Erespal syrup dosage

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Erespal syrup: Instructions for use

Erespal syrup is preferable to tablets due to the absence of age restrictions. This drug can be prescribed to both adults and newborns; the only difference is the dosage, which is calculated in addition to age based on body weight.

Indications for the use of Erespal syrup are the same as for the use of tablets: inflammatory - both acute and chronic diseases of the respiratory tract (upper and lower sections), as well as otitis, allergic rhinitis and other allergic manifestations affecting the functioning of the respiratory system. The list of diseases for which the use of this remedy is recommended also includes influenza, measles, and whooping cough.

Composition and release form

Erespal syrup is an orange, transparent liquid; There is rarely a sediment, when it appears, it is recommended to shake the syrup.

1 ml. syrup - 2 mg fenspiride hydrochloride.

Excipients: honey aroma (honey, rum, alcoholates and alcohol extracts of honey, rose and orange flowers), licorice root extract (concentrated tincture of licorice root, glucose syrup, anise oil) and vanillin extract (aqueous-alcoholic decoction of vanilla pods, glycerin, sunset yellow S dye, methyl parahydroxybenzoate, propyl parahydroxybenzoate, saccharin, sucrose, potassium sorbate, distilled water).

150 ml bottle, 1 bottle in a box.

Indications for use

Has an anti-inflammatory effect in the respiratory tract. Indications: rhinopharyngitis, laryngitis; otitis, sinusitis; rhinotracheobronchitis; bronchitis; bronchial asthma, respiratory phenomena due to measles, whooping cough and influenza (syrup).

  • rhinopharyngitis and laryngitis;
  • otitis and sinusitis;
  • rhinotracheobronchitis;
  • bronchitis;
  • maintenance therapy for isolated and complicated bronchial asthma;
  • respiratory phenomena during measles, whooping cough, influenza (for syrup).

Directions for use and doses

The syrup is taken orally.

For adults

Before meals, 3-6 tablespoons of syrup (45-90 ml) daily.

For children from 2 to 18 years old

The daily dose is 2-4 tablespoons of syrup (30-60 ml).

Infants and children under 2 years of age

Or children weighing less than 10 kg.

The daily dose is 4 mg per 1 kg of body weight, which is approximately: 2-4 teaspoons of syrup (10-20 ml).

Erespal syrup can be added to baby food bottles.

special instructions

Erespal in syrup form is prescribed with caution to patients with hypersensitivity to acetylsalicylic acid and other NSAIDs due to the risk of allergic reactions (including bronchospasm) in this category of patients due to the fact that the syrup contains Sunset Yellow S dye .

For infectious diseases, Erespal is used in combination with standard antibiotic therapy.

Erespal in the form of syrup is prescribed with caution to patients with diabetes mellitus, because. Dosage adjustment of hypoglycemic agents may be required.

Storage conditions

In places inaccessible to children. No special temperature regime is required.

Shelf life

Erespal is a bronchodilator and anti-inflammatory drug intended for the treatment of inflammatory diseases of the upper and lower respiratory tract.

Table of contents:

Erespal tablets instructions. Indications: bronchial asthma, bronchospasm, chronic bronchitis (including with respiratory failure), allergic rhinitis.

All materials presented on the site are for informational and informational purposes only and cannot be considered a guide to treatment or the choice of certain treatments.

Do not self-medicate. At the first signs of a disease, consult a doctor; only a doctor has the competence to diagnose the disease and the right to prescribe medications.

The site administration and the authors of the articles are not responsible for any losses and consequences that may arise when using the site materials.

Source: http://site-zdorovie.ru/opisanie-lekarstv/erespal-sirop-instrukciya-po-primeneniyu.htm

Erespal

Description current as of 05/06/2014

  • Latin name: Eurespal
  • ATX code: R03DX03
  • Active ingredient: Fenspiride
  • Manufacturer: Les Laboratoires Servier (France)

Compound

Release form

Cough tablets have a white shell and are sold in packs of 30 pieces.

The syrup is sold in 150 ml plastic bottles. It is an orange transparent liquid in which sediment may form. When you shake the bottle it disappears. The bottle is placed in a cardboard box.

The method of administration of the drug is oral.

pharmachologic effect

According to Wikipedia, the drug has antispasmodic, antihistamine, and anti-inflammatory effects.

Pharmacodynamics and pharmacokinetics

Erespal (Eurespal) prevents bronchoconstriction and slows down exudation. The anti-inflammatory effect that fenspiride has is due to inhibition of arachidonic acid metabolism. Antibronchoconstrictor effects are produced due to inhibition of the process of secretion of biologically active substances: histamine, serotonin, bradykinin. In addition, the drug blocks α-adrenergic receptors, upon stimulation of which there is an increase in the production of bronchial secretions.

Prevents bronchospasm. If the drug is prescribed in large doses, it reduces the production of various inflammatory factors.

The medicine is well absorbed from the gastrointestinal tract. The highest concentration of the active substance in the blood plasma is observed approximately 2.5 hours after oral administration. The half-life is 12 hours.

Approximately 90% of the drug is excreted through the kidneys, the remaining 10% is excreted through the intestines.

