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Doctor insights on: Still Coughing After Using A Z Pak

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Finish z- pack yesterday still cough and my whole dody hearts.

Finish z- pack yesterday still cough and my whole dody hearts.

Z pack: Follow up with your doctor or health tap prime you may need another course or another antibiotic. Also drink orange juice 3-4 glasses a day if viral will help. ...Read more

Dr. Sue Ferranti
3,613 Doctors shared insights

Cough (Definition)

The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more


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I have bronchitis and I'm on the z-pack, cough syrup and steroids. I took 4 z-pack pills and my cough is still terrible! When will it get better?

I have bronchitis and I'm on the z-pack, cough syrup and steroids. I took 4 z-pack pills and my cough is still terrible! When will it get better?

It varies: Cough can linger after the causative infection is gone, so the answer to your question is that it can last for a few days or even a few weeks. ...Read more

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I have bronchitis been on z pack for 3 days am I still contagious? Still have a little cough not bad though. Supposed to watch my 1 mo old grandson

I have bronchitis been on z pack for 3 days am I still contagious? Still have a little cough not bad though. Supposed to watch my 1 mo old grandson

Bronchitis: You should be okay to watch your grandson as long as you practice good hygiene. This means washing your hands or using a hand sanitizer after coughing. No kissing on the baby, sorry Grandma. ...Read more

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On a 5 day z pack. I only cough with the z pack and if I take a cough expectorant. Will I still rid my lungs of fuid without coughing?

On a 5 day z pack. I only cough with the z pack and if I take a cough expectorant. Will I still rid my lungs of fuid without coughing?

Yes: The airways do not depend entirely on cough to clear themselves. Cilia bring foreign material up and out of the windpipe and it is routinely swallowed unconsciously. Fluid in the lungs can also be reabsorbed into the blood stream or into the lymphatic drainage system. ...Read more

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I was given tessalon perles, singular, and Ventolin inhaler last week, then a Z-pack Tuesday. Still have a dry hacking cough. Anything else to do?

I was given tessalon perles, singular, and Ventolin inhaler last week, then a Z-pack Tuesday. Still have a dry hacking cough. Anything else to do?

Mgt: A virtual consult may be helpful. I would suggest seeing your PCP for cough that lingers or worsens over the next one week. You may need a course of antibiotics or steroids, depending on other factors. A spacer mask should be used with the inhaler for better delivery. ...Read more

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I was recently diagnosed with strep throat. I subsequently completed a round of z-pack antibiotics. I still have the congestion and a cough which I?

I was recently diagnosed with strep throat. I subsequently completed a round of z-pack antibiotics. I still have the congestion and a cough which I?

Viral URI?: How was strep throat confirmed? Over 90% of throat infections are viral, which do not respond to antibiotics. Strep is less common at your age and with presence of a cough. Even with confirmed strep it is possible to have other symptoms linger. A Z-pack is also not the antibiotic of choice, and should only be used in patients with penicillin allergy. Try an OTC cough medicine and decongestant, ...Read more

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Finished 5 day z-pack 7 days ago, still terrible cough and a lot of phlegm and post nasal drip, no longer green, need to stop coughing throat raw?

Finished 5 day z-pack 7 days ago, still terrible cough and a lot of phlegm and post nasal drip, no longer green, need to stop coughing throat raw?

Coughing: Use saline nose drops to control your post nasal drip. Steam yourself with a hot shower twice daily. Use vaporizer while sleeping. Sleep with several pillows. Stop smoking. Rub vaporub on your chest and drink lots of tea and lemon with honey. ...Read more

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Am on z pack for bronchitis. When I turn over to left side in bed, my cough gets much worse. Why?

Am on z pack for bronchitis. When I turn over to left side in bed, my cough gets much worse. Why?

Pressure on the lung: It is possible that you have more than bronchitis, such pneumonia on the left side. When laying on bed, the bed is exerting pressure on the chest wall and thus pressure on the lung tissue as well. If the areas is inflammed, it is senstive and thus may worsen your cough. Since you are being treated, just take it easy for few days--lay on back or inclined in couch may help. Consult doc. Good luck. ...Read more

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How long does it take cough from pneumonia to go away after starting abx (z-pack) it's been 2 days. Fever is gone but cough seems worse.

How long does it take cough from pneumonia to go away after starting abx (z-pack) it's been 2 days. Fever is gone but cough seems worse.

Varies: Cough results from the inflammation associated with the lung infection, and it will last for several weeks. One may be left with wheezing (bronchospasm) and the cough may persist despite taking all of the antibiotics. Addition of medication to break the wheezing may be necessary, and so followup with the doctor who gave you the antibiotics is recommended. ...Read more

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I had bronchitis completed the z pack. My cough was very very bad. Now there is sharp pain behind my left scapula. What is this and can I do anything?

I had bronchitis completed the z pack. My cough was very very bad. Now there is sharp pain behind my left scapula. What is this and can I do anything?

