Primary treatment (recommended by current guidelines) |
Penicillin V (Veetids; brand no longer available in the United States) | Penicillin | Oral | Children: 250 mg two to three times per day | 10 days | $4 |
Adolescents and adults: 250 mg three to four times per day |
or |
500 mg two times per day |
Amoxicillin | Penicillin (broad spectrum) | Oral | Children (mild to moderate GABHS pharyngitis): | 10 days | $4 |
12.25 mg per kg two times per day |
or |
10 mg per kg three times per day |
Children (severe GABHS pharyngitis): 22.5 mg per kg two times per day |
or |
13.3 mg per kg three times per day |
or |
750 mg (not FDA approved) once per day† |
Adults (mild to moderate GABHS pharyngitis): |
250 mg three times per day |
or |
500 mg two times per day |
Adults (severe GABHS pharyngitis): 875 mg two times per day |
Penicillin G benzathine (Bicillin L-A) | Penicillin | Intramuscular | Children: < 60 lb (27 kg): 6.0 × 105 units | One dose | Varies |
Adults: 1.2 × 106 units |
Treatment for patients with penicillin allergy (recommended by current guidelines) |
Erythromycin ethylsuccinate | Macrolide | Oral | Children: 30 to 50 mg per kg per day in two to four divided doses | 10 days | $4 |
Adults: 400 mg four times per day or 800 mg two times per day |
Erythromycin estolate | Macrolide | Oral | Children: 20 to 40 mg per kg per day in two to four divided doses | 10 days | $4 |
Adults: not recommended‡ |
Cefadroxil (Duricef; brand no longer available in the United States) | Cephalosporin (first generation) | Oral | Children: 30 mg per kg per day in two divided doses | 10 days | $45 |
Adults: 1 g one to two times per day |
Cephalexin (Keflex) | Cephalosporin (first generation) | Oral | Children: 25 to 50 mg per kg per day in two to four divided doses | 10 days | $4 |
Adults: 500 mg two times per day |