The use of berodual in the treatment of tracheitis

For laryngitis, Berodual has a beneficial effect on the course of the disease. After use, coughing attacks decrease, and in some cases they disappear completely. This drug helps to protect areas with inflammatory processes immediately after its implementation. If the disease is not treated in a timely manner, the most severe consequences can be expected. If treated incorrectly and untimely, laryngitis can become chronic.

The drug can be used only as prescribed by a doctor. It is forbidden to self-medicate, otherwise the consequences may be the most unforeseen. Especially, you should not prescribe the drug yourself when treating laryngitis in children.

Effect of the drug Berodual

Berodual inhalation solution
Laryngitis is an inflammation of the larynx and vocal cords. This inflammation occurs due to infection, allergies or pathologies of the respiratory system. Signs of the disease include:

• barking cough;
• hoarse voice;
• difficulty breathing, which is accompanied by attacks of suffocation.

Doctors prescribe Berodual for laryngitis, as this remedy helps reduce spasms and get rid of shortness of breath in bronchial asthma. With the development of shortness of breath, swelling of the bronchiole wall occurs. To eliminate the narrowing of the bronchioles, Berodual appeared. Its effect is ensured by the presence of two active components - fenoterol and ipratropium bromide. These ingredients have the following effects:

• help relax the smooth muscles of small vessels;
• help prevent bronchospasm from flourishing;
• stimulates breathing.

This remedy is indicated for patients with:

• bronchial asthma;
• obstructive bronchitis;
• emphysematous bronchitis;
• other diseases of the bronchi and lungs;
• necessary to prepare the respiratory tract before aerosol administration of the drug.

Berodual for laryngitis in children is used for coughing. This drug has a relaxing effect and is suitable for relieving signs of suffocation. Since there are age restrictions, the drug is used only as prescribed by the attending physician. The specialist not only prescribes treatment, but also correctly determines the required dosage.

With laryngitis, a complication may begin to develop in a child under 5 years of age and it is called false croup. This is a very dangerous condition and it is in such cases that doctors prescribe Berodual.

What mistakes do pediatricians make when treating inflammation of the larynx?

Inflammation of the mucous membrane lining the larynx occurs much more often in children than in adults.
This is explained both by the fact that the child’s respiratory tract mucosa is looser, and by the fact that their immunity has not yet been formed. Usually, laryngitis is a complication of an untreated acute respiratory viral infection, but sometimes it is provoked by pathogenic bacteria, allergies, inhalation of dust or tobacco, hypothermia or overstrain of the vocal cords. The following symptoms indicate laryngitis in children:

• hoarseness of the voice, which is detected when talking in older children and crying in infants;
• hacking, unproductive, barking cough;
• temperature 37.5 - 39 degrees;
• general deterioration of health;
• rhinitis;
• dyspnea.

When examining a child, the pediatrician observes hyperemia of the laryngeal mucosa and its swelling.

The disease is scary because with laryngitis, complications develop very quickly in childhood patients - tracheitis or bronchitis begins, an attack of stenosis occurs.

At the first suspicion of inflammation of the larynx, the child should be shown to a doctor. But, unfortunately, even the treatment prescribed to them does not always help.

For laryngitis in children, when prescribing medications, pediatricians make serious mistakes. For example:

1. Antibiotics are prescribed, even if laryngitis is viral in nature. This is usually done by “old school” doctors who trained at medical universities 20 or 30 years ago. They prefer to “play it safe” by prescribing antibacterial drugs in absolutely all cases when the temperature in children rises to 38 degrees or higher. But their groundless use for laryngitis or any other viral respiratory disease is fraught with dysbacteriosis and a severe allergic reaction.
2. In order to relieve swelling of the laryngeal mucosa during laryngitis, bronchodilators (drugs that expand the bronchial lumen and make breathing easier), such as Pulmicort, Ventolin or Berodual, are prescribed. They not only do not treat this disease, but make the bronchi more vulnerable, ready to accept infection after the larynx. In addition, their use can provoke paradoxical bronchospasm.

And if the topic of antibiotics for laryngitis comes up quite often, bronchodilators, especially Berodual, since it does not contain hormones, continue to be prescribed by pediatricians almost en masse.

All of the above arguments give reason to conclude that it is not recommended to treat children and adults with laryngitis with Berodual. With this disease, moisturizing inhalations with saline or alkaline mineral water will be much more effective, which will have a softening and anti-inflammatory effect directly on the larynx and vocal cords.

Inhalations are done along with other drug therapy. For laryngitis in children, use in combination:

• antiviral drugs (Viferon, Anaferon, Oscillococcinum, etc.);
• antihistamines (Suprastin, Cetrin, etc.);
• anti-inflammatory drugs (Strepsilz, Faringosept, Efizol, pochee);
• cough medications in the first days of the disease, when the cough is dry and paroxysmal (Stoptusin, Sinekod) and expectorants subsequently, as the cough becomes productive (ACC, Prospan, Mucaltin, Pertussin).

