Berodual solution for inhalation for cough
Therapists and pulmonologists use a variety of means to stabilize the condition of patients with impaired respiratory system function. Inhalations with Berodual for dry cough are used to expand and prevent bronchospasm.
Table of contents:
- Berodual solution for inhalation for cough
- What cough does Berodual help with?
- Is Berodual for inhalation the only form of treatment?
- Pharmacological properties and medical indications for use
- Inhalations with Berodual for dry and wet coughs: dosage and features of use in adults
- Berodual for dry cough in children: correct dosage and method of administration
- List of contraindications and side effects of Berodual
- Drug interactions
- Precautionary measures
- Analogs
- Reviews
- Conclusion
- Inhalations with Berodual for adults and children
- What cough will inhalation with Berodual help with?
- Inhalation with Berodual for bronchitis
- Inhalation with berodual for pneumonia
- Inhalation with berodual for laryngitis
- Berodual for dry and suffocating cough
- What does Berodual consist of?
- What should I mix Berodual with for inhalation?
- How to properly carry out the inhalation procedure
- Berodual dosage for adults
- Berodual dosage for children
- Compatibility of Berodual with other medications
- Conclusion
- after inhalation with Berodual, the cough intensified
- Why does the cough get worse after inhalation?
- What should I do if my cough gets worse after inhalation?
- Main types of inhalations
- Causes of increased cough
- Choice of treatment depending on the type of cough
- What to do if your cough gets worse after inhalation
- Conclusion
- After inhalation with Berodual, the cough intensified
- How do you treat a wet cough?
- My BLACK STRIP (a lot of letters) part 2
- Sadik. Day 7. Denis. (very short)
- Bronchitis
- Obstructive bronchitis
- Hospital or at home?
- Obstructive bronchitis? Bronchial asthma? Or laryngeal stenosis?
- We are 2 months old, our news and obstructive bronchitis (long story)
- What was it?! Whose children have asthma?
- After inhalation, the cough increased - why and what to do in such a situation
- Possible causes of increased cough after inhalation
- Cough increased after inhalation - what to do
- After inhalation with Berodual, the cough intensified
- Who's at the conference now?
- Berodual: why, when and how to use
- Composition, therapeutic effect and release form
- Indications for use
- Contraindications and side effects
- Instructions for use
- Nuances
- Berodual for dry cough: characteristics, contraindications and procedure for inhalation
Appropriate rehabilitation is carried out in a hospital under the supervision of a doctor. You can use the medication yourself only in rare cases after an individual prescription from a doctor.
What cough does Berodual help with?
Berodual is a combined synthetic agent to eliminate spasm of the smooth muscles of the respiratory tract. The drug should not be used only to combat dry or wet coughs due to the risk of side effects.
Active components of the product:
- ipratropium bromide with a total dose of 250 mcg;
- fenoterol in an amount of 500 mcg.
The drug is available in the form of a solution, which must be inhaled through special inhalers. Bottle volume 20 ml. The medicinal liquid is colorless with a faint aroma. The package additionally contains instructions for using the medication and a pipette for dosing the drug.
Berodual for coughing can be prescribed if there is a spasm of the respiratory tract, or to expand the corresponding passages in order to increase the discharge of sputum during the use of expectorants. Parallel stimulation of the ciliated epithelium accelerates the mechanical movement of mucus outward.
Is Berodual for inhalation the only form of treatment?
Inhalation with Berodual for dry cough is the main form of use of the medication. Treatment is carried out under the strict supervision of a doctor to prevent the development of undesirable consequences or complications.
Important! Inhalations at home are allowed for patients with bronchial asthma or another form of broncho-obstructive syndrome, when standard short-acting drugs (Salbutamol) do not provide the desired effect. You can take the medicine only after mastering the skills of correct inhalation through a nebulizer or metered dose aerosol inhaler (MDI).
The dose in each case is selected individually, depending on the severity of bronchial obstruction. The medicine is intended for inhalation use. A pronounced local effect on the respiratory tract is achieved without systemic effects on the patient’s body.
Ingestion is fraught with the development of serious complications. Before using the medication, the nurse or patient dilutes it with saline (0.9% NaCl) in the proportion corresponding to the dosage prescribed by the doctor. In 95% of cases, one inhalation is carried out with a total volume of medication of 4 ml.
Pharmacological properties and medical indications for use
Berodual inhalations for coughing are aimed at eliminating the corresponding symptom in the presence of a decrease in the lumen of the bronchi. The cause of the characteristic symptom is a physical barrier to air in the form of a decrease in the diameter of the respiratory tract. Receptors that cause a reflex dry cough are irritated.
The patient has difficulty breathing due to the additional formation of thick mucus. The use of expectorants in combination with Berodual allows you to fight wet and dry cough at the same time.
Ipratropium bromide is an m-anticholinergic drug. This group of substances blocks the contact of acetylcholine with the corresponding receptors on the surface of smooth myocytes located around the bronchi. The result is a decrease in the concentration of free calcium ions inside the cells, which reduces spasm of the airways with expansion of the lumen. Due to this effect, the passage of air through the bronchi will increase.
Fenoterol is a β2-adrenergic receptor stimulant, which is located primarily in the smooth muscle of the respiratory tract. The relaxing effect on the bronchi is achieved by blocking inflammatory mediators (histamine), cold air, and allergens.
Indications according to official instructions:
- bronchial asthma;
- chronic obstructive pulmonary disease;
- bronchitis in a chronic form.
In addition to these indications, the drug is sometimes used in the complex treatment of other respiratory tract diseases - acute bronchitis, pneumonia, nasopharyngitis, laryngitis, and the like. The use of the medicine is carried out only after a doctor’s prescription, taking into account all the individual characteristics of each clinical case. Occasional use in smokers is allowed. Patients begin to cough less due to the expansion of the bronchi and improved air movement.
