Inhalations for wet coughs with Berodual for children

Composition and release form of the product

Berodual for inhalation contains several synthetic substances:

• fenoterol;
• sodium chloride;
• ipratropium bromide;
• hydrochloric acid;
• disodium edetate;
• distilled water;
• benzalkonium chloride.

Fenoterol and ipratropium bromide are antispasmodics with different principles of action. Berodual for cough is sold in two forms:

• an aerosol with a dispenser in a metal bottle with a capacity of 10 ml, which is designed for 200 doses;
• solution in a 20 ml glass bottle, intended for nebulizer inhalation.

Pharmacological properties and medical indications for use

Berodual inhalations for coughing are aimed at eliminating the corresponding symptom in the presence of a decrease in the lumen of the bronchi. The cause of the characteristic symptom is a physical barrier to air in the form of a decrease in the diameter of the respiratory tract. Receptors that cause a reflex dry cough are irritated.

The patient has difficulty breathing due to the additional formation of thick mucus. The use of expectorants in combination with Berodual allows you to fight wet and dry cough at the same time.

Ipratropium bromide is an m-anticholinergic drug. This group of substances blocks the contact of acetylcholine with the corresponding receptors on the surface of smooth myocytes located around the bronchi. The result is a decrease in the concentration of free calcium ions inside the cells, which reduces spasm of the airways with expansion of the lumen. Due to this effect, the passage of air through the bronchi will increase.

Contraindications to the use of Berodual for cough:

• severe organic heart damage – cardiomyopathy;
• arrhythmias with accelerated work of the heart muscle;
• pregnancy in the 1st and 3rd trimester;
• individual intolerance to the components of the product.

The drug is prescribed with caution to patients who have had a myocardial infarction, suffering from hypertension, glaucoma, and vascular pathologies.

Side effects occur when the medication is used incorrectly or for a long time.

The drug is prescribed in the following cases:

• prevention of bronchial asthma attacks;
• therapy of diseases of the respiratory system;
• dry residual cough;
• residual cough after obstructive bronchitis;
• Chronical bronchitis;
• obstructive bronchitis;
• emphysema;
• bronchial asthma;
• allergic cough;
• suffocating cough of unknown etiology

Inhalations with Berodual are indicated for children and adults; they relieve the increased tone of the smooth muscles of the larynx, trachea, vocal cords, bronchial ducts and normalize the secretion of mucous membranes in the nasopharynx and bronchi. The active components of the drug relieve spasms when respiratory tract receptors are irritated by various allergens and foreign particles (dust, gas, pollen, etc.).

The drug Berodual does not have strong serious side effects on the body if the correct concentration in the inhalation composition is observed and the instructions for the drug are followed.

The drug is contraindicated in the following cases:

• during pregnancy and breastfeeding;
• with tachyometry;
• with cardiomyopathy;
• with hypersensitivity to the components of the drug.

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Consultation with a specialist is necessary in the presence of the following pathologies:

• glaucoma;
• diabetes;
• hypertension;
• cardiovascular diseases;
• thyroid diseases.

What effect does the drug have?

The medicine for dry cough has pronounced bronchodilator activity, which is due to the action of two substances:

• fenoterol - affects adrenergic receptors in the bronchi, causing the lumen in them to increase;
• ipratropium bromide – prevents the contraction of smooth muscles in the lower respiratory tract.

The combination of components increases the effectiveness of bronchodilator therapy. The solution is used for both dry and wet coughs.

Included in the treatment regimen for diseases that are accompanied by hypertonicity (increased tone) of the bronchopulmonary muscles.

For which cough do inhalations with Berodual be used?

Benefit

Not always tablets, syrups, and especially injections can be offered to a child for treatment. He is not always able to swallow tablet forms of drugs; the effect of drugs in drops can be reduced due to their dilution with salivary enzymes. Sprays give short-term results, and injections cause horror in the child; they are resorted to only in extreme cases.

After all of the above, all that remains is to seek help from inhalations, which are able to gently penetrate the respiratory tract and have a long-term effect on pathogenic viruses and bacteria. There are no side effects when using them.

