Rhinosinusitis is one of the most common reasons for contacting a doctor and prescribing antibiotics in an outpatient setting. In addition to conventional treatment-accompanying measures, standardized herbal remedies are coming into focus as a complementary option. Randomized, controlled trials are available for a standardized dry extract of gentian root, primrose flowers, sorrel herb, elderflower and verbena, for monoterpene distillates with 1,8-cineole, limonene and α-pinene and for standardized root extracts of Pelargonium sidoides , among others. Current systematic reviews and network meta-analyses evaluate the efficacy of these phytotherapeutics in acute rhinosinusitis as predominantly positive, albeit with heterogeneous evidence quality. The following article summarizes the evidence-based data situation and discusses their potential value in practice.
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