Tablets for coughs list of names

How to choose a cough medicine?

What are the cough tablets?

Effective drugs for cough therapy in adults, adolescents and children is an actual topic to date and this is related to common cases of self-medication and a huge choice of drugs in the form of syrups, tablets, potions, drops, suspensions, sprays, inhalers, infusions and tinctures. In this case, patients often consult a pharmacist and pharmacist who can not assess the nature of the cough, determine the diagnosis and severity disease, the possibility of a complicated course of nosological form, which can be determined only by a qualified specialist - therapist, pediatrician or family doctor. If necessary, additional instrumental methods of examination are prescribed.

The correct treatment of a cough is not to suppress the cough reflex, which is a protective reaction of the body to irritation of the respiratory tract due to the development in them inflammatory process and with sputum production (wet cough) or with minimal mucus presence (dry unproductive cough), and also in case of inhalation of any irritant factor:

• small particles of dust;
• foreign objects;
• various infectious agents - pathogenic microorganisms, viruses, fungi;
• allergens.

In some cases, cough, especially in childhood, can occur in diseases that are not associated with pathological processes directly in the respiratory system, but has a central (neurogenic) nature - with neuroses, the syndrome of hyperactivity, psychopathy. Also cough is an additional symptom in diseases of other organs or systems: allergic diseases, heart and vascular diseases, digestive organs.

Therefore, in each specific case, a diagnosis and careful selection of strictly defined and maximized effective cough tablets for complex therapy of the underlying disease with elimination or relief of a specific type of cough.

Pathogenesis of cough

Mucous membranes of the trachea, bronchi and alveoli normally produce mucus.

But with inflammatory processes that occur during seasonal infections, colds, cough is one of the symptoms, acutely occurring pathological processes that accompanied by an increase in temperature, lethargy, weakness, runny nose and general malaise, in connection with the development of the inflammatory process in the epithelial cells of the larynx, trachea, pharynx, bronchi or alveoli. At the same time, hyperemia with persistent edema and production of mucous exudate develops, aimed at evacuating viruses and pathogenic microorganisms from the upper and lower respiratory tract.

Another cause of coughing is bronchospasm.

Inflammation of the alveoli, pleura, or lung tissue with pneumonia and pleurisy is accompanied by frequent dry, and irritating cough, but the diagnosis of these diseases is carried out only in the conditions of a medical institution.

Types of cough and treatment tactics

Cough, depending on the amount of sputum in the respiratory tract is divided into wet and dry.

In this case, treatment of each type of cough has its own characteristics and determines the choice of cough medicine.

Tablets from dry cough, in most cases suppress the cough reflex (blocking the cough center or the receptors of the tracheobronchial tree), so their

It is unacceptable to use for the treatment of a damp cough, as a result of which evacuation of sputum and bronchial clearance are completely blocked by a constantly developing secret.

Also, do not use tablets from wet cough, dilute sputum and promote both its formation, and an easier expectoration in the occurrence of dry cough, which is associated with irritation of the mucous membrane of the respiratory tract by a catarrhal inflammatory process or irritation with chemical or physical agents. If they are not effective, they can stimulate the secretion when the cells are not ready for it, so there is aggravation of edema and inflammation of the bronchi and trachea.

It is important to remember that cough is only a symptom of the disease and the main point of therapy is the definition and elimination of the cause of the pathological process.

Causes of cough in children and adults

To date, the main causes of coughing are:

1. Diseases of the respiratory system

1. Catarrhal and infectious diseases of the bronchopulmonary system of viral and bacterial etiology (considered the largest and most important group of pathologies that are accompanied by a cough):
   • diseases of the upper respiratory tract (nasopharyngitis, laryngitis, pharyngitis, laryngotracheitis, tonsillitis, sinusitis);
   • pathological processes in the lower respiratory tract (tracheitis, tracheobronchitis, bronchiolitis, bronchitis, bronchopneumonia and pneumonia, pleurisy, alveolitis, lung abscess);
2. Specific infectious and inflammatory processes (tuberculosis and mycosis of the lungs, chlamydial pneumonia), 3) Diseases of infectious-allergic and allergic genesis (bronchial asthma, angioedema larynx);
3. Congenital pathology of bronchi and lungs (bronchial hypoplasia, congenital bronchiectasis);
4. Children's infectious diseases (whooping cough, measles, scarlet fever);
5. Benign and malignant neoplasms of the respiratory tract (lung sarcoma, bronchogenic carcinoma, pleural tumors);
6. Irritation of mucous respiratory tract by aggressive chemical substances (poisoning with petrol vapors, acetone, carbon monoxide);
7. Foreign bodies in the respiratory tract;
8. Interstitial lung diseases.

