Proportions for inhalation

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Saline solution for inhalation with a nebulizer

Physiological solution of sodium chloride is widely used in medicine for inhalation in the treatment of many diseases. The chemical composition of the solution consists of 9% table salt dissolved in distilled water.

Table of contents:

The drug is prepared in specially equipped laboratories at chemical plants. Saline solution is used to restore water-salt balance, dissolve medications during detoxification of the body, for constipation, for washing wounds and for inhalation.

How to dilute medicine for a nebulizer

According to the instructions for use, saline solution for inhalation is used in the treatment of:

  • chronic and acute bronchitis;
  • tracheitis;
  • laryngitis;
  • pneumonia;
  • bronchial asthma;
  • bronchiectasis;
  • obstructive pulmonary pathology and many others.

Nebulizer therapy is indicated only for diseases of the lungs or bronchi, and its use for nasopharyngeal diseases is less effective. After all, the smallest droplets fall when inhaled into the deep sections, without settling on the walls of the upper respiratory tract. When inhaling, the patient inhales tiny particles of saline solution, which cause mucus thinning, improved coughing, and a softening effect on the mucous membranes of the respiratory tract.

For a nebulizer, you can also prepare saline solution at home or prepare a pharmaceutical preparation. Before use, the medicine must be warmed to room temperature, and then 2-3 ml of sodium chloride solution in pure form or mixed with other medications is poured into the nebulizer. It is better to dilute saline solution with drugs that dilate the bronchi, which help to expectorate mucus, freeing the airways from mucus.

How to do inhalations with saline solution

After the saline solution of sodium chloride for inhalation has been placed in the inhaler, its vapor should be inhaled deeply.

The procedure is usually carried out in several stages:

  1. First, inhalation with bronchodilator drugs is done.
  2. After 20 minutes with medications that help remove phlegm
  3. And after it leaves, it’s time for antibiotics.

All treatment requires strict medical supervision, especially if it is performed on a child.

For children

Recently, inhalation with saline using a nebulizer has become common for colds in children of all ages, even infants. This type of inhaler is indispensable in the treatment of childhood bronchial asthma, cough, and runny nose. The saline solution that is filled into the inhaler should not have a temperature higher than 50 degrees, and if the child is under 3 years old, then the temperature of the solution should be 37 degrees.

Inhalations with saline solution for children are carried out every 3-4 hours, but you need to maintain a period of one to one and a half hours after eating. The maximum duration of the procedure should not exceed 2 minutes. Inhalation of vapors should occur without tension, in a natural way. After inhalation, you should not go outside, eat or drink for an hour. The method of administration and dose during pregnancy are the same as for children.

For adults

How many ml of saline solution is needed for inhalation when treating an adult? As for children, adults need 2-3 ml of liquid, but the procedure can take up to 10 minutes. First, take a shallow breath through your mouth, then hold your breath for 3-5 seconds and exhale through your nose. After inhalation, the nebulizer should be washed with water and dried thoroughly.

  • An open bottle of saline solution can be stored after opening for no more than 3 days.
  • The shelf life of a closed bottle is from 1.5 to 3 years, depending on the volume of the bottle.

What drugs is sodium chloride mixed with?

If medications are prescribed for inhalation, they are also diluted with saline in the proportion specified by the doctor. Sodium chloride, which is used to dissolve drugs, is diluted in completely different proportions from 1:1 to 1:30, so it is important that the dosage is prescribed by a specialist.

Mixing medications are prescribed depending on the type of disease:

  1. For wet coughs, as a rule, Lazolvan, Ambromhexal,
  2. For dry cough - Ambrobene, Pulmicort, Berodual.
  3. For infectious pathologies, Gentamicin, Chlorophyllipt, and Miramistin are effective.
  4. Natural herbal preparations “Malavit”, “Rotokan”, tinctures of propolis, calendula, eucalyptus are excellent for relieving inflammatory processes.
  5. To dilate the bronchi, Berotec, Salgim, and Ventolin are prescribed.
  6. For the prevention and treatment of runny nose, mineral water “Borjomi” and “Narzan” are used.

Inhalation with saline solution for cough

All colds begin with a cough, so it is important to use inhalation at the first symptoms. The vapors obtained during this procedure dilute the sputum, transforming it into a fluid state. The following types of medications are selected for the nebulizer:

  • mucolytics that remove phlegm: Ambroxol, Pulmozim;
  • bronchodilators that eliminate bronchial contraction: “Ventolin”, “Berodual”;
  • alkalis that help moisturize mucous membranes: mineral waters, pure saline solution;
  • antimicrobial antiseptics: “Furacilin”, “Dekasan”.

Inhalations are carried out every 4 hours with a break of 6 hours. The course of treatment should not exceed 10 days in a row. The duration of the procedure for an adult is 10 minutes. The dosage of medications in the ratio to saline solution for a dry cough is 1:1, for a wet cough – 1:3.

Inhalation of saline solution for a runny nose

When you have a runny nose, inhalation with saline is an excellent way to maintain normal mucous membranes and speed up recovery. But you should not count on a quick effect - the saline solution will reduce the amount of discharge and relieve swelling in the best case, a couple of days after the start of use. When you have a runny nose, it only makes sense to do inhalations using a steam inhaler - nebulizers will be useless. The sequence of actions is the same as for coughing, and the procedure is repeated every 3 hours.

It should be remembered that inhalations with saline solution are not always indicated, but only in the following cases:

  • if there is no high body temperature;
  • in the absence of blood, green clots and pus in the nose;
  • in the absence of pain in the ears;
  • school-age children and adults.

How to prepare saline solution yourself

You can prepare the saline solution yourself at home if you need to save time. But due to the fact that the sterile drug is affordable (about 50 rubles for 50 ml), it is better to buy it at the pharmacy. However, you don’t have to be a pharmacist to make your own saline solution. Take regular table salt and bottled water heated to degrees. It is better not to use tap water, because it contains many impurities and may therefore be unsafe for health.

Observe the proportions: 9 grams of table salt (1 teaspoon with a small slide) per 1 liter of water. Pour salt into warm water, stir until completely dissolved. The resulting liquid should be slightly salty. Use the prepared solution for rinsing the sinuses, gargling, and inhalation. Store 24 hours in the refrigerator. A day later, you should prepare a fresh portion of saline solution.

