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November 21, 2012 8 p.m.

Potential Z-Pak concern

Azithromycin, which is often sold in a five-day dose known as a Z-Pak, is an antibiotic commonly used to kill bacteria that cause middle-ear infections, strep throat, sinusitis and pneumonia. It is therefore newsworthy that a recent study linked azithromycin with an increased risk of irregular heart rhythms in some patients. Azithromycin is part of the macrolide class of antibiotics, which includes erythromycin and other antibiotics that pose similar risks for those with heart disease risk factors. At the same time, the study found no similar risks associated with other antibiotics that treat many conditions as well as azithromycin, most notably, amoxicillin and ciprofloxacin. It may make sense to discuss these alternatives to azithromycin if you have a heart condition.

January 30, 2013 8 p.m.

Treating sinus inflammation

When sinus inflammation (sinusitis) strikes, most people probably think that the best thing to do is get a prescription for antibiotics from their doctors. However, antibiotics are ineffective in 90 percent to 98 percent of all sinusitis case because nearly all sinus infections are viral in nature, and antibiotics don't kill viruses. Currently, one in every five antibiotic prescriptions written for U.S. adults is written for sinusitis. Keeping in mind that unnecessary and unneeded antibiotic use leads to more virulent strains of antibiotic-resistant bacteria. The Infectious Diseases Society of America recommends that doctors only suspect a bacterial infection when sinusitis symptoms last ten days or more and do not improve. After that, a five to seven day course of amoxicillin is often recommended.

September 4, 2011 9 p.m.