I have COPD and frequent bouts of bronchitis. My pulmonologist has directed an antibiotic course when symptoms start as it always goes into severe exacerbation. My doctor was out on medical leave at last bout so I saw an internist for a prescription for antibiotic, but was also told that they no longer treat bronchitis with antibiotics. I continued to get worse, much worse, so went to another Dr. who prescribed antibiotics and said I should not have waited so long to start them. I believe the new anti antibiotic policy can be a dangerous one for people with serious and/or pre existing disease and I urge anyone who has serious symptoms and breathing distress to continue to seek treatment. I know the new policy is the result of concern about antibiotic overuse, but there are times when it is really needed to prevent lung damage and pneumonia. Be your own advocate and persevere when you know you are in trouble with this illness. Even with the antibiotic course that was eventually prescribed. I am now in my fifth week of bronchitis. It does last a long time, but antibiotic treatment, when needed, can save you from pneumonia or other worse complications. Seek medical care before this happens.
I started with feeling generally unwell and a dry cough , managed to carry on working for a few days but had a hacking cough getting worse. I went to the doctor who prescribed antibiotics and an inhaler and said I have spastic bronchitis . Things went downhill from day one on the antibiotics and I developed headaches, chills and coughing up disgusting green and yellow sputum, mornings and evenings are the worst for the coughing. I wake at 4 or 5 am and cough until midday nonstop. I feel pretty lousy but it's only been a week so I'm hoping things will improve in the next few days. I have never had this before and it's the most horrible disease with all the sputum! Anyway, I am taking lots of fluids and rest. I have no energy to do anything.
Sacks et al. (2005) reported the case of a 72-year-old man, described as professionally successful, intelligent, and cultivated, with polymyalgia rheumatica, who after being treated with prednisone developed a psychosis and dementia , which several behavioral neurology and neuropsychiatry consultants initially diagnosed as early dementia or Alzheimer's disease .  Large dosage variations in the patient's medication (including a self-increased dosage from 10 mg/day to as much as 100 mg/day for at least 3 months) produced extreme behavioral changes, from missed appointments to physical altercations, and eventually admission to a psychiatric ward and later to a locked Alzheimer facility. During this time, neuropsychological testing showed a decline in the patient's previously superior IQ as well as deficits in memory, language, fluency, and visuospatial function, which given the patient's age was considered to be compatible with early dementia. When the steroid treatment ended after a year, the patent's confusion and disorganized appearance stopped immediately. Within several weeks, testing showed strong improvement in almost all cognitive functions. His doctors were surprised at the improvement, since the results were inconsistent with a diagnosis of dementia or Alzheimer's. Testing after 14 months showed a large jump in Full Scale IQ from 87 to 124, but mild dysfunction in executive function, memory, attentional control, and verbal/nonverbal memory remained.