Indications for use of Erespal

Indications for the use of the drug are diseases of the upper and lower respiratory tract of humans:

Thus, the indications for the use of Erespal are diseases accompanied by cough and other symptoms of respiratory tract diseases. Indications for the use of syrup are the same as for the use of the drug in tablets. When prescribing a treatment complex, the doctor determines which form of the drug is preferable. What Erespal tablets are for can be found out in detail from the instructions included with the drug. It is also described in detail what the medicine helps with in the annotation for the syrup.

Contraindications

The following contraindications to taking the drug are noted:

  • high level of sensitivity to the active substance or other components;
  • children up to two years of age.

The syrup is used with caution to treat people who have fructose intolerance, glucose-galactose malabsorption, diabetes mellitus, sucrase or isomaltase deficiency, since the syrup contains sucrose.

Side effects

If Eurespal syrup or tablets cause any side effects, you should definitely consult a doctor and inform him in detail about what is happening.

When treated with Erespal, the following side effects may occur:

  • In the functioning of the cardiovascular system: in rare cases, tachycardia occurs, which decreases when the dose of the drug is reduced.
  • In the functioning of the gastrointestinal tract: stomach and intestinal disorders, pain in the epigastrium, nausea are often observed; Sometimes vomiting and diarrhea occur.
  • In the functioning of the central nervous system: drowsiness is rarely observed, dizziness is sometimes observed.
  • Asthenia and severe fatigue may occur.
  • Skin reactions: in rare cases, urticaria, erythema, rash are observed, and sometimes skin itching may be bothersome.
  • You may be sensitive to the dye contained in the product.

Instructions for use of Erespal (Method and dosage)

The drug in tablets is used only for the treatment of adult patients. During treatment, the instructions for use of tablets and syrup must be strictly followed.

The instructions for Erespal tablets are as follows.

The medicine should be taken before meals. For chronic inflammatory diseases, it is recommended to take two 80 mg tablets per day - morning and evening. In the acute course of the disease, the doctor may prescribe a course of treatment that involves taking three tablets - morning, afternoon and evening. The doctor can prescribe an individual plan for how to take the pills. The duration of therapy is also determined individually.

The instructions for Erespal cough syrup are as follows. The syrup can be taken by adults; it is also prescribed for children after the age of twelve. You can take from 3 to 6 tablespoons of the product (45–90 ml) per day. The course of treatment for children and adults lasts as many days as prescribed by the attending physician.

The medicine in syrup form is not prescribed to children under 2 years of age.

Erespal for children is prescribed taking into account how old the child is and how much he weighs. In this case, the dosage of the syrup is carried out so that the daily dose of cough suppressant is not exceeded. The instructions for syrup for children stipulate that the daily dose is divided into 2 or 3 doses. The syrup should be drunk before meals.

The drug is not prescribed for children under 2 years of age. If treatment of respiratory diseases is required for children under one year of age, the doctor prescribes safe analogues for children of this age.

It is recommended to consume 4 mg of the drug per 1 kg of child’s body weight per day.

Children weighing less than 10 kg are prescribed 2-4 teaspoons of the product per day (10–20 ml). Children weighing more than 10 kg are prescribed 2-4 tablespoons of the product per day (20–60 ml).

How many days a child takes this remedy depends on the disease and the doctor’s recommendations. Reviews of the syrup indicate that an improvement in the condition is noted after 2-3 days of such treatment.

Overdose

If an overdose occurs, you should immediately seek medical help. After an overdose, drowsiness or agitation, sinus tachycardia, nausea and vomiting may occur.

In this condition, the patient undergoes gastric lavage and an ECG is constantly monitored. If necessary, vital body functions are supported.

Interaction

The abstract indicates that a special study of the interaction of fenspiride with other drugs has not been carried out. Due to the likelihood of increased sedative effects when taking histamine H1 receptor blockers, Erespal is not recommended to be taken together with sedatives.

Terms of sale

The sale of medicine is carried out according to a doctor's prescription.

Storage conditions

There is no need to observe special conditions when storing the product. Erespal must be stored at room temperature and kept away from children.

Best before date

The syrup can be stored for 3 years, tablets - 2 years.

special instructions

Often patients have a question about whether Erespal is an antibiotic or not. In fact, treatment with Erespal cannot replace antibiotic therapy. Therefore, if necessary, an additional antibiotic is prescribed.

People with diabetes are prescribed the drug in tablets, since the syrup contains sucrose.

Due to the presence of sunset yellow in syrup, people with intolerance to acetylsalicylic acid, as well as other NSAIDs, may develop bronchospasm.

No studies have been conducted that would allow conclusions to be drawn about the effect of Erespal on the ability to drive vehicles and work with precision mechanisms. However, drowsiness may occur when using it, especially if the drug is combined with sedatives or alcohol. It should be noted that such a combination may lead to a reaction disorder.

Erespal's analogs

In pharmacy chains you can find similar drugs that have the same properties. Analogues of Erespal syrup and tablets in terms of effects on the human body are Stoptussin, Fenspiride, Ascoril, Fluditek, Lazolvan, Ambrobene. The price of analogues can be either higher or lower. But, despite the desire to find cheaper analogues, you should ask your doctor about what you can replace 80 mg tablets or Erespal syrup with. In some cases, Erespal can be replaced with Bronchicum. It is used for bronchitis, both dry and wet cough.

Which is better: Erespal or Sinekod?

