Is Two 875 Amoxicillin Pills Twice A Day Safe For Adults This Is For Sinus Infection
- Asked
- prilosec, infections, nasal congestion, sinusitis, amoxicillin, gerd, congestion, nosebleed, sinus
Iâve had nosebleeds, nasal congestion for over a month â no other symptoms. This dose immediately kicked up my acid reflux so I started prilosec. Should I take this much Amoxicillin or drop it down to half the dose? Dr wants me to take this for 14 days.
I suggest you give your Dr. a call and explain the situation to him / her, you have had nosebleeds and reflux, so I do not think it is a good idea to self medicate, I would take less Amoxicillin, but I am not a Dr. and I can give you my opinion but the final word is for the Dr. to say, and I believe you do need a dose adjustment and your Dr. will lower the dose. And do not forget to tell him what happened when you took more of this antibiotic.
All the best,
litlmommag
I agree you should definatly consult the dr before lower the dose but that does seem like alot of antibitic. but it also seems like an awful bad sinus infection Iâm wondering does your dr no you are having the nose bleeds? are they really bad or just a little? If they are from the dry and congestion and only when blowing your nose I would put a few drp of saline in your nose to cut down the stuffiness s you can greth sold at any store in drps or spray even just warm water helps I really hope yu feel better soon!
+0Wellbee+0
Precautions Of Amoxicillin For Sinusitis
It is a general precautionary measure that no medicine should be taken without proper consultation with the doctor.
A person can buy Amoxicillin 500 mg Tablet with only a valid prescription at the pharmacist or medical center.
Some of the things you should disclose to the doctor before taking this medicine are-
- Whether you are allergic to drugs such as clarithromycin, erythromycin, and telithromycin
- Whether you have any issues in the kidneys, muscles, liver or heart
- If you have a low level of potassium or magnesium
- Whether you suffer from nausea, diarrhea or excessive sweating after taking the medicine
- Whether you are pregnant or lactating
Some precautions for special conditions before taking Amoxicillin 500 mg Tablet-
Causes & Risk Factors
Any health situation that blocks off the vital drainage channels of your sinuses can cause a sinus infection including:
- Respiratory infections like the common cold
- Hay fever or exposure to allergens such as cigarette smoke, dry air and pollutants
- Obstructions in the nasal or sinus cavities including nasal polyps, deviated septum, or nasal bone spur
- Non-allergic rhinitis
- Changes in air pressure
- Infections resulting from dental problems
- Physical injury to the sinuses
- Bacteria, viruses, and fungi
The five most common bacteria that can cause sinus infections are: Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus, and Streptococcus pyogenes.
Risk factors for sinus infections include:
- Having asthma
- Being in the hospital, especially if the reason you are in the hospital is related to a head injury or you needed a tube inserted into your nose
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If You Think You Have A Sinus Infection
If you feel you are experiencing sinus infection symptoms, make an appointment with your PartnerMD physician, and do not attempt to treat symptoms on your own. While you may initially be recommended OTC treatments, only your doctor can accurately diagnose your symptoms, and prescribe the right treatment for relief.
Have a question about your sinus infection symptoms? Contact us today to see if a relationship with a concierge doctor could be beneficial.
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What If You Don’t Start To Feel Better
Most studies, such as the guidelines to treat ear infections in children, recommend that if no clinical improvement is seen within 48-72 hours of starting amoxicillin, therapy should be reevaluated.
Similarly, the American Academy of Pediatrics guidelines for the treatment of sinusitis states the following:
“Amoxicillin with or without clavulanate is the firstline treatment of acute bacterial sinusitis. Clinicians should reassess initial management if there is either a caregiver report of worsening or failure to improve within 72 hours of initial management.”
So overall, amoxicillin is absorbed quickly after taking a dose by mouth, and you should feel improvement in your symptoms within 72 hours. If you do not, it is important to speak with your doctor as your infection may be resistant to the antibiotic, and alternative therapy options should be considered.