Muscuoskeletal Pain: It is probably muscuoskeletalpin related to your coughing with Bad Cough due to Bronchitis.You can try over the couter pain med like Ibuprofen or Alleve if there is no allergy to these drugs and no stomach ulcer.If it does not improve then consult your dotor ...Read more

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On z pack cough has finally loosened uphear rattling but can't bring it up&out is just coughing helping to move and rid it or does it need to be spit?

Thick mucus does: Not necessarily mean bacteria, forwhich z packs are popularly prescribed. Thick can block a bronchus. A big cough can get it to your throat, but still not able to "hawk it up and out." plenty of liquids, expectorants, and nothing to inhibit your cough is best for you to mobilize thick secretions. Up and out is good, but getting the gunk out of your airways is important. ...Read more

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If a z-pack was unsuccessful in treating bronchitis, is there logic in a dr giving another one for a 2nd round? Bronchial spasms, wheezing, cough..

If a z-pack was unsuccessful in treating bronchitis, is there logic in a dr giving another one for a 2nd round? Bronchial spasms, wheezing, cough..

No.: This does not make good sense. Most bronchitis is viral and does not respond to antibiotics. A second course will generally not do any better. Unless you had signs or symptoms that specifically suggested bacterial infection I would hold off on antibiotics and consider other agents for the wheezing and cough. ...Read more

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I have had a cold for 3 weeks. Was started on a z-pack 3 days ago. For a few days, have been having sharp pain on right ribcage when I cough or breathe?

I have had a cold for 3 weeks. Was started on a z-pack 3 days ago. For a few days, have been having sharp pain on right ribcage when I cough or breathe?

Aspirin, H2O2 Humidi: For upper respiratory infections like cold and flu (but also serious infections like pneumonia) I recommend using a humidifier, filled with one bottle of hydrogen peroxide, and two bottles of water. That gives you a 1% solution of aerosolized peroxide, which kills the pathogens on contact, and breaks down into carbon dioxide and water. Your chest pain is caused by pleurisy--treatment is aspirin. ...Read more

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Cough for 2 mos worse at night and morning not going away. Taken z-pack, prednisone, inhaler after 3 drs. Slight burning in chest. What next?

Cough for 2 mos worse at night and morning not going away. Taken z-pack, prednisone, inhaler after 3 drs. Slight burning in chest. What next?

Chronic cough: There are many causes of chronic cough including asthma, post nasal drip from allergies and sinus infection as well as ge acid reflux. Burning in the chest can be a symptoms of acid reflux. Usual evaluations of chronic cough include lung function testing, chest x-ray and even visit to lung specialist such as pulmonologist or allergist. ...Read more

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I have kinda of bloody phlegme no fever or cough I took amoxic& z pack in past month months. Drinking rubatasim, honey lemon now. Is it serious?

I have kinda of bloody phlegme no fever or cough I took amoxic& z pack in past month months. Drinking rubatasim, honey lemon now. Is it serious?

See a doctor: Without an exam there is no way in which to know what is happening here, except to say that bleeding from the upper respiratory tract is grossly abnormal and needs investigation. ...Read more

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I'm 38 weeks pregnant and have cold/cough/no fever/ baby ok. I'm on z pack. I need to cough but have sharp pain in right side when I do. What can I do?

I'm 38 weeks pregnant and have cold/cough/no fever/ baby ok. I'm on z pack. I need to cough but have sharp pain in right side when I do. What can I do?

Cough & pregnancy: Your cough could be due to upper respiratory infection, acid reflux, postnasal drip, etc. Identify the cause, and try treating it. Most cough medicines are not recommended during pregnancy. But could certainly try saline nasal rinsing. If acid reflux is causing cough, you may want to avoid food triggers. Zantac is category b, and you could consider taking it. Check with your doctor. ...Read more

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Been sick for 7 days hacking green mucas, cough is gone but now have a lot pressure around nose and eyes and ears are stuffed. Took z pack 5 day nohelp?

Sinus infection: Sounds like a sinus infection despite the z pak which occasionally does not cover it,
most sinus infections will resolve on their own, try a decongestant/mucous thinner combination like Mucinex (guaifenesin) d for instance and give it some time. ...Read more

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I have had a cough for almost a month now, tried z pack and it didn't work, now im starting to get a sore throat, what should I do?

I have had a cough for almost a month now, tried z pack and it didn't work, now im starting to get a sore throat, what should I do?

