Coughing is an unpleasant problem that no one is safe from. Fortunately, modern medicine offers a ton of drugs that help relieve and eliminate this symptom. And Bromhexine 8 Berlin Chemie is considered to be a pretty good remedy. Instructions for use, side effects, contraindications, prices and reviews - this is what interests patients first of all. So what properties does the medicine have? How to apply it correctly?
Release form and description of the composition of the drug
The drug is produced in the form of a biconvex dragee. It has a white core and a solid yellow (sometimes greenish) shell. The main active substance is bromhexine hydrochloride. One tablet contains 8 mg of this component, which, in fact, is evidenced by its name - "Bromhexine Berlin - Chemie 8". Tablets are placed in blisters of 25 pieces.
The core also contains some excipients, including colloidal silicon dioxide, lactose monohydrate, magnesium stearate and corn starch. The composition of the shell contains substances such as calcium carbonate, macrogol 6000, magnesium carbonate, sucrose, glucose syrup, titanium dioxide, carnauba wax, talc, povidone and quinoline yellow dye.
Also, this drug is available in the form of drops for oral administration. It is a clear yellowish solution with a pleasant aroma. As auxiliary substances, potassium dihydrogen phosphate, sodium hydrogen phosphate, levomenthol, polysorbate 80, purified water, sucrose, anise oil, fennel, mint and eucalyptus are present here. The finished solution contains 41% ethyl alcohol.
The main pharmacological properties
What properties does Bromhexine 8 Berlin-Chemie have? Instructions for use indicate that the drug has mucolytic and expectorant properties. This medicine activates the work of the ciliated epithelium, increases the volume of secreted sputum, and also reduces its viscosity, which, accordingly, contributes to its easy and quick passage.
In addition, the drug stimulates the production of endogenous surfactant, which ensures the stability of alveolar cells in the respiration processes. The medicine also has a mild antitussive effect.
After taking the tablets, they quickly dissolve and are absorbed by the walls of the digestive tract - this process takes no more than 30 minutes. The bioavailability of the drug is 80%. Metabolism is carried out in the tissues of the liver - here bromhexine is amenable to oxidation and demethylation reactions. Its main metabolite is ambroxol, which is then excreted by the kidneys with urine. The half-life is 15 hours. With repeated use, the medicine can accumulate in the body, so during therapy it is very important to follow the doctor's recommendations.
Indications for treatment
In which cases is it advisable to take Bromhexine 8 Berlin-Chemie? Its use is indicated in the presence of dry cough and the formation of sputum with increased viscosity. In particular, the medicine is prescribed for patients suffering from obstructive bronchitis, bronchial asthma, tracheobronchitis, pneumonia and pneumoconiosis. Bromhexine helps alleviate the condition of patients suffering from pulmonary emphysema, tuberculosis, cystic fibrosis, and bronchiectasis. But you must immediately say that this drug is used in complex therapy, since it is impossible to eliminate the underlying disease with it.
The drug "Bromhexine 8 Berlin - Chemie": instructions for use, tablets
To begin with, it is worth saying that only a doctor can prescribe such a medicine - in this case, self-medication is not worth it, especially if you are taking any other drugs. In what doses should I take the Bromhexine 8 Berlin-Chemie expectorant? Instructions for use states that adult patients and adolescents over 14 years of age take, as a rule, 1 or 2 tablets three times a day. People with body weight less than 50, as well as children aged 6 to 14 years, are recommended to take one tablet three times a day. The course of treatment depends on the condition of the patient, but, as a rule, does not exceed 4 - 5 days.
It is advisable to take tablets after a meal with water, without biting or chewing. During therapy, patients are advised to drink large amounts of water in order to maintain the secretolytic effect of bromhexine.
The drug "Bromhexine 8 Berlin - Chemie": instructions for use, drops
In some cases, it is advisable to take this medicine in drops. 1 ml of the solution contains 8 mg of bromhexine hydrochloride, which corresponds to 23 drops.
In what doses do you need to take Bromhexine 8 Berlin-Chemie solution? The instruction says that for adults, a single dose is 23 - 46 drops. The maximum daily amount of the drug is 69 - 138 drops, which corresponds to 24 - 48 mg of bromhexine hydrochloride. Children from 6 to 14 years old take 23 drops of the solution three times a day.