How can you replace saline solution for inhalation?

We already know how much saline solution costs, so it is considered the most affordable means for inhalation. But if necessary, you can carry out a healthy procedure at home with regular drinking water, baking soda (1 tablespoon per 1 glass of water), water for injection, or such means as:

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Saline solution for inhalation – with what and how to dilute it, dosage and proportions

The inhalation method of administering drugs has been known for a long time. This method helps to quickly deliver the medicinal solution to its destination, which makes it possible to relieve the pathological symptom. Most often, inhalations are performed to treat the upper and lower respiratory tract.

Inhalations are widely used for all age categories. For children, this method is applicable from the time when the baby can adequately repeat the breathing movements necessary for the procedure.

Vasoconstrictor, mucolytic, antibacterial, alkaline, anti-inflammatory and other agents are used as a therapeutic solution. In most cases, to prepare any medicinal mixture you need saline solution, which will be discussed in this article.

Benefits of saline solution

In the pharmacy network, saline solution is represented by isotonic sodium chloride solution (0.9%). For those who know chemistry, it is clear that the solution is saline. The composition of saline solution, or as doctors call it “physiology,” is the same as that found in human blood plasma. Hence the name - saline solution, i.e. natural.

The blood contains many microelements necessary for the body. As for sodium chloride, it is everywhere, in all cells. Therefore, rationed salt consumption is necessary, and it is in vain that people refuse it, considering it white death. All foods should be consumed in moderation.

There are no side effects when performing inhalations with saline solution, therefore, it is indicated for absolutely everyone, including pregnant and lactating women. Mucosal cells perceive saline solution as a moisturizer, and this makes it possible for the mucous membranes to recover from inflammation and damage.

Indications

The main indications for inhalation therapy with saline are:

  • pharyngitis;
  • nasopharyngitis;
  • tonsillitis;
  • emphysema;
  • tracheobronchitis and bronchitis (including COB);
  • laryngitis;
  • bronchial asthma.

Inhalations can also be used for a common cold, cough or runny nose.

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How to prepare “physiology” yourself?

Many patients do not bother about this and purchase sterile saline solution packaged in ampoules or bottles. It is cheap and always available. It should be noted that the sterile solution is prepared only with distilled water and is allowed to be administered intravenously.

Let's say you find yourself far from civilization, and there are only available means - salt and water. From them a saline solution is prepared for rinsing or inhalation, but this product is used only locally. The main point in preparing saline solution is the proportions of salt and water.

For 100 ml of water you need to take 0.9 grams of salt (a full tablespoon of salt). First, the water should be allowed to stand for several hours. If the water is bottled, then you can safely prepare a solution. For children it is better to use boiled water.

Of course, it is difficult to calculate exactly 0.9 grams of salt in camping conditions, but in home conditions it is quite possible. To do this, you only need special kitchen electronic scales.

The prepared solution is good for the day; if possible, it is better to prepare the saline solution before each rinse or inhalation.

How to carry out the inhalation procedure?

First, you should understand that the inhalation mixture is used only warm (about 45 degrees). The procedure should be performed after eating, approximately 1.5–2 hours. The patient should be in a calm state and feel satisfactory. The maximum permissible body temperature is 37.5 degrees.

For the best effect, doctors advise inhalation using a nebulizer. This device allows you to maintain the required dosage, evenly distributing the medicine that enters the patient’s respiratory tract. Inhalation and exhalation are done at medium depth so as not to provoke a cough.

  • In most cases, “physiology” is used from 2 to 10 days in a row, it all depends on the condition of the respiratory tract. Dry mucous membranes require constant hydration, for example, with atrophic pharyngitis, so in this case the solution is recommended to be used for a long time.
  • For inhalation, take approximately 4 ml of solution and fill it into a nebulizer. The nebulizer solution should always be fresh. It is better to use ampoules so as not to open bottles with 200 ml of solution.
  • Thanks to the nebulizer, the solution turns into a fine mixture, which during the procedure penetrates into the lower parts of the respiratory tract.

Sometimes the patient has to perform a complex of inhalations. It must be remembered that if bronchodilators are used, they are used first. After 20–30 minutes, proceed to other solutions: antibiotics, mucolytics, etc. Patients often ask: “How to dilute medicine for inhalation?” The answer is simple: as written in the instructions, or as prescribed by the doctor.

Oil and herbal solutions are inhaled in the usual way (over a saucepan). There is no need to use saline solution to dilute them.

Inhalations with saline solution for children

For inhalations in children, it is better to use a nebulizer, because... this technique is considered safe. Depending on the age of the child, from 2 to 4 ml of saline is used, which is filled into a special container. If the doctor prescribed a drug for inhalation and said to dilute it with saline, do not forget to specify the proportions.

The inhalation process is exactly the same as for adults. Sometimes the procedure time is slightly reduced, because... It is difficult to get children to sit over the device for a long time. Parents or medical staff should be present at all times to keep the child under control.

During pregnancy, saline solution is not contraindicated, but, on the contrary, in some cases it helps to moisten the dry mucous membrane of the nasopharynx, which often accompanies the gestation period. If a pregnant woman feels a sore, dry or slightly sore throat, you can safely start inhaling using saline.

In some cases, doctors recommend antiseptics for inhalation, but it is better to dilute them with saline solution. For any questions regarding therapy, consult your doctor.

Inhalations for the treatment of cough and nasopharyngeal diseases (runny nose, pharyngitis)

Inflammatory, allergic and infectious diseases of the respiratory tract cause damage to the mucous membranes, regardless of in which parts of the respiratory tract they are located.

Saline solution does not kill viruses and bacteria, but helps tissues recover from damage. During a runny nose and cough, the mucous membrane of the nasopharynx and lower parts of the respiratory system is inflamed. Therefore, inhalations with saline solution will undoubtedly have a positive effect. Saline solution for snot and cough is prescribed in combination with other drugs.

For example, if your cough is dry, your doctor may recommend:

It is recommended to dilute these products with saline solution. For bronchospasms (attacks of suffocation), bronchodilators are used:

For persistent cough and inflammation, pulmicort or budesonide are used. Gentamicin, fluimucil, miramistin will help tame the bacterial process.

Treatment of a runny nose is usually limited to instillation of drops. Inhalations are needed only in cases where, in addition to rhinitis, there is a sore throat, cough and other symptoms of inflammation of the respiratory tract.

