Coughing is experienced by both adults and children. Sometimes the problem causes such great discomfort that the patient needs help as soon as possible. If the sputum is viscous, thick and difficult to remove, the doctor will recommend taking mucolytics. One of the commonly prescribed in adult therapy and pediatrics is Ambrohexal. The instructions describe in detail the principle of operation, indications and the necessary dosage.
To more fully familiarize yourself with the tool, you need to study its composition, identify contraindications and side effects. Judging by the reviews of patients and the practice of doctors, a medicine rarely causes negative effects and is part of complex therapy during the treatment of respiratory diseases.
Release forms for different categories of patients
In several medicinal options, Ambrohexal is available. The forms of release are as follows:
- Syrup. It is poured into bottles of dark glass and is a colorless or yellowish liquid. For the convenience of consumers, different packaging is offered - 100 and 250 ml. In this case, the concentration of the active substance varies - 3 and 6 mg, respectively. For proper dosing, a measuring spoon is attached. This form of release is intended mainly for children.
- Solution. It can be taken orally, but the main purpose is inhalation. Poured into glass bottles of 50 and 100 ml. A single dose is 20 drops or 1 ml, which contain 7.5 mg of the active substance.
- Tablets. The usual pills are round in shape and white. Each tablet contains 30 mg of active substance. Conveniently, you can purchase a small package that contains 10 pills, or a large one for 100 pieces. Recommended for the treatment of adult patients.
- Capsules Differ in more powerful and long action. They are prescribed for prolonged coughing in adults with a difficult release of sputum. One capsule contains 75 mg of the active ingredient.
Active components
Expectorant action has Ambrohexal. The composition of the drug has a mucolytic effect, which is due to its constituent components. The active substance in different forms of release is the same - ambroxol hydrochloride, but the dosage and auxiliary components differ.
A syrup, in addition, contains:
- water
- sorbitol;
- glycerol;
- propylene glycol;
- flavoring (apricot or raspberry).
The solution includes:
- sodium hydroxide;
- water
- sodium metabisulfate;
- citric acid;
- methyl parahydroxybenzoate.
In tablets, to give them shape, there are:
- calcium hydrogen phosphate;
- milk sugar;
- corn starch;
- silica;
- magnesium stearate.
Capsules also contain additional components:
- gelatin;
- cellulose;
- titanium dioxide;
- dye.
It is important to choose the right form of release of the drug, because the active substance is contained in different dosages.
How does it work
Once inside the body, the drug changes the structure of polysaccharides that are found in sputum. The result is a mucolytic and expectorant effect. Also, the secret liquefies and becomes less viscous, so it clears its throat without difficulty.
It also affects the mobility of the cilia in the Ambrohexal bronchi. The instructions indicate that the ciliated epithelium enhances its activity, so coughing becomes more productive. The drug is endowed with the following functions:
- stimulates the mucous membranes of the bronchi;
- reduces the viscosity of sputum;
- increases mucous secretion.
It is known that within half an hour after taking the medicine begins to act.
When to take
Ambrohexal is often included in complex therapy in the treatment of acute respiratory diseases. Indications for admission are described in the instructions, you should familiarize yourself with them:
- acute and chronic bronchitis;
- pneumonia;
- respiratory distress syndrome;
- bronchiectatic disease;
- asthma.
It is worth considering that the drug is prescribed only with viscous sputum, which leaves with difficulty.
Recommended Age
For different age categories, Ambrohexal is intended. The instructions, however, clearly state that the treatment of the smallest patients should be carried out under the strict supervision of a physician. Experts note that the medicine can provoke the formation of too much mucus, and babies are simply not able to cough.
Syrup is intended for babies, where the dosage is 3 mg per 1 ml. They also prescribe a solution for oral administration and for inhalation. Tablets are shown to adults and children from 6 years. Capsules contain the largest dosage of the active substance, therefore they are allowed to be taken after 12 years.
No admission
"Ambrohexal" has not multiple contraindications, but it is worth considering them when prescribing the medicine. It is forbidden to use the tool in the following cases:
- hypersensitivity to ambroxol;
- gastrointestinal ulcer;
- history of convulsive syndrome;
- with impaired motility of the bronchi;
- too much secretion in the bronchi.
In diseases of the kidneys and liver, admission is not prohibited, but strictly limited. It is also worth considering that:
- with fructose intolerance in children, the syrup is contraindicated;
- if there is an allergy or deficiency of lactase, then taking tablets is prohibited.
In this case, inhalation with a solution may be recommended.
Side effects risk
Judging by the therapeutic practice of doctors and patient reviews, Ambrohexal rarely provokes side effects. Usually the medicine is well tolerated, but you should know the possible negative reactions:
- diarrhea, vomiting;
- hives;
- weakness;
- headache;
- discharge from the nose;
- dry nasal mucosa and oral cavity;
- urinary retention.
If any unpleasant reactions occur, the reception must be stopped and consult your doctor.
Competent dosage
Dosage of the drug is prescribed taking into account the age of the patient and the severity of symptoms. To make the effect of taking more effective, it is necessary to drink plenty of fluids during treatment. Of course, the duration of the course depends on the severity of the disease, but a doctor should justify taking more than 5 days.
Syrup for children
The syrup for the smallest is selected with an active substance content of 3 mg / ml.
- Up to 6 years, the dose is calculated by the doctor, depending on the weight, but not more than half a measuring spoon.
- From 6 to 12 years - one scoop.
- Child from 12 years old - two scoops.
If syrup with a higher concentration of the active substance is selected, then up to 6 years it is not offered. The dosage is as follows:
- Children from 6 to 12 years old - half a measuring spoon.
