Berodual children 2 years of inhalation from laryngitis. Berodual: a unique means for inhalation. Traditional medicine

As shown above, Berodual is first introduced, since it is necessary to quickly eliminate the spasm of the smooth muscles of the bronchial tree so that a larger amount of the drug gets to the surface of the mucous membrane.

The second stage is the introduction of Pulmicort. Glucocorticoid reduces the severity of inflammatory and allergic reactions, which contributes to a more rapid restoration of respiratory patency and recovery of the patient.

A child, as well as an adult, first needs to breathe Berodual. Regardless of the age of the patient, drugs should be used in the sequence described above.

The next common question of the patient: how long is Pulmicort administered after Berodual. Regardless of the dosage: usually an interval of 20-25 minutes is sufficient to move on to the next inhalation. Berodual is already starting to act, its biological effect can and should be supplemented with Pulmicort.

Compressor inhaler

How to carry out the procedure for children?

Berodual and Pulmicort together in a nebulizer for children (as well as adults) are not administered. The causes and consequences are described above. For small patients, a specific, age-appropriate dosage (per kg of body weight) is selected.

The nebulizer is easily used by patients of any age, but the baby will not be able to master the turbuhaler with Pulmicort, since it is necessary to control inhalation and exhalation. Babies may be recommended to replace Pulmicort with another glucocorticosteroid.

Assigned inhalations of Berodual and Pulmicort together, but not in the same container, help children of different ages quickly cope with an exacerbation of a chronic pathology and treat an acute situation.

What is best for the child in each case, Berodual or Pulmicort, is not decided by the parents, but by the attending doctor. As a rule, a combination of these drugs is prescribed.

Conclusion

Berodual and Pulmicort are therapeutic agents that are well-deservedly popular in the treatment of obstructive pathology of the respiratory tract.
Regular use of the combination helps to quickly eliminate acute spasm and helps prevent exacerbation of a chronic disease.
At the same time, drugs are not used. First, inhalation with Berodual is done, then Pulmicort is inhaled.

In order to better understand what effect Berodual has on the body in the treatment of laryngitis, it is necessary to recall the structure of the respiratory system.

First, air enters the nasal cavity, which is divided into two nasal passages. Then it enters the nasopharynx, and from there into the larynx. In the larynx, air passes through the glottis and enters the trachea. The trachea, in turn, is divided into two main bronchi (left and right), each of them flows into the corresponding lung (right and left). In them, they branch into bronchioles: lobar, lobular, etc. The terminal bronchial branches end in the alveoli. It is through their walls that gas exchange occurs.

As mentioned above, with laryngitis, spasm of the larynx (laryngospasm or croup) can occur, in which all of its muscles take part. The muscles in the larynx are striated, the same person has on the arms and legs. And small bronchi and bronchioles consist of smooth muscle fibers, which are involved in the development of bronchospasm.

Berodual is a combined preparation produced in the form of a solution (Berodual N - aerosol), which consists of two active substances: ipratropium bromide and fenoterol. Both of these substances are bronchodilators. They relax the smooth muscles of the bronchi, acting on special receptors, which leads to the expansion of the lumen of the bronchi.

Thus, we can conclude that the components of this drug affect the smooth muscle membrane, which is present only in the bronchi. That is, Berodual does not have any positive effect on laryngospasm, and its use in laryngitis in a child has no effect.

And moreover, that it is possible to treat laryngitis with Berodual in adults or children, nothing is written in the instructions. And the side effects of this drug can only worsen the patient's condition.

Is the use of Berodual in the treatment of laryngitis justified?

So, laryngitis is an inflammation of the mucous membrane of the larynx, in which there is hoarseness, unproductive barking cough, sore throat, with the development of laryngospasm, shortness of breath and difficulty breathing.

Based on the mechanism of action of Berodual (expanding effect in the bronchi), it is not directed to any of these symptoms and cannot alleviate them. Therefore, inhalations with Berodual for laryngitis in children or adults will be useless and their appointment is not justified.
This also applies to analogues of this drug: Pulmicort, Seretide, Ditek and others. All of them have a similar composition, so the mechanism of action will be the same.
So with what to do inhalations? With this pathology, procedures with saline or alkaline mineral water will be the most effective. Such moisturizing inhalations have a softening and anti-inflammatory effect on the vocal apparatus.

Subject to proper treatment, bed rest and voice rest, laryngitis in both adults and children disappears in 5-10 days.

So, air from the nasal cavity or mouth enters the pharynx, from there - into the larynx. In the larynx, air flows through the glottis into the trachea. The trachea is divided into 2 main bronchi: right and left. The main bronchi go to the corresponding lungs, where they are divided into lobar bronchi. There are three lobes in the right lung, two in the left, respectively, in the right lung there are 3 lobar bronchi, and in the left only 2. The lobar bronchi are divided into bronchi of an increasingly smaller order. The smallest branches of the bronchial tree - bronchioles - end in alveoli, in which gas exchange occurs.

To understand the mechanism of development of stenosis of the larynx and laryngospasm, it is necessary to know that there are muscles in the oral cavity, larynx and small bronchi.

In the larynx, the muscles are striated, the same as in the legs or arms. A person can control striated muscles. In the development of laryngospasm, all the muscles of the larynx are involved, and especially the muscles that stretch the vocal folds: thyroid-aryngoid, cricoid-shaped.

The small bronchi and bronchioles contain smooth muscle fibers. A person cannot control smooth muscle fibers himself. Under the influence of various biological, physical, chemical factors, the smooth muscles of the bronchi contract, the lumen narrows, and bronchospasm develops. That is, striated muscles are involved in the development of laryngospasm, and smooth muscles are involved in the development of bronchospasm.

