However, chronic sinusitis lasts longer than 2 months or occurs more than 4 to 5 times per year, with symptoms typically lasting more than 18 to 20 days. I started with doing a nasal rinse 3-4 times per day. ... Dr. Zacharisen responded: Yes. The levels of azithromycin in the sinus fluid increased from the first to the last dose in both patient groups; the mean levels of azithromycin 24 h after the last dose were 2.33 micrograms/ml in acute sinusitis patients and 0.38 micrograms/ml in chronic sinusitis patients. COVID-19 is an emerging, rapidly evolving situation. A new study shows treatment with long-term low-dose azithromycin in combination with the conventional therapy can reduce the recurrence rate of chronic sinusitis symptoms after functional endoscopic sinus surgery, but there was no sufficient evidence to support clinical significance of azithromycin at the investigated dose.. Because fungal sinus infection most commonly affects those with compromised immune systems, it is important to stay healthy in order to prevent recurrence. Azithromycin may not be an effective treatment for sinusitis in some cases. 1991 Oct;10(10):864-8. doi: 10.1007/BF01975844.Eur J Clin Microbiol Infect Dis. Thus a larger scale trial and a longer follow-up period are warranted to evaluate the effectiveness of the therapy.A New York City ENT doctor deals with a variety of different conditions from performing sinus surgeries to diagnosing ear, nose & throat problems. CT 3 months ago was clear on pathology.SinusCure.org is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com This study is needed because when it comes to conventional therapies, other less invasive surgeries should be considered such as balloon sinuplasty.Sixty-six patients were randomly divided into intervention and control groups. Other antibiotics, air purifiers, nasal wash systems, sprays, antihistamines.. nothing else works for my sinuses. The following information is NOT intended to endorse any particular medication. The only way to be sure about how effective azithromycin for sinusitis will be is to determine if the infection is caused by a susceptible bacteria to azithromycin. Pulm Pharmacol Ther 2010;3: 200-207. 1991 Oct;10(10):807-12. doi: 10.1007/BF01975832.Drugs. 2017 Apr;7(4):343-351. doi: 10.1002/alr.21903. The inflammation seen in the sinuses is most often due to Staphylococcus aureus, though Pseudomonas aeroginosa is also a recognised cause. August 5, 2017 Long-term azithromycin use in patients with chronic obstructive pulmonary disease and tracheostomy. Generally, Acute sinusitis lasts less than 6-8 weeks or occurs no more than 2-3 times per year, with each episode lasting no longer than 12 days. However, chronic sinusitis lasts longer than 2 months or occurs more than 4 to 5 times per year, with symptoms typically lasting more than 18 to 20 days. Please enable it to take advantage of the complete set of features! Justification: Chronic rhinosinusitis (CRS) is one of the most common inflammatory diseases with an incidence and prevalence superior to 10%. This in turn reduces bacterial proliferation and treats sinus infections.Clinical studies have shown that a three-day course of azithromycin is as effective as a 10 day course of penicillin-based drugs (One study has shown that taking 2 g of azithromycin (extended-release) may be more effective than a longer course of However, clinical studies have also shown that azithromycin may not be the best choice of medicine in managing sinus infections as the improvement in symptoms is not because of the effect it has on the bacteria but is actually due to the inflammation fighting properties that it possesses.Furthermore, azithromycin is not very effective against organisms such as Side-effects are not very common but some people may experience indigestion like symptoms, loose stools, nausea and vomiting.Serious side-effects are also very rare and may include blurring of vision, reduced hearing, difficulty speaking and swallowing and occasionally problems with the liver.