{"id":53556,"date":"2022-09-06T09:30:05","date_gmt":"2022-09-06T13:30:05","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=53556"},"modified":"2025-10-17T11:23:06","modified_gmt":"2025-10-17T15:23:06","slug":"z-pak-for-strep","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/z-pak-for-strep\/","title":{"rendered":"Are Z-paks good for strep?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Strep throat is a bacterial infection responsible for up to <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK525997\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">15% of sore throats in adults, and between 20%-30% of sore throat cases in kids<\/span><\/a><span style=\"font-weight: 400;\">. If you are a parent, you are probably quite familiar with strep throat, and all the stress it can bring. It\u2019s most prevalent in school-aged kids, and accounts for a whopping 12 million doctor visits per year.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you or your family has a nasty case of strep, you are likely looking for a quick solution to the problem, and you might be wondering if using a<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-a-z-pak\/\"> <span style=\"font-weight: 400;\">Z-pak<\/span><\/a><span style=\"font-weight: 400;\">\u2014a popular antibiotic that treats bacterial infections in about 5 days\u2014might be a smart way to treat strep.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But how do you know whether a Z-pak for strep is a good choice? First, talk to your healthcare provider, but then keep reading for specific dosage, side effects, and effectiveness.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is strep throat?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Strep throat is caused by a bacteria called<\/span><i><span style=\"font-weight: 400;\"> Streptococcus pyogenes<\/span><\/i><span style=\"font-weight: 400;\">, or group A strep. The primary symptom of strep throat is a sore throat, but the other symptoms accompanying the sore throat are fever, pain with swallowing, swollen tonsils, white pus on the tonsils, red spots on the roof of the mouth, headaches, nausea, vomiting, and swollen lymph nodes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Strep throat is contracted by touching strep bacteria on a surface, then touching your mouth or nose, breathing in respiratory droplets from a strep-infected person, or sharing cups or utensils with someone with strep. <\/span><a href=\"https:\/\/www.cdc.gov\/groupastrep\/diseases-public\/strep-throat.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">School-age (5-15)<\/span><\/a><span style=\"font-weight: 400;\"> kids are most vulnerable to strep throat, as are their parents and caretakers. Most people with strep throat do not cough. The only way to know for sure if your sore throat is strep, and not a viral infection, is to get a \u201crapid strep\u201d swab at the doctor\u2019s office. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/strep-throat-vs-sore-throat\/\"><b>Strep throat vs. sore throat<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">What is the best antibiotic for strep throat?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you test positive for strep throat, you are probably wondering, \u201cWhat will <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/strep-throat-treatment-and-medications\"><span style=\"font-weight: 400;\">cure strep throat<\/span><\/a><span style=\"font-weight: 400;\"> fast?\u201d Healing quickly helps kids get back to school, you back to work, and everyone move on with life. While there are some methods for soothing strep sore throat symptoms (drinking warm liquids, gargling with warm salt water, and taking over-the-counter painkillers), <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-do-antibiotics-work\/\"><span style=\"font-weight: 400;\">antibiotics<\/span><\/a><span style=\"font-weight: 400;\"> are usually recommended when you want to eradicate strep throat quickly and thoroughly.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotics are \u201cthe best option for treating strep throat,\u201d says David Culpepper, MD, clinical director of <\/span><span style=\"font-weight: 400;\">LifeMD<\/span><span style=\"font-weight: 400;\">. \u201c<\/span><span style=\"font-weight: 400;\">Overall, most antibiotics reduce the period of acute illness by about one day,\u201d he explains. According to the CDC, the benefits of antibiotic use for strep throat include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced number of days ill<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fewer and more manageable symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased risk of spreading strep to others<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Not everyone needs antibiotics for strep, though. People who are asymptomatic carriers likely don\u2019t need a course of antibiotics, for example. Many cases of strep in healthy individuals will resolve on their own, without antibiotics, says<\/span><a href=\"https:\/\/www.pacificneuroscienceinstitute.org\/people\/omid-mehdizadeh\/?msclkid=ff5d444ecff711ec89ba0e58869df000\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">Omid Mehdizadeh<\/span><\/a><span style=\"font-weight: 400;\">, MD, ENT and laryngologist at Providence Saint John\u2019s Health Center. But the main reason he recommends antibiotics is to protect against long-term complications that can result from a strep infection.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe medical therapy is used more so to prevent us from developing sequelae of infection due to the damage our own immune system is able to incur,\u201d Dr. Mehdizadeh explains. \u201cSuch conditions include rheumatic fever, scarlet fever, and glomerulonephritis [inflammation of the kidney filters].\u201d\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/strep-throat-in-kids\/\"><b>The parent\u2019s guide to strep throat in kids<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Does Zithromax treat strep throat?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/zithromax-z-pak\/what-is\"><span style=\"font-weight: 400;\">Z-pak<\/span><\/a><span style=\"font-weight: 400;\"> (also known as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zithromax-z-pak\"><span style=\"font-weight: 400;\">Zithromax<\/span><\/a><span style=\"font-weight: 400;\"> or sometimes called a Z-pack) is the brand name for the antibiotic <\/span><a href=\"http:\/\/singlecare.com\/prescription\/azithromycin\/what-is\"><span style=\"font-weight: 400;\">azithromycin<\/span><\/a><span style=\"font-weight: 400;\">. Z-paks are available in pill and liquid form. Z-paks are packaged as a five-day course and are a fast and effective way to treat bacterial infections. Antibiotics don\u2019t treat viral infections, like COVID-19, the flu, or the common cold.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Besides using Zithromax for strep, the antibiotic can be used <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a697037.