There is no so-called special effect medicine for chronic obstructive pulmonary disease, commonly used drugs are bronchodilators, glucocorticoids, expectorants, antibiotics, etc. 1.
1. Bronchodilators: they can effectively relieve the symptoms of chest tightness, shortness of breath and wheezing. β2-adrenergic agonists are commonly used in long-acting preparations, such as salmeterol and formoterol. Theophyllines are commonly used as aminophylline. Aminophylline is prohibited in patients with active peptic ulcer.
2. Glucocorticoids
(1) and long-acting β2-adrenoceptor agonist combination preparation, can reduce the frequency of acute exacerbations, increase exercise tolerance, improve the quality of life. Currently commonly used agents include salmeterol plus fluticasone. It is prohibited for those who are allergic to salmeterol or milk.
(2) Use of prednisolone and methylprednisolone during acute exacerbation. Prednisolone can cause hyperadrenocorticism-like syndrome.
3. Expectorants: commonly used drugs are aminobromine hydrochloride, N-acetyl cysteine, carboxymethyl stannum and so on. Pregnant and lactating women should be cautious of using Ambroxol Hydrochloride.
4. Antibiotics: patients with acute exacerbation of dyspnea aggravated, need to actively choose antibiotic treatment according to its drug sensitivity. Commonly used cefazoxime, cefuroxime, moxifloxacin treatment. Cephalosporin antibiotics and penicillins have been reported to have cross-reactivity, so patients allergic to penicillins need to be used with caution.
The above drugs need to be used under the guidance of a doctor, and the specific treatment plan needs to be carried out under the guidance of a doctor for better treatment of the disease.