- Child from 12 years old - one measuring spoon.
"Ambrohexal" children also requires adjusting the frequency of admission depending on age. Patients under two years of age are offered twice a day. Further, reception is allowed from two to three times a day.
Inhalation solution
The solution can be taken orally. For this, the required number of drops is measured, guided by the following recommendations:
- Children under two years of age - 20 drops twice a day.
- Children from two to five years - 20 drops three times a day.
- Children from six to twelve years old - 40 drops twice a day.
- Older than twelve years - 80 drops three times a day.
You can dilute drops with water, offer with juice or milk mixture.
For inhalation using Ambrohexal, the dosage is the same. It is necessary to take 40 drops and carry out the procedure 1-2 times a day.
Pills and capsules
Ambrohexal for adults is available in capsules and tablets. But, if a child after six years can swallow a whole pill, then such an appointment is not forbidden.
Tablets are taken after meals and washed down with a large volume of liquid. The dosage is as follows:
- Children from six to twelve years - half a tablet twice a day;
- Children after twelve years - one tablet three times a day.
Capsules are offered to patients over twelve years old because they contain the largest dose of the active substance. Drink one capsule in the morning and evening. It is not necessary to chew it; it should be swallowed completely and washed down with water in a large volume.
Joint reception
You can not take "Ambrohexal" with antitussive drugs at the same time. As a result, stagnation of mucus will occur and the inflammatory process will intensify.
When combined with antibiotics, the effect of the latter only increases. Therefore, the effect of this technique is higher.
Ambrohexal: analogues
If for some reason the drug is not available for purchase, then it can be replaced. Anyone who basically has ambroxol will do. There are a lot of such funds, the doctor and the consumer have plenty to choose from:
- "Lazolvan";
- Ambrobene
- Ambrosan
- Medox;
- "Bronchoxol";
- Flavamed
- Halixol;
- Ambrolan
- "Bronchorus";
- "Ambroxol".
If we consider analogues according to the principle of exposure, but having a different composition, then the doctor may advise the following;
- "ACC";
- "Bromhexine";
- "Prospan";
- Licorice syrup;
- "Herbion";
- "Carbocysten";
- Fluimucil;
- Gedelix;
- Tussamag.
Ambrohexal is not always suitable for everyone. Analogs are prescribed in case of drug inefficiency or individual intolerance to the components of the prescribed drug.
Reviews on the use of Ambrohexal
Basically, there are only positive reviews about the treatment with the drug. Parents of young children and adult patients confirm that the medicine is quite effective. Quickly dilutes sputum, eliminates cough and helps to recover more quickly. The drug treats bronchitis, pneumonia and other pathologies of the upper respiratory tract.
Kids also tolerate Ambrohexal. Reviews of mothers indicate that even the smallest children are happy to drink sweet syrup and after that their cough becomes moist and productive. However, experts emphasize, in order to facilitate sputum discharge, it is important to give children a lot to drink.
There are also feedback about the negative impact. Skin reactions, such as rash, redness, and swelling, are sometimes noted. There are cases when the remedy caused digestive upsets and diarrhea, nausea and vomiting were observed. Admission Ambrohexal in childhood, evidence of confirmation of this, can provoke excessive excitability. Therefore, it is better to consult your doctor for the exact dosage and prescription.
Overdose cases
Many reports of side effects are often associated with cases of overdose. If you exceed the norm, then the patient may experience:
- vomiting
- excessive salivation;
- stomach ache;
- lowering blood pressure.
If the condition causes concern, then it is necessary to rinse the stomach and offer fat-containing products. In serious condition, you need to call an ambulance to provide qualified treatment.
Features of admission in childhood
If the child has a slight cough, then the appointment of Ambrohexal is considered unjustified. The pediatrician will recommend the drug only for bronchopulmonary spasm, which is accompanied by difficult expiring sputum. The annotation lists the following conditions in which an appointment has benefited rather than harmed:
- bronchial asthma;
- tracheitis;
- tuberculosis;
- pleurisy;
- bronchial asthma;
- muscoviscidosis;
- laryngitis, pharyngitis and sinusitis - as an additional therapy;
- complication of childhood infectious diseases - chickenpox, whooping cough, scarlet fever, mumps.
The drug is quite widespread in pediatric pediatrics. This is due to the presence of various forms of the drug and the possibility of admission at a very young age. Parents' reviews show that inhalation well removes bronchial congestion and at the same time practically does not cause side effects. The syrup has a pleasant taste and is perceived with pleasure by children.
Adults prefer pills. In complicated cases, capsules are required that are permitted in adolescence.
Reception during pregnancy
Ambrohexal has strict indications for treating the fetus and women during pregnancy. The drug is used at risk of premature birth. If necessary, the drug is prescribed from 28 to 34 weeks of pregnancy to accelerate lung maturation. Also, the medicine is used to treat distress syndrome in children born prematurely.
Conclusion
A rather common drug is Ambrohexal, the instructions for which describe it as promoting liquefaction and discharge of mucus. The medicine is available in different forms, which are intended for different categories of patients. If adults are prescribed tablets and capsules, then children take syrup. But the solution is recommended for treatment, both the smallest and adults.
Reviews about the drug are mostly good. Parents praise the syrup, it is convenient for adults to take pills. Side effects are quite rare and are associated with an individual reaction and excess dosage.
When treating with a drug, it is important to adhere to the standards that are indicated in the instructions. The doctor can recommend an individual course, in this case you should listen. To make the effect of taking it palpable, it is important to drink plenty of water during treatment. Otherwise, the mucus formed in the bronchi becomes viscous and difficult to cough. Antitussive drugs are not combined with Ambrohexal.