The objectives of treatment are to extinguish the source of infection, moisturize the laryngeal mucosa and relieve its inflammation, promote the liquefaction and coughing up of sputum.

Provided that the patient takes the medications prescribed to him, maintains bed rest, drinks plenty of fluids, laryngitis will subside in 5-10 days. There is no information that Berodual inhalations somehow speed up the healing process.

Inhalations for laryngitis with Berodual

Inhalations become a must when fighting this disease. This disease occurs accompanied by a dry cough. To get rid of this disease, inhalations are prescribed. Berodual is a bronchodilator. In children, laryngitis is treated using an aerosol form. From the age of six it is allowed to take the spray. To carry out inhalations, you need to purchase a nebulizer. A nebulizer is a special home inhaler that sprays a liquid into tiny water vapor. This greatly facilitates breathing through a special pad. It is recommended that initial procedures be performed only under the supervision of a specialist. The doctor will be able to determine the dose. The required dosage is mixed with saline and the entire dose is used for inhalation with a nebulizer.

You need to breathe the solution and small particles very easily enter the respiratory system, and this has a very positive effect on the dynamics of treatment of the disease.

It is worth noting that Berodual is contraindicated for patients carrying babies in the first and third trimester. Also, you should not use the medicine if you are sensitive to the components, with tachyarrhythmia and cardiomyopathy.

Use of the drug in childhood for laryngitis

Laryngitis is a complication of colds, in which the trachea and vocal cords of a child become inflamed and swollen. In case of laryngitis in children, inhalation becomes a mandatory point in the fight against the disease, in which small particles of drugs easily penetrate the respiratory system, which causes a quick positive effect.

For laryngitis in children, it is Berodual that has the unique ability to relax the muscles of the bronchi, facilitate breathing, and improve lung function. For children under 6 years of age and weighing less than 20 kg, the use of the drug is limited, and if carried out, then only under the supervision of a doctor according to an individually selected dosage.

The following doses can be used for bronchial asthma and laryngitis: 1 – 2 drops. solution, but one dose should not exceed 10 drops. The maximum daily intake is no more than 1.5 milliliters.

For children of this age category, the drug is used in case of acute attacks of bronchial asthma and laryngitis. The dose varies from 0.5 (10 drops) to 2.0 milliliters (40 drops) and depends entirely on the severity of the attack.

Specialists use this drug to prepare the respiratory system in children for the use of mucolytic drugs, antibiotics and drugs from the group of corticosteroids by aerosol.

How to use the medicine correctly?

This medicine is sold in the form of a liquid for inhalation. The medicine can also be purchased as an aerosol can. The dosed drug has 200 doses. The liquid for inhalations is removed in special droppers that contain 20 ml of solution. This solution can only be administered by inhalation.

The required dosage for each patient is selected individually. But it is recommended to start treatment with a small dose. It can be increased only if small doses are effective. You can use medicine to relieve an attack. Only freshly diluted medication is allowed to be used.

For proper preparation of the required dose of medication, add such an amount of saline solution so that at the end you have 3-4 ml of liquid.

Berodual dosage:

1. For adults and children over 12 years old, you need from 20 to 50 drops. Their number depends on the severity of the disease.
2. For children from 6 to 12 years old, 10 to 40 drops are needed.
3. For children under 6 years old, 2 drops per kg of weight are needed. It is prohibited to use more than 30 drops per day.

Is laryngitis treated with Berodual?

The drug Berodual is a German medicine that is produced in Italy. It has two forms of release - drops for inhalation with a nebulizer or some other inhaler and a pocket can - an aerosol.

For children with laryngitis, doctors prescribe Berodual in drops. It is available in 20 ml bottles and has the appearance of a transparent liquid without color or odor.

The active ingredients of this drug are fenoterol and ipratropium bromide, because of which Berodual belongs to the clinical and pharmacological group of bronchodilators. Acting simultaneously on beta2-adenoceptors of the bronchi and their smooth muscles, the active substances cause a significant expansion of the lumen.

The drug is indicated for use in diseases in which the tone of the bronchial muscles is significantly increased, for example:

• bronchial asthma;
• COPD;
• chronic obstructive bronchitis;
• emphysema.

Treatment of children with Berodual should only take place in a hospital setting or under the strict supervision of a doctor. Inhalations are started with the lowest permitted dose:

• if the child is over 12 years old – 20 drops (1 ml);
• if the child is 6 – 12 years old – 10 drops (0.5 ml);
• if the child is under 6 years old – 2-5 drops (less than 0.5 ml).

