Acute Sinusitis — Practical OPD Prescription
A free real-OPD prescription sample for acute sinusitis — teaching the practical first decision: viral or bacterial, symptomatic treatment or antibiotic, home care or urgent ENT referral.
Why This Free Prescription Matters
Acute sinusitis is a common OPD presentation, but the clinical mistake is also common: starting antibiotics too early. This prescription begins with the most important decision — whether the illness is still viral/early or has developed bacterial features.
The guide shows how to manage early viral acute rhinosinusitis symptomatically, when to add antibiotics for acute bacterial rhinosinusitis, how to counsel the patient, and which red flags should trigger urgent review or ENT referral.
What You’ll Learn
- Viral vs bacterial decision — most cases are viral; antibiotics are reserved for persistent, severe, or double-worsening illness.
- Symptomatic treatment — saline nasal douche, intranasal steroid, short-course decongestant, paracetamol, steam, and selective antihistamine use.
- Antibiotic trigger points — symptoms beyond 10 days, double-sickening, high fever with purulent discharge and facial pain, or severe symptoms from the start.
- ABRS prescription logic — amoxicillin-clavulanate as first-line, high-dose option, and alternatives for penicillin allergy.
- Counselling language — finish antibiotics, saline before steroid spray, avoid prolonged decongestant use, steam, warm fluids, head elevation, smoking avoidance.
- Red flags — orbital cellulitis signs, intracranial spread signs, mucormycosis warning signs, and worsening despite antibiotics.
- Special situations — diabetic patient, pregnancy-safe choices, children, and when to refer to ENT.
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GP Prescriptions gives you real OPD prescription examples with drug names, doses, duration, counselling, red flags, and treatment logic. Two new prescriptions are uploaded weekly.
This prescription is for clinical learning. Always individualise treatment according to severity, allergy history, pregnancy status, diabetes/immunocompromised state, local resistance patterns, renal/hepatic status, and local treatment protocols.
Free Prescription PDF
This is a free sample. Scroll through the complete 4-page acute sinusitis OPD prescription below. Use it to revise symptomatic treatment, antibiotic indications, counselling, red flags, and referral thresholds.
Want the full theory of Sinusitis and its complications?
This prescription teaches OPD treatment. For the complete ENT theory — sinus anatomy, blocked ostium concept, sinus-specific symptoms, chronic rhinosinusitis, fungal sinusitis, FESS, orbital complications, intracranial complications, and MCQs — read the comprehensive Sinusitis NEET-PG note.
Read Sinusitis and its Complications →