Sinekod is a drug that is a direct-acting antitussive drug. Its active ingredient is butamirate. This remedy is used primarily for non-productive coughs. It is not recommended to take Erespal and Sinekod at the same time. In this case, you should definitely consult a doctor.

Which is better: Erespal or Lazolvan?

Only a doctor should prescribe a drug for the treatment of an adult or child. Erespal more effectively reduces inflammatory processes, and Lazolvan promotes the liquefaction and removal of sputum. That is, Lazolvan is used for wet coughs. Often patients are also interested in whether it is possible to take Erespal and Lazolvan at the same time. The compatibility of these drugs is acceptable. However, only a doctor can prescribe Lazolvan and Erespal together, since compliance with a special regimen for taking these drugs is required.

Which is better: Erespal or Ambrobene?

Patients also wonder whether Erespal and Ambrobene can be used together during treatment. The active ingredient of the drug Ambrobene, like Lazolvan, is Ambroxol hydrochloride. Therefore, the answer to the question of what to prefer, Erespal or Ambrobene, is similar.

Which is better: Prospan or Erespal?

Prospan is a drug with a mucolytic effect, the basis of which is a dry extract of ivy leaves. However, only a doctor can determine which drug should be used for a cough, runny nose, etc.

Which is better: Erespal or Askoril?

The drug Ascoril contains three active substances - salbutamol, bromhexine, guaifenesin. It acts on the body as a bronchodilator and mucolytic. Erespal and Ascoril are prescribed at the same time, only by a doctor according to indications. The patient also cannot independently answer which is better - Erespal or Ascolril, since the diagnosis and individual characteristics of the patient must be taken into account.

People very often have questions about combining Erespal with other cough medicines. For example, can Erespal and Fluditec be taken together? Is cough treatment carried out in such a way that Erespal and ACC can be used together in one treatment regimen? Despite the fact that there are no strict instructions on the incompatibility of these drugs, you cannot combine any cough suppressants on your own, without consulting a doctor.

Thus, before answering which cough to take this or that drug, you need to carefully study the instructions and consult with your doctor. For which cough a particular syrup or tablet is prescribed and drunk depends on its active substance and effect on the body.

For children

Erespal in the form of syrup is prescribed only to children who are already two years old. The medicine is not used for infants. A baby who has developed respiratory tract infections is prescribed other medications.

With alcohol

It is not recommended to combine alcohol and Erespal, as alcoholic beverages enhance the sedative effect of the drug. A person who combines Erespal and alcohol will feel severe weakness and drowsiness.

During pregnancy and lactation

There are no or limited data on the use of fenspiride hydrochloride during pregnancy. But if pregnancy is detected during treatment with Erespal, there is no need to terminate it.

There is no data regarding whether fenspiride passes into breast milk. Therefore, it is recommended not to take this remedy while breastfeeding. Infectious diseases of the respiratory tract should be treated with other means, for which the woman needs to see a doctor.

Reviews about Erespal

Reviews of Erespal tablets and syrup are both positive and negative. Positive reviews are mainly left by those who took the product or gave it to children after a doctor’s prescription. In particular, the rapid action of the drug, a decrease in the manifestations of the disease - cough, shortness of breath, and an improvement in the general well-being of the patient are noted. Reviews from doctors about Erespal syrup are also mostly positive.

However, there are also negative opinions about the drug on various resources. Patients note the manifestation of some side effects - weakness, insomnia, tachycardia, nausea, etc. Often negative opinions are left by those who started treatment with the drug on their own, without determining what kind of cough this medicine is used for, whether it can be taken for a dry cough, how to take it - before or after eating. It should be borne in mind that Erespal is a potent medicine, so it should not be used based only on the statement of forum members that the drug was recommended by Dr. Komarovsky or another expert.

Erespal price, where to buy

The price of Erespal cough syrup 150 ml averages rubles. The price of Erespal in tablets is approximately rubles. for 30 tablets of 80 mg. The cost of tablets in Donetsk and other regions is approximately UAH. for 30 tablets.

How much Erespal tablets or syrup cost in cities such as Odessa, Kharkov can be found out exactly at specific points of sale.

  • Online pharmacies in Russia Russia
  • Online pharmacies in Ukraine Ukraine
  • Online pharmacies in Kazakhstan Kazakhstan

WER.RU

ZdravZone

Pharmacy IFC

Pharmacy24

PaniPharmacy

BIOSPHERE

Education: Graduated from Rivne State Basic Medical College with a degree in Pharmacy. Graduated from Vinnitsa State Medical University named after. M.I. Pirogov and internship at his base.

Work experience: From 2003 to 2013 – worked as a pharmacist and manager of a pharmacy kiosk. She was awarded diplomas and decorations for many years of conscientious work. Articles on medical topics were published in local publications (newspapers) and on various Internet portals.

A normal working drug if taken according to the regimen and indications. Anyone who complains about palpitations is apparently not familiar with bronchospasm. Other drugs like ascoril and theophylline make your heart jump out of your skin. However, bronchial obstruction is no big deal; you want to breathe, or you can endure it.

After taking Erespal, I thought my heart would just jump out of my chest, a terrible tachycardia that just threw me up in bed, sleep was out of the question ((((

The doctor prescribed Erespal, on the third day of treatment the heart began to “jump out” at 120 beats per minute, weakness, but the blood pressure did not decrease, so she stopped taking it. Heart beats improved.

