Bromhexine - syrup and tablets for children: instructions for use, indications and price. Bromhexine syrup for children: instructions for use for different ages

When a child starts coughing, we immediately run to the pharmacy and ask for some syrup that is most effective. In particular, Bromhexine is popular. For children, it is completely safe, rarely causes side effects and is recommended by most medical specialists.

However, even the instructions for use of the drug itself indicate that it is necessary to consult a doctor before using it. This is due to the fact that the treatment of cough in children can be carried out in various ways, depending on the nature of its occurrence and character.

Bromhexine is a classic mucolytic agent. Its main effect is the liquefaction of sputum due to the destruction of the molecules of complex substances in it. In addition, Bromhexine also significantly increases the activity of the epithelium of the mucous membrane, which contributes to the outflow of sputum from the affected areas. Thanks to this effect, the safety of the drug is achieved, as indicated by the instructions for use - it does not block cough and does not stop the production of sputum, like other drugs.

However, this effect not only makes Bromhexine safe, but also somewhat reduces its effectiveness in the fight against certain diseases. It is recommended to be used only in the absence of a productive cough and in case of difficulty in breathing as a result of the accumulation of a large amount of sputum in the bronchi and lungs.

The list of diseases for which Bromhexine is indicated contains the following pathological conditions:

• bronchitis of various nature;
• tracheitis - including obstructive ones;
• tracheobronchitis;
• bronchiectasis;
• cystic fibrosis, in which the density of sputum sharply increases, blocking the respiratory tract up to suffocation;
• pneumonia - including bacterial, acute and chronic;
• pulmonary tuberculosis at any stage;
• preparation for operations involving the lungs and other parts of the human respiratory tract.

The most popular dosage form of this drug is syrup, which in the version for children contains sweeteners that greatly facilitate the process of taking. Adults are advised to take Bromhexine in tablets that are quickly absorbed and do not contain any side substances that can harm the body, weakened by illness and treatment. There are also less common forms of release of bromhexine, which are represented by solutions for inhalation or a concentrated form for injection and intravenous drip.

Use of the drug

Due to the fact that the drug can be produced by different manufacturers and have different doses of the active substance, it is advisable to indicate its use in milligrams of the active substance. In particular, adolescents and adults should use 8 milligrams up to three times a day. If only a slight effect is achieved, the instructions for use allow you to double the dose without significant consequences for the body. When acute conditions occur, Bromhexine is used four times a day under the supervision of a medical professional.

If the child's age is from 6 to 14 years, it is worth reducing the single dosage of Bromhexine. If it is necessary to obtain a more intensive therapeutic effect, this indicator is increased. Otherwise, all recommendations that are relevant for an adult are preserved.

At the age of 2 to 6 years, the instructions for use recommend using either a syrup or an inhalation solution to make the use of Bromhexine as easy and enjoyable as possible for the child. A single dose is reduced to 4 milligrams. It is forbidden to increase it, as this can lead to an allergic reaction to the drug with dangerous consequences.

Bromhexine is also allowed to be used at a child's age not exceeding two years - however, only syrup is an acceptable dosage form of the drug in this case. Instructions for use recommends giving the child Bromhexine three times a day, making sure that a single dose of the active substance does not exceed 2 milligrams. Exceeding this dosage is prohibited even in case of exacerbations, and if the baby's health deteriorates, the doctor must decide on the appointment of a different form of treatment.

Contraindications

In 99% of cases, Bromhexine is completely safe for the human body, but you need to know when it is forbidden to take it and what undesirable consequences it can cause. The most dangerous is the use of any form of bromhexine for peptic ulcer of the stomach or intestines. The consequence of this may be the onset of bleeding, leading to a significant deterioration in the condition of the body.

The use of Bromhexine in bronchial asthma or bronchial obstruction syndrome is strictly prohibited, since this can completely block the upper respiratory tract with excess sputum.

The instruction also does not recommend taking Bromhexine at the same time as ingesting vegetable essential oils, except for those contained in the preparation as excipients. If you're buying baby syrup, it's best to choose one that doesn't contain artificial sweeteners, colors, or other ingredients that can harm your baby's body or cause allergic reactions. It is better to use it only when the child refuses to take the drug.

In 0.01% of people, there is an increased sensitivity to Bromhexine itself or an allergic reaction to this chemical compound - this must also be taken into account before starting use.