Berodual is a drug manufactured by the pharmaceutical concern Boehringer Ingelheim. This is a complex drug, the composition includes: ipratropium bromide and fenoterol. Ipratropium bromide - m-cholinomimetic, fenoterol - beta-adrenomimeti. Both of these components are bronchodilators, that is, they expand the lumen of the small bronchi. Bronchodilation occurs due to relaxation of smooth muscles, inhibition of mucus secretion.

Berodual is available in the form of a spray inhaler and a solution for inhalation. This drug is prescribed for diseases accompanied by bronchospasm:

Bronchial asthma.
Obstructive bronchitis.
Chronic obstructive pulmonary disease.
Emphysema of the lungs.

Laryngitis is an inflammatory infectious disease of the larynx that affects the mucous membrane of this organ. The causative agents of this disease are bacteria and infections.

Reference! The disease can occur in an acute or chronic form, and in the first case, the symptoms of the disease will be more obvious and noticeable.

Signs of laryngitis include:

burning sensation and irritation in the throat;
difficulty breathing and pain when inhaling and exhaling;
the voice becomes hoarse and may disappear altogether;
the patient develops a cough, in which a few days after the onset of the disease, sputum begins to separate;
body temperature rises;
the presence of a foreign body may be felt in the throat.

The drug berodual is a colorless transparent liquid that has a barely perceptible smell of ethanol.

The active components of the agent are bromide and ipratropium and fenoterol hydrobromide.

These substances relieve bronchospasm that occurs with laryngitis. As a result, the process of removing sputum from the affected larynx is facilitated.

The drug is available in two forms: in the form of an aerosol and a mixture for the preparation of an inhalation solution. In the treatment of laryngitis, it is recommended to use the mixture for inhalation, which is used through a nebulizer.

Carefully! Some doctors are sure that berodual is not only not intended for the treatment of laryngitis, but also can harm the patient with such a disease.

Practice shows that the drug copes with the disease, but the use of such a drug can lead to the development of the following side effects:

development of arrhythmia;
increased cough;
nausea and vomiting;
dizziness;
headache;
increased blood pressure;
anaphylaxis;
development of allergic reactions.

Also, when using such a remedy, paradoxical bronchospasm can develop, which is so called because it is a completely opposite reaction, unlike that expected when taking the remedy.

With laryngitis, berodual is used exclusively as a means for preparing an inhalation solution.

The dosage is selected individually, and the course of treatment is prescribed by the doctor based on the severity and age of the patient.

Children 5-12 years old are prescribed one inhalation per day, the allowable dosage of the drug is no more than twenty drops.

Attention! A twofold increase in the dose is permissible only in severe cases, while a long course of treatment involves an increase in the number of inhalations up to three times a day.

Berodual before pouring into the nebulizer container must be diluted in 3-4 milliliters of saline, the use of any other liquids (including distilled water) for this purpose is unacceptable.

The inhalation procedure is performed no longer than ten minutes.

If you use the drug in the form of an aerosol as an inhalation agent, the procedure is performed twice a day, and the procedure time should not exceed five minutes.

In severe cases, the number of inhalations can be increased up to four times a day.

For the treatment of children under five years of age, it is permissible to use only a liquid solution in an amount of not more than 10 drops.

But the number of inhalations can be increased up to three times a day.

The course of treatment of adult patients involves the use of berodual according to the following schemes:

to stop coughing attacks, the medicine is used once in an amount not exceeding 20 drops;
in severe condition, inhalation is also performed once, but the dosage is increased to 60 drops;
if there is a moderate difficulty in breathing, inhalations are performed 4 times a day, adding ten drops of the agent to the nebulizer each time;
a long course of treatment involves performing the procedure four times a day, ten to twenty drops of the drug in one approach.

Need to know! Provided that the patient may have an acute reaction to the components of the drug due to hypersensitivity to them, the following side effects may develop:

decreased visual acuity;
dizziness;
arrhythmia and tachycardia;
tremor;
allergic rashes on the skin;
nausea and vomiting;
puffiness on the face and on the tongue.

An alternative drug that can be used for laryngitis is pulmicort.

It is available in the form of a solution for inhalation or as a syrup.

It is a strong antispasmodic that has a relaxing effect on the bronchial muscles.

Unlike berodual, pulmicort only lasts for six hours, while berodual's effect lasts throughout the day.

This is the only practical difference between the two drugs, but the choice between the two drugs is not made by the patient, but by the doctor, who focuses on the results of tests and anamnesis.

Remember! In terms of effectiveness, both drugs are also approximately the same, therefore, one of them is prescribed to which a person does not have allergic reactions.

The drug "Berodual" is produced in two forms:

A mixture for inhalation - sold in dropper bottles. Transparent liquid has no color, smell, any solid particles. Volume - 20 ml (20 drops = 1 ml). Various nebulizer systems are used for procedures.
Aerosol - a spray can with an individual mouthpiece. Volume - 10 ml or 200 doses of the drug. The dosing system is selected specifically for berodual, so it is forbidden to use it with other medicines. After receiving the specified number of doses, the balloon is replaced with a new one, since the concentration of the medicinal substance in the remaining agent may differ from the norm.

Active ingredients: fenoterol and ipratropium bromide. The aerosol solution contains additional substances: ethanol, citric acid, purified water.

Laryngitis in preschool children with berodual is treated under the supervision of a specialist. In the treatment of infants, another drug is used - Pulmicort. It is prescribed for children from 6 months. An ultrasonic nebulizer is not suitable for the use of this drug.

Children under 6 years of age are inhaled using a liquid solution. With a child weighing less than 22 kg, 10 drops of the drug are prescribed no more than 3 times daily. The aerosol form is not used.

To help children in this age group, a berodual liquid solution and an aerosol are used.

The stage and severity of the disease determine one of the treatment regimens:

relief of an attack - 10-20 drops / once;
severe condition - 40-60 drops / once;
moderate difficulty breathing - 10 drops / four times a day;
long-term treatment - 10-20 drops / four times a day.

