Cough with phlegm, take this medicine and it will get better quickly

Coughing can cause chest pain, gastroesophageal reflux, vomiting and other symptoms. Different types of coughs will have different symptoms. Long-term coughing will cause phlegm. Especially severe coughing at night will affect the patient's rest and normal diet, and cause a series of diseases. Different causes of coughing with phlegm require different medications for treatment.

1. Causes of cough and sputum

There are many reasons for coughing, but the most common one is upper and lower respiratory tract infection, followed by stimulation from harmful gases or foreign objects. In recent years, it has been found that certain oral medications may cause irritating cough. Therefore, the causes of the disease are different, and the sputum and frequency of coughing are also different.

like:

① The cough associated with a cold is usually dry cough or has a small amount of thin white sputum;

② The cough of bronchial asthma is often preceded by asthma. During the asthma period, there is coughing and expectoration, and the sputum can be white or yellow;

③ The cough caused by bronchiectasis is accompanied by a large amount of purulent sputum. If small blood vessels are broken, coughing will be accompanied by hemoptysis.

④ The cough caused by pulmonary tuberculosis is often accompanied by blood-stained sputum and a long course of illness; in typical lobar pneumonia, the sputum produced by coughing is rust-colored.

⑤ Cough variant asthma: paroxysmal, seasonal or climatic factors, more obvious when exposed to cold, during exercise and at night, dry cough with no sputum or little sputum.

2. What medicine should I take for cough and phlegm?

① Common types of antitussives and expectorants Central antitussives

These include addictive (morphine, codeine, pholcodine) and non-addictive drugs (phenytoin, dextromethorphan). Centrally acting antitussives suppress the cough center.

②Peripheral antitussive drugs

For example, dioxin, benzonatate, etc. This type of drug mainly acts on the respiratory mucosal receptors.

③ Commonly used expectorants:

Stimulant expectorants, mucolytics, Chinese medicines and compound preparations. For example: ammonium chloride, potassium iodide, guaifenesin, acetylcysteine, carbocysteine ​​salt, bromhexine, ambroxol, codeine compound, etc.

3. Precautions for choosing cough and expectorant drugs

①It is most important to identify the cause of the disease! The causes of cough vary, and the most important measure to treat cough is to treat the cause. The use of cough suppressants is only symptomatic treatment, because frequent and severe coughing will affect sleep and even cause chest pain. It is still necessary to give cough suppressants appropriately, but it must be used in cases of dry cough with no sputum or little sputum. Otherwise, the infection will be aggravated and even the sputum viscosity will increase, forming sputum plugs that block the airway.

②For patients with irritating dry cough as the main symptom, compound pholcodine syrup can be used.

③ For those who mainly cough during the day, benproperine can be the first choice, while for those who mainly cough at night, dextromethorphan can be the first choice. Dextromethorphan is similar to codeine in suppressing cough frequency, but is more effective than codeine in suppressing cough intensity.

④Forminoben, a new antitussive drug, suitable for whooping cough in children. While suppressing cough, it can also stimulate the respiratory center, thereby improving ventilation function. This product also helps to expectorate. It is suitable for chronic cough and dyspnea caused by various reasons, especially for stubborn whooping cough in children.

⑤For patients with dry pleurisy accompanied by chest pain, codeine is the first choice. Because it has analgesic effect while suppressing cough.

⑥ For those with cough and asthma, dioxin can be used, but pay attention to contraindications. Children are generally recommended to go to an asthma specialist clinic and use bronchodilators and inhaled corticosteroids for treatment.

⑦ For those with a lot of sputum and severe cough, antitussive drugs should be used on the basis of focusing on anti-infection, and expectorants must be taken at the same time.

⑧Ambroxol can be used as the first choice for expectoration of acute and chronic bronchitis, bronchial asthma, bronchiectasis, and pulmonary tuberculosis. However, when used in combination with thea alkaloids, its half-life can be prolonged and its dosage should be reduced.

⑨ For those with colds accompanied by viremia, Tylosin may be the first choice, but it is contraindicated in newborns.

⑩ Acetylcysteine ​​has antiviral effects and is more effective for upper respiratory tract infections accompanied by cough. This product can also be used to rescue acetaminophen poisoning. The combined use of this product with penicillin, tetracycline, and cephalosporin may reduce their antibacterial efficacy. If they must be used, an interval of 4 hours should be maintained.

⑪Ammonium chloride should not be used together with potassium-excreting diuretics, because ammonium chloride can increase blood ammonia concentration and may induce hepatic coma in patients with liver dysfunction. This product can promote the excretion of pethidine and therefore can be used to rescue poisoning. Combination with tetracycline and penicillin can enhance its antibacterial effect.

Note: It is recommended to use the above drugs under the guidance of a doctor and not to buy orally without permission.