Amoxiclav erespal

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question about antibiotics (amoxiclav)

She’s been sick for about a week now, we’ve had a problem with our teeth, the doctor’s diagnosis is: tracheobronchitis, nasopharyngitis. A 7-day suspension of amoxilava + Linex + Erispal + Tonzilgon + Viferon was prescribed.

Table of contents:

Everything has been drunk for the second day, BUT:

Diarrhea, as I understand it, is a normal and expected reaction in our case?

My daughter took this antibiotic twice and had no problems

I gave it immediately before meals - that is, I drank it and ate it right away - there were no stomach problems

but at the same time we took a course of Fenkarol - to relieve a possible allergic reaction

hmm, but they prescribed us “after meals”... is this critical? Otherwise, if I only gave it some water to wash it down and that’s it, I thought it couldn’t be otherwise. I'll look into Fenkarol, thanks.

To minimize the risk of undesirable effects of Augmentin on the gastrointestinal tract, the drug should be taken at the beginning of food intake. In this case, the absorption of Augmentin is optimal.

but we are all different and can tolerate any medicine differently

And today we visited the pediatrician, but they didn’t prescribe anything additional, maybe because there’s already enough? At what age was your daughter treated?

Exactly, I found in the instructions that food intake does not affect absorption. Thanks for the tip. Although... it’s not getting any easier, of course, I don’t understand what kind of vomiting it was, if it’s a side effect, so now, does the poor guy have to suffer like this every time? 🙁

erespal - in addition to being a “cough”, it is also great for allergic reactions. You don’t need fenkarol, it’s unnecessary, that’s why the doctor doesn’t prescribe it. Amoxiclav is not only amoxicillin, but also clavunic acid, without it the antibiotic acts weaker and a little differently. The doctor prescribed you “in full”, with all the precautions - an antibiotic - Erespal against allergies, Linex against possible dysbacteriosis, so as not to destroy the immune system - Viferon. By the way, amoxiclav is considered one of the safest antibiotics for children. (I am a pharmacist)

Thank you, but what can you say about this Hiconcil? How much can it replace amoxiclav + this acid in this case?

Hiconcil is the same pure amoxicillin.

This is not amoxiclav. There may be more side effects from it (hiconcil). And it’s just a different drug.

try amoxiclav too :)

Thank you, I’ll give you amoxiclav, I just want to understand how well-founded the pharmacist’s opinion was. From now on, of course, I will follow the doctor’s recommendations in choosing medications.

Unfortunately, there are few real professionals. and more and more often I come across inadequate recommendations in pharmacies. But you can’t blindly trust doctors, they also often say strange things (oh, I’m also the daughter of two doctors), so read the instructions :))

and be healthy! 🙂

Feed after the medicine so that you don’t vomit when you give the suspension.

how can you do this - dilute it a little bit in a spoon... everything is written in the instructions and there is a measuring spoon, you know how to write but it seems like you can’t read very well.

when a doctor prescribes a drug, you need to follow the doctor’s recommendations, she knows more about the drug than what is written in the instructions for us, consumers. Our pediatrician told me this - not everything is written in the instructions. And amoxiclav is diluted in a bottle, topped up with water to the mark on the bottle.

Our pediatrician told me that

This is the best of the existing drugs and with the fewest side effects, it didn’t even upset our stomach, as long as we didn’t give too much and the wrong dosage. There may be one substance in all drugs; the goodness of the drug depends on the accompanying substances. Vomiting can be due to fever, a symptom of illness, etc., although it can also be due to an antibiotic - it spoils the tummy a little. but this would be reflected in the chair. The allergy is not only on the face; unlike prickly heat, it can be anywhere - shoulders, arms, butt. Don't be alarmed, keep giving, just strictly follow the dosage. And if necessary, ask your doctor.

I didn’t immediately see about the chair. Well, maybe not for an antibiotic, but for another medicine or as a symptom.

thank you. I’m ashamed myself, what can I say here, I understand everything, it’s stupid, terrible 🙁 this is no joke..

and the temperature is around 37, I’ve come across different opinions here, including that this is within the normal range, but at the same time, according to the doctor, it’s an elevated, low-grade fever. and I think that it’s unlikely that vomiting can happen at 37, most likely it’s still a “transient side effect” 🙁 as well as spoiled stool once a day, instead of the usual one, and the smell.. is not at all the same, lactic-sour.. ehhh. .and they were going to introduce complementary foods, but now it’s obviously a long time until everything returns to normal. What do you think about Linux? I was told that it is pointless to drink something like this while taking antibiotics, and 14 days is certainly not enough..

there can be no shame or stupidity here, there is no place for show-offs, the child is sick, Lord, as I understand you, I myself am going crazy at this time, the doctor has a hundred questions at once - and the first one - or maybe a stupid question, excuse me, please .

five six times a day, as I was told, is not diarrhea yet, diarrhea is water from the butt immediately after eating. Well, yes, it’s possible for any of the medications, my middle one is exactly the same, if that’s any consolation to you. The pediatrician told me that it makes no sense to give medications to improve the functioning of the gastrointestinal tract and the population with beneficial bacteria at the same time as antibiotics, it’s better after. I also tried to do as she says - but it seems to me that before, when I gave at the same time, we tolerated it more easily. I now try to start giving such drugs towards the end of antibiotic treatment, I don’t know how scientific this is :)

yes, wait with complementary feeding, we also waited the same at your age, because this is a new stress for the gastrointestinal tract

Source: http://www.ljpoisk.ru/archive/.html

Erespal - instructions for use, indications, reviews

General information

  • Antihistamine ( does not allow extensive swelling of the mucous membrane to develop ).
  • Anti-inflammatory ( acts on the very cause of the disease ).
  • Antibronchoconstrictor ( prevents bronchospasm ).
  • Normalizes the separation of mucous secretions ( reduces its viscosity ).

Composition of the drug

Excipients: licorice extract, vanilla extract, saccharin, glycerin, propyl parahydroxybenzoate, methyl parahydroxybenzoate, sucrose, potassium sorbate, yellow-orange dye.

Pharmacodynamics

Pharmacokinetics

Indications

  • In the treatment of acute and chronic inflammatory lesions of the respiratory tract, throat, nose ( rhinitis, sinusitis, otitis media, bronchitis, tracheitis, nasopharyngitis , rhinotracheobronchitis ).
  • In the treatment of influenza, measles, whooping cough.
  • In the treatment of chronic obstructive pulmonary disease.
  • In the treatment of allergies associated with ENT organs.
  • For postoperative rehabilitation after operations in the pharynx and nose.

Used after surgical operations on the ENT organs, the drug provides a rapid reduction in tissue swelling, normalization of nasal breathing, and improvement of the sense of smell.

Brief description of diseases for which treatment with the drug is indicated

Application and dosage

Why is Erespal the drug of choice?

  • Accelerates healing processes.
  • Reduces the intensity of clinical manifestations of acute respiratory infections ( swelling of the mucous membrane, cough, sore throat, runny nose ).
  • It acts directly on the source of inflammation - that is, it does not just relieve symptoms, but eliminates the very cause of the disease.
  • Restores breathing through the nose.
  • Due to its high efficiency, extensive concomitant therapy is not required.
  • The risk of an allergic reaction is very low.
  • The drug is used in combination with symptomatic drugs and antibiotics, and does not affect the effectiveness of these drugs.
  • Even infants can be prescribed the drug in syrup form.

