Diseases of the upper and lower respiratory tract can occur in everyone. Moreover, with improper or untimely treatment, they can lead to serious consequences. Therefore, with the first symptoms of the disease, you should immediately contact an otolaryngologist. The latter is required to conduct an examination and prescribe medications.
The most popular medication used to treat the airways is the Erespal medication. Instructions for use (for children this medicine is prescribed very often) of the drug, its forms and analogues will be presented in this article.
Composition, description, packaging, release form
Why is Erespal prescribed to patients? We will talk about this below.
Currently, the drug can be purchased in two different forms. It:
- Erespal tablets. Instructions for use (this form is not suitable for children) states that the composition of this product includes fenspiride hydrochloride, as well as such auxiliary components as calcium hydrogen phosphate, hypromellose, macrogol 6000, povidone, silicon dioxide, titanium dioxide, glycerol and magnesium stearate. Cough tablets are coated with a white shell and are sold in cardboard packages of 30 pieces.
- Suspension "Erespal" (syrup for children). Instructions, analogues of this medication are presented below. It goes on sale in the form of an orange clear liquid that can form a precipitate. The active substance of the syrup is fenspiride hydrochloride, and the flavoring additive, licorice extract, glycerol, propyl parahydroxybenzoate, sunset yellow S, methyl parahydroxybenzoate, potassium sorbate, sucrose, saccharin and water act as additional substances. The medicine is sold in plastic bottles of 150 ml each.
pharmachologic effect
Why can Erespal be appointed as a doctor? According to experts, this tool is able to have anti-inflammatory, antihistamine and antispasmodic effects.
The drug in question prevents bronchoconstriction, and also slows down exudation. Its anti-inflammatory effect is due to its ability to inhibit the metabolism of arachidonic acid.
The antibronchoconstrictive effect of this medication is due to the process of isolating biologically active substances such as serotonin, histamine and bradykinin. Also, the drug blocks alpha-adrenergic receptors, with stimulation of which there is an increase in the production of bronchial secretion.
The drug "Erespal" in syrup and tablets prevents bronchospasm. In the event that the drug was prescribed in large doses, it helps to reduce the production of various factors of inflammation.
Kinetics
Is the Erespal medication (in syrup) absorbed? Reviews of experts indicate that this tool is well absorbed from the digestive tract. The highest concentration of the active ingredient in the blood is observed 2.5 hours after ingestion. The half-life of the drug is 12 hours.
Through the kidneys, the drug is excreted in an amount of 90%, and through the intestines - 10%.
Indications
Why is Erespal prescribed for children and adults? Indications for taking this medication are diseases of the upper and lower respiratory tract, or rather:
- bronchitis;
- rhinopharyngitis;
- diseases of the respiratory tract, which are infectious (including with cough);
- laryngitis;
- hoarseness, perspiration and cough, disturbing patients with whooping cough, measles and flu;
- tracheobronchitis;
- sinusitis;
- bronchial asthma (in complex treatment);
- otitis.
Contraindications
From what "Erespal" can be assigned to the patient, we told a little higher. However, it should be noted that this drug has contraindications for use:
- hypersensitivity to the active substance or other components;
- age up to two years.
When should you not prescribe Erespal in syrup for children? Reviews of doctors say that this form of the drug is recommended with caution to people who have fructose intolerance, diabetes mellitus, glucose-galactose malabsorption, isomaltase or sucrose deficiency. This is due to the fact that the drug contains sucrose.
How to take Erespal tablets?
Analogs for children will be presented a little lower.
The medicine in the form of tablets is used only for the treatment of adults. When you receive them, you must strictly comply with all the requirements of the instructions.
The cough medicine is taken only before meals. For chronic inflammatory diseases, it is recommended to take one tablet twice a day.
In the acute course of the disease, the doctor can prescribe a course that involves taking three tablets per day.
Suspension "Erespal" (syrup): application
For children from two years of age, this medicine is prescribed very often. Also, syrup can be prescribed for adults. It is taken in the amount of 3-6 tablespoons per day (that is, 45–90 ml).
For children from two years of age, the drug is prescribed depending on the age and weight of the child (4 mg per 1 kg of body weight). The daily dosage of the drug is divided into 2 or 3 doses. It is used immediately before meals.
Children under two years of age are not prescribed a drug.
The duration of therapy is determined by the doctor. As a rule, the duration of the course depends on the severity of the disease.
Customer reviews indicate that the condition of the child improves markedly three days after the start of treatment.
Side effects
What negative reactions does the Erespal medication (syrup for children) cause? Instructions for use, reviews of specialists claim that during treatment with this remedy, the patient may develop:
- tachycardia, which decreases with a decrease in the dose of the drug;
- indigestion and stomach upset, nausea, epigastric pain, diarrhea and vomiting;
- drowsiness and dizziness;
- asthenia and severe fatigue;
- urticaria, rash, erythema, itching of the skin;
- hypersensitivity reactions to dyes.
If these adverse reactions occur, you should definitely consult a doctor.
Overdose cases
In case of an overdose of the drug, you must immediately seek medical help. In this case, the patient has a state of agitation or drowsiness, nausea, sinus tachycardia or vomiting.
To restore the patient's condition, gastric lavage is performed and an ECG is performed.
Drug interaction
How does the medication we are considering interact with other drugs? The instruction indicates that a special study of the interaction of fenspiride with other medicines was not carried out.
Due to the possible increase in sedation when taking H1-histamine receptor blockers, syrup and Erespal tablets are not recommended to be taken simultaneously with sedatives.
Special recommendations
Quite often, patients are interested in the question of whether Erespal is an antibiotic. Doctors say that this tool is not such. Moreover, it cannot replace antibiotic therapy.
For patients with diabetes, the medication in question is prescribed only in tablets. This is due to the fact that the syrup contains sucrose.
It should also be noted that due to the presence of sunset yellow in the suspension in patients with intolerance to acetylsalicylic acid and NSAIDs, bronchospasm may occur.
Studies to draw conclusions about the effect of this drug on a person’s ability to drive vehicles and work with complex mechanisms have not been conducted. However, it should be said that with its use, the patient may experience drowsiness, especially if the medication was combined with alcohol or sedatives.
Cost and analogues
The price of the drug in the form of syrup is 220-250 rudders, and in the form of tablets - 290-330 rubles.
How can I replace the Erespal medication? Analogs for children should be recommended only by an experienced pediatrician. As a rule, they include the following drugs: Inspiron, Sinekod, Lazolvan, Ambrobene, Prospan, Ascoril, and others.
All of these funds are designed to combat cough and respiratory diseases in general.
Reviews
Patients leave both positive and negative reviews about Erespal. The first says that this tool works quickly and effectively. It reduces the manifestations of the disease, such as coughing and shortness of breath, and also improves overall well-being.
As for negative responses, most often patients note the manifestation of such side effects as weakness, insomnia, tachycardia, nausea and others. As a rule, negative messages about the Erespal drug are left by those who took it on their own, without consulting a doctor.
When taking this remedy, it is imperative to consider which cough it is used for. It is also necessary to remember that the drug "Erespal" is a rather potent medicine. In this regard, it can not be used, guided only by the opinion of members of the forum. The drug should be prescribed only by specialists, according to strict indications.