doxycycline or amoxicillin for sinus infection


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  • What is Amoxil (amoxicillin) used for?

    Amoxil (amoxicillin) is an antibiotic used to help kill bacteria that can cause infections in your body, such as a sinus infection . Sinus infections can be viral and self-limiting, which means your body can usually fight the infection off on its own and does not require antibiotics.

  • Does doxycycline kill bacteria?

    Doxycycline does not kill bacteria; it is considered bacteriostatic, meaning that it suppresses the growth of bacteria. Doxycycline and other antibiotics only work for bacterial sinus infections, though. They will not treat viral infections. Doxycycline for sinusitis is usually prescribed as 100 milligrams (mg) twice daily for five to seven days.

  • Does doxycycline work for sinus infections?

    Doxycycline and other antibiotics only work for bacterial sinus infections, though. They will not treat viral infections. Doxycycline for sinusitis is usually prescribed as 100 milligrams (mg) twice daily for five to seven days. Alternatively, it can be taken at 200 milligrams once a day.

  • Can amoxicillin kill a sinus infection?

    Amoxicillin can help kill bacteria that are causing the infection in sinusitis confirmed to be caused by bacteria. These bacteria can include: Antibiotics are not necessary for viral sinus infections. Typically, a viral sinus infection will resolve within 10 days.

Definition

INTRODUCTIONAcute rhinosinusitis (ARS) is defined as symptomatic inflammation of the nasal cavity and paranasal sinuses (figure 1) lasting less than four weeks. The term \\"rhinosinusitis\\" is preferred to \\"sinusitis\\" since inflammation of the sinuses rarely occurs without concurrent inflammation of the nasal mucosa [1]. uptodate.com

Treatment

Treatment for acute viral rhinosinusitis (AVRS) focuses on symptomatic management as it typically resolves within 7 to 10 days. Bacterial infection occurs in only 0.5 to 2 percent of episodes of ARS [2]. Acute bacterial rhinosinusitis (ABRS) may also be a self-limited disease. Patients may be treated symptomatically and observed or treated with ant

Management

ACUTE VIRAL RHINOSINUSITISPatients with acute viral rhinosinusitis (AVRS) should be managed with supportive care [3]. There are no treatments to shorten the clinical course of the disease. (See 'Symptomatic therapies' below.) Guidelines for the management of sinusitis have been issued by the American Academy of Otolaryngology-Head and Neck Surgery

Prognosis

Natural history  AVRS may not completely resolve within 10 days but is expected to improve. Patients who fail to improve after 10 days of symptomatic management are more likely to have acute bacterial rhinosinusitis (ABRS) and should be managed as ABRS patients. (See \\"Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagno

Medical uses

Saline irrigation  Mechanical irrigation with buffered, physiologic, or hypertonic saline may reduce the need for pain medication and improve overall patient comfort, particularly in patients with frequent sinus infections. The evidence supporting the use of saline irrigation is limited but indicates possible benefits for symptom relief with minor

Diagnosis

Indications for urgent referral  Urgent early referral is essential for patients with symptoms that are concerning for complicated ABRS or have evidence of complications on imaging. These include patients with high, persistent fevers >102°F; periorbital edema, inflammation, or erythema; cranial nerve palsies; abnormal extraocular movements; proptos

Results

Meta-analyses have consistently found that, compared with placebo, patients with ABRS may benefit from antibiotics at the cost of increased adverse events [5,13,17-19]. Estimates of the number needed to treat to benefit range from 13 to 18 patients, while the number needed to harm is approximately 8 patients [4,5,17,18]. Other meta-analyses have es

Contraindications

As noted above, fluoroquinolones should be reserved for those who have no alternative treatment options as the serious adverse effects associated with fluoroquinolones generally outweigh the benefits for patients with acute sinusitis [27]. A third-generation cephalosporin plus clindamycin is an alternative to fluoroquinolones; this regimen offers b

Interactions

Systemic glucocorticoids  We suggest not using systemic glucocorticoids in the treatment of ABRS. When given in addition to antibiotics, oral glucocorticoids may shorten the time to symptom resolution or improvement. However, the benefits are small and, unlike topical glucocorticoids, systemic glucocorticoids possess a significant side effect profi

Research

A 2014 systematic review and meta-analysis evaluated five randomized trials in adults with acute sinusitis (n = 1193). Four trials evaluated the benefits of glucocorticoids in addition to antibiotics (three trials compared antibiotics and glucocorticoids with antibiotics and placebo, one trial compared antibiotics and glucocorticoids with antibioti

Miscellaneous

SOCIETY GUIDELINE LINKSLinks to society and government-sponsored guidelines from selected countries and regions around the world are provided separately. (See \\"Society guideline links: Acute rhinosinusitis\\".) uptodate.com

Resources

Here are the patient education articles that are relevant to this topic. We encourage you to print or e-mail these topics to your patients. (You can also locate patient education articles on a variety of subjects by searching on \\"patient info\\" and the keyword(s) of interest.) SUMMARY AND RECOMMENDATIONS uptodate.com

How and When to use Doxycyline (Doryx Doxylin Efracea)

How and When to use Doxycyline (Doryx Doxylin Efracea)

What Is the Difference between Doxycycline and Amoxicillin

What Is the Difference between Doxycycline and Amoxicillin

How and When to use Amoxicillin?

How and When to use Amoxicillin?

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