Tablets and syrup Ambroxol: instructions for use

Ambroxol is a mucolytic agent, that is, a drug that dilutes sputum and facilitates the process of its removal from the lungs.The active substance of this drug is ambroxol hydrochloride.

The main action is aimed at increasing the secretion of respiratory tract glands, stimulating the activity of villi respiratory tract, intensification of the process of isolation of surfactant (surface-active substances) by the lungs.

On this page you will find all information about Ambroxol: the full instructions for use for this medication, average prices in pharmacies, complete and incomplete analogs of the drug, as well as reviews of people who have already used Ambroxol. Want to leave your opinion? Please write in the comments.

Clinical and pharmacological group

Mucolytic and expectorant drug.

Conditions of leave from pharmacies

The drug is approved for use as a remedyover-the-counter vacation.

Price list

How much does Ambroxol cost? The average price in pharmacies is at the level of25 rubles for pills and 65 rubles for syrup.

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Form of issue and composition

Ambroxol is available in the form of:

tablets (effervescent and for resorption), pastilles, syrup, inhalation solution;
solutions for injection, infusion and oral administration;
hard capsules, retard capsules, concentrate for solution for infusion.

The composition of 5 mlSyrup Ambroxolincludes 15 mgambroxol hydrochloride(Ambroxol hydrochloride) and a number of other ingredients:sodium benzoate(E211, Sodium benzoate), propylene glycol (Propylene glycol), glycerin (Glycerinum), Saccharin sodium, sorbitol (E420; Sorbitol), hydroxyethyl cellulose Citric acid monohydrate, flavorings (apricot, raspberry, orange), menthol (Mentholum), purified water (Aquae purificati).

ATAmbroxol tabletscontains 30 mgambroxol hydrochloride(Ambroxol hydrochloride) as an active ingredient and excipient substances:lactose monohydrate(Lactose monohydrate),corn starch(Amylum maidis),microcrystalline cellulose(Cellulose microcristallic),magnesium stearate(Magnesium stearate),silica(Silicii dioxydum).

Pharmacological effect

Ambroxol is a mucolytic, which allows you to quickly and effectively withdraw from the respiratory system sputum. The chemical composition is absolutely safe, therefore the risk of side effects is minimal. Thanks to the use of ambroxol, the work of the villi of the respiratory tract becomes more active. This ensures the rapid release of light surfactant. Due to these processes it is possible to achieve rapid dilution of sputum, stimulate its excretion from the body and stop coughing.

The following features are typical for this tool:

The drug activates the release of light surfactant - a protective factor. Due to this, it is possible to achieve effective protection of the tissues of the respiratory organs.
The basis of the drug is ambroxol hydrochloride. It is a metabolite of bromhexine and is a non-toxic substance.
When using the drug, it is possible to reduce the viscosity of phlegm. Due to this, it is possible to make slime more liquid and successfully remove it from the body.
It strengthens the immune system and improves the penetration of antibacterial agents into the lungs. This is why ambroxol is often combined with antibiotics prescribed by a doctor.

Complex use of the drug is highly effective and helps not only to quickly cough, but also to cope with the focus of pathology.

At what cough to take?

Many potential and real patients do not always understand, in case of what cough it is worth taking this drug. The instruction says that it is rational to use the remedy in case of infectious-inflammatory processes of the lung system. After all, it is for this reason that there is a cough, which is called unproductive (dry). In the case of the release of the accumulated exudate, the cough reflex gets wet. Many people do not see the difference between the two types of phenomena, so the question: at what cough to take, is relevant.

It should be noted that with a dry cough it is effective and should be applied without fail. This approach will make the patient's condition much easier and speed up the treatment process. But if cough is excessively unproductive, you should not rely solely on this method of treatment. First, it is necessary to provide mucus with help in getting into the upper respiratory tract. To do this, the substance should be combined with other drugs. The composition is used in children in syrup, and it is best for adults to use tablets.

Indications for use

In accordance with the instructions for use, Ambroxol is prescribed in cases of respiratory diseases, against which sputum is formed, with chronic and acute bronchitis, chronic obstructive pulmonary disease, pneumonia, bronchiectasis and bronchial asthma.

Tablets, solution and syrup Ambroxol is used for the prevention and treatment of respiratory distress syndrome in newborns and premature infants, as well as for stimulation of prenatal lung maturation.

Contraindications

Ambroxol can not be taken in such cases:

Individual intolerance of ambroxol hydrochloride or other auxiliary components of the drug.
Early pregnancy (I trimester) - the penetration of ambroxol hydrochloride into the fetus through the placenta does not exclude its negative impact.
Congenital or acquired deficiency of enzymes in the digestive system, which catalyze the cleavage of fructose.
Ulcerous pathology of the mucous membrane of the duodenum or stomach - ambroxol hydrochloride can accelerate cell damage by reducing the protective properties of the mucosa of these organs.

The use of Ambroxol syrup on late terms (II and III trimester) of pregnancy and during breastfeeding is possible, but only on medical indications, which is determined by the doctor. At the same time, an analysis of the positive therapeutic effect on the mother's organism and the potential risk of developing negative consequences for the fetus or infant is necessarily carried out.

