The strongest antibiotic for tonsil infection [7 drugs + method of administration]

Mozhdeh Sharaf Ashuri List of disorders and Ear, Nose and Throat Diseases Last update: 2 weeks ago Published: 2 weeks ago No questions

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Choosing the strongest antibiotic for tonsillitis can reduce pain, fever and the risk of serious complications in tonsillitis patients. The tonsils are located at the back of the throat and their infection causes pain, fever, weakness and discomfort in the throat and may cause irreparable side effects to the body. Many tonsil infections are viral and about 15 to 30% of tonsillitis cases have a bacterial cause. When tonsillitis is caused by a bacterial infection, the use of antibiotics is necessary for treatment and can shorten the course of the disease. Antibiotics have no effect in the treatment of tonsillitis caused by a virus. In this article from Darmankade Health Magazine you can learn about the strongest antibiotic for tonsil infection.

1- Penicillin V
2-Amoxicillin
3- Azithromycin
4- Erythromycin
strong Antibiotic for adult tonsil infection
Frequently Asked Questions

The strongest antibiotic for tonsillitis in children

When tonsillitis in children is caused by Bacteria, especially group A streptococcus bacteria, requires careful treatment with antibiotics. Choosing the right medicine can shorten the course of the disease and reduce the symptoms of pain and fever. In order to choose the right antibiotic for the child, a drug should be used under the supervision of an ear, nose and throat specialist whose dose is appropriate for the weight and age of the child. In the following, we have mentioned the most important and widely used antibiotics for children with tonsil infection:

To treat tonsil infection, you can use penicillin and amoxicillin under the supervision of a doctor.

1- Penicillin V (Penicillin V)

Penicillin is known as the most effective drug for the treatment of bacterial tonsillitis in children. This drug belongs to the beta-lactam family and kills bacteria by inhibiting the synthesis of the cell wall of bacteria. If the rapid strep test or throat culture is positive, penicillin is recommended as the first treatment option because of its high efficacy, few side effects, and extensive clinical experience.

Complete use of this course ensures that the bacteria is completely eliminated and prevents recurrence or long-term complications.

Use: Treatment of streptococcal bacterial tonsillitis/pharyngitis in children not allergic to penicillin

Dose for children: 250 mg orally 2 to 3 times a day for 10 days (under supervision) doctor)

Possible side effects: Allergic reactions such as itching, skin rash, hives, mild digestive problems (nausea, diarrhea), in rare cases severe allergies (anaphylaxis)

You don't know which antibiotic is suitable for your tonsil infection?

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Amoxicillin, another common treatment for children with tonsil infection, is highly absorbed and its liquid form is easier for children to consume. The dose of the drug should be determined by the doctor based on the weight and age of the child. This drug effectively targets streptococcal bacteria and can reduce the symptoms of throat and tonsillitis in the first few days of treatment. Application: Treatment of bacterial tonsillitis/pharyngitis in children without penicillin sensitivity. Dosage: 50 mg per kilogram of body weight in a daily dose for 10 days or 25 mg per kilogram. 2 times a day for 10 days

Possible side effects: stomach discomfort, nausea, diarrhea, allergic skin reactions, in rare cases of bruising or blood changes

3-Azithromycin (Azithromycin)

In children who are allergic to penicillin or a shorter treatment period is needed, Azithromycin is considered a suitable option. This drug usually requires a shorter period of use than other antibiotics, and the dose and number of drugs should be determined according to the child's condition, age and weight. This drug can quickly reduce the symptoms of inflammation of the throat and tonsils and is a suitable option for children who are allergic to penicillin. Application: Treatment of tonsillitis/pharyngitis in children sensitive to penicillin or when a short treatment period is desired. Dosage: Children: 12 mg per kilogram of body weight, once a day for 5 days.

Possible side effects: stomach discomfort, nausea, diarrhea, in rare cases of heart rhythm disorders, allergic reactions

4-Erythromycin

Erythromycin is also in the Macrolides group and is an alternative antibiotic option for children who cannot take penicillin or amoxicillin. Like azithromycin, this drug works by inhibiting bacterial protein synthesis, but it has more gastrointestinal side effects than azithromycin, and for this reason, it may be less tolerated in some children. However, in cases where other options are not suitable, it is still considered an effective treatment option.

