In the article, we will consider how to use Berodual for bronchitis.
One of the main and most unpleasant symptoms of this ailment is cough, which in most cases is paroxysmal and causes a spasm of the respiratory tract. In order to alleviate the patient’s condition, experts recommend the use of the drug “Berodual”.
Pharmacological properties of the drug
This is a combined bronchodilator drug that contains two components with bronchodilator activity: phenoterol hydrobromide (beta-2-adrenergic agonist) and ipratropium bromide (M-anticholinergic).
Bronchodilation during inhalation administration of ipratropium bromide is due to local anticholinergic effects. This substance is a derivative of ammonia, has parasympatolytic (anticholinergic) properties. The drug inhibits the reflexes provoked by the vagus nerve, and counteracts the effect of acetylcholine released from the structures of the vagus nerve. The medication prevents an increase in intracellular calcium levels, which occurs as a result of the connection of acetylcholine with the muscarinic receptor, which is located on the smooth muscles of the bronchi. In patients with bronchospasm due to the development of bronchitis (acute and chronic forms), there is a significant improvement in the functionality of the respiratory organs. Ipratropium bromide does not have a negative effect on mucus secretion in the respiratory tract, gas exchange and mucociliary clearance.
Another component, fenoterol hydrobromide, at a therapeutic dose selectively activates β2-adrenergic receptors. This substance relaxes the smooth muscles and vessels of the bronchi and counteracts the appearance of bronchospastic reactions, which are caused by exposure to methacholine, histamine, allergens and cold air (hypersensitivity reactions). After administration, this active element blocks the release of inflammatory mediators and bronchial obstruction. In addition, with its use, an increase in mucociliary clearance is noted.
Berodual is used for inhalation in case of bronchitis, which are accompanied by shortness of breath, development of bronchospasm in children and adults. It should be noted that this medication should be used only after consulting a doctor. Self-treatment of bronchitis with this medication is unacceptable.
The local effect of the drug plays an important role - it acts on the focus of the inflammatory process in the structures of the bronchi, therefore it is quite effective in violation of the patency of the respiratory tract.
Indications for appointment
The pharmacological agent “Berodual” is prescribed for the prevention and symptomatic treatment of obstructive diseases of the respiratory organs of chronic and acute type with reversible bronchospasm. Such pathologies include:
- chronic obstructive bronchitis;
- bronchial asthma;
- bronchitis complicated or uncomplicated by emphysema.
Contraindications
The instructions indicate some contraindications to the use of this medication. Absolute restrictions include:
- obstructive hypertrophic cardiomyopathy;
- first and third trimesters of pregnancy;
- tachyarrhythmia;
- hypersensitivity to the components of this medical device.
The list of relative contraindications (use with caution) includes the following pathological conditions of patients:
- angle-closure glaucoma;
- diabetes;
- arterial hypertension;
- cardiac and vascular pathologies (aortic stenosis, coronary heart disease, heart failure, heart disease, damage to the cerebral and peripheral arteries);
- myocardial infarction (in the last three months);
- hyperthyroidism;
- proliferation of prostate tissue:
- pheochromocytoma;
- obstructive phenomena in the neck of the bladder;
- II trimester of pregnancy;
- cystic fibrosis;
- lactation period.
Treatment of bronchitis with Berodual
It should be noted that this medication should be used for bronchitis only in cases where the patient is diagnosed with bronchial obstruction. Its main symptoms are shortness of breath, as well as breathing, accompanied by difficulty in breathing and wheezing. If such symptoms are not observed, then, as a rule, specialists do not recommend the use of the Berodual medication and prescribe ambroxol-based drugs.
In severe stage
If the patient is diagnosed with a severe stage of bronchitis, Berodual should be taken first, after which Ambroxol preparations or administered simultaneously by inhalation. In addition, it is possible to use this medication in the form of a spray. In the form of drops, the medicine is added to a special device - a nebulizer.
An inhalation solution must be prepared immediately before the administration procedure and immediately used. Inhalation therapy should be carried out until the general condition of the patient improves and the symptoms of bronchospasm in bronchitis are relieved.
What should be the use of Berodual for bronchitis?
Dosage for bronchitis
The dose of this medication directly depends on the stage of the disease and the severity of its course. For adult patients, the drug "Berodual" is prescribed in a volume of 1.5-2 ml, which must be diluted in saline to an amount of 4 ml. In severe forms of bronchitis, the dosage of the drug is increased to 4 ml.
During pregnancy, the drug “Berodual” for bronchitis is not prescribed, but this is also decided only by the doctor, comparing the risks and benefits of using the medicine.
For children, as a rule, the medicine is prescribed in a dosage of 0.5 ml per 2 ml of saline. Also, when calculating a dose for a child, a specialist can take into account the weight of a small patient.
The metered-dose aerosol of the drug “Berodual” with obstructive bronchitis releases a single therapeutic dose when pressed. It should be deeply inhaled so that the active substance is well distributed over the mucous membrane of the bronchi. The number of clicks is determined by the doctor in each case of bronchitis.
Inhalations are carried out regardless of the meal, but doctors recommend doing this after 1.5 hours after eating, especially if Berodual is used for bronchitis in children.
Rules for inhalation
With bronchitis, it is recommended to use the inhalation administration of this medication, which is carried out as follows:
- measure the required amount of medicine "Berodual" with a measuring cup;
- dilute the dosage with saline;
- pour the mixture into the nebulizer;
- attach the tube from the mask to the device, press the mask to the mouth and nose;
- turn on the device and start the procedure;
- inhale deeply and slowly;
- hold air in the lungs for a couple of seconds;
- exhale through the nose;
- continue inhalation until the solution is complete.
The remaining "Berodual" for inhalation with bronchitis according to the instructions is prohibited.
The approximate time of this therapeutic intervention for an adult patient is approximately seven minutes. In childhood, inhalation for bronchitis is carried out according to the same scheme.
Reviews of "Berodual" with bronchitis
On medical sites there are many positive reviews regarding the use of this pharmacological agent for bronchitis. Patients who are prone to the occurrence of bronchospasm, use it not only with this disease, but also with the development of other pathologies caused by difficulty breathing. Patients note that inhalation with this drug acts quickly and effectively, breathing normalizes within about five minutes. Side effects, according to consumers, are very rare and do not cause significant discomfort and well-being.