What is included in the concept of concomitant therapy?

  • Antipyretics.
  • Antibiotics.
  • Mucolytics ( help thin and expectorate sputum ).
  • Immunostimulating agents.

Contraindications

Side effects

Note: treatment with Erespal does not replace antibiotic therapy.

Overdose

Pregnancy and Erespal

Storage of the drug

Reviews

This is not the first time the drug has helped. I think this is the number one remedy for colds. As soon as I feel that snot is starting to flow from my nose and my throat is scratching, I immediately take Erespal. I buy tablets for myself and give syrup to my child. And it works well, and the price is normal. I recommend!

She fell ill with bilateral sinusitis. I really asked the doctor not to do punctures, because it was very painful (they did it to my sister ), and besides, I read that this is not such an effective method. The doctor agreed that for now we can try to recover using conservative methods. He recommended rinsing and prescribed this drug. And I was cured of sinusitis, without a puncture! And for this, many thanks to Erespal.

I've had allergies since school. No matter how long I was treated, it didn’t go away. And every year, when the pollen blooms, a terrible runny nose begins, the eyes water, the nose turns red and itches... I took the usual Aleron for allergies, but it only relieved the symptoms and did not treat anything; as soon as I did not take the pill for 1 day, the itching and runny nose began again. And recently I was prescribed Erespal. I've been drinking it for 2 weeks now. The condition has clearly improved. And I hope for the best - that at the end of the course there will be no trace left of my allergic runny nose!

I’ve been smoking since I was 20, and I’m not going to quit, I’m too used to smoking. But recently, an incomprehensible cough has begun, I feel that my chest is starting to hurt. I went to the doctor - he diagnosed obstructive disease in the lungs. He said, of course, to quit smoking. Prescribed treatment. And Erespal also prescribed this medicine. But I couldn’t say goodbye to cigarettes - I smoked for too many years. I just tried to reduce the number of cigarettes per day. He took his medications properly. And after two months, indeed, the cough almost stopped... The doctor said that this is not a recovery, this is an improvement, that is, we must continue to follow all the instructions. But I’m already glad that my lungs have improved.

Previously, I often suffered from the flu, a protracted flu that lasted longer than a week. I tried several medications and settled on this one. I read good reviews about him. Indeed, it is a good remedy, and it relieves pain instantly, and there is no such lethargy and weakness after the flu as usual.

Author: Radzikhovskaya A. A.

Read more:
Reviews

PS: People suffering from panic attacks are better off not taking this drug at all. Everything is individual.

I do not suffer from chronic diseases, I have no allergic reactions to medications.

In the Instructions for Medical Use of the drug Erespal, there is a paragraph highlighted in a special font: Side effects - Inform your doctor if you experience any unwanted reactions and sensations, including those not mentioned in this instruction, as well as changes in laboratory parameters during therapy.

With so many negative reviews for this Drug and not a small price for it, why do such a huge number of side effects associated with the cardiovascular system occur and is this Drug verified, tested or does the above paragraph from the instructions say that it is still being tested on our poor people and it would be interesting to know how things are with French patients?

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Source: http://www.tiensmed.ru/news/erespal1.html

Pediatrician - online consultations

Klacid together with erespal?

No. Pediatrician 03/08/2014

Good evening! Please tell me, is it possible to take Klacid and Erespal together? The child is 3 years old, had pneumonia at 1 year 8 months, 2 months. Back I had bronchitis, I was treated with Klacid, it helped a lot, a cough started 2 days ago, yesterday I started giving Erespal and in the morning too, the pace has been since yesterday. Increasingly from 38 to 39.5 in the morning, the doctor is on duty at the police station. Today I listened and said there is no wheezing yet, but erespal won’t help anymore and prescribed flemoklav an antibiotic and prospan, but I bought klacid, because it has already been tested by us, and I didn’t take prospan, because it contains horsetail, and the child is from it breaks in Gedelex too. It also rashes on Ascoril. Now, dear doctors, a question - Tell me, please, is it possible to take Klacid with Erespal together, if not, what can replace the prescribed prospan for cough together with Klacid?

In principle, these drugs can be used together, but why? With any viral infection, the high temperature can last 4-5 days. Erispal is not an antipyretic, it is a bronchodilator and sputum thinner. And to reduce the temperature, there are regular antipyretics containing paracetamol. Klacid is a semi-synthetic antibiotic. Antibiotics are not needed for ARVI.

Dear Christina! Klacid and erispal are compatible. However, it is not a first-line drug because it has a narrow spectrum of action on microflora (gram-negative). For every respiratory disease, it is incorrect to use Klacid. Therefore, it is better to entrust the choice of antibiotics to a pediatrician. Get well!

Hello! Please tell me, a child (2 years old) fell ill with bronchitis. We were treated like this: we drank the antibiotic suspension Augmentin, Fenspiride syrup, Ambrovix + physical inhalations. R-r. There was a high temperature of 39.4 and a continuous dry cough. Today is the fifth day of treatment and the baby is actively losing sputum, at night he begins to “choke on it” while coughing, sorry! Tell me, what can I take to thin it out faster? What inhalations should I do? And do we still need to take an antibiotic if we have fever? No.

Hello! Please tell me, my child is 2 years old, has a temperature of 38.5 and a strong dry cough. They diagnosed him with bronchitis and prescribed the antibiotic Amoxiclav and Erespal for cough. We've been taking antibiotics for the second day, but the temperature still rises to 38. 5. The cough has gotten better, the wheezing has disappeared, but I'm worried about the temperature! An x-ray was taken and no abnormalities were found. Thank you very much in advance!

There are a number of important issues and very controversial ones in society. 1. There is an opinion that inhalations should not be used when a child has a wet cough. As far as I know, inhalation is not only prohibited, but on the contrary, it is definitely worth it to facilitate the elimination of the child’s macrophages, reduce the inflammatory process and relieve the severity of the cough. However, it is recommended to do it at a temperature no higher than 37.5

Hello, a 6-year-old child, diagnosed with asthma (takes the hormone pulmicort), blood pressure, lymphadenopathy. The children's team does not visit, but if he gets sick, we cannot do without an antibiotic; the cough turns into severe bronchitis, the snot turns into otitis media. The doctor suspects primary immunodeficiency. We took an immunogram, Ig E (total) 698, Leukocytes 5.10 thousand/µl 4..50

Lymphocytes, % 53* %

Lymphocytes 2. 70 thousand/µl 1.. 50

T-lymphocytes (CD3+), % 69.00%

T-lymphocytes (CD3) 1. 86 thousand/µl 1.. 23

Hello. My child began to have a sharply barking cough, without snot or any other signs. The doctor prescribed Sinikod, Viferon. By the evening everything got worse, my mother began to choke and her temperature rose, they called an ambulance, they diagnosed us with laryngotracheitis, gave us injections and told us to call a doctor in the morning. Lie prescribed Klacid, inhalations with Berodual, chamomile tea and that’s it. The child behaved well, but at night the fever and terrible cough again prevented him from sleeping. Why didn't the antibiotic work? It seems to be too strong.

