How can recurrent acute tonsillitis be managed?

Question

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.

Answer 1

Hello,

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:

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.
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.
Tablet Lymcee 500 mg (Vitamin C) one tablet twice daily (after lunch-after dinner, once every 12 hours ) for 14 days.
Tablet Ivercid (Ivermectin) 12 mg 1 tablet once daily (after dinner, once every 24 hours) for 3 days.
Tablet Zirconia 50 mg 1 tablet twice daily (after lunch- after dinner, once every 12 hours) for 14 days.
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.
Tablet Relent OD (Levocetirizine plus Ambroxol) 1 tablet once daily (after breakfast, one tablet every 24 hours) for 10 days.
Tablet Famtac (Famotidine) 40 mg 1 tablet twice daily (after lunch+after dinner, one tablet every 12 hours) for 10 days.
Tablet D-Cold Total 1 tablet thrice daily (post-breakfast, lunch dinner, each tablet after 8 hours) for 7 days.
Tablet Nucoxia 80 mg (Etoricoxib) 1 tablet SOS.

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