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Sinus Infection-Antibiotic

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Posted 2/12/2015 9:29 AM (GMT -5)
Hi Everyone- Currently getting a flare under control and have tapered to 15 mg Pred. Have a sinus infection now and reluctant to take any antibiotic. Anyone have any suggestion on an antibiotic that might be tolerated and not aggravate the current flare?

Golfing Bob
Posted 2/12/2015 9:46 AM (GMT -5)
Cant help you on antibiotics but just make sure you take a strong probiotic (>50 billion cfu). That should help. Is your doctor sure the infection is bacterial though?
Posted 2/12/2015 10:01 AM (GMT -5)
You might treat the sinusitis with saline lavage (NeilMed is available at every pharmacy) instead of abx and see how that works.
Posted 2/12/2015 12:35 PM (GMT -5)
I would avoid it unless its absolutely necessary. I did that once for a sinus infection and it put me in a flare. I was told later that most sinus infection heal on their own and antibiotics will just make it go away faster. I regret taking them so much….
Posted 2/12/2015 1:30 PM (GMT -5)
If a sinus infection is extreme or unrelenting for me...especially connected to a cold, I have used zithromax, septra, amoxicillin or clavulin without issues colon-wise. But I use probiotics and double them.

how bad in your infection.....describe colour, pain, etc.

ive had one off and on for almost 5 months, omg the pain in my teeth is sometimes horrible, and I've gone through a lot of tissue. No cold at all, which is more frustrating, I've resisted antibiotics because its sort of controlled and improves to the point of gone. I've upped vitamin c, take pseudephedrine, sometimes echinacea, and use NeilMed sinus rinse bottle system twice a day.

If it has not gone by the time I see my doc in March, I'll beg for zithromax.
q


sinusitis inflammation can encourage infection if it's chronic.
Posted 2/12/2015 2:46 PM (GMT -5)
Risks far outweigh the benefits according to a clinical review. NNT for harms is 1 in every 8 taking it. NNT for benefits is 1 in every 18 patients.

It is interesting that pooled studies of subject-declared cures supported the small benefit of antibiotics while those with clinician-diagnosed cures found no benefit, and suggests that a patient-centered approach would endorse a small benefit for sinusitis symptoms in favor of antibiotics. However this benefit comes at a cost. Given that neither the placebo nor antibiotic group found serious adverse events to be a problem, the use of antibiotics to reduce symptoms must be weighed against side effects. Ultimately, this balance has led us to classify this review as ‘Black’: for clinically diagnosed sinusitis the identifiable utility of antibiotics is to reduce respiratory symptoms in a small percentage of patients, while trading this for (arguably more vexing) gastrointestinal symptoms in a larger percentage of patients.

I say take it at your own risk, but beware of the long term consequences of doing so. Antibiotics prime the system for further autoimmunity. The delicate balance of good flora has to be preserved somehow to maintain general health. I made a similar mistake a while back of taking amoxicillin and I've regretted it ever since. There was no confirmed infection, and it is something that would have gone away with rest, vitamin C and other alternate treatments.

Best.
Posted 2/12/2015 3:06 PM (GMT -5)
Thanks for all the responses. Think I will try to avoid antibiotic. Main symptoms (Headache, pain around eyes and lots of green flym from nose and chest). Have had it for about 10 days and assume it will take longer to recover since I am taking the pred for curren flare. Thanks again for the advice and responses.
Golfing Bob
Posted 2/13/2015 4:23 AM (GMT 0)
nose AND chest???????????


so, not a simple sinus infection
and on pred??

get it swabbed by your doc and go from there

see....and chest for 10 days, no less, puts it in a totally different perspective.

I'd personally beg for antibiotics....

but in the event you really don't want to....
try Sudafed, the NeilMed sinus rinse thingie bottle with the packets, and Expectorant.

do NOT use DM or cough suppressant or antihistamine. That will only dry stuff out and make it harder for you to cough up or blow out.

drink plenty of fluids including warm.
steam yourself

q
Posted 2/13/2015 8:21 AM (GMT -5)
Agreed...green is no good. Go see your doc. I have no issue with the Z-pack. As long as I use some sort of probiotic that is. I have ran out of probiotics (I order mine online and have no money to reorder) so the last time I was sick and had to use antibiotics I ate yogurt and was fine.
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