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Doctor insights on: Best Antibiotic For Sinusitus

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Dr. John Leander Po
1,117 doctors shared insights

Antibiotic (Definition)

An antibiotic is a medicine that slows, stops, or kills germs. The germs are usually bacteria causing an infection in a person, so the person uses antibiotics to help his body get ...Read more


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Greetings. I would like to know which is the best antibiotic for sinusitis. The best anti-inflammatory for the throbbing pain caused by sinusitis.

Greetings. I would like to know which is the best antibiotic for sinusitis. The best anti-inflammatory for the throbbing pain caused by sinusitis.

Sinusitis: Hello. You pose an interesting question. Each doctor may have a preferred antibiotic or anti inflammatory. I usually check to see which medicines (anti inflammatories/antibiotics) you have been treated with and ask which is any have helped. I usually recommend a generic such as high dose amoxicillin, doxycycline, or quinolone. Ibuprofen is my recommended anti inflammatory. ...Read more

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The Best way to combat chronic sinusitis until I get health insurance to see an ENT? Antibiotics haven't helped, and I've accepted they won't. Any advice?

The Best way to combat chronic sinusitis until I get health insurance to see an ENT? Antibiotics haven't helped, and I've accepted they won't. Any advice?

Saline Nasal Rinse: Some people with chronic sinus congestion find relief with regular nasal irrigation using a neti pot. Good instructional video here: https://www.youtube.com/watch?v=EDSlUuAOnN0
Over the counter antihistamines and decongestants can also help (loratadine, cetirizine, sudafed). Use caution with sudafed if you have a history of high blood pressure. ...Read more

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A CT scan confirmed sinusitis on my 6 yr old. What is the best treatment other than antibiotics and corticosteroids? He/she is on cifex, aerius, avamys, xylalin & sinarest.

A CT scan confirmed sinusitis on my 6 yr old. What is the best treatment other than antibiotics and corticosteroids? He/she is on cifex, aerius, avamys, xylalin & sinarest.

Peds Sinusitis: Sounds like a pretty unhappy child, sorry about that. Lots of meds, too. We usually try to manage pediatric sinusitis with medications, like antibiotics and steroids. Can also use saline irrigation or spray in the nose. Further, a landmark study has shown that many children suffer from reflux and by treating, they often can get their sinusitis better. Consider reflux treatment and add saline. ...Read more

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Ct scan confirmed sinusitis in 6 yr old. What is the best treatment other than antibtics & corticosteroids? On cifex, aerius, avamys, xylalyn & sinarest.

Ct scan confirmed sinusitis in 6 yr old. What is the best treatment other than antibtics & corticosteroids? On cifex, aerius, avamys, xylalyn & sinarest.

Sinusitis: You need to get to the bottom of this. See an allergist/immunologist, your child may have nasal allergies but his/her immune system also needs to be checked to rule out an immunodeficiency and they need to be checked for cystic fibrosis if the history is consistent. ...Read more

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What is antibiotic of sinusitis?

What is antibiotic of sinusitis?

Depends: The best way to treat any infection is with culture directed antibiotic therapy. This is not always performed with routine sinusitis, but would be advised for complicated, chronic, or chronic acute sinus dz. Penicillin derivatives are probably the most widely used antibiotics (amoxicillin or augmentin). Hope this helps! ...Read more

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Is there a way to treat sinusitis without antibiotics?

Is there a way to treat sinusitis without antibiotics?

Sinus rinses: Some of my patients have found neil med sinus rinses to be quite helpful in treating their sinus or nasal allergy symptoms. Give that a try. ...Read more

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Can antibiotics make sinusitis worse before it gets better? I've been on them for three days so far and feel a lot worse than when I started.

Can antibiotics make sinusitis worse before it gets better? I've been on them for three days so far and feel a lot worse than when I started.

No: May not improve condition depending on the antibiotics and the etiology of the sinusitis.If condition continues to worsen follow up with the prescriber ...Read more

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Can there be a natural alternative to antibiotics to treat sinusitis?

Can there be a natural alternative to antibiotics to treat sinusitis?

