Sore Throat

Question 1

Do sore throats require a counselling room?

Answer 1

No

Question 2

What are 8 red flags for referral with sore throats?

Answer 2

1. Always refer for a COVID test
2. Duration of more than 2 weeks
3. Signs of bacterial infection (i.e., marked tonsillar exudate accompanied with a high temp. and swollen glands)
4. Hoarseness >3 weeks
5. Difficulty swallowing
6. Recurrent bouts of infection
7. Associated skin rash
8. Adverse drug reaction (for example, clozapine, sulfasalazine, drugs causing agranulocytosis, inhaled corticosteroids)

Question 3

Do sore throats have a PSA self-care card?

Answer 3

No

Question 4

What is the preferred treatment option for sore throats?

Answer 4

Paracetamol

Question 5

What are the directions for paracetamol in sore throats?

Answer 5

15mg/kg (to a maximum of 1g) every 4 to 6 hours when required. Maximum of FOUR doses (up to 4g) in 24 hours.

Question 6

What are 3 non-preferred options for sore throats and why?

Answer 6

1. Benzocaine 4mg/mL (Cepacaine) Mouthwash: increases the risk of burns if eating/drinking hot food/drink afterwards
2. Strepsils SUGAR FREE Medicated Lozenges (Dichlorobenzyl Alcohol and Amylmetacresol): anti-inflammatory (more risks) and sugar content (diabetics)
3. Povidone iodine gargle (Betadine Ready-to-Use): unsafe in pregnancy and breastfeeding

Question 7

Is paracetamol safe in pregnancy?

Answer 7

Yes

Question 8

What is the age range for paracetamol?

Answer 8

Safe in children over 1 month

Question 9

Is paracetamol safe in breastfeeding?

Answer 9

Yes

Question 10

What are 7 pieces of non-pharmacological advice for sore throats?

Answer 10

1. Rest
2. Increased fluids
3. Minimise speaking
4. Soothe the area with cold treats (for example, ice-cream)
5. Soothe the area by gargling with warm salt water
6. Humidify the air because dry air can further irritate the throat
7. Avoid irritants (for example, smoking)