How to treat allergic cold and bronchitis?

Question

Hello doctor,

I have been undergoing intermittent treatment for allergic cold and bronchitis with my family doctor’s pulmonologist, and for an ear problem with a local ENT doctor. I experienced allergic sneezing and irritation for about 12 days but had no fever or cough. The local ENT prescribed Azithromycin 500 mg and Nasivion (Oxymetazoline) drops for five days. However, after developing diarrhea on the fourth day, I contacted my family doctor in another city, who then prescribed Guncef (Cefpodoxime) 325 twice daily for five days, Montair LC (Levocetirizine and Montelukast) once daily, and a Formonide (Budesonide and Formoterol) inhaler for heavy breathing. After four days of treatment, the infection has improved, and the amount of whitish phlegm is significantly reduced. Despite this, I still experience nose irritation, sneezing, and intermittent throat soreness. I do not have a fever or cough.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

From your description, it seems you are suffering from allergic rhinitis and mild intermittent asthma. The symptoms, such as nasal irritation and frequent sneezing, are clearly due to nasal allergies. Since you have already completed the antibiotic course, it is not advisable to repeat it. Start using Fluticasone furoate nasal spray with one puff twice daily in each nostril and continue with Montair-LC (Montelukast and Cetirizine) for now. Nasivion nasal spray can be used as needed. Continue using the Formonide inhaler if you experience a cough and breathing difficulty that disrupts your daily activities.

Always gargle after using the Formonide inhaler. Try to identify and avoid the allergy triggers responsible for your symptoms. With regular use of these medications, your symptoms should be controlled. If there is no improvement, visit your local pulmonologist to investigate any other underlying issues.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

It is good to hear that you are doing well. If you are unable to get Fluticasone furoate nasal spray, you can use Duonase nasal spray instead, one puff twice daily, for at least three months for good control of symptoms. However, be aware that Duonase nasal spray may leave a bad taste, which might affect its daily use. If you can tolerate it, it should not be a major issue. Otherwise, try to obtain Fluticasone furoate nasal spray.

You can continue other medicines as per the last discussion.

Thank you.