Short answer: Several over-the-counter options can relieve sore throat symptoms, but the best choice depends on your symptoms, age, medical history, and any other meds you take. Common options include acetaminophen or ibuprofen for pain and fever, and throat lozenges or sprays for local relief. If you suspect a bacterial infection or your sore throat lasts more than 5–7 days, see a clinician. Detailed guidance
- Pain relief
- Acetaminophen (e.g., Tylenol) or ibuprofen (e.g., Advil) are effective for throat pain and fever. Follow label dosing and avoid using both unless advised by a clinician, and don’t exceed recommended daily amounts. People with liver disease should use acetaminophen with caution; those with stomach ulcers or kidney disease should use NSAIDs like ibuprofen only under medical guidance.
- Note: Aspirin is generally not recommended for children and teens with viral illnesses due to Reye’s syndrome risk.
- Local relief
- Lozenges or hard candies can soothe the throat. Some lozenges contain anesthetics (e.g., benzocaine) or anti-inflammatory ingredients.
- Throat sprays or gargles with anesthetics or antiseptics can provide targeted relief, especially if the throat is very irritated.
- Hydration and comfort
- Warm fluids (tea with honey, broth) can ease throat irritation. Honey should not be given to children under 1 year old.
- Humidified air and avoiding irritants (smoke, strong cleaners) help reduce symptoms.
- When to seek care
- If you have a high fever, trouble swallowing, drooling, a stiff neck, a rash, prolonged sore throat beyond 7–10 days, or if you’re immunocompromised, seek medical evaluation.
- If you suspect strep throat (sudden severe throat pain, tender swollen glands, white patches on tonsils, no cough), a clinician can test and determine if antibiotics are needed. Antibiotics do not help viral sore throats.
Safety and considerations
- Check for interactions with any other medications you’re taking (blood thinners, antidepressants, etc.).
- Avoid NSAIDs if you have a history of stomach ulcers, kidney disease, certain heart conditions, or if you’re pregnant unless advised by a clinician.
- Do not give aspirin-containing products to children or teens recovering from viral illnesses due to Reye’s syndrome risk.
If you’d like, tell me your age, any medical conditions, current meds, and whether you have symptoms like fever, rash, difficulty swallowing, or a suspected infection. I can suggest a specific over-the-counter option and dosing tailored to your situation.
