Skip to content
WebMD: Better Information. Better Health.
Other search tools:Symptoms|Doctors|Videos

Cold & Flu Health Center

Font Size
A
A
A

Understanding Strep Throat - Treatment

What Is the Treatment for Strep Throat?

In the past, when people had signs of strep -- the red, raw throat, spikes in fever, and white spots on the tongue and tonsils -- doctors would culture a specimen from the patient's throat and wait 24 to 48 hours for the results. If the test indicated streptococcus, the patient could then start taking antibiotics. To avoid this delay -- in which the infection often grew worse -- most doctors started patients on antibiotics immediately, not waiting for the results of the culture.

Diagnosis has been made much simpler today as a result of the "rapid strep" test. The specimen is obtained just like a culture and involves taking a swab of fluid from the back of the throat. But the rapid strep test only takes about 15 minutes for results. If the results are positive, the diagnosis is confirmed. A negative test does not rule out strep throat since the rapid test can miss as many as 20% of strep throat infections. These negative tests are routinely verified by a culture, a more sensitive test. The culture results, as in the past, may take up to 48 hours. The beauty of the rapid test is that you may not need to take antibiotics without confirmation that the strep organism is the culprit.

Understanding Strep Throat

If your throat is sore, your running a high fever, and you have no energy -- you may have strep throat. Here's what you should know.

Strep throat is best treated by conventional medicine since the disease can lead to serious complications if left untreated. Antibiotics are a quick, effective treatment.

A standard dose of penicillin, taken for 10 days, usually stops a strep infection without any problems. For people allergic to penicillin, the alternative is usually erythromycin or other types of antibiotics. Antibiotics reduce the duration and severity of symptoms, the risk of complications, and the length of time you can potentially spread the infection to others. The contagious period is within 24 hours after beginning antibiotics. Relief from the sore throat should come within 24 to 36 hours after you start taking antibiotics. Doctors recommend throat lozenges and throat sprays to ease the pain for the first few hours.

Frequently, people on antibiotics notice improvement quickly and stop taking their medications before the full course of treatment runs out. This can have dangerous consequences. Prematurely halting your dosage may lead to developing post-infection heart (rheumatic disease) or kidney disease. So even though you may feel better right away, it's important to finish the entire prescription.

WebMD Medical Reference

Reviewed by Mark N. Saberman, MD on November 24, 2008
Video

Want to stay well? Wash up! Find out if you’re doing it right.

Watch Video

Tackle Bathroom Germs

Bathroom hazards that might surprise you.

Health eHome Promo - Bathroom Get Started