What is the best medication for pharyngitis (sore throat)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: April 7, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

For a sore throat, the best medicine is typically over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), as they are effective in reducing pain and inflammation, and have a low risk of adverse effects 1. Some key points to consider when treating a sore throat include:

  • Adults can take acetaminophen 325-650mg every 4-6 hours (not exceeding 3000mg daily) or ibuprofen 200-400mg every 4-6 hours with food (not exceeding 1200mg daily) 1.
  • Throat lozenges containing benzocaine (Cepacol) or menthol (Halls) can provide temporary numbing relief 1.
  • Warm salt water gargles (1/4 to 1/2 teaspoon salt in 8 ounces of warm water) several times daily can reduce inflammation and pain 1.
  • Staying hydrated with warm liquids like tea with honey helps soothe irritation and thin mucus 1. However, if the sore throat is severe, lasts longer than a week, is accompanied by high fever (over 101°F), difficulty breathing or swallowing, or if you have a weakened immune system, you should see a doctor as antibiotics may be needed for bacterial infections like strep throat 1. It's also important to note that antibiotics should only be used when a bacterial infection is confirmed, as they can have adverse effects and contribute to antibiotic resistance 1. In the case of a confirmed bacterial infection, penicillin or amoxicillin is the recommended antibiotic of choice, as they have a narrow spectrum of activity, are effective, and have a low risk of adverse effects 1.

From the FDA Drug Label

The FDA drug label does not answer the question.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.