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Doctor insights on: Acute Sinus Infection

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Is Levaquin (levofloxacin) 500mg taken for 14 days a good dosage to treat a severe acute sinus infection and will it be enough?

Is Levaquin (levofloxacin) 500mg taken for 14 days a good dosage to treat a severe acute sinus infection and will it be enough?

Should be: However keep in mind many acute sinus infections are actually viral so antibiotics are not needed in the first place. Symptomatic management such as hydration, humidifier, and NSAID will best help you get through the infection. ...Read more

Dr. Shari Jackson
3 doctors shared insights

Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


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I have had acute sinus infection for 9 days was on levaquin (levofloxacin) 750mg for 10 days. Just finished them but still have facial pain on one side, no congestio?

I have had acute sinus infection for 9 days was on levaquin (levofloxacin) 750mg for 10 days. Just finished them but still have facial pain on one side, no congestio?

Something else: Given that even if Levaquin (levofloxacin) was not the exact abx for the sinusitis it should have provided some relief by now since bacteria tend to stop proliferating temporarily while on an abx (even though it did not kill them). I suspect that your facial pain is likely from something else. Check with your doctor or get a 2nd opinion. ...Read more

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What signs and symptoms differentiate a bacterial vs a viral acute sinus infection?

Time: Almost all bacterial sinus infections occur following a viral upper respiratory infection. In the first several days following a cold the sinuses inflame due to the viral illness. About 15 to 20% of the time a viral illness becomes bacterial. 7 to 10 days after illness if symptoms persist or worsen with cough, headache, congestion, bacterial is now a likelyhood. ...Read more

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I have an acute sinus infection I'm taking Augmetin Duo Forte, doc gave me 4 packs . Is that safe? it says don't take for more than 14 days?

I have an acute sinus infection  I'm taking Augmetin Duo Forte,  doc gave me  4 packs . Is that safe?   it says don't take  for more than 14 days?

Yes it is safe but: Acute Sinusitis is sometimes treated with a long course of antibiotics. 2/3 rd of acute Sinusitis do not require any antibiotics and gets better by itself. How many days you take antibiotics depends on many factors like acute on chronic Sinusitis and severity of the infection.If culture is available you know what antibiotic to use. Augmentin (amoxicillin and clavulanate) can cause gastrointestinal side effects like Diarrhea ...Read more

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I was diagnosed with an acute sinus infection and was put on meds well the next day I started having shortness of breath and pain between the shoulder?

I was diagnosed with an acute sinus infection and was put on meds well the next day I started having shortness of breath and pain between the shoulder?

MGT: I would advise continuing prescribed medications. The new symptoms must be further evaluated by your physician. There are many possible causes. If you are in distress and air hungry, please see the ED right away. ...Read more

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Ihave been feeling faintish lately I went to my doctor and she said that I have an acute sinus infection.I been having bad migraine so when I checked my bp it was 167/93. What should I do?

Ihave been feeling faintish lately I went to my doctor and she said that I have an acute sinus infection.I been having bad migraine so when I checked my bp it was 167/93. What should I do?

Tell your Dr. the BP: The headache could be related to sinusitis, migraine or BP. Symptomatic acute sinusitis usu. responds to a course of antibiotics. More than one BP reading is usually required to establish a reliable diagnosis or treatment plan. Folks need to work closely with their Drs. to manage chronic issues like migraines and BP. There are many treatments for migraine and BP and most work pretty well. ...Read more

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What are the symptoms of an acute sinus infection? Plus chest hurts, and throwing up.

What are the symptoms of an acute sinus infection? Plus chest hurts, and throwing up.

My sympathy!: Facial and/or dental pain, fever, discolored mucous discharge with nose blowing. The majority are caused by viral infections and last 4 weeks or less. 0.5 - 2% progress to bacterial infection. Antibiotic resistance has increased to the 30-40% range. Cough, sore throat, facial tenderness may accompany. Your symptoms: do you have pneumonia? You need a chest x-ray, exam, and maybe blood work. ...Read more

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My mother has been put on Levaquin (levofloxacin) 500mg for 14 days due to a severe acute sinus infection. When will she start feeling better?

My mother has been put on Levaquin (levofloxacin) 500mg for 14 days due to a severe acute sinus infection. When will she start feeling better?

