Most of the time, a sore throat is caused by allergies or viral infection. In these cases, you may also have associated nasal congestion or runny nose or bilateral ear pain. However, when the pain lasts more than a few days, is severe or associated with high fever, difficulty swallowing or difficulty breathing, or causes swelling of one side of the throat, it may be due to a bacterial infection.
For mild to moderate throat pain without fever, consider ibuprofen. If you have an associated high fever or if the throat pain lasts over 3 days and is severe, you may have a bacterial infection and can take amoxicillin (or amoxicillin-clavulanate if regular amoxicillin is unavailable).
Most sore throats are NOT strep throat and do NOT need antibiotics. Millions of people suffer side effects every year, including uncontrollable diarrhea, after taking antibiotics for a sore throat when one is not necessary. Before considering antibiotics, is highly recommended to try ibuprofen first and wait to see if your symptoms resolve, especially if you do not have a fever.
Seek immediate medical care if you have any of the following:
If you have
You may have
viral upper respiratory infection
If you have
You may have
amoxicillin-clavulanate 875 mg-125mg twice daily for 10 days
Note: if amoxicillin is available, consider using amoxicillin instead of amoxicillin-clavulanate
Note: if amoxicillin is unavailable or if an allergy to penicillins is present, azithromycin may be considered as an alternative, although it may be less effective.
If you have
You may have
peritonsillar abscess or retropharyngeal abscess
seek emergency medical care
Ibuprofen (generic for Motrin, generic for Advil) is a pain reliever and the most commonly used non-steroidal anti-inflammatory drug (NSAID). Ibuprofen is used to treat pain.
Acetaminophen (generic for Tylenol) is a pain reliever and fever reducer. Acetaminophen is used to treat pain.
Amoxicillin-clavulanate (generic for Augmentin) is an antibiotic. It can be used to treat skin infections like bite wounds, ear infections, sinus infections, tooth infections, and other infections. This medication should be taken with food.
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