My 4 year old (severe PANDAS) did a steroid taper between February-March. She did wonderful and I truly believe the Prednisone was the boost she needed. We also stopped the daily Augmentin and started daily Zithromax. Her Pediatrician wants to go from daily Zith to a prophylaxis dose and suggested 3 x's a week. Is this enough? Also, is it better to do 3 days straight? Like, Mon, Tues, Wed? Or separate the doses? Like, Monday, Wed, Fri? I know Zith suppposedly keeps working after a dose, so I'm thinking spreading it out might be the better option?? Truthfully, I'm afraid it's not enough to prevent strep.