Atrovent is a bronchodilator medication. The drug helps reduce muscle tone of the bronchi and relieve spasms. Increases the lumen of the respiratory tract, dilates blood vessels, facilitating the respiratory process and improving lung function. Atrovent reduces the production of mucus in the lungs, prevents it from accumulating, and does not interfere with the discharge of sputum.
Application by inhalation allows the medication to have only a local effect, because the active ingredient is delivered directly to the lungs.
When injected, only a tenth of the solution reaches the bronchi, the rest remains in the oral cavity. Atrovent begins to work within a few minutes, peak concentration occurs within an hour and a half. The medication stops working on average 7 hours after inhalation.
The manufacturer produces Atrovent for inhalation in the form of:
- Aerosols - a stainless steel cylinder with a volume of 15–20 ml (designed for 2 and 3 hundred injections, respectively). Equipped with a special valve with a dispenser and a plastic rod.
- Solution for inhalation. Sold in glass vials of 20, 40 or 100 ml.
- Powder form (capsules). Each contains an active component of 200 mcg. Available in 100 pcs. packaged.
- Aerosols for intranasal use, which is introduced into the nasal cavity using a special adapter. Contains 10 or 30 ml of product, the volume is designed for 200–600 injections.
Ipratropium bromide is the main ingredient of Atrovent (each ml of medication contains 250 mcg of substances, excluding water). The composition also contains additional components - benzalkonium chloride, sodium chloride, hydrochloric acid, purified water, disodium salt, ethylenediaminetetraacetic acid.
Instructions and dosage
When selecting the dosage of Atrovent, take into account that 0.0125 mg of the active substance is in 1 drop of the drug, and 1 ml consists of approximately two dozen drops.
The dosage regimen and dose are selected by the doctor individually, based on the well-being and condition of the patient. Therapy must be carried out under medical supervision. The maximum daily dose is 12 injections for an aerosol form, for a solution – 4 ml (children under 12 years old), 8 ml (over 12). The use of the drug in excess of the permissible amount is not permitted.
Aerosol
The container with the drug should be shaken thoroughly before use. If it is necessary to spray more than one dose, they are performed at one-minute intervals.
The usual dosage is 2 injections 4 times a day.
How to use:
- Remove the cap;
- Explain to the child that you need to exhale deeply and smoothly;
- Turn the aerosol upside down, the child should wrap his mouth around the tip;
- Inject sharply while inhaling, ask the patient to hold his breath;
- Remove the device, ask the child to exhale, releasing air smoothly;
- Repeat the manipulation after a minute interval.
Solution for inhalation
Before the procedure, it is necessary to dilute Atrovent so that the total amount of liquid is 4 ml.
You can store it in the refrigerator, but no more than 24 hours. Use for the next inhalations (the usual daily amount is 3-4) in a slightly warm form.
To carry out the procedure, you will need a nebulizer - a special device designed for administering medications using an aerosol method. Standard dosage for this method of use:
- from 0.4 to 1 ml – for children under 6 years of age;
- 1 ml – for the age group from 6 to 12;
- 2 ml – after 12.
Capsules
In order to use Atrovent in this form, you need to purchase a specialized device. A capsule is placed inside the device, the drug is pierced and the drug is inhaled. Usually 3-4 sessions are performed per day.
Comparison of side effects of Atrovent and Pulmicort
Side effects or adverse events are any adverse medical event that occurs in a subject after administration of a drug.
Atrovent's side effects are almost the same as Pulmicort's. They both have few side effects. This implies that the frequency of their occurrence is low, that is, the indicator of how many cases of an undesirable effect of treatment are possible and registered is low. The undesirable effect on the body, the strength of influence and the toxic effect of Atrovent are similar to Pulmicort: how quickly the body recovers after taking it and whether it recovers at all.
Contraindications
Atrovent is not recommended for use if there is an individual intolerance to its components.
Used with restrictions in children with brain injuries, chronic lung diseases, spastic paralysis.
Atrovent is used with caution in the following situations: a history (possibly slowing peristaltic contractions) and disturbances in the outflow of urine.
If the drug gets into your eyes, you may experience pain, redness, dilated pupils, and the appearance of light halos.
Atrovent or Berodual?
It is the main competitor of Atrovent. In order to decide which is better for a child, Atrovent or Berodual, you need to take into account that while the active component of both medications is the same, the latter additionally contains fenoterol hydrobromide in its composition.
