"Berodual" is a drug that has an antispasmodic, anti-inflammatory and normalizing secretion in the bronchi effect. The medicine has many indications for use. Berodual for inhalation is widely used in the treatment of various lung diseases. But to use this drug on its own is not recommended, since if used improperly, it can cause many side symptoms. Reviews about "Berodual", analogues, instructions for use, the price of the medicine you can find in this article.
"Berodual" for inhalation: composition and pharmacokinetics
The composition of the “Berodual” lead two bronchodilators, which by their combined action have a powerful effect on the human pulmonary system:
- Fenoterol hydrobromide - contained in a volume of 500 mcg.
- Ipaptropium bromide - 250 mcg.
In addition to the above substances, the composition of the drug includes various auxiliary additives. They allow Berodual to take the desired shape in the form of drops for inhalation:
- Benzalkonium chloride.
- Sodium chloride.
- Hydrochloric acid.
- Purified water.
- Disodium edetate dihydrate.
“Berodual” is produced in glass bottles of dark glass, which protects the medicine from direct sunlight. What effect does Berodual have on the body? It is designed with one single purpose: to expand the lumen of the bronchi and relieve their spasm. Since the medicine is delivered directly to the lungs via inhalation, a therapeutic effect is achieved in the shortest possible time. According to Berodual's instructions for use and reviews, relief comes immediately after the procedure. This is due to the action of active substances. Fenoterol stimulates adrenoreceptors, due to which the bronchial muscles relax and the lumen in the bronchi becomes larger. But phenoterol also has one more effect: it relieves local inflammation and swelling of the mucosa. Therefore, reviews of “Berodual” during coughing indicate that patients immediately feel breathing relief. Obstruction decreases and air begins to flow freely into the lungs.
Another active substance - iprapropia bromide relieves bronchospasm and eliminates their hypersecretion. During illness, a lot of sputum and mucus is produced in the lungs, which clog bronchial lumens and make breathing more difficult. Ipaptropium bromide dries out the discharge and reduces the degree of their production. Thus, "Berodual" is effective in many diseases, as in the course of treatment occurs:
- Breathing relief.
- Sputum reduction.
- Removal of bronchospasm.
- Restoring the drainage function of the bronchi.
Why do doctors often prescribe Berodual?
The complex drug has many advantages that have made it so popular. Firstly, Berodual provides a quick effect. During the first 15 minutes, a significant improvement in breathing is achieved, and the patient can feel the maximum effect in two hours. The action of Berodual is effective for six hours after its administration, which is quite a long time. For this reason, inhalation in acute cases is prescribed every six hours.
The second reason for the popularity of the drug can be called its unique formula, which allows it to reduce the production of mucus and expand the bronchi, but not interfere with the gas exchange of the body. “Berodual” acts exclusively on the lungs, without penetrating into the circulatory system. Therefore, blood cells receive enough oxygen for normal functioning. You can also use the medicine for acute forms of tuberculosis, which is rare for such drugs. For example, inhalation with Pulmicort during this period is strictly prohibited. An undoubted advantage is that the drug can be used in a variety of cases. For example, if a patient has a strong barking cough that prevents him from breathing calmly, then one-time inhalation can be done in order to facilitate breathing.
Indications for use
In what cases do they recommend taking the medicine? Reviews about "Berodual" for children suggest that it can be used for the same diseases as in adults, you only need to reduce the dosage. First of all, Berodual is indicated for respiratory infections:
- Chronic lung disease (COPD) is characterized by structural changes in the lung tissue, resulting in a decrease in the effective lung volume. "Berodual" helps to remove obstruction during an acute condition, it is also prescribed as a permanent therapy to improve the general condition.
- Chronic obstructive bronchitis is a violation of the respiratory function, during which a lot of mucus is produced, and it becomes more difficult to breathe. Typically, chronic bronchitis has periods of remission and relapse. "Berodual" in this case is used as maintenance or prophylactic therapy.
- Among the reviews of Berodual for inhalation for children, one can find many stories about how this drug helped babies with bronchial asthma.
It is important to understand that such a serious drug as Berodual cannot be prescribed on its own. Only a competent specialist will be able to choose a treatment based on complaints and the overall picture of the disease.
Dosage and treatment
Reviews and instructions "Berodual" must be studied before use. But the dose should be selected exclusively individually. Usually prescribe a drug with a minimum dose, and then look at its effect. If the medicine is weak, then the amount of Berodual is gradually brought to the maximum mark. For all ages, there is a certain fixed dose, which cannot be exceeded in any case, as this threatens with numerous side effects. In adults and children over 12 years of age, the maximum dosage of Berodual, which is usually prescribed for acute bronchospasm, is from 20 to 50 drops. This is 1-2.5 ml of the drug. For children from 6 to 12 years, depending on the severity of the condition, the doses can be from 0.5 to 2 ml. They begin to use the drug with 10 drops and then, if the effect of it does not alleviate the patient's condition, gradually increase to the maximum dose.
Reviews about "Berodual" for inhalation for children under 6 years of age suggest that this drug should be prescribed to babies with caution, as side effects are possible. The dose for children is recommended to be calculated based on body weight: approximately 1 drop per 1 kg, but the maximum number of drops for one dose is ten. Information on the effects of the substance at this age is rather scarce, so a large amount of the drug is not prescribed. The maximum daily dose for children under 6 years is 1.5 ml, which is about 25-30 drops.
How to breed Berodual for inhalation
Berodual for inhalation is effective precisely because of its shape. It penetrates directly into the lungs and provides a quick effect. The medicine is used exclusively with a nebulizer - a compression inhaler that breaks down the substance into small particles. They are able to penetrate into the lower parts of the respiratory tract, so Berodual is effective both in tracheitis and in bronchitis or pneumonia. It is recommended to dilute the drops with a 0.9% sodium chloride solution, just such advice can be found in the instructions for use.