Pharmacy saline solutions are used as safe remedies for runny nose:

You can also rinse your nose with saline solution, only for this purpose you take not a few drops, but a full pipette.

Ambrobene and saline solution - how to dilute

  1. Ambrobene contains ambrocol, a substance that promotes expectoration. The cells of the bronchi begin to clear, and pathological sputum leaves the respiratory tract. The bronchi are freed from viscous secretions, inflammation is eliminated, and the cough goes away.
  2. To obtain the necessary medicinal solution (saline + ambrobene), both drugs are taken in equal quantities. For children under two years of age, 1 ml of ambrobene and 1 ml of saline solution are needed. From two to six years - 2 ml of each, and from the age of six - 3 ml.
  3. The inhalation procedure is carried out in the morning and evening. The patient is seated on a comfortable chair, the nebulizer is filled, and the patient is asked to begin the procedure. You should breathe calmly, evenly, without deep breaths.

Lazolvan and saline solution - proportions

  1. Ambrobene and lazolvan are the same thing (structural analogues). The only difference is in the manufacturer. Lazolvan with saline solution is diluted according to the same principle as ambrobene. The main thing is not to forget that the solution for inhalation should be about 45 degrees.
  2. Inhalations last on average 5–7 days. Some pulmonologists prefer Lazolvan, although its price is higher than that of Ambrobene. This preference is rather related to trust in a particular pharmaceutical company.
  3. Even a considerable number of patients ask to be prescribed only an imported drug, preferably from developed European countries, such as Switzerland, Germany, Austria.

Berodual with saline solution - instructions

Berodual is a popular drug in pulmonology. It is used for bronchial asthma, emphysema and obstructive bronchitis. During spirometry, diagnostic tests are performed using a berodual for the presence of these diseases.

The basis of the drug is two substances - fenoterol and ipratropium bromide. This composition eliminates bronchospasm by relaxing their muscles. Literally 10–20 minutes after inhalation or application of the spray, the patient begins to breathe easier.

  1. To carry out inhalation of Berodual + saline solution, certain proportions must be observed. There are no doses for children under 6 years of age; body weight must be at least 22 kg.
  2. When calculating doses, pediatricians follow the following rules: 1 drop of Berodual (fenoterol 50 mcg + ipratropium bromide 25 mcg) per 2 kg of the child’s weight (for dilution, take 2 ml of saline solution). The procedures are carried out up to three times a day, each inhalation will require 0.5 ml of solution.
  3. For adults, you need to take 10–20 drops of the drug per inhalation, depending on the severity of bronchospasm. 20 minutes after the procedure with Berodual, other inhalations are carried out, for example, with Lazolvan, Decasan or other medicinal mixtures.

Pulmicort and saline solution - dosages

Pulmicort is a hormonal drug that has a pronounced anti-inflammatory and anti-edematous effect. The product contains budesonide. This drug is widely used for inhalation.

There is a special suspension on sale at 250 and 500 mcg/ml, which is what is needed for inhalation. In pediatrics, pulmicort for inhalation is approved from the age of six months.

  1. Pulmicort is often inhaled without dilution, or as prescribed by the doctor. Also check with your doctor for the amount of solvent (saline solution). Usually dilution is carried out 1:1.
  2. The daily dose for adult patients averages about 2 mg, but can be higher, up to 4 mg. Inhalations are carried out before bedtime, or twice a day (morning and evening).
  3. For babies starting from 6 months, a minimum dose of 0.25 to 0.5 mg is recommended. In extreme cases - up to 1 gram per day.

Are there any analogues for saline solution for inhalation?

When choosing a substitute (analogue), first of all, we need to start from what we need to find, either a saline solution, or a drug that replaces the therapeutic effect of saline solution.

As analogues, you can use pharmacy saline solutions or prepare them yourself at home. Mineral alkaline waters, such as Borjomi, are good (be sure to release the gas). In principle, any solution that regenerates and moisturizes the nasopharyngeal mucosa is suitable.

Reviews on the use of saline solution for inhalation

Patients with cough, in most reviews, state that saline solution alone does not provide any special improvements, it just seems to wash away the mucus from the walls of the throat. But with the addition of lazolvan or ambroxol, especially when the patient has a dry cough, the condition noticeably improves, literally after several inhalations.

Asthmatics and those with COB praise Berodual and believe that it provides the healing effect. Naturally, Berodual expands the bronchi, and the patient sees the result in 15 minutes. Therefore, the effect of drugs such as lazolvan, or, especially, saline, remains invisible to them.

Mothers of babies give more good reviews about monotherapy with saline solution, especially for runny noses in children. Children enjoy doing inhalations with saline solution in a playful way. It does not sting the nose and throat, so it is well tolerated by children.

Of course, saline solution without the addition of other medications is only suitable for colds without complications. If children develop a severe cough, treatment is supplemented with ambrobene and other drugs, taking into account the age-specific dosage.

The inhalation method of administering drugs is known to every person. Previously, inhalations were carried out using improvised means, but now medical equipment is represented by modern devices that help deliver the medicine to its destination.

Almost any mixture that is filled into a nebulizer includes saline solution (it is the main solvent).

The most popular combinations of drugs for inhalation mixtures are: bronchodilators + saline solution, mucolytics + saline solution, antiseptics + saline solution. It is these complexes that provide the maximum therapeutic effect in inflammatory processes of the respiratory tract by eliminating bronchospastic conditions.

Saline solution is a safe product with an excellent moisturizing effect. It protects mucous membranes from dryness and irritation, neutralizing the negative effects of medicinal substances included in medicinal mixtures for inhalation.

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Solution for inhalation

The effect of sprayed fine particles of medicinal solutions used for inhalation using nebulizers helps relieve inflammation and swelling, moisturize the mucous membranes, restore normal breathing, etc. Let's look at what solutions you can use for inhalations, and how to do them yourself.