Berodual is more effective due to the combination of two active ingredients at once.
For this reason, it is used for acute manifestations. Atrovent, the most clinically proven drug, is widely used in the early and middle stages of diseases.
Price
The price of Atrovent solution with a volume of 20 ml (0.025%) starts from 223 rubles. Aerosol is more expensive - from 340 rubles. The medicine is stored for three years from the date of manufacture at a temperature not exceeding +30°C in places inaccessible to children.
A cough can be very dangerous, and its consequences can be quite unexpected. After all, it can lead to the development of bronchospasm. Therefore, sometimes it is necessary to use potent drugs, for example, such as Atrovent or Berodual. Which of these drugs is better? Let's try to find the answer.
These medications belong to the group of bronchodilators, the so-called m-cholinergic blockers. They are intended for inhalation in the development of bronchospastic syndrome, prevention and elimination of difficulty breathing and acute suffocation. The most common indications for their use are obstructive bronchitis and asthma.
Atrovent for inhalation is used in adult and pediatric practice. The instructions for use contain the following recommendations for its use:
- aerosol - shake the can before use. For adults and children from 6 years of age, inject 2 doses up to 4 times into the mouth. in a day. Administer no more than 12 doses per day;
- solution for inhalation: children under 6 years old - 0.4-1 ml from 3 to 4 r. per day (maximum - 4 ml), from 6 to 12 years - 1 ml 3-4 r. per day, patients over 12 years old - 2 ml 3 - 4 r. (no more than 8 ml per day).
Before inhalation, it is prescribed to dilute a single portion of the drug with 0.9% sodium chloride solution in an amount of 4 ml and fill the nebulizer with this solution.
If Berodual is prescribed for inhalation, then, according to the instructions for use, the following instructions should be followed:
- The drug in aerosol packaging is prohibited for use in children under 6 years of age. Other categories of patients should inject the required number of doses into the mouth: a child 6-12 years old - 1 single dose, children over 12 years old - 2 doses. Do not use more than 4 doses for an adult and 2 for a child within 3 hours;
- the medicine in solution should only be used in a nebulizer. It is allowed to prescribe it to children under 6 years of age. Approximate proportions for inhalations: children under 6 years old - 5 drops, from 6 to 12 years old - 10 drops. (0.5 ml). Over 12 years: for an asthma attack - 20 drops (1 ml), for severe bronchospasm - 50 drops. (2.5 ml). The drug should be diluted in 4 ml of saline;
- the maximum daily dose for an infant is 10 drops, for a child - 40 drops, for an adult - 80 drops.
Important! Berodual is a cardiotoxic drug. Even in inhalation form, it seriously affects the functioning of the heart.
If there are contraindications to taking Berodual, you can use the following analogues for inhalation: Seretide, Biasten, Ditek, Intal Plus, Ipramol Steri-Neb.
Both drugs are produced by the same company. Therefore, we can conclude that their quality is at the same level.
- Release form
Both products are produced in the form of an aerosol in a can and a liquid composition for inhalation placed in a dropper bottle.
- Action
The pharmacodynamics of both drugs are the same. Both one and the second help restore the optimal viscosity of bronchial mucus, dilate the bronchi, accelerate the formation and improve the process of mucus discharge, and alleviate attacks of dry cough. Berodual quickly relieves spasms of the trachea and bronchi, Atrovent does the same, but somewhat slower.
- Compound
Atrovent contains one active ingredient - ipratoropium bromide. It expands the lumen of the bronchi and relaxes their muscles, reduces tone and eliminates obstruction of the bronchi. Berodual also includes this component, but it contains another component - fenoterol hydrobromide. When combined with each other, they produce a more powerful effect. That is, Berodual has a more pronounced and stronger therapeutic effect.
- Indications
They match. Such medicinal compositions for inhalation are prescribed for COPD, asthma, emphysema, and bronchospasm. It is also advisable to use them to prevent bronchospasm.
- Contraindications
Berodual has more of them. It should not be used for tachycardia and arrhythmia, malignant forms of hypertension, cataracts and glaucoma, diabetes, endocrine pathologies. Both drugs are prohibited in case of individual intolerance.
