When Is A Z
Spoiler alert: its not! Because its so easy to use, the Z-Pak used to be a go-to prescription for sinus infections. But it turns out that only a minority of these prescriptions are appropriate because the majority of sinus infections are viral and not bacterial. In fact, studies have found that about a third of antibiotic prescriptions for sinus infections, sore throats, and ear infections arent even necessary. Overprescribing antibiotics increases the chance that bacteria will become resistant to them and disrupt the gut bacterial flora for months. Indeed, azithromycin is no longer recommended for bacterial sinus infections due to the risk of resistance.
If you have a sinus infection, expect to feel lousy for several days. After all, your body is waging war against an infection. You might experience:
A runny nose
A sore throat
Youre also likely to feel more tired and achy and maybe even experience a low-grade fever. Most people improve within a week, but symptoms can last up to 2 weeks. Coughs can linger for a week after that.
Treating a sinus infection boils down to whether its viral or bacterial. Colds, for example, are viral. And antibiotics like the Z-Pak are not effective against viral infections. In fact, viral sinus infections have no cure. Treatment is aimed at managing symptoms and includes:
If you still dont feel better, your healthcare provider may suggest nasal or lung inhalers for other symptoms.
How To Cope With Side Effects
What to do about:
- feeling sick – stick to simple meals and do not eat rich or spicy food while you’re taking this medicine.
- diarrhoea or being sick – drink lots of fluids such as water or squash to avoid dehydration. Take small, frquent sips if you’re being sick. Signs of dehydration include peeing less than usual or having strong-smelling pee. Do not take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor.
- losing your appetite – eat when you would usually expect to be hungry. If it helps, eat smaller meals more often than usual. Snack when you’re hungry. Have nutritious snacks that are high in calories and protein, such as dried fruit and nuts.
- headaches – rest and drink plenty of water. Ask your pharmacist to recommend a painkiller if you need one. Talk to your doctor if the headaches last longer than a week or are severe.
- feeling dizzy or tired – if you feel dizzy when you stand up, try getting up very slowly or stay sitting down until you feel better. If you begin to feel dizzy, lie down so you don’t faint, then sit until you feel better. Do not drive or use tools or machines if you feel dizzy or tired. Do not drink alcohol as it may make you feel worse.
- changes to your sense of taste – talk with your doctor if this is bothering you.
Basics Of Doxycycline For Sinus Infection
According to a clinical trial published in the National Library of Medicine, doxycycline was far more effective than ampicillin in curing sinusitis in affected patients. 90% of the patients responded to the drug while only 35% responded to ampicillin. It was inferred that this is effective as it fights against the organisms as well as can penetrate the sinuses which act as a reservoir for the infections.
Doxycycline is an antibiotic that cures a wide variety of infections caused by different bacteria. Apart from sinusitis, it can also cure other bacterial infections including urinary tract infections, respiratory infections, eye infections, gonorrhea, syphilis, etc.
In addition to these infections, medicine is very effective in treating skin blemishes or acne. Moreover, it is believed that taking this drug also reduces the risk of malaria.
You May Like: Can You Flush Out A Sinus Infection
Fda Okays Single Dose Antibiotic For Pneumonia And Sinusitis
NEW YORK, June 14-The FDA has approved Zmax as a single-dose treatment for adults with pneumonia and certain types of acute bacterial sinusitis and pneumonia, Pfizer announced yesterday.
Having a once-only liquid antibiotic treatment could help improve compliance among older patients, said Pfizer. A single two-gram dose proved more potent than a standard dose of immediate-release Zithromax, with three times more Zmax found in tissue during the first 24 hours, said the New York drug firm.
“Results showed that one dose of Zmax was as effective as currently available treatments that must be taken for seven to 10 days,” said Joseph Feczko, M.D., a vice president and chief medical officer for Pfizer.
Zmax is released into the small intestine instead of the stomach, said Pfizer, providing a surge in drug levels during the onset of a bacterial infection when the bacterial count is highest.
The drug is designed to treat acute bacterial sinusitis caused by Haemophilu influenzae, Morxella catarrhalis, or Streptococcus pneumoniae, and also community-acquired pneumonia caused by Chlamydophila pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, or Streptococcus pneumoniae.