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Source: http://sprosidoktora.ru/go/12307/

Amoxiclav: release forms, instructions for use, contraindications and analogues

The antibiotic Amoxiclav is a broad-spectrum medicine. The drug shows effectiveness against many pathogenic microorganisms, therefore it is used to treat infectious pathologies. The drug belongs to the pharmacological groups: antibiotics of semi-synthetic origin and protease blockers of bacterial cells. It contains two active ingredients – amoxicillin and clavulanic acid. Dosage forms: tablets in different dosages and powder for suspension. So, instructions for use of Amoxiclav, indications and contraindications, treatment features - information in the article.

Dosage forms and composition

Amoxiclav tablets are available in dosages of 0.250 and 0.125 g. Microcrystalline cellulose, croscarmellose sodium and other substances are indicated as auxiliary components in the description. The tablet form of Amoxiclav 2X comes in 625 and 1000 mg of active ingredients. Additional Ingredients: Talc, Aspartame, Flavourings, Anhydrous Silicon Dioxide, Hydronesized Castor Oil.

The drug Amoxiclav Quiktab comes in dosages of 0.5 and 0.875 g. The composition also contains the following components: aspartame, yellow iron oxide, talc, MCC, silicon dioxide. In addition to amoxicillin and acid (active ingredients), the powder for preparing the suspension contains sodium saccharin, sodium citric acid and sodium benzoate (preservative). The granules for preparing the infusion solution contain only clavulanic acid and amoxicillin.

Pharmacological and pharmacokinetic actions

An antibacterial drug belongs to a broad spectrum of therapeutic action. The composition contains two active components, which ensures increased therapeutic effectiveness in the treatment of infectious pathologies of the skin, subcutaneous tissue and other diseases.

For information: Amoxiclav has a detrimental effect on gram-positive aerobic and anaerobic bacteria - Enterococcus faecium, Listeria spp., Clostridium perfringens and gram-negative aerobic and anaerobic microorganisms - Salmonella spp., Vibrio cholerae, Fusobacterium spp., etc.

Clavulanic acid (CA) and amoxicillin are absorbed from the gastrointestinal tract. The required therapeutic concentration is detected 30 minutes after application, and the maximum content of active substances is observed within minutes. Active ingredients penetrate well into all tissues of the body; exceptions include the back and brain, cerebrospinal fluid. They can penetrate the placental barrier and enter breast milk.

CC and amoxicillin are excreted 90% through the kidneys almost unchanged. The half-life varies from 50 to 70 minutes, depending on the dosage of the antibacterial drug taken.

Indications and contraindications for Amoxiclav

Amoxiclav is recommended to be taken for the treatment of infectious and inflammatory pathologies that are provoked by pathogenic microorganisms sensitive to amoxicillin and CC.

Indications for use of tablets/suspension:

  • Infections of the upper/lower tract of the respiratory system. Amoxiclav for children and adult patients is recommended against the background of inflammation of the middle ear, tonsils, pharynx, larynx; prescribed for the treatment of bronchitis, pneumonia (inflammatory process in the lungs);
  • Infections affecting the organs of the urinary system. The suspension is taken for cystitis, urethritis, pyelonephritis;
  • Infections of the genital organs in women (abscess in the uterus after childbirth);
  • Infections of the abdominal organs;
  • Infectious diseases of the skin, subcutaneous tissue;
  • Prevention of infectious process during any surgical interventions.

Amoxiclav can be combined with other antibiotics to enhance therapeutic effectiveness. The medicine has few contraindications for use: allergies to penicillin drugs, severe pathological changes in the liver and kidneys, viral diseases (mononucleosis), cancer.

Directions for use and dosage

So, instructions for using the tablet for adults: to treat moderate to mild infections, take 375 mg every 8 hours. Another way: take 625 mg every 12 hours. If the patient is diagnosed with a severe infectious disease, then take 625 mg every 8 hours.

Important: the tablet form is not prescribed to children under 12 years of age. When prescribing, it should be taken into account that the maximum dose of CC per day is 600 mg (for an adult) and 10 mg per kilogram of weight (for a child). The permissible dosage of amoxicillin is 6000 mg per day for adults and children - 45 mg per kg of weight.

Patients with odontogenic infections are prescribed Amoxiclav 250 mg - take one tablet every 8 hours or every 12 hours at a dosage of 625 mg. The duration of the therapeutic course is five days. If there is a history of impaired renal function, then take 500 mg + 125 mg every 12 hours. Against the background of severe renal failure, the interval between applications increases to 24 hours.

Instructions for use of Amoxiclav Quiktab tablets:

  1. The tablets dissolve in water. One tablet per 100 ml of liquid.
  2. Adults are prescribed to take 625 mg up to 3 times a day.
  3. Against the background of severe infectious processes, take 1 g 2 times every 24 hours.
  4. The duration of the treatment course is no more than two weeks.

Amoxiclav in the form of a suspension is prescribed for children; adult patients are almost never prescribed this dosage form.

Amoxiclav in childhood

Instructions for use of the suspension for children: the prescribed dose is determined by the age group and weight of the baby. Before preparing the syrup, shake the bottle vigorously. 86 ml of liquid is added to it. One measuring spoon is equal to 5 ml of the drug.

Children under three months of age are prescribed a dosage of 30 mg per kg of weight. It is divided into several applications - infusion route of administration. The dosage from three months to 12 years varies from mg per kg of body weight. For severe infections, 45 mg/kg is prescribed.

Use during pregnancy

During pregnancy, an antibiotic is used exclusively for strict medical reasons, when the benefit to the mother is greater than the harm to the child. It is not recommended to take pills in the first trimester. The 2nd and 3rd trimesters of pregnancy are more preferable. During lactation, tablets are not prescribed, since the active ingredients penetrate into breast milk and can provoke an allergic reaction in a breastfed baby.

Special Recommendations

Prescribed with caution in childhood and adulthood if the patient has a tendency to develop allergic reactions. With long-term treatment, it is necessary to monitor the functionality of the liver and kidneys.

Worth knowing: Amoxiclav does not mix with alcoholic beverages. Alcohol consumption during antibacterial therapy increases the load on the liver; the risk of side effects increases and the effectiveness of treatment decreases.

Tablets and suspension are best taken with food. This method allows you to minimize the risk of disorders of the digestive tract; eating food does not affect the therapeutic outcome. During therapy, you must follow a drinking regime - drink at least two liters of clean liquid per day.

Negative effects of Amoxiclav

An antibacterial drug rarely leads to malfunctions in the body. But in certain cases, treatment provokes side effects. If they develop, the medicine is discontinued and an analogue of the medicine with the same therapeutic effect is prescribed.

The following adverse reactions are possible:

  • Dysfunction of the digestive tract: loss of appetite, attacks of nausea and vomiting, loose stools. Rarely – pain in the epigastric region;
  • The concentration of leukocytes in the blood increases, thrombocytopenia;
  • Allergic reactions. They manifest themselves as itching and hives (most often). Rarely develop: anaphylactic shock, exudative form of erythema, swelling of the skin. Extremely rare - pustular rashes;
  • Impaired liver function, development of hepatitis, jaundice, pseudomembranous colitis;
  • Dizziness, headaches. Rarely - convulsive states, increased anxiety, sleep disorder - insomnia or drowsiness, hyperactivity;
  • Superinfection.

Against the background of antibacterial treatment, intestinal dysbiosis often develops - an imbalance of microflora towards pathogenic microorganisms.

