Sandwell Pharmacy Group
Pharmacy First & Minor Illness

Sore Throat

A sore throat makes swallowing painful and often comes with redness, swollen glands and a hoarse voice. Most clear up within a week, but some need treatment.

Check eligibility & get treated →
Woman holding her throat with a painful sore throat

How we treat it

We assess your throat using the NHS FeverPAIN score and can supply antibiotics on the NHS where they are clinically appropriate.

Who's eligible?

Available free on the NHS for anyone aged 5 or over. Use our one-minute eligibility checker and our pharmacist will be in touch to arrange your consultation — or just walk in.

Get help today instead if you have:Call us on 0121 500 5756, your GP, or NHS 111. In an emergency call 999.
Start eligibility check →

Sore Throat, explained

What it is, what to look out for, and what actually helps — from the pharmacists who treat it every day.

What is a sore throat?

A sore throat is pain, scratchiness or irritation of the throat that is usually worse when you swallow. The vast majority are caused by viruses — the same ones behind colds and flu — and clear up on their own within about a week. A smaller number are bacterial, most often streptococcus, and these are the ones that can benefit from antibiotics.

Telling the two apart is exactly what our pharmacists are trained to do. Under Pharmacy First we assess your throat using the NHS FeverPAIN score — looking at fever, pus on the tonsils, how quickly it came on and how inflamed things are — and can supply NHS treatment, including antibiotics where clinically appropriate, without you needing a GP appointment.

You may have a sore throat if you have:

  • 1
    A painful, dry or scratchy throat that hurts more on swallowing
  • 2
    Red, inflamed tonsils, sometimes with white patches or pus
  • 3
    Swollen, tender glands in your neck
  • 4
    A hoarse voice, mild cough or bad breath
  • 5
    Fever, headache and feeling generally run down
What causes a sore throat?
Most sore throats are viral, caused by cold and flu viruses, laryngitis or glandular fever. Bacterial infections such as strep throat cause a minority but tend to be more severe, with fever and pus on the tonsils. Smoking, allergies, dry air and acid reflux can also leave the throat raw and sore without any infection at all.
How can I treat a sore throat at home?
Paracetamol or ibuprofen ease the pain, and adults can gargle warm salty water. Drink plenty, rest, and suck lozenges or ice lollies to keep the throat moist. Avoid smoking and smoky places. Most viral sore throats settle within a week with nothing more than this.
Do I need antibiotics for a sore throat?
Usually not — antibiotics do nothing against the viruses that cause most sore throats. Our pharmacist scores your symptoms using the NHS FeverPAIN tool, and only where the score points to a likely bacterial infection can antibiotics be supplied on the NHS. That assessment takes minutes and needs no appointment.
When should I worry about a sore throat?
Get help the same day if you have difficulty breathing or swallowing your saliva, can't open your mouth fully, are drooling, have a muffled voice, or a high fever that won't settle. These can signal a deeper infection such as quinsy that needs urgent treatment. Call us, your GP or NHS 111 — and 999 if breathing is affected.
Is a sore throat contagious?
The infections behind sore throats spread easily through coughs, sneezes and shared cups or cutlery. Wash your hands often, bin tissues straight away and avoid sharing drinks while you're unwell. You're most infectious in the first few days of symptoms.

Read more on this

Written by our pharmacy team — practical detail on treatment, timing and when to get help.

Health HubSore Throat: When You Need Antibiotics — and How to Get Assessed Same DayHow the FeverPAIN score decides who genuinely needs antibiotics.Read the guide →Health HubMouth Ulcers: What Helps, and the One That Needs CheckingIf the pain is an ulcer rather than the throat itself.Read the guide →
All health articles →
This may be free on the NHS

Sore Throat is covered by the NHS Minor Ailments Scheme. If you are exempt from prescription charges and registered with a Black Country GP, our pharmacist can supply the medicine free of charge — no GP appointment needed.

Check if you qualify →
0121 500 5756