Q. Is antibiotic a must for seasonal allergic cough?

Hello,

Welcome to icliniq.com.

With the conversation, I understand that you are a 33 year old male suffering from cough especially during the months of September and October through the years.

• Therefore, it is clear that you are suffering from allergic bronchitis. It is considered to be seasonal.

• This cough exacerbates in specific months like September and October in your case. During such exacerbation, it is advisable to take a steroid, bronchodilator and an antibiotic.

• In your case, Decadron (Dexamethasone) is the steroid, ProAir HFA aerosol (Albuterol) is the bronchodilator and Zithromax Z-Pak (Azithromycin) is the antibiotic.

• Accordingly, antibiotic should be prescribed only if infection is present and if there is yellow or green colored sputum production, fever and chest congestion.

• Bronchodilator in the form of aerosol spray helps to relieve bronchospasm and to get rid of any inflammation associated with it.

• I would suggest you to continue with the aerosol spray as prescribed by your doctor. Check for few days. If the symptoms of cough recur, then start the antibiotics.

• When the allergic bronchitis exacerbates, you can use ProAir inhaler and Seroflo inhaler (combination of Fluticasone and Salmeterol) or Budecort (Budesonide) inhaler together.

• The two inhalers have a specific way of usage. You can check it with your physician.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Shyam Kalyan. N

Experience: 10 + Yrs

Otolaryngology (E.N.T)

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