- Side effects
They are rare. Manifested by dry mouth, tremor, blurred vision, increased heart rate, change in voice timbre, headache, dizziness, lethargy, development of laryngitis or pharyngitis, gastrointestinal disorders, skin itching, increased intracranial and intraocular pressure. Berodual can lead to ischemia. Atrovent does not have a dangerous effect on the heart.
- Speed of action
The therapeutic effect when using Berodual occurs faster: it begins to act from the first minutes. When taking Atrovent, the therapeutic effect is detected within 10-15 minutes. In both cases it lasts for 6-8 hours.
- Age restrictions
Atrovent, even in solution, is allowed from 6 years of age; Berodual is prescribed to children up to one year old.
- Use during pregnancy
.
Berodual is prohibited in the 1st and 3rd trimesters. For the elderly, breastfeeding and pregnant women (but only in the 2nd and 3rd trimester), Atrovent is more suitable.
- Safety
Both drugs can only be used if prescribed by a doctor. These are effective, but far from safe means.
- Price
Berodual azrozol - 487 rubles, solution - 289 rubles; Atrovent (in the same forms) - 352 rubles, 239 rubles;
- Reviews
According to patients, both drugs are effective and help even with very severe coughs, as well as with bronchial asthma, when conventional medications are powerless. They are easy to use, but are a last resort solution. You should not try to treat a common cough with them. Berodual is stronger, and after it Atrovent no longer helps.
Which drug should you prefer - Berodual or Atrovent? If the patient's condition requires quick and effective intervention, then it is better to use the first. This is a complex medicine, it acts very quickly and strongly - in this sense it is better. As for safety, contraindications and price, Atrovent is better.
– a combination product containing fenoterol and ipratropium bromide. The drug is distinguished by bronchodilator properties, which allows it to be used for the treatment of COPD, bronchitis, asthma and emphysema. The drug has a considerable number of substitutes with a similar composition. Berodual - analogues: Atrovent, Berotek, Ipraterol.
Why does Ventolin breathing solution not help?
If the patient notes that Ventolin breathing solution does not help, this may be due to improper treatment of bronchial asthma. Drug resistance means the disease becomes more severe
In this case, it is extremely important not to try to adjust the dose yourself.
It has been proven that 1-2 injections or 1-2 nebulas of Ventolin can relieve bronchospasm, and higher dosages will not improve ventilation, but will certainly cause adverse reactions (tachycardia, drop in pressure, etc.). The same pattern applies to shortening intervals (less than 20 minutes) or increasing the frequency of inhalations (from 4 procedures per day).
In this case, the patient does not feel the desired effect, and due to the rebound phenomenon (insensitivity of bronchial receptors), each subsequent attack becomes stronger than the previous one. The only way out of such a vicious circle can be modern hormonal drugs in inhalations (Pulmicort, Symbicort). It has been proven that the sooner you start using them, the easier bronchial asthma will be.
We recommend reading about how to use Berodual for inhalation. From the article you will learn about the mechanism of action, composition, forms of release of the drug, instructions for use, side effects.
And here is more information about how to choose an asthma inhaler.
Ventolin relieves asthma attacks in bronchial asthma, obstructive diseases of the bronchi and lungs
During treatment, it is important to follow the prescribed administration regimens, and if effectiveness decreases, undergo examination by a pulmonologist
Briefly about Berodual
Berodual is a solution for inhalation treatment. The basic composition of the drug is ipratropium bromide and fenoterol hydrobromide.
The manufacturer of the drug is Boehringer Ingelheim International GmbH, Germany. The cost of the medicine is from 289 rubles.
Berodual is a bronchodilator, complex remedy. The solution has antispasmodic and anti-inflammatory properties. The drug stimulates bronchial secretion and drainage, due to which cough goes away, wheezing disappears and breathing improves.
Indications for use of Berodual are COPD, emphysema and bronchial asthma. Contraindications:
- Pregnancy
- Intolerance to atropine-like drugs, phenotorol
- Hypertrophic cardiomyopathy
- Tachyarrhythmia.
Berodual is used with caution for pathologies of the heart and blood vessels, diabetes, closed-angle glaucoma, adrenal tumor, prostate adenoma. The drug is also used under medical supervision during lactation, in the presence of hyperthyroidism, bladder neck obstruction, and cystic fibrosis.
Treatment with Berodual begins with a minimum dose diluted with sodium chloride (0.9%). The medicine is then placed into a nebulizer.
