• Skip to main content
  • Skip to primary sidebar
  • Skip to footer
  • Home
  • About
  • BCPS
  • Medicine and Media
  • Pharmacogenomics
  • Podcast
Digital PharmD

Digital PharmD

Informatics in Pharmacy

Sinusitis

August 13, 2018 By Dr. G, PharmD

Print Friendly, PDF & Email

Usually viral.  Only use antibiotics if signs and symptoms greater than 10 days and purulent discharge, fever greater than 102 degrees, headache, increase nasal discharge

  • Amoxil/ clavulanate or doxycycline if PCN allergic.  Can use macrolide (drug/drug) or fluoroquinolone if resistance suspected.  Can also use Bactrim (but renal dose, can be resistant and warfarin interaction with Bactrim).  Treat for 5-7 days.
  • Avoid use of antihistamines, analgesics and 0.9% nasal spray.

Allergic Rhinitis

  • Intranasal steroids are the first line and most effective
  • Oral antihistamines are effective and can be adjunct
  • Topical cromolyn is not very effective
  • Leukotriene receptor modifiers is not effective on their own, but they can be helpful in combo or in patients with asthma.
  • Mostly just control symptoms.
  • Can be on maintenance antihistamines, nasal steroids or leukotriene modifiers if recurrent.  You can also try allergy shots.

Filed Under: Infectious Disease

Primary Sidebar

Newsletter

More to See

COVID-19 mRNA EUA Vaccine FAQs

December 29, 2020 By Dr. G, PharmD

What Makes a Good Vaccine? (Part 1)

October 20, 2020 By Dr. G, PharmD

Tags

acid base acidosis acute coronary syndrome alkalosis analgesics anaphylaxis aortic dissection arrhythmia bcps Beta-Blockers biostatistics blood pressure cardiac markers CHA2DS2-VasC cocaine COVID-19 diabetes diabetes inspidius heart failure Heparin hypersensitivity hypertension hypovolemic shock intubation ionotropes journal club lipids LMWH medication safety morphine conversions myocardial infarction needs work NOAC NSTEMI obstructive shock pharmacoeconomics pheochromocytoma pressors reference materials right mi sedation septic shock shock STEMI Updated 2020

Footer

Medical Disclaimer

The medical information on this website is provided “as is” without any representations or warranties, express or implied. GoPharmD makes no representations or warranties in relation to the medical information on this website.

GoPharmD does not warrant that:

  • the medical information on this website will be constantly available, or available at all; or
  • the medical information on this website is complete, true, accurate, up-to-date, or non-misleading.
  • You must not rely on the information on this website as an alternative to medical advice from your doctor or other professional healthcare provider.
  • If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider.

Recent

  • Johnson and Johnson Coronavirus EUA Vaccine FAQ
  • COVID-19 mRNA EUA Vaccine FAQs
  • What Makes a Good Vaccine? (Part 1)
  • COPD and Bronchitis
  • Asthma

Search

Tags

acid base acidosis acute coronary syndrome alkalosis analgesics anaphylaxis aortic dissection arrhythmia bcps Beta-Blockers biostatistics blood pressure cardiac markers CHA2DS2-VasC cocaine COVID-19 diabetes diabetes inspidius heart failure Heparin hypersensitivity hypertension hypovolemic shock intubation ionotropes journal club lipids LMWH medication safety morphine conversions myocardial infarction needs work NOAC NSTEMI obstructive shock pharmacoeconomics pheochromocytoma pressors reference materials right mi sedation septic shock shock STEMI Updated 2020