### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, My grandfather having some problem with lung infection, though he is quite old, i.e., 93 years old and have heart problem aswell. Following are the medication he is going through now:1.) Deriphyllin Retard 150 tablets (Now, replaced by Deriphyllin 2 ml injections)2.) Betnesol3.) Clavam-XR4.) Esiflo 250 Transhaler (Inhaler) (2 Puff each time-morning and evening)5.) Salbair Transhaler (Inhaler) (3 Puff each time-frequency raised to 7-8 times now)6.) Lycortin S 100 mg (Injection) (3 times daily) Would you please guide me necessary medication and instructions, etcRegardsRaj

### output:

Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the Chat Doctor.  He is taking oral steroid (Benson) as well as injectable steroid (escorting). Honestly speaking, steroids are contraindicated in active infection like pneumonia (lung infection). Steroids cause immunosuppression and this effect is more in elderly patients. So better to stop steroids, Benson and escorting) because they can flare up and worsen lung infection. Addition of Azithromycin for coverage of atypical bacteria is also recommended in old age. So consult pulmonologist and discuss all these. Continue claim XR, add Azithromycin and omit Benson, escorting. Get done repeat chest x-ray after 7-10 days of antibiotic to see for improvement. Hope I have solved your query. I will be happy to help you further. Wishing good health to your grandfather. Thanks.