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Infections resulting in exacerbation of chronic respiratory symptoms (asthma or COPD) Suspected dehydration High-grade fever Young infants and the elderly A cough that persists for greater than 3 weeks or is concomitant with breathing difficulties, wheezing, pain on inspiration or blood in the sputum or a persistent nocturnal cough (particularly in children) Antibiotics advice Antibiotics are ineffective for cold & flu viruses 1 Patients seeking antibiotics for their cold & flu symptoms may require supportive education around self-treatable conditions and self-care practice

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Pharmacol Res (2021) 163:105243