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Emsam (Selegiline)

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Other names: Eldepryl
BRONCHITIS AND HOME REMEDIES
When a bronchus is inflamed, swollen and partially obstructed with mucopus, air passing through it makes a characteristic wheezing noise. Along with a cough and the copious production of mucopurulent sputum, this wheeze is sufficient to constitute the diagnosis of Bronchitis. It is sad to say that in many cases this diagnosis is one of convenience. It allows an attending general practitioner to prescribe antibiotics, which they think are in line with patient expectations. Having removed the pressure to perform, G.P.s have deliberately missed the chance of a proper diagnosis: which in many cases was asthma all along.
Even if bronchitis is the diagnosis, 50 per cent of the time antibiotics are inappropriate because the condition is viral in origin and not bacterial at all. In most cases, doctors can take a specimen of infected mucus and wait for a laboratory to come back with findings that make the use of antibiotics justified. In cases of Acute Bacterial Bronchitis, Amoxycillin is the antibiotic of choice.
Chronic bronchitis usually occurs in smokers or people with lung damage from other causes. The clinical definition of chronic bronchitis requires the presence of a chronic, productive cough for at least three successive months in two successive years. The aforementioned definition excludes chronic coughs by other causes such as cancer of the lung, heart failure; or the presence of an inhaled foreign body. Bean bag balls are an ever present worry in the airways of young children with a chronic cough.
Examination of the sputum before the prescription of antibiotics is even more important in chronic bronchitis than it is with acute bronchitis, because extensive prior use of antibiotics produces strains of bacteria that subsequent antibiotics just can’t kill. Sometimes bronchodilators such as Theodur and Nuelin are helpful in the management of chronic bronchitis, as well as steroid hormones such as Prednisone and Hydrocortisone.
Home Remedies
When a person with a productive cough is otherwise well and coping adequately with work and play it is unnecessary to present for a medical opinion; unless such a cough has not markedly abated after seven or eight days. Over the counter cough suppressants containing opiates such as codeine or dextromethorphan are adequate cough suppressants. So called expectorants or mucolytics don’t work. They are a waste of time and money.
Paracetamol and a high fluid intake act to reduce upper airway irritability and appear to reduce the frequency of a cough. The old fashioned steam inhalation with menthol and eucalyptus is still a stand by. It assists with mobilization of mucus by stimulating the activity of cilliated epithelial cells lining the inside of airway walls.
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