Commo-
If what you say is accurate about your already diagnosed sinus infection
(your symptoms and description seem to support that Dx from my experience) then the medications you are taking are not necessarily treating the cause (etilology) of the condition anymore, but are treating the symptoms only.
First, look at the drugs you are taking:
- Entex- decongestant and expectorant to diminish secretions in sinuses and airway
- Flonase- a corticosteroid that can powerfully prevent your body's inflammatory response BUT consequently your body's immune response to infection. However, can be very effective for allergies.
- Naproxen- a non-steroidal anti inflammatory... for mild aches/pains and obviously inflammation too. Very little decrease in the body's ability to fight infection
FWIW, the flonase can actually cause a marked decrease in your ability to fight off the bacterial infection ( or fungal for that matter). So it could be causing a worsening of the condition or at least prolonging the course.
I would get another exam, discuss with your Doc about the Dx and if he/she still agrees that it has transitioned from congestion to an actual bacterial infection with congestion, then a round of Ab to treat the infection should be warranted. (Amoxicillan and clavulanate acid (Augmentin) is the first line AB that
I personally initially write for sinus infections, there are many other valid choices).
The decongestant (entex) and the NSAID aren't a bad option for symptoms management while the AB is working. I just don't like the Flonase. Interested to hear other opinions on this... I may be more of an old schooler on this. I like prescribing sterile saline irrigations, Ab, and a decongestant for a known/existing sinus infection. I would actually only use the flonase BEFORE things got to the infection stage , in an attempt to prevent the severe congestion that can lead to the formation of conditions in the sinuses that lead to a bacterial colony in the "plugged up" sinuses.
Hope that helps Commo-