Proportions of berodual and saline solution for children

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Berodual for children's inhalations: instructions for use

Therapeutic inhalations are one of the effective ways to combat respiratory diseases, as they deliver medications directly to the child’s respiratory tract.

Table of contents:

One of the groups of drugs often used for inhalation are bronchodilators. These include Berodual, prescribed for cough and other symptoms of bronchial obstruction.

This medicine is most often administered to children via nebulizer inhalation. If it is prescribed to a child, parents should know how to breathe correctly through a Berodual nebulizer and other nuances of such treatment.

Composition and form for nebulizer therapy

The drug is sold in dark-colored bottles, the volume of the medicine in which is 20 ml. The bottle is equipped with a polyethylene dropper. The liquid has virtually no odor or color. In addition, normally there should be no suspensions in such a solution.

In the composition of this medicine you will see two active ingredients - fenoterol hydrobromide (1 ml of the drug contains 500 mcg) and ipratropium bromide (it is presented in a dose of 250 mcg in each milliliter of solution). Such active ingredients are supplemented with purified water, sodium chloride, hydrochloric acid, disodium edetate and benzalkonium chloride.

How does it work?

The main effect of the medicinal components that make up Berodual is the expansion of the lumen of the bronchi by relaxing the smooth muscles of the bronchial tree.

At the same time, the main advantage of this medication is its speed of action (after 15 minutes the child’s breathing becomes easier). The effect of the drug lasts up to six hours.

In addition to eliminating bronchospasm and relaxing smooth muscles in the bronchi, inhalation with Berodual:

  • Reduces mucus secretion in the bronchi.
  • Stimulates breathing.
  • Relaxes smooth muscles in blood vessels.
  • Does not impair the breathing process.

At what age can it be done?

Parents should know that Berodual for inhalation at 1 year old, for a child 2 years old or at the age of 4 years is prescribed only by a doctor, taking into account the weight of the baby. The use of this drug under the age of six is ​​permissible only after examining the small patient and assessing his condition.

For a video demonstrating how to prepare Berodual for inhalation for children, see below:

Indications

Inhalation administration of Berodual is prescribed for:

  • Bronchial asthma.
  • Obstructive chronic diseases of the respiratory system.
  • Pulmonary emphysema.
  • Obstructions in tuberculosis.

Contraindications

It is not recommended to breathe Berodual if:

  • Individual drug intolerance.
  • Diabetes mellitus.

The medicine should be used with caution in case of heart disease and high blood pressure, as well as pheochromocytoma and hyperthyroidism. In addition, the procedures are not performed in case of elevated body temperature, bacterial infections of the ENT organs, acute stage of pneumonia, detection of blood in the sputum or a tendency to nosebleeds.

Side effects

Berodual, like any other drug, has its own negative effects and risks of use. This medicine may cause skeletal muscle tremors, dry mouth, and increased nervousness. Also, inhalation may cause dizziness, tachycardia, headaches and other negative effects. Therefore, the use of Berodual using an inhaler should be only as indicated and prescribed by a doctor. It is unacceptable to let small children breathe berodual without supervision from a pediatrician.

Instructions for use

Inhalations are done only in a nebulizer, and the exact dosage of Berodual should be selected by a doctor. Usually it is 1 drop per 2 kg of child’s weight. Increasing the dose beyond that recommended by your doctor is very dangerous. In addition, a constant increase in dose can worsen the course of the disease.

  • If bronchospasm is moderate, then Berodual is prescribed in a dosage of 10 drops (0.5 ml) per procedure.
  • In case of severe bronchospasm and severe asthma, a single dose for a child under 12 years old can be 40 drops (2 ml), and for a child over 12 years old - 50 drops (2.5 ml).
  • In case of a particularly severe condition, inhalation is carried out with 60 drops (3 ml) for children under 12 years of age and 80 drops (4 ml) for children over 12 years of age.
  • The maximum dose per day is 4 ml for children under 12 years of age and 8 ml for children over 12 years of age.

The number of drops prescribed by the doctor is diluted only with saline solution. Distilled water is not used for diluting Berodual. The drug diluted with saline solution should be used fresh (it cannot be stored).

To dilute Berodual, saline solution is added to a volume of 3-4 ml. For example, at the age of 7 or 9 years, the doctor prescribed 1 ml of Berodual for inhalation, then 2 or 3 ml of saline is added to it. If the child is over 12 years old or the course of the disease is severe, the proportions will be different, so the ratio of Berodual and saline solution must be clarified individually for each child.

Most often, the procedure is performed twice a day, but depending on the pathology, the pediatrician may prescribe inhalation either once a day or three times during the day. In severe cases, it can be done up to 4 times a day, but with a break of at least 4 hours.

The average duration of treatment with Berodual is 5 days. The duration of one procedure is minutes until the solution is completely used up. The drug should not come into contact with the eyes during inhalation.

Quite often, inhalations with Berodual are simultaneously prescribed with inhalation administration of Lazolvan. In this case, the child breathes Berodual first so that the bronchi expand and sputum production becomes more active. This procedure should not be carried out at night, since after inhalation the child will cough and the mucus from the bronchi will drain more actively.

Drug interactions

  • The effect of bronchodilation with simultaneous use of Berodual and other drugs, including anticholinergic compounds or beta-agonists, will be enhanced. However, this combination of drugs will also increase the risk of side effects.
  • If you prescribe beta blockers to your child, the effect of Berodual will decrease.
  • When treated with diuretics, corticosteroids or xanthine derivatives, the use of Berodual will provoke hypokalemia.
  • Glucocorticoids and cromoglycic acid enhance the therapeutic effect of Berodual.

Terms of purchase and storage

You can buy the drug at a pharmacy only after presenting a prescription from a doctor. The cost of one package (20 ml) varies from 250 to 290 rubles. At home, it is important to store bottles of Berodual out of the reach of children. The temperature in it should not be below 0°C or above +30°C. The shelf life of the medicine is 5 years.

Reviews

Many parents praise inhalations with Berodual, noting their effectiveness in dilating the bronchi, ease of use and relatively low price. However, quite often they mention the side effects of the drug, for example, dizziness and increased heart rate.

