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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Coughing Out White Flakes, Headaches, Wheezing. Taking Asthalin Inhaler, Azithromycin. History Of COPD. Treatment?

My wife of age 47 years has COPD of about 5 years. She coughs out white and greyish flakes occasionally. She had been treated with Montelucast Sodium + Levocetrizine and Azithromycine with occasional Asthalin inhaler . But the symptom persists. Sleep accompanies with wheezing. Migraine like headache is reported.Please suggest for decongestion. e-mail : YYYY@YYYY
Fri, 31 May 2013
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Allergist and Immunologist 's  Response
your medicine are in need of change no antibiotic necessary
withdrw levocetrizine
get diagnosed if copd or asthma by doing spirometry tests and lung function tests
there may be associated sinusitis
can continue montelucast plain 10 mg bd
pulmonary rehabilitation exercises
bronchodilators are already used by you that is asthaline
can add liquid antacids
get diagnosis post for further guidence after test reports
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Coughing Out White Flakes, Headaches, Wheezing. Taking Asthalin Inhaler, Azithromycin. History Of COPD. Treatment?

your medicine are in need of change no antibiotic necessary withdrw levocetrizine get diagnosed if copd or asthma by doing spirometry tests and lung function tests there may be associated sinusitis can continue montelucast plain 10 mg bd pulmonary rehabilitation exercises bronchodilators are already used by you that is asthaline can add liquid antacids get diagnosis post for further guidence after test reports