Usage: Treatment of tonsillitis/bacterial pharyngitis in children who are allergic to penicillin or amoxicillin and other macrolides are not suitable.

Dosage: Usually 20 mg per kilogram of body weight per day in 2 or 4 doses, for 10 Day

Possible side effects: Nausea and vomiting, stomach pain, diarrhea, in rare cases, liver problems

Table of the strongest antibiotics for children's tonsil infection

The following table summarizes the details of the strongest antibiotics for the treatment of children's infections:
DrugUseDosageComplications Possible Penicillin and treatment of bacterial tonsillitis caused by group A streptococcus 250 mg orally, every 6-8 hours for 10 days Skin sensitivity, nausea, diarrhea, in rare cases of anaphylaxis Amoxicillin, an alternative to penicillin, more convenient treatment in liquid form 20-40 mg per kg of body weight, every 8-12 hours, 10 days Nausea, diarrhea, skin rash, reaction Alternative azithromycin sensitivity for children sensitive to penicillin, shorter course: 10 mg per kilogram on the first day, then 5 mg per kilogram daily for 4 days Nausea, diarrhea, abdominal pain, heart rhythm disorder (rare), alternative erythromycin sensitivity if other drugs cannot be used 30-50 mg per kilogram of body weight, divided into 2-4 doses, 10 days Nausea, vomiting, abdominal pain, Diarrhea, liver problems (rare)
Are you worried about the complications or chronicity of tonsil infection? The best tonsil specialist doctor in Tehran
The strongest antibiotic for adult tonsil infection

Choosing an antibiotic for tonsil infection in adults is a sensitive issue, because unlike children, a large part of tonsillitis in adults has a viral cause and antibiotic treatment is only effective when the infection is caused by bacteria be Before taking antibiotics for this problem, be sure to consult a tonsil infection doctor about the dosage and number of medications. Below are some effective antibiotics for tonsillitis in adults:
To treat sore throat caused by bacteria, you can use appropriate antibiotics under the supervision of a specialist doctor.
1- Penicillin V (Penicillin V)

Penicillin V is one of the main and oldest antibiotics for the treatment of tonsil infection caused by group A streptococcus in adults. By inhibiting the synthesis of the bacterial cell wall, this drug destroys the bacteria and helps to quickly reduce inflammation, fever and sore throat. The high effectiveness and safety of penicillin has made it the first treatment option in most cases. Application: Treatment of streptococcal bacterial infections of the throat and tonsils in adults without sensitivity to penicillin. Dosage: 250 mg orally, 4 times a day for 10 days or 500 mg orally, 2 times a day for 10 days.
Possible side effects: Skin sensitivity, rash, itching, nausea, diarrhea, stomach upset, in rare cases of severe allergic reaction (anaphylaxis)

2-Amoxicillin (Amoxicillin)

Amoxicillin is one of the most common alternatives to penicillin in adults, which has a similar effect and better absorption. Oral, with a proportionate dose, this drug effectively treats streptococcal infection of the tonsils and throat and is usually associated with high patient tolerance. Application: Treatment of tonsillitis and throat infection caused by group A streptococcal bacteria in adults without sensitivity to penicillin Dosage: 500 mg orally, 2 times a day for 10 days Side effects Possible:
stomach upset, nausea, vomiting, diarrhea, skin rash or allergic reaction

3-azithromycin (Azithromycin)

Azithromycin is a macrolide antibiotic used for adults who are allergic to penicillin or need a shorter course of treatment. By inhibiting the synthesis of bacterial protein, it stops the growth and reproduction of bacteria and quickly reduces the symptoms of throat and tonsillitis.

Application: Substitute for penicillin in sensitive people or in need of a short treatment period

Dosage: Usually 500 mg the first day and then 250 mg daily for 4 days

Possible side effects: Nausea, diarrhea, pain Stomach, in rare cases of heart rhythm disorders, allergic reactions

4- Clindamycin

Clindamycin is a lincosamide antibiotic used for patients with severe sensitivity to penicillin or amoxicillin. By inhibiting the synthesis of bacterial protein, this drug stops the growth and spread of bacteria and is effective in the treatment of resistant or complicated infections. Application: Treatment of tonsil infection in adults with severe sensitivity to beta-lactams Dosage: 300 mg orally, 3-4 times a day for 10 days Possible side effects: Diarrhea, nausea, abdominal pain, risk Clostridial colitis, skin rash and allergic reaction

