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Doctor insights on: Can I Take Z Pack For Sinus Infection

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Dr. Milroy Samuel
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 get sinus infection often and my doctor always tells me to take z-pack but I still get sinus infections like every 3 months. What should I do?

I get sinus infection often and my doctor always tells me to take z-pack but I still get sinus infections like every 3 months. What should I do?

That's too much!: Antibiotics are not recommended for most cases of sinusitis. Taking a course of antibiotics ever 3 months is excessive. Try a decongestant, and if necessary, see an ENT specialist. ...Read more

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Started 3day z-pack for sinus infection on 3/4/14. Congestion got better for about two days but is now back. Go back to Dr. Or wait it out?

Started 3day z-pack for sinus infection on 3/4/14. Congestion got better for about two days but is now back. Go back to Dr. Or wait it out?

Z pack not answer: AZYTHROMYCIN is not the "greatest" antibiotic for sinus infection since the blood levels are often not high enough to reach deep sinus infections. Furthermore, there are RESISTANT organisms being described (probably due to OVERUSE of the Z Pac) You need a longer course of therapy with an antibiotic which reaches the sinuses. Ask your PCP to refer you to an ENT specialist. ... ...Read more

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Itching feeling at the tip of penis/urethra. Just finished z pack for sinus infection. If I had an STD that would have killed it, right?

Itching feeling at the tip of penis/urethra. Just finished z pack for sinus infection. If I had an STD that would have killed it, right?

Well...: Sounds like you have a yeast (fungal) infection. You may want to see your health care provider for treatment. Best health ...Read more

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I have a sinus infection does z pack work?

Not recommended: Antibiotics are not recommended for sinus infections unless they are unusually long-lasting or severe. Use decongestants. ...Read more

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Can being exposed to sewer being broken have anything to sinus infection lastimg weeks even if I took 2 rounds of z pack? Have had infection 3 mths.

Can being exposed to sewer being broken have anything to sinus infection lastimg weeks even if I took 2 rounds of z pack? Have had infection 3 mths.

No: If Azithromycin has twice failed, it is likely the wrong antibiotic since it is convenient but not first line treatment for acute sinusitis. Penicillins, cephalosporins and fluoroquinolines are much more effective for sinusitis. Speak with or see your provider and make sure you have an infection rather than allergies or another cause for symptoms. If infected, suggest a change in antibiotics. ...Read more

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I am taking azithromycin (as z-pack) for a sinus infection; finished course this morning and I am improved but still congested. Will it keep working?

I am taking azithromycin (as z-pack) for a sinus infection; finished course this morning and I am improved but still congested. Will it keep working?

Long half life: Zithromax is a unique medicine that is taken for a shorter duration but continues to work for many days after taking the last pill. If one's symptoms continue to improve, no problem. If one's symptoms worsen after the last pill, time to see your doctor again. ...Read more

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3 wks ago I had sinus infection so I took a Z pack. It mostly cleared up but now I'm having severe headaches and facial pain, has it possibly spread?

3 wks ago I had sinus infection so I took a Z pack. It mostly cleared up but now I'm having severe headaches and facial pain, has it possibly spread?

Sinusitis: Greetings. It's possible that your sinusitis was not fully treated because the antibiotic -Z-Pak is not the for sinus coverage. There are other antibiotics available even for Patients with antibiotic allergies. I would recommend ibuprofen up to 800 mg 3x/day with food if you are able. Afrin (oxymetazoline) as directed and rinse with saline wash. See your Doctor for a possible recheck and antibiotic change. ...Read more

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How long until prednisone and z-pack stark working for a sinus infection & I start feeling better. It's been 3 weeks I've been sick. Just got medicine?

A few days: Both should make you feel somewhat improved within 3 days. Be sure to take the full course of therapy for both the prednisone and the z-pack. So long as you are improved I would hold off on any other therapy, such as another antibiotic after the z-pack, for at least 10 days. The z-pack continues to work for another 5 days after you are finished. ...Read more

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Woke up with the worst stiff neck ever, difficult to turn head. Very tired lately alond with headaches I have had a sinus infection and just finished a z-pack. Feels like there's a lump on both sides of my neck. Don't know what to do. I have tried a warm

Woke up with the worst stiff neck ever, difficult to turn head. Very tired lately alond with headaches I have had a sinus infection and just finished a z-pack. Feels like there's a lump on both sides of my neck. Don't know what to do. I have tried a warm

With: With headache and neck stiffness, there would be a concern for meningitis. If you have neck pain, stiffness, or especially if you have any fever or rash you would have to be seen in the emergency department. It could also be that your lymph node swelling is causing worsening symptoms in your neck. ...Read more