Side effects

Even if you have no contraindications to taking the drug, with prolonged use it can cause side effects. Especially active in this regard is a syrup containing a large amount of excipients. If an allergic reaction occurs as a result of an overdose or an excess of the permissible period of treatment with Bromhexine, a multiply increased cough, as well as bronchospasm, may occur.

Also, individual sensitivity to the components of the drug manifests itself in the form of rashes on the skin. Use when the body is depleted and insufficient nutrition often causes severe dizziness, which can reach fainting.

Bromhexine can cause liver dysfunction, which is accompanied by yellowing of the whites of the eyes and significant changes in the analysis of blood and gastric juice enzymes.

Many colds are accompanied by a cough, which is quite natural, because this is a protective reaction of the body to foreign bodies, such as viruses or bacteria that enter our body. However, this symptom is not pleasant.

It is especially difficult in this regard for young children who cannot yet cough. Therefore, any parent wants to save their child from coughing as soon as possible. A lot of medicines have been created for this. But one of the most effective and perhaps the most popular is Bromhexine for children, produced in the form of a syrup, which can be used even for children under one year old.

This drug has various forms of release. These are tablets, syrup, solutions for injections and inhalations, and drops. But for the treatment of cough in a child, syrup and tablets are most often used. Bromhexine syrup, instructions for use tell us, in this case it is preferable. After all, it can be used even for children under one year old, unlike tablets, which can be taken only from the age of three, and besides, it has a more pleasant taste, which is important when treating a child.

The main active ingredient in Bromhexine Cough Syrup is Bromhexine Hydrochloride. It also contains excipients. It:

• propylene glycol,
• sodium benzoate,
• sorbidol solution, non-crystallizing,
• lemon acid,
• flavor additive,

Cough syrup for children Bromhexine is produced by various pharmaceutical companies, both Russian and foreign. Most of them produce this drug without the addition of ethyl alcohol, as indicated by the inscription on the package. But some manufacturers produce syrup where this component is present. So when buying a product, carefully read the composition that is indicated in the instructions.

As for the action of Bromhexine, it is mucolytic. He thins the viscosity of sputum released from the bronchi. This happens due to the stimulation of the cells that produce this secret.

Indications for use

As already mentioned here, this syrup is mainly used to treat a cough in a child. However, it is also used by adults. Indications for its use, as stated in the instructions, are such diseases:

• inflammatory diseases of the upper respiratory tract,
• chronic and acute bronchitis,
• pneumonia,
• bronchial asthma,
• tracheobronchitis,
• accumulation of viscous sputum in the bronchi,
• cystic fibrosis.

Also, the drug is given as a prophylactic agent in the preoperative and postoperative periods, and in medical and diagnostic procedures of the bronchi. Although the drug is dispensed in a pharmacy without a prescription, it is not recommended to use it without a prescription, especially for children.

Syrup, as well as Bromhexine tablets, are available with the amount of active substance 4 and 8 mg. This amount is contained either in one tablet of the drug, or in 5 ml of syrup. Given this, and use the drug. Here is what the instructions for use say about how the drug should be given.

The exact dosage for children from birth to 2 years old can only be determined by a pediatrician. But the recommended 2.5 ml 3 times a day. If the child is 2 years old, but not yet 6 years old, take 2.5-5 ml also 3 times a day. From 6 to 10 years, Bromhexine is also taken 3 times a day, but 5-10 ml each. And if a child is older than 10 years, then he is recommended to take 10 ml three times a day.

When treating a cough with this drug, drinking plenty of water is recommended, which helps to remove sputum. The duration of the course of treatment with the drug is determined by the doctor, but usually it is 4-6 days. If Bromhexine did not give the desired effect, then the drug is replaced with another remedy.

Of course, Bromhexine syrup is safe drug, otherwise it would not be approved for use in children under one year old. But still, like any drug, he still has contraindications. And as stated in the instructions for use, these include:

• hypersensitivity to the components of the drug,
• stomach bleeding,
• peptic ulcer of the stomach and duodenum,
• liver and kidney failure,
• fructose intolerance.

Adult contraindications include pregnancy and lactation. Bromhexine syrup should be used with caution with diabetes. Do not give Bromhexine at the same time as drugs that block the cough center. These include, in particular, codeine. But, on the other hand, it can be used with preparations that contain essential oils, such as anise, eucalyptus oil, peppermint and menthol.

Failure to follow the doctor's recommendations and instructions for use, especially this section, may lead to side effects. However, sometimes they can appear for no apparent reason. To such adverse reactions relate:

• abdominal pain, nausea, vomiting, stool problems,
• exacerbation of peptic ulcer
• allergic reactions: angioedema, runny nose, rash, itching,
• headache and dizziness,
• elevated body temperature,
• increased sweating,
• increased activity of liver enzymes.