Doctors' opinions on the use of such medicine in children also differ. However, most of them prefer Berodual for severe bronchial obstruction, as a fast-acting and very effective drug. Dr. Komarovsky calls this medication a good choice for bronchial asthma and other obstructive pathologies, but emphasizes the need for mothers to consult a doctor.

Analogs

If you need to replace Berodual with another medicine with a similar effect, you can use for inhalation:

For bronchitis, laryngitis, tracheitis and other diseases with dry or wet cough, the doctor may also prescribe inhalations with other medications. For example, with drugs ambroxol (Lazolvan, Ambrobene) or glucocorticoids (Pulmicort, Budesonide).

We recommend watching the episode of Dr. E. Komarovsky’s program, from which you will learn all the nuances of inhalation in children:

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Source: http://www.o-krohe.ru/bronholitiki/berodual-dlya-ingalyacij/

Berodual: inhalations with saline solution for children

Unfortunately, children get sick. Some of them are quite common. The most common diseases in children of all ages include runny nose, sore throat and, of course, cough. The latter, by the way, is not just an ailment, but also the cause of quite serious complications.

In the modern world, medicines that are aimed at treating cough are presented in a huge range. Some of them are very popular, while others, on the contrary, are in demand only among a limited circle of people.

One of the newest drugs in this spectrum is Berodual. Since its appearance on the pharmaceutical market, it has managed to create a real sensation. In this regard, I would like to dwell on it in more detail and explain exactly what effect it has on the treatment of cough in children.

Berodual: advantages

Berodual is a drug that has a number of advantages:

  1. Available in convenient forms:
  • a spray that is simply irreplaceable for people with asthma;
  • solution for inhalation. This form of release is well suited for treating children of any age.
  1. Gives a fairly quick effect. The first signs of healing appear literally 15 minutes after application. But a person experiences the greatest improvement after a few hours. This effect lasts for the next 5-6 hours.
  2. It is used as a drug that has a complex effect on various diseases of the bronchi and lungs. Used in monotherapy of diseases affecting the respiratory tract.
  3. Used to relieve coughing attacks in obstructive bronchitis, relieves attacks of bronchial asthma.

The entire value of this drug is explained by the following properties:

  • relieves bronchospasm;
  • makes breathing easier;
  • stimulates the secretion of glandular secretions;
  • helps relax the walls of blood vessels.

It should be noted that Berodual does not have a negative effect on other processes that occur in the human respiratory system.

Inhalations with Berodual

Berodual acts due to the components it contains. Thanks to it, children produce mucus in the respiratory tract, and also relax the muscles of the bronchi. Most often, the pediatrician prescribes inhalations, the solution for which includes Berodual, if the child develops the following diseases:

  • bronchospasm;
  • emphysema;
  • obstructive syndrome, as well as its prevention;
  • bronchial asthma;
  • laryngitis;
  • bronchitis;
  • pneumonia;
  • laryngotracheitis.

Berodual: contraindications

Berodual, like any other drug of this kind, has a number of contraindications, in the presence of which its use is strictly prohibited. By the way, the instructions for this medicine indicate that it should not be used without first consulting a doctor. So, the main contraindications to the use of Berodual are:

  • disorders of the thyroid gland;
  • diabetes;
  • myocardial infarction;
  • angle-closure glaucoma;
  • damage to the bladder neck;
  • heart disease;
  • tachyarrhythmia;
  • arterial hypertension.

Attention: when using this drug to treat children under three years of age, allergic reactions may occur. Therefore, if a child suddenly develops shortness of breath while using Berodual, you should immediately call an ambulance.

Features of application

Very often, doctors prescribe this medicine in combination with Lazolvan for inhalation. The latter helps to liquefy sputum and its subsequent removal. In order to properly carry out this kind of inhalation, you need to acquire a nebulizer, and also take into account the following features:

  • the dosage of the drug depends entirely on the method of spraying, as well as the method by which the procedure is carried out;
  • inhalations should be carried out no more often than once every four hours;
  • Do not reuse the remaining solution in the inhaler;
  • In no case should Berodual be diluted with water, only with saline solution.

Breeding rules

It is correct to start inhalations with the smallest dose of the drug, gradually increasing it. Diluted Berodual should be used immediately after preparation, as it then becomes unsuitable for consumption.

The dose recommended by the doctor should be diluted with saline until the final volume is reached, that is, 3 or 4 milliliters. This entire solution must be used during one inhalation.

Inhalation dosage for children

  • For children under 6 years of age, a single dose of this drug is from 2 to 10 drops three times a day. The number of drops depends on how much the child weighs;
  • Children from 6 to 12 years old are recommended to be prescribed drops per day, and the number of inhalations should not exceed 4;
  • Children aged 12 years and older are prescribed 20 drops of medicine 4 times a day.

Berodual and saline solution

To begin with, it should be recalled that 0.9% saline solution is just a sterile solution of table salt in the specified concentration. This product is often used as a solvent for the main drug used for inhalation. This salt solution helps to significantly moisten the child’s respiratory tract, so that mucus is eliminated much faster.

Berodual is diluted with saline solution in a 1:1 ratio.

Compliance with the proportions during inhalation of children with Berodual will not only effectively cure the child, but also avoid the possible occurrence of allergic reactions, as well as side effects.

Berodual: side effects

Berodual contains highly active substances. In this regard, the risk of various side effects also increases. The most common negative effects from treating children with Berodual are:

Remember, the use of Berodual, as well as any other drug, should be treated with caution and used only as prescribed by a doctor.

