Chronic bronchitis treatment. Best antibiotic for bronchitis

Chronic bronchitis treatment. Best antibiotic for bronchitis


Dr. Arvind MahadevanDr. Arvind Mahadevan, MD

What is chronic bronchitis?

Bronchitis is a disease in which there is inflammation of the bronchi – mainly mucous. This disease is the most common among all diseases of the respiratory system. There is acute and chronic bronchitis – these are different diseases, but there may be options for the transition of acute bronchitis to chronic or cases of exacerbation of chronic bronchitis.

What is chronic bronchitis

Chronic bronchitis is a progressive inflammation of the bronchi, which makes itself felt in the form of cough. Chronic bronchitis is the most common form of chronic nonspecific lung disease.

Chronic bronchitis is an extremely common disease in the adult population. Chronic bronchitis causes obstructive pulmonary disease, which causes a very large number of deaths. According to estimates by the World Health Organization, the number of patients with chronic bronchitis and obstructive pulmonary disease is constantly increasing.

Chronic bronchitis symptoms

Dr. Arvind MahadevanDr. Arvind Mahadevan, MD: Chronic bronchitis in adults and its symptoms develop gradually. In the initial stages, the patient’s condition is usually satisfactory. But as the disease progresses, weakness, fatigue, and respiratory failure appear.

Chronic bronchitis symptoms

The main symptom of this disease is cough. At first, it occurs only in the morning, but later it begins to disturb the suffering person both in the afternoon, and in the evening, and at night. In cold, wet weather, it increases. Cough is deaf, with sputum, but during the period of exacerbation it can be “barking”. The phlegm is usually mucous, clear, odorless.

Depending on the state of ventilation of the lungs, the following types of disease are distinguished:

  • non-obstructive bronchitis, in which there are no ventilation disorders;
  • obstructive bronchitis, which is characterized by a persistent violation of ventilation.

In the first case, the ventilation capacity of the lungs is normal and does not depend on the phase of the process, and in chronic obstructive bronchitis there is a violation of bronchial patency and ventilation.

Chronic bronchitis in the acute stage. Acute chronic bronchitis

The exacerbation of chronic bronchitis is characterized by an increase in the rate of coughing, an increase in the amount of coughing up sputum and a change in its quality. The purulent nature of sputum indicates the activation of pathogenic microbes and the appearance of a bacterial exacerbation component.

With exacerbation of chronic bronchitis, the patient has a fever. The episode of acute respiratory viral infection usually gives rise to the activation of the disease.

Chronic obstructive bronchitis

The main signs of chronic obstructive bronchitis are:

  • strong unproductive cough;
  • severe shortness of breath during exertion and irritation of the respiratory tract;
  • wheezing on exhalation;
  • lengthening the expiratory phase.

The obstructive form of the disease at first proceeds asymptomatic. Then it manifests itself as a coughing cough, wheezing and difficulty breathing in the morning, which disappears after sputum discharge.

Chronic obstructive bronchitis

Can I take antibiotics for acute bronchitis?

The question of whether there is a need for the use of antibiotics is in the competence of the specialist. It must be said that the use of antibiotics without a doctor’s prescription can cause more damage to the body than neglecting these drugs when they need to be taken.

In the treatment of acute bronchitis, drugs of this group are used infrequently and only as prescribed by a doctor. This happens if a bacterial infection joins the disease, as mentioned earlier.

Dr. Arvind MahadevanDr. Arvind Mahadevan, MD: Due to the fact that among the population, the number of patients suffering from chlamydia and mycoplasma bronchitis is constantly growing, along with antibiotics from the penicillin group, drugs from the macrolide group are also used: Azithromycin, Erythromycin.

Azithromycin antibiotic for acute bronchitis

Type of drug, as well as the number and pattern of use is appointed by the doctor. Before use, you should consult with a specialist.