Application in pregnancy and lactation

The drug is not recommended for use during the first trimester of pregnancy. If you need Ambroxol in the II-III trimesters of pregnancy and during breastfeeding, you should evaluate the potential benefit to the mother with a possible risk to the fetus / child.

Instructions for use Ambroxol

The instructions for use indicate thatAmbroxol tabletsapply inside, during a meal, with a small amount of liquid.

Adults and children over 12 years of age are prescribed - 30 mg 3 times a day. in the first 2-3 days, then 30 mg twice a day. or 15 mg (half a tablet) 3 times a day.
Children 6-12 years - 15 mg (half a tablet) 2-3 times a day.

Syrup Ambroxolis taken internally in a certain volume, which can be controlled with a measuring spoon. The dosage of the drug depends on the severity of the course of the disease and the age of the patient. Recommended age-related dosages for children:

For children up to 2 years old, the doctor decides the question of using Ambrox syrup individually.
Age of the child from 2 to 6 years - ¼ of a measuring spoon (1.25 ml of syrup) 2-3 times a day (7.5-11.25 mg of ambroxol per day).
Age of the child from 6 to 12 years - ½ teaspoon (2.5 ml syrup) 3 times a day (daily dose of 22.5 mg ambroxol hydrochloride).
Age over 12 years - 1 measuring spoon (5 ml) 2-3 times a day (30-45 mg ambroksola hydrochloride per day).

The first 2-3 days from the onset of the disease is recommended to take the drug 3 times a day, then go to the maintenance dose with its reception 2 times a day. It is advisable to drink the syrup with plenty of water, which will improve the sputum liquefaction in the child and its subsequent excretion.

It is not recommended to use without medical appointment for more than 4-5 days.

Ambroxol for inhalations

You can carry out the procedure using any heat-power modern nebulizer. Use the instructions for inhalation of special forms or drops, solutions that do not contain flavorings, sugar. Dilute before use the drug solution of sodium chloride (0.9%) 1: 1, warm up to 36 degrees Celsius. Instructions for use Ambroxol:

7-15 mg of substance for 1-2 procedures per day are prescribed for children under 2 years;
2-6 years - 2 times per day for 15-30 mg;
Children older than 2 inhalations of 15-45 mg of substance are administered.

Side effects

This drug is well tolerated by patients, adverse reactions are extremely rare. In the instructions for use Ambroxol indicated the following negative consequences of its administration:

heartburn, dry mouth, indigestion, vomiting, nausea, diarrhea;
rash, hives, anaphylactic reactions, angioedema, allergic reactions;
weakness, headache;
very rarely - Stevens-Johnson syndrome, Lyell's syndrome.

Overdose

At an overdose of a preparation of signs an intoxication was revealed. Perhaps the development of diarrhea and the appearance of signs of nervous excitation. When taking excessively large doses, there may be a decrease in blood pressure, increased salivation, nausea and vomiting.

special instructions

With changes from the skin and mucous membranes, the drug should be stopped and consulted by a doctor.

Data on the impact on the ability to drive vehicles and manage various mechanisms are not available.

Drug Interactions

With the simultaneous use of Ambroxol tablets with other antitussive agents, inhibitory cough reflex, sputum stagnation may occur, leading to the development of sufficiently dangerous conditions. Therefore, such combinations of drugs should be selected with extreme caution.

The combined use of Ambroxol and antibacterial drugs (amoxicillin, erythromycin, cefuroxime and doxycycline) leads to a significant increase in the concentration of etiotropic components in the bronchial secretion.

Reviews

Ambroxol is a very popular remedy to effectively treatdiseases of the respiratory system. It normalizes the workcilia of the bronchi, liquefies the accumulating mucus and activates its excretion.

Use of a solution for inhalation, injection, syrup or Ambroxol tablets - reviews are a confirmation of this - enhances the formation of an agent that clears bronchial and lungs from mucus, and prolongs its duration. Reviews of syrup Ambroxol indicate that this drug has virtually no flaws. It effectively eliminates unpleasant symptoms of the disease, relieves inflammation and stimulatesimmunoglobulin synthesis, which in turn contributes tostrengthening of local immunity.

Another plus of the drug is its price - both tablets and syrup for children are classified as inexpensive drugs.

Analogues

Ambroxol has a lot of analogues, which are available for purchase in most of the city's pharmacies. The most popular among them are:

"Lazolvan";
"Ambrogen";
Bromhexine;
"Medovent";
Ambrolan;
Ambrohexal.

Most of these drugs, like "Ambroxol", are prescribed for diseases of the respiratory system. They help in a short time to reduce the severity of painful symptoms and improve the patient's well-being.

Before using analogues, consult your doctor.

Storage conditions and shelf life

In accordance with the instructions, Ambroxol should be stored in a place that is inaccessible to children and free from direct sunlight and must not be exposed to room temperature below 25 ° C. Medication is dispensed from pharmacies without a prescription, the shelf life of the pharmacy, provided all the manufacturer's recommendations are complied with, is three years.