Doctor insights on:
Bronchodilator Mucolytic Expectorant
What is a good mucolytic/expectorant drug? Immediate-release 400mg guaifenesin doesn't help that much, even after taking more than recommended.
Expectoration: Hydration and more hydration is the key. Mucinex (guaifenesin) is somewhat effective. Mucomyst pills may also help. However, in a generally healthy individual, without underlying lung disease, hydration and time should do most of the work. Eucalyptus oil seems to work in some people, mostly in inhaled form. Please discuss with ur Doctor prior to staring any regiment. ...Read more
Lets see?: Expectorants and mucolytics tend to loosen up thick mucous and allow you to expectorate (spit up and out). Anti-tussives help to suppress coughs. Cough is good to get inflammation and infections out of the bronchial tubes. If annoying, then antitussives may help to get some sleep. Drink lots of water, use a humidifier and rest. Stay at home. ...Read more
I have chronic cough. I'm under cough meds which includes bronchodilator mucolytic. But every time I take it I cough a bit more and its ineffective.
(1) your cough may not be from asthma
(2)Sometimes one may cough more after a bronchodilator because it opens up the clogged airways and allows the mucus to come out. (It may also mobilize the hair-like structures in the airways to move the mucus up).
On the other hand, if you have chronic asthma, regular use of bronchodilators without an inhaled steroid will likely make your asthma worse. ...Read more
Expectorants&mucolytics aim to make it easier to spit up the phlegm. How if the patient doesn't knw how to spit it up. It can happen to autistic patient?
Perhaps: Expectorants help to loosen mucous and let you cough it up easier. Supressants help with the annoyance of coughing. Coughing is good unless you cough to the point of vomiting or not being able to rest or sleep. Both seem to been of help but most colds stop on their own with plenty of rest and fluids. Humidification helps as well. ...Read more
Yes: Over the counter expectorants like guanefisin are thought to work by causing irritation in the stomach causing stimulation of secretions in the lungs and stimulates cough. The respiratory secretions become less thick and easier to expectorate. A patient with persistent secretions and cough would benefit from evaluation as there are medications which are more effective than expectorants. ...Read more
See your doctor: Bronchodilators may cease to have an effect for a number of reasons - poor technique, expired medication, or most importantly, worsening underlying disease. See your doctor right away and have them meaure your lung function before and after you use a bronchodilator to truly see if it is "working" or not. ...Read more
Opens airways: They help open up (or dilate) the airways (the main one being called the bronchus). ...Read more
The BD works fast!: You did not say the condition being treated, but by the combination of drugs, it sound like an asthmatic condition. Bronchodilators open up the bronchioles immediately, while the inhaled steroids work longer, but do not work immediately. Combinations like this work well for most. Good luck! ...Read more
Too much of anything: Using "too much" of almost anything can be harmful, especially medications. Bronchodilators can cause such effects as jitteryness and cardiac effects and if more than 2 times/week indicate the need for an inhaled steroid (ics). Ics's have a pretty wide safety dose range, but above recommended amounts may not add benefit. Oral steroids have multiple cumulative side effects. Use meds as prescribed. ...Read more
Works faster: Most bronchodilators (albuterol, levalbuterol) work fast to relieve bronchospasm, often a big part of most chronic inflammatory lung diseases like asthma, chronic bronchitis and COPD. Asthma in particular is treated with a mixture of what we call "reliever" and "controller" medication. Controllers (such as corticosteroids) are used long term to treat persistent or recurrent acute asthma. ...Read more
Many effects: Remember that many bronchodilating medications work by stimulating certain receptors in the lung. But, these receptors are located elsewhere to, and have different effects when located in different organ systems. So while these meds may dilate the smooth muscle of the lungs, they can lead to increased heart rate when acting on the receptors around the heart. ...Read more
Yes: This is a known side effect of this class of medication. ...Read more
Wrong approach: Guaifenesin is the only expectorant that does anything, but it isn't very effective. The bigger concern is that there is enough inflammation in the lungs to be producing a lot of sputum. The way to manage that is to identify the allergens triggering the asthma and treat the inflammation so the phlegm doesn't get produced in the first place. See a board-certified allergist. ...Read more
Yes: Not a problem.Get a more detailed answer ›
Depends: The 2 medications you mention work very differently. For rescue therapy during an acute exacerbation with cough, wheeze, & trouble breathing, a bronchodilator is the right choice. However, if your asthma symptoms are more persistent, corticosteroids are a great choice to achieve symptomatic control. There are also times when you take the 2 together. Discuss with your doctor wha's best for you. ...Read more
No...: Bronchodilators for COPD are prescription inhalers as well as steroid inhalers, which are also typically prescribed for the treatment of copd. See your doctor so these inhalers can be prescribed. ...Read more
Asthma lung function: Spirometry measures how well & how quickly you can fill & empty your lungs. When asthma is present you may not be able to empty your lungs as fast as usual. This is easily recorded using a spirometer. After the initial test you are given a bronchodilator & the test is repeated. An improvement of 12% of more is considered evidence of "reversible bronchospasm" and consistent with asthma. ...Read more
Maybe: It is much more likely to be caused by a combo pill that has the expectorant and cough suppressant. Dextromethorphan is the ingredient in otc cough meds used to calm a cough. Some people are sensitive to it at recommended doses but at high doses or in combo with other otc or rx medications it can cause many unpleasant and potentially dangerous side effects in anyone who uses it. Check labels. ...Read more
In the lungs nothing: Between the lungs (in the "mediastinum") there is a proliferation of scar tissue that can lead to coonstriction of the large central vessels and airways leading into the lung. The cause is often blamed on a fungal infection, but in some people the cause is unknown. ...Read more
What is the best cough expectorant? I don't want a cough suppressant because I want to get the mucous out.
Water: Drink clear fuids---such as water, apple juice, pear juice or white grape juice. These fluids will thin mucus. Milk, orange juice etc will thicken mucus. Showers will help to thin mucus also--2 or 3 a day till better. Saline nasal spray or saline sinus lavage will also help. Feel better. ...Read more
Why don't more cold meds include an expectorant? It seems like cough suppressants would just prolong things by keeping mucus inside.
Okay my lungs hurt! Coming up on 3 weeks cig free, I can breathe a little better, always coughing up black stuff. Is there a natural/otc expectorant?
Lung pain: Congrats on remaining off of cigs! For lung pain and cough you should get checked by your primary care doctor for asthma, pleurisy, bronchitis, pneumonia, and other lung problems. Mucinex (guaifenesin) is an otc med that might help, but having a doctor listen to your lungs and examine you is important. Good luck! ...Read more