The role of antibiotics?
My child is 3 years and 4 months old.
Recently, he has been coughing a lot due to a cold.
We went to the hospital for a check-up, and the doctors said they did not prescribe antibiotics.
I am not sure what that means.
Additionally, could you help me explain the medications the doctor prescribed? We have seen the doctor twice, and the medications are the same both times.
Thank you.
1.
Actein 100mg/pk - This medication contains acetylcysteine, which is often used as a mucolytic agent to help break down mucus in the airways, making it easier to cough up.
2.
Antisem 4mg - This medication is likely an antihistamine, which can help relieve symptoms of allergies or colds, such as runny nose and sneezing.
3.
Berotec (Fenoterol) 2.5mg - This is a bronchodilator that helps to open the airways in the lungs, making it easier to breathe, especially if there is wheezing or tightness in the chest.
4.
Secorine syrup 120ml - This is a cough syrup that may contain ingredients to suppress coughing or soothe the throat.
The reason the doctors did not prescribe antibiotics is that most colds are caused by viruses, and antibiotics are ineffective against viral infections.
Xiao Yu, 30~39 year old female. Ask Date: 2006/06/13
Dr. Liao Lingmei reply Pharmacology
Dear Xiaoyu: The purpose of healthcare professionals using antibiotics is to treat infections.
It is believed that the physician has confirmed through examination that there is currently no bacterial infection, which is why antibiotics were not prescribed.
A prolonged cough is not necessarily an indicator of a bacterial infection; some elderly patients may experience persistent coughing due to bronchial cell changes, which is not suitable for antibiotic treatment.
The medications prescribed by the physician have the following effects:
1.
Actein 100mg/pk: An expectorant that helps to thin mucus, making it easier to expel.
2.
Antisem 4mg: A medication to alleviate rhinitis or allergies.
3.
Berotec (Fenoterol) 2.5mg: A bronchodilator that improves coughing due to bronchial constriction.
4.
Secorine syrup 120ml: A compound syrup that treats nasal congestion, runny nose, and cough.
Unless elderly patients have a persistent cough that does not resolve, the same cough medication is not recommended for long-term use.
The prescription of the same medication twice suggests that the physician deemed it necessary, and it does not constitute long-term use.
A good doctor-patient relationship is built on communication, so it is recommended to discuss the medications and improvement of the condition with the physician during the next visit.
Wishing you good health.
Reply Date: 2006/06/13
More Info
When it comes to treating respiratory illnesses in young children, understanding the role of antibiotics and cough medications is crucial for parents. In your case, your child, who is 3 years and 4 months old, has been experiencing a severe cough due to a cold, and the doctor did not prescribe antibiotics. This decision is based on the understanding that most coughs associated with colds are caused by viral infections, not bacterial ones. Antibiotics are effective only against bacterial infections and do not work on viruses, which is why they are not prescribed in this situation.
The medications your doctor prescribed include:
1. Actein 100mg/pk: This medication is typically used as an expectorant. It helps to thin and loosen mucus in the airways, making it easier for your child to cough up the phlegm. This can be particularly helpful in relieving cough associated with congestion.
2. Antisem 4mg: This medication is an antihistamine, which can help alleviate symptoms of allergies or colds, such as a runny nose or sneezing. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
3. Berotec (Fenoterol) 2.5mg: This is a bronchodilator, which means it helps to relax and open the airways in the lungs. It is particularly useful for children who may have reactive airways or asthma-like symptoms, as it can relieve coughing caused by bronchial constriction.
4. Secorine Syrup 120ml: This is a combination cough syrup that may contain ingredients to relieve cough, reduce nasal congestion, and alleviate other cold symptoms. It is often used to provide symptomatic relief for children suffering from colds.
The reason your child has been prescribed the same medications on two separate visits likely indicates that the doctor believes these medications are effectively managing your child's symptoms. It is not uncommon for children to have persistent coughs that last for several weeks, especially after a viral infection.
It's important to note that while antibiotics are sometimes necessary for bacterial infections, their overuse can lead to antibiotic resistance, making future infections harder to treat. This is why your doctor is cautious about prescribing them unless there is clear evidence of a bacterial infection.
In summary, the medications prescribed are aimed at managing your child's symptoms and improving comfort during recovery from a viral illness. If you have further concerns about your child's health or the medications prescribed, it is always a good idea to communicate openly with your healthcare provider. They can provide you with more detailed explanations and address any worries you may have about your child's treatment plan. Regular follow-ups and monitoring are essential to ensure your child is recovering well and to make any necessary adjustments to their treatment.
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