What medicine should I take if I have a severe cough due to lung cancer?
Lung cancer patients are often accompanied by severe cough, which seriously affects their quality of life. For this symptom, reasonable drug treatment is crucial. This article combines the hot medical topics on the Internet in the past 10 days to sort out the medication guidelines and precautions for lung cancer cough.
1. Common causes of lung cancer and cough
Cough from lung cancer is mainly caused by tumor compression of the trachea, inflammatory reaction or pleural effusion. According to clinical data, about 75% of lung cancer patients will have persistent cough, of which 30% are intractable and difficult to control.
| Cough type | Proportion | Typical characteristics |
|---|---|---|
| Irritating dry cough | 45% | No phlegm/little white phlegm |
| wet cough | 35% | Accompanied by bloodshot/purulent sputum |
| Heavy duty at night | 20% | Attacks while lying down |
2. Commonly used clinical antitussive drugs
According to the latest "Lung Cancer Supportive Treatment Guidelines" in 2023, the following drug treatment options are recommended:
| drug class | Representative medicine | Mechanism of action | Things to note |
|---|---|---|---|
| central antitussives | Codeine, dextromethorphan | Inhibits the medullary cough center | May cause constipation |
| peripheral antitussives | benzonatate | Anesthetize respiratory mucosa | Avoid driving maneuvers |
| local anesthetic | Lidocaine nebulization | block nerve conduction | Requires professional supervision |
| Glucocorticoids | Dexamethasone | Reduce inflammatory response | Monitor blood sugar changes |
3. New progress in targeted therapy
The targeted treatment options hotly discussed in medical forums in the past 10 days show:
| Gene mutation type | Corresponding targeted drugs | Cough relief rate |
|---|---|---|
| EGFR mutation | Osimertinib | 82% |
| ALK Fusion | Aletinib | 78% |
| ROS1 rearrangement | Crizotinib | 75% |
4. Chinese medicine auxiliary treatment plan
Recently, the Association of Traditional Chinese Medicine recommended the following combined medication regimens:
| Certificate type | Recommended prescriptions | Main ingredients |
|---|---|---|
| Lung heat and yin deficiency | Yangyin Qingfei Decoction | Ophiopogon japonicus, Scrophulariaceae |
| Phlegm and blood stasis | Xuefu Zhuyu Decoction | peach kernel, safflower |
| Qi and Yin deficiency | Shengmai Yin | Ginseng, Schisandra chinensis |
5. Things to note
1. Avoid drinking water within 30 minutes after taking cough syrup
2. Opioids need to be vigilant for respiratory depression
3. Seek medical attention immediately if hemoptysis occurs
4. After aerosol treatment, it is recommended to rinse your mouth to prevent fungal infection.
6. Lifestyle Management
According to the latest patient survey data, the following measures can relieve cough:
| measure | efficient | Implementation points |
|---|---|---|
| air humidification | 68% | Keep humidity at 50-60% |
| postural drainage | 55% | 2 times a day, 15 minutes each time |
| Breathing training | 72% | abdominal breathing exercises |
Note: The statistical period of the data in this article is from November 1 to 10, 2023, which is a combination of the official website of the National Health Commission, medical journal databases and clinical data from tertiary hospitals. Please follow your doctor’s instructions for specific medication.
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