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Some aspects of diagnostics and treatment of cough especially in pregnancy and children

Publication |
2017

Abstract

Cough is a common symptom of many diseases. Cough could be according to it's duration acute, subacute or chronic.

Differential diagnostics may vary. The therapy is either specific according to the underlying disease or symptomatic including anti tussive, mucolytic or expectorant drugs.

The therapy of pregnant patients or children must be guided according to the restricitions and limitations of drugs intended for treatment of those two special groups. Eligible antibiotics for pregnant patients are penicilin derived, selected macrolides and clindamycin.

Most of the asthma controling drugs are approved for treatment of asthma in pregnancy. An unadvised therapy termination is linked to higher risk of exacerbation of asthma.

Symptomatic treatment lies with the use of antitussive drugs such as dextromethorfan or butamirate for treatment of non productive cough. Productive cough can be treated with ambroxol, erdostein and N-acetylcesteine.