In the article, we will consider how to use "Berodual" for laryngitis in children.
Often on forums dedicated to parenting and health, you can see discussions about this medicine. Indeed, many pediatricians prescribe this medication to patients with inflammation of the larynx. "Berodual" with laryngitis in children and adults can be very effective.
Symptoms and danger of laryngitis in children
Inflammation of the mucous membrane lining the larynx in children is observed much more often than in adults. This is due to the fact that the child's airways have a more loose shell, and their immunity is not yet fully formed. Usually, laryngitis is a complication of SARS, but in some cases it is provoked by harmful bacteria, allergic reactions, inhalation of dust or smoke, overstrain of the vocal cords or hypothermia.
The following symptoms indicate laryngitis in a child:
- hoarseness of a voice during a conversation or crying;
- unproductive, annoying, barking cough;
- heat;
- deterioration in overall health;
- dyspnea;
- rhinitis.
Upon examination, the pediatrician observes hyperemia of the mucous membrane of the larynx, its swelling. This disease is dangerous in that patients in childhood quickly develop complications in the form of tracheitis or bronchitis, an attack of stenosis and, as a result, suffocation. In order to avoid such a dangerous situation, the medicine “Berodual” is prescribed for laryngitis in children and adults.
Is laryngitis treated with this remedy?
This is a German medical product that has two dosage forms - drops for inhalation using a nebulizer and an aerosol.
"Berodual" with laryngitis in children is prescribed in the form of drops. The drug is produced in 20 ml bottles and is represented by a clear, odorless and colorless liquid.
The active substances of this medication are ipratropium bromide and fenoterol. Means "Berodual" refers to the pharmacological category of bronchodilator drugs. While acting on the beta2-adenoreceptors of the bronchi and their smooth muscles, these active components cause a significant expansion of the airways.
The drug is indicated for use in diseases that are characterized by a significantly increased tone of bronchial muscles. These include:
- bronchial asthma;
- chronic obstructive bronchitis;
- COPD
- emphysema.
At high risk of developing stenosis of the respiratory canals with laryngitis, children “Berodual” for inhalation is also prescribed, since it helps to reduce the risk of dangerous consequences with laryngitis and ease breathing.
Therapy with the drug of children should take place only in stationary conditions or under the strict supervision of a doctor. Inhalations begin with the lowest dose:
- after 12 years, 20 drops of the drug are prescribed;
- 6-12 years - 10 drops;
- less than 6 years - 2-5 drops.
pharmachologic effect
Bronchodilation with inhalation is due to local anticholinergic effects. Ipratropium bromide is a quaternary ammonium derivative that has anticholinergic properties. The medicine inhibits the reflexes provoked by the vagus nerve, counteracts the effects of acetylcholine. It prevents an increase in intracellular calcium levels, which occurs as a result of the interaction of the muscarinic receptor with acetylcholine.
In children with bronchospasm, a significant improvement in lung function is observed. The effect is noted for 15 minutes and lasts approximately 6 hours. Ipratropium bromide is not able to adversely affect the production of mucus in the respiratory tract, gas exchange and mucociliary clearance.
Fenoterol hydrobromide stimulates β2-adrenergic receptors, relaxes smooth muscles of blood vessels and bronchi, counteracts the occurrence of bronchospastic reactions, which are caused by the influence of methacholine, histamine, cold air and various allergens. Immediately after administration, this substance blocks the release of inflammatory mediators.
Contraindications
This medication may be contraindicated for use in the following cases:
- obstructive hypertrophic cardiomyopathy;
- tachyarrhythmia;
- hypersensitivity.
Is “Berodual” for laryngitis in children under one year old allowed for use? About this - below.
Adverse reactions
In children who have been prescribed this medication, the following negative side reactions may occur:
- increased cough;
- dry oral mucosa;
- cardiopalmus;
- dizziness, cephalalgia;
- vomiting, nausea;
- allergic reactions.
If unpleasant symptoms appear, the use of the drug should be stopped immediately.
How to use "Berodual" for laryngitis in children?
All of the above arguments allow us to conclude that the use of this medication in the treatment of laryngitis in children is allowed only as directed by a doctor. This pharmacological drug does not help speed up the healing process, but with its help it is possible to reduce the risk of shortness of breath in the child, difficulty in the respiratory process, and the occurrence of Quincke's edema.
Dosage regimen
Therapy should be carried out under strict medical supervision. At home, treatment is possible after consultation with a pediatrician, in the presence of a nebulizer, as well as in cases where a low-dose β-adrenoreceptor agonist is not effective enough. Inhalation solutions may also be recommended when an aerosol cannot be used.
According to the instructions for “Berodual” for laryngitis in children, the dose is selected individually, depending on the severity of the pathological process and the severity of the disease. Usually, treatment begins with the lowest dose. Stop it after achieving a sufficient reduction of pathological symptoms.
What is the dosage of Berodual for laryngitis in children?
- In children 6-12 years old with acute attacks of suffocation with laryngitis, doses can range from 0.5 ml (10 drops) to 2 ml (40 drops) of the drug.
- For children under the age of 6 years (body weight less than 22 kg), due to the fact that data on the use of the drug in this age category are limited, it is recommended that the following dose be used: 0.1 ml (2 drops) per kilogram of body weight, but not more than 10 drops.
