Which medicine is better Stodal or Erespal?

For inflammatory diseases of the respiratory system, Ascoril and Erespal are often used as part of complex treatment. They eliminate cough, spasms and alleviate the general condition. When choosing a specific medicine, patients are interested in many questions. Which remedy is more effective, safe for children, and is it possible to take Erespal and Ascoril at the same time?


The active ingredient is fenspiride hydrochloride . Available in the form of syrup and tablets.

Therapeutic properties:

  1. Relief of the inflammatory process.
  2. Normalization of sputum secretion, reducing its viscosity.
  3. Relieving bronchospasms.
  4. Reducing swelling of the mucous membrane.

The mechanism of action of the drug is due to fenspiride hydrochloride blocking the activity of receptors that stimulate the production of histamine, which provokes muscle spasms and swelling of the mucous membrane, changes in the composition and viscosity of the blood.

Doctors prescribe this drug for:

  • Tracheitis.
  • Otitis.
  • Rhinite.
  • Sinusitis.
  • Allergies of ENT organs.
  • Bronchitis.
  • Rhinotracheobronchitis.
  • Rhinopharyngitis.
  • Corey.
  • Whooping cough.
  • Obstructive pulmonary pathology.
  • Flu.

The same remedy is used to speed up rehabilitation after surgery in the nasopharynx area.

Use the medication orally three times a day before meals . Children are usually given syrup in a dose depending on body weight: with a weight of less than 10 kg - up to 20 ml, over 10 kg - 60 ml. Adults are prescribed tablets in a maximum daily dose of 90 mg.

The drug is prohibited if you are allergic to its constituent elements. It is well tolerated, but may cause the following side effects:

  • Tachycardia.
  • Dizziness.
  • Rash all over the body.
  • Drowsiness.
  • Quincke's edema.
  • Erythema.
  • Nausea.
  • Intestinal disorder.
  • Hives.
  • Abdominal pain.

A package of 30 tablets costs approximately 360 rubles. Syrup with a volume of 150 ml will cost 250 rubles, and 250 ml – 430 rubles.

Which drug is better

In order to figure out which drug is better, you should pay attention to the effect they have on the respiratory system. Both drugs are good remedies for bronchial asthma, but they act differently

While Erespal causes contraction of the bronchi due to the nervous system, Ascoril does this due to the strong substances in its composition. Both dilate the bronchi and cause the patient to cough up phlegm. However, drugs work differently with it. While Ascoril stimulates the discharge of sputum, Erespal reduces its formation. It’s just that these drugs are not used to remove it, because they have too serious active substances that are applicable only for severe diseases

Both drugs are good remedies for bronchial asthma, but they act differently. While Erespal causes contraction of the bronchi due to the nervous system, Ascoril does this due to the strong substances in its composition. Both dilate the bronchi and cause the patient to cough up phlegm. However, drugs work differently with it. While Ascoril stimulates the discharge of sputum, Erespal reduces its formation. It’s just that these drugs are not used to remove it, because they have too serious active substances that are applicable only for severe diseases.

Erespal reduces the intensity of inflammatory processes, so it is often used for pneumonia. It is also prescribed for children, whose bodies are more susceptible to such respiratory diseases. Thanks to its composition, it allows the patient to start breathing easier as soon as possible.

Ascoril, in turn, copes with shortness of breath, however, as mentioned earlier, it is dangerous to use it for patients with diseases of the cardiovascular system and this is the most important point that must be taken into account when prescribing it. Ascoril is more useful as an expectorant, and is used as a last resort (due to the severity of the effect).

It is best to use Erespal if an adult or child has symptoms such as:

  • hacking cough;
  • soreness;
  • runny nose;
  • sore throat.

Ascoril for both children and adults is prescribed for other symptoms:

  1. Obstruction in the respiratory tract, pharynx, bronchi.
  2. Severe cough that causes pain.
  3. Thick sputum.

Also, based on contraindications, Erespal seems to be a milder medicine than Ascoril.

