Doctor insights on:
Sinusitis Unresponsive To Cipro
Depends & not always: Cipro (ciprofloxacin) and Levaquin are both "fluoroquinolone" antibiotics. Cipro (ciprofloxacin) will only work better if the bacteria is resistant to Levaquin and sensitive to Cipro (ciprofloxacin). However, most of the time, it is a good idea to use a different "class" of antibiotic all together if one fails. Also, antibiotic treatments can also fail because the sinusitis is actually viral, allergy, and inflammatory (such as polyps). ...Read more
Yes: Since antibiotics are only meant to fight off bacterial infection and are useless against viruses. Some sinus infections are fungal in nature an those need be adresssed with anti-fungals. ...Read more
Thanks for asking!: The simple answer is yes if it is a susceptible bacterial sinus infection. ...Read more
I want to know if Levaquin treats strep throat or bacterial pharyngitis since I'm allergic to penicillin and resistant to biaxin (clarithromycin)?.
Not a good choice: Levaquin is a broad spectrum antibiotic and usually preferred for more serious infections. Strep throat is usually still amenable to most first generation antibiotics. Being allergic to penicillin suggests u shd try a cephalosporin which shd help. Resistant to Biaxin (clarithromycin) is unlikely and erythromycins may still work. Relatively safer medications like clindamycin also exist. ...Read more
Allergic to many broad spectrum antibiotics, including penicillin, cephalosporins. Clindamycin, Bactrim, Cipro (ciprofloxacin) gave C Diff. What would work for Sinus?
Both can work: Levaquin is an excellent antibiotic for sinusitis, although very expensive and with the rare, but significant side effect of tendonopathy and tendon rupture. Bactrim (sulfamethoxazole and trimethoprim) (septra) is also good, and a fraction of the cost. I culture many of patients sinuses and am consistently surprised the number of bacteria sensitive to bactrim (sulfamethoxazole and trimethoprim). ...Read more
What other antibiotics could be used to treat a patient diagnosed of acute or chronic rhinosinusitis when augmentin (amoxicillin and clavulanate) did not work?
Many: Different bacteria live in different regions of the world. Certainly, the species of bacteria are very similar at their root, but many bacteria of the same species have developed different resistance to different medications around the world. A fluoroquinolone may be indicated in this case, but without knowing more about you or your symptoms, it's hard to say. Go back to your doctor. ...Read more
Good question: This is very patient dependent and it requires an honest discussion with your ENT doctor. If you have failed maximal medical therapy, then surgery is the next best step. However you still might need to take sinus medication to control the sinus disease. Ideally surgery will decrease the need for oral antibiotics but you still might need nasal steroids. ...Read moreSee 1 more doctor answer
Can I use Flagyl to treat strep throat? I'm allergic to penicillin, bactrum, ceftin (cefuroxime) and levaqon.
1.5 yroldw/chronic bacterial bronch (cultures nontypeable hfly) resistant to penicillin. Allergic sulpha. 28days omnicef (cefdinir) didn't touch it. Options?
1.5 yr old has chronic bacterial bronch. Cultures nontypeable h-flu resistant to penicillin. Allergic to sulpha. Omnicef (cefdinir) isn't working. Other options?
A little time: Atbcs take a few days to provide noticeable clearing of symptoms. When the lab tests the mucus, the labs tests what atbc the bacteria is susceptible to. Likely your physician saw the susceptibility report and rx Omnicef (cefdinir) based on that report. Perhaps give the treatment a few more days. ...Read more
OK, not first line.: Cipro (ciprofloxacin) will likely do an OK job on most sinus infections. There are other medications that are considered "first choices"-- amoxicillin, levofloxicin, doxycycline. There is quite a bit of resistance to some medication. Thus, if you are not responding after 5 days or so, or if you are getting worse, let your doctor know ...Read more
Yes: Cipro (ciprofloxacin) is a broad spectrum antibiotic. Not everyone would agree that it is a "best drug" for a sinus infection. There may be others that wold be considered better for this. The question is "do you really have a sinus infection?" a sinus infection can be a viral infection in the upper passages with pain and discomfort or allergies with fullness/congestion and pain or frank bacterial infection. ...Read moreSee 1 more doctor answer
Pulmonologist prescribed Keflex 250 mg. for bacterial bronchitis. Would Ceftin (cefuroxime) or Cefzil work better due to broader bacterial spectrum?
Yes and No: Yes and No. Cefzil and Ceftin (cefuroxime) are second generation cephalosporins, where as Keflex is a first generation. The second generation drugs have better gram-negative coverage however they have not as good gram-positive coverage for bacteria. It depends on which bacteria is being treated. ...Read moreSee 1 more doctor answer
Depends: Do you have culture proven sinusitis that would require ciprofloxacin? Usually this is not a 'first reach' unless you have allergies to other abx. That said if you still have the symptoms of sinusitis you might need a longer course of antibiotics, or possibly a different abx if your infection hasn't responded to a the abx your currently on...Return to provider who prescribed your abxs. ...Read more
Sick for a week. Given cipro due to sinusitis history. Not better and tested both positive then neg for strep today. Would cipro cover if +Test right?