Children from 6 years of age are prescribed 2 injections at a time. If the child does not feel better within 5 minutes, then an additional 2 doses are taken. If the child's condition does not change, then you should consult a doctor.

During long or intermittent treatment, you can do 1-2 injections three times a day. The total number of inhalation injections should not exceed 8 doses.

Berodual is used as a liquid for inhalation and aerosol.

The amount of the drug used depends on the severity of laryngitis and the duration of treatment:

moderate bronchospasm - 10 drops / 4 times daily;
long-term treatment - 20-40 drops / 4 times daily;
relief of an attack - 20-80 drops / once.

It is prescribed according to the same scheme as for children from 6 years old.

An inhalation solution is made immediately before the procedure. The dose prescribed by the doctor is diluted with saline. The total volume of the inhalation liquid is 3-4 ml. The duration of the procedure is about 7 minutes until the drug is completely consumed. Repeated inhalation is possible not earlier than after 4 hours.

The dose of the drug is selected by the doctor in accordance with the model of the nebulizer and its technical features. The time of the procedure is regulated by changing the volume of the finished composition. Improvement in the child's condition occurs 10-15 minutes after the procedure.

It is forbidden to store the product in a diluted form. Distilled water is never used to dilute berodual. The drug in a bottle is stored at temperatures below 30 degrees, it is not subject to freezing.

The effectiveness of treatment depends on the correct use of the aerosol can.

Using the aerosol for the first time, you must:

shake the can;
2 times push on its bottom.

For the second and subsequent times you need:

Remove cap.
Exhale slowly, leaving no air in the lungs.
Clamp the tube with your lips (the bottom of the balloon is at).
Taking a deep breath, press down on the bottom of the can to release the composition for inhalation.
Don't breathe for a few seconds.
Take out the handset.
Exhale slowly.

A 2nd dose is also taken. After that, the lid is put on the can.

If the treatment is not carried out for more than 3 days, then before inhalation, you need to press the bottom 1 time.

There are a number of drugs for inhalation that have a different composition, but are similar in action to beradual:

aerosols - "Seretide", "Ditek", "Tevacomb" (from 4 years old), "Ipraterol-feronativ" (from 6 years old), "Combivent", "Intal Plus" (from 12 years old);
means for inhalers - suspension "Pulmicort" (from 6 months), ampoules "Ipramol Steri-Neb" (from 12 years), powder "Biasten" (from 16 years).

Berodual can be used for laryngitis in children only under the supervision of parents and with the permission of the attending physician. Carefully the drug is prescribed to children suffering from diabetes mellitus. There are a number of diseases in which it is impossible to use berodual or it is necessary to change the scheme of its use. In this case, the decision is made by the doctor based on the necessary tests and available data on the course of a particular disease.

During the application of the aerosol, it is unacceptable for the composition to get into the eyes, and when using a liquid solution, into the digestive tract. In these cases, as well as in the absence of relief after the procedures or its deterioration, an urgent visit to the doctor is necessary.

The main effect of such a drug is the elimination of spasm and associated shortness of breath that occurs with lung obstruction and bronchial asthma. The active components of Berodual (ipratropium bromide supplemented with fenoterol) affect the smooth muscles of the small bronchi and cause them to relax. In addition, they reduce swelling of the walls of the bronchi, stimulate breathing and relax the walls of blood vessels.

This causes the demand for Berodual when:

Bronchial asthma.
Spasm of the bronchi due to chronic bronchitis with obstruction.
Emphysematous changes in the lungs.

Such a drug is available in two forms - bottles with 20 ml of solution (it is intended for inhalation in a nebulizer) and pocket aerosol cans (one package contains 200 doses of medication). For inhalation therapy, Berodual's solution is diluted with saline to obtain a volume of 3 or 4 ml, after which inhalation is carried out with the diluted drug for 6-7 minutes.

The dosage of the drug is determined by the age and severity of bronchospasm. For children under 6 years of age, inhalations with Berodual are not recommended. If there are indications for their implementation, the need for such treatment is assessed by the doctor in each case individually. Only a pediatrician can prescribe Berodual to a child who is not yet six years old.

For children 6-12 years old, 10 to 60 drops (0.5-3 ml) are used per inhalation, depending on the severity of the condition. For a child over 12 years of age, the drug is prescribed in a dose of 10-80 drops (0.5-4 ml). The procedure can be carried out up to four times a day.

If a balloon is used, then a child over 6 years of age is prescribed 2 doses of the drug. If after inhalation of such an amount of Berodual, breathing is not facilitated, it is recommended to re-use after 5 minutes. If the child re-breathed 2 doses of Berodual in an aerosol, but there is still no effect, you should consult a doctor.

Reviews of doctors and many parents confirm the high effectiveness of this medication for bronchospasm. However, such a bronchodilator cannot provide the required therapeutic effect in case of inflammation of the larynx. Such a disease is manifested by sore throat, dry rough cough, hoarse voice, fever, shortness of breath and other signs. But Berodual does not affect any of the symptoms of laryngitis, so treatment with other drugs is more preferable, depending on the cause of the inflammation.

Note that in childhood, laryngitis is often complicated by false croup. With such a rather dangerous condition, the larynx swells, and its lumen narrows, which makes it difficult for air to pass. The child has difficulty breathing, and the mother hears very noisy breathing from the side. Because of such symptoms, many babies and parents are afraid of false croup, which can only complicate this condition.

It is this that most often causes a desire to carry out inhalation with medications that relieve spasm. And the choice often falls on Berodual, although in reality such a drug only affects small bronchi, and at the level of the larynx it simply “does not work”. In addition, croup is a common problem for children under 5 years old, and many doctors, including Dr. Komarovsky, do not recommend doing inhalations with Berodual at this age.