Inhalations with Berodual for dry and wet coughs: dosage and features of use in adults
For adult patients and adolescents over 12 years of age, the dosage of the drug for relieving bronchospasm ranges from 1 to 4 ml (20-80 drops, respectively) depending on the severity of the attack. The duration of the therapeutic course is selected individually.
The specified volume of medication is diluted with saline until the total amount of liquid is 4 ml - the standard dose for inhalation through a nebulizer.
Berodual for dry cough in children: correct dosage and method of administration
The dose depends on the age of the child:
- 6-12 years – 0.5-2 ml (10-40 drops);
- Under 6 years (or child weight up to 22 kg) – 0.1-0.5 ml (2-10 drops).
The use of Berodual for dry cough in children is carried out under the strict supervision of a doctor according to indications. The solution is diluted before each inhalation session. Residual liquid must be drained. The average session duration is 5-10 minutes.
Sometimes the drug is prescribed in the complex therapy of patients with barking cough caused by laryngitis. This recovery option is causing debate among doctors. The reason is the unreasonableness of treatment caused by the nature of the drug’s influence.
The use of Berodual for barking cough in children is aimed at relaxing the muscles of the respiratory tract. The symptom progresses in 70% against the background of swelling of the laryngeal mucosa. It turns out that the drug does not affect the pathological focus. Improvement in the condition occurs compensatoryly only after the root cause of the problem is eliminated.
Inhalations with Berodual for children with dry and wet cough are justified in cases of pathology of the bronchial muscles. Isolated laryngitis or pharyngitis is not a direct indication for prescribing the appropriate remedy. First, specialized treatment of the underlying pathology is carried out. In the absence of the desired result, the use of auxiliary means is allowed.
Despite this fact, in practice there are episodes of self-medication with the use of Berodual in situations where it is inappropriate. You should always consult your doctor first.
List of contraindications and side effects of Berodual
Contraindications to the use of Berodual for cough:
- severe organic heart damage – cardiomyopathy;
- arrhythmias with accelerated work of the heart muscle;
- pregnancy in the 1st and 3rd trimester;
- individual intolerance to the components of the product.
The drug is prescribed with caution to patients who have had a myocardial infarction, suffering from hypertension, glaucoma, and vascular pathologies.
Side effects occur when the medication is used incorrectly or for a long time.
- allergies such as anaphylactic shock, skin itching, urticaria;
- emotional fluctuations;
- cough;
- tachycardia;
- nausea, vomiting, diarrhea;
- dizziness;
- dry mouth;
- weakening of voice.
Important! Tremor is the most common side effect of cough therapy with this drug. Patients employed in areas where precision of movement is required should take this fact into account.
Drug interactions
Berodual combines well with drugs for the treatment of pathologies of the respiratory system. The medication enhances the effectiveness of glucocorticosteroids and products based on cromoglycic acid.
Precautionary measures
The medicine is used with caution in the second trimester of pregnancy and during lactation. The effect of the drug on the body of the mother and child has not been sufficiently studied. If adverse reactions or complications occur, therapy with Berodual is discontinued.
The medication should be stored at temperatures up to 30°C. Shelf life: 5 years.
Analogs
The price for Berodual is rubles.
Analogs available in pharmacies:
Before using substitutes, consult a doctor.
Reviews
Berodual for inhalation is a popular remedy, hotly discussed on review sites. Below are some of the patients' opinions.
Alena, 27 years old: “The child started barking at night. I didn't know what to do with myself. A friend once said that Berodual helped them. At first I was afraid to give it, but the medicine helped.”
Artem, 34 years old: “The doctor prescribed Berodual for asthma. I go to the clinic and do inhalations as prescribed. It helps a lot, I’m out of breath less often now.”
Olga, 47 years old: “Berodual helps me with exacerbations of chronic bronchitis. The doctor taught me how to do inhalations at home. Now there is no need to run to the clinic every time.”
Conclusion
Berodual is an effective medicine for dilating the bronchi. The drug should be used only as prescribed by a doctor due to the risk of adverse reactions and complications. Self-medication is unacceptable.
Source: http://mykashel.ru/preparaty/rastvor/berodual-dlya-ingalyatsij-pri-kashle.html
Inhalations with Berodual for adults and children
What cough will inhalation with Berodual help with?
In fact, Berodual cannot be called a cough medicine; it is used to relieve bronchial spasms. Therefore, the nature of the cough is not important.
Berodual for cough can be used in the following cases:
- narrowing (obstruction) of the airways
- infectious and non-infectious respiratory diseases
- bronchitis
- bronchial asthma
- pneumonia
Inhalation with Berodual for bronchitis
It must be remembered that inhalation medicine is not the mainstay in the treatment of bronchitis. It can be used when the airways are narrowed.
Obstruction can be detected by monitoring the patient. It is manifested by difficulty in inhaling and clear wheezing when breathing. In the absence of such symptoms, it is better to use medications that have an expectorant effect, for example, Ambroxol or Lazolvan. But, if bronchitis is severe, then doctors may prescribe first inhalation with Berodual, and then with Lazolvan.
Inhalation with berodual for pneumonia
Antibacterial drugs and antibiotics are used to treat pneumonia. To speed up treatment and relieve cough, mucoltating and expectorant drugs are used. Inhalation with Berodual is carried out to eliminate bronchial spasms, which often occur during pneumonia.
Inhalation with berodual for laryngitis
The instructions for use of the medicine do not indicate its use for the treatment of laryngitis. But if prescribed by a doctor, inhalation with Berodual is possible to ease breathing.
Pulmicort is also prescribed to ease breathing. This drug is more helpful in treating throat spasms, as it is a steroid and will relieve inflammation more quickly.
However, it is worth remembering that the disease can be non-infectious and when using inhalations you can get the opposite effect.
Berodual for dry and suffocating cough
The drug is rarely prescribed for dry cough. Since Berodual itself is not a cough remedy, it can only relieve an attack of bronchial asthma. Therefore, for dry cough, the drug is prescribed only to people with attacks of bronchial asthma.