Alternative therapies include:
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Dosage Of Doxycycline For Sinus Infection
The medicine of Doxycycline is available in the following forms-
- Tablets
- Liquid form
- Intravenous solution
Doctors prescribe to take this medicine in the form of pills for people suffering from sinusitis. There are various strengths of Doxycycline for sinus infection- 50, 75, 100, and 150 mg. In order to take the medicine, theres no need to crush or break it. Take one tablet whole while drinking one full glass of water with each dose.
For adults-
Unless prescribed otherwise by doctors, usually the normal dose of oral form of doxycycline is 200 mg on the first day of the course. Followed by, changing the dosage to two 100 mg doses 12 hours apart. After this, maintaining a dose of 100 mg regularly for 7-10 days.
Although in rare cases, when the infection is severe, doctors can recommend higher doses such as 300 mg daily for 10 days.
For children-
Children over 8 years of age can take doxycycline for sinus infection. The dosage of the medicine depends on the childs weight.
Make sure that the course of the medicine is completed. Also, dont stop the medicine abruptly without proper consultation with the doctor.
How To Take Amoxicillin Capsules
- Timing of your doses: You can take amoxicillin capsules with or without food. Swallow the capsules with a drink of water. Do not chew them. Try to space the doses evenly throughout the day. If you take it 3 times a day, this could be first thing in the morning, mid-afternoon and at bedtime. Ideally these times should be at least 4 hours apart.
- Missed dose: If you forget to take your dose, take it as soon as you remember. But, if it is nearly time for your next dose, take the next dose at the right time. Do not take extra doses to make up for a forgotten dose. If you are not sure what to do, ask your healthcare provider.
- Finish the course: Take the whole course of antibiotics for the number of days your doctor has told you to. Do not stop taking it, even if you feel your infection has cleared up. If you stop your treatment early, your infection could come back.
For information on how to give amoxicillin to children, see amoxicillin information for parents and carers.
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Pathogenesis Of Acute Sinusitis
Acute sinusitis usually follows an acute upper respiratory tract infection . As the viral infection spreads in the nasal mucosa, swelling and oedema of the mucosa results. As the mucosal surfaces of the ostiomeatal unit are in close proximity to one another , obstruction of the sinus ostia results. In addition, the viral infection may reduce normal cilial motility. This prevents normal muco-ciliary clearance resulting in an accumulation of mucus in the sinuses and the development of the symptoms of sinusitis. If this mucus becomes secondarily infected by bacteria, acute bacterial sinusitis develops.
Is It Possible To Prevent Sinus Infections Or Sinusitis
Currently, there are no vaccines designed specifically against infectious sinusitis or sinus infections. However, there are vaccines against viruses and bacteria that may cause some infectious sinusitis. Vaccination against pathogens known to cause infectious sinusitis may indirectly reduce or prevent the chance of getting the disease however, no specific studies support this assumption. Fungal vaccines against sinusitis are not available, currently.
If you are prone to recurrent bouts of a “yearly sinus infection” it may be important to consider allergy testing to see if this is the underlying cause of the recurring problem. Treatment of the allergy may prevent secondary bacterial sinus infections. In addition, sinus infections may be due to other problems such as nasal polyps, tumors, or diseases that obstruct normal mucus flow. Treatment of these underlying causes may prevent recurrent sinus infections.
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Is A Sinus Infection Contagious
How Will I Know if I Have a Sinus Infection?
The majority of doctors think that most people do not transmit sinus infections except in rare instances, and conclude that sinus infections are not contagious.
Sinus infections usually begin with the symptoms of a cold , and then develop into pain and pressure in the sinus cavities. About 7 to 10 days after initial cold-like symptoms other symptoms develop that suggest you may have a sinus infection. Sinus infection symptoms include
- a yellowish-greenish nasal discharge that may have an odor,
- bad breath,
- pressure in the sinuses, and
- coughing.
