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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Being Treated For Bronchial Asthma. Continuous Coughing After Taking Series Of Medication. Solution?

I'm beefing treated for bronchial asthma going on two weeks . On 11/13/13 I was prescribed amoxicillin 500mg 1every 12 hrs., benzonatate 100 mg 1 capsale every 8hrs as needed, and methylprenisolone 4mg dosepk. My BP was 161/90 at the dr.s office that night after taking meds my BP went up to 161/101. I contacted my dr who instructed me to go to ER. I was given a intravenous steroid, 2 clonidine hcl 0.1 mg and a respitory treatment. Coughing continued and I followed up with my dr. on 11/18/13. She prescribed Flovent FHA 110mg 2 puffs twice daily,avelox 400mg daily.
Upon taking the avelox I started experiencing pain, tightness of my chest, as well as extreme tiredness. I also was experiencing a burning in my chest\throat after taking clonidine as well as exhaustion. Today I called my dr. To inform her that I could not continue to take the avelox as I felt like I was going to have a heart attack and that I could only handle taking the clonidine once during the day only for reasons explained. She now prescribed amlodipine 5mg and doxycycline 100mg. The coughing continues, I was not told I have a virus, nor am I wheezing. It is a dry cough and it started in sept. I was treated with antibiotics and benzonanatate plus using pro-air hfa 90mcg1-2 puffs every 4 hrs as needed. I began feeling better but cough would come back upon exertion or laughing. I started uncontrollable coughing again two woks ago but with all this med. I am not feeling like I am improving. Can you help to explain what I'm going through and what I can do to stop the coughing.
Tue, 26 Nov 2013
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General & Family Physician 's  Response
Hi,
Welcome to Health Care magic,
Usually in Asthma , there is no need for Antibiotics ( Amoxycillin, Avelox, Doxycycline) and Cough Suppressant ( Benzonatate). Methyl prednisolone, can be used for Asthma Exacernations, as an emergency treatment for Asthma. This prednisolone can cause Hypertension. I do not know, why did your Doctor started Clonidine? If at all there was need for BP medicines, Clonidine is not the preferred BP medicine for Asthma patients. Avelox can cause chest pain, gastritis, and exhaustion. I think that your continuous coughing is due to uncontrolled Asthma. Asthma does not cause only wheezing, dry cough is also one of the common symptoms of Asthma. Cough on exertion suggests that it is due to Asthma. According to your question, I feel that you are not getting 100 percent control of Asthma. You do not need any Antibiotics, Cough Syrup and Anti-hypertensive medicines. You need to get proper understanding of Asthma management, proper use of Relieving and Preventive Inhaler, avoid smoking, and other allergens. This answer is not based on clinical examination, so please go and see your Doctor again, and try to understand what is his exact diagnosis, and what are your trigger factors, and how to get 100 % control of Asthma. If you are really a case of Asthma, you should have such a good management plan, that you should have never any such attack .
Wish you good recovery.
Dr H Hamdani
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Being Treated For Bronchial Asthma. Continuous Coughing After Taking Series Of Medication. Solution?

Hi, Welcome to Health Care magic, Usually in Asthma , there is no need for Antibiotics ( Amoxycillin, Avelox, Doxycycline) and Cough Suppressant ( Benzonatate). Methyl prednisolone, can be used for Asthma Exacernations, as an emergency treatment for Asthma. This prednisolone can cause Hypertension. I do not know, why did your Doctor started Clonidine? If at all there was need for BP medicines, Clonidine is not the preferred BP medicine for Asthma patients. Avelox can cause chest pain, gastritis, and exhaustion. I think that your continuous coughing is due to uncontrolled Asthma. Asthma does not cause only wheezing, dry cough is also one of the common symptoms of Asthma. Cough on exertion suggests that it is due to Asthma. According to your question, I feel that you are not getting 100 percent control of Asthma. You do not need any Antibiotics, Cough Syrup and Anti-hypertensive medicines. You need to get proper understanding of Asthma management, proper use of Relieving and Preventive Inhaler, avoid smoking, and other allergens. This answer is not based on clinical examination, so please go and see your Doctor again, and try to understand what is his exact diagnosis, and what are your trigger factors, and how to get 100 % control of Asthma. If you are really a case of Asthma, you should have such a good management plan, that you should have never any such attack . Wish you good recovery. Dr H Hamdani