Why do you need berodual?
The medicine is used to relax the smooth muscles of the bronchi and normalize the process of mucus production in the lower respiratory tract. Berodual inhalations have a duration of effect of up to six hours.
The duration of one inhalation for an adult should not exceed two hours. Interestingly, the dosage of berodual in the blood after use is 1,000 times less than when used non-inhalation. During the procedure, no more than 20% of the drug remains in the respiratory tract and bronchi, the rest of it is swallowed by the person.
The use of the drug helps to overcome a suffocating and frequent cough, provoke expectoration of sputum, in addition, the natural process of gas exchange when using the inhaler is not disrupted. The price for a 20 ml bottle ranges from 250 to 280 rubles. Therefore, the drug is classified as an inhalation product in the middle price range.
Description of drugs
Berodual and Ambrobene differ in composition, principle of action, indications and contraindications. To answer questions about the effectiveness of each and the possibility of joint use, you should familiarize yourself with their characteristics in more detail.
Compound
- The combined inhalation product Berodual contains 2 active components: ipratropium bromide – 0.25 mg/ml;
- fenoterol hydrobromide – 0.5 mg/ml.
Mechanism of action
- Berodual has a bronchodilator effect, that is, it dilates the bronchi and makes breathing easier. The active components of the medicine give the same result, but act differently. Ipratropium bromide relaxes the muscles of the respiratory tract upon contact with them (acts locally). Fenoterol has a systemic effect, entering the bloodstream. This combination provides maximum therapeutic effect and virtually eliminates the occurrence of side effects.
- Ambrobene is intended for the treatment of cough. Its active ingredient stimulates the production of mucus in the respiratory tract (a dry cough is transformed into a productive, wet one). It also reduces its viscosity and makes expectoration easier.
Indications
Berodual is prescribed for any respiratory diseases accompanied by reversible obstruction (narrowing of the lumen) of the respiratory tract:
- bronchial asthma is a chronic disease that causes spasms of the bronchi;
- COPD (chronic obstructive pulmonary disease) – inflammation and changes in the structure of lung tissue;
- obstructive bronchitis is an inflammatory process in the bronchi, accompanied by spasms.
Ambrobene is indicated for the treatment of any diseases of the respiratory tract in which the formation of sputum is impaired or its discharge is difficult.
Contraindications
Berodual should not be used in the following cases:
- intolerance to the components included in the drug;
- 1st and 3rd trimesters of pregnancy;
- hypersensitivity to atropine-like (smooth muscle relaxant) drugs;
- tachyarrhythmia - accelerated contraction of the upper or lower chambers of the heart;
- hypertrophic obstructive cardiomyopathy is an enlargement of the ventricles of the heart, interfering with its activity.
Contraindications to the use of Ambrobene inhalation solution are:
- intolerance to the ingredients included in the composition;
- 1st trimester of pregnancy.
Side effects
When using Berodual, the most likely negative reactions of the body are:
- cough;
- dry mouth;
- nausea, vomiting;
- headache;
- trembling of limbs;
- inflammation of the pharynx (pharyngitis);
- dizziness;
- cardiopalmus;
- hoarseness of voice;
- increased blood pressure;
- nervousness.
Inhalations with Ambrobene can cause:
- violation of taste perception;
- nausea, vomiting;
- dry mouth;
- abdominal pain, diarrhea;
- allergies (skin rash, swelling, itching).
Release forms and price
- The inhalation product Berodual is sold in 20 ml bottles at a price of 266 rubles.
- The cost of 100 ml of Ambrobene solution is 173 rubles.
Possible contraindications for the drug
In Berodual for inhalation, the instructions clearly inform about all cases when you need to take the medicine with extreme caution. This applies to people with the following problems:
- of cardio-vascular system;
- prostatitis or inflammation of the prostate gland;
- third trimester of pregnancy;
- closed-angle glaucoma;
- any form of diabetes.
It is prohibited to take the drug completely for people suffering from:
- recent heart attack;
- being in the first trimester of pregnancy.
Side effects after use
The occurrence of side effects after using the drug is extremely rare, however, it can manifest itself in:
- Feeling of increased dryness in the throat and mouth;
- Involuntary twitching of skeletal muscles;
- Dizziness;
- Increased heart rate;
- Raising blood pressure levels;
- Strong headache;
- Vomiting;
- Nausea;
- Severe cough caused by irritation of the respiratory tract;
- Skin rash;
- Feeling of general loss of strength.
The appearance of such symptoms should not cause a person to panic; this is a side effect of the drug, although quite rare. It is possible that a person made a mistake when diluting the drug, and the dose turned out to be more than normal, which is why similar symptoms may also be observed.
