Options For Treating Glandular Fever

Get Sufficient Rest

The fatigue caused by glandular fever is particularly debilitating, and it may last for two to three months. Most patients are particularly fatigued in the first two to three weeks of the illness. Patients often need to take time out from school or work to ensure they get sufficient rest. While complete bed rest is not required, patients do need to avoid strenuous exercise and contact sports. A ruptured spleen can be a rare complication of this illness, and it can be triggered by a blow to the upper body or by certain repetitive movements. Generally, patients are advised to get as much rest as they feel they need, and this can include bed rest as needed. Some patients with glandular fever may need to sleep for ten or more hours a day, especially in the first few weeks of the illness. As patients improve, light exercise can help them regain strength. Patients may need help with housework and other daily tasks as the illness takes its course.

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Antibiotics

While antibiotics cannot treat viral infections, they are used to treat secondary infections that typically accompany this condition. For example, the glandular fever may cause strep throat or tonsillitis (infected tonsils), and antibiotic medicines are needed to resolve both of these. However, patients with this condition cannot use amoxicillin or other medications derived from penicillin. If they do, a rash may develop. Doctors typically recommend erythromycin for glandular fever patients who need an antibiotic to avoid this risk. Patients will need to take it for between one to two weeks. Potential side effects of erythromycin include blurred vision, slurred speech, hearing loss, liver problems, fatigue, and muscle weakness. Patients should report these or any other unusual side effects to their doctors. In some cases, it is possible alternative antibiotics or treatments can be used to manage secondary infections.

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