Missed Or Overdose Of Prednisone
If someone experiences a Prednisone overdose and starts experiencing severe symptoms from the drug, such as trouble breathing or passing out, then you should call your doctor immediately and seek emergency help. This medicine can result in serious consequences and should not be shared with others, even if they show similar symptoms to you.
If you have been prescribed this medication for an extended period of time, then your doctor will recommend getting medical tests on a regular basis, including: blood mineral levels, a complete blood count, a bone density test, eye examination, blood pressure readings, weight/height measurements, blood glucose levels etc. These tests will monitor your: response to the drug, keep track of your progress and check for any side effects.
If taken for a long period of time, Prednisone may result in bone problems, especially osteoporosis. Therefore, you will need to make some lifestyle changes while taking this medicine. You will have to: stop smoking, limit alcohol intake, do some weight bearing exercises, and make sure you are receiving enough of vitamin D and calcium. Depending on your condition, your doctor will advise you about some more specific lifestyle changes.
In case you miss your Prednisone dose, you should take it as soon as you remember. If it is almost time for your next dose, you should skip the missed dosage and resume your usual scheduled dose. Never take double dosages in order to compensate.
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Amoxicillin Dosage For Sinusitis
For bacterial infections of the sinuses, amoxicillin is administered in different doses depending on the severity of the infection. The first-line therapy for sinusitis, however, is amoxicillin/clavulanate due to high levels of bacterial resistance.
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Standard adult dosage for mild to moderate sinusitis: 500 mg taken every 12 hours or 250 mg taken every eight hours
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Standard adult dosage for severe sinusitis or intermediate resistant bacteria: 875 mg every 12 hours or 500 mg every eight hours
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Maximum adult dosage: 1,750 mg per day
Most Sinus Infections Dont Require Antibiotics
Ah, sinus infections. The New England Journal of Medicine published a clinical practice review of acute sinus infections in adults, that is, sinus infections of up to four weeks. The need for an updated review was likely spurred by the disconcerting fact that while the vast majority of acute sinus infections will improve or even clear on their own without antibiotics within one to two weeks, most end up being treated with antibiotics.
It is this discrepancy that has clinical researchers and public health folks jumping up and down in alarm, because more unnecessary prescriptions for antibiotics mean more side effects and higher bacterial resistance rates. But on the other hand, while 85% of sinus infections improve or clear on their own, theres the 15% that do not. Potential complications are rare, but serious, and include brain infections, even abscesses.
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Dont Rush To Antibiotics
The sinuses are small, hollow spaces inside the head. They drain into the nose. The sinuses often cause problems after a cold. They can also cause problems if they get blocked up from hay fever and other allergies. The medical name for sinus problems is sinusitis.
Sinus problems can be very uncomfortable. You may feel stuffed up. You may have yellow, green, or gray mucus. And you may feel pain or pressure around your eyes, cheeks, forehead, or teeth.
Each year, millions of people use antibiotic drugs to treat sinus problems. However, they usually do not need antibiotics. Heres why:
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Amoxicillin Dosage For Lower Respiratory Infections
Lung infections caused by beta-lactam susceptible bacteria can be treated with amoxicillin. Lung infections caused by more resistant bacteria are more likely to be treated by amoxicillin/clavulanate, macrolides, or cephalosporins.
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Standard adult dosage for lower respiratory tract infections: 875 mg every 12 hours or 500 mg every eight hours
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Maximum adult dosage: 1,750 mg per day
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How To Take Amoxicillin
Amoxicillin is taken by mouth several times a day. Unless instructed otherwise, amoxicillin can be taken with or without food.
In general, antibiotics that kill bacterialike amoxicillinare more effective when taken frequently than in large doses. The goal is to keep the drug at a continually high concentration in the body so that the bacteria dont get a break. For this reason, its important to take each dose on time to ensure the successful treatment of the infection.