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">to treat conditions like<\/span><\/a><span style=\"font-weight: 400;\">:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/pneumonia-treatment-and-medications\"><span style=\"font-weight: 400;\">Pneumonia<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">STDs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/ear-infection-treatment-and-medications\"><span style=\"font-weight: 400;\">Ear infections<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/sinus-infection-treatment-and-medications\"><span style=\"font-weight: 400;\">Sinus infections<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/bronchitis-treatment-and-medications\"><span style=\"font-weight: 400;\">Bacterial bronchitis<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skin infections like acne<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lyme disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infectious diarrhea<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">How Z-paks are used to treat strep throat?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Generally, the first line of defense for strep throat is the <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/penicillins\"><span style=\"font-weight: 400;\">antibiotic penicillin<\/span><\/a><span style=\"font-weight: 400;\">, says<\/span> <a href=\"https:\/\/linktr.ee\/dr_vicken_zeitjian\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Vicken Zeitjian<\/span><\/a><span style=\"font-weight: 400;\">, MD, a cardiologist who has treated strep throat through Teladoc. \u201cHowever, some folks may have a penicillin allergy (which is very common) or may have had strep many times in their life and have therefore developed antibiotic resistance to strep (less common),\u201d he explains. In these cases, second-line antibiotics, including <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/azithromycin\"><span style=\"font-weight: 400;\">azithromycin<\/span><\/a><span style=\"font-weight: 400;\">, may be prescribed for strep.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How fast does a Z-Pak work for strep throat?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One of the advantages of using Zithromax to treat strep throat is how quickly it works. \u201cI\u2019ve seen doctors prescribe Z-paks because of the shorter duration of treatment (usually 5 days) compared to other antibiotics, which require 7-10 days,\u201d says Dr. Zeitjian.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Z-pak dosage for strep throat<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you are prescribed a Z-pak for strep throat, you will likely be prescribed <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zithromax\/dosage\"><span style=\"font-weight: 400;\">a pack of Zithromax tablets meant to last five days<\/span><\/a><span style=\"font-weight: 400;\">. On the first day, you will take two 250 mg pills (a 500-milligram dose), and the following four days, you will take 250 milligrams per day. Most feel better within the first day or two, but you should take your full 5-day course. Children who are using Zithromax for strep throat will be dosed by their weight, <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=f6a52c0b-45db-422e-8c22-e867a11b4439\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">12 mg\/kg <\/span><\/a><span style=\"font-weight: 400;\">on the first day, then 6 mg\/kg per day for the remaining 4 days.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Side effects of Z-paks for strep throat<\/span><b>\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Side effects aren\u2019t common when taking a multi-dose regimen of Zithromax, but they are possible. The most common side effects in adults include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Children taking Zithromax experience similar side effects to adults. In most cases, these side effects will rapidly resolve once the medication is stopped. Serious adverse effects are rare (less than 1%), and include heart issues, skin jaundice, dizziness, headache, and serious allergic reactions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">People who have known allergies or hypersensitivities to Zithromax should not take a Z-pak. Z-paks are also not recommended for people with liver dysfunction and a history of cholestatic jaundice.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How well do Z-paks treat strep throat?<\/span><b>\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Although Z-paks are not the first-line antibiotic for strep throat (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/penicillin-v-potassium\"><span style=\"font-weight: 400;\">penicillin<\/span><\/a><span style=\"font-weight: 400;\"> is), it is easy to take and effective. \u201cZ-paks are a reasonable second line choice to treat strep,\u201d says Dr. Zeitjian. He says that it\u2019s important to keep in mind that antibiotics are prescribed based on their spectrum of activities, and not necessarily on their level of strength. \u201cEach class of antibiotics may be effective in different settings,\u201d he notes, emphasizing that Z-paks work well for those allergic to penicillin, or who are looking for alternative options to penicillin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. <\/span><span style=\"font-weight: 400;\">Culpepper explains that Z-paks are a strong option when it comes to eliminating strep throat symptoms, like sore throat, fever, and swollen lymph nodes. \u201c<\/span><span style=\"font-weight: 400;\">Z-paks do about as well as penicillin in helping patients recover from strep throat,\u201d he says. The one advantage of penicillin over Z-paks is that it usually does a superior job of eradicating the strep bacteria from the body, Dr. <\/span><span style=\"font-weight: 400;\">Culpepper says.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Are Z-paks the right antibiotic for you?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you or your family members are diagnosed with strep throat, and an antibiotic is recommended for treatment, you might be unsure if Z-paks are the best choice. There are various reasons why you might want to use a Z-pak for treatment\u2014including a previous allergy or sensitivity to penicillin or another recommended antibiotic, the desire for a shorter course of antibiotics, or a previous positive experience with Z-paks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Z-paks are a good antibiotic choice for strep throat, and can eliminate symptoms quickly, but they aren\u2019t for everyone. Please talk to your healthcare provider about your health situation, and whether Z-paks are right for you.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Strep throat is a bacterial infection responsible for up to 15% of sore throats in adults, and between 20%-30% of sore throat cases in kids. If you are a parent, you are probably quite familiar with strep throat, and all the stress it can bring. It\u2019s most prevalent in school-aged kids, and accounts for a [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":53575,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[715,8905],"coauthors":[20899],"class_list":["post-53556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-antibiotics","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Z-pak for strep throat: Dosage and side effects<\/title>\n<meta name=\"description\" content=\"Z-paks are FDA-approved to treat strep throat and are a good option for those allergic to penicillin. 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