How Does My Physician Choose Which Oral Antibiotic to Prescribe?


It may seem like an easy decision to prescribe an antibiotic, but it is actually a complex process. I consider each patient’s particular needs, allergies, previous antibiotic tolerance profile, compliance, other medicines that he is taking, severity of his sinus disease, the type of bacterial infection I am treating, and any cultures that may have been taken. Even then, the antibiotic may not work or may only partially work in helping clear his sinus infection. Luckily, there is usually more than one right choice. I have had patients who report that they went to two physicians and each gave them a different antibiotic. Well, they both may have been good choices.

Speak with your physician about all of these concerns and be sure to keep a good history of the antibiotics that you have taken. This should include all of the following:

■ A list of the antibiotics to which you have had a true allergic reaction, along with the description of the allergic reaction (e. g., rash, hives, breathing difficulty, or anaphylactic reaction).

■ A list of all antibiotics to which you have had other untoward responses or reactions (e. g., diarrhea, constipation, stomach upset, vaginal or other fungal infection, metal taste, joint pain, or dizziness). Your physician may tell you that a previous reaction of this
type may not necessarily repeat itself even though it may have been severe in the past.

Sinus Tips:
In the past, physicians recommended that their patients with chronic sinusitis and/or allergies move to another part of the country, where the climate was different, thinking that
A balanced diet high in protein, fruits, and vegetables is very important tor patients suffering from CAID. For patients who get frequent infections, I recommend supplementing thei
In the 12th century, the physician Moses Maimonides first prescribed chicken soup as a cold and asthma remedy. People have experienced the same tried-and-true results over the cent
Fungus and mold are always present in the air, so it is reasonable to expect that they are also found in our nasal passages. Recent research at the Mayo Clinic has confirmed this t
Throat sprays are appropriate when you are experiencing a sore throat caused by postnasal drip or during an acute flare-up of a chronic infection. Some products may contain an anti
Nasal emollients and gels allow mucus to glide over dry ciliated hair cells so that it can move through the sinuses with ease. These are useful for soothing your dry nasal membrane
This initial hit of inflammation would probably lead you to believe that you had come down with a simple cold.