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Treatments and drugs

By Mayo Clinic staff

Treatment for whooping cough varies, depending on your age and the severity of signs and symptoms.

Older children, teens and adults
When whooping cough is diagnosed early in older children, teenagers and adults, doctors usually prescribe bed rest along with an antibiotic such as azithromycin or erythromycin. Although antibiotics won't cure whooping cough, they can shorten the duration of the illness and they shorten the period of communicability. If there is a confirmed diagnosis but a slow response to antibiotic therapy, it may be necessary to take the antibiotic for at least two weeks or longer.

If the illness has progressed to the point of severe coughing spells, antibiotics aren't as effective but may still be used. Unfortunately, not much is available in the way of symptom relief. Over-the-counter cough medicines, for instance, have little effect on whooping cough. A case of whooping cough usually resolves in six weeks but may last longer.

Infants and toddlers
Almost all infants with whooping cough who are younger than 3 months, as well as many older babies, are admitted to the hospital to decrease the risk of serious complications. Most babies treated for whooping cough overcome the condition without lasting effects, but the risk of complications exists until the infection clears.

In the hospital, your child is likely to receive intravenous antibiotics to treat the infection and perhaps corticosteroid drugs, which help reduce airway inflammation. Sometimes a child's airway may also be suctioned to remove mucus that's blocking it. Your child's breathing will be carefully monitored in case extra oxygen is needed.

If your child can't keep down liquids or food, intravenous fluids may be necessary. In some cases, prescription sedatives will help your child rest. Your child will also be isolated from others to prevent the infection from spreading.

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Dec. 19, 2007

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