In addition, the drug can provoke various side effects, including rapid heart rate, headache, trembling of the limbs, nausea, allergic rash and other negative symptoms. Inhalation with Berodual is dangerous and the fact that some children have a paradoxical reaction to it, in which bronchospasm increases. For these reasons, it is not worth using Berodual in children with laryngotracheitis.

Obstructive diseases require an integrated approach to treatment. With laryngitis in children, Berodual is often prescribed along with Pulmicort. These drugs relieve pain, eliminate swelling, restore calm breathing, block asthma attacks and eliminate the risk of developing an exacerbation of the pathology.

Relief of the condition after using the drugs occurs almost instantly. The child can breathe calmly, pain symptoms disappear. Why is Berodual used together with Pulmicort if their composition and mechanisms of action differ? Because the combination of medicinal formulas complement each other.

Drugs are used not only for the treatment of laryngitis, but also for laryngotracheitis. The combination of drugs is used for sore throat and for the treatment of tracheitis. An integrated approach also requires tonsillitis; Berodual and Pulmicort also successfully fight it.

What is the mechanism of action of Berodual and Pulmicort? Berodual belongs to the group of bronchodilators that relax the bronchial openings and facilitate the discharge of sputum and mucus. With the help of Berodual, they relieve spasms of the bronchial system and restore the rhythm of breathing. Pulmicort belongs to a different group of medicines - anti-inflammatory. It reduces the production of mucus, eliminates tissue swelling, and prevents the development of exacerbations.

Both drugs are available as solutions for inhalation. Berodual can also be bought in the form of an aerosol for quick relief of bronchospasm. In home treatment, drugs are used for inhalation with laryngitis in a nebulizer. The dose for single use and the number of sessions per day should be set by a pulmonologist or pediatrician.

The result of the use of drugs:

elimination of symptoms of the disease;
reducing the severity of exacerbations of pathology.

Consider the rules for preparing a therapeutic solution from these drugs.

It should be borne in mind that Berodual is applied first, and after it (an hour later) Pulmicort. Do not mix drugs. The dosage for inhalation with Berodual is determined by the age of the child and the severity of the disease. Medicines must be diluted with saline, which is purchased at a pharmacy. If the dosage for adults is determined by the formula 2:2, then for children Berodual is diluted according to the formula 1:1 or 1:2.

Note! The combined use of drugs can cause side effects. Therefore, the interval between inhalation sessions should not be less than 30-60 minutes.

How many minutes can I use an inhaler during a session? For small children, five minutes is enough, older children can breathe fumes for 10 minutes. Extended procedures are not allowed.

Procedure rules:

during the treatment session you can not talk;
breathing through the mask should be natural - you can not force the baby to breathe deeply;
you can not do inhalation immediately after eating or walking - only after 1.5 hours;
it is impossible to carry out inhalation before going to bed, so as not to provoke an abundant outflow of sputum;
after the session, the child should lie down for 30-40 minutes and rest;
it is unacceptable to talk loudly, actively move after the procedure.

You can not prescribe a child treatment with potent drugs on your own - this is a dangerous complication of the disease. In some cases, drugs cannot be used, this will be determined by the pulmonologist or the attending pediatrician. Contraindications include acute viral infections and fungal diseases, as well as serious pathologies of internal organs and heart failure.

If, after inhalation, the child becomes lethargic and apathetic, it is necessary to notify the pediatrician about this. There is intolerance to inhalation effects on the body, which is a certain danger. However, the rise in temperature immediately after inhalation is not a pathology and a side effect. Hyperthermia after the procedure indicates an increase in the protective properties of the body in the fight against the disease. Half an hour after the end of the procedure, give the child an antipyretic if the temperature rises above 38.5 degrees.

Berodual is a clear, colorless liquid with a subtle ethanol aroma. The drug includes 2 bronchodilator components:

fenoterol (belongs to beta2-agonists);
ipratropium bromide (refer to m-anticholinergics).

These substances eliminate bronchospasms that occur during the disease in question. As a result, it will be easier to remove sputum from the throat. This drug does not contain steroids, which are synthetic analogues of hormones produced by the adrenal glands. Because of this, Berodual is not classified as a hormonal drug, which will also become a significant advantage of the drug. The drug is produced in 2 forms: in the form of an aerosol and a mixture for making a solution for inhalation. With laryngitis, Berodual is recommended for use directly as a mixture for inhalation, applied through a nebulizer.

During the procedure, Berodual has a therapeutic effect in the bronchopulmonary system, and therefore the effect will be achieved as soon as possible. The effect of the drug is associated with the activity of its active components:

Fenoterol helps to stimulate adrenergic receptors, which results in maximum muscle relaxation in the bronchi. In addition, this drug helps to reduce swelling of the mucous lumens in the bronchi and lungs, to weaken the local inflammatory process. It also reduces obstruction and significantly improves airflow.
Ipratropium bromide eliminates bronchospasm and increased secretion of bronchial glands, which slows down the production of excess mucus that makes breathing difficult and provokes an intense cough.

Due to the antispasmodic, anti-inflammatory and sputum-stabilizing properties of Berodual in patients who use this medication, during therapy it is noted:

reduction of cough;
easier breathing;
relief of hoarseness;
restoration of bronchial drainage.

General characteristics of Berodual.

Due to the increased bronchodilator activity, the ability to relax the smooth muscles of the bronchioles and eliminate spasm, Berodual is prescribed to patients with:

Bronchial asthma in order to relieve an attack, ensure proper treatment, and prevent respiratory failure;
Obstructive form of bronchitis. Inflammatory process mainly in small bronchi with impaired air permeability (including smoker's bronchitis);
Emphysematous bronchitis. Associated with a decrease in the tone of the lung tissue, an increase in airiness;
Other pathological processes of the bronchopulmonary system, which are accompanied by bronchospasm (for example, with laryngotracheitis) - a sudden narrowing of the lumen;
In addition, it is prescribed in order to prepare the respiratory tract before the aerosol administration of medicines: hormonal drugs, antibacterial agents, etc.