Similar drugs

The pharmacological market offers a number of analogues of Amoxiclav. They differ in active substances, additional components, manufacturer, and price. Cheaper analogues include Medoklav, Clavocin, Flemoklav, Moksiklav. In most cases, Amoxiclav is replaced with the Russian analogue Amoxicillin.

Flemoklav Solutab is an analogue of Amoxiclav. The drugs have practically no differences, therefore they are interchangeable. The difference lies only in the dosages of the active components. Augmentin is no different from Amoxiclav, so it is an excellent substitute for the treatment of infectious diseases of the skin and subcutaneous tissue.

When choosing between Amoxiclav and Flemoxin Solutab, choose the first medicine, since it contains two active ingredients, which provides a high degree of therapeutic result.

Amoxiclav is an effective drug for the treatment of bacterial infections. It is used only against the background of the activity of microbes that are sensitive to amoxicillin. The product does not have an antiviral effect. You can buy tablets or powder for suspension at a pharmacy; they are sold with a doctor’s prescription. The price of tablets is about $5-6, and the powder costs $6-7.

Source: http://idermatolog.ru/preparaty/amoksiklav-instruktsiya-po-primeneniyu.html

Is Erespal an antibiotic?

Often, when treating obstructive or chronic bronchitis, doctors prescribe Erespal. The drug is an antibronchoconstrictor and anti-inflammatory drug; the active substance is fenspiride. This component reduces the inflammatory process and effectively relieves bronchospasm. If anyone is concerned about the question of Erespal - is it an antibiotic or not, we can say with confidence that this drug is not an antibacterial drug, but for greater effectiveness it is recommended to be prescribed together with antibiotics.

Indications for use

Sometimes parents check with their doctor whether Erespal syrup is an antibiotic or not? Erespal is not an antibacterial drug; it has an anti-inflammatory effect and is prescribed for the following diseases:

  • For the treatment of bronchitis caused by infection or allergens, which is accompanied by respiratory failure.
  • For the treatment of cough of unknown origin, which is accompanied by the discharge of a large volume of sputum.
  • In the complex treatment of respiratory diseases that occur with a severe cough.

This drug is approved for use in all groups of patients, including children, pregnant and lactating women.

A special feature of this drug is that it significantly reduces the volume of sputum produced.

Contraindications

And although Erespal tablets are not an antibacterial drug, they should be taken with caution in case of individual intolerance. Otherwise, there are no contraindications for use. According to the indications of the attending physician, it can be taken by children, pregnant and nursing mothers.

Side effects

This medicine has a number of side effects. When treated with Erespal, the following health problems may occur:

  • Dyspeptic symptoms - nausea, vomiting, pain and heaviness in the stomach.
  • Allergic reactions - urticaria, itching, and occasionally angioedema.
  • Neurological disorders - atypical drowsiness, increased irritability and rapid pulse.

To avoid unwanted side effects, it is recommended to reduce the dosage, but only in consultation with your doctor.

If the condition noticeably worsens while taking Erespal, the drug is discontinued and treatment is adjusted.

Is it possible to overdose

If the dose of the medicine is incorrectly selected, an overdose may occur, which is manifested by the following symptoms:

  • indigestion;
  • increased excitement;
  • occasional drowsiness.

In case of poisoning, it is recommended to rinse the stomach, take sorbents and then carry out symptomatic treatment.

Why should Erespal be taken along with antibiotics?

Erespal is a drug with a pronounced anti-inflammatory effect. It affects biologically active substances that are produced during the inflammatory process, thereby reducing exudation and dilating the bronchi. Thanks to this, antibiotics penetrate well into the bronchial cavity and have a detrimental effect on pathogenic microorganisms.

When prescribing Erespal together with antibacterial drugs, their compatibility must be taken into account.

Features of treatment

Erespal cannot replace antibacterial drugs, but it can complement them productively. People who suffer from diabetes can only use tablets for treatment, since the syrup contains sucrose.

Pediatricians have an unwritten rule that the drug is not prescribed to children who have allergic reactions. Indeed, many parents say that after starting treatment with Erespal, their children’s allergies only got worse. The condition of the bronchi, of course, also improved with treatment, but the medication is usually replaced so as not to worsen the child’s condition. However, there are often cases when, in severe cases, children were prescribed Erespal and it helped well, while side effects did not manifest themselves at all.

Adult patients taking Erespal often experience increased irritability and increased heart rate. That is why they try not to prescribe this medication to people who have nervous disorders or heart disease.

For the treatment of obstructive bronchitis, Erespal is often prescribed, which dilates the bronchi and reduces inflammation. When asked whether the drug Erespal is an antibiotic, doctors answer in the negative. And they are absolutely right, this medicine has an anti-inflammatory effect.

Source: http://pulmono.ru/lekarstva/dlya-legkih/otnositsya-li-erespal-k-antibiotikam

Bronchitis

Comments

We also recently had acute bronchitis. We were treated with erespal. Only now I found out that there could be an allergy, but we were sprinkled with it after that. I don’t know if it’s for him or not, I even gave him fruit juice to drink. http://www.babyblog.ru/com/diseases/607753#comments

Bronchitis in children EASILY turns into pneumonia, and this means 100% hospitalization. You need it.

no one needs this

If I were you, I wouldn’t refuse the antibiotic! My little one was even prescribed josamycin for bronchitis.

So our goal is not to stuff the child with strong antibiotics, but to cure him with minimal losses to the body

We have a terrible allergy after Erespal, so think about it before giving it, there are often allergic reactions to it (according to the doctor), and the doctor told me about the antibiotic, if the temperature is not very high (37.3) , then sumamed is better than amoxiclav))

Py.sy. We also had bronchitis not so long ago, we also didn’t recognize it right away

How did your allergy manifest itself?

My Kiryusha is allergic, but there was nothing at all about Erespal. try it, it's a good strong syrup. and drank sumamed for 4 days! plus inhalations, it didn’t lead to wheezing. I had a lingering cough...

And one more question: are there any additional bacteria that should not be given along with the antibiotic?

Yes, I gave “bifidumbacterin 5 doses” at a time 2 times a day.

and how and with what to do inhalation?

and we urgently bought a nebulizer inhaler, a pulmonologist-allergist told us this at a paid appointment. and the composition was: lazolvan, saline solution and berodual inhalation solution. but maybe you need something else. You can also put mineral water in it.

By the way, I just remembered that during that treatment I also gave Zyrtec, also as prescribed. maybe that’s why there was nothing on erespal..

Thanks, what brand is the inhaler? did it help?

Well, we did everything together, it helped. we took this one http://www.allergodom.ru/catalog/5/570/572/

her butt was covered with a red crust, it (her butt) hurt so bad! my daughter cried even when they washed it off with warm water, and my friend was taken to the hospital by ambulance with false croup after taking erespal, tough)

nightmare, they didn’t even warn me (((doctors

Our (stupid polyclinic) did not believe until recently that an allergy to erespal... everyone is prescribed it, another doctor from the hospital told us about it and about sumamed)

get treatment and don't get sick anymore!

Yesterday I gave erespal for the first time, it seems nothing has appeared yet, we’ll know

It started on day 3)

I don’t have a temperature at all, I’ll ask the doctor

maybe try a cabbage compress then?

warm up? I think they also prescribed Pulmex, haven’t you heard?