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Take the medicine as directed.
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Take the medicine for the full prescribed duration even if symptoms go away before the treatment has finished. The entire multi-day regimen is required to fully eradicate the infection.
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Amoxicillin is typically taken in two to three doses a day. Space the doses as evenly as possible across the day.
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DO NOT MISS A DOSE. A pharmacist can provide ideas and tools to make sure doses are not missed.
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Store this medicine at room temperature in a tightly sealed, light-resistant container. The oral solution can be stored in a refrigerator but do not freeze it.
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Capsules & Tablets
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Swallow the capsule/tablet whole with a full glass of water. Do not crush, break, open, or chew it.
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-
- Nausea
- 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.
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Interactions Of Amoxicillin For Sinusitis
As the Amoxicillin 500 mg Tablet is allopathic medicine, it can easily react with other medicines that you are taking. The other medicines, when combined with Amoxicillin 500 mg tablet, can worsen the side effects of Amoxicillin 500 mg Tablet.
Not only the side effects but any underlying health issue can also aggravate if this medicine is taken without the doctors approval.
Medicines that can interfere with Amoxicillin 500 mg Tablet and can cause moderate or serious side effects are-
- Allopurinol
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Amoxicillin For Sinus Infection
Amoxicillin belongs to penicillin antibiotics and is used in range of infections. It can be administered either orally or intravenously. Amoxicillin is also available in a form of a nasal spray. This is a highly effective antibiotic against many bacteria. One of the infections that is treated with amoxicillin is sinus infection.
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What Interacts With Amoxicillin
Amoxicillin may cause problems when combined with other prescription drugs:
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Amoxicillin may reduce the effectiveness of birth control pills. Women taking oral contraceptives may be advised to use additional birth control while on antibiotics.
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When taken with blood-thinning drugs, amoxicillin increases the amount of time required to form blood clots, which can lead to an increased risk of bleeding. Anticoagulant doses may need to be adjusted.
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Amoxicillin can reduce the effectiveness of live bacterial vaccines, such as typhoid vaccine or BCG .
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When the gout medication allopurinol is taken with amoxicillin or ampicillin, there may be an increased risk of rash or more serious hypersensitivity reactions involving internal organs.
Not all amoxicillin drug interactions are bad. Probenecid, another drug used to treat gout, actually increases the effectiveness of amoxicillin. Some people may be prescribed both drugs for certain types of infections. An aminoglycoside may also be used with amoxicillin for increased effectiveness of both drugs.
Experts Update Best Practices For Treating The 1 In 8 Us Adults Suffering From Sinusitis
Highlights:
- Sinusitis affects about 1 in 8 adults in the United States, resulting in over 30 million annual diagnoses. The direct cost of managing acute and chronic sinusitis exceeds $11 billion per year.
- More than 1 in 5 antibiotics prescribed in adults are for sinusitis, making it the fifth most common diagnosis responsible for antibiotic therapy.
- Because sinusitis is treated differently based on its cause, it is critical to differentiate between acute viral sinusitis and acute bacterial sinusitis.
- New evidence supports a recommendation of either watchful waiting or antibiotic therapy for mild, moderate, or even severe acute bacterial sinusitis.
ALEXANDRIA, VA An updated clinical practice guideline from the American Academy of OtolaryngologyHead and Neck Surgery Foundation published today in OtolaryngologyHead and Neck Surgery identifies quality improvement opportunities and explicit actionable recommendations for clinicians managing adult sinusitis, including a greater focus on patient education and patient preference.
More than ever before, there is a prominent role for shared decision-making between patients and clinicians when managing adult sinusitisespecially in deciding whether to use antibiotics for acute bacterial sinusitis or to instead try watchful waiting to see if a patient can fight the infection on his or her own.
Richard M. Rosenfeld, MD, MPH
Other differences between the 2007 guideline and the 2015 update include:
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