Do you prescribe mucolytics/expectorants?Created by:
It has been common practice for medical practitioners to prescribe symptom-relief medications, such as mucolytics and expectorants for productive cough. However, there is little amount of evidence to support this tradition. In fact, I cannot find an evidence-based guideline that recommends this form of treatment for productive/wet cough. (Except for COPD) In my own medical practice, I try my best to avoid prescribing these medications, unless patients request for it. If I have to, I usually prescribe N-acetylcysteine or Carbocysteine, but I emphasize that these medications may or may not work. A lot of them would still prefer to take something than nothing. As for expectorants, I only prescribe Guiafenesin and saline nebulization for selected pediatric patients. What is your local practice?