I don’t recommend taking it, it affects the cardiovascular system, although I haven’t had any problems with it before. The doctor prescribed the drug and I took it for 5 days. I thought I was weak after ARVI, but I’ve never had such weakness in my life, I walk around like I’m drunk - dizziness, poor coordination, insomnia, blood pressure dropped to 104/67, pulse 70, I almost fainted several times today .

CANNOT BE ACCEPTED. DANGEROUS! WILL END SOON! I LEFT HIM FOR DAY 2! AND MADE A SCANDAL FOR THE DOCTOR.

erespal (finsperide hydrochloride). The chemical formula C17H19NO3 is produced by the French on the basis of opium (morphine, papaverine) C15H20N2O2, compare with the formula of phenobarbital (composed of andipal, valocardine) C12H12N2O3. Erespal is a drug. It acts like codeine and papaverine hydrochloride. It has been studied for 30 years. It was recommended for use in Russia, Poland, Moldova, Romania. Stupid doctors generally understand little about physics and chemistry. This is their problem. The drug was studied on rats, horses, and volunteers from Great Britain, France, and Italy. The effect of it, like a drug, is stupidly relaxing with depression of the central nervous system, which leads to relaxation of the muscles and blood vessels of the bronchi. That's all. That's the whole stupid therapeutic effect. Learn chemistry and physics. Check medications on the Internet. It is necessary to relieve pressure and cardiac arrhythmia immediately

Konstantin: What I liked about the drug Prostanorm: reasonable price, pronounced effect of taking it.

Valentina: I, too, am all about diet and exercise. I hoped for loads, I thought that my healthy lifestyle.

Nina: I was on pills for a year and a half, then somehow everything calmed down. Mostly climatefit.

Elena: With the onset of menopause, the skin completely deteriorated and became dry. I saw a cream for .

All materials presented on the site are for reference and informational purposes only and cannot be considered a treatment method prescribed by a doctor or sufficient advice.

The site administration and the authors of the articles are not responsible for any losses and consequences that may arise when using the site materials.

Source: http://medside.ru/erespal

ERESPAL

Syrup in the form of a brownish-yellow liquid, transparent or slightly opalescent; During storage, sediment may form, which disappears with shaking.

Excipients: flavoring composition with hints of honey smell (flavors, including natural, sunflower honey, water, ethanol*) mg, licorice root extract, vanilla tincture (natural vanilla flavor and other components, including ethanol* ) mg, glycerol - 22.5 g, methyl parahydroxybenzoate - 90 mg, propyl parahydroxybenzoate - 35 mg, saccharin - 45 mg, sucrose - 60 g, potassium sorbate mg, purified water - up to 100 ml.

* total ethanol content in 100 ml of syrup is no more than 0.29 mg.

150 ml - brown plastic bottles (1) - cardboard packs.

150 ml - brown plastic bottles (1) complete with a measuring cup - cardboard packs.

250 ml - brown plastic bottles (1) - cardboard packs.

250 ml - brown plastic bottles (1) complete with a measuring cup - cardboard packs.

An anti-inflammatory agent, has an antiexudative effect, prevents the development of bronchospasm. Shows antagonism with mediators of inflammation and allergy: serotonin, histamine (blockade of H1 - histamine receptors), bradykinin. It has a myotropic antispasmodic effect.

When administered in large doses, it reduces the production of various inflammatory factors (cytokines, arachidonic acid derivatives, free radicals).

Well absorbed from the gastrointestinal tract. After oral administration, Cmax is achieved within 2.3±2.5 hours (from 0.5 to 8 hours).

T1 /2 is 12 hours. It is excreted mainly by the kidneys (90%), 10% through the intestines.

Diseases of the upper and lower respiratory tract:

- nasopharyngitis and laryngitis;

- bronchitis (with or without chronic respiratory failure);

- respiratory phenomena (cough, hoarseness, sore throat) with measles, whooping cough, influenza;

- infectious diseases of the respiratory tract, accompanied by cough, when standard antibiotic therapy is indicated.

Otitis and sinusitis of various etiologies.

- children under 2 years of age;

- hypersensitivity to the active substance and/or any of the components of the drug.

With caution: patients with fructose intolerance, glucose-galactose malabsorption, sucrase/isomaltase deficiency (due to the presence of sucrose in Erespal syrup), patients with diabetes mellitus (due to the presence of sucrose in Erespal syrup).

The drug is taken orally, before meals. The syrup should be shaken before use.

For adults and adolescents, the drug is prescribed 3-6 tablespoons or 3-6 measuring cups filled to 15 ml, which corresponds to ml/day. The daily dose can be divided into several doses (from 3 to 6).

For children over 2 years of age, the drug is prescribed at the rate of 4 mg/kg body weight/day. For children weighing up to 10 kg, teaspoons or 2-4 measuring cups filled to 5 ml, which corresponds to ml/day, can be added to the feeding bottle. For children weighing more than 10 kg, tablespoons or 2-4 measuring cups filled to 15 ml, which corresponds to ml/day. The daily dose can be divided into several doses (from 2 to 4).

