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HomeAnswersInfectious Diseaseschronic tonsillitisWhat can be done for recurrent tonsillitis?

How can recurrent acute tonsillitis be managed?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At August 7, 2020
Reviewed AtDecember 7, 2023

Patient's Query

Hello doctor,

I have acute tonsillitis for the third time this year. My first was last year with white pus, I was prescribed Co-Amoxiclav. My second was a month later with white pus, I was prescribed by another doctor with Clindamycin but was not fast and effective as Co-Amoxiclav. Then yesterday. I noticed one of my tonsils on the right side was swollen again. I was nursing this by gargling Hexetidine after every meal. Now I have a slight fever of 37.5 degrees. I need help.


Welcome to icliniq.com.

Sorry to hear about your health condition. With some rational medicinal therapy, it can be controlled. Tonsillitis has a notorious tendency of recurrence and needs a longer duration of treatment, particularly if you have immunocompromised disease. It would be advisable to have a throat culture before starting the next antibiotic therapy. However, if you cannot go to a pathology lab, then I would advise the following:

  1. Steam inhalation three times a day for 10 days. Saltwater gargles (2 teaspoonfuls in 400 ml warm water = 1 glass) three times a day for 10 days.
  2. Tablet Asert CV (Cefixime 200 mg and Clavulanic acid 125 mg) 1 tablet twice daily (after lunch-after dinner once every 12 hours) for 10 days.
  3. Tablet Lymcee 500 mg (Vitamin C) one tablet twice daily (after lunch-after dinner, once every 12 hours ) for 14 days.
  4. Tablet Ivercid (Ivermectin) 12 mg 1 tablet once daily (after dinner, once every 24 hours) for 3 days.
  5. Tablet Zirconia 50 mg 1 tablet twice daily (after lunch- after dinner, once every 12 hours) for 14 days.
  6. Tablet Doxycycline 1 LDR 100 mg 1 tablet twice daily (after lunch-after dinner, one tablet every 12 hours) on day 1 and followed by 100 mg 1 tablet once daily (after lunch, one tablet every 24 hours) for 9 days.
  7. Tablet Relent OD (Levocetirizine plus Ambroxol) 1 tablet once daily (after breakfast, one tablet every 24 hours) for 10 days.
  8. Tablet Famtac (Famotidine) 40 mg 1 tablet twice daily (after lunch+after dinner, one tablet every 12 hours) for 10 days.
  9. Tablet D-Cold Total 1 tablet thrice daily (post-breakfast, lunch dinner, each tablet after 8 hours) for 7 days.
  10. Tablet Nucoxia 80 mg (Etoricoxib) 1 tablet SOS.

Please maintain the treatment precisely. Please follow up after 5 days.

The Probable causes

Repeat bacterial infection.

Investigations to be done

Throat swab before starting antibiotics. CBC.

Regarding follow up

After 5 days.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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