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The Efficacy of Clarithromycin in Patients with Severe Nasal Polyposis

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Author(s): Payman Dabirmoghaddam | Jalal Mehdizadeh Seraj | Shahin Bastaninejad | Ali Meighani | Zahra Mokhtari

Journal: Acta Medica Iranica
ISSN 0044-6025

Volume: 51;
Issue: 6;
Start page: 359;
Date: 2013;
Original page

Keywords: Clarithromycin | Nasal Polyposis | Sinusitis | Endoscopy

ABSTRACT
Although several treatments have been suggested for nasal polyposis, from medical to surgical, there is no standard guideline for the management of this disease. During recent years increasing attention has been directed toward the effects of macrolide antibiotics on chronic sinusitis and nasal polyposis. In this study, the efficacy of clarithromycin on severe nasal polyposis were examined. In a Prospective, before - after study, forty patients with severe nasal polyposis received clarithromycin 500 mg twice a day for 8 weeks. At the beginning and end of treatment, the severity of patients' symptoms (using subjective analogue scale), computed tomography (CT) scan and endoscopic findings were recorded. After treatment, the severity of nasal obstruction, smelling problems, Post Nasal Discharge and rhinorrhea decreased significantly (P
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