When side effects you need to see a doctor immediately. Most likely, he will cancel the use of this remedy and prescribe another.

The price of the drug and its analogues

Depending on where Bromhexine syrup is produced, in which country and which pharmaceutical company, its price may be different. But still, it is in the affordable price category for most people. The average price in Russia is from 70 to 110 rubles. It should be noted that Bromhexine syrup of domestic production costs less than foreign.

This drug also has analogues, which can be both lower in price and higher. To the most famous analogues funds include:

• Acecex Pharma,
• Bromhexine grindeks,
• Bronchosan,
• Fluditec.

Some analogues are cheaper, some are more expensive, but they have one thing in common - a similar principle of operation. But still, if for some reason Bromhexine syrup does not suit you, in terms of price or efficiency, it is impossible to replace it with an analogue without a doctor's prescription.

Cough syrup Bromhexine for children and adults is a long-known mucolytic expectorant that improves the discharge of secretions from the bronchi.

The syrup has a mild effect on the body, has a minimum number of side effects and contraindications. It is actively used by therapists for the treatment of respiratory diseases in adult and pediatric departments of hospitals. District pediatricians recommend this drug for the treatment of colds in children under one year old.

The product is divided according to its intended purpose - for children and adult consumers. For babies, a remedy is purchased with 4 mg per 5 ml, and for adults, a dosage of 8 mg per 5 ml is better suited. A properly selected remedy allows the active substance to effectively influence the body, contributing to a quick recovery.

When is a drug helpful?

Bromhexine cough syrup, the instructions for which, although it indicates that the drug helps to normalize the functioning of the bronchi, should not be taken for more than a week without a doctor's prescription. The medicine is effective for dry cough during an acute manifestation of the disease. Since changes in the bronchi often occur at the time the pathogen enters the body, the drug helps to start treatment in a timely manner and prevent the occurrence of complications.

The instructions attached to the drug describe single and daily doses for patients of different ages. Before you start taking the drug, you should carefully read the instructions to clarify the individual therapeutic dose. To avoid overdose, the manufacturer attached a measuring spoon to the drug, which is convenient to measure the right amount of syrup.

The drug can be prescribed by a doctor for chronic bronchopulmonary diseases, accompanied by shortness of breath due to poorly separated sputum. It could be:

• bronchial asthma;
• cystic fibrosis;
• COPD;
• chronic form of pneumonia;
• tuberculosis;
• tracheobronchitis;
• pneumonia;
• bronchiectasis;
• emphysema.

The syrup may be prescribed in the treatment of chest trauma. An active agent will help remove excess sputum after surgery or instrumental examination of the respiratory system.

Bromhexine cough syrup improves the effect of antibacterial agents on the mucous tissues of the respiratory system, and numerous reviews confirm this.

Attention! Treatment with bromhexine against the background of antibiotics leads to a rapid recovery of the body after an illness.

Since the active substance does not start working immediately, tablets or herbal infusions are taken with the syrup for the first 3 days, which can improve the general condition of the sick child. You can use mints, cough drops, external agents.

A strong cough at the beginning of taking Bromhexine can be relieved by rubbing, which includes turpentine, menthol, badger fat and other components. The finished ointment is rubbed on the chest, back, feet and places of the bends of the arms and legs.

How the medicine works

The drug is a clear, viscous liquid that has no color. It has a bittersweet taste and pleasant smell. Cough syrup "Bromhexine Berlin Chemie", the instructions for which are no different from a syrup containing the same active substance, but released by another manufacturer, contains bromhexine hydrochloride.

Many pharmaceutical companies produce inexpensive syrups with this active substance, which help to quickly remove accumulated viscous sputum from the bronchi. Additional components are often introduced into their composition, which allows manufacturers to declare the originality of the product released to the pharmaceutical market.

The drug helps to normalize the work of the bronchi, which changes under the influence of pathogenic microflora that has entered the internal respiratory system. The active substance works effectively in chronic pathologies associated with a violation of this mechanism. The use of syrup in the treatment of colds helps to quickly restore the properties of sputum and improve the drainage function of the bronchi. The syrup has a weak antitussive effect.

After taking a single dose, Bromhexine is rapidly absorbed into the blood plasma, binds strongly to proteins, penetrating through all barriers. It is excreted from the body by the kidneys and, with prolonged use, accumulates in the cells. In order for the active substance to work effectively, it is necessary for the patient to ensure a normal drinking regimen.