Clinical trials showed diarrhea and loose stools to be the most common complaint associated with Zmax, followed by nausea and abdominal pain. Pfizer said diarrhea cleared up within two days among the Zmax-treated patients.
What Are The Side
Side-effects are not very common but some people may experience indigestion like symptoms, loose stools, nausea and vomiting.
Serious side-effects are also very rare and may include blurring of vision, reduced hearing, difficulty speaking and swallowing and occasionally problems with the liver. If you encounter any of these symptoms, please make sure you inform your physician straightaway.
Allergic responses to antibiotics are a known phenomenon and azithromycin is no exception. If an allergic response develops, seek medical attention immediately.
Also Check: How Much Does Sinus Surgery Cost
How To Take Azithromycin
Use Azithromycin exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Azithromycin oral is taken by mouth. Azithromycin injection is given as an infusion into a vein, usually for 2 days before you switch to azithromycin oral. A healthcare provider will give you this injection.
You may take azithromycin oral with or without food.
Shake the oral suspension before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device .
Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Azithromycin will not treat a viral infection such as the flu or a common cold.
Store at room temperature away from moisture and heat. Throw away any unused liquid medicine after 10 days.
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
Who Can And Cannot Take Azithromycin
Azithromycin can be taken by adults and children.
It isn’t suitable for some people. To make sure azithromycin is safe for you, tell your doctor if you have:
- had an allergic reaction to azithromycin or any other medicines in the past
- liver or kidney problems
- heart problems, including irregular heartbeats
- had diarrhoea when you have taken antibiotics before
- myasthenia gravis – azithromycin can worsen the symptoms of this muscle-weakening illness
- diabetes – azithromycin liquid contains sugar
Don’t Miss: Foods To Avoid With Sinus Congestion
Usual Adult Dose For Legionella Pneumonia
Community-acquired pneumonia:Oral:-Immediate-release: 500 mg orally as a single dose on day 1, followed by 250 mg orally once a day on days 2 to 5-Extended-release: 2 g orally once as a single doseParenteral: 500 mg IV once a day as a single dose for at least 2 days, followed by 500 mg orally to complete a 7- to 10-day course of therapyComment: Extended-release formulations should be taken on an empty stomach.Uses:-Treatment of mild community acquired pneumonia due to Chlamydophila pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, or Streptococcus pneumoniae in patients appropriate for oral therapy-Treatment of community-acquired pneumonia due to C pneumoniae, H influenzae, Legionella pneumophila, Moraxella catarrhalis, M pneumoniae, or S pneumoniae in patients who require initial IV therapy
What Is Azithromycin And How Does It Work
Azithromycin is used to treat certain bacterial infections . It is a macrolide-type antibiotic. It works by stopping the growth of bacteria.
This medication will not work for viral infections . Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.
Azithromycin is available under the following different brand names: Zithromax, and Zmax.
- Actinobacillus actinomycetemcomitans, Actinomyces israelii, Actinomyces naeslundii, Actinomyces odontolyticus, Afipia felis, Arachnia propionica, Arcanobacterium haemolyticum, Bartonella henselae, Bartonella quintana, Bordetella pertussis, Borrelia burgdorferi, Borrelia recurrentis, Klebsiella granulomatis, Campylobacter jejuni, Chlamydia pneumoniae , Chlamydia trachomatis, Haemophilus ducreyi, Haemophilus influenzae, Legionella spp, Mycobacterium simiae, Mycobacterium scrofulaceum, Mycobacterium xenopi, Mycoplasma pneumoniae, Moraxella catarrhalis, Neisseria gonorrhoeae, Staphylococcus aureus, Streptococcus , Streptococcus agalactiae , Streptococcus bovis , Streptococcus intermedius group , Streptococcus pneumoniae, Streptococcus pyogenes , viridans streptococci
- First-line therapy: A felis, B henselae, B quintana, B pertussis, C jejuni, C pneumoniae , C trachomatis, H ducreyi, H influenzae, Legionella spp, M scrofulaceum, M simiae, M xenopi, N gonorrhoeae
- 500 mg/day orally for 3 days or 2 g orally once
Pediatric: Zmax: 2g orally once
- 10 mg/kg of oral suspension orally once daily for 3 days
Don’t Miss: Prescription Antibiotics For Sinus Infection
Research Into Antibiotics And Sinus Infections
The guidelines were triggered, in part, by studies finding that antibiotics may not make a difference. About 60% to 70% of people with sinus infections recover without antibiotics, according to the American Academy of Allergy, Asthma & Immunology.
