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sinus infection

Posted: Sun Apr 16, 2023 11:57 am
by angrry
Hello everyone. I haven't been here for a few years. I had c diff back in 2017 caused by keflex, it took 2 rounds of metro to cure it, although it took several months to get back to "normal". I was diagnosed with a sinus infection last week and the dr prescribed azithromycin 250mg for 5 days. I realize this is apparently low on the scale of antibotics that can cause cdiff, however I am absolutely terrified to take it.
I have been taking florastor daily since my cdiff infection and IF i decide to take the antibiotics I'll double the daily dose and was considering adding another probiotic such as culturelle to hopefully add to the defence. For now I will try OTC sinus meds, mometosone, montelukast and nasal rinses with a neti pot to try to eradicate the sinus infection. Sorry this has been so long winded, but has anyone taken azithromycin after a cdiff infection and been fine? Did anyone double their probiotics and find that it helped prevent a re-infection? Sorry I'm just really afraid of getting another cdiff infection as the one I had 6 years ago was terrible and knocked me sideways for such a long time. Thanks for reading.

Re: sinus infection

Posted: Sun Apr 16, 2023 5:22 pm
by NanciT
It really impossible to know if you took the medication if you would get CDIFF again. I took Keflex....a year after I had CDIFF and it did not return. Jump forward several years and I landed in the ER and was givien IV antibiotics. Although my ID started me on Vanco, I did get CDIFF and had to do a Dificid taper.

I think you are doing everything right by trying everything you can to avoid antibiotics but there may come a point when you have to take them.

I hope the infection clears up soon

NanciT

Re: sinus infection

Posted: Sun Apr 16, 2023 9:22 pm
by angrry
ty Nanci....keeping my fingers crossed

Re: sinus infection

Posted: Tue Apr 18, 2023 1:06 am
by beth22
We have had posters who took it and did not relapse. I took it and also doxycycline and did not relapse.

Re: sinus infection

Posted: Tue Apr 18, 2023 7:25 am
by angrry
ty beth. despite all the measures i have taken over the past week, the infection has shown no signs of improvement. I ended up taking the azithromycin this morning. I doubled my florastor and will take culturelle 3 hours after the antibiotics as well. To say I'm afraid is an understatement.

Re: sinus infection

Posted: Wed Apr 19, 2023 1:27 am
by beth22
Good luck. Hope it clears the infection. Those are miserable!

Re: sinus infection

Posted: Thu Apr 20, 2023 1:14 pm
by GtrGrl
Just piping up to add my support. Understand the fear but you may very well not relapse. Fingers crossed for you. I’m curious whether they took a swab before prescribing to see what the bug is?

Re: sinus infection

Posted: Thu Apr 20, 2023 8:30 pm
by angrry
ty everyone. GtrGrl there was no swab. The dr is very aware of my previous cdiff infection so he went with what he feels is safe. Do I think it is?. not really..I dont think any antibiotic is safe anymore. I have 2 pills left...sinuses are clearing up...guts feel a little off...no pain like I had with cdiff...but it's early yet. I have a couple more weeks to be watchful I think.

Re: sinus infection

Posted: Thu Apr 27, 2023 7:41 pm
by angrry
Hi again. Well my last dose of azithromycin was last Saturday. The sinus infection is gone. All went well and i thought I had made it through the antibiotics, until today that is. Lots of gut pressure and mild pain, gurgling, several trips to the bathroom, no D tho. I'll be keeping an eye on things and am hopeful it's not a relapse. I'll see how i am tomorrow. Definitely worried tho

Re: sinus infection

Posted: Fri Apr 28, 2023 12:37 am
by beth22
How long does azithromycin stay in your system?
Azithromycin will be in your system for around 15.5 days, after the last dose. Azithromycin has an elimination half-life of 68 hours. The prolonged terminal half-life is thought to be due to extensive uptake and subsequent release of drug from tissues.Aug 17, 2022

It is still working and can give you side effects for a while. I got D from it, but not c diff. I would not worry just yet.

Re: sinus infection

Posted: Fri Apr 28, 2023 8:55 am
by angrry
ty Beth....It's just a wait and see thing now...still having some pain today....pretty gassy...still no d. I'll continue with the probiotics and see if that helps. i'll keep you posted if things go south