Not with all types of cough, it is possible to carry out inhalations with Berodual for laryngitis, and therefore it is necessary to strictly observe the indications for its use. In a situation where a drug is used inappropriately for the disease or in excess of the dosage, it will be ineffective or cause significant harm. Even if Berodual has been used before, it is forbidden to repeat the therapeutic course on your own for laryngitis or any other disease. Extreme caution is required to use Berodual for laryngitis in children, since even the smallest deviations from medical prescriptions can provoke adverse reactions.

Obstructive form of bronchitis.

For the purpose of inhalation with laryngitis, Berodual is diluted in saline. It is forbidden to use the medicine in undiluted form for such manipulation. The drug and saline should be at room temperature. It is impossible to make a composition for the procedure from cold preparations.

The concentration of Berodual for inhalation with laryngitis in childhood and adulthood varies. A measuring cap is attached to the preparation, through which the solution is prepared. For adults, 4 ml of saline is used (the use of distilled or boiled water instead is not allowed) and 20 drops of the drug are added. Then the mixture is shaken and poured into the nebulizer. In accordance with medical prescriptions and with a complex course of laryngitis, the dose of Berodual can be increased to 50 drops, and in the most difficult situations, the dosage is increased to 80 drops.

However, this is noted quite rarely, usually, such treatment is carried out in stationary conditions. For children from 6 to 12 years old, only 10 drops of Berodual are diluted in the same amount of saline. With an extremely severe course of the disease and under the constant supervision of a specialist, the dosage can be increased to 40 drops.

When therapy with Berodual is carried out for children under 6 years of age or weighing up to 22 kg, the volume of the drug in the inhalation solution decreases even more. In this case, only 2 drops of the drug are added to 4 ml of saline. When laryngitis proceeds in an extremely complex form, 5 drops of Berodual are diluted. Children at this age inhalation is carried out only with the obligatory supervision of a doctor. The use of the drug helps to expand the bronchi with laryngitis, but in no way improves the condition of the throat, does not eliminate swelling in the larynx or laryngospasm.

Inhalation in childhood is carried out in the same way as in an adult, only with the caveat that the concentration of the drug in the nebulizer is less, and supervision by an adult is necessary. You can not leave the baby during the procedure. Manipulations are carried out twice a day - in the morning and before bedtime. In a situation where the disease has a very complex course, and the child is over 6 years old, 3 procedures are likely to be performed, but only after agreement with the doctor.

Inhalations for children under 12 months of age in the treatment of laryngitis are carried out in stationary conditions. Berodual procedures for infants are carried out in rare situations, since the medicine is quite strong. Manipulations are carried out with a nebulizer for 6 minutes. Basically, after inhalation, the child is constantly monitored for 60 minutes, so that if an allergic reaction occurs or negative side effects appear, they can provide the necessary assistance. The duration of treatment for infants is not more than 5 days.

To achieve the maximum effect in the implementation of treatment with Berodual, it is required:

before the first use of the product, press the valve 2 times - in order to activate it;
the balloon is held in the hands with the bottom;
it is necessary to remove the protective cap, clasp the tip with your lips;
take a slow exhale, then take a deep breath to the maximum, at the same time you need to press the dispenser;
the tip is removed from the mouth, after which a long slow exhalation is made;
after application, a protective cap is placed on the balloon.

The use of the drug in childhood with Berodual's laryngitis.

There are quite a few prohibitions for inhalation with Berodual. Ignoring them is prohibited. Refusal to use this drug for laryngitis is carried out in the following situations:

cardiomyopathy;
tachyarrhythmia;
1st and 3rd trimesters of pregnancy;
susceptibility to the components of the drug.

In addition to absolute contraindications to the use of Berodual, there are cases when the use of the drug is carried out with extreme caution. Usually, this applies to patients who, due to their underlying disease, are under the strict supervision of a doctor. Such conditions that require mandatory supervision of a specialist throughout the course of treatment include:

some types of glaucoma;
arterial hypertension;
high blood sugar;
diabetes;
myocardial infarction;
complex pathologies of the cardiovascular system;
hyperthyroidism;
2nd trimester of pregnancy;
lactation.

In each of these cases, Berodual is prescribed when the expected effect from it significantly exceeds the likely harm. When adverse reactions appear during therapy and they do not go away on their own, it is required to call doctors without delay. Basically, this is necessary for disorders in the functioning of the heart or respiratory organs, which is observed infrequently, but can threaten the patient's life.

When conducting clinical studies, no negative reactions to the drug during pregnancy were detected. However, doctors advise you to follow some prescriptions for taking Berodual. It is forbidden to use the remedy in the 1st and 3rd trimesters of pregnancy, since there is a certain influence of the components of the remedy on the activity of uterine contraction. In addition, the active components of Berodual can penetrate into mother's milk.

Pregnant women are prescribed inhalations in the 2nd trimester of pregnancy and only when treatment with other medications is not possible. Inhalations are carried out in the same way as for other adult patients. When using Berodual at a later date, its action can make natural delivery difficult. When it is used in the 1st trimester, the risk of miscarriage increases.

Tachyarrhythmia.

Regarding patients in whom the implementation of inhalations with this agent causes unpleasant side reactions, the decision to continue this treatment or replace it is made by the otolaryngologist. Often these effects are:

dry mouth;
intense cough;
severe pain in the head;
dizziness;
pharyngitis;
nausea;
vomiting reflex;
tachycardia;
increase in systolic pressure;
irritability.

When therapy is carried out at home, if side effects of the drug occur, the patient should immediately notify the ENT doctor and refuse to perform the procedures.

Dizziness.

