I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest X-ray came back normal, and I don't have any blood pressure or other health issues. What could be going on?

Dr Ibrahim Salah

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Considering your symptoms and ineffective response to Novamox 500, you may want to consider alternative antibiotics. However, always consult your doctor before switching medications.

Augmentin 625 Duo vs. Azithral 500

Both are effective antibiotics, but:

1. Augmentin 625 Duo: A broad-spectrum antibiotic, often prescribed for tonsillitis. It's a combination of amoxicillin and clavulanic acid.
2. Azithral 500: A macrolide antibiotic, also effective against tonsillitis. Azithromycin is often prescribed for 3-5 days.

Azithral 500 might be a better option if:

• You're allergic to penicillin (Augmentin contains amoxicillin, a penicillin-type antibiotic)
• Your tonsillitis is caused by a macrolide-sensitive bacterium

However, your doctor should determine the best course of treatment based on your medical history, allergy status, and the severity of your symptoms.

Answered 04/07/2025