2. Diseases of the heart and blood vessels

• heart defects (congenital and acquired);
• angina pectoris;
• heart failure;
• inflammatory diseases of the heart (myocarditis, pericarditis).

3. Diseases of the digestive tract

• gastroesophageal reflux;

4. Diseases of the nervous system

• neurogenic dysfunction of the pharynx musculature;
• neuroses;
• Parkinson's disease;
• organic pathology of the brain (post-stroke complications, brain tumors).

5. Other reasons

• a smoker's cough;
• cough, as a side effect when taking certain medicines (inhibitors of renin-angiotensin).

Effective elimination of the cause of the occurrence of cough, is the basis for the therapy of cough, directed at the etiologic factor.

Classification of drugs that eliminate and relieve cough

The modern classification of medical devices that affect cough is extensive, but to date the drugs are positively affecting the occurrence of cough reflex, its productivity and intensity in pharmacology and medicine are divided into three main groups:

1. drugs that directly exert a retarding effect on the cough center of the central nervous system (in the brain) and on the nerve endings of cough receptors with complete or partial suppression of cough;
2. drugs affecting smooth muscle and bronchial mucosa;
3. drugs affecting the state of bronchial secretions.

Dry cough pills

Dry cough occurs as a complex reflex protective reaction of the body, which occurs with constant irritation of the respiratory tract by any infectious or other foreign agents with simultaneous presence of catarrhal inflammation and edema of the mucous membrane of the respiratory tract with minimal production of sputum, mainly in the development of viral or bacterial infections.

Dry cough is irritating and unproductive, and most often occurs with catarrhal inflammation of the mucous membranes of the upper respiratory tract - larynx, nasopharynx and / or the initial part of the trachea, as well as their combined lesions - laryngopharyngitis, laryngotracheitis and pharyngotracheitis. Also, a frequent dry and irritating cough can occur in children with infectious diseases - measles, paracut, parotitis, whooping cough and scarlet fever.

Dry cough can be a symptom of pleurisy, bronchoadenitis, the presence of a foreign body of bronchial tubes, as well as a symptom of diseases of other systems: psychogenic cough with neuroses or irritating cough with endocrinopathies and diseases of the digestive system (gastroesophageal reflux).

In this type of cough, in a number of cases, antitussive drugs that depress the cough reflex are prescribed. It is important to remember that this type of medication is used only for the purpose of the doctor at any age, but in young children (up to a year), premature and weakened babies, in the presence of perinatal pathology of the central nervous system, these drugs can oppress not only the cough reflex, but also respiratory center. Therefore, in pediatric practice, these drugs are prescribed only under the constant supervision of a specialist in the case of severe dry cough, significantly disturbing the well-being and sleep of the child, causing regurgitation and vomiting - in whooping cough, parakoklishe and in the complex therapy of obstructive bronchitis and bronchopneumonia.

These drugs are divided:

• preparations of central action;
• peripheral action;
• combined medicines.

Counter-cough medicines of central action

A group of drugs affecting the center-center cough center is used to eliminate coughing and is used to treat diseases with no sputum. It includes mainly medicines for the treatment of dry cough:

1. With narcotic effect (Morphine chloride, Codeine, Demorphan, Hydrocodone, Codipron, and Ethylmorphine hydrochloride).

2. Without a narcotic effect (Tusuprex, Glavent, Sedotussin, Sinekod, Pakseladin, Butamirat).

Narcotic antitussive medicines

These drugs are released in the pharmacy network only when presenting a prescription.