How to treat chronic bronchitis? Chronic bronchitis medication

Treatment of chronic bronchitis in adults

Therapy has several goals:

  • remove aggravation;
  • improve the quality of life;
  • to increase resistance to physical stress;
  • extend remission.

Before you cure chronic bronchitis, you should determine the cause of prolonged inflammation.

In the acute phase, therapy should be aimed at eliminating the inflammatory process in the bronchi, improving bronchial patency, restoring impaired general and local immunological reactivity.

If you suspect a viral etiology (the cause of development) of bronchitis – it is necessary to supplement the treatment with antiviral drugs. The most affordable broad-spectrum drugs are Viferon, Genferon, Kipferon. Dosages depend on the age of the patient. Duration of use at least 10 days.

For treatment can be used:

  • Antibacterial agents;
  • Expectorant drugs;
  • Bronchodilators;
  • Anti-inflammatory and antihistamine drugs;
  • Inhalation therapy;
  • Physiotherapeutic methods (halotherapy);
  • Normalization of lifestyle.

Antibiotics to cure bronchitis

Dr. Arvind MahadevanDr. Arvind Mahadevan, MD: Antibacterial therapy is carried out in the period of exacerbation of purulent chronic bronchitis for 7-10 days (sometimes with a pronounced and prolonged exacerbation within 14 days). In addition, antibiotic therapy is prescribed for the development of acute pneumonia in the presence of chronic bronchitis.

The doctor prescribes semi-synthetic devices:

  • penicillins (Amoxicillin, Augmentin);
  • cephalosporins (Ceftriaxone);
  • macrolides (Sumamed, Azithromycin);
  • fluoroquinolones (Ciprofloxacin).

The choice of drug is determined by the sensitivity of pathogenic flora, determined by sputum sowing.

Antibiotics to cure bronchitis

Antibiotics have a fast healing effect, but in addition to pathogenic microflora, they also kill the beneficial intestinal microflora, for the restoration of which you need to take probiotic preparations (Lactovit, Bifiform, Linex).

Expectorant drugs for chronic bronchitis

These drugs are prescribed in all cases of this disease. Two groups of agents are used: sputum disintegrators and examiners.

  • The first, contribute to the transformation of viscous sputum into a liquid;
  • The second – improve the mucociliary clearance.

In sum, one gets relief from coughing up sputum. Used ACC, Lasolvan, Flavamed, Bromhexine.

Drugs that reduce the viscosity of sputum

Mucolytics and mucoregulatory agents. The mucoregulators include Bromhexine, Ambroxol. Preparations of this group disrupt the synthesis of sialomucoproteins, which entails a decrease in viscosity of bronchial mucus.

Chronic bronchitis mucolytics prescribed: Acetylcysteine, Carbocisteine – destroys mucoproteins, which also leads to a decrease in the viscosity of sputum.


Bronchodilator drugs are prescribed for severe bronchospasm and airflow decrease before the onset of shortness of breath, wheezing during exhalation.

Commonly used bronchodilators:

  • Euphyllin;
  • Theophylline;
  • Salbutamol (also in combination with Theophylline).

Is chronic bronchitis contagious?

Chronic bronchitis is a progressive pathological process in the mucous tissues of the bronchi. A characteristic feature of the disease is the formation of persistent abnormal changes in the structure of the walls of the respiratory tract. This violation is extremely difficult to treat and often leads to the development of asthma events.

Is chronic bronchitis contagious

This diagnosis is established if the recurrence of bronchitis is repeated every 3-4 months for two years or more. However, often when examining the contents of the bronchi, it is often not possible to identify any causative agent of the pathological process.

Bronchitis is a pathological inflammatory process that affects the human respiratory tract. Depending on the genesis and nature of the disease can be infectious or non-infectious nature. In the first case, bronchitis is contagious. In the second, it causes disturbances only in the patient’s body, without being transmitted to healthy people.

Is acute bronchitis contagious?

Is acute bronchitis contagious?

