
Sinusitis can leave you feeling blocked up, achy and generally run down, and one of the first things most people want to know is simply how long it is going to last. The answer depends largely on whether your sinusitis is viral or bacterial, and knowing the difference can help you decide when it is time to seek treatment rather than wait it out.
At Nettles Pharmacy in Tooting, our GPhC-registered team can assess your symptoms and, where appropriate, provide treatment through the NHS Pharmacy First service. If your symptoms are not settling, contact us or speak with our pharmacy team.
Viral Sinusitis: What to Expect
Most cases of sinusitis start as a viral infection, often following a cold or flu. Viral sinusitis tends to peak within the first few days and then gradually improve.
Typical features of viral sinusitis include:
- Symptoms lasting around 7 to 10 days
- Gradual improvement rather than sudden worsening
- Clear or slightly cloudy nasal discharge
- Mild facial pressure rather than severe pain
Bacterial Sinusitis: How It Differs
Bacterial sinusitis is less common but tends to last longer and can feel more severe. Symptoms lasting longer than 10 days, or that worsen after initially improving, may suggest a bacterial cause.
Signs that may point towards bacterial sinusitis include:
- Symptoms persisting beyond 10 days without improvement
- A high temperature or feeling generally unwell
- Thick, discoloured nasal discharge
- Severe pain around the face, eyes or teeth

How Pharmacy First Can Help in Tooting
Pharmacy First allows our Tooting pharmacy team to assess and treat sinusitis directly, without the need for a GP appointment in many cases. This service is designed to give patients faster access to the right care.
| Type | Typical Duration | Common Treatment Approach |
|---|---|---|
| Viral sinusitis | 7 to 10 days | Rest, fluids and symptom relief |
| Mild bacterial sinusitis | Up to 2 to 3 weeks | Monitoring, decongestants or nasal treatments |
| Persistent or worsening bacterial sinusitis | Beyond 3 weeks | Assessment for antibiotics via Pharmacy First |
When to Seek Further Help
Most cases settle on their own, but you should seek advice sooner if you notice:
- Symptoms lasting longer than three weeks
- A high temperature that does not improve
- Severe swelling or pain around the eyes
- Symptoms that worsen after initially improving
Frequently Asked Questions
Yes. Our team can assess suitable patients and provide treatment where appropriate under the NHS Pharmacy First service.
No. Most cases are viral and resolve without antibiotics. These are usually only considered for confirmed bacterial infections.
Worsening pain, a persistent high temperature or symptoms lasting beyond three weeks may indicate you need further assessment.
Viral sinusitis can be contagious in the early stages, similar to a cold, while bacterial sinusitis is generally not passed between people.
Knowing how long viral and bacterial sinusitis typically last can help you decide when to manage symptoms at home and when to seek further support. Our Tooting pharmacy team is here to help you get the right care quickly through Pharmacy First.
If your sinusitis symptoms are not improving, contact us or book now to speak with our team.


