with the conversation i understand that you are a 33 year old male suffering from cough especially during the months of september and october through the years. therefore it is clear that you are suffering from allergic bronchitis. it is considered to be seasonal. this cough exacerbates in specific months like september and october in your case. during such exacerbation it is advisable to take a steroid bronchodilator and an antibiotic. in your case decadron (dexamethasone) is the steroid proair hfa aerosol (albuterol) is the bronchodilator and zithromax z-pak (azithromycin) is the antibiotic. accordingly antibiotic should be prescribed only if infection is present and if there is yellow or green colored sputum production fever and chest congestion. bronchodilator in the form of aerosol spray helps to relieve bronchospasm and to get rid of any inflammation associated with it. i would suggest you to continue with the aerosol spray as prescribed by your doctor. check for few days. if the symptoms of cough recur then start the antibiotics. when the allergic bronchitis exacerbates you can use proair inhaler and seroflo inhaler (combination of fluticasone and salmeterol) or budecort (budesonide) inhaler together. the two inhalers have a specific way of usage. you can check it with your physician. for further information consult an allergy specialist online --> <link>
is antibiotic a must for seasonal allergic cough?