With caution the drugs of this group are prescribed for acute pain in the abdomen of an unknown genesis, convulsions (in the anamnesis), arrhythmia, alcoholism, bouts of asthma, suicidal tendencies, neuroses and emotional lability. And also with intracranial hypertension and brain injuries of prostatic hyperplasia, renal and / or hepatic insufficiency, hypothyroidism, severe inflammatory bowel disease, and with urethral strictures channel. Very rarely drugs of this group are assigned to weakened patients, in any period of pregnancy and during lactation, and also elderly patients and children due to a large number of adverse reactions, the possibility of overdose and poisoning.

It should be noted that the use of other antitussive and expectorants simultaneously with narcotic antitussives is prohibited.

The most common drugs in this group are Codeine and codeine-containing drugs and Ethylmorphine.

Codeine

Codeine is an alkaloid of opium and is formed synthetically by methylation of morphine. Its therapeutic effect is based on suppressing the redistribution of the cough center of the brain.

Codeine is part of the combination of medications that are used as symptomatic agents for the treatment of an obsessive, painful and debilitating cough:

1) in combination with expectorant drugs and terpinhydrate

• Terpinkod;
• Codterpine;
• Kodarin;

2) with sodium hydrocarbonate, a herb of thermopsis and a root of licorice

• Codesan;
• Kodelak;

3) in combination with anti-inflammatory drugs (ibuprofen, naproxen, metamizole, paracetamol and analgin, and) with the inclusion of some preparations of phenobarbital with its soothing action

• Sedalgin;
• Pentalgin;
• Solpadein;
• Nurofen Plus.

Ethylmorphine

Ethylmorphine is a central antitussive drug that promotes stimulation of opioid receptors neurons of the brain and a decrease in the excitability of the cough center and providing analgesic and soothing act. It is available in the form of tablets.

Indication for use Ethylmorphine is an unproductive, painful cough that is accompanied by a pain syndrome with pulmonary tuberculosis, pleurisy, neoplasms of the bronchopulmonary system.

Contraindication to the use of this drug is respiratory depression against the background of various infectious and inflammatory processes of the lungs (bronchopneumonia, bronchiectasis, pulmonary emphysema and other COPD), especially in the elderly, as well as increased sensitivity to drug. The most frequent adverse reactions are persistent headaches, insomnia, permanent constipation (especially in the elderly and senile age, in weakened patients) and the development of drug dependencies.

Non-narcotic antitussive medications

To date, the pharmacy network has a very large selection of non-narcotic antitussive drugs, which can be considered true cough tablets. Typical representatives of this group are Libexin, Paxeladin, Glaucin, Sedotussin, Tusuprex, Sinekod and other preparations.

The mechanism of action of these drugs:

• oppressive effect on the nerve endings of cough receptors with complete or partial suppression of cough and mediated inhibition of the cough center;
• interruption or weakening of signals going to the brain (medulla oblongata) from the affected mucosa of the trachea and bronchi.

Some of these substances are part of a combination of drugs, mainly Glaucin, which is an antitussive component many medicines containing also other soothing, expectorant or anti-inflammatory components (Stoptussin, Broncholitin).

Medicinal preparations of non-narcotic effect for today by patients and in some cases also by doctors are widely used, but, to Unfortunately, it is often unreasonable and wrong, because the indication for their purpose is the need to suppress frequent, irritating cough. In pediatrics, such cases are rare - mainly with whooping cough or in cases of intense productive cough with intense production sputum with the formation of abundant and liquid bronchial secretion (bronchorrhea), when there is a real threat of aspiration of bronchial contents.

In patients in the older age group (children over 12 years, adolescents, adults), these drugs are prescribed in cases of cough, combined with moderate bronchospasm. At the same time they are used both independently and as an addition to bronchodilator drugs, suppressing catarrhal or allergic inflammation.

The most commonly prescribed drugs in this group are Butamyrate, Libexin, Bithiodine, Paxeladine.

Butamate

This antitussive drug effectively inhibits the excitability of the cough center, while providing moderate anti-inflammatory, expectorant action and a weak bronchodilator effect, reducing irritation of the trachea and bronchi and potentiating antitussive action without depressing influence on the respiratory center.

