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Bronchitis for 3 weeks or less quick look
This chart rates treatment options according to general effectiveness, ease of use, side effects and safety.
Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Treatment of Acute Bronchitis - First Choice
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Drink Plenty of Liquids  

Good 
 
 
 
 
No available data. Considered low risk, low cost and, possibly helpful.
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Drink Plenty of Liquids

Experts often recommend that people with acute bronchitis drink plenty of fluids. Although there is no data available about effectiveness, in theory, keeping the airways moist may loosen mucus and assist the body's attempt to cough out the irritants inside of the airways and lungs.

 
Avoid Cigarette Smoke  

Fair 
 
 
 
 
Avoid smoking during bouts of acute bronchitis.
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Avoid Cigarette Smoke

Cigarette smoke irritates the lungs and may worsen symptoms during acute bronchitis.

Experts suggest that those who have bronchitis refrain from smoking and avoid exposure to second-hand smoke from others (including cigars, etc.).

 

Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Treatment of Acute Bronchitis - Other Options
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Humidifier or Vaporizer  

Fair 
 
 
 
 
No available data. Considered low risk, low cost and, possibly helpful.
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Humidifier or Vaporizer

Despite a lack of data, experts believe that the simple measure of adding moisture to the air may be helpful for people with acute bronchitis, especially when the air is dry (winter, low-humidity environments, etc).

 
Steam Inhalation
(Hot Shower, Steam "Tent")
 

Fair 
 
 
 
 
No available data. Considered low risk, low cost and, possibly helpful.
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Steam Inhalation

Despite a lack of data, some experts believe that steam inhalation may be helpful for people with acute bronchitis, to help loosen mucus secretions and cough up irritants that are in the sputum.

Steam can be inhaled in the shower or by preparing a pot of hot water and draping a towel over your head to make a steam tent.

Use caution to avoid burns and do not do this on the stove or near a flame.

 
Cough Medicine  

Fair 
 
 
 
 
Little available data. Many experts recommend avoiding cough medications except as needed for sleep.
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Cough Medicine

Limited studies suggest that cough medicines (codeine, dextromethorphan, Robitussin, Vicks 44 Cough Relief, more) have little or no effect on the severity and duration of cough due to acute bronchitis.

Some experts express concern that cough medicines which suppress coughs could affect the body's ability to cough out the irritants inside of the airways and lungs, and only recommend these medications at night if the cough is interfering with sleep.

 

Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Treatment of Acute Bronchitis - Not Usually Recommended
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Antibiotics  

Fair 
 
 
 
 
Not effective for the majority of acute bronchitis cases.
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Antibiotics

A number of studies have evaluated the use of antibiotics for people with acute bronchitis and suggest that they may modestly decrease the duration of cough, but have no impact on the quality of life, or on the ability to return to normal activities.

Since most cases of acute bronchitis heal without treatment, and antibiotics commonly cause side effects, most experts recommend against the use of antibiotics for uncomplicated cases of acute bronchitis.

Another reason that experts do not like to prescribe antibiotics for acute bronchitis is that widespread use of antibiotics can lead to hard-to-treat (or "resistant") bacteria, which have "learned" how to survive in the presence of these medications.

Physicians are more likely to prescribe antibiotics for people with acute bronchitis who have a higher risk of having a bacterial infection such as smokers, individuals with asthma, the extremely elderly, people with previous history of pneumonia, and individuals whose symptom are not improving with time.

 
Bronchodilators
(Medication usually used for asthma such as Proventil, Ventolin, or Airet/albuterol, Isuprel or Alupent/isoproterenol, Metaprel/metaproterenol,)
 

Very poor 
 
 
 
 
There is no evidence that bronchodilators (asthma medications) improve symptoms of acute bronchitis.
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Bronchodilators

Bronchodilators are medications typically used for asthma treatment that help narrowed airways to open and improve breathing. Studies to evaluate whether bronchodilators decrease the severity and duration of the cough due to acute bronchitis have failed to find any benefit.

