Erespal addictive

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For what cough should I take Erespal syrup?

Regardless of the type of cough, it always causes a lot of discomfort both to the patient himself and to everyone around him. This symptom is difficult to miss and certainly cannot be ignored.

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Treatment must be complete and timely. The main thing is to know exactly what kind of cough Erespal is for, what Lazolvan is for and other popular remedies.

Types of cough

Doctors classify coughs according to several characteristics, which helps make a more accurate diagnosis and choose the right treatment.

The following cough classifications are distinguished:

  • by intensity - a slight cough or a hysterical painful cough;
  • by duration – short-term (acute), protracted, chronic;
  • by nature – wet (productive or moist), dry;
  • in terms of volume and sound - silent, barking, hoarse, booming chest;
  • by time of appearance - in the morning, in the evenings, at night, seasonally.

To specify what type of cough Erespal syrup is for, it is necessary to clearly distinguish between dry and wet coughs and determine their main symptoms.

A non-productive (aka dry) cough is characterized by the fact that there is no sputum production during coughing. If the cause of such a cough is a disease of the nasopharynx (rhinopharyngitis, tonsillitis and others), then it is a natural reaction of the body to soreness and dryness of the throat mucosa. When a dry cough is accompanied by chest pain, you should take the identification of the causes that provoke it as seriously as possible in order to prevent possible complications: tears and even bloody discharge when coughing.

A wet (aka wet) cough gets its name from the fact that phlegm is produced when the cough is cleared. This type of cough is considered productive, since it indicates a clear active fight of the body against viruses and bacteria. Sputum, in turn, can be: mucous (colorless, actually transparent mucus), purulent (has a clear green tint); serous (discharge when coughing is yellow), bloody (with an admixture of blood in the mucus or a red-orange hue).

Different types of cough require different treatments. For example, if you make a mistake and drink syrups for dry cough when there is active sputum formation, you can develop serious problems with the lungs and bronchi, because all the mucus will accumulate in them and will not be coughed out. A medicine that is effective for wet coughs, taken against the background of a dry cough, can significantly complicate the patient’s condition, provoking painful attacks of unproductive coughing.

Therefore, it is so important to know the answer to the question: what cough does Erespal help with? Detailed properties and scope of use of the drug Erespal are given below.

Description of the drug Erespal

The drug Erespal belongs to the anti-inflammatory antibronchoconstrictor pharmacological group. The main active ingredient in it is fenspiridum, which is an effective bronchodilator. Its bronchodilator properties make it possible to effectively control bronchospasms.

Erespal, in addition to protecting against bronchospasm, was created to help cope with the inflammatory process in the respiratory tract. Therefore, the instructions for Erespal contain an impressive list of indications for its use:

  • diseases of the throat and pharynx (for example, nasopharyngitis);
  • bronchitis of various forms;
  • bronchial asthma;
  • whooping cough, measles, ARVI, acute respiratory infections, influenza (Erespal helps to cope with cough, hoarseness, tickle);
  • otitis;
  • sinusitis.

Erespal is available in two dosage forms: syrup and tablets. The tablet form is used only when it is necessary to treat adults. Children are given Erespal in liquid form - a bright-colored syrup with a pleasant taste and aroma. The age limit for prescribing Erespal is children under two years of age.

Erespal has analogues containing the same active ingredient: Erispirus, Epistat, Fenspiride, Siresp. All products are presented in both syrup and tablets. The price range of analogues is usually slightly lower than Erespal.

Erespal, like any medicine, should be prescribed only by the attending physician.

When is Erespal effective?

Erespal's primary task is to expand the bronchi. The medicine also thins existing mucus and reduces the production of new mucus. Erespal promotes the easiest removal of mucus from the lungs and bronchi.

The second scheme of action of Erespal is an anti-inflammatory effect, combined with the process of removing swelling from the mucous membranes. As a result, the cough reflex decreases, and inflammation disappears.

The complex action of Erespal allows it to be effective for both dry and wet coughs. In fact, Erespal is a universal remedy, applicable at almost any age in the vast majority of diseases accompanied by cough.

With a wet cough, Erespal reduces sputum production, suppresses inflammation, and facilitates the passage of mucus through the dilated bronchi. Erespal for dry cough is useful as a protector of the mucous membrane from damage and an assistant in the transition of a painful non-productive cough into a productive one.

Despite the effectiveness and versatility of Erespal, taking the drug should be supervised by a doctor.

Erespal dosage

Depending on the age and weight of the patient, there is the following dosage regimen for Erespal syrup:

  • babies up to 10 kg in weight (but older than two years) - 10...20 ml per day (2...4 small spoons). The medicine can be added directly to liquid nutrition;
  • babies over 10 kg - 30...60 ml per day (2...4 large spoons);
  • older children take syrup at the rate of 4 mg (2 ml) per 1 kg of weight per day;
  • for adolescents and adults, the dose is 45...90 ml per day (3...6 large spoons).

For ease of dosing, Erespal is sold with a special measuring spoon.

It is recommended to take the medicine before meals, dividing the daily dose into 3 times.