It can be noted that the drugs have differences not only in composition, but also in the principle of their effect on the body. Each of them has special indications and contraindications, each is successful in some ways and not in others. Therefore, it is impossible to say unequivocally which of the pair of medications is better.



The active ingredients are bromhexine hydrochloride, guaifenesin, menthol and salbutamol sulfate. Available in the form of tablets and syrup.

Therapeutic properties:

  1. Increased lung capacity.
  2. Liquefies mucus and makes it easier to remove.
  3. Elimination of bronchospasm.

The mechanism of action is based on the ability of bromhexine to liquefy and remove mucus.

Doctors recommend medication for:

  • Dry cough.
  • Bronchial asthma.
  • Whooping cough.
  • Tuberculosis.
  • Tracheobronchitis.

Children are prescribed syrup in an amount of 5-10 ml three times a day. Adults are recommended to take three tablets per day. Taking the drug is not tied to food intake.

It is forbidden to be treated with this remedy if:

  • Ulcer.
  • Glaucoma.
  • Diabetes mellitus.
  • Heart defect.
  • Allergy to components.
  • Failures in liver function.
  • Pregnancy and breastfeeding.
  • Severe renal dysfunction.

Possible side effects:

  • Nausea.
  • Migraine.
  • Sleep disorder.
  • Tremor.
  • Drowsiness.
  • Nervousness.
  • Dizziness.

Side effects are rare and usually go away on their own after stopping the medication. The approximate cost of a package of 10 tablets is 200, of 20 - 300, of 50 - 750 rubles. A 100 ml syrup costs about 260, 200 ml - 350 rubles.

Brief comparison of drugs

Erespal, Askoril are means of pathogenetic therapy. Each of them has its own influence on the mechanisms of development of diseases manifested by cough.

Ascoril, pros and cons

Ascoril is a complex drug consisting of 3 active components (salbutamol, guaifenesin, bromhexine). The main area of ​​application of this medicine is respiratory diseases, accompanied by obstruction (reduced patency) of the bronchi and the accumulation of viscous sputum.

Advantages of Ascoril in the fight against cough:

  • Multicomponent, allowing one drug to replace several medications at once.
  • Simultaneous influence on different mechanisms of cough - on bronchospasm, on the difficult evacuation of thick mucus from the respiratory tract.
  • The ability to facilitate the transition of a dry cough to a productive one.
  • Particular interaction with antibiotics that are used to treat inflammatory processes in the bronchopulmonary system. The simultaneous use of bromhexine with cephalexin improves the penetration of the latter into the lung tissue during pneumonia.

Disadvantages of Ascoril that patients need to know about:

  • A large list of contraindications - heart disease, endocrine disorders, severe liver diseases, kidney failure, stomach ulcers.
  • Impossibility of use in pregnant, lactating women, as well as in children under 2 years of age.
  • Poor compatibility with a number of drugs - beta-adrenergic blockers, MAO inhibitors, some antidepressants.

Erespal, pros and cons

Erespal is a monodrug containing only one active component - fenspiride hydrochloride. This substance has an anti-inflammatory effect and relieves spasm of the respiratory tract.

The main pros of using Erespal for coughs:

  • The drug reduces inflammation in the larynx, trachea, and bronchi, helping to restore the activity of the ciliated epithelium and reduce mucus production in the respiratory tract.
  • The anti-inflammatory activity of Erespal extends to the nasal cavity, so this medicine shows good results in the treatment of cough caused by the flow of mucus from the nose into the throat due to rhinitis or adenoids.
  • Reducing the swelling of the mucous membrane of the larynx and pharynx due to the use of Erespal helps to soften children's barking cough with laryngitis and eliminate coughing from a sore throat.

Erespal also has its “cons”:

  • causes allergic reactions, including delayed ones;
  • causes drowsiness, especially in the first days of use;
  • Contraindicated during pregnancy and lactation.

