Top
30
Doctor insights on: Can Azithromycin Treat Strep Throat

Share
1

1
Is azithromycin a effective antibiotic to treat strep throat? Also what dosage is recommend doc gave me 250mg is that enough

Is azithromycin a effective antibiotic to treat strep throat? Also what dosage is recommend doc gave me 250mg is that enough

Usually works: In some parts of the country, and of the world, there is some resistance to azithromycin. In those cases, one can use penicillin, amoxicillin, cephalosporins, etc... For teens and adults the treatment can be a Z-pak, which contains 6 of the 250mg pills. For children, the dose is 12mg per kg each day (once a day) for 5 days. Larger doses of azithromycin may cause a lot of temporary stomach upset. ...Read more

Azithromycin (Definition)

Azithromycin (zithromax, azithrocin, zmax, azin)[1] is an azalide, a subclass of macrolide antibiotics. Azithromycin is one of the world's best-selling antibiotics.[2][not in citation given (see discussion.)] it is derived from erythromycin, with a methyl-substituted nitrogen atom incorporated into the lactone ring, thus making ...Read more


2

2
Will strep throat go away completely if treated with azithromycin? Is there a chance that medicine will not get rid of infection?

Will strep throat go away completely if treated with azithromycin? Is there a chance that medicine will not get rid of infection?

Possibility: Strep should be gone if you took the same dose for 5 days. Sometimes though strep does recover after you finish medicine and strikes again. ...Read more

4

4
I am being treated for strep throat with Azithromycin. I close my eyes to sleep I am awaken by choking or no air. What can I do to get some sleep?

I am being treated for strep throat with Azithromycin. I close my eyes to sleep I am awaken by choking or no air. What can I do to get some sleep?

May need to see doc: Sorry to hear this! Unfortunately, you will not sleep well until it passes. Make sure ou keep hydrated and take a mixture of Tylenol, an antihistamine and a decongestant. Sleep on your side or stomache if you can. See a doctor if the chocking is alarming you. ...Read more

6

6
I have strep throat. Initially treated with Zithromax, but had a reaction of facial swelling, switched to Biaxin, (clarithromycin) on day 5 now and no relief.

I have strep throat. Initially treated with Zithromax, but had a reaction of facial swelling, switched to Biaxin, (clarithromycin) on day 5 now and no relief.

Check with doctor: Even with a positive strep test, most sore throat symptoms are primarily due to viruses -- and viral infections do not respond to antibioticcs; they have to clear up on their own. Still, you should continue to take the antibiotic as directed; or check back with the doctor who prescribed it and follow her instructions. In any case, you should start to improve soon. Good luck! ...Read more

7

7
How long is it supposed to it take for azithromycin to cure strep throat?

How long is it supposed to it take for azithromycin to cure strep throat?

@4-48 hrs: Infection should generally be gone in 24-498hrs if the medication works and there is no resistance. Mild symptoms may remain for several more days, but not contagious. ...Read more

8

8
Strep throat, given 3 (500 mg/per) azithromycin. Is that enough to knock it out?

Strep throat, given 3 (500 mg/per) azithromycin. Is that enough to knock it out?

Usually is: This is a simple and reasonable plan. I prefer the penicillins as a first line treatment but they do require more doses over a longer period. ...Read more

9

9
Hello. I was diagnosed with strep throat 3 days ago. Started taking azithromycin 2 tablets 250 mg first day and 1 everyday for 4 days. Not better!

Hello. I was diagnosed with strep throat 3 days ago. Started taking azithromycin 2 tablets 250 mg first day and 1 everyday for 4 days. Not better!

Strep/Zithromax: I'm not surprised. More and more strep are becoming resistant to Azithromycin and it is not considered a very good antibiotic anymore for strep. Penicillin or Amoxicillin is still the treatment of choice by far. You need to call your doc back today, let them know you are not improving on the current antibiotic and request a change or re-evaluation (could you have something lie mono in addition?). ...Read more

10

10
How long does it take to get over strep throat using azithromycin?

Poor choice: Strep throat is best treated by one shot of benzathine penicillin or 5-day course of cefdinir. For individuals with penicillin allergy, Azithromycin is recommended but at higher doses to be effective. ...Read more

11

11
I was prescribed Azithromycin for strep throat, took 1st dose w/40 mg Magnesium before knowing not supposed to. How much would that affect absorbance?

