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2 Days Back I Had Little Feverish Feeling In The

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Posted on Fri, 9 Aug 2019
Question: 2 days back I had little feverish feeling in the evening, I had one combiflame at night. Next day I had mild pain in throat, I had okacet at night. Next morning I saw some white patch on my tonsil. and had pain in that tonsil. one of the doctor prescribed me ciplox 250 and Cronin twice in a day for two days. Today morning, my throat pain is more but that white patch is reduced to half. Pls guide and prescribe medicine along with hone remedy. Not happy with my current prescription.
Best Regards XXXXXXX Mittal
doctor
Answered by Dr. Dr. Yogesh D (8 hours later)
Brief Answer:
Ciplox (Ciprofloxacin) is not the right choice and 250 mg is too less.

Detailed Answer:
Hello dear Ms XXXXXXX Mittal,

Welcome to Ask A Doctor service.

I have carefully studied your case and understand your concern.

Ciplox is the not the first line drug for pharyngitis/tonsillitis and the dose is 500 mg twice a day for a minimum of 5 days. That is the correct dosing of ciprofloxacin and we usually reserve ciplox for urinary tract infections as it highly active against the bacteria causing urinary tract infections and the bacteria causing pharyngitis tend to develop resistance to the medicine very fast and particularly when the dose is low and is given for shorter than ideal duration like in your case.

Whoever advised you that medicine should either have a very strong reason to do so, like allergies to Macrolides and Penicillin group. Otherwise that person/doctor is very wrong.

Now coming to prescribing you medicines, I must apologise to you, we can not legally provide you with prescriptions for antibiotics without physically examine you in person.

In my practice, I usually prescribe Azithromycin 500 milligrams on day 1, followed by 250 milligrams of azithromycin every 24 hours once for the next 4 days.

Apart from that, you will be relieved of symptoms if you take an antipyretic - paracetamol 650 milligrams (Dolo 650) every 8 to 6 hours once for 5 days, this for fever.

I also advice my patients to do salt water gargling and steam inhalation 4 times a day.

In addition to that gargling with chlorhexidine mouthwash or betadine gargles will cure you of the infection much faster. I usually recommend gargling after each meal.

For throat itching and irritation and cough you can continue okacet. I usually prescribe Ebastine with phenylephrine to my patients, twice a day for 5 days.

I hope you will find this information useful. Kindly consult a qualified (at least MBBS or MD in modern medicine) and get examined and get these medicines prescribed.

Wishing you speedy recovery.

Best regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Yogesh D

General & Family Physician

Practicing since :2009

Answered : 1111 Questions

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2 Days Back I Had Little Feverish Feeling In The

Brief Answer: Ciplox (Ciprofloxacin) is not the right choice and 250 mg is too less. Detailed Answer: Hello dear Ms XXXXXXX Mittal, Welcome to Ask A Doctor service. I have carefully studied your case and understand your concern. Ciplox is the not the first line drug for pharyngitis/tonsillitis and the dose is 500 mg twice a day for a minimum of 5 days. That is the correct dosing of ciprofloxacin and we usually reserve ciplox for urinary tract infections as it highly active against the bacteria causing urinary tract infections and the bacteria causing pharyngitis tend to develop resistance to the medicine very fast and particularly when the dose is low and is given for shorter than ideal duration like in your case. Whoever advised you that medicine should either have a very strong reason to do so, like allergies to Macrolides and Penicillin group. Otherwise that person/doctor is very wrong. Now coming to prescribing you medicines, I must apologise to you, we can not legally provide you with prescriptions for antibiotics without physically examine you in person. In my practice, I usually prescribe Azithromycin 500 milligrams on day 1, followed by 250 milligrams of azithromycin every 24 hours once for the next 4 days. Apart from that, you will be relieved of symptoms if you take an antipyretic - paracetamol 650 milligrams (Dolo 650) every 8 to 6 hours once for 5 days, this for fever. I also advice my patients to do salt water gargling and steam inhalation 4 times a day. In addition to that gargling with chlorhexidine mouthwash or betadine gargles will cure you of the infection much faster. I usually recommend gargling after each meal. For throat itching and irritation and cough you can continue okacet. I usually prescribe Ebastine with phenylephrine to my patients, twice a day for 5 days. I hope you will find this information useful. Kindly consult a qualified (at least MBBS or MD in modern medicine) and get examined and get these medicines prescribed. Wishing you speedy recovery. Best regards