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

Question

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.

Answer 1

Hello,

Welcome to icliniq.com.

Please answer the following questions for my better understanding: 1. For how many days have you taken Azithromycin? It should be taken five to seven days. 2. Do have pain in the throat or itching or both? 3. Do you have any acidity? Acidity is the most common cause of recurrent throat infections. 4. Also, can you send a picture of your throat and oral cavity? 5.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. Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

I suggest you take the following:

1. Mucolytics like Mucinac (Acetylcysteine) 1200 mg once daily for five days.

2. Take a combination of anti-inflammatory antihistamines and decongestants 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.

3. 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.

Regards.