Well, yes, cabbage pulls everything out well, Pulmex Baby is a good thing, but you can also buy internal fat on the market - it’s no worse, and maybe better..

It should be remembered that if a child has wheezing, he should not have a massage or place warm compresses on the chest. Remember this as it is important.

Let him check again tomorrow. And regarding the temperature, there is an atypical flora, an atypical pathogen (mycoplasma, chlamydia..) They do not give a temperature. BUT I would give an antibiotic, just not amoxiclav, but Summamed, it will cover the entire spectrum + atypical (intracellular) pathogens.

The doctor will come to your home today, I’ll definitely ask about this drug

Was bronchitis determined by x-ray?

I listened and immediately said bronchitis, and then the x-ray confirmed it

with bronchitis, it doesn’t necessarily have a tempo, we also had bronchitis at 8 months (like teeth were coming out, yeah, they only came out at 11 months), I didn’t wait, I treated it. If in doubt, call the children’s emergency room in the evening, they don’t take you to the hospital, but they will listen. Summamed It’s better to give it once a day, not three

Mine had bronchitis at 6 months! she was already vomiting. We also dropped Vibrocil, but it didn’t help... then we dropped interferon! and antibiotics included macropen, cough medicine, ambrobene and marshmallow!

Today she also threw up for no reason (((in the morning, they ate porridge, I thought maybe the tea with chamomile didn’t go well

Mine was vomiting due to phlegm! It collects itself, but the little ones can hardly spit it out.

see also

This is the verdict our pediatrician gave. Before this I had been coughing for a week. There is no fever or runny nose. Yesterday we went for a check and he said I heard wheezing. She prescribed Macropen (antibiotic)(((((((, Ascoril (syrup) and Tantum. Would you give an antibiotic? In advance.

It all started on Sunday at 3 am Lisa’s temperature dropped to 38.3 to 37.3 all day 37-37.3 and dry cough in the evening by 21 temp. 38.3 again brought down to 37.3. Tuesday morning 37.3 and all day.

I want to write about our medicine, I don’t want to scold it, but... We were visiting grandma in another city and there my daughter started coughing, well, I thought maybe it was acclimatization or teething, because Katya was little.

Girls, tell me! In my son's kindergarten, several children were diagnosed with bronchitis. My son’s nose is either running or stuffy, he’s coughing, and his temperature hasn’t risen above 38. On the 22nd I called the doctor and said my breathing was hard, but there was no bronchitis. I wrote it out.

Hello, Doctor! We have a situation where a child (2 years 5 months) has been coughing a little in the mornings and evenings for three months (the cough is always dry). It started when we went to the garden and started getting sick.

I began to sniffle, and of course it was passed on to the baby ((the sniffles lasted for 2 days, then the temperature rose to 38, they brought it down with Nurofen, now it’s 36.37. I started coughing, there was a dry cough, I started giving Bronchipret syrup, a cough with phlegm started, but rarely. They called ambulance

we earned it too ((((((. Everything would be fine, but all the treatment that was carried out until yesterday, as if out of spite. Well, what kind of doctors did they go to? No, maybe, of course, it’s all for the good, but why...

Well, they gave us this terrible diagnosis. I didn’t believe it until the last moment, I invited two different doctors to have an accurate idea. and here is the diagnosis! Where did I miss it, my little one? How could I not have saved it?

Girls, whose children have already suffered from bronchitis, please tell me!! The second month in the garden and the second month we have bronchitis (((The first time we were cured successfully, with antibiotics, of course. She gave Flemoclav and Bromhexine, breathed Berodual. Now the temperature and cough are back.

Sophie has bronchitis. I've been sick for a week now. It all started on Saturday, December 24, with a slight cough. I didn’t like him right away - they called the doctor on duty from the clinic. The doctor came, looked, and prescribed medicinal tablets, because... there was no temperature.

Source: http://www.babyblog.ru/community/post/01medicina/616627

Once again I fell ill with bronchitis. The doctor prescribed amoxiclav + erespal + ascoril. Do these remedies help with bronchitis?

If you have already started treatment according to the regimen prescribed by your doctor, then you do not need to use any other medications. I know cases when self-medication of bronchitis ended in pneumonia. don't take risks. take the course prescribed by your doctor. from parallel recommendations - drink more fluid.

It seems to me (just by feeling) that ACC is more useful, because this Ascoril doesn’t liquefy anything.

Source: http://otvet.mail.ru/question/

Erespal: the most mysterious cough medicine

Much has been said and written about cough treatment. With a wet cough, you need to thin the sputum with the help of mucolytics and remove it with expectorants, and with a dry cough, you should achieve the antitussive effect that is exhibited by centrally acting drugs. Erespal stands out from this orderly series: a cough medicine that does not affect either sputum, the rate of its elimination, or the center of the cough. So how does this medicine work and, most importantly, how to take it correctly?

Before you continue reading: If you are looking for an effective method of getting rid of a runny nose, pharyngitis, tonsillitis, bronchitis or colds, then be sure to look at this section of the site after reading this article. This information has helped so many people, we hope it will help you too! So, now back to the article.

Treatment for cough is simple and understandable only at first glance. In fact, it has many nuances, and debates in the scientific community on some issues do not subside to this day. Many Western experts generally believe that cough in the usual sense, that is, a reflex that develops against the background of a bacterial or viral infection, does not need to be treated at all. They say it will go away on its own. However, the overwhelming majority of domestic specialists categorically disagree with this approach to the matter.

In Russian practice, coughs are treated, and often treated for a long time, persistently and unsuccessfully. The sad fruits of therapy can be the result of incorrect diagnosis, incorrect treatment tactics or incorrect prescription, and sometimes a complex combination of several errors. There are also many unfulfilled expectations among patients who are looking for a magic cough pill: they take a drink and the next day they are back again, like a cheerful cucumber from the garden. Unfortunately, such drugs simply do not exist. The possibilities of pharmacology, alas, are not limitless, but with the correct, correct use of drugs, it is still possible to receive full-fledged help. So, let's understand the features of the purpose, action and dosage of one of the most incomprehensible cough medicines for people far from medicine - Erespal.

Rescue cough

To understand how Erespal works in our body, we will have to start from afar - with the mechanism of cough development. Why do we suddenly start coughing? Where does phlegm come from?

Mucus in the respiratory tract is vital. It plays the role of a filter for small foreign particles and bacteria that penetrate the bronchi along with the inhaled air.

The removal of “spent” bronchial mucus from the body is ensured by the constantly working mucociliary apparatus.

It is a system of cilia that perform translational movements. Thanks to their tireless work, the mucus gradually rises up the respiratory tract and enters the pharynx and oral cavity. A healthy person secretes several tablespoons of bronchial mucus per day. Without noticing it, we swallow it. Having reached the stomach, the bacteria contained in the sputum die ingloriously.

Another mechanism for removing mucus is the cough reflex. The mucus that accumulates in the lower respiratory tract irritates special receptors that trigger the cough mechanism. These receptors are located sequentially along the entire air path: from the nose to the deepest bronchi. After their irritation, the muscles of the respiratory tract contract and a deep exhalation occurs through the mouth, allowing a large volume of mucus to be removed at once. Thanks to coughing, our bronchi and lungs are additionally protected from the penetration of dust, pieces of food and other uninvited guests. However, sometimes the situation develops according to a different, pathological scenario.

