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Approximately half of all infants younger than age 12 months with pertussis, are hospitalized. As a general principle, the positive and negative predictive values of tests for the cause of chronic cough are poor, implying that attribution of cause depends on a response to specific therapy. Steroids should also be tapered in patients whose MCT was obtained in the setting of a postinfectious cough. Treatments themselves can frustrate the search. Zafirlukast, a leukotriene inhibitor, has been shown to have an antitussive effect in patients with CVA. Other side effects not listed may also occur in some patients.

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Do not get it in your eyes. If it does get in the eyes, rinse them with water right away and call your doctor. Some patients using this medicine may feel better right away. For others, it may take 1 or 2 weeks before the medicine helps. Keep using the medicine on a regular schedule as your doctor ordered. To use the nasal spray: Remove the clear plastic dust cap and the green safety clip from the nasal spray pump. The safety clip prevents the accidental discharge of the spray when you are not using it. When you use the spray pump for the first time, you must prime the bottle.

Pump the bottle 7 times or until a fine spray comes out. Gently blow your nose before using the spray. Insert the tip of the bottle into your nostril. Close the opposite nostril with a finger and lean your head slightly forward. Spray into your nostril and sniff deeply through your nose. Then breathe out through your mouth. Take the spray pump out of your nostril. Lean your head backward for a few seconds. If a second dose is needed in the same nostril, lean the head slightly forward and repeat the same steps.

Spray the opposite nostril using the same steps. Replace the clear plastic dust cap and the green safety clip. If the spray pump gets clogged, hold the tip of the bottle under warm running water for about 1 minute. Dry the pump and prime it again. If you do not use the bottle for more than 24 hours, prime it again by releasing two sprays. If you do not use the bottle for more than 7 days, clean the spray tip and prime it again by releasing seven sprays. Keep track of the number of sprays you use. Throw the bottle away after you use 345 sprays 0. You should not take extra doses of the nasal spray without checking first with your doctor. Dosing The dose of this medicine will be different for different patients.

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