1 tablespoon or 1 measuring cup filled to 15 ml (15 ml syrup) contains 30 mg fenspiride hydrochloride and 9 g sucrose.

1 teaspoon or 1 measuring cup filled to 5 ml (5 ml syrup) contains 10 mg fenspiride hydrochloride and 3 g sucrose.

The duration of treatment is determined by the doctor.

The most common adverse reactions to the drug Erespal are observed in the digestive system.

The frequency of adverse reactions that may occur during therapy is given in the following gradation: very often (>1/10); often (>1/100, <1/10); uncommon (>1/1000, <1/100); rare (>1/10,000, <1/1000); very rare (<1/10,000); unknown frequency (frequency cannot be calculated from available data).

From the cardiovascular system: rarely - moderate tachycardia, the severity of which decreases with decreasing dose of the drug; unknown frequency* - palpitations, hypotension, possibly associated with tachycardia.

From the digestive system: often - gastrointestinal disorders, nausea, epigastric pain; unknown frequency* - diarrhea, vomiting.

From the side of the central nervous system: rarely - drowsiness; unknown frequency* - dizziness.

From the skin and subcutaneous fat: rarely - erythema, rash, urticaria, angioedema, fixed erythema pigmentosa; unknown frequency* - itching, toxic epidermal necrolysis, Stevens-Johnson syndrome.

General disorders and symptoms: unknown frequency* - asthenia, increased fatigue.

* Data from post-registration use.

The patient should be informed of the need to inform the doctor about any, incl. adverse reactions not mentioned above, as well as changes in laboratory parameters during therapy with Erespal.

In case of an overdose of the drug (cases of overdose have been reported when taking the drug at a dose of more than 2320 mg), you should immediately seek medical help.

Symptoms: drowsiness or agitation, nausea, vomiting, sinus tachycardia.

Treatment: gastric lavage, ECG monitoring. Maintaining vital body functions.

No special studies have been conducted on the interaction of fenspiride with other drugs.

Due to the possible increase in sedative effect when taking histamine H1 receptor blockers, it is not recommended to use Erespal syrup in combination with drugs that have a sedative effect, or in combination with alcohol.

The drug contains parabens (parahydroxybenzoates), as a result of which taking this drug can provoke the development of allergic reactions, incl. deferred.

When prescribing the drug to patients with diabetes, it is necessary to take into account that Erespal syrup contains sucrose (1 teaspoon or 1 measuring cup filled with up to 5 ml of syrup - 3 g of sucrose = 0.3 XE; 1 tablespoon or 1 measuring cup filled with up to 15 ml of syrup - 9 g sucrose = 0.9 XE).

Impact on the ability to drive vehicles and operate machinery

No studies have been conducted to study the effect of Erespal on the ability to drive vehicles and operate machinery. Patients should be aware of the possible development of drowsiness while taking Erespal, especially at the beginning of therapy or when combined with alcohol intake, and should be careful when driving vehicles and when performing work that requires a high speed of psychomotor reactions.

There are no or limited data on the use of Erespal in pregnant women. Taking the drug during pregnancy is not recommended.

Fenspiride therapy is not a reason to terminate an ongoing pregnancy.

Erespal should not be used during breastfeeding due to the lack of data on the penetration of fenspiride into breast milk.

Contraindicated in children under 2 years of age.

The drug should be stored out of the reach of children, at temperatures above 25°C. Shelf life: 3 years. Do not use after the expiration date indicated on the package.

To ask a question about the project or contact the editors, use this form.

Source: http://health.mail.ru/drug/erespal_1/

Erespal syrup for children

Erespal is a pharmaceutical agent with a combined anti-inflammatory, bronchodilator and expectorant effect. Used for the symptomatic treatment of infectious, inflammatory and allergic diseases of the respiratory system and in otolaryngology.

The main active ingredient of the drug is phensipiride hydrochloride, which has the following properties:

  • selectively blocks certain receptors of the respiratory system responsible for manifestations of the inflammatory process;
  • has an antispasmodic effect on the smooth muscles of the bronchial tree;
  • blocks H1 - histamine receptors of the bronchi, responsible for the occurrence of an allergic reaction in the tissues of the body;
  • inhibits the functioning of α 1 -adrenergic receptors, which stimulate the secretion of thick, difficult-to-separate mucus.

Thanks to this, Erespal has pronounced antitussive, anti-inflammatory, expectorant and bronchodilator properties. The components of the drug are absorbed in the gastrointestinal tract. The highest concentration of fenspiride hydrochloride in the body tissues is observed 2-3 hours after administration and is completely excreted in the urine within 24 hours.

It should be remembered that fenspiride hydrochloride has no effect on pathogens of infectious diseases. In most cases, the medicine is used to relieve the symptoms of the disease, as part of a complex treatment that includes antibacterial, antiallergic and other drugs.

