Antibiotic Azithromycin for sinusitis: how does it help and how does it differ from analogs?
What is sinusitis?
Sinusitis is one of the most common diseases of the ENT-organs. It is an inflammatory process of the mucous membrane of the accessory sinuses of nose, and it may have an acute or chronic form.
In most cases, sinusitis has an antibacterial origin. As a result of the spreading of bacteria in the upper sinuses, a severe inflammation starts, so that the symptoms of sinusitis appear:
- Long-lasting cold with green or yellowish discharges;
- Overflow from the nose in the morning;
- Smell disorder and difficulty breathing through the nose;
- High fatigue and poor appetite;
- Edema in sinuses.
If acute form of sinusitis, the body temperature may jump and a general body intoxication may be observed.
Sinusitis is a collective name for all inflammatory pathologies of sinuses. It may be classified by the distribution of the inflammation:
- Sinus infection – an inflammation and edema of the mucous membrane in sinuses above the jaw.
- Ethmoiditis – an infection of ethmoidal air cells. A marked pain and edemas appear on the nasal bridge and even in the area of eyes.
- Pansinusitis – a simultaneous inflammation of all paranasal cavities and filling them out with discharges. It is the severest form of sinusitis that quickly becomes chronic.
Nowadays, the treatment of sinusitis gives a good result. In 90% of cases, the modern antibacterial therapy allows treating sinusitis without complications and consequences for a patient. The main purpose of the pharmaceutical therapy consists in an inhibition of the bacteria activity which causes an inflammation. Drainage of sinuses is required after the complete infection arresting to clean them and prevent a relapse.
How to take Azithromycin at various forms of sinusitis?
The results of the laboratory studies confirm that an acute sinusitis is related to mainly respiratory viruses. A variety of the activators of an acute bacterial sinusitis remains constant, and it allows controlling a course of the disease and quickly take therapeutic measures. Streptococcus pneumonia and Haemophilus influenza are often an activators of the disease.
Streptococcus pyogenes, Moraxella catarrhalis, Staphylococcus aureus, and anaerobes are rare. However, in most cases, a patient is not prescribed a bacteriological inspection and is prescribed Azithromycin.
Azithromycin is an antibiotic of the broad action, and therefore it acts on the various types of the pathogenic organisms and the treatment may be started before having the results of the bacteriological test of mucosa.
If the drug is ineffective, doctors recommend increasing a dose. On the average doses, Azithromycin provides only a bacteriostatic action, and high doses give a bactericidal action and completely destroy the bacteria cells. It allows affecting even the steadiest types of the infection activators.
The administration of Azithromycin depends on a severity level of sinusitis and patient’s age.
Adult patients over 14 are recommended to stick to the standard scheme:
- Take 1 pill of Azithromycin 500 mg 2 times per day within 3 days.
- The pills are taken between meals, with a glass of water.
In three days, the treatment must be stopped. If the improvement of sinusitis symptoms did not happen within several days after the end of the therapy, the treatment is repeated, but a higher dose 750 mg 2 times per day is used.
Before the second treatment, it is necessary to take the test and detect a type of an activator and its sensitivity to Azithromycin drug.
- If severe types of sinusitis, the course of the treatment may last for up to 5 days.
Using of Zithromax in children for sinusitis
Sinusitis in children is a rather common disease which is often acute. But due to the peculiarities of the composition of children’s sinuses, a disease may be asymptomatic. It complicates the diagnostics and the treatment on initial stage.
Sinusitis in children is often accompanied by separate types of otitis media, because there is a risk of an infection of the middle ear cavity.
Zithromax is one of the safest and most reliable antibiotics for children to treat sinusitis. Azithromycin has a low level of the toxicity for a child’s body, and affects many types of the infection activators.
Even if sinusitis in children is accompanied by an inflammation of the middle ear, the use of Zithromax neutralizes the activity of the pathogenic microflora in both sinuses, and in the area of the middle ear.
- A daily dose for children is calculated by the following scheme: 10 mg Zithromax per 1 kg of the body mass of a child (if the body mass is 25 kg, the dose will be 250 mg).
- A daily dose is taken once and is not divided into parts - The therapy should take not more than 3 days.
- If low doses for children under 6 years, it is recommended to take suspension with the active ingredient Azithromycin.
- Rinse your mouth after the use of the suspension to remove the parts of the antibiotic from the mouth cavity.
Advantages of Azithromycin treatment
- Azithromycin does not take a long course of the treatment, and just three days are enough to arrest the symptoms of the acute sinusitis.
- Do not take Azithromycin longer, or with a frequent use. If chronic sinusitis, the frequent use of Zithromax may cause a bacteria resistance.
- Do not take Azithromycin with other antibiotics, they may weaken its action or cause side effects.
- Take Zithromax on an empty stomach, because food reduces the concentration of the antibiotic in the blood and decreases the effect.
- The advantage of Azithromycin is an effective neutralization of the symptoms of chlamydia and mycoplasma sinus infection often met in people.