Source: first-doctor.ru

Berodual is sold as an inhalation solution and is based on a combination of fenoterol and ipratropium bromide. The medicine is used in the treatment of laryngitis and other pathologies of the respiratory tract. Berodual is used to treat laryngitis in children and adults, but some features of the drug and the risk of adverse reactions must be taken into account.

The action of the drug and indications for use

In accordance with its pharmacological properties, Berodual belongs to adrenergic and anticholinergic drugs. Its action is based on the effect on the smooth muscles of the small bronchi, which ensures their relaxation. Thanks to the elimination of the spasm, the shortness of breath provoked by it also disappears.

Apply Berodual in the treatment of various pathologies of the respiratory system. This applies to bronchial asthma, exercise-induced asthma, chronic obstructive bronchitis, including emphysema. The drug is used not only for the treatment of these pathologies, but also as their prevention, which is important for laryngitis, accompanied by bronchospasm and carrying the risk of diseases of the lower respiratory system.

Features of using Berodual for laryngitis

Inhalation with a solution is allowed only through a nebulizer. Treatment of laryngitis can be carried out at home, but it must be prescribed by a doctor.

It is allowed to carry out concomitant inhalations with Lazolvan. Dilute Berodual with saline (0.9%), the use of distilled water is unacceptable, as is oral administration of the drug.

For each inhalation, it is necessary to prepare a fresh solution, and the volume remaining after the procedure should be disposed of. The preparation of the solution should be carried out immediately before inhalation and used immediately.

The dosage of the drug is selected individually, taking into account age, body weight and severity of the disease. Regardless of the dose of Berodual, the volume of the final solution for inhalation (together with saline) should be 3-4 ml.

Adults appoint 1-2.5 ml of the drug. 1 ml of medicine - 20 drops. In severe bronchospasm, an increase in dosage to 4 ml is allowed, but as an exception. To prevent an asthma attack during exercise, you need 0.1-0.2 ml of the drug, which is diluted in 2-3 ml of saline. If possible, inhalation should be performed 10-15 minutes before the expected asthma episode.

children Berodual is prescribed from the age of 6. This drug is used as an emergency treatment for an acute asthma attack. The dosage in this case is 0.5-2 ml. Prevention of asthma against the background of physical activity is carried out in the same order and volume as in adult patients.

According to the doctor's prescription, Berodual can be used in children under 6 years of age. In this case, the dosage is determined in accordance with the body weight of the child - for each kilogram of weight, 0.1 ml, but not more than 0.5 ml for a single use. Saline should also be added to a total volume of 3-4 ml.

The use of Berodual in children under 6 years of age involves medical supervision of the child's condition.

The duration of inhalation is determined in accordance with the consumption of the solution. The duration of therapy and the required number of procedures per day is determined by the attending physician.

Regardless of the age of the patient, inhalation is not recommended within 1.5 hours after eating or high physical exertion (with the exception of an asthma attack provoked by them). After each procedure, the nebulizer should be washed, it needs to be sterilized weekly (carry out in accordance with the instructions).

Berodual is an anticholinergic, so it should be used with caution in the following cases:

the risk of developing narrow-angle glaucoma;
obstruction of the urinary tract;
kidney and liver failure.

In some patients, the drug is allowed to be used, having previously assessed the benefits and risks. This applies to myocarditis, aneurysm, hyperthyroidism, pheochromocytoma, severe organic heart disease, severe hypertension, and uncontrolled diabetes mellitus. With caution, the drug should also be used after a recent myocardial infarction and when taking cardiac glycosides.

In the second trimester of pregnancy, Berodual should be used with caution, since against the background of such therapy, the contractile function of the uterus may change, there is a risk of negative effects on the child's body. With caution, the drug is also used during breastfeeding, since fenoterol passes into breast milk.

During the use of Berodual, it is necessary to drive vehicles or work with other mechanisms with caution. The drug can provoke dizziness, tremor, disrupt accommodation, adversely affect the clarity of vision.

Side effects and contraindications

Berodual should not be used by patients with individual intolerance to any of its components and atropine-like substances. The medicine is also contraindicated for tachyarrhythmia, hypertrophic obstructive cardiomyopathy and during the I and III trimesters of pregnancy.

The use of Berodual carries the risk of adverse reactions. The most likely development of the following side effects:

headache;
dizziness;
cough;
nervousness;
increased blood pressure (systolic index);
vomit;
dry mouth;
tachycardia;
nausea;
tremor;
increased heart rate;
pharyngitis;

Rare and single adverse reactions to the use of Berodual include the following phenomena:

anaphylactic reactions;
bronchospasm;
hypokalemia;
glaucoma;
urticaria, rash;
mydriasis;
disturbed accommodation;
corneal edema;
elevated blood glucose levels;
mental changes;
purpura;
stomatitis;
soreness in the eyes.

From the side of the cardiovascular system, there may be:

supraventricular tachycardia;
atrial fibrillation;
arrhythmia;
myocardial ischemia;
increased intraocular pressure.

Analogues

Berodual's analogues in composition are the following drugs:

Berodual N (aerosol);
Ipradual (solution for inhalation);
Freeway combi (solution for inhalation).

In the treatment of laryngitis for inhalation with bronchospasm and the risk of aggravation of the disease (development of bronchitis, pneumonia), they also resort to Eufillin, Epinephrine, Adrenaline.

Berodual has a combined composition and is used in the treatment of pathologies of the respiratory system. It is used in the case of children and adults, as well as in the complicated course of the disease or the risk of its aggravation. You can use the drug only as prescribed by a doctor, and the dosage is determined on an individual basis.

Laryngitis is an inflammatory disease of the mucous membrane of the larynx and ligaments, which is often provoked by infectious agents. Children are more likely to suffer from laryngitis, however, cases of the disease are not uncommon in adults.

- a dangerous disease, since with untimely and inadequate treatment it can lead to complications such as stenosis and suffocation. This condition is life threatening. That is why it is necessary to take the treatment of this disease very seriously, especially in children. Pediatricians use many different groups of drugs for therapy.