A suffocating cough can occur for various reasons: infectious laryngotracheitis, non-infectious stenosis, and in case of narrowing of the airways due to physical impact (a person choked on food or water). The use of berodual in such cases depends on the situation and the possibility of its use.
What does Berodual consist of?
The drug has a positive effect on the human body thanks to its active substances - fenoterol and ipratropium bromide.
Fenoterol acts on the bronchial muscles, causing them to relax. The substance also blocks the release of inflammatory mediators, reduces swelling, and reduces the focus of inflammation.
Ipratorium bromide blocks receptors that respond to acetylcholine. The substance also helps to reduce muscle tone of the bronchi and normalize the functioning of the bronchial glands.
From this it is worth concluding that after using the drug, patients’ breathing improves, wheezing disappears, cough decreases, and the drainage function of the bronchi improves.
The drug has few side effects. If you follow the instructions, they usually do not appear. After using the medicine, muscle tremors, slight dizziness, nervousness, dry mouth, and changes in taste sensations may occur for a while.
Rarely, a disturbance in the functioning of the cardiac system occurs in the form of tachycardia, palpitations, and headache. Sometimes irritation of the bronchi occurs, and the cough may, on the contrary, intensify. If the components are intolerant, gastrointestinal disorders, nausea, and vomiting may occur.
If Berodual accidentally gets into your eyes, you should rinse them immediately. In this case, side effects may occur in the form of skin rash, intraocular pressure, swelling, sweating, muscle cramps and general weakness of the body.
What should I mix Berodual with for inhalation?
The solution for inhalation is quite easy to mix. To do this, in addition to the main drug, you need to use saline solution (sodium chloride). Both liquids should be at room temperature. They need to be mixed depending on the age and disease of the patient in different proportions. First, Berodual is dripped into a measuring container, then saline solution is added so that the total volume does not exceed 4 ml.
According to the instructions for use, only saline solution is used for inhalation. Other options (drinking or distilled water) are not suitable. Because if they are used, complications may arise: unpleasant, painful sensations during inhalation, dryness in the mucous membranes and increased coughing after inhalation.
How to properly carry out the inhalation procedure
According to the instructions, Berodual can only be used in the form of inhalations. The procedure is carried out using a nebulizer. Taking the drug does not depend on the time of day or food intake. The medicine does not affect the process of swallowing and movement of food. But still, it is better not to use the drug immediately after eating, but to wait an hour or an hour and a half.
It is better to break the procedure for using the medicine into points:
- Prepare and check the functionality of the nebulizer.
- Drop Berodual into a measuring cup or directly into a nebulizer container. The dosage depends on the age and disease of the patient and will be discussed below.
- Add saline solution to the preparation, bringing the total volume to 4 ml.
- Combine the solution with a nebulizer.
- Start the inhalation procedure through a mask or tube.
- Slowly and deeply inhale the vapor of the solution for 7-10 minutes or until it runs out.
- After completing the procedure, you should thoroughly rinse all the tubes and nozzles of the nebulizer.
- If the solution remains, it should be poured out; it cannot be reused.
Berodual dosage for adults
Only a doctor can select the best dosage of the solution. According to the instructions, the initial dosage starts from 20 drops. But it’s better to start with 10 drops. If after 2 procedures a positive effect does not occur, then the dose should be increased. Also, the amount of Berodual depends on the person’s weight; if the weight is small, then the dose should be appropriate. The maximum dose for adults is 40 drops for frequent procedures and 80 drops for one-time relief of an attack. 3-4 procedures are prescribed per day with a maximum volume of up to 8 ml (160 drops).
Berodual dosage for children
Pediatricians advise parents to purchase a nebulizer and Berodual. Since this remedy in the form of inhalations is most effective especially for those children who often suffer from colds and infectious diseases, laryngitis and bronchitis.
According to the instructions, the drug can be used from the age of six. Sometimes specialists prescribe the procedure for children and younger children, but it is usually performed in the pulmonology department of the hospital.
Dosage for children aged 6-12 years is calculated by weight: 1 drop of Berodual per 2 kg of child’s weight. The drug is usually prescribed for the treatment of prolonged bronchitis, bronchial asthma and relief of acute attacks of laryngitis.
For children over 12 years of age, the dosage is prescribed depending on the disease:
- Diseases accompanied for a long time by a dry cough drops up to 4 times a day
- For slight narrowing of the lumen in the bronchi, 10 drops 3 times a day
- For difficulty breathing, suffocating cough, drops during or immediately after an attack.
Pediatricians also prescribe several medications for better effect. First, Berodual is inhaled, then a procedure with Abroxol or Pulmicort is prescribed. The drugs are also diluted with saline and after 15 minutes another inhalation is performed.
Compatibility of Berodual with other medications
Berodual is compatible with other drugs and can be immediately mixed with Lazolvan, Ambrobene, or Pulmicort and saline solution with a total volume of up to 4 ml. Procedures with mixed medications expand the lungs, relieve swelling, and thin mucus.
The dosage and mixing of drugs are prescribed by specialists. You should not select the dosage yourself, as it is individual in each case. Often, separate doses are prescribed, first inhalation with Berodual, and then 15 minutes later with another drug.
Conclusion
In conclusion, it is worth noting that Berodual is an effective and high-quality drug. Many people use it to ease breathing and relieve coughing attacks and bronchial asthma in adults and children. The drug has an average price and is easy to use. Can be used at home and in hospitals. Like many other medications, it contains a number of side effects. The dosage and use of it with other drugs should be prescribed by specialists. The solution can be made with saline solution. Self-treatment is not advisable, since Berodual is a fairly strong drug.
Source: http://lor.guru/preparaty/sprei/berodual/ingalyacii-s-berodualom-vzroslym-i-detyam.html
after inhalation with Berodual, the cough intensified
Why does the cough get worse after inhalation?
