I saw new doc for a pretty bad upper respiratory infection last Tuesday. She gave me a steroids shot and oral antibiotics. The shot seemed like a godsend a few hours later because I had so much relief. Unfortunately it wrecked my sleep, and my sinuses now feel as bad as ever. It didn't even occur to me to question the shot. I had a 7 day course of oral steroids once for a sinus infection with no bad effects.