Important! A feature of the syrup is a slow effect on the body.

The response to the active substance does not appear immediately. On the third day after the start of treatment, there is an improvement in the functioning of the mechanism that helps to remove mucus from the airways, which fails during acute respiratory diseases. After relieving cough, the remedy is taken for another 3 days and canceled, switching to expectorant herbal preparations.

Bromhexine cough syrup, recommended for children and adults, has positive reviews. It can be used for several months if the doctor deems it necessary to do so. The syrup is non-toxic, combined with antibiotics, with essential oils of medicinal herbs used to soothe coughs.

Like any drug, it has a number of contraindications. The active agent has side effects that appear very rarely in patients with a weakened immune system.

When the drug should be discontinued

Preparations containing bromhexine hydrochloride can cause gastric bleeding. If there is a history of ulcerative gastritis, the drug is used only as prescribed by the doctor, in the doses that he recommends for treatment.

If a child or adult has liver and kidney disease, then the active substance will be excreted from the body longer. This must be taken into account when determining the daily dose, which should be reduced as recommended in the instructions. If necessary, it is recommended to seek advice from a specialist.

The drug is canceled if symptoms of intolerance to the active substance or auxiliary components appear. Different manufacturers may have different components of the drug. The syrup may include not only traditional substances, such as:

• propylene glycol;
• sorbitol;
• flavor;
• sodium benzoate.

Some manufacturers add to the syrup:

• succinic acid;
• oil of eucalyptus leaves;
• mint oil;
• anise oil;
• menthol.

Any of these plant components can cause an allergic reaction in a child and an adult.

During pregnancy and lactation, a syrup containing bromhexine hydrochloride is used only on the recommendation of a doctor, because the active substance penetrates all barriers.

Prolonged use of the drug leads to side effects. This can cause dyspepsia, headache and dizziness.

Children's cough syrup "Bromhexine" can cause increased sweating and skin rashes. In some children, the syrup causes an active cough and bronchospasm. The appearance of any side effect of treatment with the drug is canceled and the reaction to the attending physician is reported.

In case of accidental overdose, nausea and vomiting occur. Gastric lavage, alkaline drink, milk help as an emergency. If side effects occur, seek medical attention.

Interaction with other drugs

At the beginning of treatment, drugs containing codeine and other substances that block the cough reflex should not be used. They lead to its significant weakening, and this can cause congestion that leads to chronic respiratory diseases.

Bromhexine should not be taken with alkaline water, because it prevents the active substance from being absorbed into the intestine. For this reason, cough tablets with thermopsis grass should not be taken with bromhexine. They contain baking soda. Herb thermopsis actively affects the cough center and, together with bromhexine, can lead to a severe dry cough or bronchospasm.

On a note! The active substance works best in complex therapy.

Cough is a frequent guest in a house with small children. Caring parents try to alleviate the condition of the child as soon as possible, regardless of the type and origin of the symptom.

A fairly popular and effective medication that helps alleviate the symptom is Bromhexine Syrup. Instructions for use for children allow it to be used from 2 years of age.

Reviews of children's Bromhexine syrup are good. Kids are happy to take a delicious mixture with a pleasant fruity aroma.

The medicine for children's use is produced in two types:

• in syrup;
• in tablets.

According to the instructions for use, 1 tablet and 5 ml of syrup contain the same amount of the main component - bromhexine hydrochloride.

The medication is produced by Russian and foreign manufacturers.

The composition and action of the syrup

According to the instructions, in addition to the active ingredient in Bromhexine syrup for children, there is a flavor and other additional ingredients. An important indicator when choosing a medication by parents is the absence of dyes and alcohol.

The secretolytic drug has an expectorant and weak antitussive effect.

Bromhexine hydrochloride acts on the connections of bronchial secretion, helps to release the respiratory organs from mucus, making it viscous.

The active component is quickly enough completely absorbed into the blood. Plasma is maximally saturated with it 60 minutes after ingestion. Based on the information in the instructions for use, bromhexine hydrochloride is able to accumulate in the cells of the body, therefore experts do not advise using it for a long time.

What kind of cough helps?

Before use, parents are wondering what kind of cough Bromhexine syrup is for children? The official instructions help to understand this issue. belongs to the group of mucolytics, and therefore it is effective in diseases of the bronchi and lungs with cough and hard-to-separate secret. Clinically proven positive effect in the treatment of:

• tracheobronchitis;
• cystic fibrosis;

According to the instructions, it can also be prescribed during surgical operations to avoid the accumulation of secretions. In addition, Bromhexine is used for rehabilitation before bronchoscopy.