Time will help.: First, increase hydration. Drink at least 8 glasses of plain water a day. Avoid drying agents, ie antihistamines (claritin, allegra, alcohol, caffeine etc) use a saline rinse kit twice a day. Decongest the nose for 3 days only (choice of afrin, (oxymetazoline) vics, etc) most will be better in 7 days. If symptoms worsen, see a physician. ...Read more

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If my daughter is just 8 y.O., should she take the antibiotic for sinusitis?

If my daughter is just 8 y.O., should she take the antibiotic for sinusitis?

May be: Doctors don't usually recommend taking antibiotics for sinusitis in an eight-year-old unless you try decongestants, nasal saline for approximate seven days but there are many thoughts on this subject this is just my opinion. ...Read more

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Diagnosed with sinusitis got antibiotics is there any self-help tips I could also use to relieve it?

Diagnosed with sinusitis got antibiotics is there any self-help tips I could also use to relieve it?

Yes, there are tips!: Great question! I see you use Nasonex, (mometasone) & suggest you take a break from that for a week every 2-3 months. Periodic drug holidays from nasal sprays can help prevent bacterial infection and nosebleeds. Currently, try using plain saline spray and sterile saline nasal irrigation from a drug store. Inhaling steam in the shower or a steam room loosens secretions too. Stay hydrated. Clearing mucus is key. ...Read more

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I think I have fungal sinusitis where would I go to get that treated and what antibiotics are there?

I think I have fungal sinusitis where would I go to get that treated and what antibiotics are there?

See an ENT: For evaluation and final diagnosis. Sporanox (itraconazole) or Amphotericin B can be used either as oral agents or topically applications. ...Read more

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Help! I've been having chronic sinusitis. I have taken numerous antibiotics but still not getting better?

Chronic Sinusitis: Hello. Unfortunately many antibiotics commonly used for sinusitis have little effect on the bacteria causing these infections. You may also have structural abnormalities affecting you sinus function too. I would recommend seeing your ENT doctor for a full workup. This may include a CT scan of you sinuses, an allergy evaluation, and possibly surgery. If surgery is recommended, ask about a balloon. ...Read more

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Diagnosed with sinusitis and prescribed antibiotics. Been taking for 4 days now and developed a cough that's getting worse. Why is this?

Diagnosed with sinusitis and prescribed antibiotics. Been taking for 4 days now and developed a cough that's getting worse. Why is this?

Cough on antibiotics: It may be a viral infection, in which case the antibiotic won't work. Could be the wrong antibiotic and ineffective for the bacteria you have (e.g. amoxicillin for beta-lactamase containing Haemophilus bacteria). Underlying asthma or COPD can flare up with the infection. You could also have progression of your infection to bronchitis or pneumonia. Some feels better but have drainage that persists. ...Read more

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Are antibiotics a must if Sinusitis lasts more than ten days? I'm allergic to many and have a C Diff history. C Diff free for year but nervous of atx.

Are antibiotics a must if Sinusitis lasts more than ten days? I'm allergic to many and have a C Diff history. C Diff free for year but nervous of atx.

Not a must: I would not say they are a must. Our guidelines recommend treatment for sinusitis for symptoms of a cold persisting between 10 to 14 days with no improvement. That said, I prefer waiting the 14 days in patients who are not febrile, without facial pain and erythema. I would take this approach especially in a patient with multiple allergies and a c diff history. Feel better! ...Read more

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Will only bacterial sinusitis respond to antibiotics?

Will only bacterial sinusitis respond to antibiotics?

Yes: Since antibiotics are only meant to fight off bacterial infection and are useless against viruses. Some sinus infections are fungal in nature and those need be adresssed with anti-fungals. ...Read more

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Will maxillary sinusitis heal on its own, or do I need antibiotics?

Will maxillary sinusitis heal on its own, or do I need antibiotics?

Maxillary sinus: Usually nasal decongestants are given for three days to improve the flow. If the problem continues, you should see a doctor. ...Read more

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Can sphenoid sinusitis be treated without surgery? How? With what? Are antibiotics always necessary?

Can sphenoid sinusitis be treated without surgery? How? With what? Are antibiotics always necessary?

Yes,: Sphenoid sinusitis, isolated or part of pan-sinusitis would be treated by antibiotics, given the right choice, dosage and duration. Surgical treatment has its own indication(s) ENT specialist would be deciding the type of surgery and whether you would need it, good luck ...Read more

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Sinusitis in 12 month old 18 lbs was give second round of antibiotics high dose 400mg bid for 7 days. Does this seem right?

