Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
How Do Aerosols And Antibiotics For Sinusitis Should Be Used?
Question: Good evening!
For 6 days I have a treatment for sinusitis based on Augmentin 625 mg/3 /day,aerosols twice/day-
2ml dexametasone and 2 ml saline and twice day spray in nose-bixtonim.
Tomorrow I must to stop aerosols and one more day Augmentin and bixtonime replaced with rinoclenil.
The problem is that my head still hurts frontal.
Should I continue the treatment for more days?
Thank you!
For 6 days I have a treatment for sinusitis based on Augmentin 625 mg/3 /day,aerosols twice/day-
2ml dexametasone and 2 ml saline and twice day spray in nose-bixtonim.
Tomorrow I must to stop aerosols and one more day Augmentin and bixtonime replaced with rinoclenil.
The problem is that my head still hurts frontal.
Should I continue the treatment for more days?
Thank you!
Brief Answer:
When no improvement is achieved, the treatment needs to change
Detailed Answer:
Hello,
it's common practice to change treatment for sinusitis when no improvement is achieved after 3-5 days. In patients like you, I usually prescribe levofloxacin or moxifloxacin. If your condition has improved substantially but is not over yet, then continuing the treatment for a few more days is a good choice. In most cases a week is enough to complete the treatment.
I hope I've helped!
Use your follow-up questions to ask, if you have more questions on this subject.
I'll be glad to help more.
Kind Regards!
When no improvement is achieved, the treatment needs to change
Detailed Answer:
Hello,
it's common practice to change treatment for sinusitis when no improvement is achieved after 3-5 days. In patients like you, I usually prescribe levofloxacin or moxifloxacin. If your condition has improved substantially but is not over yet, then continuing the treatment for a few more days is a good choice. In most cases a week is enough to complete the treatment.
I hope I've helped!
Use your follow-up questions to ask, if you have more questions on this subject.
I'll be glad to help more.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you.
The problem is I'm brestfeeding...
The problem is I'm brestfeeding...
Brief Answer:
They can be used despite with caution
Detailed Answer:
Hello,
Breastfeeding is an important piece of information!
Amoxicillin/clavulanate is the best choice because it is an acceptable drug during lactation.
Moxifloxacin studies are lacking so using it is not recommended, although lactation-related databases say it can be used for a short time.
Levofloxacin has been studied (not extensively) in breastfeeding women and they've found that its levels in breast milk drop significantly 6 or more hours after ingestion. In 12 hours they are very low.
Levofloxacin is not supposed to be used in individuals younger than 18 years of age because of the detrimental effects on the skeleton. It's not very clear whether this very low doses that your baby will receive will have any effect or not but I wouldn't recommend this drug either.
So I suggest you continue your current treatment for a few more days. If you experience no improvement after 3-4 days then perhaps you should consider levofloxacin and stop breastfeeding for a while (you can keep your milk in special bags in the fridge for the next days, so that you could give your milk to the baby) or you can take some risks and breastfeed only after 6-12 hours have passed after the drug ingestion (it is given once every 24 hours). You could still keep some milk in the fridge, so that your baby could feed these 6-12 hours, that it won't be breastfeeding. Please be aware that levofloxacin studies for its effects on breastfeeding are also scarce or absent and there is no way to actually predict if it's safe.
Please contact me again, if you need further clarifications on the above.
Kind Regards!
They can be used despite with caution
Detailed Answer:
Hello,
Breastfeeding is an important piece of information!
Amoxicillin/clavulanate is the best choice because it is an acceptable drug during lactation.
Moxifloxacin studies are lacking so using it is not recommended, although lactation-related databases say it can be used for a short time.
Levofloxacin has been studied (not extensively) in breastfeeding women and they've found that its levels in breast milk drop significantly 6 or more hours after ingestion. In 12 hours they are very low.
Levofloxacin is not supposed to be used in individuals younger than 18 years of age because of the detrimental effects on the skeleton. It's not very clear whether this very low doses that your baby will receive will have any effect or not but I wouldn't recommend this drug either.
So I suggest you continue your current treatment for a few more days. If you experience no improvement after 3-4 days then perhaps you should consider levofloxacin and stop breastfeeding for a while (you can keep your milk in special bags in the fridge for the next days, so that you could give your milk to the baby) or you can take some risks and breastfeed only after 6-12 hours have passed after the drug ingestion (it is given once every 24 hours). You could still keep some milk in the fridge, so that your baby could feed these 6-12 hours, that it won't be breastfeeding. Please be aware that levofloxacin studies for its effects on breastfeeding are also scarce or absent and there is no way to actually predict if it's safe.
Please contact me again, if you need further clarifications on the above.
Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