Currently, very often pediatricians use Berodual for laryngitis. So, let's find out in more detail whether Berodual is effective in treating laryngitis, what therapeutic effect it has on the respiratory system and feedback on the results of treatment.

Respiratory Anatomy

In order to better understand what effect Berodual has on the body in the treatment of laryngitis, it is necessary to recall the structure of the respiratory system.

The mechanism of action of Berodual

Beradual is indicated for pathologies accompanied by an increased tone of the bronchial muscles, for example:

Bronchial asthma (BA);
obstructive bronchitis;
COPD;
emphysema;
And other diseases of the small bronchi, accompanied by bronchospasm.

And moreover, that it is possible to treat laryngitis with Berodual in adults or children, nothing in the instructions. And the side effects of this drug can only worsen the patient's condition.

Side effects of the drug:

laryngospasm;
dry throat and increased cough;
violation of digestive processes;
pain in the head;
tachycardia;
allergic reactions (rash, urticaria, angioedema);
paradoxical bronchospasm (this is when, instead of the expected expansion of the bronchi, the tension of their muscular wall increases and, as a result, the lumen narrows).

Is the use of Berodual in the treatment of laryngitis justified?

So with what to do inhalations? With this pathology, procedures with saline or alkaline mineral water will be the most effective. Such moisturizing inhalations have a softening and anti-inflammatory effect on the vocal apparatus.

antiviral (Viferon, Interferon, Oscillococcinum (homeopathic remedy), etc.);
anti-inflammatory (Pharingosept);
antihistamines (Suprastin, Fenistil, Fenkarol, etc.);
hormonal (used in more severe cases).

Subject to proper treatment, bed rest and voice rest, laryngitis in both adults and children disappears in 5-10 days.

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Drug Overview
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The drug Berodual for laryngitis is a bronchodilator drug, with the help of which inhalations are carried out. It is forbidden to use the drug yourself due to the fact that it has significant restrictions in use and can cause adverse reactions. Despite this, the agent is prescribed for inhalation to patients, regardless of age, if they are diagnosed with various pathologies of the respiratory tract, including laryngitis. For the maximum effect of Berodual, it is necessary to properly carry out the procedure, strictly adhering to the dosage of the medication.

Berodual is a clear, colorless liquid with a subtle ethanol aroma. The drug includes 2 bronchodilator components:

fenoterol (belongs to beta2-agonists);
ipratropium bromide (refer to m-anticholinergics).

Fenoterol helps to stimulate adrenergic receptors, which results in maximum muscle relaxation in the bronchi. In addition, this drug helps to reduce swelling of the mucous lumens in the bronchi and lungs, to weaken the local inflammatory process. It also reduces obstruction and significantly improves airflow.
Ipratropium bromide eliminates bronchospasm and increased secretion of bronchial glands, which slows down the production of excess mucus that makes breathing difficult and provokes an intense cough.

Due to the antispasmodic, anti-inflammatory and sputum-stabilizing properties of Berodual in patients who use this medication, during therapy it is noted:

easier breathing;
relief of hoarseness;
restoration of bronchial drainage.

General characteristics of Berodual.

Diseases in which the use of the drug is indicated

Due to the increased bronchodilator activity, the ability to relax the smooth muscles of the bronchioles and eliminate spasm, Berodual is prescribed to patients with:

Bronchial asthma in order to relieve an attack, ensure proper treatment, and prevent respiratory failure;
Obstructive form of bronchitis. Inflammatory process mainly in small bronchi with impaired air permeability (including smoker's bronchitis);
Emphysematous bronchitis. Associated with a decrease in the tone of the lung tissue, an increase in airiness;
Other pathological processes of the bronchopulmonary system, which are accompanied by bronchospasm (for example, with laryngotracheitis) - a sudden narrowing of the lumen;
In addition, it is prescribed in order to prepare the respiratory tract before the aerosol administration of medicines: hormonal drugs, antibacterial agents, etc.

Obstructive form of bronchitis.

Features of application and dose

Use of the drug in childhood with laryngitis

Rules for the administration of the drug

To achieve the maximum effect in the implementation of treatment with Berodual, it is required:

before the first use of the product, press the valve 2 times - in order to activate it;
the balloon is held upside down in the hands;
it is necessary to remove the protective cap, clasp the tip with your lips;
take a slow exhale, then take a deep breath to the maximum, at the same time you need to press the dispenser;
the tip is removed from the mouth, after which a long slow exhalation is made;
after application, a protective cap is placed on the balloon.

The use of the drug in childhood with Berodual's laryngitis.

Contraindications is it possible to use during pregnancy

There are quite a few prohibitions for inhalation with Berodual. Ignoring them is prohibited. Refusal to use this drug for laryngitis is carried out in the following situations:

cardiomyopathy;
tachyarrhythmia;
1st and 3rd trimesters of pregnancy;
susceptibility to the components of the drug.

some types of glaucoma;
arterial hypertension;
high blood sugar;
diabetes;
myocardial infarction;
complex pathologies of the cardiovascular system;
hyperthyroidism;
2nd trimester of pregnancy;
lactation.

Tachyarrhythmia.

Possible adverse reactions

dry mouth;
intense cough;
severe pain in the head;
dizziness;
pharyngitis;
nausea;
vomiting reflex;
tachycardia;
increase in systolic pressure;
irritability.

When therapy is carried out at home, if side effects of the drug occur, the patient should immediately notify the ENT doctor and refuse to perform the procedures.

Dizziness.

The cost of the drug and analogues

The cost of the drug in question depends on the form in which it is released, the volume and the company of the manufacturer. Spray Berodual costs approximately 600 - 700 rubles. The cost of the solution used for inhalation varies from 300 to 400 r. The tool is not cheap, however, most patients prefer this drug directly.

