How to quickly suppress cough after infection? With medication for children
At the "New Crown Cough Response and Management Special Exchange Meeting" held on January 4, Lai Kefang, chairman of the Chinese Cough Alliance after infection, said that cough is one of the most common symptoms of new crown disease, and the incidence is very high, which is different from cough caused by the common cold, which is a particularly prominent problem after new crown infection. Many "yang" patients also said that the cough was not good, and they couldn't stop coughing up and couldn't sleep at night, which bothered many people. So, when the cough after infection seriously affects life, how to quickly stop the cough? Here's what clinicians have to say.
Image source: Nanshan Breath public number
Professor Jiang Shujuan of the Affiliated Provincial Hospital of Shandong First Medical University said that respiratory drugs such as formoterol, salbutamol, ipratropium bromide, etc. can be used, but salmeterol, rifampicin, tacrolimus, sirolimus and other drugs are prohibited, and inhalation of budesonide can also shorten the recovery time of patients, reduce early symptoms of the new crown, and reduce the outcome of new crown pneumonia admission or death.
Professor Liu Huiguo of Tongji Hospital affiliated to Huazhong University of Science and Technology said that cough after new crown infection is mainly manifested as irritating dry cough or coughing a small amount of white mucus sputum, which can last for 3-8 weeks. Therefore, anti-inflammatory therapy should be concerned, budesonide/formoterol anti-inflammatory therapy can be considered, and asme, montelukast, etc. can be used for symptomatic treatment.
The 2016 "Expert Consensus on the Application of Nebulized Inhalation in Respiratory Diseases" also mentioned that when the acute symptoms of respiratory infection disappear, cough is still prolonged, when persistent cough affects the quality of life, nebulized inhaled glucocorticoid therapy can be considered, commonly used glucocorticoids such as budesonide suspension usage: 2.0mg / time, 2-3 times / day [1].
The latest study published in Respiratory Investigation in February 2020 said that the treatment of cough after infection should be done with anti-inflammatory as the main and anti-virus as the supplement. The core pathogenesis of post-infection cough is airway inflammation, and inhaled hormones are currently the strongest local anti-inflammatory drugs in the airway in anti-inflammatory, which can play a role through both genetic and non-genetic pathways, which act on a variety of structural cells and inflammatory cells to block the progression of airway inflammation from the source. Studies have shown that budesonide is effective in improving quality of life scores in patients with post-infection cough. For older children, inhalation of singipele (budesonide/formoterol) can be considered, and nebulized budesonide + terbutaline + ipratropium bromide is recommended in younger children to quickly relieve post-coronavirus hyperreaction.
For patients who choose nebulized inhalation therapy, you can choose PARI's INQUAir Green Spa nebulizer, which adopts PARI Pari's century-old atomization technology and is paired with the PARI LC PLUS cup, the effectiveness and safety of this atomization cup has been verified in more than 90 scientific studies, less drug residue, more adequate atomization and no waste, allowing the drug to reach the affected part directly and shorten the course of the disease. The INQUAir Green Spa nebulizer comes with 1 mouthpiece and a children's mask, if adults need a mask, they can purchase an adult mask.
Bibliography:
[1] Expert Group on the Application of Nebulized Inhalation Therapy in Respiratory Diseases of the Respiratory Disease Branch of Chinese Medical Association. Expert consensus on the application of nebulized inhalation therapy in respiratory diseases[J]. CHINESE MEDICAL JJ, VOL. 96, NO. 34, 2016, PP. 2696-2708, MEDLINE ISTIC PKU CSCD CA, 2016, 96(34):2696-2708.