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Bronchitis


Possible therapeutic alternatives
Note: antibiotic therapy is usually reserved for severe acute exacerbations.

Bronchitis: Acute bacterial exacerbation

Acute bacterial exacerbation (Usually adult smoker with COPD).


Therapy length: generally 5 - 14 days
Common pathogens
MILD CASES:
Amoxicillin 500mg orally three times daily OR
Doxycycline 100mg orally twice daily  OR
Bactrim DS orally twice daily x 5 days

MODERATE TO SEVERE:
Augmentin 875/125 mg orally twice daily or  500/125mg three times daily x 7 days OR
Azithromycin 500mg orally x 1 then 250mg  once daily for 4 days   OR 
Clarithromycin
500mg po q12h x 3 to 10 days or Biaxin XL ®: 1000mg po qd. OR
Cefdinir (Omnicef) 300 mg po q12h or 600 mg po q24h  OR
Ceftin (cefuroxime oral) 250-500mg orally twice daily  OR
Cefprozil
(Cefzil) 500 mg orally twice daily OR Cefpodoxime (Vantin) 200-400 mg orally twice daily OR
Levofloxacin
500mg orally once daily OR
Moxifloxacin 400mg po qd 
Viral - Influenza (should be within 48 hours of onset): 
rimantadine (Flumadine®) 100 mg orally twice daily x 5 days [RENAL] In patients with severe renal failure (CrCl </= 10 ml/min) and elderly nursing home patients, a dose reduction to 100 mg daily is recommended. 
 
or 
oseltamivir (Tamiflu®) 75mg orally twice daily x 5 days [Renal Dosing: If crcl< 30 ml/min: give 75mg orally once daily x 5 days. Supplied: [75mg cap]

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References - Infectious Disease Section

Infectious Disease References

Disclaimer

All calculations must be confirmed before use. The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. Neither GlobalRPh Inc. nor any other party involved in the preparation of this program shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER.   Read the disclaimer
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