One time take: Shouldn't be a problem since you only did it once. Talk with the doctor, maybe they'll want you to take 1 pill extra to make it a 6 day as opposed to 5 day regimen. Frankly, I probably wouldn't. I predict everything will be peachy keen. ...Read more

12

12
Which drug is better for strep throat - cefixime or azithromycin?

Which drug is better for strep throat - cefixime or azithromycin?

Cefixime: Cefixime (suprax) is a cephalosporin antibiotic used to treat infections caused by bacteria such as pneumonia; bronchitis; gonorrhea; and ear, lung, throat, and urinary tract infections. Azithromycin (zithromax) can be used for strep throat, but there have been several reports in the medical literature of the development of resistance to this antibiotic. ...Read more

13

13
Diagnosed with strep throat two days ago and given Azithromycin. She has taken two of the doses and is still showing all symptoms including fever.

Diagnosed with strep throat two days ago and given Azithromycin. She has taken two of the doses and is still showing all symptoms including fever.

Strep throat: With persistent fever and worsening condition despite two days of antibiotics warrants a re-evaluation by your physician. Make sure you are not coming down with infectious mononucleosis! You may have a viral illness along with this. Continue supportive measures, hydration, fever control, good nutrients, bed rest and finish up the antibiotics and get checked again. ...Read more

14

14
Can I break in half and crush a 500 mg azithromycin to give 250mg to my 78 lb 7 year old boy with strep throat? No clinics open today and he's in pain

Can I break in half and crush a 500 mg azithromycin to give 250mg to my 78 lb 7 year old boy with strep throat? No clinics open today and he's in pain

No: There's no way you can know he has strep throat. Doctors can't either without a test. Most sore throats are caused by viruses and shouldn't be treated with antibiotics. Also, antibiotics have very little effect on the symptoms of strep throat. They're given only to prevent rare complications. ...Read more

15

15
If I was prescribed Azithromycin for strep throat 5 days ago and have no improvement. Now I have severe tonsillitis. What do I do? Can I take amox too

Reassessment Needed: While Azithromycin is effective against some forms of strep throat, it does not work for all forms of strep throat. There are also multiple other causes for tonsillitis. Usually if your medication is effective, you begin to feel much better within 2 to 3 days of starting the medication. I recommend you have your throat reevaluated to assess appropriate changes in your treatment or medication. ...Read more

18

18
I took amoxicillin at 6 am today (left over from previous perception). Is it OK to start a Z pak (azithromycin) in the same day. I have strep throat?

I took amoxicillin at 6 am today (left over from previous perception). Is it OK to start a Z pak (azithromycin) in the same day. I have strep throat?

OK: But a Zpack won't treat a strep throat. The dose is not the recommended dose and it should be a 7 day course reserved for patients allergic to Penicillin. The preferred drug is a Penicillin drug if you have no allergies and the proper dose and time frame. All the best. ...Read more

19

19
I just completed a dose of azithromycin for strep throat. My throat is still sore. It was for 5 days I read most doctors prescribe for 10?

I just completed a dose of azithromycin for strep throat. My throat is still sore. It was for 5 days I read most doctors prescribe for 10?

Stays 10 days: Z-pack are antibiotics and stay in your body for up to 10 days. I suggest Zinc lozenges, dark brown honey and warm water gargles. If no response to azithromycin, your throat infection is most likely viral. ...Read more

20

20
Went to urgent care and the doctor said my 8yr 60lb has strep throat. Gave her 250mg of azithromycin tablets. I was wondering if that is correct?

Not quite enough: 60lbs is 27 kg. Strep dose for azithrmycin is 12 mg / kg. 270+54 = 334 mg per dose per day for 5 days. 250 mg is not enough for strep. ...Read more

21

21
I am on azithromycin for strep throat and I have taken 4 of the 5 pills. Each are at 500mg. I cant swallow my spit with so much pain?