Solution dosage:
- Acute bronchospasm – 20-50 drops, in severe situations – 80 drops
- Children 6-12 years old – 10-40 drops
- Up to 6 years – 2-10 drops.
After using Berodual, a number of negative reactions may develop. Often these are ischuria, anaphylaxis, myalgia, headache, cough, visual disturbances, and irritability. Urticaria, hypokalemia, xerostomia, vertigo, bronchospasm, tachycardia or glossitis may also occur.
Berodual's analogs
Lauras, therapists and their patients know how to replace Berodual. Effective analogues of the solution are Atrovent, Berotek, Ipraterol.
An effective analogue of Berodual for inhalation is Atrovent. This is a solution containing ipratropium bromide.
Manufacturer of Atrovent - Instituto de Angeli S.R.L., Italy. The cost of the medicine is about 250 rubles.
Atrovent is an anticholinergic blocker with bronchodilating properties. The drug is prescribed for COPD, including emphysema, bronchitis and asthma.
Contraindications to the use of inhalation solution:
- Intolerance to atropine and ipratropium bromide
- Age up to 6 years
- Glaucoma (angle-closure)
- Lactation
- Prostate hyperplasia
- Obstruction of the urinary organs.
The instructions say that Atrovent must be taken in a certain dose. The optimal amount for adults is 2-5 ml up to 4 times a day. The maximum dose is 8 ml.
For school-age children, the dosage is 1 ml up to 4 times a day. In severe cases, 4 ml of solution can be used. Dosage for maintenance therapy in children under 6 years of age is 0.4-0.1 ml up to 4 times a day.
In acute bronchospasm, the dose may be increased. Before use, Atrovent is diluted with sodium chloride.
Possible adverse reactions:
- Immune system – anaphylaxis, hypersensitivity
- Urinary organs – ischuria
- Gastrointestinal tract - swelling of the oral cavity, nausea, xerostomia, vomiting, upset stool
- Skin – rashes, itching, nettle fever, angioedema
- Visual system – accommodation disorder, blurred vision, glaucoma
- Respiratory organs - swelling and dryness of the pharynx, cough, laryngo- or bronchospasm
- Heart – increased heart rate, atrial fibrillation, tachycardia
- Nervous system – vertigo, migraine.
Doctors know which is better, Atrovent or Berodual. Otolaryngologists draw the attention of their patients to the fact that the drugs have an absolutely identical composition. The products do not differ in the method of use; they have the same side reactions and contraindications.
If you choose Atrovent or Berodual based on price, you should know that the first drug costs about 230 rubles, and the second – 270 rubles.
To understand which is better than Berotek or Berodual, you should read the instructions included with Berotek. The drug belongs to the beta2-adrenergic agonists.
The basic component of the product is fenoterol hydrobromide. The medicinal solution has a bronchodilator effect.
Berotek is used to relieve attacks of bronchial asthma and is used for COPD and bronchitis. The medicine is prescribed to dilate the bronchi before inhalation treatment with corticosteroids, mucolytics or antibiotics. The drug is also used for bronchodilator studies.
Contraindications:
- Intolerance to fenoterol and other components of the product
- Tachyarrhythmia
- Age up to 6 years
- Cardiomyopathy
- Endocrine disorders
- Pathologies of the heart and blood vessels
- Diabetes
- Intestinal atony.
Berotec is used by inhalation. For bronchial asthma in patients over 12 years of age, the dosage is 10-25 drops. In advanced situations, the amount can be increased to 40 drops.
To prevent COPD and asthma, use 10 drops up to 4 times a day. For school-age children with asthma, it is enough to use 5-10 drops; in severe cases, 20-30 drops several times a day. For preventive purposes, the child is prescribed 10-20 drops 3-4 times a day.
Among the adverse reactions of Berotek, it is worth highlighting myalgia, headache, increased sweating, arrhythmia, nausea, tremor, itching and skin rashes. The drug can also provoke vomiting, cough, bronchospasm, hypertension, nervousness, urticaria, etc.
Berotek and Berodual: what is the difference? Berotec is often used for rare and mild attacks. Unlike Berodual, Berotek is often used in the treatment of pathologies of the respiratory system in children and patients suffering from prostate hypertrophy, glaucoma, and cystic fibrosis.
Berodual has a prolonged and strong effect, which allows it to be used for constant and prolonged bronchospasm. Also, the drug is chosen for intolerance to beta-agonists.
