Inflammatory diseases of the respiratory tract from mild forms with improper therapy or its absence quickly turn into chronic stages. The most common complication of bronchitis is focal pneumonia. No less dangerous are asthma, emphysema and obstruction of the lungs. Pulmicort for bronchitis helps to reduce the development of complications and reduce the duration of treatment. The drug is applied topically, that is, it acts directly on the focus of inflammation and in small doses, which ensures the maximum therapeutic effect.
Bronchitis: definition, etiopathogenesis, forms
Inflammatory disease of the bronchi, affecting their mucous membranes and the entire thickness of the wall, is called bronchitis in medicine. A major role in the formation of bronchitis is played by infections: flu, whooping cough, staphylococcal, pneumococcal respiratory tract lesions. Also, the cause of the development of the disease is hypothermia, inhalation of dust, dry air.
Inflammation of the bronchi can be an independent process or a complication against the background of other chronic pathologies, infections. With damage to the cells lining the surface of the bronchi, the secretion, cilia function, and the process of self-cleaning of the bronchi are disrupted.
Most often, the disease is classified according to the clinical course. There are acute and chronic bronchitis. There is another form - obstructive, however, many doctors consider it a complication of chronic inflammation of the bronchi. The acute form of the disease is often observed in childhood. Chronic is characterized by structural changes in the bronchial tree.
Therapies
Treatment of bronchitis is carried out comprehensively: elimination of the causative agent of infection, restoration of airway patency, elimination of provoking factors.
The infection is fought with antiviral, antibacterial drugs. To improve sputum discharge, expectorants are prescribed.
To activate the protective properties of the body, vitamins and immunomodulators are taken. Physiotherapeutic procedures are prescribed: electrophoresis, UHF.
Effective for bronchitis inhalation with Pulmicort. The drug makes it possible to quickly get rid of the characteristic clinical manifestations and avoid complications.
Pulmicort: principle of action
"Pulmicort" - a drug related to steroid hormones with anti-allergic, anti-inflammatory effect. The active substance of the drug is inhaled budesonide. It reduces swelling of the bronchial mucosa, reduces the pronounced reaction of the bronchi to various stimuli, and the production of mucus. Glucocorticoid increases the production of annexin A1, which inhibits the activity of white blood cells.
The drug prevents the accumulation of neurophilic granulocytes, which, when phagocytosis of bacteria and fungi form a large number of substances that increase inflammation. Reduces inflammatory exudation, reduces the intensity of penetration into cells and the accumulation of fluids in them. The drug is well tolerated with prolonged therapy. Does not cause calcium absorption, does not increase blood pressure.
Positive dynamics after inhalation is observed after several hours. The maximum therapeutic effect of Pulmicort for bronchitis in children and adults is achieved after 10-14 days.
In what cases is the use of the drug indicated
Diseases of the branches of the respiratory throat are quickly aggravated by complications. This is due to a decrease in the protective functions of the body and the layering of a bacterial infection. Bronchopneumonia, pulmonary hypertension are especially dangerous in childhood. Glucocorticoid is prescribed for prolonged, difficult to treat inflammatory processes of the respiratory tract.
Pulmicort for bronchitis is prescribed if previously prescribed therapy is ineffective. Also, the drug is used for the following indications:
- With a poor therapeutic result of drugs with bronchodilating, anti-asthma properties (Ipradol, Salmeterol, Astmopent).
- Reducing the dosage of oral glucocorticoids.
- Chronic obstructive pulmonary disease.
- The inflammatory process on the mucous membrane of the larynx and trachea, leading to the loss of their patency.
- Prolonged inflammation of the respiratory tract of non-infectious genesis.
How to apply Pulmicort?
The drug is used by inhalation. The use of ultrasonic nebulizers is unacceptable. The duration of the procedure and the dose of the drug are prescribed by the doctor in accordance with the patient's age and diagnosis. The initial dose of Pulmicort for inhalation in bronchitis for children from six months to 12 years is 0.25 - 0.5 mg per day. The dose is taken at a time or divided into 2 doses. Adults take 1-2 mg per day.
The dosage of the drug with maintenance therapy is slightly increased. For children from six months to 12 years, it is 0, 25–2 mg / day, the recommended dose for adults is 0.5–4 mg / day.
The required amount of suspension is mixed with saline (0.9% sodium chloride), in the proportions of 1: 1. The resulting solution must be used within half an hour. For convenience, a mask is used. After inhalation, it is strongly recommended that you rinse your face and rinse your mouth with water. The total number of procedures is determined individually. Usually there are at least five.
"Pulmicort" for inhalation with bronchitis in reviews of most people is noted as a convenient and very effective tool. Many patients are surprised at how such small doses cope with the disease so quickly and effectively. Adults like that the duration of the procedure in children is only 5 minutes.
Contraindications
An absolute contraindication to the use of glucocorticoid is the individual intolerance to any of its components. Pulmicort is not prescribed for children under six months of age.
Patients who have active tuberculosis should be treated with budesonide only under the supervision of a physician. With caution, it is necessary to use the drug for people with respiratory infections caused by pathogenic microorganisms, liver cirrhosis.
The use of the drug during pregnancy does not adversely affect the fetus. Such conclusions were made during long-term observations. But the likelihood of developing anomalies is not completely excluded. Therefore, as a therapy for inflammatory diseases of the respiratory tract in pregnant women, the minimum dosage of glucocorticoid is used.
In obstructive bronchitis, Pulmicort is taken in combination therapy with β-adrenergic agonists. They expand the bronchi, which contributes to a better intake of budesonide and enhance its medicinal properties. In this regard, it is necessary to carefully monitor the dynamics of the healing process and, if necessary, adjust the dosage.
Side effects
Undesirable effects can occur with prolonged high-dose therapy:
- After inhalation with the use of Pulmicort, bronchitis often causes irritation and dryness of the pharyngeal mucosa.
- Bad taste in the mouth.
- Hoarseness of voice.
- Drug concentrations above 1.2 mg / ml cause bronchospasm.
- In some cases, when using a special mask, irritation occurs on the skin of the face.
Reviews about the drug
Doctors believe that Pulmicort is reliable and effective. According to allergists, pediatricians, the remedy deservedly occupies a leading position in the treatment of obstructive airways diseases.
Patients who used Pulmicort for bronchitis also indicate in the reviews that they are satisfied with the result. They note that the drug is not cheap, but it's worth it. Patients like the short duration of treatment. After the first inhalations, inflammation is removed, it becomes easier to breathe, coughing attacks are sharply reduced.
Pulmicort for bronchitis is a rather effective remedy. But it must be borne in mind that the drug is hormonal, therefore, it should be used only after consulting a doctor.