Syndrome:  Sinusitis, acute

Primary Therapy(s):

  • Amoxicillin 500-1000 mg tid
  • Azithromycin 500 mg x 1; 250 mg daily thereafter
  • Doxycycline 100 mg bid

Alternate Therapy(s):

  • Amoxicillin/clavulanate
  • 2nd gen cephalosporin
  • Resp quinolone
  • TMP/SMX

Comments:

  • Symptoms should have been present for more than 7 days.
  • Antibiotic therapy is not always indicated.



Guideline Index         Guideline Table  

2nd generation cephalosporins--Cefuroxime, Cefpodoxime
Respiratory quionlones--Levofloxacin, Moxifloxacin