Indications for use of Erespal

The drug is used for symptomatic therapy in children over two years of age with pathologies such as:

  • bronchitis of various etiologies (acute and chronic), accompanied by obstructive phenomena and secretion of thick, viscous sputum;
  • complex treatment of bronchial asthma;
  • tracheitis, tracheobronchitis;
  • rhinitis, laryngitis and pharyngitis (various clinical forms);
  • diseases of the ENT organs (otitis, sinusitis, etc.);
  • symptomatic treatment of respiratory phenomena in acute respiratory viral infections, influenza, measles, etc.;
  • allergic diseases of the respiratory system;
  • relief of whooping cough symptoms.

to contents ↑

Contraindications to the use of Erespal

  • the child's age is under 24 months;
  • individual intolerance to fenspiride hydrochloride and/or other components of the drug;
  • Erespal syrup is used with caution to treat patients with a history of fructose intolerance, glucose-galactose malabsorption, and sucrose-isomaltose deficiency. This is due to the presence of sucrose in the composition of the drug.

to contents ↑

Release forms

Erespal is produced by the French pharmaceutical company Servier in the form of two dosage forms - tablets (80 mg of fenspiride) and syrup containing 2 mg of fenspiride hydrochloride per 1 ml of liquid.

Before use, the bottle of medicine must be shaken thoroughly.

Children over 14 years of age and adults can take both Erespal syrup and tablets.

What to pay attention to

The drug is not used to treat children under 24 months of age.

The medicine should be taken only before meals, strictly observing the age-specific dosage. The daily dose of the drug is divided into 2-3 doses during the day. The duration of the course of use of Erespal is individual and is prescribed only by the child’s attending physician.

Erespal syrup is prescribed with caution to children suffering from intolerance or increased sensitivity to acetylsalicylic acid and other non-steroidal anti-inflammatory drugs. This is due to the presence of the dye “Sunset Yellow S” in the syrup, which can cause various allergic reactions in such patients.

Patients with a history of diabetes mellitus must remember that Erespal syrup contains sucrose: one teaspoon of the drug is equal to 0.3 XE, one tablespoon is 0.9 XE. This is taken into account when preparing the patient’s diet and calculating the administered insulin.

Side effects of Erespal

  • nausea, vomiting, diarrhea, pain in the stomach;
  • allergic reaction (rash, itching, angioedema, etc.);
  • tachycardia;
  • dizziness and drowsiness;
  • agitation or lethargy, fatigue.

If such complaints occur, you must immediately stop taking the drug and report them to your doctor.

Source: http://doctor-detkin.ru/lekarstva/erespal/

Erespal ®

Syrup in the form of a brownish-yellow liquid, transparent or slightly opalescent; During storage, sediment may form, which disappears with shaking.

Excipients: flavoring composition with hints of honey smell (flavors, including natural, sunflower honey, water, ethanol*) mg, licorice root extract, vanilla tincture (natural vanilla flavor and other components, including ethanol* ) mg, glycerol - 22.5 g, methyl parahydroxybenzoate - 90 mg, propyl parahydroxybenzoate - 35 mg, saccharin - 45 mg, sucrose - 60 g, potassium sorbate mg, purified water - up to 100 ml.

* total ethanol content in 100 ml of syrup is no more than 0.29 mg.

150 ml - brown plastic bottles (1) - cardboard packs

150 ml - brown plastic bottles (1) complete with a measuring cup - cardboard packs.

An anti-inflammatory agent, has an antiexudative effect, prevents the development of bronchospasm. Shows antagonism with mediators of inflammation and allergy: serotonin, histamine (blockade of H1 - histamine receptors), bradykinin. It has a myotropic antispasmodic effect.

When administered in large doses, it reduces the production of various inflammatory factors (cytokines, arachidonic acid derivatives, free radicals).

Well absorbed from the gastrointestinal tract. After oral administration, Cmax is achieved within 2.3±2.5 hours (from 0.5 to 8 hours).

T1 /2 is 12 hours. It is excreted mainly by the kidneys (90%), 10% through the intestines.

Diseases of the upper and lower respiratory tract:

- nasopharyngitis and laryngitis;

- bronchitis (with or without chronic respiratory failure);

— bronchial asthma (as part of complex therapy);

- respiratory phenomena (cough, hoarseness, sore throat) with measles, whooping cough, influenza;

- infectious diseases of the respiratory tract, accompanied by cough, when standard antibiotic therapy is indicated.

Otitis and sinusitis of various etiologies.

The drug is taken orally, before meals. The syrup should be shaken before use.

For adults and adolescents, the drug is prescribed 3-6 tablespoons or 3-6 measuring cups filled to 15 ml, which corresponds to ml/day. The daily dose can be divided into several doses (from 3 to 6).

For children over 2 years of age, the drug is prescribed at the rate of 4 mg/kg body weight/day. For children weighing up to 10 kg, teaspoons or 2-4 measuring cups filled to 5 ml, which corresponds to ml/day, can be added to the feeding bottle. For children weighing more than 10 kg, tablespoons or 2-4 measuring cups filled to 15 ml, which corresponds to ml/day. The daily dose can be divided into several doses (from 2 to 4).

1 tablespoon or 1 measuring cup filled to 15 ml (15 ml syrup) contains 30 mg fenspiride hydrochloride and 9 g sucrose.

1 teaspoon or 1 measuring cup filled to 5 ml (5 ml syrup) contains 10 mg fenspiride hydrochloride and 3 g sucrose.

The duration of treatment is determined by the doctor.

The most common adverse reactions to the drug Erespal ® are observed in the digestive system.

The frequency of adverse reactions that may occur during therapy is given in the following gradation: very often (>1/10); often (>1/100, <1/10); uncommon (>1/1000, <1/100); rare (>1/10,000, <1/1000); very rare (<1/10,000); unknown frequency (frequency cannot be calculated from available data).

