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Hi, I Started With A Cold Last Wednesday, And Tested

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Posted on Thu, 23 Jun 2022
Question: Hi, I started with a cold last Wednesday, and tested yesterday to find it is NOT covid but some crazy respiratory virus that started with sore throat and congestion and post nasal drip. By last Saturday, I felt I maybe had a sinus infection and started an antibiotic that day (5 day Azithromycin). By Sunday, I felt wheezy in my chest and had a cough and I began a 6 day taper of Medrol . I have asthma with certain viruses/colds. By this Wednesday, my sinuses were better but the coughing worsened and asthma and inflammation in the chest worsened. My allergist gave me a nebulizer treatment, and send me home with it and changed my Medrol dose to a high dose of 48 mg, tomorrow 40 mg, Friday 32 mg, Saturday, 16 mg... I feel not so great, but wheezing is less. My questions is whether the Medrol will prevent the bronchitis from healing quicker as I read it lowers immunity. I am wondering how long it will take for the acute asthma & bronchitis to clear. Also, how long it will take for my immune system to kick back in afterwards since I am concerned about getting another sickness on top of this one. And, can the Medrol be taken with vitamin supplements like C & D and magnesium, etc.?
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
See details below.

Detailed Answer:
Hello dear, welcome to Ask a doctor's service.
I read your query and here is my advice.

Medrol is a corticosteroid and it is true that can lower the immunity but in your case it is needed to reduce inflammation and congestion.
It will help you to heal faster by reducing inflammation in bronchial and sinuses inflammation.
You may need another more week that bronchitis and asthma are cleared.
It is good to take medrol with vitamin d,c and magnesium since they can improve immunity.
Hope I have answered the question.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olgeta Xhufka (9 minutes later)
Ok thank you. Are there any other vitamin solutions to treating the immunity issue or improving lung function? I have been using a powdered magnesium supplement, and high doses of vitamin c. How quickly would my immune system be expected to be restored after stoping Medrol?
doctor
Answered by Dr. Olgeta Xhufka (9 hours later)
Brief Answer:
See details below.

Detailed Answer:
Hello dear and thank you for asking again.
I don't think you may need more vitamins or supplements to improve immunity.
Better continue the vitamins you have started.
You may need two weeks more after stopping medrol and your immunity will be back to normal.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olgeta Xhufka (10 hours later)
One more question! Are the side effects of Medrol cumulative or do they disappear after the drug eliminates from your system daily? I’ve notice the higher doses make it hard to swallow certain foods or vitamins because I’m so dried out from the 40 mg dose in one day. My doc wants me to take it all at once. Also maybe the levalbuterol could be doing that?
doctor
Answered by Dr. Olgeta Xhufka (13 hours later)
Brief Answer:
The effects will go away as you stop taking the drug.

Detailed Answer:
Hello dear and thank you for asking.
The effects of medrol will disappear as you stop taking the drug .
The dry feeling may be caused by levalbuterol as well as medrol but this effect will disappear as you stop taking these drugs.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olgeta Xhufka (6 days later)
Hi,
I’ve completed my Medrol taper yesterday & today while I am better overall I have had some early morning slight wheezing while still in bed. I used my xopenex inhaler & I felt better but noticing some return of slight tightness in chest today & slight wheezing when I deeply inhale. Is this normal after coming off of Medrol & bronchitis is still resolving? Should I be concerned or just dismiss it and resume my normal activities? Would it help to excercise a bit to resolve chest congestion? Should I nebulize?
doctor
Answered by Dr. Olgeta Xhufka (4 hours later)
Brief Answer:
Just resume normal activity.