In the Children's Health section, to the question: After inhalation with Berodual, a cough begins without stopping. This is fine. asked by the author Lyusya, the best answer is Berodual in an age-appropriate dosage diluted with saline solution 2 ml, the last inhalation no later than 18:00, and do not forget to rinse your mouth. If the picture persists within 3 days, exclude it.
no, it's an allergic reaction.
We were in the hospital with obstructive bronchitis and they treated us with pulmicort + physical therapy. solution, but this is for attacks of suffocating cough. you will find out whether it is possible to replace it with ambrobene. This was done to very young children in the hospital with the same diagnosis.
It's like an allergy
Don’t you yourself understand that a procedure that aggravates the patient’s condition is not just useless, but harmful? Ask the doctor to prescribe “isokerite boots” for your child and you will very quickly forget about the cough.
Source: http://2oa.ru/posle-ingalyatsii-s-berodualom-kashel-usililsya/
What should I do if my cough gets worse after inhalation?
One of the effective methods of treating wet or dry cough is inhalation, for which a nebulizer is often used. Practice shows the effectiveness of this method; as part of complex therapy, it helps to cure even the most severe respiratory diseases. In some cases, the cough only gets worse after inhalation with a nebulizer; many do not know what to do about it and whether it is necessary to continue treatment.
Main types of inhalations
The most commonly used types are:
- heat-steam - the patient breathes a medicinal solution over a container;
- heat-steam with the use of an inhaler - are based on the same principle, the steam enters exclusively into the respiratory tract, the medicinal solution is located at a certain distance from the mouth and nose.
- using a nebulizer - the liquid turns into a vapor state under the influence of pressure;
- dry inhalations - the baby inhales vapors of citrus fruits, crushed garlic, and onions.
Important: Heat-steam inhalations using an inhaler and nebulizer are in greatest demand.
Causes of increased cough
What factors could have caused the child’s cough to intensify after inhalation? Symptoms in adults and children after using inhalations may increase for the following reasons:
- incorrect choice of drug - most often occurs during self-medication; if you have a wet cough, you should not take medications for a dry and unproductive cough;
- individual intolerance to the component;
- incorrect dosage - can also provoke a deterioration in well-being;
- non-compliance with the sequence of taking medications.
Choice of treatment depending on the type of cough
If a child coughs, you should immediately consult a doctor, he will diagnose and prescribe treatment. For dry cough, therapy is aimed at eliminating inflammatory processes in the throat, reducing the viscosity of mucus and removing it from the respiratory system. In this case, inhalations with Ambrobene, Berodual show effectiveness; the drugs are diluted with saline. solution in a certain ratio. It is very important to adhere to the prescribed treatment regimen and be sure to follow a certain number of procedures per day.
Why does my cough get worse after using a nebulizer? In this case, the effect is associated with the properties of the drug used. The last inhalation should be carried out no later than 18 hours, this will prevent the occurrence of new coughing attacks.
The direction of therapy changes somewhat with a productive cough; its action should be aimed at removing sputum. In this case, the use of inhalations with lazolvan, mucaltin, borjomi and other expectorants shows effectiveness. Why did the cough intensify after inhalation? Cough during inhalation with a nebulizer intensifies due to the intensification of the process of mucus formation caused by taking these medications. In such cases, it is recommended to reduce the concentration of the drug as much as possible, since taking it increases the negative effects.
Important: when treating respiratory diseases, complex treatment is often used; in such cases, a certain sequence must be followed.
Sequence of taking medications:
- medications with a bronchodilator effect by inhalation;
- sputum thinners (after 30 minutes);
- antiseptic medications (after 30 minutes), combined use with anti-inflammatory drugs is allowed.
Why be consistent? Violation of this sequence can lead to the appearance of a hysterical cough in children and adults.
What to do if your cough gets worse after inhalation
If the cough intensifies after inhalation, there is no need to rush to discontinue treatment, as this is the most effective method of therapy. It is recommended to monitor the baby for some time; the duration, frequency and characteristics of the attacks play an important role. In the absence of fever and asthma attacks, the observation process may take several days; quite often the problem goes away on its own.
If the situation gets out of control and the condition worsens, you should consult a doctor. After the examination, the doctor will prescribe another drug or reduce the dosage; in any case, it is better to avoid self-medication.
Conclusion
Inhalation is an effective way to treat diseases of the respiratory system, but sometimes the method leads to the opposite effect. If the cough intensifies after inhalation with lazolvan and other drugs, it is recommended to monitor the condition for some time; quite often the symptoms disappear on their own. It is very important to observe the dosage and sequence of taking medications during complex therapy; it is also necessary to adhere to the treatment regimen. If the condition worsens, it is recommended to consult a doctor again.
After inhalation with Berodual, the cough intensified
How do you treat a wet cough?
Are you sick again? poor thing... although we are too. In December we were in kindergarten for 4 days, but in January we didn’t go out. ARZI, tracheitis, otitis... also the cough was dry for a long time, then wet and dry together... the doctor prescribed us inhalations with Atrovent, and after a minute stoptussin in drops (it is a cougher plus an expectorant, I don’t understand its effect, but at least my daughter didn’t cough until she vomited after taking it). Mukaltin is given for a wet cough.
inhalations with ambromene, or last time we drank ascoril syrup, we drank licorice, bronchipret also helped a lot
My BLACK STRIP (a lot of letters) part 2
I wish you a speedy recovery... If I were you, I would send my husband to the hospital with the child to lie down (I would understand what the hell)
Ufff. I read and remember how I coped with one and turned gray... And then there are three.
let the kids get better soon))) more health to them)))
Sadik. Day 7. Denis. (very short)
Bronchitis
Were sick. They immediately prescribed you something strong... Long-term use of them becomes addictive. You would be better off seeing a pulmonologist. As my doctor told me (I often get sick with bronchitis), if the medicine has not given an effect in three days, even minimally, it is necessary to change it. It’s difficult to give any practical advice here. The treatment is classic: synthetic medicine (acc, lazolvan, bromhexine, pulmicort, berdual) + herbal (cough tablet, linax, marshmallow) but this is for adults, not everything is possible for children. Plus, if you take inhalations, you should still drink herbal ones. And an antibiotic is always prescribed. Bronchodilators, phlegm removers or relieve spasms, where to start treatment is determined by the doctor and not by the pediatrician, but by the pulmonologist... My advice to you, look for an intelligent pulmonologist and run to him. The father’s wife completed her daughter’s treatment, they became dependent on Berdual and Pulmicort, and without them they would suffocate...
