Parotitis
Treatment of parotitis
Consider mumps or other non-infective causes as a diagnosis
If there are no signs of sepsis
If there are no signs of sepsis
Flucloxacillin
Flucloxacillin 500mg capsules
500mg every 6 hours for 7 days
Flucloxacillin 250mg/5ml oral solution sugar free
500mg every 6 hours for 7 days
Metronidazole
Metronidazole 400mg tablets
400mg every 8 hours for 7 days
Metronidazole 200mg/5ml oral suspension
400mg every 8 hours for 7 days
If penicillin allergic, or previous MRSA infection
Doxycycline
Doxycycline 100mg capsules
100mg every 12 hours for 7 days
Metronidazole
Metronidazole 400mg tablets
400mg every 8 hours for 7 days
Metronidazole 200mg/5ml oral suspension
400mg every 8 hours for 7 days
Prescribing Notes:
- Most cases of bacterial parotitis are in frail elderly patients with dehydration.
- Patients with persistent (>2weeks) symptoms or unexplained parotid swelling or suspected parotid duct calculi should be referred to ENT.
History Notes
15/12/2021
East Region Formulary content agreed.