5-Cefixime

Cefixime is a third-generation cephalosporin antibiotic that is usually prescribed to adults who have not responded to initial treatments. This drug stops the growth of bacteria by inhibiting the enzymes necessary to build the cell wall of bacteria and is considered as the second or third option in the treatment of tonsils. Application: Treatment of tonsil infection in adults resistant to penicillin or amoxicillin Dosage: 400 mg orally, once a day or 200 mg orally, 2 times a day for 7-10 Day

Possible side effects: Diarrhea, nausea, upset stomach, skin rash, sensitivity, in rare cases of blood disorders

6-Amoxiclav (Amoxicillin-Clavulanate)

Amoxiclav is a combination of amoxicillin and clavulanic acid, which has a wider antibacterial effect and reduces bacterial resistance. This drug is usually prescribed in adults who have resistant or complicated infections. Use: Treatment of tonsil infection in adults resistant to simple treatments or with severe infections. Dosage: 625 mg orally, three times a day for 10 days.

A single course of antibiotics has a significant impact on the tonsil microbiota composition. microscopic examination found fewer bacterial microcolonies present in the tonsillar crypts of participants in the antibiotic group.

Consumption of a period of antibiotic use (especially Amoxiclav) can significantly change the microbial composition of the tonsils. Microscopic examinations also revealed that the number of bacterial accumulations in the tonsil grooves of people who received antibiotics was much lower than in the untreated group. Antibiotics for adult tonsillitis
The table below summarizes the details of the most powerful antibiotics for the treatment of adult infections:
DrugUseDosagePossible side effectsPenicillin Wider Treatment of streptococcal tonsillitis in adults 250 mg, 4 times a day or 500 mg, 2 times a day, 10 days Skin sensitivity, Nausea, diarrhea, in rare cases of anaphylaxis amoxicillin substitute for penicillin, better absorption 500 mg, 2 times a day, 10 days nausea, diarrhea, skin rash, sensitivity to azithromycin substitute for sensitivity to penicillin or short course 500 mg the first day, then 250 mg daily for 4 days nausea, diarrhea, heart rhythm disorder (rare), sensitivity to clindamycin, severe sensitivity to beta-lactams 300 mg, 3-4 times a day, 10 days Diarrhea, nausea, clostridial colitis (rare), hypersensitivity Cefixime treatment resistant to penicillin or amoxicillin 400 mg once a day or 200 mg, 2 times a day, 7-10 days Diarrhea, nausea, upset stomach, amoxicillin allergy Treatment of resistant or severe infection 625 mg, 3 times a day, 10 days Nausea, diarrhea, upset stomach, rash Skin, liver problems (rare)
Final word

Choosing the most powerful antibiotic for tonsillitis, both in children and adults, should be done carefully, taking into account the exact cause of the infection, the severity of symptoms, and the patient's medical history. Proper drug treatment can shorten the course of the disease and prevent serious complications. Along with antibiotics, home remedies and soothing and anti-inflammatory herbal teas can also help relieve symptoms more quickly. If the tonsil infection does not improve with home remedies or is severe, it is better to seek the help of a specialist doctor for treatment.

To consult an online otolaryngologist and also to make an appointment with the best specialists in the country, you can enter the Daramankade website now and Book your appointment. Paying close attention to the warning signs, following the doctor's recommendations and using home remedies is the best way to control tonsil infection and maintain the body's immune system.

Frequently Asked Questions
What is the strongest antibiotic for tonsil infection?
Penicillin V and amoxicillin are considered to be the main drugs for treating tonsil infection in most cases; However, the choice of medicine should be done by a doctor.
Can you use antibiotics for tonsillitis without testing?
No, arbitrary use of antibiotics can create bacterial resistance and prolong the infection. Antibiotics are only effective when the tonsil infection is caused by bacteria and should be taken under the supervision of a doctor.
How effective is home treatment for tonsil infection?
Home remedies such as gargling with salt water, herbal teas, honey, and air humidity can relieve symptoms, but they are not a substitute for antibiotics in severe bacterial infections.
How long does it take for a tonsil infection to heal with antibiotics?
Usually, with the correct use of the drug, mild symptoms will subside within 2-3 days, and the full treatment period will last about 7-10 days.

Sources: droracle | pristyncare

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