- Understanding COPD Slideshow
- COPD (Chronic Obstructive Pulmonary Disease) Quiz
- Energy Foods for COPD Slideshow Pictures
- Bronchitis FAQs
- Patient Comments: Chronic Bronchitis - Treatments
- Patient Comments: Bronchitis - Experience
- Patient Comments: Chronic Bronchitis - Symptoms
- Patient Comments: Acute Bronchitis - Symptoms
- Find a local Pulmonologist in your town
- Bronchitis vs. chronic bronchitis definition and facts
- What is bronchitis?
- What is acute bronchitis?
- What are the symptoms of acute bronchitis?
- What is chronic bronchitis?
- What are the causes of chronic bronchitis?
- What are the risk factors for chronic bronchitis?
- What are the signs and symptoms of chronic bronchitis?
- When should an person seek medical care for chronic bronchitis?
- How is chronic bronchitis diagnosed?
- What is the treatment for chronic bronchitis?
- What drugs treat chronic bronchitis exacerbations?
- What are the complications of chronic bronchitis?
- Can chronic bronchitis be prevented?
- What is the prognosis for chronic bronchitis?
Quick GuideBronchitis Symptoms and Treatments
What is the treatment for chronic bronchitis?
For the majority of cases, the initial treatment is simple to prescribe but frequently ignored or rejected by the patient – stop smoking cigarettes and avoid second-hand tobacco smoke. People should be encouraged in every way to cease smoking, as continuation will only cause further lung damage. Similarly, blocking or removing other underlying causes of repeated bronchial irritation (for example, exposure to chemical fumes) is a treatment goal. Half of patients with chronic bronchitis who smoke will no longer cough after 1 month of smoking cessation.
Two major classes of medications are used to treat chronic bronchitis, bronchodilators and steroids.
- Bronchodilators (for example, albuterol [Vent Olin, Proventil, AccuNeb, Vospire, ProAir], metaproterenol [Alupent], formoterol [Foradil],salmeterol [Serevent]) work by relaxing the smooth muscles that encircle the bronchi, which allows the inner airways to expand. Anticholinergic drugs also can act as bronchodilators, including tiotropium (Spiriva) and ipratropium (Atrovent).
- Steroids (for example, prednisone, methylprednisolone [Medrol, Depo-Medrol]) reduce the inflammatory reaction and thus decrease the bronchial swelling and secretions that in turn allows better airflow because of reduced airway obstruction. Often inhaled steroids are administered since they have fewer side effects than systemic (oral) steroids. Examples include budesonide (Pulmicort), fluticasone (Flovent), beclomethasone (Qvar), and mometasone (Asmanex). Combination therapy with both steroids and bronchodilators is often utilized. These include fluticasone/salmeterol (Advair), budesonide/formoterol (Symbicort), and mometasone/formoterol (Dulera).