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Bronchitis is inflammation of the bronchi (large and medium-sized airways) in the lungs. Symptoms include coughing up mucus, wheezing, and shortness of breath and chest discomfort.

Medications:

  • Inhaler Asthalin (Salbutamol 100 mcg) – 2 puffs every six hours (maximum dose – 800 mcg/day).
  • Tab. Mucolite (Ambroxol 30 mg) – 1 tablet thrice a day.
  • Syrup Rapitus (Levodropropizine 30 mg/5ml) – 10 ml at bed time.

Antibiotic treatment for symptoms longer than 7 days with signs of infection and in COPD:

  • Tab. Azimax 500 (Azithromycin 500 mg) 1 tablet once a day for 5 days for patients less than 50 years age.
  • Tab. Moxikind-CV (Amoxicillin 500 mg, Clavulanic acid 125 mg) 1 tablet once a day for 7 days for patients over 50 years age.

Supportive treatments:

  • Tab. Dolo 650 (Paracetamol 650 mg) 1 tablet 4 times a day.
  • Inhaler Budecort (Budesonide 200 mcg) – 1 puff twice a day during acute phase.
  • Cap. Flora BC (Lactobacillus, Pyridoxine, Niacinamide, Folic acid) – 1 capsule twice a day after meals.

General advice:

  • Ensure adequate hydration
  • Regular steam inhalation
  • Advice patients to stop smoking
  • Promote deep breathing exercises

Investigations:

  • Complete blood count – to rule out infection.
  • Erythrocyte sedimentation rate – to rule out chronic infection.
  • Sputum examination – to rule out infection and antibiotic sensitivity.
  • Chest x ray – to rule out pneumonia, tuberculosis.
  • Pulmonary function test – to assess the extent of lung dysfunction.

Referrals:

Consider referral to respiratory physician if patient fails to respond to treatment or presents with additional complications.