Butamirate tablets are used for symptomatic treatment of inflammatory diseases of the bronchopulmonary system in adults and children and over 12 years of age who are accompanied by a frequent unproductive and severe irritating cough that has an obsessive character. Butamirate is the main component of medicines Sinekod, Kodelak-Neo, Omnitus.

Bithiodine

Antitussive drug, the therapeutic effect of which is due to active influence on the receptors of the mucous membrane of the bronchopulmonary system and to a lesser extent on the cough center of the central nervous system. Its active ingredient is Tipedidine, which is close to codeine by force of action, but does not cause drug dependence even with prolonged use.

Paxeladin

This drug refers to antitussive drugs that do not have a chemical affinity for either opioids or their derivatives, or antihistamines. Its active ingredient is oxeladine citrate, which acts selectively at the level of the cough nerve centers. Pakseladin is released in prolonged-action capsules and in syrup. Like all non-narcotic antitussives, it is prescribed for the symptomatic treatment of frequent dry cough in most cases spastic or reflex. It is not used to treat productive cough - it is difficult to get rid of phlegm and aggravation of inflammatory processes, conditions are created for the development of complications (bronchopneumonia, pleurisy). Also, do not apply Paxeladin simultaneously with expectorant and mucolytic drugs - in this case, activates viscous products sputum, which provokes the development of bronchospasm, peristalsis of small and medium bronchi and obliteration of the lumen of the bronchi, which aggravates cough.
It is not recommended to use capsules before the age of 15 years.

Indications and features of non-narcotic antitussive drugs

A group of non-narcotic antitussive medicines of central action is shown mainly with a cough that is associated with marked irritation of mucous epiglotti (upper) respiratory tracts arising from infectious and / or catarrhal inflammation. In this case, the positive result is usually enhanced when they are used together with preparations of peripheral antitussive action with enveloping effect. An example of such a combined action is Broncholitin. But the effectiveness of its use is justified only in the absence of pronounced inflammatory changes in the mucosa in the lower parts of the bronchopulmonary system, in connection with the fact that the ephedrine entering into it "dries" the bronchial mucosa, increasing the viscosity of the bronchial secretion, increasing the inefficiency of coughing in bronchitis and pneumonia. Ephedrine also has an exciting effect on the central nervous system, so the use of this drug in children unjustified and dangerous - it can disrupt the child's sleep, contributing to increased dyspnoea and unproductive cough.

It is important to remember that the use of this group of drugs as self-medication can do more harm than good, cause complications in the form of bronchial obstruction, increasing the viscosity of bronchial secretions and promote the progression of inflammatory processes, edema and lowering of the pathological process in lower departments.

Group of peripheral drugs

The peripheral group includes pharmacological preparations from dry cough acting on nerve receptors and endings that are located in the tracheobronchial tree - Libexin, Levopront and Helicidin.

Libexin

Libexin is considered an effective antitussive drug, which additionally has a local anesthetic, bronchodilator and spasmolytic effects and has a moderate expectorant and anti-inflammatory effect with minimal decrease in respiratory activity center. The basic form of Libexin is round flat tablets of almost white color with a dividing stripe into four equal parts on one side and engraving "LIBEXIN" on the other, containing 100 mg of active ingredient - prenoxdiazin hydrochloride.

This drug is currently considered a drug of choice in the treatment of laryngitis, tracheitis, pharyngitis and less frequent bronchitis, which are accompanied by a dry, unproductive cough. Also as one of the components in the complex therapy of pleurisy and pneumonia, which are accompanied by pain and obstructive syndromes, and with congenital diseases of bronchopulmonary system, cystic fibrosis and other chronic lung diseases: tuberculosis, pneumoconiosis, emphysema in children and adults as a symptomatic remedy with compulsive irritating coughing.

With caution this drug is prescribed for ulcerative lesions of the gastrointestinal tract, as well as in the presence of a history of gastric bleeding, liver or kidney failure, glomerulonephritis, cystitis, allergic form of bronchial asthma with a tendency to stand bronchial obstruction.

Libexin is contraindicated for individual intolerance, pregnancy (especially in the first trimester), lactation and in early childhood.

