What are you guys doing with the “greater than 10 days of URI symptoms” crowd? Antibiotics? Supportive care?

I find there is a widely different practice pattern, at least in my group, when it comes to treating patients with greater than 10 days to 2 weeks of URI symptoms. Some treat with a zpak. Some get augmentin. Some get nothing. What do you use?

I find personally for me it depends on the patient, their story, and risk factors. I treat an 80 year old a bit differently than an 18 year old.

I’m a big fan of maximum strength mucinex dm. I almost never use promethazine or anything with codeine. Thoughts on Tessalon ?(I always avoid this if there are kids in the house or psych history due to toxicity).

I’m also a big fan of Flonase especially for sinusitis but my patients hate me for that. Claritin d works great too.