Inhalation solutions for the nose for a runny nose and sinusitis

Here are recommendations on how to dilute medications to obtain a solution for inhalation:

  1. You can use ordinary saline solution or slightly alkaline mineral waters (Narzan, Borjomi), previously freed from gas (settled). For one session, 3 - 4 ml of the product is enough (3 procedures per day).
  2. Propolis tincture (alcohol) - a solution for inhalation is prepared by diluting the drug with saline solution in a ratio of 1:20 (1 ml of tincture per 20 ml of saline solution). For one inhalation, use 3 ml of the resulting solution (three times a day).
  3. Eucalyptus tincture (alcohol) – to prepare a solution, 10–15 drops of tincture must be diluted in 200 ml of saline solution. For one procedure, 3 ml of solution is enough (3 inhalations per day).
  4. Malavit (alcohol tincture) - a solution for inhalation is prepared by diluting the product in saline solution in a ratio of 1:30 (1 ml of product per 30 ml of saline solution). For one inhalation, use ml of the resulting solution (three times a day).
  5. Dexamethasone (0.4% solution for injection) - to obtain an inhalation solution, 1 ml of the drug must be diluted in 6 ml of saline solution. For the procedure, apply ml of the prepared solution (3 – 4 times a day).
  6. Furacilin (0.024% aqueous solution) - a ready-made solution in its pure form is used for inhalation, without dilution in saline. One procedure requires 4 ml of product (twice a day).
  7. Chlorophyllipt (alcohol infusion) - a solution for inhalation is prepared by diluting the drug in saline solution in a ratio of 1:10 (1 ml of infusion per 10 ml of saline solution). One procedure requires 3 ml of the prepared solution (three times a day).

Cough inhalation solutions

  1. Berodual (bronchodilator) - to prepare an inhalation solution for one inhalation, you need to dilute 2 ml of the drug with 3 ml of saline solution (up to 4 procedures per day).
  2. Fluimucil (mucolytic) - an inhalation solution can be prepared by diluting 3 ml of the drug with the same amount of saline. This amount of solution is used for one procedure, up to 2 inhalations per day.
  3. Lazolvan, Abmrobene (mucolytics) - to prepare an inhalation solution, 3 ml of one of the drugs should be diluted with saline in a 1:1 ratio. The resulting amount of solution is used for one procedure, up to 2 inhalations per day.
  4. Fluimucil antibiotic - to prepare the drug, add 5 ml of solvent to the bottle with the powder. An inhalation solution for one procedure is prepared by adding 2 ml of saline solution to the received dose of the diluted drug. A total of 1 – 2 sessions per day are performed.
  5. Lidocaine (2% solution, antitussive) - to prepare an inhalation solution for one procedure, 2 ml of the medicine should be diluted with the same amount of saline solution. Inhalations are carried out up to 2 times a day.
  6. Rotokan (alcohol infusion of plant extracts, anti-inflammatory agent) - a solution for inhalation can be prepared by diluting the product in saline solution in a ratio of 1:40 (1 ml of infusion per 40 ml of saline solution). For one procedure, use 4 ml of the prepared solution (three times a day).

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Solutions for inhalers (nebulizers)

Nowadays, nebulizers are very popular among doctors and mothers in the treatment of respiratory diseases, diseases of the nasopharynx and oral cavity. Unlike steam inhalers, this device sprays the medicine into small particles, visually it looks like steam or fog. Therefore, when using a nebulizer, there is no chance of getting burned, and the medicine sprayed by the device is easily inhaled. Depending on the desired effect, completely different combinations of drugs can be used in the nebulizer. Before using them, ALWAYS consult your doctor. In this article we will talk about the most popular and effective nebulizer solutions.

Drugs that dilate the bronchi (Bronchodilators)

Active ingredient: fenoterol and ipratropium bromide (solution for inhalation) – Prevention and treatment of suffocation in chronic obstructive respiratory diseases. The most effective of bronchodilators, has the least side effects.

Adults and children over 12 years old – 2 ml (40 drops) of the drug per 1 inhalation, up to 4 times a day

Children from 6 to 12 years old – 1 ml (20 drops) of the drug per 1 inhalation, up to 4 times a day

Children under 6 years old – 0.5 ml (10 drops) of the drug per 1 inhalation, up to 3 times a day

To prepare an inhalation solution, add 3 ml of saline solution to the recommended dose of the drug.

Active ingredient: fenoterol (0.1% solution for inhalation)

Dosage for relieving an attack of bronchial asthma:

Adults and children over 12 years old – 0.5 ml (0.5 mg – 10 drops), in severe cases – 1 ml (1 mg – 20 drops)

Children 6–12 years old (body weight 22–36 kg) – 0.25-0.5 ml (0.25-0.5 mg – 5-10 drops), in severe cases – 1 ml (1 mg – 20 drops) )

Dosage for the prevention and symptomatic treatment of bronchial asthma and chronic obstructive pulmonary disease:

Adults and children over 6 years old – 0.5 ml (0.5 mg – 10 drops) per 1 inhalation, up to 4 times a day

Children under 6 years old (body weight less than 22 kg) – 0.25-1 ml (0.25-1 mg – 5-20 drops), up to 3 times a day

The recommended dose is diluted with saline immediately before use to a volume of 3–4 ml. The interval between inhalations should not be less than 4 hours.

Active ingredient: salbutamol (0.1% solution for inhalation) – Relief of asthma attacks, prevention and symptomatic treatment of bronchial asthma and chronic obstructive pulmonary disease. The effect is significantly inferior to Berotek

Adults and children – 2.5 ml (2.5 mg) per 1 inhalation, up to 4 times a day with an interval between inhalations of at least 6 hours

Intended for use undiluted

Active ingredient: ipratropium bromide (0.025% solution for inhalation) – Relief of asthma attacks, prevention and symptomatic treatment of bronchial asthma and chronic obstructive pulmonary disease. The effect is somewhat inferior to Berotek and salbutamol preparations, but the main advantage is the safety of use

Adults and children over 12 years old – 0.5 mg (40 drops) per 1 inhalation, 3–4 times a day

Children 6–12 years old – 0.25 mg (20 drops) per 1 inhalation, 3–4 times a day

Children under 6 years of age – 0.1–0.25 mg (8-20 drops) per 1 inhalation, 3–4 times a day (under medical supervision).