Erespal tablets are prescribed only to adults, in the amount of 1 tablet up to four times a day. One tablet contains 80 mg of fenspiride.

The total duration of treatment is determined by the attending physician, based on the diagnosis and dynamics of recovery.

Contraindications and side effects

All medications have their own restrictions on the use of Erespal - no exception. Treatment with Erespal is not possible if you are individually intolerant to the components of the drug (especially dyes that give a pleasant yellow-orange tint, licorice extract, flavorings with hints of vanilla and honey). The use of Erespal for pregnant women and breastfeeding women is not recommended, since the effect of fenspiride on the developing fetus and infants has not been sufficiently studied.

There is also a restriction for Erespal syrup - age under two years. Tablets are completely unacceptable for a child of any age.

Erespal helps with cough, but during treatment the following unpleasant symptoms may occur:

  • tachycardia;
  • disorders in the gastrointestinal tract, manifested by pain in the peritoneum, nausea, vomiting, diarrhea;
  • drowsiness;
  • excessive fatigue;
  • dizziness;
  • skin rashes of varying intensity, up to extensive urticaria;
  • edema;
  • skin itching.

If obvious side effects occur, the use of Erespal should be suspended until consultation with your doctor.

Considering that Erespal can have a relaxing effect, causing drowsiness, it is recommended to avoid taking it together with sedatives and alcoholic beverages.

Advantages of Erespal

Erespal is drunk for a huge number of colds, even in cases where cough is not the key symptom. This medicine has a beneficial effect on the overall dynamics of treatment and helps to recover in a short time. The following advantages of Erespal can be highlighted:

  • versatility of use (suitable for both children and adults, for dry and wet cough);
  • effectiveness in combating sore throat, dryness and sore throat;
  • the ability to cope with nasal congestion and swelling of the mucous membranes;
  • compatibility with traditional antibiotic therapy;
  • effectiveness in suppressing the process of sputum formation in the lungs and bronchi.

Erespal is a modern effective remedy for coughs of various types and bronchial asthma. The excellent characteristics of the drug have made it one of the most popular among both pediatricians and doctors of adult patients. Moreover, fenspiride is one of the most important, vital medications.

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IMPORTANT. The information on the site is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.

Source: http://pillsman.org/24988-erespal-pri-kakom-kashle-prinimat.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.

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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

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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Do you want to get rid of your nose, throat, lung and cold diseases? Then be sure to check it out here.

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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Source: http://cc-t1.ru/preparaty/erespal.html

How to take Erespal correctly for children and adults

Erespal syrup or tablets are often prescribed for the treatment of various respiratory diseases. Recently, many viruses have appeared that provoke bronchitis and prolonged coughs in children and adults. The medicine Erespal has proven itself to be an effective remedy. It is prescribed in combination with other drugs for both adults and children.

Composition and properties of the drug

Erespal is an effective drug that has anti-inflammatory and antibronchoconstrictor effects

The main component of the medicine is fenspiride, which is also the international name of the drug. Fenspiride hydrochloride has a powerful anti-inflammatory and bronchodilator effect.

In addition to the main component, the medicine also includes excipients:

  • A group of flavoring substances. Natural ingredients – honey, flavorings – vanilla. Ethanol also belongs to this group.
  • Licorice extract (root) – has an expectorant effect.
  • Glycerol.
  • Sucrose.
  • Methyl parahydroxybenzoate.
  • Propyl parahydroxybenzoate.
  • Potassium sorbate.
  • Saccharin.

Erespal is most often prescribed to children in the form of a syrup, which has a light brown tint. It has a pleasant honey taste and does not cause problems for parents when their child needs to give medicine. Tablets are most often prescribed to adults. Erespal is part of complex therapy and is not prescribed independently.

The main effect of the drug is anti-inflammatory.

The medicine eliminates increased vascular permeability, which can cause fluid to leak into the tissue. This process is observed during inflammation of the respiratory tract. To prevent these processes, Erespal is prescribed.

With bronchitis, narrowing of the bronchi often occurs. The drug is aimed at preventing it, which is important in the treatment of inflammatory processes in children. Erespal has an antispasmodic as well as a vasodilator effect. The medicine quickly eliminates the symptoms of inflammation of the upper and lower respiratory tract.

Release form and conditions of release

The medicine is produced in two forms - syrup and tablets. The first is more often prescribed to children, tablets to adults. The syrup has a pleasant taste and can be mixed with baby food if the medicine needs to be given to a small child. Older children take the drug without problems, the medicine does not cause rejection. The product should be stored in a dark place out of reach of children.

The syrup or tablets are prescribed by a doctor; the drug is sold by prescription. You should not try to treat respiratory diseases on your own using such medications. Only a doctor can prescribe competent and correct treatment.

Purpose

The drug Erespal is most often prescribed for diseases of the lower and upper respiratory tract

Erespal is prescribed in complex therapy. It is prescribed for inflammatory processes of the nasopharynx and respiratory tract.

