A member asked:

Hi, i had a sinus infection 2 weeks ago and i still have the same symptoms. i get them very often and this time the z pak (azithromycin) didn't work? what do i do ?

A doctor has provided 1 answer

Maximal medical Rx: An otolaryngologist should perform a nasal endoscopy with culture of any suspicious mucus. Maximal medical therapy would consist of a 3 to 4 week course of culture-directed antibiotics, saline sinus rinses, intranasal steroids, oral steroids, and intranasal antihistamines. A post-treatment ct scan of the sinuses should then be performed. The next step in management can thn be determined.

Answered 9/13/2019

5.6k views

Thank

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