The effect of Berotek is observed 5 minutes after application, reaching its maximum within 1 hour. The effect of Berodual is felt after 15 minutes, and the maximum effect becomes noticeable after two hours.
The therapeutic effect of Berotek lasts 3-4 hours, and Berodual - up to 6 hours. The first drug more often disrupts cardiac activity.
Berotek is prescribed from 4 years of age, and Berodual from 6 years of age. The cost of the first product is 370 rubles, the second – 270 rubles.
Another popular substitute for Berodual is Ipraterol. The solution for inhalation treatment combines 2 active substances - fenoterol and ipratropium bromide. The combined composition gives the drug bronchodilator activity.
Ipraterol is used for COPD with reversible obstruction, including bronchitis, emphysema, and asthma. Contraindications – cardiomyopathy, pregnancy, intolerance to the components of the solution, cardiac dysfunction, cardiomyopathy.
Ipraterol dosage:
- For adults – 20-50 drops, in severe cases – 80-160 drops up to 4 times a day
- Children under 6 years old – 2-10 drops three times a day
- School-age children – from 10 to 80 drops up to 4 times a day.
Adverse reactions of Ipraterol - vertigo, tremor, visual disturbances, nervousness, nettle fever, rapid pulse, dyspepsia. It is also possible to develop hypertension, xerostomia, tachycardia, cough, hypotension, and increased excitability.
Ipraterol and Berodual - the difference:
- The first drug is produced in Russia, the second in Italy
- Berodual is considered a higher quality product, less likely to cause adverse reactions
- The cost of Ipraterol is 214 rubles, Berodual is 270 rubles.
Thus, Berodual has more positive reviews than Ipraterol, since it is less likely to cause complications and has high therapeutic efficacy. But Ipraterol is a more affordable remedy with a similar composition.
You are a fairly active person who cares and thinks about your respiratory system and health in general, continue to play sports, lead a healthy lifestyle, and your body will delight you throughout your life, and no bronchitis will bother you. But do not forget to undergo examinations on time, maintain your immunity, this is very important, do not overcool, avoid severe physical and strong emotional overload.
It's time to think about what you are doing wrong...
You are at risk, you should think about your lifestyle and start taking care of yourself. Physical education is required, or even better, start playing sports, choose the sport that you like most and turn it into a hobby (dancing, cycling, gym, or just try to walk more). Do not forget to treat colds and flu promptly, they can lead to complications in the lungs. Be sure to work on your immunity, strengthen yourself, and be in nature and fresh air as often as possible. Do not forget to undergo scheduled annual examinations; it is much easier to treat lung diseases in the initial stages than in advanced stages. Avoid emotional and physical overload; if possible, eliminate or minimize smoking or contact with smokers.
It's time to sound the alarm! In your case, the likelihood of developing asthma is huge!
You are completely irresponsible about your health, thereby destroying the functioning of your lungs and bronchi, have pity on them! If you want to live a long time, you need to radically change your entire attitude towards your body. First of all, get examined by specialists such as a therapist and a pulmonologist; you need to take radical measures, otherwise everything may end badly for you. Follow all the doctors’ recommendations, radically change your life, perhaps you should change your job or even your place of residence, completely eliminate smoking and alcohol from your life, and reduce contact with people who have such bad habits to a minimum, toughen up, strengthen your immunity as much as possible spend more time in the fresh air. Avoid emotional and physical overload. Completely eliminate all aggressive products from everyday use and replace them with natural, natural remedies. Do not forget to do wet cleaning and ventilation of the room at home.
Is it better to use Berodual instead of Pulmicort?
Pulmicort and Berodual have the ability to alleviate the patient's condition with bronchospasm. But it is worth noting that the first drug is a steroid type, it should be used with caution for a disease of unknown etiology. For any viral or bacterial infection, you must adhere to the doctor's prescription.
Relevant: How and with what to treat your hands during coronavirus
Berodual also has a bronchodilator property, which manifests itself locally, in contrast to the previous drug, which has a systemic effect. The therapeutic effect is achieved much faster, within 15 minutes from the moment of administration. No negative effects of this drug on mucus production in the respiratory tract have been noted.
Only the doctor decides whether to use medications for coronavirus or not. Self-medication can be dangerous in the presence of dangerous infectious diseases.
