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Treatment Options for Infectious Mononucleosis (IMN)%u2022 Supportive Care:%u2022 Primary treatment approach%u2022 Simple analgesics for pain and fever (e.g., paracetamol, ibuprofen)%u2022 Adequate rest and hydration%u2022 Avoid Specific Antibiotics:%u2022 Do NOT prescribe amoxicillin or ampicillin%u2022 These can lead to development of a pruritic maculopapular rash%u2022 Symptomatic Relief:%u2022 Gargle with salt water for sore throat%u2022 Use throat lozenges for temporary relief%u2022 Lifestyle Modifications:%u2022 Avoid contact sports for at least 3-4 weeks (risk of splenic rupture)%u2022 Gradually return to normal activities as symptoms improve%u2022 Steroids (in specific cases):%u2022 Not routinely recommended%u2022 May be used for severe pharyngeal edema or massive splenomegaly%u2022 Consult specialist before initiating steroid therapy%u2022 Antiviral Medications:%u2022 Generally not recommended for uncomplicated cases%u2022 May be considered in severe or prolonged cases (specialist consultation required)%u2022 Follow-up:%u2022 Monitor for potential complications (e.g., splenic rupture, hepatitis)%u2022 Advise patients on expected duration of symptoms and recovery time%u2022 Key Point: The mainstay of treatment for IMN is supportive care. Specific antiviral therapy is rarely needed, and antibiotics should be avoided unless there's a confirmed bacterial superinfection.%u2022 Remember: Most cases of IMN resolve on their own within 2-4 weeks, although fatigue may persist for several months in some patients.