Reviews about Berodual indicate that this type of medication is most convenient for most people. Inhalation does not take much time, does not affect the gastrointestinal tract. But the substance can in no case be used for oral administration. Use the resulting solution immediately. To prevent allergic reactions and fungal diseases, you need to carefully care for the nebulizer: rinse it after the procedures with warm water and do not mix drugs with each other.
In medical practice, Berodual and Pulmicort are simultaneously prescribed quite often. Reviews suggest that such a combination can cure cough, bronchitis and other diseases in the shortest possible time. How does this bunch work? Inhalation with "Berodual" allows you to clear the lumen of the bronchi from the mucus and expand them, and "Pulmicort" after this freely wilts to the farthest corners of the lungs. Inhalations are usually prescribed in two doses: first comes "Berodual", and 15 minutes after it they breathe the drug with budosenide.
special instructions
Since Berodual is a potent drug, a number of recommendations must be observed when taking it:
- The medicine can not be sprayed using ultrasonic and steam inhalers, as they have a completely different principle of action.
- Berodual cannot be mixed with other medicines. In the case of the appointment of other drugs in the form of inhalation ("Lazolvan", "Pulmicort"), it is recommended to carry out the procedure 15 minutes after the "Berodual".
- Pregnant women are prescribed inhalations only in extreme cases, since Berodual inhibits uterine contractility and can cause miscarriage. Therefore, it is usually replaced by Pulmicort.
- Long-term treatment for chronic forms of the disease is rarely prescribed, usually the course of therapy is 7-14 days.
- It is necessary to cancel the medicine, gradually reducing the number of drops. Quick cancellation of Berodual can lead to complications.
Application for children
The Berodual form in drops for inhalation allows to effectively treat even the smallest and most capricious patients. If, before the appearance of such forms, one had to make bitter tinctures and pills drink, now such a need has disappeared. Any child can breathe “cold steam” for a couple of minutes, since it is not painful and simple. It should be noted that there is not enough information about the use of Berodual for children under 6 years old, therefore it is prescribed carefully. For children under 2 years of age, the medicine is contraindicated. The usual number of inhalations for children is 2, they are carried out in the morning and in the evening. Sometimes, in severe cases, medication can be increased up to 3-4 times. But in this case, the course of the medicine should be reduced at the first improvements. Reviews about Berodual (it is used quite often for children) clearly show that this drug helped most patients.
Side effects and contraindications
Berodual has a number of anticholinergic and beta-adrenergic properties that can cause a number of side effects. These include:
- Allergic reactions: are common. Among them, the most common urticaria and skin rash. If the patient has undesirable symptoms after taking the medicine, he needs to see a doctor immediately: it may be necessary to cancel the drug.
- On the part of the respiratory system, cough, irritation of the mucosa and very rarely the development of paradoxical bronchospasm can occur.
- Berodual can also affect the nervous system: cause nausea, nervousness, tremors, or headache.
- Adverse events can also occur from the cardiovascular system. The patient may be disturbed by heart palpitations, increased pressure and arrhythmia.
- From the digestive system, intestinal disorders sometimes occur, mainly in patients with celiac disease, and vomiting.
- Other side effects of the drug include hypokalemia, weakness, worsening general condition, local muscle cramps and angioedema.
But reviews of “Berodual” with saline solution suggest that patients tolerate this combination of drugs mostly quite easily. Subject to all the recommendations of doctors, serious side effects should not occur.
Patient Reviews
On the Internet you can find the price, reviews, instructions for use and analogues of "Berodual". What do patients who have experienced its healing effect write about the medicine? Parents note that “Berodual” is often prescribed by pediatricians to combat dry and barking coughs. It is also very effective in bronchitis and bronchial asthma. If the child has difficulty breathing, he wheezes and shortness of breath appears, then these symptoms can be quickly removed by the drug. To relieve mild symptoms, a short course of three to four days is usually prescribed. If the patient's symptoms are more serious, then the reception can be extended up to 14 days. However, one should not get too carried away with inhalations, since Berodual is still a prescription. Many parents consider it "heavy artillery" and do not buy it unless absolutely necessary. Reviews about the drug are mostly positive, since this medicine helps even in severe cases.
Analogs
Many patients are looking for an alternative for Berodual, but, unfortunately, analogues are not indicated in the instructions for use. The price of Berodual (reviews say that this drug is quite affordable) is about 300 rubles, and it lasts for quite a long time. However, for one reason or another, sometimes the medication is not suitable and you have to choose a replacement. If you are looking for analogues, then several similar drugs are sold in Russia:
- “Seredit” - refers to the group of beta-adrenergic and bronchodilating drugs. It is a glucocorticosteroid that has an anti-inflammatory effect. Although he has different active substances with Berodual, their effects on the body are similar.
- "Salbutamol" - this drug is used to relieve bronchospasm and its prevention in COPD and bronchial asthma. This medicine is the cheapest means: its cost is about 100 rubles.
- Ipraterolum native. It includes ipratropium bromide, fenoterol. These are the same substances that form the basis of Berodual. But the cost of Ipraterolum-nativa is slightly lower. A medicine is available in the form of a solution for inhalation.
- Berotek is produced both in the form of a solution and in the form of an aerosol. The drug relaxes the muscles of the bronchi and eliminates spasm. It is used for chronic obstructive bronchitis.
Conclusion
This article covers in detail the instructions for "Berodual", the price and reviews of the drug. This is a fairly powerful tool, which is prescribed and prescribed only by a doctor. Berodual has many indications for use; it is used for a wide range of diseases. Therefore, doctors often prescribe this medicine for both adults and children.