Azithromycin is generally Not the first-line treatment for acute sinusitis. Doctors typically prescribe it only when other antibiotics have failed, or if a specific bacterial infection is suspected that’s resistant to other medications.
Specifically, your doctor might consider Azithromycin if you have:
- A severe case of sinusitis that hasn’t responded to other antibiotics. This often involves persistent symptoms like severe facial pain, high fever, and thick, discolored nasal discharge for more than 10 days. Suspected bacterial sinusitis caused by Haemophilus influenzae or Moraxella catarrhalis. These bacteria can be resistant to other antibiotics, making Azithromycin a reasonable alternative. Allergies or intolerances to other antibiotics. Azithromycin can be a suitable option if you can’t tolerate penicillin or other common antibiotics.
Remember: Azithromycin is a powerful antibiotic, and overuse contributes to antibiotic resistance. Your doctor will assess your individual needs and determine the most appropriate course of action. Always follow their instructions precisely regarding dosage and duration of treatment. Self-treating sinusitis with Azithromycin is strongly discouraged.
Important Note: Viral sinusitis, the most common type, doesn’t respond to antibiotics like Azithromycin. Treatment often involves symptomatic relief (pain relievers, nasal sprays, etc.).
