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Laryngitis: treatment
Last reviewed: 07.07.2025

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Laryngitis treatment involves a comprehensive approach, the methods and techniques of which are directly related to the etiology of the inflammatory process and the form of the disease.
As a rule, mild laryngitis treatment is gentle, it is carried out in outpatient conditions and recovery occurs within 7-10 days. This type is associated with respiratory diseases, which are the root cause. Laryngitis can also be a consequence of scarlet fever, measles or whooping cough, then its therapy will be aimed at eliminating the underlying disease. The inflammatory process can be a consequence of professional activity (teachers, actors, singers), respectively, and therapeutic actions will differ from the methods of treating a disease of viral etiology.
Laryngitis treatment implies only as prescribed by a doctor. Any independent actions can lead to the transition of the disease into a chronic form. Self-activity is especially unacceptable when symptoms appear in young children. Inflammation of diphtheria etiology requires immediate medical care, as blockage of the larynx and suffocation are possible.
As a rule, treatment of mild laryngitis consists of local anti-inflammatory therapy in the form of inhalations. Inhalations are often accompanied by courses of gargling and lubricating the throat with special solutions.
The catarrhal form is amenable to regular procedures using aerosol irrigation with chlorophyllipt, which has a local antibacterial effect. Gargling with a decoction of eucalyptus leaves is also effective (2 teaspoons brewed in a liter of boiling water, infused for 30 minutes). It is recommended to drink plenty of warm liquids, hot, cold, irritating food should be excluded.
Drug treatment of laryngitis is indicated in cases where there is a need to neutralize stenosis (narrowing) of the throat and prevent the chronic stage of the disease.
Acute viral laryngitis treatment involves the following:
- Antibacterial drugs. Bioparox in the form of aerosol irrigation. This drug has a pronounced bacteriostatic effect, it neutralizes many inflammatory pathogens, and the drug acts not only on the mucous membrane, but also on the nearby respiratory tract (trachea and bronchi). The drug eliminates swelling, and therefore stenosis of the larynx, reduces the permeability of small vessels of the throat. Erespal in the form of syrup or tablets is also effective.
- Antihistamines are effective if the inflammation has an allergic etiology, which is not uncommon in the spring and summer. Loratadine, suprastin reduce swelling of the larynx walls, thereby neutralizing stenosis. Antihistamines are often prescribed in combination with anti-inflammatory drugs, since a bacterial infection may join.
- Mucolytic drugs are prescribed for frequent and dry cough. Laryngitis treatment involves a complex, so mucolytics are not the main drug method, rather they relieve symptoms. The following drugs are effective - ambroxol, acetylcysteine, all codeine-containing drugs. Mucolytic drugs are prescribed in tablet form, but they are more effective in the form of syrups or when administered by inhalation.
- Antipyretic drugs are prescribed for high temperatures, which is not typical for this disease. As a rule, paracetamol is prescribed in the form of syrups.
Laryngitis treatment can be more serious, with the help of antibiotics. Prescribing antibiotics is considered justified in the following manifestations of the disease:
- Sputum with pus;
- Erosive damage to the mucous membrane;
- Purulent process in the mucous membrane;
- Fibrinous-purulent process;
- Stenosis;
- Chronic form;
- Relapses of the inflammatory process over several months.
Antibiotics of the third generation cephalosporin group – cefepime, ceftriaxone – have a good therapeutic effect. The classic penicillin series is also effective, however, in the chronic form of laryngitis, treatment involves a combination of carbapenems (broad-spectrum antibiotics), together with inhalation forms of antibacterial drugs, mucolytics and antihistamines.
Chronic prolonged laryngitis treatment involves the use of macrolides, which, in addition to having an antibacterial effect, stimulate the immune system well and are effective in combating the inflammatory process. Roxithromycin and azithromycin are prescribed, but these drugs are not used to treat laryngitis in pregnant women and children under three years of age.
Activation of the immune system is achieved by using adaptogens and vitamin therapy. Ginseng, azalea, and magnolia vine in the form of tinctures are taken regularly for at least three weeks, even when the main inflammatory process is neutralized. Vitamin complexes are prescribed in parallel with antibacterial therapy to maintain the body's defenses.
Laryngitis can be treated in a hospital setting, where all necessary therapeutic measures will be carried out, including possible surgical intervention. Such a need arises in cases of severe swelling of the larynx, with throat abscesses, with suspected life-threatening stenosis. As additional measures to reduce the load on the ligaments, it is recommended to limit communications, exclude whispering. Mild forms have a favorable prognosis in terms of curability, more complex types, especially protracted and chronic forms can develop into an oncological process. That is why at the first symptoms of inflammation you need to see a doctor, then laryngitis treatment will be successful and quite fast.
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