Allergy sufferers and people who want to quickly get rid of a boring cough should turn their attention to inhalations with saline solution. This long name hides a 1% mixture of salt and water. A saline solution can moisten the throat and soften coughing attacks, and stimulate the release of accumulated phlegm.

Salt is a strong natural antiseptic and can destroy pathogenic bacteria. For young children, it is the best option for eliminating cough, and by using it you can protect your baby from the harmful effects of potent drugs.

Saline solution can also act as a base for preparing inhalation mixtures. It is often used, since many herbs and medicines cannot be diluted with boiling water, so as not to reduce their medicinal properties. Even an antibiotic is sometimes prescribed for inhalation for bronchitis.

When dry

All colds begin with this type of cough. The vapors obtained during inhalation can dilute sputum and transform it from a viscous state to a fluid one. But they should not be performed on children under one year of age, since such babies are unable to independently cough up all the liquid that comes out.

And for other people, for dry cough, you can use inhalations with saline solution in its pure form or dilute medications prescribed by a doctor with it. The most commonly used are Lazolvan, Ambroxol, Mucolvan and Flavamed. Each of them has a complex effect on the diseased body. They force it to produce phlegm and then stimulate it to come out.

For a nebulizer for dry cough, the following types of drugs are selected:

• bronchodilators eliminate contractions of the bronchi. These include Berodual and Ventolin;
• mucolytics are involved in the rapid removal of sputum: Pulmozyme and Ambroxol;
• antiseptics destroy microbes: Decasan and Furacilin;
• alkalis help moisturize mucous membranes and participate in the dilution of sputum: Borjomi water and saline solution.

You should know that all of the medications listed are diluted with saline solution, since it is the most gentle remedy. Inhalations with it can be carried out several times a day.

The choice of medication and the required dose are determined by the attending physician. If you don’t have a suitable drug at hand, you can use a folk recipe. According to it, you need to pour saline solution into hot water in a 1:1 ratio and breathe in the vapors of the resulting composition for 10 minutes. You can see it here. how to treat a dry cough in a child, what inhalations can be done.

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Therapy is used for various types of cough - both dry and wet. Berodual is usually prescribed to relieve symptoms and eliminate the root cause. Often prescribed in combination with other drugs.

The main purpose is the treatment of cough caused by various infectious and non-infectious diseases. The main symptom: significant or slight narrowing of the airways. Allowed for bronchospasm, but only reversible. Self-medication is prohibited.

Can be used for the following diseases:

• Bronchial asthma in various forms.
• Pneumonia, chronic or acute.
• Obstructive bronchitis.
• Chronic obstructive pulmonary disease.

Sometimes used to relieve symptoms of severe allergic reactions. Berodual is good for itchy coughs.

The main active ingredient of the drug is ipratropium bromide. If a person is prescribed to take it, it means that he is suffering from a severe cough caused by an illness, allergies, or frequent exposure to smog or cigarette smoke.

This drug allows you to reduce the sensitivity of the bronchial walls and reduce its reaction to irritating factors. It blocks cholinergic receptors, allowing you to get rid of bronchial spasms.

It also allows you to normalize the functioning of the endocrine glands. Helps get rid of cough with thick sputum, reduces the amount of mucus produced.

Relaxes the bronchi and blood vessels, helps get rid of swelling.

The following effects are typical:

• Relieving cough, getting rid of it.
• Normalization of breathing.
• No wheezing in the lungs.

Absolutely not effective against bacterial infections.

To do this, you can purchase a special device - a nebulizer. This will allow the drug to be evenly distributed throughout the body.

For children

If you just need to get rid of regular bronchospasms, then the drug should be used only once a day.

This course is suitable if the child is practically not sick or is undergoing therapy with other drugs. If we are talking about a long course, the drug is used no more than 3 times a day.

Sometimes this amount increases up to 4 times - in case of emergency. The principles of the procedure are no different from treating an adult.

Sometimes Berodual is used to treat diseases of the upper respiratory tract and cough in infants. In this case, the duration of the course is about 5 days - until the medicine runs out.