Detailed Answer:
Hello dear and thank you for asking again.
You can use nebulizer for two to three days.
It doesn't seem related to stoping medrol.
I don't think you may get concerned about it.
Better get your normal activity but not exercising.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olgeta Xhufka (10 minutes later)
Ok - thx. My allergist put me back up to 8 mg of Medrol for two days, then 4 mg for two days after - a longer weaning off. I will also use my xopenex a couple times a day. I guess it just takes awhile for the bronchitis & inflammation to clear? It seems to fluctuate. It is reasonable to assume that I can exercise once the wheezing is completely gone? It was mostly gone but returned more so today before I took the 8 mg Medrol. I was on an antibiotic early n in the virus so I also worry that maybe something else is settling in? I stopped taking Zithromax last Wednesday.
doctor
Answered by Dr. Olgeta Xhufka (8 hours later)
Brief Answer:
It can take a while to go away.

Detailed Answer:
It may take a while to go away.
You can start exercising once it is gone away and once treatment is finished.
If you don't have more questions you can close it and review it.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olgeta Xhufka (15 hours later)
Thank you & I can I take Advil a day after stopping Medrol in case I have inflammation in my throat area? I will still be Pulmicort 180 1 puff twice a day. I’ve had a lot of inflammation from coughing
doctor
Answered by Dr. Olgeta Xhufka (21 minutes later)
Brief Answer:
You can take it.

Detailed Answer:
You can take Advil when stopping medrol or even while taking medrol.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olgeta Xhufka (3 days later)
Hi again,
I have finished tapering off my prednisone yesterday, and I last took my antibiotic on wednesday the 5th of January (it was a 5 day Zpack). I am still on Pulmicort 180 2x day inhaled & find myself still having some bouts of shortness of breath I am managing with xopenex today - one time. My allergist doesn’t think I need another antibiotic. But today I am first seeing thick whitish/yellowish discharge from my nose. I am also feeling like there is a colored sputum coming occasionally when I occasionally cough. I cannot see it, but it tastes odd. How would I know if I do need an additional antibiotic? This is going on three weeks. It is exhausting & I thought I w out of be over it by now. Is it normal to have some colored sputum now and lingering shortness of breath? I do wonder if that pulmicort May be causing some of it & I should switch to just taking Advil? Also take mucinex today.
doctor
Answered by Dr. Olgeta Xhufka (9 hours later)
Brief Answer:
Continue the treatment and get checked by a pneumologust

Detailed Answer:
Hello dear and thank you for asking again.
I don't think that you need other antibiotics. Continue the treatment you are taking and you may get checked by physically pneumologist after you finish it.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Olgeta Xhufka (33 hours later)
Thank you. What would be a good gauge to know whether I would need an antibiotic? My chest/bronchial area feels inflammed still & I periodically feel tight in my chest but I guess this is normal after bronchitis. Today it is three weeks from when I started with a sore throat. So I count three weeks time from day it went into my chest? Or when I started with a sore throat and sinus trouble? I’m always confused about timing to recovery…
doctor
Answered by Dr. Olgeta Xhufka (3 hours later)
Brief Answer:
Get checked first

Detailed Answer:
Hello dear and thank you for asking again.
I think you have to do a chest x-ray and a spirometry to check for lung infections and function.
Don't take more treatment without getting checked.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Olgeta Xhufka (3 hours later)
Ok good idea, tho my allergist doesn’t prescribe any of it she suggested I take an antacid. I’ve tried gaviscom & feel a bit better. I guess it could be acid reflux since I was on Medrol and antibiotics previously. I do have gerd and a hiatal hernia so I hope it is simple.
doctor
Answered by Dr. Olgeta Xhufka (5 hours later)
Brief Answer:
Continue the treatment

Detailed Answer:
Good. You are finally feeling better. Continue the treatment.
If you don't have other questions please close the question and review it.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10152 Questions

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Hi, I Started With A Cold Last Wednesday, And Tested

Brief Answer: See details below. Detailed Answer: Hello dear, welcome to Ask a doctor's service. I read your query and here is my advice. Medrol is a corticosteroid and it is true that can lower the immunity but in your case it is needed to reduce inflammation and congestion. It will help you to heal faster by reducing inflammation in bronchial and sinuses inflammation. You may need another more week that bronchitis and asthma are cleared. It is good to take medrol with vitamin d,c and magnesium since they can improve immunity. Hope I have answered the question. Let me know if I can assist you further.