Table of ContentsView AllTable of ContentsPrescriptionsOver-the-Counter TherapiesHome RemediesSurgeryComplementary Medicine (CAM)PreventionFrequently Asked QuestionsNext in Strep Throat GuideWhat Is Strep Throat?

Table of ContentsView All

View All

Table of Contents

Prescriptions

Over-the-Counter Therapies

Home Remedies

Surgery

Complementary Medicine (CAM)

Prevention

Frequently Asked Questions

Next in Strep Throat Guide

Strep throatis treated with prescription antibiotics, such as penicillin,amoxicillin, anderythromycin, among others. Sometimes, over-the-counter options like ibuprofen or home remedies can reduce pain and ease other uncomfortable symptoms. If you have symptoms, you should see your healthcare provider to find out whether you have strep throat—an accuratediagnosiswill help you get the right treatment for the infection and help prevent complications of a persistent infection.

recurring strep throat

Prescription antibioticsare the treatment of choice for strep throat for several reasons:

Selection of Antibiotics

If you do not have an allergy to penicillin, you will likely be prescribed:

Any antibiotic that ends in-cillinis part of the penicillin family and will not be used if you have a penicillin allergy.

If you do have apenicillin allergy,there are safe alternatives to the above:

When to Call 911Call your healthcare provider if you experience rash and any other signs of allergy after taking an antibiotic. If yoursymptoms are severe(trouble breathing, facial swelling, vomiting, rapid pulse, wheezing), call 911 or seek emergency care.

When to Call 911

Call your healthcare provider if you experience rash and any other signs of allergy after taking an antibiotic. If yoursymptoms are severe(trouble breathing, facial swelling, vomiting, rapid pulse, wheezing), call 911 or seek emergency care.

Effectiveness

How well an antibiotic works for you depends on a few factors, including:

Will Strep Throat Go Away on Its Own?

Precautions and Considerations

There are many different kinds of bacteria that normally live in the back of the throat and don’t make you sick. In fact, these bacteria, called “normal flora,” actually help prevent the growth of harmful bacteria.

Many antibiotics destroy normal flora along with harmful bacteria. Losing that protection that you would usually get from normal flora can cause you to contract another case of strep throat within the first month or so after your initial treatment—even if your first course of antibiotics was successful.

If you stop early before the infectious bacteria is eradicated, resistant strains can begin to multiply, and they will be far less responsive to treatment in the future. Antibiotic resistance has been reported with the antibiotics used to treat strep throat, though resistant bacterial strains are not common.Resistance has been reported with all antibiotics, especially withZithromax(azithromycin).

To avoid antibiotic resistance, take your medications as prescribed and complete the entire course even if you feel better.

If an initial course of antibiotics does not work for you, a new antibiotic typically will.

If you have strep throat, some over-the-counter therapies can help relieve some of yoursymptomsas you recover, but they cannot treat the infection or prevent complications.

Home remedies can make you more comfortable if you have strep throat, but they cannot cure the infection.They are short-term solutions and do not provide lasting relief.

Some home remedies you may find helpful include:

If you have had strep throat seven or more times in one year, your healthcare provider may recommend atonsillectomy.This procedure is more common for children than adults, primarily because children have a higher tendency to experience recurrent strep throat infections.

In most cases, a tonsillectomywill solve the problem of recurring strep throat, but not always. Speak with your/your child’s healthcare provider about the possible reasons for recurring strep throat and the benefits and risks of surgery as you are considering this procedure.

Most people can go home on the same day or within 24 hours after surgery. Recovery generally takes five to 10 days.During recovery, cold foods and drinks are recommended for comfort and to decrease swelling.

Seek medical attention if you experience a fever above 100.4 F or have extreme pain, shortness of breath, or a bloody cough following surgery.

Research

There has been some research looking at potential CAM treatments for Strep throat, and some treatments that have had interesting results in a laboratory setting have not been proven to help treat the infection in humans.

Even though strep throat is contagious, you can take steps toprevent spreading itand to reduce your chances of catching it from others.

One of the easiest ways to prevent strep throat is towash your hands. This is especially important after you sneeze, cough, go to the bathroom, or before preparing food. Using a hand sanitizer can also help.

In general, try to avoid contact with people who are strep throat carriers. If you live with someone who has this infection, do your best to avoid using the same utensils, straws, ortoothbrush holder. The less you share, the safer you’ll be.

Frequently Asked QuestionsAntibiotics are the first-choice treatment. In some instances, an adenotonsillectomy, the removal of thetonsilsandadenoids, is recommended for people who have recurrent infections.Yes. Research shows thatherbaltea made with safe concentrations of licorice, barberry, thyme, or oregano can relieve symptoms of strep throat (but it doesn’t treat the infection).

