DrugClass of antimicrobialRoute of administrationDosageDuration of therapyCost*
Primary treatment (recommended by current guidelines)
Penicillin V (Veetids; brand no longer available in the United States)PenicillinOralChildren: 250 mg two to three times per day10 days$4
Adolescents and adults: 250 mg three to four times per day
or
500 mg two times per day
AmoxicillinPenicillin (broad spectrum)OralChildren (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)PenicillinIntramuscularChildren: < 60 lb (27 kg): 6.0 × 105 unitsOne doseVaries
Adults: 1.2 × 106 units
Treatment for patients with penicillin allergy (recommended by current guidelines)
Erythromycin ethylsuccinateMacrolideOralChildren: 30 to 50 mg per kg per day in two to four divided doses10 days$4
Adults: 400 mg four times per day or 800 mg two times per day
Erythromycin estolateMacrolideOralChildren: 20 to 40 mg per kg per day in two to four divided doses10 days$4
Adults: not recommended‡
Cefadroxil (Duricef; brand no longer available in the United States)Cephalosporin (first generation)OralChildren: 30 mg per kg per day in two divided doses10 days$45
Adults: 1 g one to two times per day
Cephalexin (Keflex)Cephalosporin (first generation)OralChildren: 25 to 50 mg per kg per day in two to four divided doses10 days$4
Adults: 500 mg two times per day