What medications are contraindicated for bronchiectasis?
In general, bronchiectasis refers to bronchiectatic disease. The following medications are contraindicated: Huoxue Zhitong Capsules (Capsulae Huoxue Zhitong), hydrocortisone tablets, atropine sulfate tablets, compound aminophylline tablets, and terbutaline sulfate tablets. Detailed analysis is as follows:
1. Huoxue Zhitong Capsules
Huoxue Zhitong Capsules have the effect of promoting blood circulation and removing blood stasis. If used during an episode of massive hemoptysis in patients with bronchiectasis, this medication may exacerbate the condition.
2. Hydrocortisone Tablets
Hydrocortisone tablets belong to the class of glucocorticoid drugs. Bronchiectasis is a chronic disease characterized by abnormal, persistent dilation of the bronchi due to chronic bronchial inflammation. During acute exacerbations, symptoms such as cough, production of large amounts of purulent sputum, and recurrent hemoptysis are common. Treatment primarily focuses on anti-infective therapy, and glucocorticoids are not recommended as first-line treatment.
3. Atropine Sulfate Tablets
Atropine sulfate is an anticholinergic drug that can dilate the pupils. However, it is not recommended for patients with bronchiectasis, as it may trigger bronchospasm.
4. Compound Aminophylline Tablets
Compound aminophylline tablets are bronchodilators; however, their dosage requires careful monitoring due to a high risk of side effects and potential drug interactions. Therefore, their use is also not recommended in patients with bronchiectasis.
5. Terbutaline Sulfate Tablets
Terbutaline sulfate tablets are β2-receptor agonists primarily used to treat bronchial asthma. Hence, they are not suitable for patients with bronchiectasis.
If patients experience any discomfort or symptoms, it is recommended to seek timely medical attention at a hospital to avoid delays in diagnosis and treatment.