When sinuses clears: Speak to her doctor go for follow up , will refer her to ENT surgeon , some the fluid collection need to be drained , to clear the infection by simple out patient ' balloon dilation ' of the opening(s) of sinuses for faster relief . ...Read more

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I am on day two of treatment for an acute sinus infection; is there anything I can do to try to release the liquid causing the blocked ear feeling?

I am on day two of treatment for an acute sinus infection; is there anything I can do to try to release the liquid causing the blocked ear feeling?

Xylitol: Xylitol is a natural sugar and breaks up biofilm in the body. That's where germs mulitply. It is found in a nasal spray called xlear (pronounced "clear") and in chewing gum called spry. Pleasant tasting too! your doctor may have a conventional medical alternative also. ...Read more

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Is Cipro (ciprofloxacin) a good antibiotic for a severe acute sinus infection?

Is Cipro (ciprofloxacin) a good antibiotic for a severe acute sinus infection?

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

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What is the antibiotic of choice to treat bacterial acute sinus infection? Please include dosage and duration. Thanks

What is the antibiotic of choice to treat bacterial acute sinus infection? Please include dosage and duration. Thanks

Xylitol ; OLE: A natural approach can be olive leaf extract as antimocrobial. Also, xylitol is a natural sugar and breaks up biofilm in the body. That's where germs mulitply. It is found in a nasal spray called xlear (pronounced "clear") and in chewing gum called spry. Pleasant tasting too! ...Read more

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I have an acute sinus infection one week after kissing woman with bad breath. Did she transmit bacteria to my oropharynx? Should I stop seeing her?

I have an acute sinus infection one week after kissing woman with bad breath.  Did she transmit bacteria to my oropharynx?  Should I stop seeing her?

Sinus Infection: It is possible you caught an infection from your lady friend, but it is also possible you caught it somewhere else. Bad breath can be caused by many different factors, some of which are not transmittable. Seeing her for future endeavors is your choice... if your attraction is mutual and you like her company, why not? She did not purposely try to make you sick, right? All the best... ...Read more

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What is cure acute sinus infections?

What is cure acute sinus infections?

Quinolones: In some cases, the antibiotic Augmentin (amoxicillin and clavulanate) will work. In severe cases, the quinolone antibiotics such as Avelox or Levaquin are indicated. Keep smiling ! ...Read more

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I'm being treated for an acute sinus infection but have been on augmentin (amoxicillin and clavulanate) for a week and the pain is getting worse and spreading. Any suggestions?

I'm being treated for an acute sinus infection but have been on augmentin (amoxicillin and clavulanate) for a week and the pain is getting worse and spreading. Any suggestions?

Multi-factorial: The discomfort of sinusitis has as much to do with obstruction of drainage and congestion as it does with inflammation. It does not appear that you are irrigating your nares with saline solution and a Neti-pot, nor using a decongestant (pseudoephedrine, oxymetozaline, etc.) You would probably benefit from both and if it gets worse see an ENT doctor. Best wishes. ...Read more

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How long should a acute bacterial sinus infection last?

Sinusits: There is no time limit. Some infections clear on their own but often they require treatment with antibiotics, steroids, sprays, etc. See your doctor for answers. ...Read more

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What if you have an acute bacterial sinus infection for more than 2-3 months?

Chronic sinusitis: See an ENT doc who specializes in sinus conditions. I frequently successfully treat patients who have been infected for years not months... There are numerous possibilities and potential solutions. Don't give up! ...Read more

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I'm taking 500 mg of Levaquin once a day for 10 days to treat acute maxillary sinus infection. Is this a strong dosage and will it be effective?

I'm taking 500 mg of Levaquin once a day for 10 days to treat acute maxillary sinus infection. Is this a strong dosage and will it be effective?

Probably OK, but...: See my reply to your other infection. If this was prescribed by your doctor, take it as directed. But don't expect miracles: as I said before, most sinusitis doesn't need antibiotics and often they don't help very much. A nasal decongestant probably is equally or more important. Good luck. ...Read more

Dr. Walter Husar
9 doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


Dr. Al Hegab
8 doctors shared insights

Sinusitis (Definition)

A condition caused by an inflammation or swelling of the lining of the facial sinuses. It usually starts with cold-like symptoms such as a runny, stuffy ...Read more