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The best treatment for streptococcal pharyngitis, commonly called "strep throat" is Bicillin (an injection of penicillin) and Decadron (an injectable steroid). The bacterium responsible for this illness, Streptococcus pyogenes, has not demonstrated significant resistance to penicillin, so this treatment continues to the first-line choice for the moment. A recent study in the Annals of Emergency Medicine indicated that the common practice of also giving a single injected dose of dexamethasone (Decadron) is also helpful in decreasing the severity and duration of the symptoms of strep throat.

Of course, there are people who are allergic to penicillin, and for those individuals, it is standard practice to give erythromycin instead. For people who are not penicillin-allergic but refuse injections, a 10-day course of penicillin VK is also effective, but is a bit difficult to take correctly, as it requires four doses each day. Due to this difficulty, and the public health implications of failing to treat strep throat completely (it is extremely contagious), I usually strongly recommend the injection.

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16y ago

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