Source: http://prostudnet.ru/lekarstva/berodual-ingalyacii-s-fizrastvorom-dlya-detej.html

Instructions for use of "Berodual" for inhalation for children and adults

The development of spastic attacks when coughing is characteristic of many diseases of the bronchial tree. To relieve them, special medications can be used. Instructions for use of "Berodual" for inhalation, presented on this page, include indications for children and adults, proportions and dosages for diluting the solution. The pharmacological drug expands the small bronchi, helps improve the process of sputum discharge, and alleviates attacks of dry cough. The effect lasts for approximately 6 hours. "Berodual" for inhalation can only be used as prescribed by a doctor, since the main active ingredient has a number of contraindications for use. Therefore, you should not engage in self-treatment. If coughing and choking attacks develop, consult a doctor immediately. If a specialist has prescribed inhalations with Berodual, then it is also advisable to purchase a special medical device, a nebulizer, for these purposes. With its help, you can accurately dose the drug for inhalation.

The effectiveness of using "Berodual" for inhalation: medicinal properties

The main property of this drug is the ability to quickly and effectively relieve spasms of the bronchial tree and trachea. The oxygen supply to tissues is improved and the risk of carbon dioxide accumulation is reduced. Efficiency has been proven by practical and clinical trials. Correct use of Berodual for inhalation can reduce the number and duration of coughing attacks. We will talk further about what medicinal properties make it possible to achieve such an effect.

But first, it’s worth clarifying that the pharmacological industry produces two dosage forms: a ready-made spray in a bottle with a spray bottle and a solution for dosing at home. For children, it is advisable to use a solution with the addition of saline. An adult can use a ready-made inhaler. The drug belongs to the group of bronchodilators; it contains two active components: ipratropium bromide and Fenoterolum. The first component is responsible for blocking the irritant effect on cholinergic receptors. The degree of irritation of the vagus nerve decreases. The cough reflex is blocked. The production of mucous secretions in the bronchial tree decreases. The effect of ipatropium is exclusively local; it does not affect the process of evacuation of secreted sputum, but stimulates the work of the ciliated epithelium.

Fenoterol has a positive effect on stimulating the performance of b2-adrenergic receptors while simultaneously operating b1-adrenergic receptors. As a result, it reduces the sensitivity threshold of receptors, reducing the level of histamine and various forms of methacholines.

The pharmacological effect is local and begins immediately after the active components enter the mucous membranes of the respiratory tract. Chemical reactions occur in areas of inflammation and the bronchospastic effect is eliminated. After blocking mast cells, the swelling of the mucous membrane decreases, and the lumen of the bronchi increases. You should be very careful when calculating proportions and dosage, since at high concentrations there is a high clearance of the mucolytic process. The amount of expectorated sputum increases, which provokes an increase in coughing attacks.

Instructions for use of "Berodual" for inhalation in aerosol packaging

The pharmacy chain sells the drug in aerosol packaging. The instructions for using aerosol "Berodual" for inhalation strictly prohibit its administration to children under the age of 6 years.

The spray is offered in cans containing 20 single doses in a compressed state. This is approximately 10 ml of a solution ready for inhalation. For ease of use, the can is equipped with a dispenser and a mouthpiece through which the jet passes.

There is only one way to use the Berodual N spray - this is by spraying the recommended number of doses directly into the oral cavity. Opening the can and attempting to dilute its contents is strictly prohibited. The standard dosage for an adult and a child over 12 years of age is 2 single doses, for children from 6 to 12 years old - 1 single dose. If no pronounced therapeutic effect is observed after 10 minutes, then inhalation is repeated. More than 4 doses for an adult and 2 doses for a child should not be taken within 3 hours. If an attack of bronchospasm does not subside, then it is necessary to seek qualified medical help. A maximum of 8 single doses per day is allowed for an adult and 4 single doses for a child under 12 years of age.

  • take 2-3 deep breaths;
  • Shake the can and remove the protective cap;
  • at the deep inlet, make 1 aerosol injection;
  • hold your breath after inhaling the drug for 1 second.

Berodual solution for inhalation: how to dilute, how many drops (proportions, dosages and instructions)

To use this dosage form, a nebulizer is required; the use of improvised homemade devices is not allowed, as there is a high risk of overdose. The “Berodual” solution for inhalation, the instructions offered by the manufacturer, allows use only as prescribed by a doctor. Can be used in children under 6 years of age.

The drug is produced in glass bottles equipped with droppers for precise dosage. Before diluting Berodual for inhalation, it is necessary to accurately calculate its dosage in accordance with the recommendations of the attending physician. The standard package contains 20 ml of solution. It is important to know how many drops to take and what proportions to use for dilution.

The approximate dosage of "Berodual" and saline solution for inhalation for children and adults is given in the table below. However, these are only indicative figures. Individual calculation of the proportion is required for elderly and frail persons with low body weight, with chronic diseases of the cardiovascular system, infants and toddlers.

Approximate proportions for inhalations with Berodual

Therapy always begins with the minimum recommended dosage. If there is no positive effect, add 2-3 drops until a visible effect is achieved. However, you should know that the maximum daily dose for an adult is 80 drops, and for a child - 40 drops. For infants under 1 year of age, the daily dosage should not exceed 10 drops.

Contraindications and side effects

Before using Berodual for inhalation for both children and adults, it is important to read about possible contraindications and side effects. Contraindications include:

  • pregnancy and breastfeeding;
  • severe hypertrophy of the heart muscle with tachyarrhythmia;
  • malignant form of arterial hypertension;
  • glaucoma and cataracts;
  • increased individual sensitivity to the components of the drug;
  • pathologies of the endocrine system, including diabetes.

Side effects occur quite rarely. This may include pharyngitis and laryngitis with a deepening of the voice, increased heart rate, headache, dizziness, drowsiness and muscle weakness. Severe skin thinness, increased intracranial and intraocular pressure, and the development of cardiac ischemia are much less common.

Source: http://prodyhanie.ru/berodual-dlya-ingalyacij/

Inhalations with Berodual and saline for children

Sometimes chronic respiratory diseases manifest themselves as a painful obstructive cough and even suffocation. According to modern pulmonologists and pediatricians, the best bronchodilator for children is inhalation with drugs such as Berodual and saline.

How to do inhalation correctly?

