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HomeAnswersGeneral Practitionercough with phlegmI am anxious about cough with phlegm, runny nose, and cold. Please help.

I have cough with phlegm, runny nose, and cold. Do I need an antibiotic?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At July 23, 2020
Reviewed AtAugust 9, 2023

Patient's Query

Hello doctor,

I have a concern with regards to my anxious condition. For the past few days, I have been experiencing cough with phlegm with a runny nose due to colds. I just wanted to knew what should I do. Do I need to take an antibiotic? Kindly guide me.


Welcome to icliniq.com.

I can understand your concern. According to your statement you have been suffering from itchy throat, runny nose due to colds, cough with phlegm, and headache for the past few days. You have not mentioned here about the color of your phlegm. If the whitish color of phlegm turns into yellowish, greenish or rusty color then it indicates infection of the respiratory tract. Antibiotic coverage can be needed to subside the infection. As you are suffering from an itchy throat, you can take antibiotic like Azithromycin once daily for five to seven days to prevent any secondary infections. For your runny nose, cough with phlegm, headache, etc., you can take Fexofenadine and Montelukast once daily for 10 to 15 days with painkillers like Paracetamol, Ibuprofen, or Naproxen etc. Gargle with salt mixed lukewarm water three or four times daily along with steam inhalation mixed with Menthol two to three times daily. Thank you.

Patient's Query

Thank you doctor,

Can I use this prescription for purchase at the pharmacy? We are not actually accommodated if we do not have a doctor's prescription. Would it be fine if you can provide me a prescription with notification and acknowledgment that I once consulted with you my health condition? I will truly appreciate your response.


Welcome back to icliniq.com.

Actually it is the chat room. We can provide the prescription through the consultancy method of icliniq. You can contact the icliniq team and they can help you in this regard. You can take the medications as follows: I suggest you take tablet. Zithromax 500 mg 0+0+1 for 5-7 days, tablet Telfast 120/180 mg 0+0+1 for 10 to15 days, tab. Singulair 10 mg 0+0+1 for 10-15 days, tab. Panadol 1 tablet after a meal in case of headache. Thank you and take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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