The recommended dose is diluted with saline immediately before use to a volume of 3–4 ml. The interval between inhalations is at least 2 hours

Drugs that thin sputum (Mucolytics) and remove phlegm (Secretolytics, expectorants)

Active ingredient: acetylcysteine ​​(10% solution for injection) – Impairing the discharge of sputum from the lower respiratory tract, facilitating the discharge of mucous secretions in the upper respiratory tract

Adults and children over 12 years old – 3 ml of the drug per 1 inhalation, 1-2 times a day

Children from 6 to 12 years old – 2 ml of the drug per 1 inhalation, 1-2 times a day

Children from 2 to 6 years old – 1-2 ml of the drug per 1 inhalation, 1-2 times a day

The recommended dose of the drug should be diluted with saline in a ratio of 1:1

Course of treatment – ​​no more than 10 days

Acetylcysteine ​​preparations should not be used simultaneously with antibiotics, because they reduce the absorption of antibiotics. In cases where simultaneous administration of acetylcysteine ​​and an antibiotic is required, either another form of the drug is used: “Fluimucil-antibiotic”, or other mucolytic drugs compatible with antibiotics are used (for example, based on ambroxol). It should be noted that the use of acetylcysteine ​​preparations reduces the toxic effect of paracetamol on the liver.

Active ingredient: ambroxol (solution for inhalation and oral administration) – Acute and chronic diseases of the respiratory tract with the release of viscous sputum

Adults and children over 6 years old – 2-3 ml of solution per 1 inhalation, 1-2 times a day

Children from 2 to 6 years old – 2 ml of solution per 1 inhalation 1-2 times a day

Children under 2 years old – 1 ml of solution per 1 inhalation, 1-2 times a day

To prepare an inhalation solution, the recommended dose of the drug should be diluted with saline in a ratio of 1:1

Course of treatment – ​​no more than 5 days

Drugs based on amboxol should not be used simultaneously with antitussive drugs (for example: codeine, libexin, falimint, broncholitin, pectussin, sinekod, etc.). The use of ambroxol preparations promotes good absorption of antibiotics.

Narzan, Borjomi (slightly alkaline mineral waters)

Moisturizing the mucous membrane of the respiratory tract

For 1 inhalation use 3-4 ml of mineral water, 2-4 times a day.

Before inhalation, mineral water should be left to degas.

Homeopathic herbal medicine (drops based on plant extracts: gentian root, sorrel, primrose, elderberry, verbena) – Restores the protective properties and reduces swelling of the mucous membrane of the respiratory tract in acute and chronic sinusitis. Promotes the outflow of exudate from the paranasal sinuses

To prepare an inhalation solution, the drug must first be diluted in saline solution:

For adults and children over 16 years of age - in a ratio of 1:1 (per 1 ml of drug 1 ml of saline solution)

For children from 6 to 16 years old - in a ratio of 1:2 (2 ml of saline solution per 1 ml of drug)

For children from 2 to 6 years old - in a ratio of 1:3 (3 ml of saline solution per 1 ml of drug)

For 1 inhalation, use 3-4 ml of the resulting solution, 3 times a day.

Cough medicine, herbal medicine (powder (for children and adults)

To prepare a solution based on plant extracts: anise, licorice root, marshmallow root, thermopsis) – Respiratory tract diseases accompanied by cough, especially with difficulty in sputum discharge

To prepare an inhalation solution, the contents of 1 package should be dissolved in 15 ml of saline until completely dissolved without sediment.

For 1 inhalation, use 3-4 ml of the resulting solution, 3 times a day.

Mucaltin, herbal medicine (tablets based on marshmallow root extract)

Expectorant for diseases of the respiratory tract and lungs

To prepare an inhalation solution, dissolve 1 tablet in 80 ml of saline until completely dissolved without sediment.

For 1 inhalation, use 3-4 ml of the resulting solution, 3 times a day.

Pertussin, herbal medicine (solution based on plant extract: thyme, thyme)

Expectorant for tracheitis, bronchitis, whooping cough

To prepare an inhalation solution, the drug must first be diluted in saline solution:

For adults and children over 12 years old - in a ratio of 1:1 (per 1 ml of drug 1 ml of saline solution)

For children under 12 years of age - in a ratio of 1:2 (2 ml of saline solution per 1 ml of drug)

For 1 inhalation, use 3-4 ml of the resulting solution, 3 times a day.

Anti-inflammatory drugs

Herbal medicine (alcohol infusion of plant extracts: calendula, chamomile, yarrow) – Acute inflammatory diseases of the upper and middle respiratory tract

The solution for inhalation is prepared by diluting the drug in saline in a ratio of 1:40 (1 ml of the drug per 40 ml of saline)

For 1 inhalation, use 4 ml of the resulting solution, 3 times a day.

Propolis, herbal medicine (tincture)

Inflammatory processes, pain and injuries of the upper and middle respiratory tract

The solution for inhalation is prepared by diluting the drug in saline in a ratio of 1:20 (1 ml of the drug per 20 ml of saline)

For 1 inhalation, use 3 ml of the resulting solution, 3 times a day.

Contraindications – allergies to bee products

Eucalyptus, herbal medicine (alcohol tincture)

Inflammatory diseases of the upper and middle respiratory tract

The solution for inhalation is prepared by diluting drops of the drug in 200 ml of saline solution

For 1 inhalation use 3 ml of the resulting solution, 3-4 times a day

Contraindications – bronchial asthma, bronchospasm (suffocation)

Dietary supplement (alcohol tincture based on minerals and plant extracts) – Acute inflammatory diseases and pain of the upper and middle respiratory tract

The solution for inhalation is prepared by diluting the drug in saline solution in a ratio of 1:30 (1 ml of the drug per 30 ml of saline solution)

For 1 inhalation, use 3-4 ml of the resulting solution, 3 times a day.

Homeopathic herbal medicine (drops based on plant extracts: marshmallow root, walnut leaves, horsetail, chamomile, yarrow, oak bark, dandelion) Acute and chronic diseases of the upper respiratory tract (tonsillitis, pharyngitis, laryngitis)

To prepare an inhalation solution, the drug must first be diluted in saline solution:

For adults and children over 7 years old - in a ratio of 1:1 (per 1 ml of the drug 1 ml of saline solution)

For children from 1 to 7 years old - in a ratio of 1:2 (2 ml of saline solution per 1 ml of drug)

For children under 1 year - in a ratio of 1:3 (3 ml of saline solution per 1 ml of drug)

For 1 inhalation, use 3-4 ml of the resulting solution, 3 times a day.

