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A 49-year-old male asked:

i have severe allergy allergy w/ post nasal drainage, itchy & watery eyes & sore throat. i am requesting a prescription for steroid & azithromycin ?

2 doctor answers4 doctors weighed in
Dr. Derek Farley
Urgent Care 24 years experience
Why the antibiotic?: Sounds like allergy to me. Shouldn't need antibiotics. Steroid nasal spray, antihistamine tablets, maybe a steroid shot or pill pack would be most effective. By the way, Azithromycin has never been first line for bacterial sinusitis. This is not likely a bacterial process. See your doctor about this...
Dr. Marius Frasie
Internal Medicine 26 years experience
Not good approach: Requesting is not a good idea. Doctors examine, make a diagnosis an prescribe as see fit. Why would you need an antibiotic for allergy? An oral allergy medication +/- decongestant and possibly a nasal steroid would be a good start. Have an exam an do not request anything.
Dr. Jan Lei Iwata
Ophthalmology 26 years experience
Absolutely not good approach. Agree with Dr. Fraslie. It becomes dangerous when patients are requesting their own meds without knowing the side effect profile too. Be cautious, and let your doctor dictate your next step is best, and safest!
Apr 13, 2014

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