So tiny and such a pain. Where did you manage to catch it? On what basis was bronchitis diagnosed? Did you just listen? Don't these masks get x-rays? although if you have already breathed berodual, now it is prescribed to everyone, by God. Mine had bronchitis and all the resulting ailments, but only at an older age, about two years old.
The fact that the cough came with phlegm is better, because the phlegm leaves when it is dry, then it seems worse to me. After some time, the expectorants will stop giving him and the cough should go away. And the fact that your nose is runny means you picked up something extra in the hospital((
Or maybe you have laryngotritis. Mine was 4 months old, it seems, I also coughed a lot, they prescribed antibiotics and an expectorant, they were cured at home within a week. Plus inhalations (if there is no temperature) and warming the heels with quartz (good for a runny nose)
Obstructive bronchitis
What a horror! Hello Mark. And I don’t bother the doctors of our clinics anymore. I’ll just have to go to them for information from outside the garden, or I’ll take it from the paid ones! Ours also don’t know anything, don’t see or hear anything. Because of them, our adenoids have grown. No matter how much I complained that my nose did not go away for a week or two or three.
Hospital or at home?
If the condition improves, they may leave
Obstructive bronchitis? Bronchial asthma? Or laryngeal stenosis?
I need to find a good pulmonologist! try going to a pulmonologist in Russian Railways... look on the forums who is the best in our city! try to look for some Russian pulmonology centers or maybe pediatric pulmonology departments at some research institutes, etc. in general, these should be large centers. Often on their website you can ask a question and get an answer. I wrote this about my illness, the doctor answered me and helped me. can call these departments, if they still don’t help here in the city, then go there. After all, in Moscow Moscow time there are more modern approaches and doctors are much more competent. we have a girl at work in our nephrology center that in Volzhsky they said that we cannot help you, you are dying, etc. like the kidneys will fail. I went to Moscow Moscow time and there they got her back on her feet in a couple of weeks. all from the illiteracy and reluctance of our doctors to look for reasons and educate themselves.
We caught mycoplasma pneumonia in the garden. creepy stuff! They suffered for a month, my daughter coughed until she vomited, and for a week we didn’t sleep at all. We took tests in the anti-plague department and found out this damn adenovirus and mycoplasma! were treated with Klacid and Ascoril. let's go to the garden, any sneeze in our direction meant that everything would start all over again... since November we have not been going to the garden at all, we are increasing our immunity with broncho-vaxom. He doesn’t go to the garden and doesn’t get sick. what will happen next, and how to remove this crap is still a mystery to me.
As far as I know, my husband was diagnosed with something similar in infancy and was constantly on antibiotics until he moved to Volgograd, where he was diagnosed with bronchial asthma, for which antibiotics are contraindicated (((so by the time he went to school, he most likely would have outgrown asthma, but otherwise, thanks to improper treatment , asthma remains ((((fortunately attacks are very rare now
We are 2 months old, our news and obstructive bronchitis (long story)
As a result, inhalations and a special massage helped us a lot so that the child could cough up all the mucus
What was it?! Whose children have asthma?
And my cat also has asthma. Maybe your Levik doesn’t have asthma at all, hang in there. I used to believe in Helix, but lately I’ve been hearing bad reviews about them from time to time.
Source: http://www.baby.ru/popular/posle-ingalacii-s-berodualom-kasel-usililsa/
After inhalation, the cough increased - why and what to do in such a situation
Very often, to effectively treat any type of cough, be it wet or dry, doctors prescribe such an effective method as inhalation, and it is recommended to use a nebulizer. These prescriptions are entirely justified - in practice it has been proven that in this way it is possible to achieve significant progress in the treatment of even very advanced inflammation of the respiratory tract, if used as part of complex therapy. Inhalations, as a rule, soften coughs and stop pathological processes, thanks to which a person recovers faster.
This method of exposure is superior to conventional tablets, syrups and injections in that the drugs penetrate directly into the respiratory system and affect them locally, bypassing other organs.
Thus, the occurrence of side effects, as well as allergic reactions to excipients that are inevitably present in other dosage forms, is minimized.
The principle of inhalation is as follows: steam molecules enhance the effect of the medicine that is prescribed for use, help quickly eliminate the spasm that has arisen in the respiratory system, and help thin the mucus that accumulates in the bronchi during illness.
However, often at first after starting treatment with the inhalation method, the cough continues, and some mothers notice that it even seems to have intensified. This naturally causes panic, because therapy has a clear goal: to eliminate the child’s cough. Why then does this symptom become more pronounced? Perhaps it is worth stopping inhalations altogether, since after them it only gets worse?
There is no need to make hasty decisions without understanding the very mechanism of what is happening to your child’s body at the moment when inhalation procedures with certain drugs are carried out.
Possible causes of increased cough after inhalation
Let's start with the fact that there is a clear list of drugs, the use of which gives the maximum effect in the treatment of cough in a child. They can be divided into two groups, depending on the nature of the cough: dry or wet.
If a child coughs dryly, the primary task is to remove inflammation in the throat, reduce the viscosity of sputum and remove it from the respiratory system. In this situation, doctors most often prescribe inhalations with Berodual and Ambrobene. These medications are diluted in a certain proportion with saline solution. In this case, the pediatrician must indicate the number of procedures per day and the regimen of medications if complex therapy with several types of antitussives is prescribed.
