Med. praxi. 2017;14(1):16-20 | DOI: 10.36290/med.2017.004

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

MUDr. Michal Švarc

Plicní klinika, FN Hradec Králové

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.

Keywords: cough, pregnancy, children, asthma, antitussive drugs, mucolytic drugs, expectorant drugs, N-acetylcysteine

Published: March 1, 2017  Show citation