The list of pathologies for which syrup or tablets are prescribed includes the following diseases:

  • Rhinopharyngitis is an inflammatory process of the nasopharynx caused by viruses entering the body.
  • Laryngitis is an inflammatory process in the larynx that occurs as a result of diseases such as influenza, ARVI, whooping cough or scarlet fever.
  • Tracheobronchitis is an inflammation of the bronchi and their mucous membrane. The process appears as a result of ARVI, influenza, and also against the background of allergic reactions.
  • Bronchitis is an inflammatory process affecting the bronchi.
  • Bronchial asthma is a chronic disease. Affects the respiratory system. Attacks of suffocation are observed.
  • Prescribed for cough and hoarseness. These phenomena often occur against the background of influenza, measles or whooping cough.

The drug can also be prescribed for rhinitis of various etiologies. Ear diseases are also associated with pathologies occurring in the nasopharynx. A simple cold or flu can cause complications that may manifest as otitis media. This often happens due to weakened immunity. Therefore, Erespal is often prescribed for inflammatory processes of the middle ear. The medicine is very rarely prescribed on its own; it is included in complex therapy.

Dosage of the drug

The correct dosage should be prescribed by a doctor depending on the age, type and severity of the disease.

Depending on the release form, the doctor prescribes the required amount of medicine. The dosage of the syrup is reduced to the following dosage regimen:

  • Children from 12 to 15 years old are recommended to take three to six tablespoons of medicine per day. The drug is taken before meals.
  • Adults are prescribed the same dosage as adolescents. This is three to six tablespoons per day.

For children from two to twelve years of age, the dose varies depending on the child’s weight:

  • For people weighing up to ten kilograms, it is recommended to give two to four teaspoons of the drug.
  • If you weigh over ten kilograms, the dose increases slightly.

The exact dosage is determined by the doctor; it may differ from what the manufacturer of the medicine recommends. Be careful and do not take the drug above the prescribed limit.

Adults are prescribed Erespal in the form of tablets, the administration of which is reduced to the following scheme:

  • The dosage of the tablets varies depending on the person's weight and age. The instructions recommend a dose of one pill three times a day. The doctor may prescribe a different dose of the drug, it all depends on the course of the disease and many other factors that only a doctor can take into account.
  • The treatment regimen differs depending on the type of disease. The above doses are usually prescribed for acute or chronic bronchitis. Other pathologies require a different dosage from the standard one, which is determined only by the doctor.

More information about the drug Erespal can be found in the video:

It is important to take into account the amount of active ingredient and auxiliary components in dosages for people with diabetes. So, in one tablespoon of the drug there are 9 g of sucrose, in one teaspoon - 3 g. The doctor takes into account the amount of sucrose when prescribing the medicine and its dosage.

The course of taking the medicine in the form of syrup or tablets, as recommended by the manufacturer, is twenty days. But it can be shorter - the standard ten days or longer, it all depends on the course of the disease. Only a doctor can determine the duration of taking the drug. It is not recommended to extend or shorten the course of treatment on your own.

Contraindications and side effects

Incorrect use or overdose of the drug Erespal can provoke the development of side effects

The drug is not prescribed to children under two years of age, as well as to persons who have an allergic reaction to the components of the drug. The drug is not recommended for use during breastfeeding and pregnancy.

Contraindications include diabetes mellitus, as well as intolerance to substances such as fructose or sucrose. In such conditions, medicine can be prescribed, but with caution and in small doses.

For people prone to allergic reactions to parabens, the medicine is not prescribed or is prescribed, but with the utmost caution.

Possible side effects:

  • The most common side effect when taking it is gastrointestinal disorders. This means diarrhea, nausea or vomiting, less often pain in the gastrointestinal tract occurs.
  • Another striking manifestation may be drowsiness. It especially often appears after the first dose of the medicine; later the condition stabilizes. This effect should be taken into account by people whose activities involve driving a car or operating any equipment.
  • Along with drowsiness, dizziness was observed, although less frequently.
  • While taking the drug, itching of the skin, redness, and hives may occur. The phenomenon occurs extremely rarely, but it does happen.
  • As for the work of the heart, tachycardia may be observed. This is an increase in the frequency of contractions; the side effect is moderate and occurs rarely.
  • Increased fatigue can also be considered a side effect. The condition rarely manifests itself; more often it becomes a consequence of the disease and goes away with full recovery.

Side effects often occur if special instructions are not followed. These include drinking alcohol along with taking medications.

It is not recommended to use Erespal together with medications that have a powerful sedative effect.

As a result of this combination, a person will experience increased drowsiness and lethargy, which is undesirable. Especially if the patient continues to work or drives a vehicle. Before prescribing a drug, the doctor must ask whether the patient is taking any sedatives. You should not hide this information from the therapist, otherwise the treatment will be ineffective and in some cases dangerous.

Taking Erespal is included in standard antibiotic therapy for bronchitis and other pathologies associated with inflammation of the respiratory tract. The medicine has proven itself, side effects are extremely rare, which allows you to prescribe syrup to children and tablets to adults without fear.

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The medical information published on this page is strictly not recommended for self-medication. If you feel negative changes in your health, immediately contact an ENT specialist. All articles published on our resource are for informational purposes only. If you use this material or a fragment of it on your website, an active link to the source is required.

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