In one study of symptom relief, patients given antibiotics generally did no better than patients not given antibiotics.
This study, published in the Journal of the American Medical Association, observed 240 patients with sinusitis. They were given one of four treatments: antibiotics alone, nasal steroid spray alone to reduce tissue swelling, both antibiotics and the spray, or no treatment.
Patients who got no treatment were as likely to get better than those who got the antibiotics. The nasal spray seemed to help people with less severe symptoms at the beginning of their sinus problem, and seemed to make those with more intense congestion worse.
The patients all had sinus symptoms that suggested a bacterial infection. Sinus problems are also caused by viruses, for which antibiotics definitely offer no help.
Common Antibiotics For Sinus Infections
Antibiotics may be prescribed when symptoms of a sinus infection warrant such treatment. Common antibiotics for sinus infection include:
- Levaquin : Although this drug is often prescribed as a first line of therapy for sinusitis, it has serious side effects and should only be used as a last resort.
Read Also: Mucinex Dm For Sinus Congestion
What Is The Prescribed Dosage
Clinical studies have shown that a three-day course of azithromycin is as effective as a 10 day course of penicillin-based drugs . The recommended dosage of azithromycin in the management of sinus infections is 500 mg per day for three days.
One study has shown that taking 2 g of azithromycin may be more effective than a longer course of amoxicillin.
However, clinical studies have also shown that azithromycin may not be the best choice of medicine in managing sinus infections as the improvement in symptoms is not because of the effect it has on the bacteria but is actually due to the inflammation fighting properties that it possesses.
Furthermore, azithromycin is not very effective against organisms such as Streptococcus pneumonia and Hemophilus influenza .
What Does The Research Say
A large 2012 cohort study found a small increase in the risk of cardiovascular death among people taking azithromycin. The risk was higher among those with other risk factors for heart disease, such as smoking, low physical activity levels, and a high body mass index .
The study reported that when compared with amoxicillin, there were 47 additional cardiovascular deaths per 1 million azithromycin prescriptions. Among people with the highest risk of heart disease, there were 245 more deaths per 1 million courses of azithromycin.
This suggests that other antibiotics, such as amoxicillin, may be a safer option for people with heart disease or certain types of heart arrythmias.
In 2018 , the FDA issued a warning about the long term use of azithromycin in people with certain blood or lymph node cancers who have stem cell transplants. Emerging research has suggested that azithromycin may increase the risk of cancer relapse in these people.
Following a stem cell transplant, some people take azithromycin to reduce the risk of an inflammatory lung condition called bronchiolitis obliterans syndrome. The FDA have not approved azithromycin for this use, however.
Rarely, azithromycin can cause liver toxicity. People should stop taking the drug and call their doctor if they develop any symptoms of liver problems, including dark urine, itching, or yellow eyes.
Also Check: Nasal Washes For Sinus Infections
Side Effects Of Doxycycline For Sinus Infection
Generally, there are only some minor side effects after taking Doxycycline for sinus infection. Common side effects that can occur after taking doxycycline are-
- Diarrhea that is watery or bloody
- Irritation in the throat
- Difficulty breathing
- Little to almost no urination
- Lower count of white blood cells
- Iron supplements and laxatives
- Oral birth control pills
People who are in the habit of drinking alcohol are more likely to side effects of Doxycycline tablets, especially stomach upset. Moreover, when medicine is taken with milk or food it can reduce the absorption of medicine by the body.
The medicine also enhances the sensitivity of the skin to sunlight. Hence, when stepping out of the house, make sure you are properly covered and wearing sunglasses and sunscreen.
