Doctor insights on:
Levaquin For Sinusitis And Bronchitis
No: Most people who have sore throat and cough have a viral infection, for which antibiotics offer no benefit. In the case of strep throat, Augmentin (amoxicillin and clavulanate) is overkill: penicillin or Amoxicillin are enough. In the case of bacterial pneumonia, there are more appropriate antibiotics than augmentin (amoxicillin and clavulanate). ...Read moreSee 1 more doctor answer
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
What prescription is better for a sinus infection, augmentin (amoxicillin and clavulanate) or cefdinir?
Sinusitis: Either one, your physician will decide which one to prescribe considering several factors. ...Read more
If levofloxacin with methylprednisolone is common treatment for sinus infection? (I also have polyps in all sinuses and exercise asthma).
Only: If it is a bacterial infection. Most upper respiratory infections however, are viral and many people mistake a viral rhinnitis for sinusitis and take unnecessary antibiotics. Sounds like you may be considering taking left over keflex. Would recommend against that. Rather consult your doctor. ...Read more
Can I take Advil cold and sinus (night) and Nasonex (mometasone) for a cold and sinus pains while taking azythromycin for a sinus infection?
They do interact: very slightly. since azithromycin when being eliminated by the liver does prevent these other drugs from being removed as fast. BUT, the small effect on the drug metabolism isn't going to be noticeable let alone being in any way dangerous/risky. Nasonex (mometasone) especially once it gets out of the nose is so low an amount in the body, that it can't ... well.... do anything outside of the nose/throat. ...Read moreSee 1 more doctor answer
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
Need doc recommendations for augmentin (amoxicillin and clavulanate) or amoxicillin, which is best for treatment of cough in children?
How come Cipro (ciprofloxacin) doesn't help me anymore for bacterial sinus infections? I'm now taking Levaquin and had a CT of Sinusis.
Right meds?: Cipro (ciprofloxacin) is not one of the preferred antibiotics for sinus infections. The 1st step for sinus symptoms is usually washing out the nose with saline (salt solution) daily. This helps the nose 'reset' itself. If there are certain symptoms, then an upgraded penicillin is our first choice then the family of meds that includes Levaquin. You should see an Otolaryngologist if your problem continues. ...Read more
No: Neither treat pneumonia, but in patients who have underlying obstructive lung diseases like asthma or copd, pneumonia can worsen symptoms of these diseases and the inhaled medicines you mention can help treat these problems. Albuterol helps dilate the airways and relieve shortness of breath and pulmicort helps decrease airway inflammation and may also help relive symptoms but more slowly over time. ...Read moreSee 2 more doctor answers
Sinus infection/cold in last two months; tonsils inflamed for 3 weeks and wont go away despite levaquin (levofloxacin) and prednisone for the sinus issue. No symptom?
Tonsillitis: These organs are part of the immune system and when inflamed are generally doing their job appropriately. Occasionally they may be overwhelmed by infection and then have to be removed, but this decision is best made by frequency of symptomatic disease and examination by an ENT doctor. This is the person to go to if you want these tonsils examined. Good luck. ...Read more
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