From the cardiovascular system: rarely - moderate tachycardia, the severity of which decreases with decreasing dose of the drug; unknown frequency* - palpitations, hypotension, possibly associated with tachycardia.

From the digestive system: often - gastrointestinal disorders, nausea, epigastric pain; unknown frequency* - diarrhea, vomiting.

From the side of the central nervous system: rarely - drowsiness; unknown frequency* - dizziness.

From the skin and subcutaneous fat: rarely - erythema, rash, urticaria, angioedema, fixed erythema pigmentosa; unknown frequency* - itching, toxic epidermal necrolysis, Stevens-Johnson syndrome.

General disorders and symptoms: unknown frequency* - asthenia, increased fatigue.

* Data from post-registration use.

The patient should be informed of the need to inform the doctor about any, incl. adverse reactions not mentioned above, as well as changes in laboratory parameters during therapy with Erespal ®.

- children under 2 years of age;

- hypersensitivity to the active substance and/or any of the components of the drug.

With caution: patients with fructose intolerance, glucose-galactose malabsorption, sucrase/isomaltase deficiency (due to the presence of sucrose in Erespal ® syrup), patients with diabetes mellitus (due to the presence of sucrose in Erespal ® syrup).

There are no or limited data on the use of Erespal ® in pregnant women. Taking the drug during pregnancy is not recommended.

Fenspiride therapy is not a reason to terminate an ongoing pregnancy.

Erespal ® should not be used during breastfeeding due to the lack of data on the penetration of fenspiride into breast milk.

Contraindicated in children under 2 years of age.

The drug contains parabens (parahydroxybenzoates), as a result of which taking this drug can provoke the development of allergic reactions, incl. deferred.

When prescribing the drug to patients with diabetes, it is necessary to take into account that Erespal ® syrup contains sucrose (1 teaspoon or 1 measuring cup filled to 5 ml of syrup - 3 g of sucrose = 0.3 XE; 1 tablespoon or 1 measuring cup filled to 15 ml syrup - 9 g sucrose = 0.9 XE).

Impact on the ability to drive vehicles and operate machinery

No studies have been conducted to study the effect of Erespal ® on the ability to drive vehicles and operate machinery. Patients should be aware of the possible development of drowsiness while taking the drug Erespal ® , especially at the beginning of therapy or when combined with alcohol intake, and should be careful when driving vehicles and when performing work that requires a high speed of psychomotor reactions.

In case of an overdose of the drug (cases of overdose have been reported when taking the drug at a dose of more than 2320 mg), you should immediately seek medical help.

Symptoms: drowsiness or agitation, nausea, vomiting, sinus tachycardia.

Treatment: gastric lavage, ECG monitoring. Maintaining vital body functions.

No special studies have been conducted on the interaction of fenspiride with other drugs.

Due to the possible increase in sedative effect when taking histamine H1 receptor blockers, it is not recommended to use Erespal ® syrup in combination with drugs that have a sedative effect, or in combination with alcohol.

The drug should be stored out of the reach of children, at temperatures above 25°C. Shelf life: 3 years. Do not use after the expiration date indicated on the package.

The scientific information provided is general and cannot be used to make a decision about the possibility of using a particular drug.

There are contraindications, consult your doctor.

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Source: http://health.yandex.ru/pills/ehrespal-1019

Instructions for use of Erespal syrup for children: dosage for children aged 1 year and older, analogues of the drug

Cough is a fairly common problem in children who have recently had an acute respiratory viral infection. It can begin quite harmlessly, but over time develop into a serious complication.

There are a number of medications for the treatment of upper respiratory tract diseases that will help get rid of an annoying cough. Today we will look at an unusual drug to eliminate this symptom called Erespal. When it is shown what type of cough it can handle, as well as side effects - all this can be found in our publication.

Erespal syrup 2 mg/ml 150 ml

Release form, composition of the drug and action

Erespal for children is available in the form of syrup, for adolescents and adults - in tablets. The drug contains an active substance - fenspiride hydrochloride, which has several beneficial properties:

  • anti-inflammatory;
  • antiallergic;
  • antispasmodic;
  • prevents the development of the process of narrowing of the bronchi - bronchoconstriction;
  • reduces the production of bronchial secretions.

1 ml of syrup contains 2 mg of the active substance, and the bottle contains 150 (250) ml of the product. One tablet contains 80 mg of fenspiride hydrochloride. Next, let's look at the auxiliary components included in the syrup. There are quite a lot of them, since fenspiride has a not very pleasant bitter taste and the manufacturer is forced to use components to improve it:

  • licorice root extract;
  • glycerol;
  • orange yellow food coloring S;
  • methylparaben (E-218);
  • para-hydroxybenzoic acid ester;
  • sweeteners;
  • potassium salt of sorbic acid;
  • water;
  • flavoring additive "honey".
  • calcium phosphate disubstituted dihydrate;
  • methyloxypropylcellulose;
  • crospovidone;
  • silica;
  • colloidal silicon dioxide anhydrous;
  • magnesium salt and stearic acid;
  • titanium white;
  • glycerol;
  • macrogol 6000.
The drug begins to act within an hour after administration (this is quite normal for syrup). The tablets begin to work in two hours.

