Throat and Ear Inflammation: Medication Guidance and FAQs - Otolaryngology

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Throat inflammation and ear inflammation, along with medication consultation?


Today, I suddenly felt pain in my throat and ears.
The doctor examined my throat and ears and mentioned that there is inflammation (but did not specify whether it is tonsillitis or pharyngitis).
The prescribed medications include Keflex, COOCHIL, NEFOPAM, and Scanol to be taken after meals and before bedtime.
I would like to ask, if I start taking the medication at 8 AM, what time should I take it before bedtime? Should I remain standing for 30 minutes after taking the antibiotic to avoid esophageal irritation? The doctor prescribed the medication for three days; if the pain in my ears and throat subsides after finishing the medication, do I still need to return for a follow-up appointment?

LIN, 20~29 year old female. Ask Date: 2023/05/02

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is recommended to take the medication at least four hours after the dinner medication.
If dinner is at 6 PM, you can take the medication before bed at 10 PM or later.
When taking antibiotics, it is advised to swallow them with an adequate amount of water and not to take them dry, as they generally do not erode the esophagus.
If you finish the medication in three days and still feel unwell, it is recommended to return for a follow-up examination.

Reply Date: 2023/05/02

More Info


When dealing with throat and ear inflammation, it's essential to understand both the medications prescribed and the proper administration of these medications. Based on your inquiry regarding the medications Keflex, COOCHIL, NEFOPAM, and Scanol, let's break down the details and provide guidance on their usage.


Medication Overview
1. Keflex (Cephalexin): This is a cephalosporin antibiotic used to treat bacterial infections. It is effective against a variety of bacteria that can cause infections in the throat and ears. It is typically taken every 6 to 12 hours, depending on the specific instructions from your healthcare provider.

2. COOCHIL: This medication is often used to relieve symptoms associated with throat and ear inflammation, such as pain and discomfort. It may contain ingredients that help soothe the throat or reduce inflammation.

3. NEFOPAM: This is a non-opioid analgesic used for pain relief. It can be effective for managing pain associated with inflammation in the throat and ears.

4. Scanol: This medication is usually an antihistamine or a combination product that may help alleviate symptoms like itching or irritation in the throat and ears.


Timing of Medication
If you start taking your medications at 8 AM, the timing for your doses would typically be as follows:
- Keflex: If prescribed three times a day, you would take it at approximately 8 AM, 2 PM, and 8 PM.

- COOCHIL, NEFOPAM, and Scanol: If these are also prescribed to be taken three times a day, you would follow the same schedule. If they are to be taken after meals, ensure you take them after breakfast, lunch, and dinner.


Sleep Considerations
Regarding your question about taking antibiotics before bed, it is generally advisable to take them at least 30 minutes before lying down. This practice helps prevent potential irritation of the esophagus, which can occur if the medication does not move quickly enough through the digestive tract. If you take your last dose of Keflex at 8 PM, you should ideally remain upright for at least 30 minutes afterward.


Follow-Up After Medication
After completing the three-day course of antibiotics, if your throat and ear pain have resolved, a follow-up visit may not be necessary. However, if you still experience pain, discomfort, or any new symptoms, it is crucial to return to your healthcare provider for further evaluation. Persistent symptoms could indicate that the infection has not fully resolved or that a different underlying issue may be present.


Additional Considerations
- Hydration: Ensure you stay well-hydrated, as this can help soothe your throat and support recovery.

- Rest: Adequate rest is essential for your body to heal.

- Diet: Soft foods and warm liquids can be soothing for an inflamed throat.

In conclusion, it is vital to adhere to the prescribed medication schedule and follow any additional instructions provided by your healthcare provider. If you have any concerns about your symptoms or the medications, do not hesitate to reach out to your doctor for clarification. Your health and comfort are paramount, and proactive communication with your healthcare team is key to effective treatment.

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