An infant is prescribed 2 drops of the drug at a time. For a six-month-old - about 5. The formula often used is 1-2 drops for every 10 kg of the child’s body. The dose should not exceed 10.

Instructions for use

Berodual is an effective remedy for non-productive cough that relieves obstruction. The nebulizer converts medicinal liquids into an aerosol, which easily penetrates into distant parts of the ENT organs - bronchi, alveoli. This increases the effectiveness of therapy. To reduce the risk of complications, treatment begins with minimal therapeutic doses.

The colorless solution is odorless, and its components do not precipitate. Therefore, the drug is not shaken before use. The dosage is determined by the severity of the paroxysmal cough, the degree of narrowing of the mucous membrane in the bronchopulmonary system. Therefore, it is established by a specialist after examining the patient.

A bronchodilator is used to eliminate spasms in the bronchi and remove bronchopulmonary mucus from the respiratory system. It is also used to prevent spasmodic cough before administering antimicrobial expectorants into the lungs. Inhalations with Berodual for dry cough are used taking into account the following dosage:

• the maximum dose for 1 procedure is 20 drops;
• daily dose – 48-80 drops.

Inhalations for coughs in children: recipes and rules

The use of Berodual for inhalation must be approved by a doctor.
This drug is not one that you can use on your own initiative. This article will review the description of Berodualam, we will talk about how to use it for inhalation, how many times you can inhale with Berodualam and how often, we will clarify for what cough the drug should be used. A separate issue is the dosage of Berodual for inhalation and the method of diluting it.

The medical annotation for Berodual for inhalation states that the drug contains 2 bronchodilator components:

• fenoterol;
• ipratropium bromide.

The first substance belongs to the group of beta2-adrenergic agonists, the second - to m-anticholinergic blockers. We will look at what Berodual is used for inhalation in the next section.

Here we will clarify the question that interests many patients: whether Berodual is hormonal or not.

These medications belong to the group of glucocorticosteroids. Thus, the drug in question is not hormonal.

What does Berodual do?

Inhalation of the drug has an effect that is determined by its constituent components.

1. Fenoterol stimulates adrenergic receptors located in the bronchi, which leads to relaxation of the bronchial muscles. In addition, fenoterol blocks the release of inflammatory mediators, leads to a decrease in the local inflammatory response, and a decrease in swelling of the respiratory tract mucosa. The complex effect of fenoterol helps reduce bronchial obstruction and improve airway function.

1. Ipratropium bromide has an atropine-like effect, blocking acetylcholine-sensitive receptors. Similar to fenoterol, the substance leads to a decrease in muscle tone of the bronchi. In addition, ipratrotium bromide normalizes the activity of the bronchial glands and helps reduce their hypersecretion.

Thus, the drug has antispasmodic, anti-inflammatory and normalizing secretion in the bronchi effect. After inhalation:

• cough relieves;
• breathing improves and calms down;
• wheezing disappears;
• the drainage function of the bronchi improves.

The effect of the drug is expressed in a significant improvement in the patient's condition. In the case of a bacterial infection, inhalation of the drug makes antibiotic and antibacterial therapy more effective.

The indication for use in accordance with the instructions is the presence of bronchospastic reactions that occur under the influence of internal mediators (methacholine, histamine), as well as external allergens.

The instructions for use of the Berodual solution indicate the following diseases for which the drug is indicated:

• obstructive bronchitis;
• pneumonia;
• bronchial asthma;
• COPD

It should be borne in mind that the drug in question is not mandatory for the treatment of bronchitis. As noted above, the main factor requiring the use of a bronchodilator is severe bronchial obstruction.

Symptomatically, obstruction manifests itself in the form of difficulty in inhaling and the presence of pronounced wheezing when breathing. If these symptoms do not appear or are not pronounced, then it is enough to use drugs that stimulate respiratory tract motility and have an expectorant effect. Ambroxol-based drugs (eg Lazolvan) are often prescribed.

For severe bronchitis, it is possible to take Berodual first, then Lazolvana, or their simultaneous inhalation.