Sinusitis in 12 month old 18 lbs was give second round of antibiotics high dose 400mg bid for 7 days. Does this seem right?

Hard to answer: Since you didn't name the med, or the previous med, it is hard to answer your question. This is in the correct dosing ballpark for Augmentin (amoxicillin and clavulanate) or Amoxil, but whether it would be appropriate depends on the prior med. ...Read more

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I have chronic sinusitis, I've been told to take antibiotics when showing symptoms, my symptoms come for a day then go for a day! How do I know when?

I have chronic sinusitis, I've been told to take antibiotics when showing symptoms, my symptoms come for a day then go for a day! How do I know when?

Sinusitis : That doesn't appear to be very sound advice. You need to be under the care of a good ENT who can do a more comprehensive approach with nasal endoscopy, cultures of your sinuses with culture directed antibiotics, imaging and possibly surgery. It doesn't seem appropriate to have you making the decision when to take antibiotics and you should not be on antibiotics all the time. ...Read more

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Sinusitis since January. Having septoplasty/clean-out. Will they take a sample to determine what antibiotic to use post-op? If not, when would they?

Yes they will: In addition to cleaning out the sinuses they will do cultures to determine the bacteria causing the problem as well as the sensitivity to antibiotics ...Read more

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My sinusitis won't go away even after multiple uses of antibiotics. Could this be a sign of an underlying issue? How do I get rid of it w/o antibiotic

My sinusitis won't go away even after multiple uses of antibiotics. Could this be a sign of an underlying issue? How do I get rid of it w/o antibiotic

Sinusitis: You need to be evaluated by a sinus surgeon. That doesn't mean you need surgery, but that is the ultimate treatment when you fail everything else. Other options for treatment include steroids, nasal saline rinses and limited balloon procedures. You probably need a CT scan to see what your sinuses look like and if that is even the correct diagnosis. Best of luck ...Read more

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Recurrent infections (sinusitis) need how many weeks of antibiotics?

Recurrent infections (sinusitis) need how many weeks of antibiotics?

10-20 days: Typical treatment regimens for chronic sinus infection is a minimum of 10 days & often 20. ...Read more

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I missed a dose of my antibiotic for my sinusitis; is that enough time for the bacteria to develop resistance?

I missed a dose of my antibiotic for my sinusitis; is that enough time for the bacteria to develop resistance?

Unlikely: Antibiotic dosage schedules are designed to have an overlap of coverage so that the level of the antibiotic does not get lower than needed for coverage when the next dose is given. If you missed a dose, you almost certainly had some available in your body and resistance development for this reason is unlikely. ...Read more

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Had Steroi Injection On T For Bad Case sinusitis. The Did Humaria. Worse So Dr Prescribed 3 Days Antibiotic And Cough Syrup. Night Bad All Do Is Cough?

Had Steroi Injection On T For Bad Case sinusitis. The Did Humaria.  Worse So Dr Prescribed 3 Days Antibiotic And Cough Syrup. Night Bad All Do Is Cough?

On Humira (adalimumab) ,: Call your doctor today.

Humira causes immunosupression and you are at risk for more severe infections, and coughs/bronchitis can develop into pneumonia. Since you have already had 3 days of antibiotics and are still, it appears, not better follow with your doctor he may want to do a CXR. ...Read more

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I have IBS so I'm worried that taking zithromax for sinusitis will cause c. Diff colitis. Is there another way to rid sinusitis w/o antibiotics?

I have IBS so I'm worried that taking zithromax for sinusitis will cause c. Diff colitis. Is there another way to rid sinusitis w/o antibiotics?

Cause of condition?: A majority of sinusitis are caused by viruses (e.g. Rhinovirus). Since antibiotics (abx) only treat bacterial infections, they are useless against virus infections. Supportive measures such as Acetaminophen for sinus pain can be used. If the sinusitis is caused by an allergy or some airborne irritant, remove yourself from the cause ; consider nasal irrigation with a netty pot. ...Read more

Dr. Mark Ingerman
8 doctors shared insights

Sinusitis (Definition)

A condition caused by an inflammation or swelling of the tissue lining your sinuses. Acute sinusitis usually starts with coldlike symptoms such as a runny, stuffy ...Read more