In this case, the cough may intensify precisely under the influence of the substance used, and this is a normal course of therapy. There is no need to worry, it is enough to follow the regimen prescribed by the pediatrician, and pay special attention to the time of the last inhalation - it should be no later than six in the evening. In this way, you will prevent nighttime coughing attacks and allow your child to sleep peacefully, restoring the strength to fight the disease.
If the cough has already turned into a productive form or was like that initially, then the treatment has a slightly different focus. It focuses on removing mucus as efficiently as possible. In this case, inhalations with Lazolvan, Borjomi, Narzan, Mucaltin and other drugs with an expectorant effect are indicated. Again, the cough may temporarily become worse after such procedures due to the excessive mucus production caused by these medications.
If this happened, then perhaps the concentration of the active substance was not selected correctly, and the situation can be corrected by reducing it to the possible minimum.
Please note that in the case of complex cough therapy with several drugs, inhalations should be carried out in a clear sequence:
- Medicines with a bronchodilator effect are used first.
- After half an hour, you can use sputum thinners.
- It is recommended to use antiseptic drugs no earlier than half an hour after thinning ones. Their use is permissible together with anti-inflammatory drugs.
Please note that a violation of this sequence can also cause a hysterical cough in your child after the entire complex of procedures has been completed.
Cough increased after inhalation - what to do
However, if you have the slightest suspicion that the situation is out of your control and the baby begins to feel much worse after inhalation of the drug prescribed by the pediatrician, do not hesitate to contact the doctor for a second consultation. Perhaps the doctor will adjust the dose of the medicine or suggest an alternative treatment regimen after examining the child and listening to all your complaints. Self-medication is always not the best choice, especially when it comes to the health of a child.
After inhalation with Berodual, the cough intensified
01.10 - slight dry cough, snot - stayed at home and did not go to kindergarten.
02.10 - cough. rather wet, snot, in the evening T 38.6. frequent shallow breathing appeared.
03.10 - wet cough, a lot of sputum, coughing in fits and starts with a whistling sound, snot, T39, often shallow breathing with a whistle.
04.10 - cough in fits and starts, wet, breathing and cough with whistling, rapid, shallow breathing, T39. called a children's emergency room - a diagnosis of acute respiratory viral infection, obstructive bronchitis, acute conjunctivitis, respiratory failure, moderate condition, hospitalization. The ambulance gave a lytic injection because... T did not decrease, inhalations with Berodual, pneumonia is in question. sent to the hospital.
from 04.10 to 07.10 - department. X-ray upon admission: no focal changes are detected. the pulmonary pattern is enhanced. pneumotization of the pulmonary lobes is reduced. Therapy: inhalations with Berodual, m-ra with aminophylline, m-ra with marshmallow, suprastin, protargol (replaced with vibrocil), levomycin drops.
blood test upon admission:
Today I wrote a refusal to be hospitalized. Control blood test:
Situational inhalations with berodual.
In general, the condition has improved. But today, before she was discharged, the head of the department listened to her and said that her breathing was harsh, moist fine bubbling rales were heard, her condition was of moderate severity, and she would not have discharged us, but since we had already gathered, we would sign up and only if the child would be provided with excellent care: with blood tests and daily listening to the doctor. T from 05.10 36.6.
You yourself understand that it is impossible to treat bronchitis in a closed box, where the constant temperature is 25 degrees Celsius, where after a sleepless night the child is woken up at 6:00, where behind glass (and the boxes are separated from each other by glass walls) babies were crying and coughing all night long . Despite the fact that you can’t leave the box, it’s an infectious diseases department.
I did everything that depended on me: I ventilated it every half hour, fortunately a sane neighbor was caught, I washed my nose, and gave it water for slaughter. But a change for the worse in the UAC and wheezing forced the department head to prescribe AB.
So. I’m already very exhausted)))))))))))) from the worries and the hard bed. Ready to switch to AB therapy. Am I doing everything right? There is until morning to make a decision. I plan to start tomorrow. What do you say, friends?
let's go into more detail: why, so much. we breathed berodual. is it a corticosteroid?
Girls, can AB not suffer? so sorry, so sorry baby
I can't say more. You need to decide with your doctor. These aren't candies. Berodual is not a steroid.
Nora, ESR is high. But not much. If it were my child, I wouldn’t give AB, but the doctor looked at it on the spot.
Nora, we had a similar picture, we were injected with AB, and everything immediately improved significantly.
The blood test has not changed for the worse. It began to clearly indicate the presence of a viral infection. And increasing the total number of leukocytes does not change anything.
Bronchitis is infectious (viral-)-allergic in nature (hyperreactivity of the bronchi in response to damage to the mucous membrane by the virus).
— antibacterial drugs are not needed;
— expectorants are contraindicated;
- drink a lot, ventilate, moisturize as usual;
-if your condition allows, go home so that there is no mix of infections.
Other recommendations regarding medications are in the PM.
Yes! And thank you very much to everyone who remained “behind the scenes”, but also did their best to instill confidence in me
I hope we make it through.
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Source: http://www.komarovskiy.net/forum/viewtopic.php?t=15936&start=1200
Berodual: why, when and how to use
Berodual is used everywhere for coughs - it is one of the most famous bronchodilators, providing relaxation of the muscles of the lungs, which leads to easier breathing and relief from spasms. However, its use will not always be effective and generally make sense. After all, you need to use it not only in a timely manner, but also in the right dosage and in the right way.
Composition, therapeutic effect and release form
Berodual consists of two main components:
- Fenoterol. The drug stimulates receptors in the bronchi, which leads to muscle relaxation. In addition, it has an anti-inflammatory effect, reduces swelling and improves the conduction and absorption of oxygen.
