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I found out I had strep on Thursday CK am allergic to

I found out I...

I found out I had strep on Thursday CK am allergic to penicillin so they put me on zithromycin. I'm on day three and the pain won't go away. What should I do?

Doctor's Assistant: How long have you had the pain? What seems to make the pain better or worse?

I have had the pain since Tuesday and Thursday they gave me the antibiotic. On top of that I have been drinking tea and taking Advil. Nothing seems to relieve the pain

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Nothing. Usually if I get strep by day two I am feeling better on the antibiotics but I seem to be feeling worse on day three.

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Answered in 6 minutes by:
4/22/2017
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,453
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified

Hi,

Welcome to JA and thanks for this question. Im sorry to hear about your symptoms. Actually azithromycin is a good drug to manage strep throat however given that you have had strep before then it is possible that your strain could have developed a resistance to some antibiotics which may include azithromycin. if this is the case then the antibiotic would need to be changed to one which can kill off the bacteria. These can include drugs like moxifloxacin or even a oral cephalosporin like cefixime. But at the moment i would recommend that you give the antibiotic another day to start working sometimes antibiotics like azithromycin can take upto 5 days to start working and it is advisable to give it some more time if by the start of the 5th day you dont feel better then you should contact your dpctor for a change in antibiotics.

in the meantime, use OTC ibuprofen at a dose of 400-600 mg thrice a day which can help with the pain, if necessary add tylenol to the mix at a dose of 1 g thrice a day. You should also use saline gargles which can help soothe the throat, use warm saline to gargle.

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Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,453
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
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Customer reply replied 1 year ago
Very helpful response!

You are welcome. Bets of luck

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