How long do I have to take antibiotics for sinus treatment?

The duration of antibiotic treatment for sinusitis varies depending on the individual's response to treatment and the severity of the infection, but typically ranges from 5 to 10 days. Shorter courses are often preferred to minimize antibiotic resistance, but your doctor will determine the appropriate length based on your specific condition and progress. It's crucial to complete the entire course prescribed, even if symptoms improve before finishing, to ensure complete eradication of the infection.

Antibiotics are not typically the first-line treatment for sinus infections (sinusitis). Most sinus infections are caused by viruses, and antibiotics are ineffective against viruses. Antibiotics only work against bacteria.

A doctor might prescribe antibiotics if a bacterial sinus infection is suspected, especially if symptoms are severe, prolonged (lasting more than 10-14 days), or worsening. This decision is based on the doctor's assessment of the individual's symptoms and medical history. They may also consider factors like the presence of fever, facial pain, and the color of nasal discharge. However, even then, the decision to prescribe antibiotics is carefully considered due to the increasing concerns about antibiotic resistance.

Instead of antibiotics, the initial treatment for sinusitis usually involves:

• Over-the-counter (OTC) medications: Pain relievers (like ibuprofen or acetaminophen) to reduce pain and fever, and decongestants (oral or nasal sprays) to relieve stuffiness. Saline nasal sprays can also help to rinse nasal passages.
• Rest and hydration: Plenty of rest and fluids are crucial to help the body fight off the infection.
• Humidification: Adding moisture to the air can help thin mucus and ease congestion.

You should see a doctor if your sinus symptoms:

• Are severe
• Last longer than 10-14 days
• Worsen over time
• Are accompanied by a high fever
• Include severe facial pain or pressure
• Are accompanied by other concerning symptoms like a stiff neck or vision changes.

Only a doctor can determine if you have a bacterial sinus infection and whether antibiotics are necessary. Self-treating with antibiotics can be harmful and contribute to antibiotic resistance.