- Impratropium bromide. The drug blocks receptors sensitive to a certain substance, which also leads to relaxation of the bronchi. In addition, it affects the bronchial glands and slows down their work, so that excess mucus ceases to be produced.
All together leads to the fact that after using Berodual the spasm subsides, inflammation decreases and secretion in the bronchi returns to normal. At the symptom level, this means cough relief, wheezing disappears and breathing becomes calmer and smoother.
Berodual is available in two main versions:
- Inhaler. A pocket-sized option that is suitable for carrying with you all the time. It is prescribed to people who suffer from pulmonary spasms, painful attacks of coughing or suffocation, which must be relieved immediately upon occurrence. Inhaling Berodual using an inhaler gives an immediate effect, but is fraught with the development of side effects - the dose of substances and their absorption are higher.
- Nebulizer solution. Berodual is prescribed through a nebulizer for coughs that do not need immediate suppression, but complex long-term therapy. The procedures are carried out several times a day and they have a general effect on the lungs, improving their function.
Only a doctor can choose in what form and dosage to prescribe the drug for cough. The likelihood of developing side effects if an error occurs is too high.
Indications for use
To understand which cough to use Berodual for, just look at the effect it has. Improving oxygen absorption, relaxing muscles - all this is indicated for coughs of any nature, which are accompanied by narrowing of the respiratory channels and reversible spasm. Thus, among the indications for use:
- Bronchial asthma. Often accompanied by attacks of suffocation, in which the airways are blocked due to spasm. Using an inhaler with Berodual allows you to remove it.
- Obstructive bronchitis. They are accompanied by constant narrowing of the airways, pain, a state of oxygen starvation, and a dry cough. Inhalations with Berodual and saline solution in the long term help to relax the lungs and relieve a persistent cough.
- Euphemism for lungs. It is accompanied by collapse of the lungs, which increases pressure inside and narrows the airways. Often accompanied by cough and pain. Inhalations with Berodual can reduce symptoms.
- Pneumonia. Caused by inflammation of the bronchial tree, accompanied by fever, pain, and painful cough. Berodual is indicated for use only if there is a risk of developing spasms - then it is used as a symptomatic remedy.
- Allergic cough. Allergies are often similar in their manifestations to asthma - Berodual is prescribed for spasms.
At its core, Berodual is by no means a cough medicine. Breathing Berodual with a dry cough is useful only if it is accompanied by spasm and narrowing of the airways, which does not happen with a cold or flu. In addition, it has enough contraindications that it should be prescribed with caution even when necessary.
Contraindications and side effects
Berodual is not prescribed for dry cough in children and adults if:
- The patient is a pregnant or lactating woman. Berodual is capable of entering the blood, which means it can affect the fetus or child and cause developmental abnormalities.
- The patient has tachyarrhythmia, that is, an accelerated heart rate.
- The patient has cardiomyopathy, that is, a pathological change in the shape of the heart muscle, which inevitably leads to disturbances in its functioning.
- The patient has an intolerance to one or more components of the drug, which can manifest itself harmlessly - itching and skin rashes - or very seriously - spasm and swelling.
With caution and only after a comprehensive diagnosis, Berodual for cough is prescribed to people who suffer from:
- glaucoma;
- diabetes mellitus;
- cardiovascular diseases;
- suffered a heart attack.
Prescribe the drug to children with caution: only if necessary. This is due to the fact that the child’s body is more sensitive and it is more difficult to calculate a dose that would not cause side effects, including:
- local irritation that occurs due to frequent inhalations;
- anaphylactic shock, which must be stopped as quickly as possible;
- a decrease in potassium content in the blood, which first manifests itself as weakness and pain in the legs, and in the final stages can lead to paralysis;
- neuralgic symptoms such as irritability, excitability, anxiety, headaches, insomnia, dizziness, tremors of the limbs;
- increased intraocular pressure and, as a result, pain and decreased vision;
- arrhythmias, tachycardia and angina - generally problems with heart rhythm;
- various spasms – of the lungs, larynx, respiratory tract in general;
- problems with the gastrointestinal tract - vomiting, dry mouth, stomatitis, diarrhea, constipation;
- allergic reactions – hives and itching;
- problems with urination.
It is because of the side effects that Berodual is prescribed with such caution and used exclusively according to the instructions. They are too serious to simply use Berodual for a wet cough in children - or in adults, or for a barking and dry cough.
Instructions for use
The dosage at which inhalations with Berodual should be carried out for a dry cough should be prescribed by a doctor. The patient can only adhere to his recommendations and carry out inhalations independently, following the basic rules, which vary depending on the form of the drug.
If we are talking about an inhaler, it is enough to place the bell in the mouth and press so that a suspension of Berodual goes into the throat and the cough and spasm go away.
When it comes to a nebulizer, things get a little more complicated:
- you need to measure the exact amount of the drug using a measuring cup, which comes complete with everything else;
- dilute Berodual with saline solution - it is important to remember that water is not suitable for a nebulizer, even if it is purified in a filter or brought to a boil;
- pour the resulting mixture into the container for the drug in the nebulizer;
- attach the tube from the mask to the desired port, press the mask to your face;
- turn on the nebulizer and start breathing slowly according to the following scheme: take a deep breath through your mouth, hold your breath for two seconds, exhale slowly through your nose;
- the procedure should continue until the liquid runs out;
- if the time allotted for inhalation has passed and the solution has not yet run out, you need to pour it out - it cannot be reused;
- When the procedure is over, you need to remove the mask, rinse the nebulizer with warm water and put it out of the reach of children until next time.
Berodual is used for barking cough in children, for dry cough in adults, Berodual is always used according to the same instructions. Only the dose prescribed by the doctor changes.
Nuances
In addition to carefully following the instructions, you also need to take into account some nuances:
- If inhalations with a nebulizer are carried out when a child has a cough, you need to carefully calm the baby before starting the procedure. If he spins around, breathes too quickly, or tries to remove the mask, the inhalation will have no effect.
