How To Use Zithromax
Take this medication by mouth as directed by your doctor, usually once daily with or without food. You may take this medication with food if stomach upset occurs. The dosage is based on your medical condition and response to treatment.
For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time every day.
Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection.
Antacids containing aluminum or magnesium may decrease the absorption of azithromycin if taken at the same time. If you take an antacid that contains aluminum or magnesium, wait at least 2 hours before or after taking azithromycin.
Tell your doctor if your condition persists or worsens.
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.
What Are The Stages Of A Sinus Infection
- Acute sinusitis usually starts with cold-like symptoms such as a runny, stuffy nose and facial pain. It may start suddenly and last 2 to 4 weeks.
- Subacute sinusitus usually lasts 4 to 12 weeks.
- Chronic sinusitus symptoms last 12 weeks or longer.
- Recurrent sinusitis happens several times a year.
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Do I Need An Antibiotic
The teams at Pew, the Centers for Disease Control and Prevention, the University of Utah and elsewhere chose ear infections, sore throats and sinus infections because they generate 44 million antibiotic prescriptions a year.
Its only appropriate sometimes to prescribe antibiotics for these conditions. Strep throat is easily treated with antibiotics, and if a child with a middle ear infection has pus oozing out, a pediatrician will usually give an antibiotic. Sinus infections that linger may be helped with antibiotics.
But more sore throats and ear infections are caused by viruses, and an antibiotic will do nothing to help the patient. Sinus infections can sometimes involve bacteria but often are caused by viruses or fungi.
When an antibiotic is called for, it should be a basic one usually amoxicillin, the Pew team said. Thats not what people usually get, however.
The most commonly prescribed non-first-line antibiotics for sinus infections, middle ear infections and pharyngitis were macrolides , a class of broad-spectrum antibiotics frequently prescribed in outpatient settings, the Pew team wrote in their report.
However, macrolides are not recommended for sinus or middle ear infections and are recommended for pharyngitis only for patients with an allergy to the penicillin class of antibiotics.
Why would doctors prescribe the wrong drug?
Results Of Clinical Trials
There have been no randomized controlled trials of antibiotic treatment for ABRS using sinus aspirate cultures before and after treatment, although nonrandomized trials have demonstrated bacteriologic cures. Five RCTs and two meta-analyses have compared antibiotics, usually amoxicillin and trimethoprim-sulfamethoxazole , with placebo, with clinical improvement as the outcome, which is the more clinically relevant patient-oriented outcome.4,5 About 47 percent of patients treated with antibiotics and 32 percent of the control group were cured at 10 to 14 days. Eighty-one percent of patients treated with antibiotics and 66 percent of the control group were cured or improved, meaning one patient benefited for every seven treated with antibiotics. The treatment effect in these trials may have been underestimated because the lack of specificity of diagnosis diluted the effect of treatment.
Amoxicillin-clavulanate potassium , cephalosporins , and macrolides , have been studied extensively.6,7 All have demonstrated similar clinical success ratesgenerally above 85 percent. The use of fluoroquinolones for ABRS is relatively new. Ciprofloxacin and cefuroxime had 90 percent resolution rates when administered to patients in a primary care setting.8 In an open-label RCT, levofloxacin and clarithromycin had 96 and 93 percent clinical success rates, respectively.9
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What Is A Sinus Infection
The sinuses are cavities in the head that are filled with air. These air-filled pockets are lined with a very thin layer of mucus that functions to collect particles from the air that are breathed in, such as dust, germs, or other particles.
Very small hair-like projections function to sweep the mucus, along with any particles trapped inside of the mucus. The germ- or dirt-filled mucus then slides down the back of the throat and into the stomach where stomach acid works to kill any germs.
When a sinus infection occurs, this natural process involving mucus flow is blocked.
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What Should I Avoid While Taking Azithromycin 3 Day Dose Pack
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 3 Day Dose Pack could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen when you are outdoors.
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Azithromycin For Cats Dosage
In cats, it is most common for the liquid oral suspension to be prescribed, as the available tablet sizes are too big for dosing in most cats.
The dosage for azithromycin can differ depending on the type of infection being treated. Treatment frequency and length can also vary quite a bit. For this reason, the actual dosage for a kitty should only be provided by an attending veterinarian to ensure the drug is being used properly and responsibly.
For general understanding of its use though, it is important to include its unique dosing characteristics, which differ from other antibiotics.
Because azithromycin can reach higher and longer concentrations in tissues, there are protocols that allow for it to be given once a day for several days, and then only every other day or every third day, especially if treatment is to be continued for several weeks or long term. Other protocols may include higher doses used only a couple of times a week.
These protocols are used most often for chronic upper respiratory infections and stomatitis but are not appropriate for all indications. Thats why its important to adhere to a veterinarians instructions for proper prescription dosing of this drug.
How K Health Can Help
Dont take antibiotics without your doctors prescription.
Fortunately, seeing a doctor doesnt have to be expensive.
Did you know you can get affordable primary care with the K Health app?
to check your symptoms, explore conditions and treatments, and if needed, text with a doctor in minutes. K Healths AI-powered app is HIPAA compliant and based on 20 years of clinical data.
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Usual Adult Dose For Skin And Structure Infection
Immediate-release: 500 mg orally as a single dose on day 1, followed by 250 mg orally once a day on days 2 to 5Use: Treatment of mild to moderate uncomplicated skin and skin structure infections due to Staphylococcus aureus, Streptococcus pyogenes, or Streptococcus agalactiaeIDSA and NIH Recommendations:Immediate-release:Patients greater than 45 kg: 500 mg orally on day 1, then 250 mg orally once a day on days 2 through 5Patients less than 45 kg: 10 mg/kg orally on day 1, then 5 mg/kg orally once a day for 4 additional daysAlternative therapy for Bartonella infections : 500 mg orally once a day for at least 3 monthsUses:
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.