Levoprint

This drug is prescribed for frequent dry cough to children and adults. It is released as a syrup and drops for oral administration.

Absolute contraindications to its reception are:

• pregnancy in any period;
• lactation period;
• liver failure;
• decreased mucociliary function of the bronchi;
• hypersensitivity to the components of the drug.

Levoproton can cause side effects in the form of increased fatigue, diarrhea, drowsiness, dizziness, tachycardia, heartburn, nausea, vomiting and allergic reactions. With long-term use of this drug, mental disorders, the development of sopor and coma, possible, especially with overdoses in childhood and the elderly.

Group of antitussive drugs combined action

These drugs have simultaneously reducing the cough reflex effect and expectorant, moderate anti-inflammatory and mild bronchodilator actions in connection with their constituent several components - Stopptussin, Butamirate, Libexin-Muko, Tussin plus, Bronholitin, Protiazin, Hexapneumine.

All drugs of this group are widely used for the treatment of dry and unproductive cough, but it is important to remember that

They are contraindicated in the presence of productive wet cough or other conditions that are accompanied by abundant sputum discharge, as well as with the likelihood of developing pulmonary hemorrhages.

Therefore, the choice of an antitussive drug should be performed by a physician on the basis of an anamnesis, clinical examination of the patient and, if necessary, additional methods (laboratory or instrumental).

Indications and features of antitussive drugs

A group of "true" antitussive drugs of central and peripheral action is shown mainly with a cough that is associated with marked irritation of mucous epiglotti (upper) respiratory tracts arising from infectious and / or catarrhal inflammation. In this case, a positive result is usually enhanced when they are used together with drugs that have anti-inflammatory and enveloping effects in addition. An example of such a combined action is Broncholitin. But the effectiveness of its use is justified only in the absence of pronounced inflammatory changes in the mucosa in the lower parts of the bronchopulmonary system, in connection with the fact that the ephedrine entering into it "dries" the bronchial mucosa, increasing the viscosity of the bronchial secretion, increasing the inefficiency of coughing in bronchitis and pneumonia. Ephedrine also has an exciting effect on the central nervous system, so the use of this drug in children unjustified and dangerous - it can disrupt the child's sleep, contributing to increased dyspnoea and unproductive cough.

It is important to remember that the use of this group of drugs as self-medication can do more harm than good, cause complications in the form of bronchial obstruction, increase the viscosity of the bronchial secretion and promote the progression of inflammatory processes, edema and lowering of the pathological process in the lower parts of the bronchopulmonary system.

Cough preparations of local action

This group of antitussive drugs includes drugs that depress the cough reflex as a result of anesthesia of the mucous membranes respiratory tract, in connection with which the irritating effect of various agents, both infectious and non-infectious (chemical and physical factors). These drugs also reduce the viscosity of phlegm and relax the bronchi.

To local anesthetics include tablets Libexin, Tusuprex and resorption tablets Falimint.

Tusuprex

Tablets Tusuprex is often used for symptomatic cough therapy in children from the year, adolescents and adults patients, but in pediatric practice they are used only according to the doctor's prescription (due to the complexity of dosing in young children age). Also, this drug should not be used against the background of the development of bronchospasm (with obstructive bronchitis and bronchial asthma), in the presence of confirmed bronchiectasis and for any disease that is accompanied by a difficult separation phlegm.

Falimint

Tablets for resorption of the Falimint are indicated in the presence of an unproductive irritant cough that is caused by pronounced catarrh of the upper respiratory tract (pharynx, larynx and upper parts trachea). This drug has in its composition a local anesthetic component and therefore reduces the intensity of dry cough.

Falimint does not apply:

• in children under 4 years;
• during pregnancy and lactation;
• hypersensitivity to the components of the drug;
• with intolerance to fructose.

Drugs affecting the state of bronchial secretions

Separately, a group of drugs with mucolytic and / or expectorant action is distinguished. These tablets and syrups, which are used in wet productive cough and are divided into the following subspecies of drugs:

1. Expectorants:

a) having predominantly reflex action:

• Terpinhydrate, Thermopsis, Sodium benzoate, Lycorin;
• the roots of Licorice, Devyasil, Istad and Althea;
• essential oils.

b) stimulating gastropulmonary and / or vomiting reflex:

• Gwaiphenazine, Ipecacuan, Sodium Citrate, Ammonium Chloride.

c) resorptive action with increased bronchial secretion:

• Sodium iodide, Sodium bicarbonate, Ammonium chloride, Potassium iodide.

