The treatment for strep throat
For the treatment of strep throat in both children and adults cases, antibiotics are prescribed. The most frequently used are oral antibiotics, like amoxicillin (trimox, amoxil), penicillin, clindamycin (cleocin), cephalosporin (keflex, ceclor), azythromicin (zithromax) or clarithromycin (biaxin). In children that vomit and are unable to swallow, penicillin may also be administered by injection.
The treatment with one of these antibiotics deals with the symptoms, speeds up the recovery process, reduces the risks of complications that may derive from untreated strep throat and prevents the extension of the infection to other people.
Antibiotics should improve your or your child's symptoms in less than 48 hours. In case they don't seem to be effective for your child, the doctor must be informed. Children that feel good and have obviously milder symptoms as a consequence of antibiotic treatments will stop being contagious the next day from the beginning of treatment and they may return to school or kindergarten. Even if the symptoms disappear, the medications still need to be taken for as long as it was prescribed, in order to prevent severe complications like the inflammation of the kidneys or rheumatic fever.
In order to diminish the fever and to relieve the pain in the throat, ibuprofen (motrin, advil) or acetaminophen (Tylenol) may be prescribed together with antibiotics. Aspirin may be dangerous for very small children: it may generate Reye's syndrome, a possibly lethal disease. Acetaminophen should also be taken in small doses to avoid the risks of serious complications.
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