Complication after inhalation
Can there be complications after inhalation with Berodual? Sometimes a child has a fever, however, this is not a side effect and is associated with the healing process of a cold. An increase in temperature always indicates the activation of the body's defenses, so there is no need to worry.
What should you do if your temperature rises after Berodual? Give an antipyretic if the thermometer stops at 38 degrees or higher. Usually the temperature drops quickly after Berodual.
The pediatrician prescribes inhalations with Ambrobene and Berodual for various types of cough for better sputum discharge. To prepare the medicinal mixture, saline solution is added to Berodual. Remember that distilled water cannot be used in nebulizers - only saline solution. If the baby’s body does not respond well to the inhalation procedure, you should immediately inform the pediatrician about this - sometimes this happens. If you notice inappropriate behavior of the child after inhalation, stop using the nebulizer.
Medicine dosage
When using the solution for inhalation, the dose for an adult and a child over 12 years of age will depend on the characteristics of the disease and the doctor’s recommendations. Next, we will indicate how to dilute Berodual for inhalation:
- To stop attacks - from 20 to 80 drops (about 2 ml);
- Carrying out long-term treatment, four times a day from 20 to 40 drops (up to 2 ml);
- The average level of bronchospasm is up to 10 drops;
- For small children aged 6 to 12 years, use for:
- The need to stop an attack - from 10 to 20 drops;
- Severe attacks - from 40 to 60 drops;
- Undertaking long-term treatment four times a day from 10 to 20 drops;
Children under the age of six years can take the drug only under the supervision of a physician. In addition to this doctor, a phthisiatrician and a pulmonologist can treat bronchitis and asthma. They make an accurate calculation of the drug for inhalation.
Inhalations with saline solution for children
For inhalations in children, it is better to use a nebulizer, because... this technique is considered safe. Depending on the age of the child, from 2 to 4 ml of saline is used, which is filled into a special container. If the doctor prescribed a drug for inhalation and said to dilute it with saline, do not forget to specify the proportions.
The inhalation process is exactly the same as for adults. Sometimes the procedure time is slightly reduced, because... It is difficult to get children to sit over the device for a long time. Parents or medical staff should be present at all times to keep the child under control.
During pregnancy, saline solution is not contraindicated, but, on the contrary, in some cases it helps to moisten the dry mucous membrane of the nasopharynx, which often accompanies the gestation period. If a pregnant woman feels a sore, dry or slightly sore throat, you can safely start inhaling using saline.
In some cases, doctors recommend antiseptics for inhalation, but it is better to dilute them with saline solution. For any questions regarding therapy, consult your doctor.
Inhalation with berodual and saline solution proportions for adults
Many people do not know how to inhale with Berodual. To do this, you need to use a special device called a nebulizer. It will help the mixture of the drug with saline enter the bronchi. The solution for inhalation must be prepared according to special instructions, which are usually included with the drug or device.
The number of drops of Berodual for the inhalation mixture is indicated by a phthisiatrician. They are dripped into saline until the total volume of liquid is about four milliliters. Berodual instructions for inhalation mean that any remaining liquid cannot be used a second time. To carry out a new inhalation, you need to prepare a fresh solution.
It is forbidden to use distilled water instead of saline solution. To dilute the drug, you can only use it. In some cases, a phthisiatrician may prescribe an additional solution diluted with Lazolvan. Then a few more drops of medicine are added to the mixture.
Ambrobene and Berodual for inhalation at the same time - rules of use
Berodual is used for bronchospasms and dry coughs to remove sputum. This drug is used in the form of an aerosol and for inhalation in a nebulizer. Pediatricians often prescribe Berodual and Ambrobene for inhalation simultaneously. Let's look at how to properly carry out inhalations for children, what needs to be taken into account when doing this.
Inhalations for a child
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Strange people. only from a doctor and to the forum to “check” the doctor. On topic - yes, you can mix. But I would do inhalation with Berodual, and after 20-30 minutes with Ambrobene. And even better - Berodual in inhalations, and expectorants separately in tablets or syrup.
Both of these drugs are NOT antitussives. After inhalation, the cough may even intensify, this is normal - sputum should come out. ¶
Carrying out inhalation to a child
To develop a strategy for how to properly inhale with Berodual, phthisiatricians begin treatment with minimal doses of the drug in order to monitor the reaction to the body. Based on this, it will be decided how many drops the little patient should receive. The instructions for use imply that between sessions you need to take a rest break for at least four hours.
How to do inhalations and how many days it will take directly depends on the child’s diagnosis and recommendations received from the TB doctor. Usually the course of treatment does not exceed five days. Please note that when using analogues, the dilution conditions will be different! If the child is already six years old, the TB specialist prescribes treatment on an individual basis, as well as the dosage.
