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Treatments and drugs

By Mayo Clinic staff

The goal of treatment for bronchitis is to relieve symptoms and ease breathing. Sometimes, all you may need to recover from acute bronchitis may be:

  • Rest
  • Drinking fluids
  • Breathing in warm, moist air
  • Taking an over-the-counter (OTC) cough suppressant and acetaminophen (Tylenol, others) or aspirin (for adults)

Medications
In some circumstances, your doctor may prescribe medications:

  • Antibiotics. Bronchitis usually results from a viral infection, so antibiotics aren't effective. However, your doctor may prescribe an antibiotic if he or she suspects that you have a bacterial infection. If you have a chronic lung disorder or if you smoke, your doctor may also prescribe antibiotics to reduce your risk of a serious, secondary infection.
  • Cough medicine. It's best not to suppress a cough that brings up mucus, because coughing helps remove irritants from your lungs and air passages. If your cough keeps you from sleeping, use enough OTC cough medicine so that you can rest, but not enough to suppress your cough completely. If your cough is seriously depriving you of sleep, your doctor may recommend a prescription cough suppressant.
  • Other medications. If you have asthma or chronic obstructive pulmonary disease (COPD), your doctor may recommend an inhaler and other medications to reduce inflammation and open narrowed passages in your lungs.

Therapies
If you have chronic bronchitis, talk to your doctor about pulmonary rehabilitation. Pulmonary rehabilitation is a breathing exercise program in which you work with a respiratory therapist to help you learn to breathe more easily and increase your ability to exercise.

References
  1. What is bronchitis? National Heart, Lung, and Blood Institute. www.nhlbi.nih.gov/health/dci/Diseases/brnchi/brnchi_whatis.html. Accessed Feb. 11, 2009.
  2. Acute bronchitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec05/ch051/ch051a.html. Accessed Feb. 11, 2009.
  3. Pneumococcal polysaccharide vaccine. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-ppv.pdf. Accessed Feb. 25, 2009.
  4. Chronic bronchitis. American Lung Association. http://www.lungusa.org/site/apps/nlnet/content3.aspx?c=dvLUK9O0E&b=2058829&content_id={C79758B1-B58D-45C4-851D-2FD12958D1E3}¬oc=1. Accessed Feb. 25, 2009.
  5. Wei J, et al. Chinese medicinal herbs for acute bronchitis (review). Cochrane Database of Systemic Reviews. 2008:CD004560.
  6. Agbabiaka T, et al. Pelargonium sidoides for acute bronchitis: A systematic review and meta-analysis. Phytomedicine 2008;15:378.
  7. Long MD, et al. Extra-esophageal GERD: Clinical dilemma of epidemiology versus clinical practice. Current Gastroenterology Reports. 2007;9:195.
  8. Pneumococcal conjugate vaccine. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-PneumoConjugate.pdf. Accessed Jan. 25, 2009.

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April 21, 2009

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