Berodual is an indispensable remedy for obstructive diseases that affect the lungs and bronchi and are accompanied by bronchospasm, pulmonary emphysema and bronchial asthma. But it is important to know how to use it correctly. Therefore, let’s consider in what proportions, depending on the age of the baby, inhalation with Berodual and saline is carried out:

  1. If the baby is under 6 years old or weighs less than 22 kg, take 1 drop of Berodual per 2 kg of the small patient’s weight, and the required amount is diluted in 2 ml of saline solution. Treatment must begin with the minimum possible dose of medication, which is 0.5 ml or 10 drops. Usually, inhalations using Berodual and saline solution are done twice a day, but in case of a complicated course of the disease, their number can be increased up to 4 times.
  2. For children over 6 and under 12 years of age, the dosage for inhalation depends on the symptoms of the disease. For moderate brochospasm, take 0.5 ml (10 drops) of Berodual; for acute attacks of mild to moderate bronchial asthma, a small patient will need 0.5-1 ml (10-20 drops) of the solution, and in severe and especially severe cases of suffocation, the dose is increased up to 2-3 ml (40-60 drops). Most parents have a natural question about how to dilute Berodual for inhalation with saline solution. Usually the amount of the latter is 3-4 ml.
  3. When an older child (from 12 years of age) falls ill, the dose of medication for moderate bronchospasms and mild attacks of bronchial asthma remains the same as in the above case. But when a small patient begins to choke, and bronchospasm reaches its critical point, children usually increase the dosage of Berodual and saline solution for inhalation. For the drug, it is 2.5-4 ml (50-80 drops), which are diluted in 4 ml of saline and poured into a nebulizer.
  4. You should remember the features of this procedure. The instructions on how to effectively inhale with Berodual and saline are very simple. To do this, use a nebulizer and completely consume the poured solution. Also, the latter should always be freshly prepared, and it is prohibited to use distilled water to dilute Berodual.

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Source: http://womanadvice.ru/ingalyacii-s-berodualom-i-fizrastvorom-dlya-detey

Inhalations with saline and berodual

Berodual is considered one of the main drugs used in the treatment of diseases of the respiratory system. The product is available in several variations, but we are interested in solutions for inhalation, which are used in special devices - nebulizers. It is noteworthy that Berodual can also be used to treat children, but it is very important to follow the dosage, which directly depends on the age of the child.

Instructions for use

Berodual has been used for quite a long time in the treatment of children from all kinds of diseases of the upper respiratory tract. In particular, the instructions for use state that this drug can be used in inhalation therapy in childhood to treat ailments such as attacks of bronchial asthma, COPD, and also as a preventive measure in the development of bronchospasm. In addition, using inhalations you can reduce cough, runny nose and other unpleasant symptoms.

Thanks to its composition, the drug relaxes the muscles of the bronchi, which allows you to soften viscous sputum. Also, the effect of the drug is aimed at its rapid elimination, which makes it possible to reduce the frequency of bronchial attacks, normalizing the child’s normal breathing.

We have already said that it is necessary to strictly follow the dosage indicated in the annotation. This is explained by the fact that the dose for a child who is 2 years old will differ from the dosage for children aged three years or more. This recommendation should not be neglected, so treat this issue with full attention.

Important! Berodual inhalations for children are not carried out in its pure form, so it must be diluted. For these purposes, saline solution is used, which itself can be used for inhalation through a nebulizer. But here it is very important to maintain the proportions of both components so that the therapy is carried out in the correct way.

How to breed?

Inhalations with Berodual and saline must be carried out in a certain way, mixing the substances in the required proportions. The ratio of Berodual and saline depends on several factors, including the age of the baby, as well as the disease from which he suffers.

Important! The diluted solution should be used once, i.e. You cannot put it in the refrigerator and then use it again. Remember that before each procedure you will have to prepare the solution again.

So, the dosage of Berodual with saline solution for children will be as follows:

  • Children under six years old. Here you need to take into account the weight of the child, so you need to take one drop of the drug per two kilograms of weight. At the same time, the dosage should not exceed more than 10 drops per procedure. Dilute this amount with 2 ml saline solution. It is also important to take breaks between procedures (there can be three in total per day). On average, the break is about four hours.
  • If the child is between 6 and 12 years old. To treat bronchospasm, you need to dilute ten drops of Berodual and 3 ml of saline solution. As for acute attacks, the dosage can be increased to 20 drops, and if the attack is very severe, then the dose of Berodual can vary from 20 to 40 drops.
  • Children from 12 to 17 years old. In the treatment of bronchospasms, a similar dosage is used, i.e. 10 drops per 3 ml of saline solution. As for stopping attacks, in severe cases, the maximum dose can be 80 drops.

As for long-term therapy, the dose also varies. If the child is from 6 to 12 years old, then it is necessary to use 10 to 20 drops diluted with 3 ml of saline solution, making 4 inhalations per day. For more mature patients, this dosage is doubled, i.e. from 20 to 40 drops.

Rules for inhalation

The question of how to do inhalations is quite important, because the success of the entire therapy depends on it. It is very important to observe the procedure time, dosage, and frequency of inhalations.

Important! Remember that the break between procedures must be at least four hours.

Inhalation procedures using Berodual and saline can be carried out no more than four times a day. Speaking about how many days such therapy can last, it depends on the specific clinical case. On average, treatment lasts about five days.

Some reception features

We talked about how to dilute Berodual for inhalation using saline solution, but there are times when the doctor prescribes additional means to improve results. In particular, Berodual combines well with Ambrobene and Lazolvan, but here you also need to follow the dose.

  • 1 ml Berodual, i.e. ten drops of the product.
  • 2 ml of an auxiliary agent - Ambrobene or Lazolvan.
  • 2 ml saline solution.

This scheme helps with cough, obstructive bronchitis and other respiratory tract ailments. In this case, two components are important - inhalation with saline solution, as well as alternate procedures. For example, first a procedure is carried out with Berodual and saline solution, and then inhalation is carried out with Berodual, Lazolvan and saline solution.

Important! You need to remember that what kind of treatment you should follow should be decided by a pediatrician who knows about all the possible effects on the child’s body.

In particular, Berodual inhalations can lead to the following side effects in children:

  • Nausea and vomiting.
  • Attack of tachycardia.
  • Pain in the head.
  • Unpleasant feeling in the mouth.
  • Allergic reaction.

