Acute bronchitis is traditionally treated with antibiotics, although evidence supporting the effectiveness of such treatment is not enough. Therefore, antibiotics from bronchitis in asthma (Amoxicillin, Azithromycin, Ofloxacin) are prescribed courses lasting 5-7 days - only if a bacterial infection is detected or at a high temperature and the threat of a complicated course of the disease. See also - Antibiotics for coughing
In essence, the treatment of bronchitis in bronchial asthma is conducted in the same way as the treatment of asthma and bronchitis, and can include medications used for bronchial asthma (to stop her attacks), as well as bronchodilators - to dilute thick sputum and better excretion of it respiratory tract.
The latter include preparations based on such pharmacological active substances as acetylcysteine, carbocysteine, bromhexine, ambroxol: ATSTS, Acestin, Acetal, Fluimutsil, Mucobene, Bronhokod, Mukoprint, Bromhexin, Bronhosan, Ambrogexal, Ambrobene, etc. Dosage, contraindications and possible side effects the effects of these agents are described in detail in publications - Strong cough with phlegm and cough treatment with phlegm
A good therapeutic effect is produced by drops from a cough Bronchipret, Bronchicum, Gedelix, Lizomucil; syrups Brontex, Mucosol, Lazolvan, Flavamed.
Expansion of the bronchi during asthmatic asphyxia is facilitated by the use of β2-sympathomimetics in the form of a spray - Salbutamol (Albuterol, Astalin, Ventolin) or Fenoterol (Beroteka, Aerum, Arutterol), one or two injections at a time (daily dose - three inhalations). Among the side effects of these drugs are tachycardia, headache, extremity tremors, convulsions, and psychoneurological disorders.
To the group of drugs that expand the lumen of the bronchi (bronchodilators), is Seretid (Tevacomb), also containing a corticosteroid fluticasone. The doctor determines the dosage individually - depending on the intensity of the manifestation of asthma. Side effects of this drug include irritation of the mucous membranes of the throat, nausea, increased heart rate, tremor, as well as all side effects of SCS, including a decrease in adrenal function and Cushing's syndrome. Therefore, children under five years of age are not assigned to it, nor to pregnant women, patients with cardiological problems, thyroid disorders and diabetes mellitus.
Clenbuterol (Contraspazmin, Spiropent), removing bronchospasm and diluting sputum (in the form of a syrup can be prescribed to children from 6 months), is taken orally - twice a day on a tablet (0.02 mg). There may be side effects in the form of dry mouth, nausea, frequent heart rate, lower blood pressure.
More useful information can be found in the material - Treatment of bronchitis, as well as in the article - Treatment of obstructive bronchitis
It is necessary to take into account the indisputable necessity to take vitamins (A, C, E) and increase water consumption. But physiotherapy treatment with a combination of bronchial asthma and bronchitis is prescribed with caution: steam inhalations, which are good for bronchitis, can cause an asthmatic attack.
Breathing exercises with asthma and bronchitis can alleviate the condition, especially diaphragmatic breathing, but doing exercises where forced exhalation or needing forward inclinations can provoke an increase in coughing.
It is necessary to postpone manual inflammation of the thorax until the inflammatory acute process ceases, it is better to use acupressure for asthma and bronchitis-shiatsu: at the points in the middle of the subclavian area, behind the neck at the base of the skull and above the upper lip (immediately under the nasal septum).
Asthmatics recommend using fresh garlic (a couple of denticles a day) in case of viral bronchitis, garlic not only kills the infection, but also helps cough up phlegm.
Also, an alternative treatment is to use grape juice mixed with honey (200 ml teaspoon); In addition to grape, you can use cranberry juice and juice from black elderberries (diluted 1: 1 with water). Or a decoction of elderberry blossoms with honey and lemon. You can also cook ginger from a cough
If medicinal plants do not cause allergies, as an auxiliary, you can treat herbs. Phytotherapy offers drinking herbal teas and decoctions using peppermint, coltsfoot, marjoram, thyme; the roots of licorice are bare or elecampane; fruit anise. Can be used and pharmacy chest of cough