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Suggest Medication For Chest Infection
Hi,
My grandfather having some problem with lung infection, though he is quite old, i.e., 93 years old and have heart problem aswell. Following are the medication he is going through now:
1.) Deriphyllin Retard 150 tablets (Now, replaced by Deriphyllin 2 ml injections)
2.) Betnesol
3.) Clavam-XR
4.) Esiflo 250 Transhaler (Inhaler) (2 Puff each time-morning and evening)
5.) Salbair Transhaler (Inhaler) (3 Puff each time-frequency raised to 7-8 times now)
6.) Lycortin S 100 mg (Injection) (3 times daily)
Would you please guide me necessary medication and instructions, etc
Regards
Raj
My grandfather having some problem with lung infection, though he is quite old, i.e., 93 years old and have heart problem aswell. Following are the medication he is going through now:
1.) Deriphyllin Retard 150 tablets (Now, replaced by Deriphyllin 2 ml injections)
2.) Betnesol
3.) Clavam-XR
4.) Esiflo 250 Transhaler (Inhaler) (2 Puff each time-morning and evening)
5.) Salbair Transhaler (Inhaler) (3 Puff each time-frequency raised to 7-8 times now)
6.) Lycortin S 100 mg (Injection) (3 times daily)
Would you please guide me necessary medication and instructions, etc
Regards
Raj
Wed, 8 Jun 2016
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the drug list you have mentioned.
He is taking oral steroid (betnesol) as well as injectable steroid (lycortin).
Honestly speaking, steroids are contraindicated in active infection like pneumonia (lung infection).. Steroids cause immunosuppression and this effect is more in elderly patients.
So better to stop steroids, betnesol and lycortin) because they can flare up and worsen lung infection.
Addition of Azithromycin for coverage of atypical bacteria is also recommended in old age.
So consult pulmonologist and discuss all these.
Continue clavum xr, add Azithromycin and omit betnesol, lycortin. Get done repeat chest x ray after 7-10 days of antibiotic to see for improvement.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your grandfather. Thanks..
I can understand your concern.
I have gone through the drug list you have mentioned.
He is taking oral steroid (betnesol) as well as injectable steroid (lycortin).
Honestly speaking, steroids are contraindicated in active infection like pneumonia (lung infection).. Steroids cause immunosuppression and this effect is more in elderly patients.
So better to stop steroids, betnesol and lycortin) because they can flare up and worsen lung infection.
Addition of Azithromycin for coverage of atypical bacteria is also recommended in old age.
So consult pulmonologist and discuss all these.
Continue clavum xr, add Azithromycin and omit betnesol, lycortin. Get done repeat chest x ray after 7-10 days of antibiotic to see for improvement.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your grandfather. Thanks..
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