To avoid this, it is necessary to undergo all the necessary tests, and also strictly adhere to the dosage prescribed by the attending physician.

Conclusion

Inhalations with saline and Berodual for children, whose dosage differs from the dosage of adult patients, are an important component of the treatment of diseases of the respiratory system. It is clear that in the treatment of complex cases it is necessary to use an integrated approach, i.e. use several medications with different spectrum of action. But it is Berodual that is the first stage of therapy, because it has a softening effect on the muscles of the bronchi, thereby preparing the body for the effects of other drugs.

Source: http://ingalyatsii.ru/preparaty/fizrastvor-i-berodual.html

Inhalations with Berodual and saline solution - proportions for children and adults

Today, Berodual and Lazolvan are most widely used in the treatment of many respiratory diseases, however, when used at home, it is important to know how to dilute them correctly and follow the dosage accurately. Otherwise, you may encounter a number of serious complications.

Under no circumstances should drugs be taken orally; this can cause various dysfunctions of the gastrointestinal tract, even peptic ulcers. It is prohibited to use household devices for inhalation. You should also not do this procedure using home steam inhalers. This is not only ineffective, but also harmful. For example, if Berodual vapor gets on the mucous membrane of the eye, it can lead to an increase in intraocular pressure, and in severe cases even to glaucoma.

Inhalations with Berodual and Lazolvan can only be carried out using a nebulizer and strictly observing the ratio of diluted drugs with saline solution. To avoid the development of oral candidiasis, it is recommended to rinse your mouth with plain water each time after inhalation. This is often enough to remove the smallest particles of the solution and thereby reduce the risk of side effects.

Why a nebulizer?

There are two types of nebulizers. Compression and ultrasonic. Here we will not dwell on their description in detail, we will only note that both of these types are equally well suited for the use of Berodual and Lazolvan solutions in that it is with their help that it is possible to achieve fine spraying of the medicinal solution in the form of an aerosol, thus ensuring direct contact of the drugs immediately into the respiratory tract, which significantly increases the effectiveness of the procedure and reduces the risk of complications.

It is also important that when using it, a continuous flow of medicine into the mouthpiece or a special mask is ensured, the presence of which is an indispensable aspect when treating a child, since it is difficult for children to breathe through a mouthpiece for a long time, and with the use of masks, inhalation can be carried out even while lying down. You just need to press it tightly to the baby’s face and ask him to breathe as usual.

Diseases for which inhalations are prescribed

  • bronchial asthma
  • acute, chronic and obstructive bronchitis
  • laryngitis
  • bronchiectasis
  • bronchospasm of various etiologies

Berodual has a bronchodilator and bronchodilator effect, while Lazolvan stimulates the discharge of sputum. Their combined use significantly alleviates the condition, reduces cough and helps cleanse the bronchi of difficult-to-remove mucus.

It is important to remember that you should not self-medicate. This is especially important if you are planning to give inhalations to a child. Despite the general recommendations, the dosage can be adjusted by the doctor individually for each patient. Also, do not forget about contraindications. For example, Berodual should not be inhaled by persons suffering from diabetes mellitus, arterial hypertension, heart rhythm disturbances, and coronary insufficiency, those who have had a myocardial infarction, and pregnant women, especially in later stages. Lazolvan should not be taken in the early stages of pregnancy, as well as by persons with gastrointestinal pathology, peptic ulcer disease and convulsive syndrome.

Application of Berodual

  1. Disinfect the mask/mouthpiece of the device, rinse the container for the medicine.
  2. Drop the required amount of Berodual into a special measuring container (usually drops are prescribed for bronchitis; to eliminate bronchospasm, the dosage can be increased to 1-4 ml.)
  3. Add saline solution in an amount of 1-4 ml. (in a 1:1 ratio depending on the dosage of Berodual)
  4. Check the tightness of all components of the nebulizer and the integrity of the cord insulation.
  5. Put on the mask/close your lips tightly around the mouthpiece
  6. Start the procedure
  7. Breathe as usual for the allotted time. (from 1 to 6 minutes)

The algorithm for the procedure is the same, the only difference is in the dosage. For young patients from three to six years old, with bronchitis, 8 drops of the drug, diluted in 2 ml, are prescribed. saline solution. If necessary, the procedure can be repeated throughout the day, but the total amount of Berodual should not exceed 30 drops. For a child over six years old, the single dosage can be increased to 10 drops per 2 ml. saline solution. On average, inhalation is done twice a day.

Upon completion of inhalations, you need to pour out the remaining used medications. They cannot be reused, no matter how many milliliters remain in the container. Just as you cannot store a solution prepared in advance, it must be used immediately. It is forbidden to replace saline solution with anything else, especially distilled water.

It is better to talk to your doctor about how many days you can breathe Berodual for, since the duration of treatment directly depends on the diagnosis and its severity. However, on average, both children and adults need to do inhalations for at least 5 days.

Recommendations for the use of Lazolvan

Lazolvan, unlike Berodual, has a much greater variety of dosage forms. Syrups, tablets, and so on, but since we are only interested in inhalation with it, here we will consider only the solution.

Lazolvan can be used by adults and children over six years of age with bronchitis, 2-3 ml. solution. It also needs to be mixed with saline solution in a 1:1 ratio. Before inhalation, it is usually recommended to warm the solution to body temperature and breathe normally, avoiding deep breaths, as this can cause a sharp spasm of the bronchi and negate the effect of therapy. Inhalations should be done 1-2 times a day.

The combined use of Lazolvan and Berodual in one inhaler is often prescribed. But this should be done only as prescribed by a doctor and in strict accordance with his instructions.

Overdose

As mentioned earlier, caution should be observed when inhaling treatment with Berodual. You should be attentive to your condition and especially the condition of your child, since children are not always able to accurately express their new sensations. Most often, local reactions are observed, such as redness of the face, irritation of the larynx and others, but other manifestations of overdose are also common. Most often they are associated with the action of fenoterol, which is part of it.

