Re: going through a horrible time... has anyone ever been through this?
hey - this post was in another thread. not sure how true it is or if it will help but try to look up this med and see ..
dkatzmd
Join Date: Feb 2009
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Re: Sinus sufferers please help!
Hello to all of you,
I am a newcomer, so I will introduce myself first.
My name is David and I post under my real name "dkatzmd". I am a Physician located in southern California and have practiced for many years.
This response is related to "Chronic Sinusitis" issues. I hope it will be helpful to all of you.
As you may know, Chronic Sinusitis is the "Darth Vader" of medicine -- and medical dilemmas. It afflicts more than 35 million people in the USA, and is oftentimes confused (or misdiagnosed) by practicing clinicians here, and abroad.
Its symptoms, and consequences, are insidious, protracted and very dibilitating (even in otherwise healthy individuals).
The most important dilemma surrounds the "ineffective" treatment usually prescribed. Let me draw an analogy to help you understand.
Think about your nasal sinuses as a "grass lawn". A grass lawn has many layers -- starting with the underlying dirt surface, followed by the grass "base" and then (finally) by the grass "leaves" and "buds" that we see on the surface of the Lawn.
If you need to "clean" or "fertilize" that Lawn -- you need to penetrate below the top surface of the visible "leaves" and "buds" in order to deliver the fertilizer. Otherwise, the Lawn withers.
Our sinuses are very similar. There is a layer of "base" epithelium tissue that covers the underlying bone structures -- and above that "base" layer of epithelium is a covering surface epithelium (the "grass leaves", so to speak).
Similar to a grass lawn, our sinuses need to be "penetrated" adequately in order to restore their delicate epithelial membranes to proper health.
Therewith is the problem!
In order to properly "aerate" sinus membranes and effectively "eradicate" the infectious organisms that have created a comfortable "home" for themselves on the outer sinus epithelium layers, you must use EFFECTIVE antibiotics for a SUFFICIENT period of time.
Although most of the antibiotics mentioned on this thread (e.g., Clindamycin, Ciproflaxin, etc.) may be systemically effective for other types of infections in the body, they do NOT reach into the sinus membranes very well (if at all)!
There is only one antibiotic that has unique capacity to "break through" the sinus membrane barrier and reach therapeutic levels in the sinus cavities to wage an effective "war" against sinus bacteria. And, in order to be effective in that "war", it must be taken for a minimum of 28 days! (Not 5, 7 or 10 days!)
The name of that antibiotic is Dicloxacillin. It is an early "spin-off" of the penicillin family -- and therefore easily forgotten by current practitioners.
But -- it works! (250 mg 4 times per day for 28-30 days!) It is also relatively inexpensive (another reason why it has been forgotten by modern day practitioners who are deluged with outrageously expensive "new" antibiotics!)
I have treated many patients with the above recommended regimen (including members of my own family) with 100% positive results (sometimes, patients require an additional 2-3 weeks of therapy -- depending on the length of time that they have suffered from chronic sinusitis).
I hope that this helps you!
David
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I pack my trunk, embrace my friends, embark on the sea, and at last wake up in Naples, and there beside me is the Stern Fact, the Sad Self, unrelenting, identical, that I fled from. -Ralph Waldo Emerson
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Re: going through a horrible time... has anyone ever been through this?
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