Patients are often interested in the question: which is better for bronchitis, Pulmicort or Berodual. It should be noted that Pulmicort, being a hormonal steroid, is considered as a drug of subsequent choice in cases where previous therapy did not lead to the expected results.

The first-line drugs in the treatment of pneumonia are, of course, antibiotics and antibacterial agents. To improve drainage of the bronchopulmonary system, the use of mucolytics and expectorants is indicated. Berodual can be used as a symptomatic remedy for the treatment of bronchospasm, which can occur with pneumonia.

Although the instructions for the Berodual solution do not list laryngitis as an indication for inhalation, doctors prescribe this drug for laryngitis accompanied by difficulty breathing. This type of disease is usually called stenosing laryngitis or laryngotracheitis if the trachea is involved in the inflammatory process.

Berodual is considered one of the most popular cough medicines. You can use it for any form of cough, the main thing is to choose the right dosage. This should be done by a specialist, namely a pulmonologist. You can do inhalations with Berodual for dry or wet cough. The procedures are carried out using a nebulizer.

The drug is prescribed by doctors for:

• chronic and obstructive bronchitis;
• bronchial asthma;
• allergic and residual cough;
• dry and wet cough;
• spasms in the bronchi;
• respiratory tract diseases;
• pulmonary emphysema;
• rhinitis.

Berodual is prescribed for children and adults, the only difference is in the intake, dosage and number of procedures. Often, when treating the drug through a nebulizer, pulmonologists recommend combining Berodual with Lazolvan or diluting it with saline. But it all depends on the diagnosis and the degree of the disease.

Contraindications

Despite the fact that inhalations with Berodual for cough are very effective, the treatment has some limitations. In no case is it recommended to use the medicine in excessive dosages or if there are allergic reactions to the components of the drug.

Moreover, you cannot be treated with Berodual if:

1. Glaucoma.
2. Diabetes mellitus.
3. Diseases of the thyroid gland.
4. Cardiovascular diseases.
5. Pregnancy and breastfeeding.
6. Tacheometry.
7. Having had a heart attack or stroke.

Contraindications should not be neglected, even if the cough is accompanied by fever. It is better to call a doctor who will prescribe appropriate therapy so that there is no increase in heart rate.

The medicine contains components such as fenoterol and ipratropium bromide. The first component reduces tension in the bronchial muscles and at the same time eliminates spasms from allergens. The second stops spasm of the lungs and reduces the secretion of the glands. Fenoterol increases heart rate, because of this the medicine should be taken only as recommended by a physician or pulmonologist.

The main feature of inhalations with Berodual is that it must be diluted or combined with other agents. It is also necessary to follow the treatment regimen prescribed by the doctor.

Most often, inhalation sessions are carried out with saline solution, Lazolvan or mineral water. Berodual is prescribed for wet and dry coughs, when sputum is difficult to separate.

But it is important to know that self-medication is very risky; the dosage of the drug must be calculated by a doctor.

When treating children

Preschoolers are advised to inhale the aerosol in a hospital setting, under the supervision of a doctor. Children who reach six years of age can do them at home with their parents. The number of sessions is no more than three times a day, and the duration of the procedure is a maximum of five minutes (even if there is still solution left in the inhaler). The dosage is prescribed by the doctor; you cannot use the drug yourself, otherwise allergies or other negative reactions may occur.

For adults

Adults are recommended to inhale Berodual as a treatment for asthma, asthmatic spasms, to improve coughing up phlegm and for all types of cough. The composition of the solution and its proportions are prescribed by the doctor.

No more than 4 inhalations can be performed per day, the duration of which should not exceed 10 minutes.

However, if the patient has severe suffocating attacks, the doctor may increase the dosage, but in this case, treatment will have to be carried out in a hospital (to be able to observe the patient and control his dosage).

We must not forget that no matter what type of cough a child or an adult has, it is strictly forbidden to prescribe the dose yourself. If the dosage suitable for a person is exceeded, negative consequences may develop.

Negative reactions occur with an overdose of the drug, because then the effect of fenoterol is enhanced, tremors of the limbs, rapid heartbeat and hypertensive states may appear.