Yes: But, because of serious adverse effects, Drs are advised to use ciprofloxins only when nothing else is possible. There are several antibiotics preferable for strep. ...Read more
On cipro (ciprofloxacin) for 3 days for UTI but now i'm having cold and sinusitis symptoms and i just don't feel good. What should I do?
Cold/Sinus: Hello, Ciprofloxacin is an excellent choice for an antibiotic for a uti. I am assuming that the cold/sinus symptoms you are experiencing is due to a virus. The Ciprofloxacin will not help fight a virus. I would suggest you discuss your symptoms with your local pharmacist who will help you choose the right medication for your cold. Rest and fluids should help you recover from both conditions. ...Read more
I used to take Levaquin in the past for sinusitis but it didn't help me. Only Cipro (ciprofloxacin) helps. How is this possible that only Cipro (ciprofloxacin) helps?
Is it possible to have viral sinusitis? Viral bronchitis? I have sinusitis & bronchitis. Took last dose of Cipro (ciprofloxacin) & still not feeling better.
Viral or bacterial: Sinusitis and bronchitis can be caused by viruses or bacteria. Cipro (ciprofloxacin) is an antibiotic. If your symptoms are not better, it is possible the illness is viral, but it is also possible that bacteria resistant to Cipro (ciprofloxacin) are causing the sinusitis. Another possibility is that the course of Cipro (ciprofloxacin) was not long enough. The sinuses have poor blood supply, are not well penetrated by antibiotics. ...Read moreSee 2 more doctor answers
I'm now taking Cipro (ciprofloxacin) because Bactrim didn't help my sinus infection. Cipro (ciprofloxacin) helped me before when I had sinusitis so will it help me now?
Cipro (ciprofloxacin) may or may: not help, depending on the type of infection. With sinusitis, Cipro (ciprofloxacin) is not a first choice treatment. However if it helped you before, it certainly may do that again. I would make sure I see a healthcare provider sooner than later if you don't feel well after, say, 5 days being on Cipro (ciprofloxacin). And you usually need antibiotic treatment for 10-14 days minimum for bacterial sinusitis. ...Read moreSee 1 more doctor answer
Can acute sinusitis cause extreme left neck gland swelling, right is also swollen but not as severe. Sinusitis is unresponsive so far to 2weeks amox.
Reevaluation: I would get that checked out. It sounds like what you may have may be resistant to amoxicillin, or you may have something else going on. The swelling may just be swollen lymph nodes, but if it is still ongoing after 2 weeks of antibiotics, you should be examined. Good luck! ...Read more
Toe acetinobacter unresponsive to cipro (ciprofloxacin). Now on mino pending new cult/sens result.Md says use mino+cipro (ciprofloxacin) b/c maybe abscess.But MRI clear. D/c cipro (ciprofloxacin)?
Which course of Cipro (ciprofloxacin) or any quinolone prescription would really help treat infection/ orchitis painful since 1 year, after now3months unresponsive doxycycline?
Levifloxacin: Levofloxacin 500mg po daily. However if urine culture negative and duration >1 year, one needs to ensure there is not a more concerning process. Has a scrotal ultrasound been performed? Have hernias been ruled out? What other things have been tried than antibiotics...Motrin, ice, scrotal support? ...Read more
How much Azithromycin would be advisable to take after 3months of unresponsive doxycycline to treat infection/ orchitis? What about cipro/ quinolone?
Here are some ...: What made you feel unresponsive to antibiotics - by pain or by physical finding of testis or by both? Nowadays, it's extremely unlikely to see STD-related infections not responding to any antibiotics used. After 2 runs failing to antibiotics, one has to think if diagnosis is correct or not. So, analyze the details of onset, degree, duration, interval, & progress of the Sx over timely, and see Doc ...Read moreSee 2 more doctor answers
Common: Sinusitis... Bacterial infection of the sinuses affects about 34 million people a year. Conservative medical treatment handles the vast majority of cases. At times surgical procedures like endoscopic sinus surgery or newer balloon technologies are used to open diseased sinuses. ...Read moreSee 1 more doctor answer
Augmentin (amoxicillin and clavulanate): There are a variety of antibiotics that can be used to treat sinusitis, so there isn't one best answer. My preferred choice for acute bacterial sinusits (with fever, pain and tenderness over the sinuses) is Augmentin (amoxicillin and clavulanate) for anyone who is not allergic to penicillin. A two week course of treatment is needed, because sinus infections can be difficult to cure completely. ...Read moreSee 2 more doctor answers
By History: Most sinus infections are diagnosed by the history. Typically, if you have a "cold" that lasts for more than 7-10 days... It's most likely a sinus infection. If you see your ENT he can use a camera to look in your nose to confirm the diagnosis. A ct scan can also be helpful as well. ...Read moreSee 1 more doctor answer
CAT scan: I know that a good nasal examination that demonstrates pus in the lateral wall of the nose strongly suggests sinusitis. The yellow material should be cultured before an antibiotic is prescribed. You will know if you have sinusitis if you have yellow-green nasal discharge and pressure in the face and between the eyes. Chronic sinusitis (greater than 90 days) is best diagnosed with a CAT scan. ...Read moreSee 1 more doctor answer
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