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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 lane 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 lane 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 visitSee response windows

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 windows: 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)
  • Adolescent age 12 or older with a parent or legal guardian completing the visit, or an adult
  • 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 the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after 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.

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 don't treat it. Amoxicillin and ampicillin specifically can trigger a widespread, itchy rash in people with mono, so this lane never prescribes them for a mono picture — even if a sore throat feels like it could be strep.

Is this lane open to teenagers, not just adults?

Yes — mono is most common in adolescents and young adults, so this lane is open to anyone age 12 or older. For a minor, a parent or legal guardian completes the intake and consents to 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, alongside the supportive-care plan. If you only need documentation and not a treatment visit, our dedicated work and school note lane may be a faster fit.

Read the work and school note guide

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

Acute bronchitisRebound congestionCOVID-19 antiviralFlu (influenza) antiviralHoarse voice & laryngitisSeasonal allergies