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Suggest medication for pneumonia, wheezing, cough and breathlessness

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Practicing since : 2003
Answered : 1062 Questions
Pneumonia acquired in home, prob viral but still lowgrade fevers, wheezing, cough, feels short of breath often.
Not improving on clarithromycin , 5 days now.
A better antibiotic choice ??

Thank you, XXXX, md (radiologist)
Thu, 24 May 2018 in Medicines and Side Effects
Answered by Dr. Jnikolla 55 minutes later
Brief Answer:
Levofloxacin can be tried

Detailed Answer:
Hello and welcome to HealthcareMagic,

I can understand your concern...

Usually, we recommend Clarithromycin twice daily per oral for a week. For wheezing and breathlessness, you can add in the current treatment nebulizer with steroids combined with bronchodilators (like Clenil C twice) and wait for 2-3 days.

If you think that Clarithromycin is not working and especially if you are a smoker or ex-smoker and/ have any comorbidities than you can start Levofloxacin (new fluoroquinolones, prescription-based) once daily per oral for one week and the nebulizer too.

Hope to have been helpful to you.

I wish a fast recovery for you

Regards and feel free to ask me again


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