2. Mucolytic agents:

a) direct action, which quickly destroy the polymer bonds of bronchial mucus:

• Mukaltin;
• The mukonist;
• Mukobene;
• Exomuk;
• Acetylcysteine, Fluimutsil, Carbocysteine ​​group (Mukopron, Bronkatar, Mukodin, Fluvik, Mistabron, Mucosol;
• preparations with infusions of leaves of plantain, mother-and-stepmother, licorice;
• enzymatic preparations that reduce the viscosity of sputum - Chymotrypsin, DNAase, Trypsin, Ribonuclease, Streptokinase, DNAase, Pulmozyme;

b) Indirect action (mucoregulators):

• Ambroxol (Ambrobene, Ambrosan, Ambroghexal, Khalixol, Medovent, Lazolvan, Ambrollanazolvan);
• Bromhexine (Fulpen, Flegamine, Broxin, Bisolvon);
• Carboxymethylcysteine, Sobregorod, Sodium Ethanesulfate, Letostein, Sodium bicarbonate;
• changing the productivity of bronchial glands - anticholinergic and antihistamines.

3. Anti-inflammatory drugs with bronchodilator and / or expectorant effect:

• Suprima-bronho, Sinupret, Pulmotin, Glytsiram, Ascoril, Gelomirtol, Gedelix, Evkabal and Prospan.

Features of the use of expectorant drugs

At the basis of the mechanism of action of expectorants are - increased secretion of sputum by bronchial glands, dilution of secretion by reflex by way of and as a result of this easier departure of mucous or mucopurulent sputum from the lower parts of the bronchopulmonary system to its higher departments. These drugs actively irritate the receptors of the mucous membranes of the stomach and, inducing vomiting center, which is localized in the medulla oblongata and, in connection with this, significantly increase sputum excretion bronchi.

Expectorants are prescribed for diseases that are accompanied by a decrease in sputum production or vice versa, an abundance of thick, viscous, difficult-to-separate mucus that accumulates in the bronchi (with bronchitis and bronchial asthma), larynx (with laryngitis), in the trachea (with tracheitis), in the alveoli and small bronchioles (with bronchopneumonia and cystic fibrosis).

The use of expectorants for the treatment of respiratory diseases can not be combined with antitussive drugs of central and peripheral action that oppress the cough center or inhibit cough reflex. In this case, a large number of sputum accumulates in the lower respiratory tract, which often leads to their obliteration and development of severe infectious and inflammatory diseases (obstructive bronchitis, bronchopneumonia, pleurisy).

There are two groups of expectorant drugs that differ in the mechanism of their therapeutic action:

• means of reflex action;
• medicines with direct effect.

And

• preparations of vegetable origin;
• synthetic drugs.

Popular expectorants of plant origin

Basically, almost all expectorants with a reflex action mechanism are represented medicinal plants and their extracts, which intensify and accelerate the excretion of sputum from the organs bronchopulmonary system. This group of medicines is extensive and in most cases they are represented by herbal medicines.

Expectorants have medicinal plants:

• licorice;
• thermopsis;
• anise;
• marshmallows;
• plantain;
• elecampane;
• ledum;
• oregano;
• thyme;
• mother and stepmother;
• ipecacuanha;
• thyme;
• violet;
• pine buds, etc.

Herbal extracts of these herbs are included in various breast pills, tablets, powders and syrups for the treatment of moist productive cough in children and adults.

Pills for cough with thermopsis

In most cases (and this is actually so), this drug is considered to be the best drug for treating wet cough.

Tablets from cough with thermopsis and sodium bicarbonate are very popular earlier and effective at the present time. Their balanced composition is a herb of thermopsis, which enhances sputum secretion while simultaneously reducing its viscosity and sodium bicarbonate, an emollient and gently tearing bonds in sputum molecules - effectively dilute sputum, promoting its rapid evacuation from the upper and lower divisions of the respiratory tract.

