Most sinus infections are viral, do not require antibiotics, and will improve within a week on their own. The usual course of acute sinusitis lasts 2 to 3 weeks. Common treatments for the symptoms include paracetamol, ibuprofen, and decongestants which can help with the pains and fever. You can seek further advice about such over the counter treatments from your local pharmacy. If your symptoms are worsening despite self-care methods then you can either contact your local GP, call NHS 111 for help, or Start a Diagnosis with i-GP.
Possible treatments we prescribe if clinically appropriate:
How do we select which treatment we will prescribe?
This will depend on your symptoms. If you have symptoms that would benefit from a physical assessment instead, you will be signposted to appropriate services for free. The doctor will assess from your digital consultation whether your symptoms would benefit from an antibiotic or whether self-care care would be most appropriate for your condition.
If your symptoms show that you may benefit from an antibiotic in your digital consultation, then the first line antibiotic for Acute Sinusitis that we prescribe is Phenoxymethylpenicillin. If you are allergic to penicillins, or if your medical conditions make Phenoxymethylpenicillin unsuitable for you, the second line antibiotic is usually Clarithromycin. An alternative is Doxycycline if the other two antibiotics are unsuitable. If you have any queries or concerns about the antibiotic choice, then please tell us in the additional information box during your digital consultation.
*Prices shown are the cost price of the medication, taken from the British National Formulary 2018, and are given as a guideline. Pharmacies will add a dispensing fee to this which will vary considerably, so it is worthwhile phoning around to compare prices. The medication is paid for at your chosen pharmacy.
Please click on the medication above to read the Patient Information Leaflet for important information about each drug. We use national prescribing guidelines to select which treatment would be most appropriate for your condition.