Medication Attention For Children Sinusitis Infection

Medication Attention For Children Sinusitis Infection 5.00/5 (100.00%) 4 votes

Half of the time, sinusitis resolves on its own. This is why most doctors will not treat sinusitis with antibiotics until the symptoms are increasing (profuse cough, green runny nose, or bad head­ache) or have persisted for two to three weeks.

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Furthermore, the course of antibiotics is long. To treat sinusitis completely, antibi­otics must be given for 10 to 14 days, sometimes longer.

A broad range of antibiotics can be used for sinus infections. Penicillins, cephalosporins, and macrolides (such as erythromy­cin) are among the most commonly used antibiotics.

Your doc­tor’s choice will depend on how recently your child has been on an antibiotic, how sensitive the bacteria in the community are to various drugs, and whether your child is allergic to any medica­tions.

There are many treatments for sinusitis other than antibiotics. Decongestants can help drain the sinuses quickly and effectively. These medicines are generally very safe and may be worth trying. They work best when the nasal drainage is clear or thin.

If they are not helping the situation, however, they should be dis­continued. Decongestants are available in many forms. They can be sprayed up the nose or taken by mouth as a liquid, a chewable tablet, or a melt-away tablet.


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Nasal spray steroids can be very effective in reducing swelling and inflammation in the nose. This in turn enhances drainage of the sinuses.

In children with large tonsils or adenoids in the neck, nasal steroids may drip down the back of the nose and into the throat, shrinking these tissues as well. This, too, helps with sinus drainage.

Many parents wish to avoid steroids because they are worried about the side effects. However, nasal steroids work directly in the nose, with very little medicine being absorbed by the rest of the body. Therefore, there is limited risk of the side effects seen with oral steroids.


In some cases, oral steroids are necessary to treat sinusitis. When the sinuses are severely impacted, oral steroids may be the only way to reduce the inflammation enough to allow drainage.

In such circumstances, steroids can be an important adjunct to antibiotics — without them, the antibiotics may not be able to penetrate the infected sinuses.

When used to treat sinusitis, steroids are generally given for no more than a few days. The risk of long-term side effects is very low, especially if the steroids are used for fewer than 14 days (in a single course) or less than twice per year.