Pharmacy First resourceshttps://www.england.nhs.uk/primary-care/pharmacy/pharmacy-services/pharmacy-first/How to use a nasal spray - The British Society for Allergy & Clinical Immunology (BSACI)https://www.rbht.nhs.uk/sites/nhs/files/How%20to%20use%20a%20nasal%20spray.pdfNICE sinusitis (acute) antimicrobial prescribing guidancehttps://www.nice.org.uk/guidance/ng79