Will albuterol help with a cough
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The Efficacy of Albuterol for Treating Cough
Introduction to Albuterol and Cough Treatment
Albuterol, a beta-agonist, is commonly used to treat bronchospasm in conditions like asthma and chronic obstructive pulmonary disease (COPD). However, its effectiveness in treating acute cough, particularly in non-asthmatic individuals, has been a subject of research. This article synthesizes findings from multiple studies to determine whether albuterol is beneficial for treating cough.
Albuterol for Acute Cough in Non-Asthmatic Children
Research indicates that oral albuterol does not significantly reduce the frequency or duration of acute cough in non-asthmatic children. In a study involving 59 children, those treated with albuterol showed a similar rate of cough resolution compared to those given a placebo. However, the albuterol group experienced more side effects, such as shaking or trembling .
Albuterol for Acute Cough in Adults
Similar findings have been observed in adults. A randomized controlled trial with 104 adults found no significant difference in cough severity, reduction in sleepless nights, or return to full activity between those treated with oral albuterol and those given a placebo. Additionally, albuterol-treated subjects reported more side effects like shakiness and nervousness.
Albuterol for Acute Bronchitis
In contrast, albuterol appears to be more effective in treating cough associated with acute bronchitis. Studies have shown that patients with acute bronchitis who were treated with albuterol delivered by a metered-dose inhaler (MDI) were less likely to be coughing after 7 days compared to those using a placebo inhaler. This effect was observed regardless of smoking status or the use of antibiotics .
Albuterol for Cough Variant Asthma
For children with cough variant asthma, a combination of albuterol sulphate and ketotifen has been found to be highly effective. This treatment not only showed a higher efficacy rate but also a significantly lower relapse rate compared to other treatments.
Albuterol and Cough During Anesthesia Emergence
Albuterol does not seem to affect the frequency or amplitude of cough during emergence from anesthesia. A study involving patients emerging from isoflurane anesthesia found no significant difference in cough incidence between those treated with albuterol and those given a placebo.
Conclusion
Overall, the effectiveness of albuterol in treating cough varies depending on the underlying cause. While it does not appear to be effective for acute, nonspecific cough in non-asthmatic children and adults, it shows promise in treating cough associated with acute bronchitis and cough variant asthma. However, its use is accompanied by side effects such as shakiness and nervousness. Therefore, the decision to use albuterol for cough should be based on the specific clinical context and underlying condition.
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