The most likely occurrence is tachycardia and tremor of the extremities, an increase or decrease in blood pressure, a feeling of compression behind the sternum or pain as with angina, arrhythmia, a feeling of flushing of the face, a feeling of heaviness in the sternum, and increased bronchospasm. When the first signs of overdose and symptoms of side effects appear, therapy should be discontinued. If relief does not occur, you should consult a doctor.

Specific symptoms of overdose with Lazolvan solution for inhalation have not been described. However, rarely, more often as part of complex therapy, conditions such as nausea, dyspepsia, diarrhea, vomiting, and various abdominal pains may appear. They can be eliminated with symptomatic therapy.

For older people, dosages are usually reduced. They are often prescribed the same number of drops for inhalation as children.

If you are going to do inhalations at home, report any previous illnesses, including chronic ones, to your doctor. Before use, be sure to read the instructions.

Source: http://lor.guru/preparaty/sprei/berodual/ingalyacii-s-berodualom-i-fizrastvorom-proporcii-dlya-detey-i-vzroslyh.html

"Berodual" for inhalation with saline: instructions for use for children with dosage calculation

Berodual for inhalation is effective for bronchial asthma and other pathologies of the respiratory tract; the drug contains clear instructions for use. The child will be able to use it independently, since the medicine is contained in an inhaler with a nebulizer. It is inserted with the outlet into the open mouth and pressed on the top of the nebulizer. After a quarter of an hour, the patient will feel relief.

Properties, composition and release forms of the drug for children

Berodual is available in 2 forms - as a ready-made aerosol in a small spray device and as a solution for inhalation. Both forms of the medicine are equally effective in helping with asthma. It is more convenient for children to use the drug in a device with a nebulizer. The product has the following useful properties:

  1. Quick effect. No later than 15 minutes after inhalation, the baby feels much better. Berodual helps with asthma and persistent cough caused by respiratory diseases. It is prescribed for obstructive bronchitis.
  2. The medicine relieves bronchospasm and relaxes muscles. However, it does not negatively affect gas exchange in the respiratory tract. The secretion of the glands decreases, but the protective function of the mucous membrane is not impaired.
  3. The product prevents pathogenic microorganisms from multiplying.
  4. The medicine can be used in complex therapy simultaneously with other drugs.
  5. The drug is approved for use by patients with vascular and heart diseases, but under the supervision of a physician.

Berodual contains fenoterol hydrobromite in an amount of 500 mcg per 1 ml and ipratropium bromide (260 mcg per 1 ml of the composition). The solution contains water, citric acid, ethanol and auxiliary substances. The aerosol contains about 200 inhalation doses.

Indications for use

The medicine is prescribed in the following cases:

  • inflammation of the mucous membranes of the larynx (laryngitis), acute and chronic;
  • inflammation of the tonsils (tonsillitis);
  • acute and chronic bronchitis;
  • some types of pneumonia;
  • occupational acquired pathologies of the larynx (singers, teachers) and lungs (workers of contaminated chemical industries);
  • different types of otitis;
  • ARVI;
  • bronchial asthma;
  • obstructive bronchitis;
  • pulmonary emphysema;
  • preventive measures in case of risk of respiratory tract diseases;
  • protecting the patient from complications;
  • after suffering from pneumonia and other serious illnesses.

Berodual is used for bronchial asthma and obstructive airway diseases

The drug is used for inhalation into the bronchi and lungs. There is no other way to deliver the drug to these organs. Berodual quickly brings relief. Its effectiveness against continuous severe cough has been proven by pharmacists.

Instructions for use of Berodual for children with dosages by age

The drug is especially effective for dry cough. By inhaling the substance through a nebulizer, the mucous membrane is moistened, sputum discharge is improved, and the inflammatory process is blocked. How long to spray the finished aerosol is written in detail in the instructions for use. The solution for inhalation must be diluted in a certain proportion.

In what proportions should it be diluted with saline?

For indomitable cough in children with inflammation and emphysema, obstructive bronchitis, inhalations with Berodual are very effective. Berodual is prescribed to children from birth. The drug purchased at the pharmacy - a mixture for inhalation - must be diluted in saline solution.

The instructions suggest the following dosages:

  1. For children 6 years of age and at an earlier age with a weight of less than 22 kg, you should take 2 ml of saline solution and 1 drop of the drug per 2 kg of the baby’s body weight. The minimum dose is 10 drops (0.5 ml). Treatment begins with 10 drops in order to find out how the body reacts to the drug. Inhalations should be done twice a day. If the cough, which turns into an attack of suffocation, does not stop, you can increase the number of procedures up to 4 times a day.
  2. For children 12 years of age and over 6 years of age, the dosage is calculated based on the diagnostic results and the patient’s health condition. If moderate bronchospasm is observed, take 10 drops of the product and dissolve it in 3 or 4 ml of saline. For asthma attacks associated with bronchial asthma, you can use up to 20 drops of the drug. The volume of saline solution does not change.
  3. For adolescents over 12 years of age, the dosage is the same as in paragraph 2. If the patient suffers from attacks of difficulty breathing, the volume of the drug is increased by 30 or even 60 drops, using the same amount of saline solution (3-4 ml).

Sometimes pediatricians advise adding Lazolvan to the diluted drug, then for 10 drops of Berodual there should be 2 ml of Lazolvan.

The doctor gives specific dosage recommendations. It must be remembered that they depend on the age and weight of the patient. The specialist will also take into account the patient’s health condition. Before starting treatment, you need to check for allergic reactions, since this is a common occurrence in the modern world. Children are especially sensitive to flowering plants. In this case, the doctor will recommend another drug for treatment.

How to do inhalations correctly?

The inhalation technique is not complicated. A diluted solution is poured into an inhaler with a nebulizer. The procedure is carried out until all the liquid is used up. Each time, a fresh drug is prepared for the inhaler. The doctor will advise how many times to perform the procedure. Usually their number is 1-2 per day.

Inhalation is done an hour to half an hour before meals. After inhalation, the child is prohibited from drinking or eating for an hour. A sick baby should not have a high fever. If a child develops a severe cough while inhaling the medicine, the treatment should be interrupted. After inhalation, it is better to hold the baby in your arms or sit him on high pillows. After the procedure, the little patient will feel noticeable relief.