Attention! Berodual must be diluted with saline so that the final volume of the medicine used for inhalation is from 3 to 4 ml.

Avoid contact of the drug with the eyes during inhalation. It is recommended to breathe through a mouthpiece (mouthpiece) or a tight-fitting mask.

The remaining solution cannot be reused and must be disposed of.

The instructions for the medicine do not indicate that Berodual should be used for laryngitis in adults and children. Experts warn: this medicine not only does not help, but also harms.

1. Fenoterol and ipratropium bromide act exclusively on small bronchi and bronchioles. For large airways they are ineffective. Despite the fact that bronchospasm and laryngospasm have similar mechanisms of occurrence, in the case of the latter, the administration of euphilin, prednisone, hydrocortisone, heparin and sodium bicarbonate is more effective.
2. Possible side effects from Berodual:
   worsening cough;
3. dry mouth;
4. headache and dizziness;
5. tachycardia;
6. arrhythmia;
7. nausea and vomiting;
8. increased blood pressure.
9. An allergic reaction from urticaria to anaphylaxis may occur to the drug.
10. Like other bronchodilators, Berodual can provoke paradoxical bronchospasm. This is a reaction that is the complete opposite of what is expected. Instead of relaxation of the muscles of the bronchi, even greater tension is observed. This is a condition that threatens a person's life.

Application of the solution

The stage of the disease determines the method of treatment:

• symptom relief – 10-20 drops once;
• in case of severe condition, use 40-60 drops once;
• if there is difficulty breathing, then 10 drops 4 times a day;
• for long-term therapy, use 10-20 drops 4 times a day.

If you are using an already dosed canister, you need to remove the protective cap and turn the canister upside down. Next you should take the following steps:

• exhale completely;
• place the can into your mouth;
• press it very tightly with your lips;
• When pressed, you must immediately inhale.

After inhaling, a person must hold his breath for 10 seconds. After this you need to take a very slow breath. If you do not take this slow breath, the medicine remains in the respiratory tract and does not reach the small bronchi.

Description of the drug

Berodual is a drug that belongs to the group of bronchodilators. Available in solution and aerosol form.

The composition includes the following substances:

• fenoterol is a β-adrenergic agonist that stimulates bronchial receptors, thereby accelerating the liquefaction and elimination of sputum;
• ipratropium bromide is an atropine derivative and has anticholinergic properties;
• disodium edetate dihydrate, sodium chloride, hydrochloric acid, water – auxiliary components.

Berodual is widely used in the treatment of laryngotracheitis due to the many properties that the medicine has:

• dilates the bronchi;
• improves breathing;
• relieves bronchospasm;
• promotes rapid release of sputum;
• speeds up recovery.

The drug is also used to prepare the bronchi for aerosol injection of mucolytics, antibiotics or corticosteroids in order to pre-clean mucus. Before using the drug, you must read the instructions for use. In the first trimester of pregnancy and for diseases of the cardiovascular system, the drug should not be used.

The drug is used by inhaler or nebulizer for the following diseases:

• laryngotracheitis;
• laryngeal stenosis;
• bronchial asthma;
• all types of bronchitis (acute, chronic, obstructive);
• sinusitis, laryngitis, pharyngitis, laryngotracheitis, influenza, etc.

The dosage of the drug in the treatment of laryngitis or laryngotracheitis is prescribed individually. For infants, it is recommended to add 0.5-1 ml of solution per 3 ml of saline solution. Adults can use a 1/1 ratio.

Side effects

Some side effects may occur after using the medicine:

• nervousness;
• headaches;
• dizziness;
• taste changes;
• tachycardia;
• dry mouth.

Can inhalations with this drug harm children? According to the instructions, after using the medicine the following are possible:

• increased cough;
• nausea and vomiting;
• digestive disorders;
• anaphylactic shock;
• Quincke's edema;
• rash.

If laryngitis develops, immediate emergency care is required. In children, the use of this drug may cause increased narrowing of the bronchi. Instead of the expected improvement, there is a deterioration in the condition.

Self-prescription of inhalations with this drug can lead to a worsening of the condition and the development of allergic reactions. If inhalations with Berodual are ineffective, then other inhalations will be prescribed that will bring better results.

Berodual for children with tracheitis

Berodual is quite effective in the treatment of tracheitis, as well as other diseases of the respiratory system. It can be prescribed exclusively as an inhalation agent for non-productive cough, alone and in combination with other drugs, for example, Sinekod, etc.

Berodual improves sputum discharge and makes breathing easier. Thanks to its action, children's sleep is normalized, which is due to the relief of cough at night. The drug is extremely rarely accompanied by negative manifestations and, if necessary, can be prescribed even to children under 6 years of age. General improvement after starting to use inhalations occurs after 2 - 3 days.