Antibiotic use for a sore Throat

The symptoms of a sore throat can include pain, scratchiness or irritation of the throat or pain on swallowing. The most common cause of a sore throat (also known as pharyngitis) is a viral infection, such as the cold or the flu. A sore throat often resolves on its own1 and symptoms typically last for about a week 1,2. In fact, most people improve or get better without antibiotics whether the cause is viral or bacterial2.

Antibiotic Usage

According to Dr Johannes Claassen from the Universitas Academic Hospital in Bloemfontein, not only are antibiotics over prescribed, but the antibiotics chosen are often more expensive and of a broader spectrum than needed3. Approximately 75% of patients who go to their doctor with a sore throat will be prescribed antibiotics, even though this will only help a minority of patients4, simply because most colds and flu are caused by viruses. Infections such as strep throat can be effectively treated with antibiotics as this is caused by bacterial infections5. However, a sore throat caused by a bacterial infection can improve without antibiotics after a few days2.

Treatment options

Many symptoms of a sore throat can be managed through self-care. This includes the use of aspirin or paracetamol which can be effective in reducing pain and fever associated with an upper respiratory infection2. Medicated throat sprays or lozenges such as Andolex-C can help alleviate the intensity of symptoms and provide fast effective relief 6-9.

Andolex-C’s 4 in 1 effect

  • The Andolex-C range provides a 4-in-in effect to relieve a sore throat 6, 8, 9, 10:
    • Anti-inflammatory effect (reduces swelling)
    • Analgesic effect (relieves pain)
    • Antiseptic (fights minor infections)
    • Local anaesthetic effect (numbs the area)

Andolex- C spray boasts an easy to use 360° rotating nozzle, allowing for targeted relief at the site of pain or inflammation6, while Andolex-C Lozenges provide convenient on the go relief from a sore throat or mouth10:

Should symptoms of a sore throat, cold or flu get much worse or show no improvement within a week, patients should see their doctor2.

DISCLAIMER: This editorial has been commissioned and brought to you by iNova Pharmaceuticals. This editorial has content that includes independent comments and opinions from an independent healthcare provider and are the opinions and experiences of that particular healthcare provider which are not necessarily that of iNova Pharmaceuticals. Content in this editorial is for general information only and is not intended to provide medical or other professional advice. For more information on your medical condition and treatment options, speak to your healthcare professional.IN2920/18


  1. Mayo Clinic – Sore Throat ( Website accessed on 24 October 2018
  2. How to limit antibiotic use in acute sore throat – Medical Chronicle CPD May 2018
  3. Claasen, J. The Sore Throat. Continuing Medical Education, Vol 30, No 9 (2012)
  4. Linder JA, Stafford RS. Antibiotic treatment of adults with sore throat by community primary care physicians: a national survey. JAMA 2001;286: 11811186.
  5. Do I Need an Antibiotic? Bacterial vs. Viral Infections – HealthyMePA. 21 February 2017 ( Website accessed on 09 March 2018
  6. Andolex-C Oral Rinse Approved Package Insert
  7. Cingi C, Songu M, Ural A, et al. Effect of chlorhexidine gluconate and benzydamine hydrochloride mouth spray on clinical signs and quality of life of patients with streptococcal tonsillopharyngitis: multicentre, prospective, randomised, double-blinded, placebo-controlled study. J Laryngol Otol 2011;125:620–625
  8. Simard-Savoie S, et al. Topical anaesthetic activity of benzydamine. Curr Ther Res 1978;23(6):634-745.
  9. Almazan NA. Benzydamine HCl 0.15 % for oropharyngeal diseases and surgeries: A review of clinical trials. Philip Scientific J 2009;42(1):37-42.
  10. Andolex C Lozenge approved package insert