Sinus Problems: Do Antibiotics Help or Hurt?
When Antibiotics Are Appropriate Treatment
Antibiotics may be more appropriate to give to certain patients, such as those with diabetes, serious heart or lung disease, who are less able to fight off infection.
And antibiotics should be considered in patients with severe sinusitis symptoms, according to the practice guidelines from the American Academy of Allergy, Asthma and Immunology.
If antibiotics are given, a 10- to 14-day course is recommended, according to the practice guidelines. Amoxicillin is typically the first choice if you are not allergic to penicillin.