Antibiotics after rhinoplasty: Bactrim seems to be giving me intense headaches.

Question

Hello, I had a rhinoplasty round five weeks ago. The healing has been good, except I recently got a boil on my butt and was prescribed Bactrim. Bactrim seems to be giving me intense headaches especially at night. When I wake up in the morning, I find a small amount of blood in my nose which wasn’t there before the antibiotic. I believe the headaches are making me bleed from the pressure. What would I do? Also will this change the final result of my nose? Please help.

Jan Hochtritt, BSc, MD · Answer

Thank you very much for your question. Some medications may cause side effects that are unwanted. Please do ask your surgeon to either stop or change the antibiotic if he deems necessary. Have a wonderful rest of the day and greetings from the beautiful island of Jamaica.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you discuss with your board certified facial plastic surgeon. It is important that you follow the recovery instructions, which includes using the right medication for your body.
Best wishes,

Andrew Winkler, MD · Answer

Although we routinely give antibiotics for a few days following rhinoplasty, there is no solid data in the medical literature to support it.  However, you are receiving antibiotics for a different reason: a boil, which is typically a "staph" infection of the skin.  That is a much more serious reason to take them.  I would recommend finishing the course of antibiotics that were prescribed to you.  Having a bit of bleeding from the nose is very unlikely to result in any change in your results.  However, if your skin infection goes untreated, it could be life-threatening.

Robert E. Zaworski, MD (retired) · Answer

Contact the surgeon who is treating you for the boil with your concerns in the event he would like to change antibiotics.  Contact your plastic surgeon to let him know you are being treated for a boil and you have experienced some nasal bleeding and headaches.

Antibiotics after rhinoplasty: Bactrim seems to be giving me intense headaches.

Answers (4)

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