Antibiotics are the first-choice treatment. In some instances, an adenotonsillectomy, the removal of thetonsilsandadenoids, is recommended for people who have recurrent infections.

Yes. Research shows thatherbaltea made with safe concentrations of licorice, barberry, thyme, or oregano can relieve symptoms of strep throat (but it doesn’t treat the infection).

21 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Ashurst JV, Edgerley-Gibb L.Streptococcal Pharyngitis. [Updated 2019 Mar 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525997/

Undeland DK, Kowalski TJ, Berth WL, Gundrum JD.Appropriately prescribing antibiotics for patients with pharyngitis: a physician-based approach vs a nurse-only triage and treatment algorithm.Mayo Clin Proc. 2010;85(11):1011–1015. doi:10.4065/mcp.2010.0382

Rawla P, Ludhwani D.Poststreptococcal Glomerulonephritis. [Updated 2019 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538255/

Shenoy ES, Macy E, Rowe T, Blumenthal KG.Evaluation and Management of Penicillin Allergy: A Review. JAMA. 2019;321(2):188-199.

Cunha BA.A positive rapid strep test in a young adult with acute pharyngitis: Be careful what you wish for!.IDCases. 2017;10:58–59. Published 2017 Sep 1. doi:10.1016/j.idcr.2017.08.012

Binotto M, Guilherme L, Tanaka A.Rheumatic Fever.Images Paediatr Cardiol. 2002;4(2):12–31.

Davis CP.Normal Flora. In: Baron S, editor. Medical Microbiology. 4th edition. Galveston (TX): University of Texas Medical Branch at Galveston; 1996. Chapter 6. Available from: https://www.ncbi.nlm.nih.gov/books/NBK7617/

Martin JM.The Mysteries of Streptococcal Pharyngitis.Curr Treat Options Pediatr. 2015;1(2):180–189. doi:10.1007/s40746-015-0013-9

Passàli D, Lauriello M, Passàli GC, Passàli FM, Bellussi L. GroupA streptococcus and its antibiotic resistance.Acta Otorhinolaryngol Ital. 2007;27(1):27–32.

Oxford JS, Leuwer M.Acute sore throat revisited: clinical and experimental evidence for the efficacy of over-the-counter AMC/DCBA throat lozenges. Int J Clin Pract. 2011;65(5):524-30.

Parisius LM, Stock-Schröer B, Berger S, Hermann K, Joos S.Use of home remedies: a cross-sectional survey of patients in Germany.BMC Fam Pract. 2014;15:116. doi:10.1186/1471-2296-15-116

Morad A, Sathe NA, Francis DO, McPheeters ML, Chinnadurai S.Tonsillectomy Versus Watchful Waiting for Recurrent Throat Infection: A Systematic Review.Pediatrics. 2017;139(2):e20163490. doi:10.1542/peds.2016-3490

Burton MJ, Glasziou PP, Chong LY, Venekamp RP.Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis. Cochrane Database Syst Rev. 2014;(11):CD001802.

Wetmore RF.Surgical management of the tonsillectomy and adenoidectomy patient.World J Otorhinolaryngol Head Neck Surg. 2017;3(3):176–182. Published 2017 Mar 3. doi:10.1016/j.wjorl.2017.01.001

Paul IM, Beiler J, Mcmonagle A, Shaffer ML, Duda L, Berlin CM.Effect of honey, dextromethorphan, and no treatment on nocturnal cough and sleep quality for coughing children and their parents. Arch Pediatr Adolesc Med. 2007;161(12):1140-6.

Wijesundara NM, Sekhon-Loodu S, Rupasinghe HV.Phytochemical-rich medicinal plant extracts suppress bacterial antigens-induced inflammation in human tonsil epithelial cells.PeerJ. 2017;5:e3469. Published 2017 Jun 22. doi:10.7717/peerj.3469

Segerstrom SC.Stress, Energy, and Immunity: An Ecological View.Curr Dir Psychol Sci. 2007;16(6):326–330. doi:10.1111/j.1467-8721.2007.00522.x

Martin J.The Streptococcus pyogenes Carrier State. 2016 Jul 25. In: Ferretti JJ, Stevens DL, Fischetti VA, editors. Streptococcus pyogenes : Basic Biology to Clinical Manifestations [Internet]. Oklahoma City (OK): University of Oklahoma Health Sciences Center; 2016-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK374206/

Murray RC, Chennupati SK.Chronic streptococcal and non-streptococcal pharyngitis.Infect Disord Drug Targets. 2012;12(4):281-285. doi:10.2174/187152612801319311

Meet Our Medical Expert Board

Share Feedback

Was this page helpful?Thanks for your feedback!What is your feedback?OtherHelpfulReport an ErrorSubmit

Was this page helpful?

Thanks for your feedback!

What is your feedback?OtherHelpfulReport an ErrorSubmit

What is your feedback?