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Suggest treatment for severe cough and cold with wheezing

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Posted on Mon, 18 Jul 2016
Question: Hi doctor
I am wheezing at night. Had a cold yesterday, feeling difficult to sleep. Has a lot of phlegm as well. Will montek lc help.In last few days there was a climate change, it became very cold. I have allergic rhinitis, earlier more frequent, now very rare, esp during the onset of cold season. I am going on an official trip daybafter and would need tp keep this under ctrl asap
doctor
Answered by Dr. Nishad BN (1 hour later)
Brief Answer:
Montec Lc is mostly used as prophylactic.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query. Montek Lc is given as prophylactic from getting allergic rhinitis or wheezing. If you having mild to moderate wheezing it might help also. But it should be taken at least for one week to settle the allergy. Those who are getting attack very often are advised to take Montek Lc daily as prophylactic.
If no improvement then you may need bronchodilators like salbutamol as syrup or as inhalation. In case of yellowish phlegm antibiotics will be needed also.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nishad BN (2 hours later)
If i have to take salbutamol, what is the dosage? My phlegm is currently not yellowish. Also, i have slight fever and cough associated with this. For cough and fever should i take something?Hi doctor, in the morning i see that my phlegm is litle bit yellowish and i als have cough associated with it. If i have to go for antibitotcs, can you sugest?I also have slight fever.
doctor
Answered by Dr. Nishad BN (4 hours later)
Brief Answer:
Antibiotics will be needed.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

As you have yellowish phlegm there is bacterial infection. So antibiotic therapy will be needed. If you were my patient I would suggest antibiotics like Co-amoxiclav or Azithromycin. These are prescription drugs. You can ask your GP for prescription.

For wheezing and cough taking salbutamol or levosalbutamol syrup will be helpful. This can be taken 5 to 10 ml twice daily. You can take paracetamol if fever is present. Taking strong coffee or tea is helpful for wheezing also.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nishad BN (6 minutes later)
Thanks doctor. Salbutamol, how many days i would need to take??
And also if at all i take azithromycin, can you help me with the dosage?
doctor
Answered by Dr. Nishad BN (7 minutes later)
Brief Answer:
Salbutamol can be taken for 3 to 5 days.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

Salbutamol can be taken for 3 to 5 days. Azithromycin is given for 3 to 5 days according to severity. Usual dosage given is 500 mg.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 3942 Questions

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Suggest treatment for severe cough and cold with wheezing

Brief Answer: Montec Lc is mostly used as prophylactic. Detailed Answer: Hi Thank you for asking HCM. I have gone through your query. Montek Lc is given as prophylactic from getting allergic rhinitis or wheezing. If you having mild to moderate wheezing it might help also. But it should be taken at least for one week to settle the allergy. Those who are getting attack very often are advised to take Montek Lc daily as prophylactic. If no improvement then you may need bronchodilators like salbutamol as syrup or as inhalation. In case of yellowish phlegm antibiotics will be needed also. Let me know if anything not clear. I am happy to help you. Thanks.