Comparison of drugs
To summarize the comparison of the two medications Berodual and Pulmicort, it can be noted that they have different effects on the body, despite similar indications.
They are prescribed by a doctor only after a thorough study of the disease history, symptoms, and diagnostic results. Only a specialist makes the right decision - which is better in treatment - Berodual or Pulmicort. Pulmicort relieves inflammation in the lumen of the bronchi and helps reduce sputum production. And the action of Berodual is aimed at eliminating spasms and relieving shortness of breath.
Inhalations with both drugs are acceptable, but subject to strict adherence to the dose prescribed by the attending physician.
Berodual stops the functioning of the receptors for some time, expanding the bronchial lumen. It acts quickly, so it is used separately and together with other medications. Such treatment is allowed after 6 years. An additional advantage of the product is that it is non-hormonal, so it is not dangerous for children.
Pulmicort, on the contrary, is a hormonal drug, so it should be used with caution. The medicine is prohibited for people with severe kidney disease, for infants under 6 months, or if high sensitivity to the components is detected.
Medicines also differ in the mechanism of their effect on the body. When using Berodual, it immediately expands the bronchi, relaxes their muscles, and stops the process of inflammation. Pulmicort does not act as quickly.
In what cases does a pediatrician prescribe inhalations with Ambrobene? This drug helps with inflammatory processes in the bronchi, when sputum becomes thick and mucus is difficult to clear. Ambrobene is also indicated for:
- colds, laryngitis and ARVI;
- obstructive bronchitis;
- bronchial asthma;
- pneumonia.
The nebulizer has one irreplaceable advantage over other methods of treatment - medicinal substances have a vector effect on the affected tissue, bypassing the gastrointestinal tract and circulatory system. This treatment method is well tolerated by young children and elderly patients.
Why do pediatricians prescribe inhalations with Berodual and Ambrobene together? Because they complement each other. If ambroxol stimulates the discharge of viscous sputum, then Berodual increases the bronchial lumen for better discharge of exudate. The effect of bronchial expansion is the main difference between Berodual and Ambroxol.
Therefore, it is not correct to compare these two drugs with each other - they have different effects on the body. It is impossible to say which is better - Berodual or Ambrobene. They are combined together to achieve a therapeutic effect.
Berodual is classified as a bronchodilator. Its action is aimed at expanding the lumen of the middle part of the respiratory tract and relieving spasm of its smooth muscle fibers. The effect occurs in the first 15 minutes and lasts up to 6 hours.
Berodual is indicated for bronchospastic conditions and/or bronchial obstruction against the background of:
- stenosis;
- emphysema;
- asthma;
- COPD;
- bronchitis;
- allergies;
- ARVI, influenza, acute respiratory infections;
- tuberculosis;
- laryngitis;
- tracheitis;
- other pathologies that interfere with the passage of air to the lungs.
Ambrobene is classified as a mucolytic and expectorant drug. Its action is aimed at diluting and separating viscous sputum (without increasing its quantity) and stimulating the processes of its removal from the bronchus.
Ambrobene is indicated for the treatment of cough and removal of pathological mucus from the respiratory tract with:
- COPD;
- bronchitis;
- pneumonia;
- bronchiectasis;
- asthma;
- distress in infants;
- other pathologies with a disorder of the formation and outflow of sputum from the respiratory tract.
Berodual can be compared with Ambrobene in terms of release form, composition and method of application.
Known analogues of the drug
If the use of the drug is impossible for some reason, for example, due to personal intolerance to its individual components, analogues can be used. Consult with a phthisiatrician about what the individual dosage should be and recommendations for dilution with saline.
The most famous analog drugs are Atrovent and Berotec. Inhalation can be done according to the same principle as with Berodual. Among the analogues, there are also those that belong to the same pharmacological group, but are used completely differently. For example:
- Biasten;
- Ditek;
- Intal plus;
- Tevacombe;
- Seretide et al.
Before using inhalations, you should definitely consult with a phthisiatrician to select the correct dosage and duration of the treatment course.
Berodual or Ambrobene for inhalation - which is better?
Since these drugs have different purposes, it is simply impossible to say which is better overall. The effectiveness of each can only be assessed for a particular disease. Thus, Ambrobene should be used for cough inhalation for:
- cold;
- respiratory tract infections;
- flu
Berodual is used for conditions that cause narrowing of the bronchi and make breathing difficult, such as:
- bronchial asthma is a chronic disease that causes spasms of the bronchi;
- COPD (chronic obstructive pulmonary disease) – inflammation and changes in the structure of lung tissue;
- obstructive bronchitis is an inflammatory process in the bronchi, accompanied by spasms.