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When To See A Doctor
If you have worrying signs of an infection, its best to see your primary care physician before beginning antibiotic treatment using azithromycin.
Many common infections are actually viral, and will resolve on their own without antibiotics.
Azithromycin is not the right treatment for all types of bacterial infections.
Your provider can determine if antibiotics are needed at all, which antibiotics are safe and effective for your infection, and what dosage will work best.
If you have already begun using azithromycin and are not seeing improvement in your symptoms or are getting worse, speak to your healthcare provider.
When Do You Really Need Antibiotics For That Sinus Infection
- By Monique Tello, MD, MPH, Contributor
It was February, and clinic was teeming with respiratory infections of all kinds: mostly the common cold, but also bronchitis, pneumonia, and sinus infections. The patients were coming in usually thinking that they needed antibiotics for their sinus infection, or another respiratory infection.The first patient on my schedule was a healthcare provider with sinus infection written down as her main issue.* Shed had about two weeks of nasal and sinus congestion which she blamed on a viral upper respiratory infection . Her two young kids had been sick with colds all winter, so she wasnt surprised to have these symptoms, along with endless postnasal drip and a cough.
Her congestion had improved a bit at one point, and she thought that she was finally getting better. But then, the day before her appointment, she awoke with throbbing pain between her eyes, completely blocked nasal passages, and, more concerning to her, green pus oozing from her left tear duct. She had body aches, chills, and extreme fatigue.
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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
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.
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How It Works: The Infamous Z
We have all been to the doctors office at some point in our lives with some of the following symptoms: cough, nasal congestion, sore throat, maybe even a low-grade fever, aka the crud. You would often go home with a decongestant, possibly a steroid pack, or maybe a Z-pak. We often tend to take these meds without question, sometimes even requesting them before the office visit even starts because we just want some relief or have become so conditioned to that scenario. In this How It Works entry, I would like to discuss what the Z-Pak is, does, and doesnt do, and why maybe next time youre getting treated for a cold you can feel empowered to ask: what bacteria are you treating with this?
So, what is a Z-pack actually? Unfortunately, many patients dont know or arent told that the Z in Z-pak stands for azithromycin, which is a powerful macrolide antibiotic. All medicines in this class work by stopping bacteria reproduction, eventually killing the population, and curing the infection. Since this is an antibiotic, it has no use for any viral disease. We commonly use it to treat strep throat, skin infections, community-acquired pneumonia, some sexually transmitted infections, and more. What it will not treat is the common cold, allergies, the flu, Covid-19, or any other viral infection .
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Rare Cases Can Turn Serious
Antibiotics also can help ward off rare but potentially dangerous complications that arise when a sinus infection spreads to the eyes or brain, Dr. Sindwani says.
Complications around the eyes are the more common of the two. These complications can cause redness, swelling around the eyes and reduced vision, and even lead to blindness in a severe form known as cavernous sinus thrombosis. Serious cases are immediately treated with IV antibiotics. Patients are usually admitted to the hospital for a CT scan to see if fluid needs to be drained, Dr. Sindwani says.
Also in rare cases, sinus infections in the rear center of ones head can spread into the brain. This can lead to life-threatening conditions like meningitis or brain abscess, Dr. Sindwani says.
Before antibiotics, people would die from sinusitis, he says. But he emphasizes that such complications are unlikely. In most cases, the bacterial infection goes away, especially if you dont have underlying medical problems.
Its important to monitor your symptoms if you suspect a sinus infection. If the condition lingers or worsens, call your doctor.
What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store azithromycin tablets, suspension, and extended-release suspension at room temperature and away from excess heat and moisture . Do not refrigerate or freeze the extended-release suspension. Discard any azithromycin suspension that is left over after 10 days or no longer needed. Discard any unused extended-release azithromycin suspension after dosing is complete or 12 hours after preparation.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
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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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How To Use The Antibiotic Safely In Children
Zithromax is an antibiotic used to treat bacterial infections in adults and children. It is commonly prescribed for ear and sinus infections, pneumonia, and strep throat. It is approved for children 6 months or older and is a good option for kids with penicillin allergies.
Commonly referred to as a Z-Pak or a Tri-Pak , azithromycin also comes as a liquid for kids who are unable to swallow pills. It can be taken with or without food.
This article discusses the use of azithromycin for kids. It details what Zithromax treats and pediatric dosing information. It also explains side effects and drug interactions.
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What Is The Most Important Information I Should Know About Azithromycin
You should not use azithromycin if you are allergic to it, or if you have ever had:
- jaundice or liver problems caused by taking azithromycin or
- a severe allergic reaction to similar drugs such as clarithromycin, erythromycin, or telithromycin.
Azithromycin oral should not be used to treat pneumonia in people who have:
- cystic fibrosis
- an infection after being in a hospital
- an infection in the blood
- a weak immune system or
- in older adults and those who are ill or debilitated.
Tell your doctor if you have ever had:
- low levels of potassium in your blood
- a heart rhythm disorder or
- long QT syndrome .
It is not known whether this medicine is effective in treating genital ulcers in women.
Tell your doctor if you are pregnant or breastfeeding. Taking azithromycin while breastfeeding may cause diarrhea, vomiting, or rash in the nursing baby.
Azithromycin is not approved for use by anyone younger than 6 months old. Azithromycin should not be used to treat a throat or tonsil infection in a child younger than 2 years old.