Acute bronchitis can sometimes mimic asthma, however, and physicians sometimes prescribe a trial of bronchodilators as a test when he/she suspects that symptoms may be due to asthma.

 
Antihistamines
(Benedryl/diphenhydramine, Claritin/loratadine, Allegra/fexofenadine, Zyrtec/cetirizine, Chlor-Trimeton/chlorpheniramine,)
 

Very poor 
 
 
 
 
Not usually recommended for individuals with acute bronchitis because of its drying effect on the airways.
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Antihistamines

Although data is lacking, most experts recommend against the use of antihistamines for people with acute bronchitis.

Experts express concern that antihistamines, which have a drying effect on the airways, could dry up the mucus, making it thick and difficult to cough up, and increasing the chances of developing pneumonia.

 

Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Special Situations
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Antibiotics  

Fair 
 
 
 
 
Not effective for the majority of acute bronchitis cases but often prescribed for individuals at higher risk of bacterial infections such as smokers, people with asthma and those whose symptoms do not improve with time.
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Antibiotics

Antibiotics are drugs that are used to treat a type of germ called a bacteria. Since most cases of acute bronchitis are caused by viruses (and not bacteria), and heal without treatment, most experts recommend against the use of antibiotics for uncomplicated cases of acute bronchitis.

Physicians are more likely to prescribe antibiotics for those with acute bronchitis who have a higher risk of having a bacterial infection such as smokers, people with asthma, the extremely elderly, people with past history of frequent pneumonia, people with compromised immune systems (AIDS, translant recipients), and those whose symptoms are not improving with time (usually 2-3 weeks).

 
Bronchodilators
(Medication usually used for asthma such as Proventil, Ventolin, or Airet/albuterol, Isuprel or Alupent/isoproterenol, Metaprel/metaproterenol)
 

Fair 
 
 
 
 
Bronchodilators (asthma medications) are sometimes used if asthma is suspected.
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Bronchodilators

Bronchodilators are medications typically used for asthma treatment that help narrowed airways to open and improve breathing.

Acute bronchitis can sometimes mimic certain types of asthma ("asthma equivalent") in which a cough is the most prominent symptom. Physicians sometimes prescribe a trial of bronchodilators as a test when he/she suspects that symptoms may be due to asthma.

 

Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Insufficient Evidence
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Expectorants
(Over-the-counter cough medications that increase secretions)
 

Not available 
 
 
 
 
No available data. Further study is necessary.
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Expectorants

Expectorants are over-the-counter cough medications that increase secretions and, in theory, help loosen mucus secretions so that they are easier to cough out.

Limited data suggests that expectorants do not relieve the symptoms of acute bronchitis. There is no conclusive evidence about whether or not these medications provide any benefits.

 

Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Prevention - First Choice
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Avoid Cigarette Smoke  

Very good 
 
 
 
 
Quitting smoking decreases the chance of acute bronchitis as well as other lung conditions.
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Avoid Cigarette Smoke

Acute bronchitis occurs more commonly in people who smoke. Along with other health benefits, people who stop smoking decrease the chance of developing acute and chronic bronchitis, as well as emphysema, asthma and lung cancer.

 

 
     
NOTE: Just because a drug or combination of drugs can cause a symptom does not mean it is actually causing your symptom. Symptoms can be caused by medical conditions as well. Make sure that your physician is aware of any symptoms you are experiencing so he/she can work with you to determine the cause. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: Please note that the information DoubleCheckMD.com provides is intended to help individuals to work with their medical professionals and is for educational purposes only. It does not constitute medical or healthcare advice and serves to supplement, not substitute for, the expertise and judgment of a healthcare professional. In all cases individuals should consult with a physician before taking any action based on DoubleCheckMD feedback including, but not limited to ceasing taking any drug, changing diet or commencing or discontinuing any course of treatment. The information provided by DoubleCheckMD.com is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that the use of a particular drug is safe, appropriate or effective.


 
 
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