Cough: Can be difficult to treat as it is often multifactorial. If you developed it after a respiratory infection then it is possible that the finger like projections that line your airway were damaged by the bacteria or virus that caused you to have symptoms. Try inhaled steroid which would also be effective in treating new onset asthma which can also cause cough. Does require prescription! ...Read more

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I have mds. I have been having severe loose productive cough for the last 14 days with white/grey sputum. I don't have fever or nasal congestion. Six days ago, I startedtaking 3 pills from the z pack but there has been noresponse. Six days ago, I got an x

I have mds. I have been having severe loose productive cough for the last 14 days with white/grey sputum. I don't have fever or nasal congestion. Six days ago, I startedtaking 3 pills from the z pack but there has been noresponse. Six days ago, I got an x

COPD exacerbation: What you describe sounds like you have triggered a tendency to irritation of your bronchial tubes. The underlying problem may come from past smoking. At this time, avoid chemicals, perfumes, dairy, smoke, and spicy foods to decrease mucous production. Use of an inhaler could help if you wheeze. Humidifier will help the mucous to come out. Cough suppressant may help. Discuss with your mds. ...Read more

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Sinus infect. 2 wks, Z pack finish week ago. Head/tooth pain gone. How long continue to cough up/blow out yellow phlegm? No wheeze, or is it my chest?

Sinus infect. 2 wks, Z pack finish week ago. Head/tooth pain gone. How long continue to cough up/blow out yellow phlegm? No wheeze, or is it my chest?

ENT exam: Sinuses must be checked for reinfection, relapse, nasal/sinus polyps, abscess and you will need formal examination, allergy testing and pulmonary function testing to rule out asthma. ...Read more

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I have a very bad cough. I have a hard time breathing in without coughing. I was prescribed a Z-pack and Mucinex (guaifenesin) D for sinus infection. Bronchospasm?

I have a very bad cough. I have a hard time breathing in without coughing. I was prescribed a Z-pack and Mucinex (guaifenesin) D for sinus infection. Bronchospasm?

See doc again: If you have a hard time breathing, you need to get checked again and hopefully get a lung function test or even a chest xray. On the other hand, trouble breathing in is more suggestive of obstruction at the upper airway and not the lung. Once we have the lung function and/or chest x-ray finding, we will have a better chance in pinning down the cause. Zpak may not work for sinusitis ...Read more

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2 weeks ago swollen glands, post nasal drip, cough. Got a z-pack- better. Swollen glands are back so is drip. Bad throat pain. Have seas. Allergies to?

2 weeks ago swollen glands, post nasal drip, cough. Got a z-pack- better. Swollen glands are back so is drip. Bad throat pain. Have seas. Allergies to?

Allergies: You might have allergies have you tried any OTC medication for allergies like Claritin-D or just plain Claritin along with steroid nasal spry And try saline nasal spry see if does work. If your glands still inflamed you need to see your PCP or allergist. ...Read more

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Just finished the full course of my Z pack. Still coughing repeatedly. Was diagnosed with bronchitis?

Just finished the full course of my Z pack. Still coughing repeatedly. Was diagnosed with bronchitis?

Cough duration: Studies show that antibiotics do not improve cough severity or duration in uncomplicated bronchitis. The cough typically last 1-3 weeks. Some studies showed inhaled beta agonist therapy decreased cough severity/ duration in some bronchitis patients. ...Read more

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I'm on day 3 of my z pack and im still coughing up a ton of mucus & its gagging me, why?

I'm on day 3 of my z pack and im still coughing up a ton of mucus & its gagging me, why?

Several Reasons: 1. Your infection may be a virus not a bacteria. Z packs are antibiotics that only work on bacteria. If your infection is from a virus, the z pack will not kill it. 2. It is working & you are now able to bring up all the mucus that collected in your lungs during the infection to get rid of it. 3. There are 3 day & 5 day z packs. You may need the 5 day pack. See your dr if your symptoms get worse. ...Read more

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Hello, I went to my dr. And she told me I had bronchopnemonia. She prescribed a z pack and zithromax. One more day of pills and still coughing. Ideas?

Working: Although the zpak is five day it continues to work in yourbody for an additional week. It is not uncommon to continue to cough for a while after pneumonia. Drink a lot of water to help thin the secretions. That will nake it easiwr for you to cough it up and get it out. ...Read more

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Went to the doctor three days ago for pneumonia was giving two shoots and z pack but I am still having uncontrolled coughing. Why is nothing helping?

Went to the doctor three days ago for pneumonia was giving two shoots and z pack but I am still having uncontrolled coughing. Why is nothing helping?

Be seen again: It sounds like you were inadequately treated. Many of the urgent care clinics around here do that, and their treatments rarely work. See your physician for a diagnosis and treatment. ...Read more

Azithromycin (Definition)

Azithromycin (zithromax, azithrocin, zmax, azin)[1] is an azalide, a subclass of macrolide antibiotics. Azithromycin is one of the world's best-selling antibiotics.[2][not in citation given (see discussion.)] it is derived from erythromycin, with a methyl-substituted nitrogen atom incorporated into the lactone ring, thus making ...Read more


Dr. Jan Lei Iwata
603 Doctors shared insights

Z Pak (Definition)

Z-Pak is a macrolide which is a kind of anti-bacterial ...Read more