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Doctor insights on: Z Pack Strep Throat

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Just finished a z pack for strep throat. The white spots are gone from my tonsils but a painful yellowish area remains on the side of my throat.

Just finished a z pack for strep throat. The white spots are gone from my tonsils but a painful yellowish area remains on the side of my throat.

Needs evaluation: Usually tonsillitis and ear infections "feel better" within 2-3 days and viruses typically don't last more than 10 days. You should return to the doctors office. ...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


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I've got strep throat and started z-pak today. Do I have to take the entire pack?

I've got strep throat and started z-pak today. Do I have to take the entire pack?

Yes: The symptoms will improve whether or not you take any medication. The considerable complications that can occur after strep can occur if you do not complete your medication. At one dose a day I would think it is not to difficult to complete the rx. Trying to "save some" for next time can put you at risk. ...Read more

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Strep throat and wanted 2 know how long it'll take to swallow comfortably again (prescribed Zithromax z pack)& is oatmeal and hot wheat cereal ok 2 eat?

Strep throat and wanted 2 know how long it'll take to swallow comfortably again (prescribed Zithromax z pack)& is oatmeal and hot wheat cereal ok 2 eat?

Yes: The reason Y we worry about sore throats caused by group A beta hemolytic streptococci is that, if untreated, 1-3% go on to develop rheumatic heart disease. Unless you are allergic to penicillin it has been found to be sensitive (killed by it) to pen since 1947! Unless you have a problem with oatmeal, eat it. Pain should disappear quickly. Can take Ibuprofen 4 pain in mean time. ...Read more

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Was diagnsd with strep throat and comp. A z pack (penicillin allergy). I have since dvlpd very painful sores on the roof of my mouth only. Normal?

Was diagnsd with strep throat and comp. A z pack (penicillin allergy). I have since dvlpd very painful sores on the roof of my mouth only. Normal?

Not usually: Although a drug reaction called Stevens Johnson Syndrome usually affects the mucous membrane, I suspect that your current problem is just a progression of the initial viral infection causing the sore throat (assuming that strep was not documented). If the problem persists, see your doctor or a dentist. In the meanwhile, ask your doctor if you should continue with ZPak. ...Read more

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I'm on a z pack for strep since yesterday. But my throat still hurts just as much-no relief yet. Is this normal?

I'm on a z pack for strep since yesterday. But my throat still hurts just as much-no relief yet. Is this normal?

It takes a few: Days for the antibiotic to work, but a zpack is not great against strep. See how it goes, and if you don't get better, get a different antibiotic for strep ...Read more

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My throat has been hurting off and on for about two months. Strep test neg. Finished z pack sunday and now have huge white patches on throat. Advice?

My throat has been hurting off and on for about two months. Strep test neg. Finished z pack sunday and now have huge white patches on throat. Advice?

Monilia: You probably are having fungal overgrowth as a result of recent antibiotic treatment. A less likely cause would be mononucleosis. Based on your history you may have a viral cause of your sore throat and didn't need the antibiotics in the first place. See the doctor if symptoms persist. ...Read more

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I was just prescribed Z Pak for reoccurring Strep Throat. Is it safe for me to take an Aleve (naproxen) D while taking the Z Pak?

I was just prescribed Z Pak for reoccurring Strep Throat. Is it safe for me to take an Aleve (naproxen) D while taking the Z Pak?

YES.: Assuming you aren't allergic to Aleve (Naproxen) or similar NSAID medications like Motrin (Iburofen) or aspirin, you can take it with ZPack. You may not need the D part of the Aleve D. It is a nasal decongestant that you might not need and has side effects like jitteriness and sleep disturbance. ...Read more

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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

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What to do if I have strep, sore throat w/ white spots/swollen gland. Can I take a z pack (azithromycin) with my daily meds?

Strep throat: Strep throat should be diagnosed by rapid strep test and/or throat culture. Azithro is acceptable alternative if allergic to penicillins. Short course of Azithro is generally fine when taken with other medications, however, there may be some specific drug interactions. You should check with pharmacist if you have specific concerns. ...Read more

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Had strep. Finished meds (z pack/prednisone). Week later, sore throat again + bad headache (I have migraines). OTC no relief. Urgent care or wait? Thx

Had strep. Finished meds (z pack/prednisone). Week later, sore throat again + bad headache (I have migraines). OTC no relief. Urgent care or wait? Thx

Urgent care: Why wait and suffer with the headache? Also check to see if the Z-pak took care of the strep as sometimes you may need a re treatment or different antibiotics. ...Read more

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Hello, diagnosed with strep, finished z pack on Sunday with a lot of relief. Woke up today with swollen and painful to touch lymph node in my neck. Is this normal? Did not have this issue during the course of the strep. Thanks

Lymph nodes?: DeannaB716~Q: was your strep throat diagnosed w a swab, or "assumed". If diagnosed w a swab you have had adequate Rx and I would wait for improvement. If not diagnosed w a swab please go see your doc to have that swab thanks ...Read more

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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I was recently prescribed Azithromycin 500mg, 1 tablet each day for 3 days for strep throat. Is this effective in killing the strep infection?

Yes, effective: Your doctor would not have prescribed it if she didn't expect it to be effective. Perhaps you're concerned about only 3 days treatment. However, azithromycin is very long lasting; each dose remains in your system for about 10 days. So this treatment will be active against strep for almost 2 weeks. It will work just fine. ...Read more

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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

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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

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. Cornelius O'leary jr
603 Doctors shared insights

Z Pak (Definition)

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