Instructions for use

According to the instructions, Bromhexine syrup for children should not be used when:

• intolerance of components;
• lactase deficiency;
• stomach ulcer or 12 duodenal ulcer;
• lactose intolerance;
• under the age of 2 years.

Not recommended for use in patients with kidney and/or liver dysfunction. The instruction confirms the need to reduce the dose of syrup and increase the interval between doses with such a diagnosis.

A history of history of coughing up blood or gastric bleeding is also a relative contraindication to use.

Most often, Bromhexine is well tolerated. Adverse reactions in the form of nausea, stool disorders and allergies are quite rare.

Important! According to the instructions, if such reactions occur, you should immediately stop using and take the child to the doctor.

How to use?

According to the instructions for use, the medication should be taken orally, after meals. Small children can take the medicine with water.

During use, it is necessary to monitor the child's drinking regimen. It is allowed to drink not only water, but also various herbal teas, juices, fruit drinks. According to the instructions for use, a sufficient amount of liquid enhances the mucolytic effect of the syrup.

Dosage

The daily rate of the drug is prescribed by the doctor, based on the age of the baby and the specifics of the disease. The instruction suggests such a dosage of Bromhexine syrup for children, if there are no specific recommendations from a specialist:

• 2-6 years - 2.5-5 ml;
• 6-10 years - 5-10 ml;
• from 10 years old - 10 ml.

For children, the instructions suggest the use of Bromhexine every 8 hours. How long the treatment will continue, the pediatrician determines. The maximum course is 28 days.

Note! The assigned course must be completed in full. The use of Bromhexine should be continued even after the first signs that the patient is recovering.

Important Notes for Parents

For small patients who are not able to productively cough up sputum on their own, parents are advised to massage the chest and bronchial area on the back or postural drainage.

The use of Bromhexine simultaneously with antitussive drugs is excluded in order to avoid sputum stagnation due to relief of the cough reflex.

Bromhexine has the ability to enhance the effect of antibiotics. In most cases, drugs are taken together.

Overview of reviews

Reviews of Bromhexine syrup for children are quite contradictory. The result depends on the body of a small patient and the specifics of the disease.

Most parents point to the high effectiveness of the syrup in thinning the secret and softening the cough. Improvement is noticeable already on the 3rd day of use. Also, buyers are attracted by the low cost of the drug, as well as the absence of sugar, dyes and alcohol in the composition.

The medicine is more liquid in consistency than other syrups. Therefore, one bottle of Bromhexine is enough for a longer time.

Parents respond differently to the taste of the drug. Some children drink syrup with pleasure, others flatly refuse.

There are also negative reviews associated with the manifestation of allergic reactions, nausea and diarrhea. In some cases, Bromhexine syrup for children was ineffective, which led to the replacement of the drug with another mucolytic.

Analogues

There are many reasons why the use of the drug is excluded. In this case, analogues of Bromhexine syrup for children are selected based on other active ingredients that have an identical secretolytic effect. For example:

• Acetylcysteine;

Children often get sick with colds, which are accompanied by a cough due to immature immunity. Paroxysmal dry cough catches by surprise, causes pain in the chest, worsens the patient's condition. The exit of thick sputum is difficult, the child cannot cough up on his own, mucus accumulates in the throat. Nocturnal bouts of coughing disturb the child's sleep and cause parental anxiety. It is important to help your child beat a debilitating cough with safe medicines.

Bromhexine is a mucolytic, expectorant and moderate antitussive drug. The drug dilutes sputum, accelerates their discharge, relieves cough. Is it possible to give the drug to children and how does it affect the body? This will be discussed further.

Bromhexine: description of the dosage form

Bromhexine is manufactured by the German company Berlin Chemie and several other manufacturers (including Russia). But today it is the German drug that will be described.

Bromhexine for children is produced in the form of a syrup, which is in a dark glass bottle. In the carton box you can find the bottle itself, a measuring spoon and instructions. The drug comes with different flavors: apricot, pear or cherry. According to the manufacturers, the drug does not contain ethanol.

Syrup composition:

• bromhexine;
• food additive E1520;
• sorbitol;
• ethane dicarboxylic acid;
• Eucalyptus oil;
• preservative E211;
• aromatic additives;
• purified water.

It looks like a clear, thick liquid of a yellowish hue with a sweet aftertaste and aroma of fruits.