Dry mouth is also noted, it becomes difficult for a person to breathe, allergic reactions, dizziness and vomiting occur. In addition, tachycardia, increased blood pressure and irritation of the lower respiratory tract are observed. It is for these reasons that self-medication is prohibited.

You can use Berodual only after passing tests and a thorough examination by a doctor. After diagnosis, the doctor will be able to calculate the correct dosage of the medication.

Berodual has been shown to remain in the respiratory tract by 16%, which helps it have a positive effect on the respiratory system when a person inhales.

The remains of the drug are simply swallowed and do not affect internal organs (like tablets), this protects the patient from adverse reactions.

After using Berodual, the patient's coughing attacks stop within 20 minutes. The medicine lasts for more than 6 hours, and its components – for 2 hours. Cough spasms stop, the suffocating long-term cough goes away. Sputum is coughed up well due to dilation of the bronchi. This effect cannot be achieved by taking cough syrups or tablets, since they do not provide such good dynamics.

The drug is produced in the form of a pocket inhaler and in the form of a solution for procedures with a nebulizer. A pocket inhaler is convenient for those who suffer from frequent spasms to improve their breathing and reduce spasms.

This inhaler can be prescribed to children over 6 years of age, but the main thing is that the preschooler uses it strictly according to the scheme. If there is no shortness of breath and frequent spasms, stop at this option. Berodual is diluted with saline solution unless a concomitant medication is prescribed.

Who is prohibited from using Berodual

It is prohibited to use Berodual to treat cough in pregnant patients in the first trimester and 1 week before delivery. Fenoterol relaxes smooth muscle tissue, inhibiting labor. In some cases, the drug causes paradoxical bronchospasm in patients, accompanied by a painful cough. When it appears, you must abandon Berodual.

Inhale the solution with caution when:

• myocarditis;
• aneurysm;
• uncontrolled diabetes mellitus;
• severe course of hypertension;
• dysfunction of the thyroid gland;
• tachycardia;
• taking cardiac glycosides.

Treatment of cough in patients with cardiovascular pathologies is carried out under the supervision of a specialist. If shortness of breath, tachycardia, or chest pain occurs, therapy with Berodual is discontinued.

You should also monitor the well-being of patients suffering from the following diseases:

• liver failure;
• narrow-angle glaucoma;
• prostate hyperplasia;
• kidney diseases.

Contraindications and side effects

The drug has no serious side effects.

But if the rules of inhalation are violated, the following symptoms are characteristic:

• Feeling of a “dry throat”, slight soreness.
• Trembling in limbs.
• Dizziness, weakness, increased sweating.
• Nausea and vomiting.
• Heartbeat too fast.
• Coughing.
• The appearance of rashes and redness throughout the body.

Before the first use, it is better to take a small dose of Berodual to check how the body reacts to the drug. If you have any concomitant diseases, you should consult your doctor.

It is better not to use the medicine during pregnancy in the 1st and 3rd trimester. Prohibited if you have heart disease, including tachycardia. The list of diseases that you should be careful with also includes diabetes.

It is worth combining Berodual with other treatment regimens with caution. When undergoing any therapy, it is better to consult and carefully study how all drugs interact with each other.

Undesirable effects

If the dosage is observed, the medicine rarely causes adverse reactions. But abuse of inhalations is fraught with the following complications:

• dizziness;
• muscle tremors;
• increased heart rate;
• skin rashes;
• dry mouth;
• increased blood pressure;
• blurred vision;
• diarrhea;
• stomach ache;
• coughing;
• hoarseness of voice;
• headache.

You should avoid getting the medicine into your eyes, as this can lead to pain, mydriasis (dilation of the pupil), and increased intraocular pressure. If a solution or aerosol does get on the mucous membrane, you need to rinse the affected areas with running water.

Inhalation of Berodual with a severe cough sometimes causes signs of local irritation. Therefore, during therapy, patients complain of nausea, dysphonia (change in voice), headaches, nervousness, dizziness, cough, etc. But in most cases, symptoms disappear within a few days after starting treatment.