Berodual has analogues. Among the many drugs, the most effective are considered to be:

Ipraterol - Nativ;
Salbutamol;
Ditek;
Combivent;
Berotek.

An alternative remedy that can be used for laryngitis is Pulmicort. Often the question arises, what is better to use for laryngitis: Pulmicort or Berodual. The difference will be only in the treatment of children with the disease in question. The choice in such a situation should fall on Pulmicort.

It is strictly forbidden to independently replace the remedy recommended by the otolaryngologist. The choice of a similar drug is carried out by an ENT doctor. Before using the tool, you need to read the instructions for its use. It is necessary to strictly observe the dosage recommended by the doctor.

Berodual is a bronchodilator drug that is used to expand the lumen of the bronchi. The drug is produced in the form of a liquid for inhalation of 20 milliliters, and in the form of an aerosol in special metal cans of 10 ml. The product is stored at a temperature that does not exceed 25 degrees.

General characteristics of the tool

Berodual is a clear solution, slightly yellowish in color, with a characteristic almost imperceptible odor of ethanol. The tool does not have suspended particles.

The drug belongs to the pharmacological group of anti-asthma drugs.

The active agents of the drug are two active bronchodilator ingredients: fenoterol hydrobromide and ipratropium bromide.

Substances have the ability to relieve spasm of the muscles of the bronchi in laryngitis and asthma. Both medicinal substances that are in the composition of the product help to reduce the formation and accumulation of sputum, its easy removal.

Diseases in which the use of the drug is indicated

The drug is prescribed by specialists for the treatment of diseases of the respiratory system, in which the occurrence of airway obstruction is characteristic. It:

chronic or obstructive bronchitis;
bronchial asthma;
emphysema;
mild forms of COPD.

Features of application and dose

Berodual is used exclusively by inhalation. The solution has no suspended particles, the liquid is almost colorless with a subtle odor. The dose of the drug is selected by a specialist individually for each patient.

A solution of this medication is prescribed by doctors to relieve or completely get rid of asthma attacks or laryngitis in adults and adolescents over 12 years of age. Approximate dosage: from 20 to 80 drops for a single inhalation. When carrying out auxiliary ventilation of the lungs, or when expressing bronchospasm moderately, 10 drops of the solution are prescribed.

For children aged 5 to 12 years, relief of attacks of bronchospasm or laryngitis in children is carried out by a single application of Berodual (up to 20 drops), and in severe cases, doubling the dose is allowed. Therapy of the disease, which is carried out for a long time, involves inhalation up to three times a day.

Immediately before the procedure itself, Berodual's solution must be diluted with 0.9% saline sodium chloride solution (3-4 ml). Dilution of the drug with distilled water is contraindicated. The procedure for inhaling the product is carried out using a nebulizer and lasts 6-10 minutes (until it is completely used up).

The aerosol is designed for approximately 200 inhalations. Usually for adults and older children, the following dosage is recommended: 2 inhalation doses. In the absence of a positive effect for 5 minutes, two additional inhalations are allowed.

In the case of prolonged use of the aerosol, experts recommend the following scheme: 1 - 2 doses three times a day. The maximum daily dosage is allowed - 8 inhalations.

Use of the drug in childhood with laryngitis

Laryngitis is a complication of colds, in which the trachea and vocal cords in a child become inflamed and swollen. With laryngitis in children, inhalations become an obligatory item in the fight against the disease, in which small particles of medicines easily penetrate the respiratory system, which causes a quick positive effect.

With laryngitis in children, it is Berodual that has the unique ability to relax the muscles of the bronchi, facilitate breathing, and improve lung function. For children under the age of 6 years and weighing less than 20 kg, the use of the drug is limited, and if carried out, then only under the supervision of a doctor according to an individually selected dosage.

You can use the following doses for bronchial asthma and laryngitis: 1 - 2 drops. solution, but one dose should not exceed 10 drops. The maximum daily allowance is not more than 1.5 milliliters.

For children of this age category, the remedy is used in case of acute attacks of bronchial asthma and laryngitis. The dose varies from 0.5 (10 drops) to 2.0 milliliters (40 drops) and depends entirely on the severity of the attack.

Specialists use this drug to prepare the respiratory system in children for the use of mucolytic drugs, antibiotics and corticosteroids by aerosol.

Rules for the administration of the drug

To achieve the maximum effect when using the product in a spray can, you must act as follows:

Contraindications, is it possible to use during pregnancy?

The use of the drug is contraindicated in people with hypersensitivity to the constituent components of the drug, with tachycardia and cardiomyopathy. With extreme caution, the remedy is prescribed for diabetes mellitus, heart defects, a recent heart attack, arterial hypertension.

In the course of clinical trials, no negative effects of the drug on pregnancy were found. But experts recommend adhering to certain rules for the use of funds. It is forbidden to use the drug in the first and third trimester of pregnancy, since there is a certain effect of the components of the drug on the activity of uterine contraction.

Clinical studies have shown that the components of the drug penetrate into breast milk.

Therefore, it is not advisable to use the remedy during breastfeeding, and if used, then only under the strict supervision of a specialist.

Possible adverse reactions

The use of the drug Berodual can provoke such pathological reactions in the body, both adults and children:

The cost of the drug and analogues

The pricing policy of the drug Berodual depends on the form of release, the volume of liquid and the manufacturer's company. On average, a spray costs 520 - 700 rubles. The price of the solution that is used for inhalation ranges from 290 to 400 rubles. The tool is not cheap, but, nevertheless, many patients prefer this drug.

Of course, there are analogues of the drug. Among the many tools, the most effective are:

Ipraterol - Nativ;
Salbutamol;
Ditek;
Combivent;
Berotek.

Before using the drug, you must read the attached instructions for use. During the treatment period, it is necessary to strictly adhere to the dosages recommended by the specialist.