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Medical Forum / Diseases and Disorders / Sinusitis / June 2006

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most common antibiotic prescribed for irrigation?

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dougreding90@yahoo.com - 11 Jun 2006 23:17 GMT
I have a sinus infection that will not go away with just irrigation.  I
would prefer to use an antibiotic via irrigation rather than taking an
oral antibiotic as I prefer to avoid using systemic antibiotics
whenever possible.  What is being used now most commonly to treat sinus
infections with antibiotics delivered via irrigation? I am going to see
my doctor on Mon. or Tues. and I do not think he is familiar with this
type of antibiotic delivery method so I need to be able to let him know
about it.
Murray Grossan - 12 Jun 2006 16:26 GMT
On 6/11/06 3:17 PM, in article
1150064232.274271.62150@m38g2000cwc.googlegroups.com,

> I have a sinus infection that will not go away with just irrigation.  I
> would prefer to use an antibiotic via irrigation rather than taking an
[quoted text clipped - 4 lines]
> type of antibiotic delivery method so I need to be able to let him know
> about it.

Davidson and others have written about using Gentamycin for regular
sinuisitis and Tobramycin for Cystic Fibrosis via Hydro Pulse type pulsatile
irrigation. If your doctor has questions, he can contact Davidson at U of C
San Diego or myself.
Susan - 12 Jun 2006 16:42 GMT
> On 6/11/06 3:17 PM, in article
> 1150064232.274271.62150@m38g2000cwc.googlegroups.com,
[quoted text clipped - 12 lines]
> irrigation. If your doctor has questions, he can contact Davidson at U of C
> San Diego or myself.

But are those the most commonly prescribed, as compared to first line
trial of Bactroban ointment?

Susan
Steven L. - 13 Jun 2006 00:17 GMT
> x-no-archive: yes
>
[quoted text clipped - 19 lines]
> But are those the most commonly prescribed, as compared to first line
> trial of Bactroban ointment?

Two years ago, the Cleveland Clinic told me they had just stopped
prescribing Gentamicin irrigation to their patients, after several
patients started experiencing dangerous systemic side effects.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

august - 13 Jun 2006 00:35 GMT
>I have a sinus infection that will not go away with just irrigation.  I
> would prefer to use an antibiotic via irrigation rather than taking an
[quoted text clipped - 4 lines]
> type of antibiotic delivery method so I need to be able to let him know
> about it.

Bactroban works for me, although I just mix it up in saline in a clean or
new nasal spray bottle.  Put a one inch strip of the ointment form in one
ounce of saline and shake vigorously. Squirt into nose 2-3 X daily for 3
weeks. This method of using intranasal Bactroban was taught to me by an ENT
professor now at Stanford.  I would also irrigate with my regular saline
mixture using a Hydropulse twice daily but at least an hour before of after
using the Bactroban squirts. AW
Je Wiz - 13 Jun 2006 01:25 GMT
Can You use Bactroban in the hydropulse? If so how much? Does bactroban
come in a cream or can you get it in a liquid? Also is it OTC? Lastone:
What else works with the hydropulse that is new? Thank you
august - 13 Jun 2006 07:39 GMT
> Can You use Bactroban in the hydropulse? If so how much? Does bactroban
> come in a cream or can you get it in a liquid? Also is it OTC? Lastone:
> What else works with the hydropulse that is new? Thank you

Not sure who you are asking but if it was AW,

I wrote:

Bactroban works for me, although I just mix it up in saline in a clean or
new nasal spray bottle.  Put a one inch strip of the ointment form in one
ounce of saline and shake vigorously. Squirt into nose 2-3 X daily for 3
weeks. This method of using intranasal Bactroban was taught to me by an ENT
professor now at Stanford.
..............................................

I didn't mention using it in a Hydropulse. I specifed the ointment form
since this is what form will easily mix up into solution. Bactroban is
available only by prescription in the US and in a generic RX that works
fine, assuming you use the ointment and not the cream. You can now buy tiny
bottles of Bactroban that are specified for intranasal use if you
want to hugely over pay for an old drug rereleased in a newly patented
reformulation of the same drug. These tiny bottles are not for use in a
Hydropulse as far as I know. There is lots of info on this subject in the
group archives by Googling intranasal Bactroban.   AW
judy.n - 13 Jun 2006 12:26 GMT
Bactroban is OTC in Canada. (Per Canada drugs online)
Judy
> > Can You use Bactroban in the hydropulse? If so how much? Does bactroban
> > come in a cream or can you get it in a liquid? Also is it OTC? Lastone:
[quoted text clipped - 20 lines]
> Hydropulse as far as I know. There is lots of info on this subject in the
> group archives by Googling intranasal Bactroban.   AW
Susan - 13 Jun 2006 15:14 GMT
> Can You use Bactroban in the hydropulse? If so how much? Does bactroban
> come in a cream or can you get it in a liquid? Also is it OTC? Lastone:
> What else works with the hydropulse that is new? Thank you

I add about one inch of Bactroban (or generic mupirocin) to 2 cups of
saline and wait for it to dissolve.  Lately, I've had better luck
putting the same amount into a small spray bottle of saline and using it
3 X per day.

Susan
hhggffdd - 14 Jun 2006 04:04 GMT
> x-no-archive: yes
>
[quoted text clipped - 8 lines]
>
> Susan

What does the Bactroban do for you?  I assume it doesn't cure you or
you wouldn't be posting here.  Does it relieve some of your symptoms?
Susan - 14 Jun 2006 14:25 GMT
> What does the Bactroban do for you?  I assume it doesn't cure you or
> you wouldn't be posting here.  Does it relieve some of your symptoms?

Right, it's not a cure, it just tamps down symptoms of active infection.

Susan
august - 14 Jun 2006 19:32 GMT
> x-no-archive: yes
>
[quoted text clipped - 4 lines]
>
> Susan

I was told to try the Bactroban spray before resorting to oral antibiotics
and also to use the bactroban spray just like I would an oral antibiotic, in
other words 2-3 X daily for 2-3 weeks. For me this usually meant not having
to take any oral antibiotics since between the bactroban spray and regular
saline irrigations the infection could be arrested without further treatment
needed.  I would start the bactroban spray as soon as I was certain I had a
sinus infection coming on due to increased presence of ugly phlegm and low
grade fever.  AW

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