Cough as a symptom of illness

Unfortunately, some bacteria and viruses still “take root” in the upper respiratory tract and trigger a pathogenic process. When they reach the lower respiratory tract, they stimulate the development of a powerful inflammatory response. It is accompanied by the release of special substances - the so-called inflammatory mediators, which cause swelling of the mucous membrane and a sharp increase in mucus production. Excess mucus for the time being accumulates in the lower respiratory tract, as a result of which the patient begins to feel heaviness in the chest, pain, coughing, and then a cough.

Typically, at the onset of an inflammatory response, swelling of the airways precedes excessive mucus production. Therefore, often with infectious diseases, primarily due to irritation of the receptors located in the bronchi, a dry, unproductive cough appears. As mucus production and accumulation increases, the cough becomes increasingly wetter. That’s when expectorants and mucolytic cough medications are prescribed. For a long time they remained the only effective means to cope with this symptom. However, today there is another medicine, and it works completely differently. Now we come to the description of the properties of the hero of our article, the cough medicine Erespal.

Three effects of Erespal tablets and syrup

If antitussive and expectorant drugs act on the consequences of a dry or wet cough, then Erespal affects its root cause, namely inflammation. At the same time, it works in several directions simultaneously.

Firstly, the drug Erespal blocks the so-called H1-histamine receptors. Due to their binding to the allergy mediator histamine, which is released during inflammation, swelling of the mucous membrane quickly develops. Erespal “neutralizes” these receptors, making them insensitive to histamine.

Secondly, the cough medicine Erespal reduces the production of special biologically active substances that “feed”, that is, support the inflammatory reaction and are responsible for its manifestations. Their names are often mentioned in the instructions for drugs, including Erespal, but most often they don’t mean anything to the average consumer. So that every reader of sophisticated drug annotations at least approximately understands what manufacturers are trying to convey to him, we will provide a list of pro-inflammatory factors. These include:

  • cytokines;
  • tumor necrosis factor-α;
  • arachidonic acid derivatives;
  • prostaglandins;
  • leukotrienes;
  • thromboxane;
  • free radicals.

Pro-inflammatory factors not only stimulate inflammation, but also contribute to the narrowing of the bronchi. This disrupts the flow of air through the respiratory tract and contributes to decreased oxygen levels and increased carbon dioxide levels in the blood. The patient feels short of breath and shortness of breath appears. Accordingly, blocking pro-inflammatory factors due to the effect of Erespal tablets and syrup prevents narrowing of the lower respiratory tract and the occurrence of breathing difficulties, regardless of the cough that worries the patient.

And thirdly, Erespal also blocks alpha-adrenergic receptors. They take part in a chain of biochemical reactions, the final stage of which is the production of thick, viscous mucus. Inhibition of alpha-adrenergic receptors leads to a decrease in the amount of difficult-to-clear sputum in the respiratory tract.

Due to its complex effect on the respiratory tract, the mechanism of mucus formation and inflammation, Erespal also has an antispasmodic effect, and its use helps to relax the bronchi, and, therefore, their expansion.

In addition, Erespal also exhibits antitussive properties that help cope with dry cough. Moreover, unlike traditional antitussive drugs (for example, codeine and others), the drug does not affect the cough center in the brain.

Erespal - an unusual anti-inflammatory medicine

There are only two groups of drugs on the pharmaceutical market that exhibit anti-inflammatory properties, and each of them has its own disadvantages that limit its use.

The first group includes non-steroidal anti-inflammatory drugs (NSAIDs). Just like Erespal, they block the production of inflammatory mediators, but they act completely differently. Unlike fenspiride, NSAIDs indirectly block an enzyme that protects the mucous membrane of the gastrointestinal tract. Therefore, the use of NSAIDs can lead to the development of an inflammatory process in the stomach and duodenum, and sometimes to peptic ulcers. Erespal, exhibiting an anti-inflammatory effect similar to NSAIDs, does not have a negative effect on the digestive system.

Another group of anti-inflammatory drugs that can in some way be considered a potential alternative to Erespal are glucocorticosteroids. They have no equal in their anti-inflammatory, analgesic and antiallergic effects. However, the side effects of glucocorticosteroids are impressive, so doctors try not to prescribe these medications unless absolutely necessary. Although Erespal cannot match the anti-inflammatory effects of corticosteroids, it is an excellent alternative due to its airway targeting and safety.

Composition and release forms of Erespal

Having dealt with the complexities of pharmacology, let's move on to things that are more understandable and down-to-earth - to the composition and forms of release of Erespal.

So, Erespal is the trade name of the medicine, its active substance is called fenspiride hydrochloride. Erespal is a brand drug produced by the famous French company Servier. It is produced in two release forms:

  • Erespal tablets, dose 80 mg;
  • Erespal syrup containing 2 mg of fenspiride in 1 milliliter.

I would like to add that Erespal syrup has a bright orange-yellow color. When storing it, sometimes a slight sediment appears, which quickly dissolves if the bottle is shaken well.

Erespal syrup: taste aspects

Fenspiride hydrochloride has a rather unpleasant bitter taste. To disguise it, the manufacturer did his best. The syrup contains sunflower honey, vanilla tincture, saccharin, sucrose, and licorice root extract as flavoring agents. According to the manufacturer, the resulting composition should have hints of a honey smell.

In fact, Erespal syrup, which is usually prescribed for the treatment of children, has a distinctly sweet, but still not very pleasant taste.

This nuance should be taken into account by mothers of picky children. Reviews indicate that it can be difficult to get particularly picky children to drink Erespal. Mixing syrup with juices, water, compotes and other liquids, although theoretically not prohibited, does not give any particular positive result: the syrup’s own taste qualities are so pronounced that it is almost impossible to “hide” them. Therefore, in such cases, it sometimes makes sense to buy Erespal tablets, divide them according to the dosage and, grind them into powder and mix with water, give them to the child. However, it is worth considering that it is almost impossible to select the exact dose, especially in the case of multiple divisions of the tablet.

Indications for use

Due to its special mechanism of action, Erespal has a special range of indications. If traditional antitussives are used only for dry coughs, and expectorants for wet coughs, then fenspiride is successfully prescribed for any type of cough, without thinking about its origin and type.

In addition, Erespal’s ability to reduce the production of thick mucus and reduce the severity of inflammation is widely used by ENT doctors, prescribing the drug for nasopharyngeal pathology.

So, indications for the use of Erespal include many diseases of both the upper and lower respiratory tract, including:

  • rhinopharyngitis - inflammation of the mucous membrane of the nose and pharynx;
  • laryngitis - an inflammatory process in the vocal cords;
  • inflammation of the trachea and bronchi (tracheobronchitis);
  • inflammation of the bronchi (bronchitis);
  • cough, tickling or hoarseness due to various infectious diseases, including whooping cough, influenza and measles;
  • bronchial asthma and chronic obstructive pulmonary disease (as one of the drugs in a complex treatment regimen);
  • inflammation of the paranasal sinuses, including sinusitis, sinusitis and others;
  • otitis media, regardless of its origin.