- If the cough gets worse after Berodual, you need to inform your doctor about this and find out if you need to change the remedy to something else.
- Berodual cannot be prescribed to yourself, no matter what kind of cough you are suffering from - wet, dry, painfully long. In most cases, it will simply be ineffective.
- The solution for each cough inhalation must be prepared anew.
When used correctly, Berodual is a wonderful, very effective remedy that saves many people. The main thing is not to use it unwisely, without a doctor’s prescription, without making sure that it is really indicated for illness.
Source: http://pulmono.ru/lekarstva/dlya-legkih/berodual-zachem-kogda-i-kak-primenyat
Berodual for dry cough: characteristics, contraindications and procedure for inhalation
One of the most effective drugs that fight the causes of dry cough is Berodual. That is why it is often prescribed by doctors. The drug relieves spasms in the bronchi, facilitates the separation and removal of sputum.
Inhalations with medicine are especially effective. Such procedures allow Berodual to almost instantly enter the bronchi and begin to act. Before using the drug, you should consult your doctor.
Berodual is a medicine that has bronchodilator and expectorant effects. The effect of its use is noted within 15 minutes after administration.
For inhalation, Berodual is used in the form of drops. In appearance it is a clear or yellowish odorless liquid. Available in 20 ml dropper bottles.
The main active ingredients of the drug are fenoterol and ipratropium bromide. The second relieves spasm of the lungs and reduces the secretion of the glands. Fenoterol helps reduce tension in the bronchial muscles and prevents spasms provoked by allergens, histamine and methacholine. The component affects the functioning of the heart, increasing the intensity and frequency of its contraction.
According to the instructions for use, Berodual is prescribed for the treatment of dry cough, which is a symptom of:
- bronchial asthma;
- chronic bronchitis;
- pulmonary emphysema;
- spasms in the bronchi during pneumonia.
Treatment is carried out using a nebulizer. The absolute indication for the use of the drug is the inability to deliver it to the lungs in any other way.
Berodual has contraindications for use. These include the following conditions:
- diabetes;
- diseases of the vascular system;
- angle-closure glaucoma;
- pregnancy and breastfeeding period.
Also, the drug should not be used if you have had a myocardial infarction or coronary insufficiency.
To carry out inhalations, you need a nebulizer - this is a special device that sprays tiny particles of medicine. During the procedure, they enter the respiratory tract. It is thanks to the effect of the drug directly on the foci of inflammation that inhalations are very effective.
Different types of apparatus are suitable for carrying out procedures. If the device contains wall oxygen, then the solution must be used at a speed of 6-8 l/min.
The liquid for the nebulizer is made from Berodual and saline solution. Inhalation with water is prohibited. The proportions and total volume depend on the age of the patient and his disease.
For infants and children under 6 years of age, the drug is prescribed at the rate of 1 drop of medication per 2 kg of weight, but not more than 10 drops per inhalation. The break between procedures should be at least 4 hours. In this case, the maximum daily dose is 30 drops. Only a doctor can prescribe the use of Berodual for the treatment of children at this age. It is he who will determine whether it is worth giving such a strong medicine to a small patient.
Children from 6 to 12 years old are prescribed 10 drops of the drug per dose or in case of a severe attack.
For patients over 12 years of age and adults, 10 drops per dose should be used to relieve severe attacks of drops.
The age-appropriate volume of the drug must be poured into the nebulizer cup and adjusted to a volume of 4 ml with saline. At the beginning of treatment, the minimum permissible dose is prescribed and gradually increases.
The duration of the procedure depends on the amount of the drug, but it should not exceed 7 minutes; inhalation is carried out until the drug is completely used up. This treatment should be repeated 3-4 times a day, the break should be at least 4 hours. In case of uncomplicated course of the disease, 1-2 inhalations per day can be performed. On average, treatment lasts 4-5 days. The effect of inhalation with Berodual is noted within 15 minutes.
Sometimes, in addition to Berodual and saline, Lazolvan is used. Together, these drugs can relieve spasms in the bronchi, swelling and gently remove accumulated mucus.
To carry out inhalations with this composition, it is necessary to fill the nebulizer with the recommended dose of Berodual for age and add 2 ml of Lazolvan and saline solution.
For children under 6 years of age, inhalation should not last longer than 3 minutes. The frequency is 1-3 times a day. The procedure is carried out 1.5 hours after eating.
The remaining solution after inhalation cannot be reused.
For children over 6 years old and adults, the procedure is carried out for 5 minutes 2 times a day. The duration of treatment with this composition is 5 days.
Inhalations are not recommended before bedtime, since the procedure helps to liquefy and remove mucus, which provokes a cough.
When treated with Berodual, side effects may occur, including:
Rarely, increased blood pressure, allergies or tachycardia may occur.
The occurrence of side effects is most often associated with a violation of the dosage of the drug. There is no addiction to the drug, but due to prolonged use or overdose, there may be a temporary lack of positive results. After setting the optimal amount, the effect appears again.
If the drug gets into the eyes, there may be an increase in intraocular pressure, impaired accommodation, or an allergic rash.
The simultaneous use of Berodual and beta-agonists helps to increase the bronchodilator effect of the drug.
The effect of using this medication is reduced by its simultaneous use with beta-blockers.
The combination of Berodual with xanthine derivatives increases hypokalemia (potassium deficiency), which provokes arrhythmia. This must be taken into account by people with severe stages of respiratory system diseases.
The drug should be used with caution by people taking MAO inhibitors (monoamine oxidase) and antidepressants.
Berodual is a drug that is indispensable for the treatment of bronchospasms and dry cough. Thanks to spraying through an inhaler, the medicine instantly reaches the sites of the disease, relaxes the bronchial muscles and thins the mucus, facilitating its rapid elimination.
This medicine is a potent drug and should not be taken on its own. It must be used as prescribed by a doctor with strict adherence to the dosage and timing of treatment.
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