The beta-lactam antibiotics share common chemical features and include penicillins and cephalosporins. Their primary action
is to interfere with the cell walls of the bacteria that are causing your infection.

Penicillins The most widely prescribed antibiotic for sinusitis has been amoxicillin (Amoxil, Polymox, Trimox, or any generic formulation). Amoxicillin is inexpensive and at one time was highly effective against the Streptococcus pneumoniae bacteria. However, bacterial resistance to amoxicillin has increased significantly, both among Streptococcus pneumoniae and H. influenzae. Amoxicillin-clavulanate (Augmentin) is known as augmented penicillin and is often used. Augmentin works against a wide spectrum of bacteria and is more effective against resistant strains than amoxicillin alone because the clavulanate strengthens the amoxicillin.

Ampicillin is another form of penicillin. It is an inexpensive alternative to amoxicillin but requires more doses and has more severe gastrointestinal side effects than amoxicillin. There is significant resistance to ampicillin. Dicloxacillin is a penicillin that can be used if there is an abscess in the sinus because it is effective against Staphylococcus aureus. UniSyn is available for intravenous use for more severe cases.

Cephalosporins These broad-spectrum antibiotics are used against Streptococcus pneumoniae and some are effective against H. influenzae. They are often classed by “generation.”

■ First-generation agents include cephalexin (Keflex), cefadroxil (Duricef), and cefaclor (Ceclor).

■ Second - and third-generation drugs include cefuroxime (Ceftin), cefprozil (Cefzil), cefpodoxime (Vantin), loracarbef (Lorabid), ce - fixime (Suprax),and cefdbuten (Cidex). These are effective against a wide spectrum of bacteria and are increasingly used for respiratory infections. There are Streptococcus pneumoniae bacteria that are resistant to cephalosporins. Rocephin is a third-generation cephalosporin that is available only for intravenous use.

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.