Calendula, herbal medicine (alcohol infusion of calendula extract)

Acute inflammatory diseases of the upper respiratory tract

The solution for inhalation is prepared by diluting the drug in saline in a ratio of 1:40 (1 ml of the drug per 40 ml of saline)

For 1 inhalation use 4 ml of the resulting solution, 3 times a day

Anti-inflammatory hormonal drugs (Glucocorticosteroids) and antiallergic drugs (Antihistamines)

Active ingredient: budesonide (suspension for inhalation, available in “child” (0.25 mg/ml) and “adult” (0.5 mg/ml) dosages) – Acute inflammatory diseases of the lower respiratory tract (bronchial asthma, chronic lung disease ), requiring treatment with hormonal drugs. Has anti-inflammatory and anti-allergic effects.

Adults/elderly and children over 12 years of age – 1 mg per 1 inhalation, 1-3 times a day

Children from 6 months. and up to 12 years – 0.25 mg per 1 inhalation, 1-3 times a day

This drug is not used in ultrasonic nebulizers. If a single dose of the drug is less than 2 ml, then saline solution should be added to increase the volume of the inhaled solution to 2 ml. In other cases, the drug is inhaled in its pure form (without dilution in saline).

Daily dose of the drug:

0.25 mg/ml – 1 ml 0.25 mg/ml

0.5 mg/ml – 2 ml 0.25 mg/ml

0.75 mg/ml – 3 ml 0.25 mg/ml

1 mg/ml – 4 ml of 0.25 ml/mg or 2 ml of 0.5 mg/ml

1.5 mg/ml – 3 ml 0.5 mg/ml

2 mg/ml – 4 ml 0.5 mg/ml

(0.4% solution for injection, 4 mg/ml) – Acute inflammatory diseases of the respiratory tract requiring treatment with hormonal drugs

For 1 inhalation, use 0.5 ml (2 mg) of the drug, up to 4 times a day.

The course of treatment is no more than 7 days

To prepare an inhalation solution, 3 ml of saline solution should be added to the recommended dose of the drug.

You can also pre-dilute ampoules with the drug in saline solution in a ratio of 1:6 (6 ml of saline solution per 1 ml of the drug) and inhale 3-4 ml of the resulting solution per 1 inhalation.

Active ingredient: cromoglycic acid (inhalation solution, 20 mg / 2 ml) – Has anti-allergic, anti-inflammatory, anti-asthmatic effects.

For adults and children over 2 years of age, inhale the contents of 1 bottle (without dilution with saline) 4 times a day, if possible, at equal time intervals.

If necessary, the recommended dose can be increased by 2 times, and the frequency of use can be increased up to 6 times.

Antimicrobial and antibacterial drugs (Antibiotics and Antiseptics)

Antibiotic, active ingredient: acetylcysteine ​​and thiamphenicol (powder for injection and inhalation complete with solvent) – The need for simultaneous administration of an antibiotic and a drug that dilutes and removes sputum and mucus from the lower and upper respiratory tract

To prepare the drug, add 5 ml of solvent (1 ampoule) to the bottle with the powder. The resulting preparation should be stored in the refrigerator for no more than a day, before use it should be warmed to room temperature.

Adults and children over 12 years old – ½ bottle (250 mg) for 1 inhalation 1-2 times a day

Children under 12 years old – ¼ bottle (125 mg) per 1 inhalation 1-2 times a day

To prepare an inhalation solution, add 2 ml of saline solution to the recommended dose of the drug.

Active ingredient: nitrofural (0.024% aqueous solution, 1:5000) – Has disinfectant properties. Treatment of acute respiratory viral infections, prevention of infection penetration into deeper parts of the bronchial tree

For inhalation, use a ready-made solution of furatsilin (in its pure form, without dilution in saline) 4 ml per 1 inhalation 2 times a day. This solution must be ordered from the production department of the pharmacy.

You can prepare the solution yourself by dissolving 1 tablet of furatsilin in 100 ml of saline until completely dissolved without sediment. Inhale 4 ml of the resulting solution 2 times a day.

(0.5% or 1% solution for injection) – Has broad-spectrum disinfectant properties.

To prepare an inhalation solution, the drug should be diluted with saline in a ratio of 1:4 for a 1% drug or in a ratio of 1:2 for a 0.5% drug.

For 1 inhalation, use 3-4 ml of the resulting solution, 2 times a day.

Herbal medicine (1% alcohol infusion based on chlorophyll from eucalyptus leaves) – Staphylococcal respiratory tract infection

The solution for inhalation is prepared by diluting the drug in saline solution in a ratio of 1:10 (1 ml of the drug per 10 ml of saline solution)

For 1 inhalation, use 3 ml of the resulting solution, 3 times a day.

The product stains very strongly and cannot be washed off!

(4% gentamicin sulfate injection, 40 mg/ml)

Respiratory tract infections

Adults and children over 12 years old – 0.5 ml (20 mg) of the drug per 1 inhalation, 1-2 times a day

Children from 2 to 12 years old – 0.25 ml (10 mg) of the drug per 1 inhalation, 1-2 times a day

To prepare an inhalation solution, 3 ml of saline solution should be added to the recommended dose of the drug. You can also pre-dilute ampoules with the drug in saline solution:

For adults and children over 12 years old - in a ratio of 1:6 (6 ml of saline solution per 1 ml of the drug) and inhale 3-4 ml of the resulting solution per 1 inhalation.

For children from 2 to 12 years old - in a ratio of 1:12 (12 ml of saline solution per 1 ml of the drug) and inhale 3 ml of the resulting solution per 1 inhalation.

Broad-spectrum antiseptic. Treatment of respiratory tract infections, including those accompanied by purulent discharge

For inhalation, adults and children over 12 years of age use a ready-made 0.01% solution of Miramistin (in its pure form, without dilution in saline), 4 ml per 1 inhalation 3 times a day.

For children under 12 years of age, to prepare an inhalation solution, the drug should be diluted with saline solution in a ratio of 1:2 (2 ml of saline solution per 1 ml of the drug) and inhaled 3-4 ml per 1 inhalation 3 times a day.

Immunomodulators

Interferon, (powder for preparing nasal drops)

Prevention and treatment of influenza, as well as other acute respiratory viral infections.

To prepare the drug, open the ampoule with the powder, pour boiled or distilled water at room temperature into it to the 2 ml mark, and shake gently.

