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Sinus infection treatment overdosage

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I visited a doctor recently for a sinus infection that I was recently having and the guy has given me a lot lot of medicines... I feel like I am being over-dosed so I needed to double check with you. Would appreciate your feedback.

History: I was feeling that my sinus infection wasn't going away so I went to a doctor after a couple of weeks. HE took my xrays for lung and head/face/nose area. After that he told me that I had bacterial sinus infection and than prescribed me a full bag of medicine. Here is the list:

Tylenol ER 650 mg, 3 times a day for 5 days
Gelomyrtol forte 3 times a day for 5 days
Pelargonium Sidoides 9ml 3 times a day for 5 days
Pseudafed 60 mg 3 times a day for 5 days
Ucerax 10 mg 1 tablet / day for 14 days
Cravit (500mg + 250 mg ) once per day for 14 days

My profile:

Male, 34 years old, weight 95 Kg, Height 188 cm

Do you think he gave me a bit too much of medicine. I have been taking it for two days now and feel not very excited about it.

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
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Thank you for choosing DoctorSpring.

Honestly for the most part, I do not agree with your Doctors prescription for the Bacterial Sinus Infection. But your Doctor has examined you Physically and that has to be taken into consideration.

1.Tylenol as you know is a pain medication. It need to be taken only if there is pain.

2. Gelomyrtol forte is a herbal remedy. While it is not very recommended, it is not harmful either (being a herbal product). It may improve your symptoms.

3.Pelargonium sidoides - another herbal medicine, no specific role here.

4. Psuedafed - I assume you mean Sudafed. Decongestant. - Depends on the type of Sudafed. If it is Pseudoephedrine alone it is ok to take, not necessary.

5. Ucerax - A first generation anti allergy medication. Although later generation ones, like Ceterizine and Fexofenadine are better.

6. Cravit 750 mg - This is the antibiotic. Needed is the suspicion of a bacterial sinus infection is high. Although I would prefer a 7 day course (if symptoms persist, re evaluate and continue). Again the duration depends on the severity of the disease.

Carvit and Ucerax are the essential medication here. No1. take as and when required. No.3 can be avoided. Others are options. Please discuss this with your Doctor.

Meanwhile steam inhalation through nose twice daily and Oxymetazoline / Xylometazoline nasal drops can help to open up the sinusopenings.

Hope this helps
Feel free to ask followups
Thank you

Patient replied :

Dear Dr. Deepu,

Thank you for the detailed reply. I have two follow up questions:

1. It has been almost four days now that I have been taking the antibiotics. While, I don't have irritation in my throat or stuffy nose now, my ear are kind of stuffy and in pain. Also my head feels very heavy. I stopped taking Tylenol yesterday and now I have slight fever (37.3)

Do you think it is normal to have heavy head and slight fever with this much high dosage after 4 days and should I consult another doctor?

2. What are the stopping points for Cravit. Can I stop at any time when symptoms are gone or do I need to complete the course (7 days or 14 days) ?

Thank you again for your kind feedback.

Yes, fever and symptoms may persists to the fourth or fifth day of the antibiotic course. The medication can can take time for action. However, there is also a possibility that the antibiotic is not effective against the particular strain of bacteria. That is the reason I suggested a 7 days course and then revaluation.

Since you have already started the antibiotics it is better to continue for 7 days (even if there is complete resolution of symptoms).

You may be having an Upper Respiratory Tract infection, rather than a sinus infections. And it could be viral infection also. My recommendations would be :

1. Continue Tylenol, Cravit, Ucerax for 7 days
2. No resolution in 7 days or worsening symptoms in coming days - Get in touch with a ENT Specialist or Internist.
3. Steam Inhalation twice a day alternating through mouth and nose (in view of your ear symptoms)

Hope this helps
Feel fee to ask followup questions.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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