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Woke up with the worst stiff neck ever, difficult to turn head. Very tired lately alond with headaches I have had a sinus infection and just finished a z-pack. Feels like there's a lump on both sides of my neck. Don't know what to do. I have tried a warm

Woke up with the worst stiff neck ever, difficult to turn head. Very tired lately alond with headaches I have had a sinus infection and just finished a z-pack. Feels like there's a lump on both sides of my neck. Don't know what to do. I have tried a warm

With: With headache and neck stiffness, there would be a concern for meningitis. If you have neck pain, stiffness, or especially if you have any fever or rash you would have to be seen in the emergency department. It could also be that your lymph node swelling is causing worsening symptoms in your neck. ...Read more

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I have a very bad cough. I have a hard time breathing in without coughing. I was prescribed a Z-pack and Mucinex (guaifenesin) D for sinus infection. Bronchospasm?

I have a very bad cough. I have a hard time breathing in without coughing. I was prescribed a Z-pack and Mucinex (guaifenesin) D for sinus infection. Bronchospasm?

See doc again: If you have a hard time breathing, you need to get checked again and hopefully get a lung function test or even a chest xray. On the other hand, trouble breathing in is more suggestive of obstruction at the upper airway and not the lung. Once we have the lung function and/or chest x-ray finding, we will have a better chance in pinning down the cause. Zpak may not work for sinusitis ...Read more

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I feel like I've had a sinus infection for ever... How long can they last? And would z pak (azithromycin) help?

I feel like I've had a sinus infection for ever... How long can they last? And would z pak (azithromycin) help?

A long time: A zpak is ok, however if you have chronic sinusitis you need a better antibiotic like Augmentin (amoxicillin and clavulanate) or avalox. Sinus infections lasting longer than three months are considered chronic sinusitis and you should be evaluated by an ent. ...Read more

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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?

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?

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. ...Read more

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I am taking a Z pak for sinus infection, think I may also have a bladder infection. Will the azithromycin help?

I am taking a Z pak for sinus infection, think I may also have a bladder infection. Will the azithromycin help?

NO: Bladder infection yield to different antibiotic.
Whoever prescribed the Z-pack can easily call for you something like Bactrim-DS :one tab 2 times a day for one week.
If you get bladder infection, try drinking cranberry juice in am & in pm ...Read more

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Treated with Z pack for pneumonia and sinus infection. My neck, shoulders and head hurt so bad that I can't hardly stand it.

Need more info: While a z-pack might be adequate for a simple pneumonia there is increasing resistance to its effects and we generally prescribe the full 500 every day instead of the 250mg/day in the pack. It is also not adequate treatment for a true sinusitis which should be treated for at least 14 days with Augmentin (amoxicillin and clavulanate) or cefuroxime. Knowing if u just started or have finished the z-pac would help us advise you ...Read more

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I have 1 eye that off and on has swollen, the skin is red. I don't have allergies. My doctor gave me a z pack for a sinus infection but no change.

I have 1 eye that off and on has swollen, the skin is red. I don't have allergies. My doctor gave me a z pack for a sinus infection but no change.

You should go: Back to your doctor to see if another treatment would be necessary. If symptoms do not improve, ask for a referral to an ENT specialist. ...Read more

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I have to take Zithromax for a sinus infection and was wondering if they could be crushed?

Zithromax: Zithromax tablets can be crushed or cut to make them easier to swallow. Remember to take the recommended dose that was prescribed for you. I can't guarantee it will taste good. Good luck. ...Read more

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Can I take Allegra (fexofenadine) with Sedafed PE? I'm also taking Azithromycin 250mg for a sinus infection.

Can I take Allegra (fexofenadine) with Sedafed PE? I'm also taking Azithromycin 250mg for a sinus infection.

Yes: As long as you are not referring to "Allegra D" you can take these medications together. Antihistamine, decongestant, antibiotic: a safe and effective combination. Hopefully they will help you clear up your sinus infection. Never underestimate the power of rest and lots of fluids, especially with cold meds. Good luck! ...Read more

Azithromycin (Definition)

Azithromycin (zithromax, azithrocin, zmax, azin)[1] is an azalide, a subclass of macrolide antibiotics. Azithromycin is one of the world's best-selling antibiotics.[2][not in citation given (see discussion.)] it is derived from erythromycin, with a methyl-substituted nitrogen atom incorporated into the lactone ring, thus making ...Read more


Dr. Stephen Scholand
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