Z pack azithromycin 5 day vs 3 day dose pack

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pack dose 5 day azithromycin day pack z vs 3

I admittedly don't remember even being taught about the Tri Pak in PA school and have yet to wellbutrin reaction time test it used on a rotation. I am trying to find any data supporting one over the other but reviews seem mixed or to things to know when taking adderall they are generally equivalent.

Given this information, can the Tri Pak be recommended over the Z Pak for sinusitis or CAP and in CAP both as monotherapy or in duel therapy with beta flatulence after alprazolam withdrawalgiven the improved compliance and easier dosing regimen? Note that the Tri Pak is mg for all 3 days. Z-paks are useless for sinusitis regardless of 3 or 5 day course.

They weren't useless 15 years ago but they sure are now. I only use azithro for atypical pneumonia as it's still effective against mycoplasma and pertussis. If I suspect a strep or other cause, I use at least a 2nd-gen cephalosporin if I can and if not, consider a broader-spectrum longer-course macrolide. Also a big fan of Clindamycin for mouth organisms and true sinusitis.

Save the fluoroquinolones for AECB exacerbations and true pneumonia that has failed other therapies. We don't have much left beyond FQs that isn't parenteral. Prima, thanks for the reply. What macrolide are you using in place of zitrhomax? Oops, forgot to answer your other macrolide q: Plain EES is generally easy and cheap but not as effective for atypicals--then I pack dose prefer doxy or tetracycline. Check out abx criteria for questionable sinusitis as to when to use rec tx is Augmentin x7days.

Most sinusitis is not actual sinusitis. Having just finished a month of ENT, this fact has been beaten into my consciousness--sinusitis needs irrigation, decongestants, nasal steroids, maybe systemic steroids, maybe a mucolytic, and RARELY antibiotics. The ENT guys favor Augmentin x 2 wk, a broad-spectrum cephalosporin, maybe doxy, and finally FQs if the patient fails all that and documented abnormal CT plus frank pus on nasal endoscopy They will also use a compounded Clindamycin-betadine-saline rinse both nostrils BID x 8 wk for refractory sinusitis.

Raises risk of rhabdo. I mostly use Zpaks now for the people I do not believe have an infxn but won't take no for an answer - sometimes in the form of a written Rx accompanied by "I really think it's just a virus, but if you don't improve over the weekend with xanax yellow bars street name change conservative therapy we discussed, you may start this.

For true sinusitis, Augmentin. For the allergic, Omnicef although I am aware the new guidelines call for dual therapy. For CAP, azithro x 5 days plus or minus a Rocephin shot. Some of them somewhat meet the criteria it's been almost ten days, they tell me they had fever last night, tenderness orange pill diazepam mylan 245500 percussion but I'm suspicious.

But sometimes it boils down to the fact that I have neither the time nor energy to have this argument ten "dose pack" a day. And don't get me wrong - I am very thorough in explaining why I don't think they need Abx and also in my recs for OTC tx - but they are just not having it. It's an uphill battle. Like it or not, we're employees of customer-driven organizations, and when the customer needs "something done", and we don't dose pack something" learned and appropriate evaluation not being anything, of course we will lose business.

If it was all about the biological processes, rx nothing. But biology doesn't exist in a vacuum, and patient satisfaction and economic rewards are another two big parts of the equation. Neti introduces bacterior into the sinuses and can cause brain infections wellbutrin worked first few week abcess. The "spray bottle" type Neil Med sinus rinse is what they recommend to everyone.

Unless you want a Naegleria fowlerii infection you don't!! Anything, if abused, can be detrimental. Local ENT dept of med school encourages nasal saline irrigation, as do the most recent rhino-sinusitis guidelines that I saw '10 as I recall. Treating a viral infx with abx is bad medicine. These pts bounced back. Most patients didn't like her of course despite her being very nice and humble, because they didn't get their abx and decadron dose pack for every little finasteride problems and concerns with drug tests, so they would come to our location from then on.

I really respected her approach and it's unfortunate that so much of healthcare is driven by patient satisfaction metrics. We're not in this hypothetical case treating the viral infection at all. It'll get better on its own, or with the symptomatic care day also prescribed. It's how the cycle always worked: If they do come dose pack with an "antibiotic failure", you ask them if they did all the other stuff irrigation, etc. Patient autonomy means letting them pick "wrong", dose pack that wrong is not specifically harmful.

On a macro level, yes, I want to give out antibiotics only uses of valium drug every infection that they will actually treat, but on a global scale that means little to combat antibiotic resistance when many countries have antibiotics as OTCs. This whole field seems to be driven by the past over use of Abx This is not about writing a lengthy and pointless responses. Medicine is evidence base.

I have being doing this longer than you. You should be willing to listen to those who had being in the field longer. When a pt request for an antibiotic. If i see no indication for initiating an abx I simply would not write them one. I would sit down and go over conservative measures or would rx regime for symptomatic relief. For instance, I would rx flonase to pt with a viral rhinosinusitis with recom that they return to their PCP, or come back if their sx became worse let say in 5 or 6 days supposing the pt was only 4d into their illness at the time of their visit.

Pack a day push for abx, I usually would counsel them of the side effect diarrhea, resistant, interaction with their meds, the possibility it could worsen their illness etc. If they continue to insist and they have a viral etiology - just tell them NO - it is okay - would you give a patient dig just because they asked for it?

As for other issues with ABX anyone been following stool transplantation? I agreed with you v. That's exactly what I was saying. When pt comes in requesting or expecting an abx. If you see no need for an abx do not start them on one. For some of us, we've been out since the stone-age and remember how actual sinusitis was a medical problem. They within the past decade gave it back to medicine once they realized that after a year post-op the same pt.

You need to be a member in order to leave a comment. Sign up for a new account in our community. Welcome to the Physician Assistant Forum! This website azithromycin cookies to ensure you get the best experience dose pack our website. Prev 1 2 Next Page 1 of 2. Posted February 9, Share this post Link to post Share on other sites. Look up IDSA guidelines for dose pack infection you're treating.

In cases that you DO use zithromax, are "azithromycin day day pack vs pack 5 3 z dose" using the 5 or 3 day pak? You'll get patient to forget URI sx due to diarrhea from Augmentin at recommended dosing. Posted February 10, Why rx an abx if you know it's viral etiology? Prima, what did they find difficult with usage? What a horrible idea!!! I get that sometimes you have to treat but why on earth go with a broad spectrum? Create an account or dose pack in to comment You need to be a member in dose pack to leave a comment Create an what is azithromycin in spanish Sign up for a new account in our community.

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