Tightness at chest
Shortness of breath
Coughing like you are coughing your lungs out.
Need your inhalers to open up your airway.
Thank you for following my blog. As you can recall, I had a battle with my acute bronchitis at the beginning of the quarter. Because of my thick yellow phlegm and unstoppable cough that lasted for more than two weeks in addition to intermittent asthma attack at night, I received an antibiotic, erythromycin, an antitussive (cough suppressant), promethazine/codeine syrup, and an inhaler, albuterol, were prescribed to me. Although this is not the highly recommended course of treatment for acute bronchitis, this is the common treatment. Acute bronchitis is usually a viral infection, you would not treat a virus with antibiotics. However, between 65 to 80% of the patients received it. Studies have shown that antibiotics such as erythromycin, doxycycline, trimethoprim-sulfamethoxazole would only decreased the symptoms by a fraction of a day. It is used mainly for decreasing transmission. This is a bit shocking to me since I thought my antibiotics were effective. I guess it was more like a placebo. I have a history of asthma so when I cough, I always feel like coughing my lungs out. Cough suppressant and beta2- agonist are found to be beneficial for coughing episodes for both acute and chronic bronchitis. Nevertheless, they are for short-term use only. There is no evidence to support the use of inhaled or injection of coritcosteroid to be effective in acute bronchitis treatment. The bottom line is take your medications as directed and do not end of course of treatment without your provider's approval. Usually the treatment for bronchitis has minimal side effects. Possible side effects of antibiotics include diarrhea, nausea, and/or vomiting. Notify your provider immediately if you have dark urine, persistent nausea/vomiting new signs of infection, and unusual tiredness. Common side effects for cough syrup with codeine include: blurred vision, constipation, dizziness, drowsiness, and dry mouth. You should seek medical help ASAP if you experience allergic reaction (e.g. rash, hives, itchiness, difficulty breathing), agitation, abnormal thoughts, changes in the amount of urine produced, confusion, irregular heartbeat, etc. You should stop your medication if you experience any of the uncommon side effects and seek medical help right away. Or else, finish your treatment as directed.
Reference:
Blush, R. (2013). Acute bronchitis: Evaluation and management. The Nurse Practitioner, 38(10), 14-20.
Promethazine/codeine syrup: Indications, Side Effects, Warnings - Drugs.com. (n.d.). Retrieved February 14, 2015, from http://www.drugs.com/cdi/promethazine-codeine-syrup.html
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