Indications for use of syrup

Erespal is prescribed to children and adults to relieve cough. However, the instructions indicate much more indications. Let's look at them in more detail:

  1. Treatment of inflammation of the ENT organs and respiratory tract caused by infection. These include various types of bronchitis, otitis, laryngitis, tracheitis.
  2. Pulmonary obstruction, pneumonia. In this case, Erespal is prescribed in combination with other drugs.
  3. Allergic rhinitis, which appears seasonally or does not go away throughout the year.
  4. Respiratory symptoms of ARVI, influenza, childhood infectious diseases.
  5. Whooping cough.

What type of cough does the remedy help with?

According to experts, Erespal is effective in combating any type of childhood cough. This distinguishes it from the mass of drugs with similar effects, including cough suppressants, expectorants, and mucolytics. Erespal does not belong to the listed groups, since it has several beneficial properties.

The drug Erespal effectively relieves the symptoms of severe cough and reduces sputum production

The instructions for use indicate that Erespal will relieve the symptoms of allergic cough and rhinitis, reduce the formation of sputum and at the same time expand the airways to facilitate its discharge. That is, the drug will help to quickly cope with dry, wet, as well as lingering cough that plagues the patient for many months.

Due to the listed advantages, the syrup can replace several medications that are prescribed for children when coughing - antiallergic drops, mucolytics, expectorants. Moreover, taking it allows you to reduce the list of prescribed medications, especially when it comes to long-term cough.

Erespal dosage for children

Let's consider the dosage of Erespal for children (see also: use of Prospan syrup for children over one year old). The syrup is indicated for children from 24 months. When prescribing it, the doctor is guided by the child’s body weight at the rate of 4 mcg (2 ml of syrup) per 1 kg of the child’s weight. This is the daily dose of the medicine - it should be divided into the number of doses per day, which can be 2 or 3.

Example: a child weighing 9 kg can receive 18 ml of Erespal syrup per day. This means that parents can give the baby 6 ml of syrup 3 times a day.

For children over 12 years of age and adults, the daily dose is prescribed within ml of syrup. However, in this case, it is advisable to use Erespal tablets, which should be taken two pieces a day - morning and evening. In acute cases of the disease, it is allowed to increase the intake - drink 3 tablets per day.

The course of therapy depends on many factors - the dynamics of the disease, individual sensitivity to the drug, the nature of the cough (dry or productive). The doctor prescribes Erespal’s appointment and he also monitors the effectiveness of the treatment. On average, it is recommended to take the medication for a month or until a stable effect appears.

Erespal can be used in combination with antibiotics and other drugs. Syrup is often prescribed as an adjuvant during the treatment of bronchitis and pneumonia. It is only important to correctly distribute the medications. Erespal should be taken before meals, and antibiotics after.

Contraindications for use

If the patient knows that he has an intolerance to one of the components of the drug, then the drug is not prescribed to him. In addition, the instructions for use indicate other contraindications. The tablets are not given to children under 12 years of age, and the syrup is not recommended:

  • children under 2 years old;
  • people with chronic hypertension, heart failure, cirrhosis of the liver, since the composition contains licorice root;
  • during pregnancy and breastfeeding, since research in this direction has not been conducted.

Possible side effects

According to studies, side effects when taking Erespal do not occur often. In children, undesirable consequences were recorded in 2.4% of cases, in adults - a little more (about 8%). According to statistics, gastrointestinal disorders most often occur as side effects while taking Erespal. Abdominal pain, loose stools, nausea, and vomiting are possible. In addition, it is noted:

  • drowsiness;
  • dizziness;
  • increased heart rate;
  • skin manifestations - urticaria, small rash, redness of the skin, itching;
  • asthenic syndrome, general weakness, severe fatigue.

Erespal is not recommended to be taken with antihistamines, since this drug already has an antiallergic effect. Antihistamines can make you drowsy, and cough syrup will make the problem worse.

Cost of the drug and its analogues

Syrup can be bought in pharmacies at prices ranging from 250 to 600 rubles per bottle. The cost does not depend on the manufacturer (domestic medicines are not cheaper than imported ones), but on the volume. The drug is available in bottles of 150 and 250 ml. A package of tablets (30 pieces) costs about 400 rubles.

Analogs of Erespal containing the same active substance are presented in our table. In addition, we indicated the cost of the drugs and the age at which they can be taken.

When purchasing an analogue, you should take into account the auxiliary components, as well as the concentration of the active substance. There is no significant difference in price between Erespal and its analogues, so the choice should be made based on personal preferences.

The pediatrician prescribed Erespal for my child when we couldn’t get rid of a cough for a long time. It helped a lot - the cough began to “fade away” already on the second day, so we didn’t drink it for long. The disadvantages include the not very pleasant taste.

We tried it once, but didn't try again. The syrup helped the child, the cough quickly went away. But still, I try to use herbal products - they are safer for the child. Well, all sorts of rubbing, compresses, baths.

Attention! All information on the site is provided for informational purposes only and is for informational purposes only. For all questions regarding the diagnosis and treatment of diseases, you must consult a doctor for an in-person consultation.

Source: http://vseprorebenka.ru/zdorove/preparaty/erespal-sirop-instrukciya-po-primeneniyu-dlya-detej.html