I am on azithromycin for strep throat and I have taken 4 of the 5 pills. Each are at 500mg. I cant swallow my spit with so much pain?

Take Antiinflammtory: Medicine like Advil, Aleve or Ibuprofen to help with pain. Try Gargle with warm water, Use Liquid Benadryl (diphenhydramine) or NyQuil or Throat Lozenges to help soothing the Throat. Ginger tea is very good for this symptoms too. And get examined again by your doctor to make sure your Tonsillitis has resolved. ...Read more

22

22
Will azithromycin tablets for strep throat also help for pink eye?

Will azithromycin tablets for strep throat also help for pink eye?

Maybe: But strep rarely causes pink eye and azithromicin is not the best drug for strep with a high resistance rate. ...Read more

23

23
What to do if I was prescribed azithromycin tablets for strep throat. Will they also help pink eye?

What to do if I was prescribed azithromycin tablets for strep throat. Will they also help pink eye?

Probably not: Most "pink eye" is due to a virus and Azithromycin will not have any effect on that. But you should continue the medication for your throat and your eye will get better on its own. ...Read more

24

24
I started Z Pak (azithromycin) 48 hrs ago for strep throat. The throat pain is finally going away, but now my left ear is really hurting. Should I be concerned?

I started Z Pak (azithromycin) 48 hrs ago for strep throat. The throat pain is finally going away, but now my left ear is really hurting. Should I be concerned?

Ear pain: The ear pain is most probably related to the strep throat infection. Give the antibiotic therapy more time to clear up the strep infection. Be sure to take the full course of Z pak (azithromycin). If you do not improve, call your doctor for a recheck. Meanwhile take medication for pain eg Ibuprofen if that works for you. ...Read more

25

25
I have took penicillin for 10 days and still had strep throat so my doctor gave me a 5 day azythromycin pack, but I still have symptoms?

? other issue: 10 days of penicillin can kill off enough strep to stop the potential side effects of untreated strep and Azithromycin is also sometimes used for this diagnosis. Continued symptoms may be related to a co-existing viral illness or mono. ...Read more

27

27
Hello! I have strep throat and started taking zithromax today. Is it okay for me to take nyquil and Coricidin while on this med?

Hello! I have strep throat and started taking zithromax today. Is it okay for me to take nyquil and Coricidin while on this med?

Pharmacist: Consult your pharmacist as he/she has up to date information on medication interactions. Has your strep throat been confirmed with a positive throat culture? If not it could be a viral sore throat and upper respiratory tract infection which shouldn't require antibiotics. ...Read more

28

28
Child has strep throat allergic to omincef and amoxicillin was given Zithromax but it doesn't seem to be helping what R other antiobiotics that help?

Abx for Strep throat: Zithromax is an excellent alternative for Strep infection in those allergic to penicillin, but it generally takes a little more time to see improvement. If symptoms are not responding after 3-4 days of azithromycin treatment, clindamycin is an alternative (more potential side effects). ...Read more

29

29
How much resistance of strep throat to zithromax is there in california now? I heard it varies a lot all over the world.

How much resistance of strep throat to zithromax is there in california now? I heard it varies a lot all over the world.

Strep: There has never been a group a streptococcus grown from a person that has been resistant to penicillin.Azithromycin is one of the most widely studied antibiotics for the treatment of group a beta-hemolytic streptococcus infections. Azithromycin has the advantage of simple and short dosing regimen. I am not aware of resistance of strep to zithro. ...Read more

30

30
If taking Zithromax for strep throat and I vomited within 30 minutes to an hour of the very first dose (1 of 3) should I take another?

Mgt: You can repeat the dose, but the total course should be the same or 5 days. Please ask your PCP to call in another tablet. ...Read more

Pharynx (Definition)

It is the connection between the mouth and the throat. The 3 parts are the oropharynx, nasopharynx, and hypo-pharynx. The pharynx leads into the ...Read more


Dr. Stephen Scholand
581 Doctors shared insights

Azythromycin (Definition)

Azythromycin is a macrolide which is a kind of anti-bacterial ...Read more