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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Cough While Suffering From COPD?

I am a 79 year old pensioner with moderately severe COPD. I hold amoxicillin and Prednisolone for emergency use. Due to a persistent cough with small amounts of clear/cream sputum and extreme lethargy I commenced predisilone only yesterday. This was followed by 6/7 hours of severe diarrhoea, unusual for me. I now note the expiry date was Nov. 14. Should I stop the medication, or take today s dose and contact my Respiratory Nurse tomorrow? Why do such things always happen on a Bank Holiday! Thanking you in advance. Email. YYYY@YYYY
Mon, 30 Nov 2015
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Internal Medicine Specialist 's  Response
Hello...
As you said that you are suffering from Moderately severe COPD. In this case, oral Predinisolone is helpful to control excerbation with breathlessness. But diarrhoea is uncommon side effect of Predinisolone rather than it is more common with Amoxicillin. As you mentioned you are also taking Amoxicillin along with Predinisolone. So my advise to stop Amoxicillin and continue your Predinisolone. You will feel better.

Thank You
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What Causes Persistent Cough While Suffering From COPD?

Hello... As you said that you are suffering from Moderately severe COPD. In this case, oral Predinisolone is helpful to control excerbation with breathlessness. But diarrhoea is uncommon side effect of Predinisolone rather than it is more common with Amoxicillin. As you mentioned you are also taking Amoxicillin along with Predinisolone. So my advise to stop Amoxicillin and continue your Predinisolone. You will feel better. Thank You