What Are The Side Effects Of Azithromycin
Get emergency medical help if you have signs of an allergic reaction or a severe skin reaction .
Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes.
- severe stomach pain, diarrhea that is watery or bloody
- fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness or
- liver problems–nausea, vomiting, loss of appetite, stomach pain , tiredness, itching, dark urine, clay-colored stools, jaundice
Older adults may be more likely to have side effects on heart rhythm, including a life-threatening fast heart rate.
Common side effects may include:
- nausea, vomiting or
- stomach pain.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Don’t Miss: Why Does My Sinus Smell Bad
Get A Z Pack For Sinus Infection Online
Not sure how to tell the difference between bacterial and viral sinus infection? Need a prescription for antibiotics? EverydayDr partners with award-winning telehealth provider, PlushCare, to provide top-tier medical assistance. You can book same-day appointments to see a doctor remotely, get diagnosed, and get prescriptions filled.
To book an appointment, go to the PlushCare booking flow here. Consult with a doctor in-person or via telemedicine today to a Z-pack for sinus infection.
What Drugs And Food Should I Avoid While Taking Azithromycin
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor before using anti-diarrhea medicine.
Azithromycin could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen when you are outdoors.
Also Check: Things That Help With Sinus Pressure
Is Your Sinus Infection Caused By A Virus Or Bacteria
Physicians may not know if sinusitis is bacterial or viral, because the diagnosis is typically done by observing symptoms. Symptoms include:
- Nasal congestion
- Thick nasal or post-nasal drainage
Sometimes other tests such as computed tomography scan or cultures are used to help make the diagnosis.
Despite the recommendations that antibiotic use be judicious, they are still overused for sinusitis, according to many physicians who specialize in treating sinus problems.
Some physicians say they give patients with sinusitis a prescription for antibiotics, and recommend they wait three to five days before filling it, and only fill it if symptoms are not better by then. A can be used to help relieve your symptoms and promote drainage.
The longer symptoms last, the more likely a sinus problem is to be a bacterial infection, some experts say.
Price Of Amoxicillin For Sinus
The average price of Amoxicillin for Sinus 500 mg Tablet is around Rs. 67.87 in the Indian market.
|Average price of Amoxicillin 500 mg strip of 10 tablets||Rs. 67.87|
The medicine is available in a lot of forms-
- Powder for oral suspension
You should take amoxicillin exactly as prescribed by the doctor. You should also follow all the directions given on the label word-to-word and read the instruction sheet thoroughly.
One should take the medicine at the same hour of the day daily. If you are taking oral suspension, then shake the bottle before use. You can mix it with water, milk, baby formula, fruit juice or ginger ale.
In case you are taking tablets, do not crush, chew, or break the tablet before gulping it. Lastly, do not change the dose or schedule without consulting the doctor first.
Recommended Reading: Does A Sinus Infection Require Antibiotics
What Are The Most Common Antibiotics Used For Sinusitis
Amoxicillin remains the drug of choice for acute, uncomplicated bacterial sinusitis. Amoxicillin is most effective when given frequently enough to sustain adequate levels in the infected tissue. While often prescribed twice daily, it is even more effective if taken in 3 or 4 divided doses. Amoxicillin is typically prescribed for 7-10 days at a time. While it is critical to finish the entire 10 day course of antibiotics when treating strep throat, there is evidence that shorter courses of treatment may be sufficient for most cases of sinusitis. Amoxicillin is closely related to the parent compound penicillin and should not be prescribed in patients who are penicillin allergic.
Cephalosporins and Augmentin are considered broad-spectrum antibiotics because they have enhanced effectiveness against a wider range of bacteria, including those that are resistant to ordinary penicillin or amoxicillin. If the patient does not improve within the first week on amoxicillin, a change to Augmentin or to a cephalosporin such as Ceftin, Cefzil, Omnicef, or Suprax is reasonable. Although these drugs have a similar mechanism of action to penicillin, they generally can be taken in adequate doses once or twice daily. These medications should be used with extreme caution in patients with a history of penicillin allergy, as cross-reaction may occur.