For 1 inhalation, use 2 ml of the resulting solution, 2 times a day.

To prepare an inhalation solution, add 1 ml of saline solution to the recommended dose of the drug.

Active ingredient: sodium disoribonucleate (0.25% solution for external use) – Prevention and treatment of influenza, ARVI and other viral infections of the upper respiratory tract and their complications

For 1 inhalation use 2 ml of the drug, 2 times a day.

To prepare an inhalation solution, add 2 ml of saline solution to the recommended dose of the drug.

Vasoconstrictor (decongestant) drugs

Active ingredient: epinephrine (0.1% solution of adrenaline hydrochloride for external use or injection) – Bronchospasm (attack of suffocation), allergic laryngeal edema, laryngeal edema with laryngitis, laryngotracheitis and croup

Adults and children over 2 years old – 0.5 ml of the drug once, repeat the procedure if necessary

Children under 2 years old – 0.25 ml of the drug once, repeat the procedure if necessary

To prepare an inhalation solution, add 3 ml of saline solution to the recommended dose of the drug.

You can also pre-dilute the drug in saline:

For adults and children over 2 years old - in a ratio of 1:6 (6 ml of saline solution per 1 ml of the drug) and inhale 3 ml of the resulting solution per 1 inhalation.

For children under 2 years old - in a ratio of 1:12 (12 ml of saline solution per 1 ml of the drug) and inhale 3 ml of the resulting solution per 1 inhalation.

Use with caution, increases heart rate! Do not use without consulting a doctor!

Active ingredient: naphazoline (nasal drops, 0.05% and 0.1% solution) – Allergic stenosis (swelling) of the larynx, stenosis (swelling) of the larynx with laryngitis, laryngotracheitis and croup

To prepare an inhalation solution, the 0.05% drug should be diluted with saline in a ratio of 1:5 (for 1 ml of the drug, 5 ml of saline) or the 0.1% drug should be diluted in a ratio of 1:10 (for 1 ml of the drug, 10 ml saline solution).

To relieve swelling, inhale 3 ml of the resulting solution once, and repeat the procedure if necessary.

Antitussives

Lidocaine, (2% solution of lidocaine hydrochloride)

Obsessive dry cough. Local anesthetic effect

Adults and children over 12 years old – 2 ml of the drug per 1 inhalation, 1-2 times a day

Children from 2 to 12 years old – 1 ml of the drug per 1 inhalation, 1-2 times a day

To prepare an inhalation solution, add 2 ml of saline solution to the recommended dose of the drug.

Use with caution, there are very serious contraindications! Do not use without consulting a doctor!

Tussamag, herbal medicine (drops based on thyme extract)

Upper respiratory tract diseases accompanied by nonproductive cough

To prepare an inhalation solution, the drug must first be diluted in saline solution:

For adults and children over 17 years old - in a ratio of 1:1 (per 1 ml of the drug 1 ml of saline solution)

For children from 6 to 16 years old - in a ratio of 1:2 (2 ml of saline solution per 1 ml of drug)

For children from 1 to 5 years old - in a ratio of 1:3 (3 ml of saline solution per 1 ml of drug)

For 1 inhalation, use 3-4 ml of the resulting solution, 3 times a day.

Rules for inhalation with a nebulizer:

  1. Inhalations should be taken no earlier than 1-1.5 hours after meals, and you should not be distracted by conversation. After inhalation, it is not recommended to talk, eat, or go outside for 1 hour (in cool weather).
  2. For diseases of the upper respiratory tract (nose, paranasal sinuses and nasopharynx), inhalation and exhalation must be done through the nose using a mask. Breathe calmly, without tension.
  3. For diseases of the middle respiratory tract (throat, larynx), inhalation and exhalation should be done through the mouth using a mask. You should breathe calmly as usual
  4. For diseases of the trachea, bronchi, and lungs, it is recommended to inhale the aerosol through the mouth using a mouthpiece. Breathe deeply and evenly.
  5. Most inhalation solutions are prepared using 0.9% sodium chloride (NaCl) saline as a solvent and humectant. The original drug is diluted with saline in certain proportions.
  6. The prepared solution should be stored in the refrigerator for no more than a day. Be sure to warm to room temperature before use.
  7. When prescribing several drugs simultaneously, the order should be observed. A bronchodilator is inhaled first, a minute later - an agent that thins and removes sputum, then, after the sputum is discharged, an antibiotic or anti-inflammatory agent is inhaled.
  8. The course of treatment depends on the complexity of the disease and the drug used (from 5 to 10 days)
  9. Although nebulizer therapy does not apply to thermal physiotherapeutic procedures, it is nevertheless not recommended to perform inhalations at elevated body temperatures
  10. It is prohibited to use oil-based preparations in nebulizers. Various oils are used to treat diseases only of the upper respiratory tract, for which exposure to coarse particles is sufficient, therefore steam inhalers are used for inhalation of oils. The nebulizer produces fine particles. When using oil solutions, fine particles of oil enter the lungs, and this significantly increases the risk of developing so-called oil pneumonia. Also, the use of essential oils in nebulizers increases the risk of allergies due to the high concentration of active substances in the lungs.
  11. Most nebulizers do not allow the use of self-prepared decoctions and infusions of herbs, since they have a suspension that is much larger than aerosol particles and the nebulizer cannot miss them, which in turn can lead to damage to the device. For the same reason, suspensions and syrups are not used in nebulizers (with the exception of special suspensions for inhalation). Although there are nebulizers that can work with herbal decoctions.
  12. Medicines such as Eufillin, Papaverine, Diphenhydramine and similar drugs also cannot be used in nebulizers, since they do not have “points of application” on the mucous membrane.

Source: http://www.yamisha.ru/vseodetyah/rastvori_dlya_nebulaizera/

Instructions for use of "Lazolvan" for inhalation in a nebulizer: dilution proportions with saline solution, dosage for children

Children are more likely than adults to develop respiratory (upper respiratory) diseases. Children especially often catch colds in the autumn-winter periods: coughing, phlegm in the lungs, burning sensation, sore nose, throat and a host of other unpleasant symptoms appear. Loving parents want to make their children’s recovery faster and safer for their health, without taking a huge number of tablets, syrups and other medications.

Home inhalations using medications can be an effective treatment for these diseases. In this article you will learn how to use the drug Lazolvan in a nebulizer and quickly cope with a cold and its possible complications.