Bronchitis can be caused by both infectious and non-infectious factors. In the second case, the pathology develops for the following reasons:

  • airway burner;
  • chemical or radiation effects on mucous membranes;
  • long supercooling;
  • the harmful effects of bad habits;
  • autoimmune pathology.

Bronchitis of non-infectious genesis is not transmitted from one person to another, and therefore does not pose a danger to others.

Is acute bronchitis contagious

Attention! In most cases, a non-infectious lesion of the respiratory tract takes a chronic form.

More than 90% of cases of bronchitis in acute form are due to the effects on the human body of viruses, bacteria or fungi. A disease caused by one of these pathogens is contagious. It especially affects preschool or primary school children, as their immune systems are not yet fully developed.

Measures for the prevention of infection with acute infectious bronchitis:

1. During an epidemic of respiratory diseases, you should refuse to attend public events.

2. Carefully follow the rules of personal hygiene, wash hands regularly.

3. Do not bring a child with symptoms to the institution.

4. Strengthen the body in the autumn-winter period, take vitamins.

How to cure bronchitis fast?

To speed recovery in time of bronchitis, it is important to adhere to certain rules:

  • immediately after the onset of the disease, it is recommended to carry out bed rest for 2-3 days, which after this time can be loosened by replacing it with a half-bed bed, which must be observed for a couple more days;
  • to facilitate the breathing of the patient in the course of treatment of bronchitis in adults will succeed, using humidifiers or by constantly wetting the battery with water;
  • clean the air in the room and destroy the harmful bacteria in it by observing frequent wet cleaning;
  • as soon as the body temperature is restored and will not exceed the permissible rate, the patient will be able to walk outside to breathe fresh air while choosing places for walks away from the highways.

It must be remembered that the treatment of bronchitis at home should be conducted while maintaining a diet that will allow you to fill the body with vitamins. You also need to stop smoking at least for a while.

How to cure bronchitis fast

In order to cure bronchitis at home in a short time, you need to drink a lot, which will provide the patient with a quick recovery. Besides the fact that drinking plenty of fluids helps cleanse the body of toxins, it also helps to thin the sputum.

You can drink anything during the course of inflammation, but decoctions made from medicinal healing fees, such as chamomile, peppermint, linden, raspberry and rosehip, have the greatest benefit. Also of great health benefit are honey shakes based on soda and milk, made from Borjomi or Narzan.

At the same time, those who are interested in how to properly treat bronchitis, you need to remember that during it is undesirable to drink coffee, because caffeine helps dehydration.

Antibiotics for bronchitis. How to cure bronchitis with Amoxicillin?

Amoxicillin in the fight against chronic bronchitis.

Under chronic bronchitis mean chronic inflammation in the bronchi, characterized by a rather strong cough with sputum. As a rule, chronic bronchitis makes itself felt once every two years, while their duration is over three months.

It should also be noted that the disease today is quite common. Chronic bronchitis, like all other chronic diseases, is divided into two phases. This phase of exacerbation and remission.

cure bronchitis with Amoxicillin

The causes of chronic bronchitis are many. This includes smoking, harmful working conditions, and non-observance of a healthy lifestyle, and the effects of various viruses.

With regard to the symptoms of this disease, then we can classify them: cough, general malaise, excessive sweating, increased body temperature, sputum and some others. It is worth paying attention also to the fact that sputum in chronic bronchitis can be either purulent, and mucous, purulent, or mixed with blood.

Dr. Arvind MahadevanDr. Arvind Mahadevan, MD: In the acute stage of chronic bronchitis, experts most often prescribe a patient an antibiotic drug called Amoxicillin. This drug has quite a powerful bactericidal and anti-inflammatory effect.

Amoxicillin is used in the fight against a huge number of viral diseases of the respiratory system. The course of treatment with this antibiotic in this case is 10 to 14 days. This drug is taken 2 tablets 3 times a day.

Along with Amoxicillin, it is very good to take special dietary supplements that can both reduce the likelihood of side effects from taking the drug, and speed up the healing process. Before use, you should consult with a specialist.

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