The dosage of "Berodual" for laryngitis in children from 2 years of age should be strictly observed.
For children up to a year, this medication is prescribed extremely rarely, only in cases of urgent need with a high probability of developing bronchospasm.
Terms of use
Berodual inhalation solution should only be used for inhalation administration (with a suitable nebulizer). Treatment begins with a minimum dosage. The solution should be diluted with 0.9% sodium chloride solution to 3-4 ml and injected using a nebulizer. The solution for inhalation administration should not be diluted with distilled water. Dilution of the solution is carried out immediately before use, the remains of the finished solution should be disposed of.
The duration of inhalation administration can be controlled by the consumption of the finished solution. First you need to prepare the nebulizer for work, cleaning it and connecting it to the mains.
What does Komarovsky say about Berodual with laryngitis in children?
Opinion of Dr. Komarovsky
Dr. Komarovsky recommends treatment of laryngitis in children without the use of aggressive medications, since they can harm a growing body. This disease, according to him, is one of the most serious and insidious ailments that arise in childhood. The treatment of this disease requires the observance of important rules, which will help protect the child from the development of complications.
Dr. Komarovsky notes that with laryngitis it is necessary to be attentive to the child’s breathing, which can be significantly difficult with laryngeal edema. Of course, it is advisable to consult a doctor, and if we are talking about very small, infants with laryngitis, then such pathologies are most effectively treated in a hospital. The treatment regimen is developed depending on the age of the child, the conclusions of the pediatrician during his examination. The severity of the condition, the duration of the course of laryngitis, are also taken into account. If the disease is treated at home, Dr. Komarovsky advises giving the child a large amount of drink, often ventilate the room and observe the required level of humidity. This, according to a famous doctor, can be considered the main therapy of such a pathology as laryngitis, and drug therapy in this case plays only a secondary role. As for medicines, such as Berodual, the doctor notes the individuality of the situation and confirms that the use of this medication with laryngitis may be necessary.
Special recommendations
In case of unexpected intensification of shortness of breath in a child with laryngitis, you should consult a doctor. After the use of the drug “Berodual”, hypersensitivity phenomena may occur - urticaria, rash, angioedema, anaphylactic shock.
"Berodual" is able to provoke the development of a paradoxical life-threatening bronchospasm. In case of its occurrence, the use of the drug should be stopped immediately and the child should be given alternative therapy.
In children with a history of cystic fibrosis, gastrointestinal motility disorders are possible. The penetration of the drug solution into the eyes should be avoided.
Overdose symptoms
Signs of an overdose of this medication in a child are usually associated with exposure to phenoterol (the onset of symptoms associated with excessive stimulation of β-adrenergic receptors). In this case, the most likely development of tachycardia, tremor, changes in blood pressure. Hypokalemia and metabolic acidosis may also occur.
Symptoms of an overdose, which are caused by the action of ipratropium bromide on the child's body (impaired accommodation of the eyes, dry mouth), are usually mild and differ in a transient nature, due to the wide breadth of the therapeutic effect of the drug and its local use.
Treatment consists in stopping the use of the drug. You should also take into account information obtained by monitoring the alkaline and acid balance of the blood. In severe situations, intensive care is recommended.
Drug interaction
Prolonged simultaneous use of Berodual inhalations for laryngitis in children with other anticholinergics is not recommended due to the lack of necessary information.
With the simultaneous use of other beta-adrenergic agonists, anticholinergic drugs of systemic effects, xanthine derivatives, the bronchodilating effect of the drug may be enhanced.
Hypokalemia due to the use of beta-adrenergic agonists can be enhanced by the simultaneous use of corticosteroids, xanthine derivatives and diuretics. This fact should be given special attention in the treatment of children with severe respiratory tract pathologies.
Analogs
There are few analogues of this pharmacological agent, and it is also impossible to use medications for laryngitis in children on their own. It is necessary to consult with a doctor in advance, who will prescribe a more suitable medication for the child. These medicines include:
- Combivent;
- "Ipraterol-aeronativ";
- Seretide;
- Atrovent
- Biasten
- "Ventolin";
- "Impramol Steri-Neb."
Reviews "Berodual" with laryngitis in children
The forums and special medical sites contain a large amount of information about the use of the Berodual medicine in the treatment of laryngitis in children. Probably every child was ill with laryngitis, therefore many parents already know how to treat the baby in such a situation. However, the use of this medication is not shown in every case. Some parents note that the doctor prescribed them to use this remedy only when the child has signs of suffocation, which characterizes bronchospasm against the background of developing laryngitis. But the therapy of the disease itself was carried out using other pharmacological preparations, for example, antibiotics, mucolytic agents, etc. Thus, we can conclude that the use of "Berodual" in case of laryngitis in children in the form of emergency care in extremely difficult cases is justified, and there is no sense and need to use it systemically.
As for the reaction of the child's body to the introduction of the solution, most often in children such adverse reactions as dizziness, increased coughing, nausea, and excessive dry mouth were observed. Parents also note that such symptoms did not bother their children for a long time and disappeared after a short period of time.
It is better to familiarize yourself with the reviews of Berodual in children with laryngitis in advance.