Q. Completed a course of Azithromycin but no relief. What can be done?

Answered by
Dr. Mehak Agarwal
and medically reviewed by iCliniq medical review team.
Published on Nov 11, 2017

Hello doctor,

I have had a throat infection with mild coughing and no sneezing and fever. I took Azithromycin 250 mg twice a day for four days and stopped. After three to four days, it came back again. Kindly advise me on the medicine.

Dr. Mehak Agarwal

Diabetology Otolaryngology (E.N.T)


Welcome to icliniq.com.

  • For how many days have you taken Azithromycin? It should be taken for five to seven days.
  • Do have pain in the throat or itching or both?
  • Do you have any acidity? Acidity is the most common cause of recurrent throat infection.
  • Also, can you send a picture of your throat and oral cavity?
  • Does the mucus trickle down to your throat? If yes, then we need to rule out sinusitis because sinusitis also causes a recurrent throat infection.


For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist

Thank you doctor,

I have taken Azithromycin 250 mg twice a day for four days. I have mild acidity. There is no pain in the throat. There are only a sore throat and mild coughing that is yellow and white. There is no sneezing and n fever. I had throat infection once or twice a year during seasonal change. However, there was no mucus. There is no sinus kind of pain either.

Dr. Mehak Agarwal

Diabetology Otolaryngology (E.N.T)


Welcome back to icliniq.com.

  • I suggest you take mucolytics like Mucinac (Acetylcysteine) 1200 mg once daily for five days.
  • I suggest you take a combination of anti-inflammatory antihistamines and decongestant like Sinarest (Caffeine, Chlorpheniramine, Paracetamol, Phenylephrine) or Recofast Plus (Paracetamol, Pseudoephedrine, Triprolidine) once daily for five days. If the pain is severe, you can even take it twice daily.
  • I also suggest you take proton pump inhibitors like Rabeprazole once daily before breakfast. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent.
  • You need not take antibiotics. You can avoid cold and spicy food.

For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist


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