In addition, Erespal, together with other medications, is widely used as part of combined treatment regimens for many infectious diseases that are accompanied by cough. The drug is often prescribed for pneumonia, pleurisy and other respiratory tract pathologies. Moreover, its use definitely eases the course of the disease and speeds up recovery.

Erespal and laryngitis

Erespal is a universal drug. He manages to work when most other drugs are almost powerless. A striking example of this is the possibility of using Erespal for laryngitis. Inflammation of the vocal cords, as a rule, is of a viral nature, and therefore cannot be treated with “traditional” antibiotics. Antiviral drugs will not help with laryngitis.

Antiseptics in the form of lozenges or sprays for treating the throat also cannot work: they are simply not able to “reach” the deep-lying vocal cords. For many years, inhalations with essential oils (for example, eucalyptus, pine, fir) remained almost the only effective medicine for laryngitis. They are still included in standard recommendations for patients who have lost their voice in the fight against a viral infection. However, the appearance on the market of fenspiride drugs, and Erespal in particular, has expanded the capabilities of ENT doctors.

Erespal blocks the production of substances that trigger inflammation, thereby reducing the inflammatory process in the vocal cords of children and adults in a few days.

Thanks to this, the voice “returns” faster. In addition, the drug helps prevent the likelihood of recurrent and, especially, chronic laryngitis.

Erespal as a component in the treatment of asthma

Of interest is also the possibility of using Erespal for obstructive processes in the respiratory tract, including bronchial asthma, obstructive bronchitis and one of the most severe diseases of the respiratory system, chronic obstructive bronchitis. It is due to three properties of fenspiride:

  • the ability to prevent narrowing of the airways, and, therefore, facilitate the passage of air flow into the lungs and back;
  • anti-inflammatory qualities that can reduce the severity of the pathological process in diseases, one of the components of which is inflammation (COPD, obstructive bronchitis);
  • blocking H1-histamine receptors, which are directly involved in the mechanism of the allergic reaction. As is known, it is allergies that play a leading role in the occurrence and progression of bronchial asthma.

For obstructive diseases of the respiratory system, the use of Erespal tablets as a component of a combined treatment regimen can reduce shortness of breath and make breathing easier, prevent or reduce the likelihood of bronchospasm and, of course, reduce the severity of inflammation.

Erespal for cough: the versatility of the drug

The possibility of using Erespal for different types of cough deserves special mention - after all, the drug exhibits its properties regardless of its underlying cause.

Let us remember that cough can develop as a result of many different diseases. Let's take a closer look at this problem.

Viral infection

Most often, cough appears as a result of a respiratory viral infection - ARVI. More than two hundred different respiratory viruses can provoke its appearance against the background of several traditional accompanying diseases of ARVI: bronchitis, tonsillitis, pharyngitis, sinusitis, tracheitis, laryngotracheitis and so on. Antibiotics are powerless against a viral infection and traditional antiseptics are not very strong. That is why cough with bronchitis and laryngotracheitis often has a protracted course.

Treatment of ARVI can have two directions. The first, domestic, involves the prescription of antiviral drugs, interferons and other agents that resist the onslaught of viral infection. In this case, the cough is corrected symptomatically: antitussives for dry cough, expectorants for wet cough.

The second direction is preferred by adherents of Western medicine. In general, it is quite difficult to call it treatment: experts who adhere to this point of view believe that ARVI does not need to be treated at all. Indeed, all respiratory viruses die on their own, 7–10 days after infection. Following this path, it is important not to miss possible complications, especially likely in children and debilitated patients. In addition, in the West it is believed that drugs active against respiratory viruses do not exist in nature. But there are no problems with Erespal tablets and syrup: it definitely reduces inflammation and speeds up recovery from a viral infection.

Bacterial infection

Everything is simple here: infection with bacteria is a reason to prescribe antibiotics. The most common bacterial infection that accompanies a cough is pneumonia, or pneumonia. Taking Erespal during antibiotic treatment for pneumonia can reduce the severity of the inflammatory process, as well as facilitate the penetration of air into the lungs and increase saturation (oxygen saturation of the blood), which is often reduced.

In addition, Erespal is also effective against other bacterial infections: whooping cough, which, by the way, is accompanied by a painful dry cough, measles, and so on.

Postnasal drip syndrome

A very common cause of cough, especially in children, is associated with an inflammatory process in the nasopharynx - rhinitis or sinusitis. Excessive mucus produced in the nasal cavity or paranasal sinuses flows down the back wall of the pharynx and enters the tracheobronchial tree, where it stimulates the cough receptors located there.

Statistics show that postnasal drip syndrome is associated with 20–34% of all cases of chronic cough.

At the same time, the root cause of the disease is very often interpreted incorrectly. Doctors like to blame a long, unproductive cough due to mucus drainage on chronic bronchitis.

Erespal can be prescribed both for postnasal drip syndrome and for chronic inflammation of the bronchi, including in combination with traditional expectorants, for example, Lazolvan or Ascoril. In this case, the reason that caused the cough is almost irrelevant: the drug will help thin the mucus and facilitate its removal, as well as reduce inflammation in the nasopharynx and respiratory tract.

Erespal in the body

When taking Erespal in tablets or syrup, the highest concentration of the drug in the blood is achieved after about 6 hours. After another 6 hours (12 in total), the dose of medication is already excreted from the body along with urine.

Contraindications

Fenspiride hydrochloride is a fairly safe drug, as clearly evidenced by the existence of a pediatric form of the drug, syrup. And yet, there are some contraindications to taking Erespal. Situations in which you should not rely on fenspiride include:

  • hypersensitivity to fenspiride itself (which is very rare) or to the components of Erespal. The latter situation is more common, given the composition of the syrup, rich in flavors and flavoring additives);
  • younger children (children under 2 years old). Thus, Erespal is contraindicated for children under one year of age.

In addition, the manufacturer pays special attention to the fact that the syrup contains fructose and sucrose. These features of the drug may become an obstacle to prescribing Erespal in syrup to children with fructose intolerance, impaired absorption of glucose and galactose in the intestines (glucose-galactose malabsorption), and deficiency of enzymes that break down sucrose (sucrase and isomaltase deficiency). Caution is also required when prescribing sugary-sweet syrup to diabetics.

Erespal during pregnancy: instructions warn

Pregnant women, unfortunately, get ARVI no less often, and sometimes much more often, than non-pregnant women. And coughing during pregnancy is a rather dangerous phenomenon, leading to unnecessary uterine tone, constipation and other troubles. Therefore, expectant mothers are often concerned about the question of whether certain drugs, including Erespal, can be used during pregnancy.

In the instructions for use of Erespal, the manufacturer notes that data on its use in pregnant women are “absent or limited.” This means that the drug simply has not undergone clinical trials on pregnant women, that is, in practice, no one knows how it affects the child and the course of pregnancy. Therefore, Erespal is not officially recommended for use by expectant mothers. However, there are known cases of its prescription for severe, debilitating cough. They fall under the well-known situation in obstetrics “when the benefit to the mother outweighs the risk to the fetus.” As a rule, a clinical cough that requires the prescription of fenspiride is very intense and can lead to an increase in the tone of the cervix, and in severe cases (for example, with isthmic-cervical insufficiency, ICI) and to premature birth. For women who fall into the risk category, it makes sense to rely on the doctor’s experience and begin treatment according to the regimen.

However, most often there is no such need for prescribing Erespal during pregnancy, and it is better to do without it.