Composition of the drug and its effect

The composition of the drug includes the widely used ambroxol and auxiliary components: purified water, citric acid monohydrate, disodium hydrogen phosphate dihydrate, sodium chloride, benzalkonium chloride. 1 ml of Lazolvan solution contains 7.5 mg of ambroxol hydrochloride. The solution is clear or has a slight brown tint.

The active component of the drug has properties aimed at stimulating the discharge, liquefaction of sputum (secretomotor) and expectorant action, protects the local mucosa of the upper respiratory tract (the mucociliary system is activated). The drug improves the discharge of pathological secretions from the alveoli and bronchi. Taking Lazolvan relieves dry cough by moisturizing the airways. The therapeutic effect of the drug occurs after approximately 30 minutes and lasts about 6-12 hours.

The advantage of Lazolvan is its low price, affordable to every family. It is sold in pharmacies over the counter in dark glass bottles in ampoules or in the form of tablets and syrup. Its use after the expiration date is not allowed. Before using the medicine, read the package insert.

When is Lazolvan prescribed?

Drug therapy is prescribed by a pediatrician after a thorough examination and evaluation of test results. Only after making a diagnosis will the pediatrician be able to give appropriate treatment recommendations.

Indications for the use of Lazolvan in inhalations may be:

  • diseases of the upper respiratory tract, occurring acutely or chronically, in which the appearance of sputum is observed;
  • dry, nonproductive cough;
  • bronchitis in acute or chronic stage;
  • pneumonia;
  • bronchiectasis;
  • chronic obstructive pulmonary disease (COPD);
  • bronchial asthma with difficult to separate sputum.

Before starting treatment, you should consult a doctor. Self-medication can be dangerous for a child’s health!

Methods of using Lazolvan solution

There are several ways to use Lazolvan:

  • it is used for inhalation through a nebulizing device;
  • oral administration (syrup, tablets).

Lazolvan is effective both for inhalation and for oral administration; the main thing is to strictly follow the dosage indicated in the instructions

Lazolvan is used internally by adding the required number of drops to drinks: tea, milk or juice. When taken orally, the dosage should be the same as when used in a nebulizer (see below). It is not recommended to add medicinal substances to freshly squeezed juices, because they reduce absorption from the stomach and reduce the effectiveness of action. Can be used during, before or after meals.

Instructions for use

One of the most effective methods is inhalation using a nebulizer. Today, nebulizers and inhalers are popular in many modern families. The use of these medical devices helps to carry out outpatient therapy more effectively without leaving home and without overpaying for procedures in a hospital or clinic.

Unlike inhalers, nebulizers are available only in ultrasonic and compression versions; they generate fog, which is more effective than steam in standard steam inhalers. When sprayed and inhaled, the mist reaches the mucous membranes of the nose, pharynx, trachea, bronchi and lungs, thereby providing a local therapeutic effect. Thanks to this device, it is possible to use a larger number of drugs to treat respiratory diseases in children.

Rules for diluting the drug with saline solution for a nebulizer

1 ml of Lazolvan contains 25 drops. The correct solution will be the ratio of Lazolvan with sterile 0.9% saline solution in a one to one ratio (for example, if you take 25 drops of Lazolvan, then the saline solution should be 1 ml). When used with saline solution, maximum hydration of the mucous membrane is achieved, which has a positive effect on treatment.

The saline solution should be at room temperature, and the drug itself must be heated to body temperature (before use, it is warmed up by holding the bottle in your hand for several minutes. Lazolvan inhalation solution should not be mixed with cromoglycic acid, as well as alkaline solutions, the pH of which is higher than 6.3. Masks and nozzles for inhaling mist are selected in accordance with the age of the child.

Dosage for children of different ages

The dose is selected by the doctor individually, taking into account other prescribed medications. Children over 12 years of age are prescribed 4 ml 3 times a day. How many drops does a baby need? The number of uses and dosage depend on the age of the child; these parameters are shown in the table:

How many minutes to inhale, and how long does the course of treatment last?

As with any treatment, the main thing is not to overdo it - not to exceed the duration of inhalation and the course of treatment. It is important to maintain the concentration and dilute the solution correctly.

Procedures using Lazolvan are carried out for about 3 minutes for children under 5 years of age. Older children are prescribed therapy with a higher dosage, and the duration of the procedure may increase, amounting to 5-10 minutes. The course can last for days.

In order not to provoke a cough, since when inhaling you should take a deep breath, you need a normal, measured breathing rhythm. Before the inhalation procedure itself, it is advisable to avoid physical activity, and after that a quiet rest is recommended.

Contraindications and possible side effects

Inhalation therapy is a highly effective method, but there are a number of contraindications. The drug should be used with caution in children who have diseases of the gastrointestinal tract (gastric and duodenal ulcers), or with impaired liver and/or kidney function. A contraindication is also a tendency to nosebleeds. To avoid unexpected reactions, you should consult a pediatrician. The product should not be used in combination with other antitussive drugs.

Possible adverse reactions include:

  • nausea, vomiting;
  • abdominal pain, heartburn;
  • dry mouth and throat;
  • Rarely, there may be a disturbance in the sense of taste;
  • allergic reactions (skin itching, rash, swelling, etc.).

Lazolvan's analogs

If Lazolvan is not available in the pharmacy, you can purchase drugs with the same properties and mechanism of action. In pediatrics, the following analogues are used for inhalation:

  • Ambrosan;
  • Ambrohexal;
  • Ambrovix;
  • Anavix;
  • Lazoxol baby;
  • Flavamed;
  • Mistabron;
  • Mukostin et al.

If any of the medications listed is missing, you should seek help from a pharmacy worker. A pharmacist has the right to provide consultation on over-the-counter medications.

We purchased a nebulizer for home. Often, when children are sick, a cough and viscous sputum appear, we use inhalation. Lazonvan is an excellent drug, children tolerate it well and there are no side effects. For myself and my husband we also used inhalations with Lazolvan, recovery is much faster.

We also have a nebulizer, but I don’t see any point in it at all. The doctor advised me to buy the device and Lazolvan. The child’s cough only got worse, I hid this miracle device on the second day, without it the baby recovers faster.

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/lazolvan-dlya-ingalyacij-instrukciya-detej.html