Strep throat medical therapy
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
The mainstay of therapy for strep throat is antibiotic therapy. Treatment will help reduce symptoms, minimize transmission, and reduce the likelihood of complications.[1]
Medical therapy
The mainstay of therapy for strep throat is medical therapy. Treatment will help reduce symptoms, minimize transmission, and reduce the likelihood of complications. Antibiotic treatment recommended for strep throat include the following:[1][2]
| For individuals without penicillin allergy | ||
| Drug, Route | Recommended dose | Duration |
|---|---|---|
| Penicillin V, oral |
Children: 250 mg twice daily or 3 times daily; adolescents and adults: 250 mg 4 times daily or 500 mg twice daily |
10 days |
| Amoxicillin, oral |
50 mg/kg once daily (max = 1000 mg); Alternate:25 mg/kg (max = 500 mg) twice daily |
10 days |
| Benzathine penicillin G, intramuscular |
<27 kg: 600 000 U; ≥27 kg: 1 200 000 U |
1 dose |
| For individuals with penicillin allergy | ||
| Cephalexin, oral |
20 mg/kg/dose twice daily (max = 500 mg/dose) |
10 days |
| Cefadroxil, oral |
30 mg/kg once daily (max = 1 g) |
10 days |
| Clindamycin, oral |
7 mg/kg/dose 3 times daily (max = 300 mg/dose) |
10 days |
| Azithromycin, oral |
12 mg/kg once daily (max = 500 mg) |
5 days |
| Clarithromycin, oral |
7.5 mg/kg/dose twice daily (max = 250 mg/dose) |
10 days |
References
- ↑ 1.0 1.1 http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016
- ↑ Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G; et al. (2012). “Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America”. Clin Infect Dis. 55 (10): e86–102. doi:10.1093/cid/cis629. PMID 22965026.
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