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Chronic sinusitis of the maxillary sinuses

I frequently have colds, constant urge to clear my throat, and I am constantly phlegmy all year round. The ENT doctor attributes this to sinusitis of the maxillary sinus. After 2 months of using Avamys (twice daily, 1 spray per nostril), there has been no improvement in symptoms (fatigue, throat clearing, phlegm), so he prescribed me Doxycycline, Celestamine, and Phlogenzym (see attached report). I have not started this therapy yet.

I do feel like something is happening, as when I blow my nose, sometimes scabs come out that are somewhat bloody.

Do you think it is necessary for me to take the prescribed medications? I would like to skip the antibiotics, as I have had bad experiences with them, especially because I get fungal infections very quickly. Would it be possible to take Celestamine and Phlogenzym mono (the package insert says maximum 2 tablets per day, but I was prescribed 3 per day?) and continue with Avamys?

I would greatly appreciate your clarification.

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Experte für Otorhinolaryngology

Dr. med. Olaf Stephan

Dr. med. Olaf Stephan

Berlin

Ärztliche Tätigkeit seit ca. 17 Jahren, durchweg im stationären Bereich, neben den o.g. Fachrichtungen Erfahrungen in der Intensivmedizin, Angiologie, Kardiologie und gastroenterologischen Endoskopie vorhanden.

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