Question: I have bronchitis, taking antibiotic: amox-clav 875-125mg ev 12 hrs + taking tussin DM (dextromethorphan HBr USP 20 mg ev 4-5 hrs, + on nebulizer (albuterol sulfate) ev 4-5 hrs which usually works, but last 2 times on the nebulizer, my asthma got worse/ shorter breaths & my inhaler (Advair, which usually works if the albuterol inhaler doesn't, didn't help. It took an hour to get breathing back to almost normal, and straight black coffee finally helped. I normally take Wellbutrin sr150& losartan potassium 100 mg,& cartia XT 300 for BP & mild anxiety daily, + levothyroxine112 mcg, omneprazole dr40 mg, atorvastatin 40 mg daily. I've had the augmenten before without this breathing problem, the cough syrup is a new generic brand, not Robutussen. What is causing the added breathing problem this time?

Thanks for the detailed answer- very much!
My Dr. wants to keep me on this antibiotic which is causing diarrhea (not spft stool, but all liquid) thru Friday (tomorrow) at the earliest . I started it on Sunday evening 5 PM, so that's about 5 days of misery. She thinks it may not have had enough time to work. Last time I took "Augmenten" , it didn't cause diarrhea, and the infection started in the sinus with a sinus infection. I didn't think this antibiotic would be strong enough, and told the prescribing , on-call partner-Dr. Sunday this, but he pre-scribed it anyway- or at least this "Amox-Clav" version. I know what he gave me is the generic, but are all "augmenten" varieties the same? and do you think I should stay on it with the diarrhea? even if I suggest adding the levoflaxin and clindamycin? You do mean adding both-right? Do they have side common effects I should be aware of? (as my Dr. said the diarrhea was common with the one I am on now.) Which steroid would you recommend, specifically? I quit the nebulizer (albuterol sulfate inhaler) when it caused increased heart beat & quicker, shorter breaths, that took an hour & 2 cups of black coffee to stop(the home remedy, my former dr. told me helped when the advair or albuterol wasn't. ) Pill steroids usually do not exacerbate my asthma. That shouldn't hurt my BP too badly though, remembering I am on 2 meds for high BP regularly. Thank you Dr. Bhavsar sooooo much!

Thanks for the detailed answer. My DR changed me to levofloxacin 500mg/dy,(off the generic augmenten) and gave me a methy1prednisone 4 mg dosepk- both are helping, coughing way down, sleeping 4 -5 hrs straight last night, with some residual diarrhea , but continue to eat 1 serving of yogurt per day- 1/2 in am, 1/2 in afternoon, still not much appetite with all the liquid I am drinking steadily. I may try the sporolac if diarrhea persists past Sat/today. Do you still think I need the clindamycin? (Dr. wasn't happy with me suggesting another antibiotic, so any argument (words on that behalf) would help.) Should I still ask for the deflaacort? given the steroid sh6e gave me. I value your opinion, & will fight for it (in a nice way, with my Dr., if you think I should?)
Also, I forgot to ask before, how much guaifenesin per day & the frequency, you'd recommend for helping to dilute the mucus in my chest - knowing I cannot tolerate usually more than 800-1000mg/dy= about 2 Musinex pills, 1 every 12 hrs. I suffered from dehydration with all the special cough syrup (400mg ev 4 hrs) she had me on at first- that now, I am only taking once ev 12 hrs now, with a 200 mg guaifenein cough syrup that contains no dextromethorphan every 12 hrs...a bit more guaifenesin than usual for me, but I am managing OK without the dry mouth, frequent dry cough, mild headache, & muscle cramps the former special syrup taken too frequently caused. Thanks - more than you know! I am sooo thankful to be feeling better! hopefully, able to be back at work next week! (Sick of being sick!) sincerely, XXXXXXX

Much better in just 1 more day! The steroid is only for 5 dys XXXXXXX -and as it is working, that should do. Your help & expertise is much appreciated! Thanks for the time to answer my questions! Very much! God bless you! and your work! XXXXXXX