After inhalation with Berodual, it immediately becomes easier for the child to breathe

Contraindications and possible adverse reactions in children

Inhalations cannot be considered a harmless way to restore health. They have the following contraindications:

  • the patient has a high temperature;
  • IHD;
  • nosebleeds;
  • disruption of blood flow to and outflow from the brain;
  • allergic reaction to the components of the solution;
  • hypertonic disease;
  • diseases associated with heart or lung failure;
  • sore throat with purulent inflammation;
  • accumulation of gases in the pleural area (pneumothorax);
  • cardiac arrhythmia.

In addition to contraindications, Berodual has side effects: dry mouth, muscle tremors, increased nervousness. Rare manifestations when using Berodual are headaches, increased heart rate, and dizziness. The following body reactions are also observed:

  • the respiratory organs react with irritation and increased coughing;
  • The gastrointestinal tract responds with nausea and vomiting, diarrhea;
  • the heart and blood vessels give arrhythmia, a decrease in lower diastolic pressure and an increase in upper systolic pressure;
  • vision deteriorates, pain and sensation of flickering spots and a halo in the eyes occur, the conjunctiva enlarges, intraocular pressure increases;
  • Allergy in all its manifestations is possible - rash, redness, itching, swelling;
  • weakness, difficulty urinating, sweating, convulsions, and mental abnormalities are noted.

If any of the above reactions occur, consult a specialist. The doctor will choose another medicine. There are similar drugs with a different composition.

Cost and analogues of the drug

The cost of the solution is no more than 300 rubles. Berodual in a device with a nebulizer costs about 500 rubles. This is a more convenient form because it does not require dilution and can be used at any time during a coughing attack.

If necessary, the drug can be replaced with a drug similar in active substance and/or properties:

  1. Analogues of Berodual include Ipraterol Nativ. The drug contains the same active ingredient. The medicine is diluted in 0.9% sodium chloride solution. Prescribed for children over 2 years of age. Up to 6 years of age, 2 drops per 1 kg of body weight are prescribed. The total amount for a single use should not exceed 10 drops.
  2. Atrovent contains only ipratropium bromide, it is used to block spasms of the smooth muscles of the respiratory tract. It is convenient because it comes in aerosol cans. One canister contains 200 or 300 doses. There is a release form in the form of a liquid for preparing a solution and inhalation. Children under 12 years of age should receive 1 to 2 inhalations per day (see also: how to give children inhalations with Miramistin?). The drug is prescribed from birth.
  3. Berotec contains only fenoterol. Inhalations stop asthma attacks if it is difficult to breathe. The medicine is used during coughing attacks; it is not prescribed for permanent treatment. Used for children from the 5th year of life under medical supervision.
  4. Ventolin Nebula is a medicine for inhalation with the active ingredient salbutamol. It is a beta-agonist. One bottle contains 2.5 ml of the product, which is a single dose for inhalation. Designed to both block asthmatic attacks and treat obstructive airway diseases. Prescribed for children over one and a half years old and adults. The latter dose can be doubled.

My 3 year old son has a constant cough. He was prescribed inhalations with Berodual, but this did not help. Later they found out that the cough was allergic. We were forbidden to go to the dacha until mid-July, and were prescribed to take allergy pills at home. You need to see a doctor in any case.

As a child, I was given inhalations for colds, and I had to breathe in a soda-saline solution. But then my mother stopped doing this procedure, citing the fact that it was harmful. I still don’t understand why it’s harmful. Now I understand - I often had a high temperature, and this is a contraindication.

Hello, my child has a strong cough, how to dilute Berodual for inhalation? We are 2.10, weight 15.5

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/berodual-dlya-ingalyacij-detyam.html

Inhalations with Berodual and saline for adults when coughing: how to dilute, when to do?

Any cold or ARVI is accompanied by a dry or wet cough. Inhalations, unlike sprays, syrups and tablets, help drugs reach the mucous membranes of the respiratory tract that are irritated by coughing.

This procedure alleviates the patient’s condition even with chronic diseases accompanied by coughing, sometimes even to the point of suffocation. Therefore, recovery and relief from cough when using this method is faster.

What kind of cough is treated with inhalations?

  • ARVI or acute respiratory infections with soreness, swelling in the throat, as well as heavy sputum discharge;
  • Pharyngitis, laryngitis, rhinitis, tonsillitis, bronchitis, occurring as a complication after a cold and becoming chronic;
  • Asthma;
  • Bronchiectasis;
  • Fungal infection of the respiratory tract;
  • Pulmonary tuberculosis;
  • Cystic fibrosis;
  • Prevention after surgery to avoid complications.

Even with severe coughing attacks, inhalations should not be carried out if:

  • There is drug intolerance;
  • Increased body temperature (above 37.5);
  • Previously, nosebleeds often occurred;
  • When coughing, you cough up pus or blood;
  • There are severe diseases of the cardiovascular system, including a heart attack or stroke suffered within the last 6 months;
  • There are severe respiratory diseases.

Characteristics of the drug Berodual

Berodual has become widespread due to its rapid effect on the site of the disease.

It was achieved through the combination of two substances with different properties that complement each other’s actions.

Fenoterol and ipratropium bromide, previously used only separately, are the active components of the drug.

The local effect of ipratropium bromide is to suppress the cough reflex. It is achieved by reducing the degree of irritation of the vagus nerve.

The ciliated epithelium is stimulated to evacuate secreted sputum. Fenoterol is a stimulant of B-adrenergic receptors. Their sensitivity threshold decreases along with the level of methacholines and ylistamine.

The components of fenoterol also act locally, reaching the mucous membrane of the respiratory tract. As a result, the swelling of the mucous membrane decreases, and the lumen of the bronchi increases. After a quarter of an hour, the effect of the drug begins and lasts up to 6 hours.

These figures are an average value; their fluctuations upward, but more often downward, are caused by the severity of the disease.

