Mono guide

Mono (infectious mononucleosis) care online in Virginia and West Virginia

This guide is for a typical case of mono in adolescents age 12 and older and adults (the sore throat, swollen glands, and deep fatigue that often last a week or more), not for trouble breathing or swallowing, severe belly pain, or a possible spleen or airway emergency.

Start online

Start a $59 online review for Mono (infectious mononucleosis).

Mono is viral, so antibiotics don't treat it, and amoxicillin or ampicillin can cause a widespread rash in people with mono, so this visit never prescribes them. You do not need a positive monospot or blood test to use this visit; the physician builds a symptom-relief plan (rest, fluids, and non-controlled pain and throat care) from your history and answers, though you're welcome to upload a positive result if you have one. The plan includes spleen-protection precautions and, if you need one, a work or school note. This visit is open to adolescents age 12 and older and adults; for a minor, a parent or legal guardian completes the visit. It is not for any sign of an airway or spleen emergency, which needs immediate in-person care.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

A bad sore throat with very swollen neck glands
Deep, lasting fatigue that doesn't match a typical cold
A low-grade fever lasting more than a few days
Symptoms lasting a week or more, most common in teens and young adults

May fit online care

Adults & children 12+ (with a parent or legal guardian)
A sore throat, swollen glands, and fatigue picture that fits typical mono
No trouble breathing, swallowing saliva, or a muffled voice
No severe upper-left belly pain, fainting, or yellowing of the eyes or skin

Look for another care setting

Drooling, trouble breathing, trouble swallowing your own saliva, or a muffled voice (possible airway swelling: emergency, call 911)
Severe pain in the upper-left belly or the tip of the left shoulder (possible spleen emergency)
Fainting, a racing heart, or being unable to keep any fluids down
Yellowing of the eyes or skin, or a severe one-sided sore throat with a muffled voice and one-sided neck swelling

What to have ready

How long the sore throat, swollen glands, and fatigue have lasted
Any positive mono or strep test you already have (not required)
Whether you play contact sports or do heavy lifting, for spleen-protection timing
Medication allergies and whether you've already tried or been prescribed amoxicillin or ampicillin

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Do I need a positive monospot test to be treated here?

No. The physician can build a supportive-care plan from a typical history and symptom picture without lab confirmation. If you already have a positive monospot or other test result, you're welcome to upload it, but it isn't required.

Why can't I just get amoxicillin for my sore throat?

Mono is a virus, so antibiotics do not treat it. Amoxicillin and ampicillin can cause a widespread, itchy rash in people with mono, so we never prescribe them for mono, even if the sore throat feels like strep.

Is this visit open to teenagers, not just adults?

Yes. Mono is most common in teens and young adults, so this visit is open to anyone age 12 or older. For a minor (someone who is not yet a legal adult), a parent or legal guardian fills out the form and gives consent for the visit.

When can I go back to sports or hard exercise?

Mono can enlarge the spleen, which makes it easier to injure during contact sports or heavy lifting. Your visit plan includes spleen-protection guidance and what to watch for; sudden severe pain in the upper-left belly or the tip of the left shoulder is an emergency.

Can this visit also give me a work or school note?

Yes, along with the supportive care plan (care that eases symptoms). If you only need a note and not a treatment visit, our work and school note visit may be faster.

Read the work and school note guide

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Acute bronchitis Rebound congestion COVID-19 antiviral Flu (influenza) antiviral Hoarse voice & laryngitis Lingering cough after an infection