In addition, the drug is produced in the form of tablets, which are prescribed to children from 6 years of age. Bromhexine tablets has the following composition:

• bromhexine;
• lactose monohydrate;
• starch;
• calcium stearate;
• sodium salt of carboxymethyl starch;
• sugar.

Bromhexine hydrochloride is the main component of the drug, which has a mucolytic and expectorant effect. That is, it dilutes sputum and accelerates its discharge with a dry cough. Bromhexine stimulates the formation of surfactant, which covers the pulmonary alveoli and increases their protective functions.

The drug is absorbed into the walls of the digestive tract after 30 minutes. The drug is excreted through the kidneys along with urine.

Bromhexine syrup is intended for newborns from the first days of life. The medicine has a pleasant taste, and therefore children take it with pleasure.

The drug is prescribed for diseases that are accompanied by the formation of thick sputum in the bronchi:

• Laryngitis;
• Pharyngitis;
• Tracheitis;
• Bronchitis;
• Bronchiectasis (pathological expansion of the bronchi due to purulent inflammation);
• Emphysema of the lungs (pathological increase in the airiness of the lungs due to the expansion of the alveoli);
• cystic fibrosis;
• Tuberculosis;
• Bronchial asthma.

Bromhexine is prescribed for the treatment of diseases with an acute or chronic course. The drug is used to cleanse the respiratory tract from sputum before or after surgery. In addition, the medication is indicated before the diagnosis of the bronchi.

Dosing

According to the instructions for use, Bromhexine syrup for children is used orally after meals in the following dosage:

• from 2 to 6 years - from 2.5 to 5 ml;
• from 6 to 10 years - from 5 to 10 ml;
• from 10 years old - 10 ml.

The drug is used 3 times in 24 hours. You can accurately measure the required dose using a measuring spoon.

The medicine is used to treat babies from birth. However, in this case, the dosage of the drug is determined by the pediatrician.

After taking the syrup, doctors advise performing chest vibration massage or positional drainage to speed up the discharge of sputum from the bronchi.

The therapeutic course lasts from 5 days, depending on the age of the patient and symptoms. At the time of treatment, it is necessary to provide the patient with a plentiful warm drink in order to reduce the viscosity of sputum.

Bromhexine tablets are prescribed for children from 6 years of age. The method of application is oral and does not depend on food intake. The tablet is swallowed and washed down with filtered water (100 ml). Children from 6 to 14 years old take 8 mg of the drug, patients from 15 years old - from 8 to 16 mg. Multiplicity of application - three times during the day. Treatment lasts from 4 to 7 days.

special instructions

Before using Bromhexine syrup, you should familiarize yourself with its contraindications:

• Ulcer;
• Children under 2 years (syrup);
• Patients under 6 years of age (tablets);
• Fructosemia;
• Bleeding of the gastrointestinal tract;
• Hypersensitivity to the main or auxiliary ingredients.

Under the supervision of a physician, the drug is used in violation of the functionality of the liver or kidneys, diabetes, predisposition to gastric bleeding. This restriction applies to patients with diseases in which an excessive amount of sputum accumulates in the bronchi or lungs.

This drug causes negative effects only with an unreasonable increase in dosage or the presence of hypersensitivity to its components:

• dyspepsia (nausea, bouts of vomiting, defecation disorders, pain in the epigastric region);
• dizziness;
• exacerbation of an ulcer;
• intense headache;
• allergies in the form of a rash, itching, runny nose, angioedema;
• temperature rise;
• excessive sweating;
• increased activity of liver enzymes.

If used for too long, the medicine can provoke an overdose, which is manifested by nausea, vomiting, diarrhea and other signs of dyspepsia. If the child has symptoms of an overdose, then you should urgently take him to the hospital for gastric lavage. In addition, symptomatic therapy is indicated.

Bromhexine is not recommended to be combined with drugs that contain codeine, as sputum discharge from the bronchi is difficult. When combined with non-steroidal anti-inflammatory drugs, the likelihood of erosion and ulcers on the mucous membranes of the digestive tract increases.

If there are contraindications, Bromhexine can be replaced with similar drugs: Ambroxol, Lazolvan, ACC, Bronchosan, Flavamed, etc.

Thus, Bromhexine Berlin Helen is a popular drug that is used to eliminate dry cough due to the accumulation of thick sputum in the airways. The drug is intended for children from the first days of life. Delicious syrup works quickly and is inexpensive. Parents should follow the recommendations of the pediatrician on the issue of taking the medication.