Askoril and Erespal, what is the difference between them

There is a significant difference between the medications in question:

Ascoril selectively acts on the trachea, bronchi, and lungs. Erespal affects the entire respiratory tract. The drugs exhibit their medicinal properties in relation to cough in different ways: Erespal reduces inflammation of the respiratory tract, Ascoril restores bronchial patency and promotes more effective removal of sputum. The peculiarities of the mechanisms of action of these drugs cause some differences in the range of indications for their use. Erespal is prescribed to reduce acute cough in acute respiratory infections, measles, whooping cough, and influenza

Ascoril is indicated for more severe diseases (obstructive bronchitis, pneumonia, bronchial asthma) accompanied by a lingering cough. Ascoril is a serious drug that requires special caution when used in young children. Erespal in this regard is considered a milder remedy. Ascoril cannot be combined with antitussive medications, but Erespal can.

What do they have in common?

The general characteristics of the drugs in question include:

  • Highly effective against respiratory diseases accompanied by cough. Both remedies help to cure such ailments faster.
  • Availability of two dosage forms (syrup, tablets). It is more convenient for adults to take tablet forms of the drug, but children can only take medicine in liquid form - the manufacturers have taken care of patients of different ages.
  • The presence of numerous side effects.
  • Restriction for use in expectant mothers and nursing women.


Distinctive features of the two drugs:

  1. Ascoril helps with dry cough, Erespal - with any type.
  2. Differences in indications.
  3. Various active ingredients.
  4. Different numbers of tablets per package and different volumes of syrup in the bottle.
  5. Erespal is prohibited only if the body is hypersensitive to the components of the medication. Ascoril has a whole list of contraindications. It should not be used by pregnant or lactating women or diabetics.
  6. Different mechanism of action.
  7. Ascoril can be taken (unlike Erespal) regardless of meals.
  8. Reviews from doctors and patients are better about Erespal.
  9. Ascoril has a higher cost.
  10. Erespal has a wider spectrum of action. It is used for various pathologies of the nasopharynx and for prophylactic purposes.

Is it possible to have a joint reception?

It was easy to understand that the drugs are different, and therefore there is no point in comparing them. But here the idea of ​​using them together may arise. Since both are strong, together they can perhaps turn into a much more powerful weapon against diseases of the respiratory system.

In some cases, Askoril and Erespal have good compatibility. They are prescribed together only to adults and only with a doctor’s prescription. Because only a doctor can, depending on the disease, its severity and the characteristics of the patient, calculate the correct dosage and formulate a course of treatment. In this case, the drugs will be prescribed for use separately, because they cannot be used simultaneously. This can lead to severe side effects, the most common of which is allergies.

These drugs should not be used in combination for children. Sometimes the severity of the disease may require this, but in this case it is necessary to do many tests and obtain a doctor's prescription. On the advice of a specialist, it is preferable for children to purchase medications in the form of suspensions and drink according to the instructions.


What, who and when is best to take?

Which drug should be taken by whom and when should be decided by the attending physician . But according to the instructions, Erespal is safer. It should be chosen by pregnant and lactating women, people diagnosed with diabetes, and those with liver and kidney problems. Both drugs are suitable for children.

For a dry cough, it is better to use Ascoril, and for a wet cough, Erespal. For tuberculosis, it is preferable to be treated with Ascoril. For ARVI, Erespal is considered more effective. Ascoril, when used in the acute phase of respiratory pathology, can only aggravate coughing attacks. But in case of bronchial obstruction, it should be given preference. If you have a sore throat, runny nose, or cough, it is better to use Erespal.

You cannot choose your own medicine: this is fraught with a deterioration in your health. It is important to undergo an examination and consult with a competent doctor. Sometimes doctors prescribe a regimen that combines Erespal and Ascoril. But in this case, the likelihood of developing side effects increases.

Medicine and healthComment

Indications for use

The instructions for the medicine recommend using this remedy in the following cases:

  • with regular attacks of dry (non-productive cough), if they “pursue” the patient for at least 2-3 days;
  • when a wet cough bothers the patient for a week, and the body does not respond to other mucolytic (expectorant) drugs;
  • for the symptomatic treatment of cough - a companion to various respiratory diseases (in this situation there are other signs - runny nose, fever, weakness in the body);
  • in order to combat cough - a consequence of damage to the body by a viral infection.
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