By the way, women who managed to undergo treatment with Erespal before the fact of pregnancy became known do not have to worry about the health of the unborn child: the drug does not have a teratogenic effect, and its use is in no way a reason to terminate the pregnancy.

In addition, the instructions indicate that there is no data on whether Erespal passes into breast milk or not. Therefore, in order to avoid unexpected side effects, it is better for nursing mothers to refrain from treatment with fenspiride.

How to take Erespal?

For categories of patients who do not fall into the “Contraindications” section, Erespal is prescribed before or after meals in a dose depending on the age and severity of the disease. The exact dosage and course of therapy is determined by the attending physician, but the standard doses are quite specific.

The instructions for use of Erespal in syrup and tablets contain somewhat conflicting information regarding how to take the drug for adults and children. Thus, the recommended dosage of syrup for adults and adolescents is 3–6 tablespoons three times a day. Considering that 1 ml of syrup contains 2 mg of fenspiride, and one tablespoon contains 15 ml of solution, the average “adult” dose received with the liquid form will fluctuate between 90 and 180 mg of the drug per day.

However, the same abstract reports that the daily recommended dose of Erespal tablets is 80 mg (one tablet) 2-3 times a day. It is easy to calculate that the average dosage of tablet Erespal in this case will reach 160–240 mg. Agree, the difference is quite significant. Most likely, the “range” in dosages is due to the fact that the daily (and single) dosage must still be selected by the doctor, based on the patient’s individual indicators.

With children's doses the situation is more favorable. They are calculated in accordance with the child’s body weight based on the ratio of 4 mg per 1 kilogram of weight per day. Erespal syrup can be given along with baby food and breast milk.

The instructions also say very vaguely about the duration of the course of treatment: it is determined by the doctor.

It is known for sure that taking Erespal for less than seven days does not make sense.

According to clinical trials, the first results of therapy appear after a week of continuous use. When treating chronic diseases, including obstructive ones, the course of therapy can be extended to several weeks, and sometimes more.

Side effects

Despite the relative safety and a modest list of contraindications, taking Erespal is still quite often accompanied by side effects.

In 1–10% of cases, the use of fenspiride is associated with gastrointestinal disorders. These include moderate nausea, vague pain in the epigastric region. In addition, cases of diarrhea (diarrhea) and vomiting caused by treatment with Erespal have been reported. As a rule, the digestive effects of fenspiride do not require discontinuation of the drug.

In 0.1–1% of patients using fenspiride, moderate heartbeat (tachycardia) was recorded. It had a clear relationship with the dosage of the drug: as the dose increased, the tachycardia increased, and as the dose decreased, the heart rhythm was restored. If palpitations occur while taking Erespal, you should notify your doctor, who will most likely reduce the dose of the drug.

Sometimes (still in the same 0.1–1% of cases) during treatment with Erespal, drowsiness is observed, and in some patients (the exact probability is unknown) dizziness. People whose work or activity requires increased attention should be warned about this side effect: drivers, precision workers, and so on.

Rarely, hives, rashes, and other skin side effects occur and are not dangerous and usually do not require any treatment.

Data from post-marketing studies, which are carried out for each drug that has already entered the market, indicate several other side effects of Erespal. Thus, there are known cases of increased fatigue and the development of asthenic conditions during treatment with the drug, as well as the appearance of skin itching.

Erespal's analogs

Erespal is an imported drug, and therefore its price is directly proportional to the exchange rate of foreign currencies. It is not surprising that in conditions of economic instability and crisis, many patients are looking for alternative remedies - analogues of Erespal in syrup for children and tablets, containing the same active ingredient, but at a lower price.

Indeed, the Russian pharmaceutical market offers several generics that contain fenspiride. Analogues of Erespal include:

  • Russian drug in tablets Codestim produced by the Obolenskoye pharmaceutical enterprise;
  • Polish syrup Siresp;
  • Fenspiride tablets (manufactured by the Russian company Ozone);
  • domestic long-acting tablets Eladon (Vertex);
  • Hungarian syrup and tablets Epistat, produced by Gedeon Richter;
  • drug produced in Slovenia (Sandoz company) Erispirius in the form of tablets and syrup.

When looking for a drug that can replace Erespal - both adults and children, in syrup - you should take into account the country of origin. Imported medicines are a priori more expensive than domestic ones.

Often, buyers who are looking for an economical replacement for expensive foreign drugs are worried whether it will affect the quality of the medicine. This question is really important and voluminous. Theoretically, both the brand and the analog contain the same active ingredient, exhibiting the same properties. However, in practice, brands and analogues contain various auxiliary components that can affect the absorption and distribution of the drug. These seemingly insignificant nuances can lead to a noticeable loss of efficiency.

As practice shows, a fundamental attitude towards the authenticity (“branding”) of a medicinal product is a truly important aspect of the treatment of serious diseases, for example, malignant neoplasms and others.

Perhaps you should not save on medications in the process of treating chronic diseases. COPD and bronchial asthma are pathologies that require an extremely serious attitude to the choice of medications. Although patients, forced to spend large sums of money on the treatment of these pathologies, and constantly, often cannot withstand such a financial burden and look for cheap replacements for expensive drugs.

When it comes to banal acute respiratory viral infections and even pneumonia, replacing Erespal with a cheaper domestic analogue is unlikely to have a significant impact on the final result of treatment. In any case, the decision whether to replace the brand with a generic, or whether it is better to trust the original product, should be made by the patient, and ideally, in collaboration with the attending physician.

The article above and comments written by readers are for informational purposes only and do not encourage self-medication. Consult a specialist regarding your own symptoms and illnesses. When taking any medicine, you should always use the instructions that come with the medicine and your doctor's advice as a guide.

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It is also worth paying attention to other drugs for bronchitis and cough:

But children, as you can see, often experience side effects from this drug.

After the first use, severe tachycardia, stomach pain. I stopped taking it and my pulse returned to normal.

Tachycardia 150, blood pressure 90/60, bitterness in the mouth, dizziness, nausea, weakness.

Where is this written?

• nasal breathing was fully restored;

• redness of the oral mucosa disappeared;

• sputum is removed more easily;

• the general condition improved almost immediately.

• bronchospastic syndrome in ARVI;

• allergic diseases of the trachea, larynx, paranasal sinuses, nasopharynx.

• promotes speedy recovery;

• works simultaneously in several directions (relieves bronchospasm, eliminates pain and cough, reduces the viscosity of sputum and promotes its unhindered removal).

How much Erespal should I give to children? Children from birth to 2 years old are given syrup one ml per day (2-4 teaspoons). The syrup can be mixed with the mixture or with water. From 2 to 16 years - ml per day (2-4 tablespoons). The exact dosage of Erespal is determined by the doctor. Even a slight excess of the daily dose can lead to an overdose.

• from the stomach and intestines - abdominal pain, vomiting, loose stools;

• from the heart - tachycardia (rapid heartbeat);

• on the skin - itching, urticaria, swelling, erythema pigmentosa (localized redness of a brownish-red hue).

Drowsiness, weakness (a kilogram slips out of your hands), swelling of the throat and nasopharynx, suffocation.

From the nervous system: tinnitus, lethargy, and absent-mindedness have increased.

Think for yourself whether you need such problems or look for a replacement.

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