Inhalations with Berodual and saline solution

Berodual is a strong drug that has contraindications, so its use is only possible as prescribed by a doctor. Do not use distilled water to dilute the solution. For this, only pure saline solution is used.

Basic principles of mixing berodual and saline solution:

  • The required dose of Berodual is added to the saline solution;
  • The volume of the product received should be 4 ml.

If the solution remains after inhalation, it must be poured out and not reused, since the saline solution evaporates in air and, accordingly, the concentration of the drug increases.

Indications for the use of inhalations with Berodual for adults

The attending physician prescribes Berodual for:

  • Asthma;
  • Pneumonia accompanied by bronchospasm;
  • Emphysema;
  • Obstructive syndrome due to tuberculosis of the lungs and bronchi;
  • Coughing attacks accompanied by suffocation.

According to numerous reviews, Berodual is recognized as a drug that helps dilate the bronchi, but:

  • Self-use (self-medication) is dangerous;
  • Dilution of drugs must be done carefully and carefully;
  • Has many side effects.

Berodual dilution rules and dosage

The dosage of the drug is determined by the severity of the disease and the general health of the patient. Usually the patient is prescribed a minimum dose. This way you can identify allergic reactions and side effects, avoiding serious consequences.

For adults, the drug is used in the following amounts:

  • 1 ml for the prevention of chronic respiratory diseases;
  • 1-2 ml for moderate cough;
  • 2-4 ml (less often 8) to relieve an attack of suffocating cough.

The drug is used only by dilution in saline solution. Since the solution for inhalation is available in a bottle with a dropper, it is generally accepted that 10 drops are equal to 1 ml. The use of more than 80 drops per day (8 ml) is prohibited.

Features of the use of Berodual for cough in adults

The action of Berodual is aimed not only at providing relief, but also, first of all, at eliminating the cause of cough, especially dry cough.

When carrying out inhalations, you must follow standard principles:

  1. Do not eat or exercise for at least 1.5 hours;
  2. Focus on the procedure and not pay attention to what is happening around you, do not try to talk;
  3. For 1 hour after the procedure, avoid physical activity, eating, smoking;
  4. Perform the procedure no more than three times a day;
  5. The course of treatment is at least 5 days, but not more than 10;
  6. Inhale slowly through your nose or mouth.

Since Berodual does an excellent job of expanding the bronchi, it is often prescribed for preparatory inhalations. After them, the administration of other drugs is much easier, for example in the treatment of asthma or its prevention.

How to breathe Berodual through a nebulizer?

A nebulizer serves as a converter of liquid medicine into aerosol microparticles. As you inhale, they quickly penetrate to the site of the disease. Before the procedure, you need to prepare the nebulizer for use.

  1. Assemble the nebulizer;
  2. Place the mixture of berodual and saline solution in a special glass and wait until it warms up to the ambient temperature;
  3. Close the nebulizer;
  4. Attach a mask, mouthpiece or nasal cannula (depending on the configuration);
  5. Connect the nebulizer and compressor using a hose.

When carrying out inhalations, the following rules must be observed:

  1. The sitting position is preferable, standing is allowed;
  2. Catch your breath and remain at rest during the procedure;
  3. Breathe slowly;
  4. Between inhalation and exhalation, hold your breath for a couple of seconds;
  5. Perform the procedure until the medicine evaporates (usually from 5 to 7 minutes).

When inhaled, the skin under the mask is exposed to the drug. Therefore, after finishing, you should wash your face without using soap, and also rinse your mouth and nose.

The nebulizer requires care, so after each procedure:

  1. Rinse all parts of the device with warm water; you can use a soda solution, but not detergents;
  2. Dry;
  3. Store the clean device wrapped in a clean towel.

When used daily, sterilize the nebulizer once a week by boiling for at least 10 minutes.

Side effects of Berodual

Berodual has undergone clinical trials. The following side effects were identified:

  1. Changes in vision: mild hallucinations, blurry silhouettes are possible;
  2. Tremor of the limbs;
  3. Feeling of dryness in the mucous membranes of the nasopharynx;
  4. Increased heart rate;
  5. Decreased blood pressure;
  6. Increased eye pressure.
  1. Tachycardia;
  2. Headache;
  3. Dizziness;
  4. Nausea, vomiting;
  5. General weakness;
  6. Rash on the skin (urticaria).

If any of the listed conditions occur, you should immediately stop inhalation, consult with your doctor about the possibility of further use or discontinuation of Berodual.

Contraindications to the use of Berodual

Studies have shown that Berodual is contraindicated in the following cases:

  1. Heart diseases;
  2. Vascular diseases and susceptibility to them
  3. Pregnancy (I, III trimesters);
  4. Hypertrophied obstructive cardiomyopathy;
  5. Tachyarrhythmia.

With caution, the drug can be prescribed for:

  1. Acute-angle glaucoma;
  2. Obstruction of the urinary tract.

Berodual's analogs

Berodual has no analogues in composition, but the category of drugs that eliminate bronchospasm includes:

The drug is intended for the prevention of bronchial asthma in the absence of severe attacks. Powder for inhalation primarily serves to prevent spasms.

The aerosol is taken on average 1-2 times a day at regular intervals. In cases of bronchospasm attacks, it is recommended to take 2 doses of the drug. If relief does not occur within 5 minutes, take 2 more doses.

It is prescribed in a course that should be carried out without skipping if you need effective treatment of bronchial asthma.

Syrup used to dilute sputum with subsequent removal. Prescribed for diseases of the lungs and bronchi.

Ready-made aerosol spray with inhaler. Aimed at preventing narrowing of the bronchi. The maximum number of applications per day should not exceed 12.

Bronchodilator drug in tablet form. It is used in complex therapy, but in case of a sudden attack it is not indicated for use.

Powder for inhalation or ready-made aerosol is prescribed in the complex treatment of bronchial asthma.

Berodual has established itself as a strong drug used in the treatment of severe and chronic respiratory diseases. Its main characteristics:

  • Relatively inexpensive;
  • Wide spectrum of action;
  • Performance.

Source: http://stopzaraza.com/lechenie/ingalyacii-s-berodualom.html