Are there any contraindications?
Can all patients take Bromhexine 8 Berlin-Chemie? Instructions for use confirm that some contraindications still exist and you need to familiarize yourself with their list before starting therapy.
To begin with, it must be said that the drug is not prescribed for patients with hypersensitivity to bromhexine or other components. The drug has age restrictions - it can not be taken for children under the age of six. In addition, peptic ulcer of the stomach or intestines during the period of exacerbation refers to contraindications.
There are also the so-called relative contraindications, which include renal and hepatic insufficiency - in such cases, the use of the drug is possible, but in lower doses and under close medical supervision. Also, do not prescribe a medicine for diseases of the bronchi, which are accompanied by increased secretion of sputum or impaired motor function, as this can lead to accumulation and stagnation of the secret.
What adverse reactions can a medicine cause?
Many patients are interested in the question of whether treatment with Bromhexine 6 Berlin-Chemie can be dangerous. The instruction contains data on possible side effects, although reviews by doctors and patients indicate that they are extremely rare.
Sometimes tablets cause an allergic reaction, which may be accompanied by a skin rash, itching, swelling and rhinitis. It is extremely rare that nausea, vomiting, abdominal pain, flatulence, and an exacerbation of peptic ulcer appear on the background of therapy. Other side effects include headache, fever, shortness of breath, chills, dizziness. In very rare cases, treatment is accompanied by an increase in hepatic transaminase activity.
If any deterioration occurs, stop taking the pills for a while and consult a doctor as soon as possible - you may only need to change the dose. If the drug is not suitable for the patient, the specialist selects an effective analogue.
How much is the drug?
Of course, it’s very difficult to indicate the exact cost of the medicine, since the figure depends on many things, including the city of your residence, the financial policy of the pharmacy, etc. Nevertheless, a blister of 25 tablets with a dose of 8 mg will cost an average of 100 to 130 rubles. By the way, this amount of drug, as a rule, is enough to conduct a full course of treatment. By the way, the price of Bromhexine 8 drops is about the same - a bottle of 20 ml costs an average of 130 rubles.
Are there any effective analogues?
What is Bromhexine 8 Berlin-Chemie? Instructions for use? Pills or drops - which is better? These questions are of interest to many patients. In addition, they often ask about whether there are effective substitutes for this medicine.
Of course, if necessary, you can choose a quality analogue. In particular, the drug “Ambroxol” has the same properties, which is available in the form of tablets, syrup for children and adults. Other substitutes include Ambrosan, Acetal, ACC, Lazolvan, Mukosol, Pektolvan, Fluditek and many others. Some are more expensive, some are suitable for children, and some are for adults only. In fact, the choice of expectorant in the modern pharmaceutical market is wide enough, but remember that only an attending physician can choose an effective and safe substitute.
Reviews of patients and doctors about the medicine
Almost all respiratory diseases are accompanied by coughing. Often, when they are examined by a doctor, people complain that a dry, annoying cough interferes with sleep at night and creates breathing problems. And in such cases, experts quite often recommend the drug Bromhexine 8 Berlin - Chemie. Reviews about this drug are for the most part positive.
Indeed, a positive effect appears already 1 to 2 days after the start of therapy. Coughing spells become less pronounced and are accompanied by the release of a sufficient amount of sputum. Patients also note that the drug is convenient to take, since the tablets are small in size. According to official data, complications during therapy are extremely rare. The advantages of the drug include its low cost, since analogues for the most part are much more expensive. Pills are easy to find, as they are sold in almost every pharmacy.
Patients also respond well to drops that have a fairly pleasant taste, so even children can take them without any problems. The effect of the solution also manifests itself quite quickly, and one bottle, as a rule, is enough for a full course of therapy.
Naturally, the drug has contraindications, as well as almost any other drug. There is a group of people on whom the tablets did not have the expected effect, but this is also rarely observed. And of course, do not forget that Bromhexine 8 Berlin - Chemie relieves only the symptoms and cannot cure the root cause of coughing - complex therapy is needed here, depending on the present respiratory system disease.