In these tablets there are no artificial additives, synthetic components, and in comparison with expensive medicinal preparations in efficiency they do not concede.

But for the purpose of this drug there are absolute contraindications:

• individual intolerance to the components of the drug;
• erosive and ulcerative pathological processes of the stomach and other parts of the digestive system;
• pregnancy.

Thermopsis is today considered to be an excellent remedy for treating wet cough in children. But it is important to remember that it is not used for infants for the therapy of bronchitis or bronchopneumonia with a large amount of sputum, while the child can not effectively cough, and thermopsis additionally activates the increase in mucus secretion by bronchial glands, which quickly leads to the development of respiratory insufficiency. Also, the herb of thermopsis has an emetic effect and the babies show frequent regurgitation and vomiting, which leads to dysfunctions of the digestive system, the development of lethargy, reduced weight gain and overall weakening of the body the kid.

Also, if the dose of Thermopsis is exceeded, its emetic effect is manifested, which can cause nausea at the beginning of treatment at any age (especially in children).

Mukaltin

Another effective herbal preparation for the treatment of wet cough is Muciltin tablets from cough, which are created on the basis of the extract of the drug althea. It has a pronounced anti-inflammatory and expectorant effect, which is due to reflex stimulation ciliary epithelium of the respiratory tract and an increase in peristalsis of the bronchi and bronchioles with activation of secretion bronchial glands.

Muciltine tablets also contain sodium bicarbonate.

Currently, this drug is recognized as one of the most effective expectorant drugs that are used to treat productive wet cough in children and adults.

Doctor Mom

Dr. Mom is a complex herbal preparation that is used in the treatment of diseases accompanied by a damp productive or cough with viscous sputum. It consists of active plant substances that have expectorant, softening, secretory, anti-inflammatory, moderate bronchodilator and mucolytic effects.

At the heart of pastilles and syrup are dry extracts from leaves, roots, seeds, bark, flowers of medicinal plants: aloe, elecampane, basil, ginger, licorice, turmeric, pepper cubebe, terminalee beleriki and nightshade Indian.

Additional positive characteristics of this drug is its good tolerability, even with prolonged use.

With caution, this medicine should be taken by pregnant women and with lactation and only with the appointment of a doctor and with constant monitoring.

Also, Dr. Mom is not assigned simultaneously with medications that suppress the cough reflex. A good effect is the use of this plant expectorant in combination with mucolytic drugs (Ambroxol, Lazolvan and Bromhexin).

At the beginning of treatment or with prolonged or uncontrolled use of the drug, nausea may occur before vomiting or frequent regurgitation in young children, which is due to the presence in the formulation of an extract of licorice, which has a weak emetic effect.

Expectorants of artificial origin

At the basis of the mechanism of action of expectorant antitussive drugs of direct action is the enhancement elimination of bronchial secretion as a result of exposure to sputum and stimulation of bronchial peristalsis. This group of medicines is represented by artificial medicinal preparations - iodized salts of potassium and sodium, Benzoate sodium, sodium hydrochloride, terpinhydrate, ammonium chloride, potassium bromide and essential oils - eucalyptus fir, aniseed. They are quite effective and are mainly used for inhalations.

In the pharmacy network, you can buy a combination of drugs for the treatment of wet cough, which have in their composition as plant substances, and artificial components - Moist-anise drops and Pertussin, which contains the extract of thyme and bromide potassium.

Mucolytic drugs

The action of mucolytic drugs is aimed at diluting the thick and viscous secretion bronchial glands without increasing sputum secretion to facilitate their evacuation from the lower and upper respiratory tract.

Mucolytic tablets today are considered one of the main components in the therapy of wet cough. They also restore the mucous membranes of the bronchi and the elasticity of the lungs.

To this group of drugs are - Ambroxol, ATSTS, Bromheksin, Carboccithin. When combined with various plant expectorants with mucolytics, the effectiveness of both increases sharply. Also mucolytics potentiate the action of antibacterial drugs, increasing their effectiveness, Therefore, they are widely used in complex therapy of pneumonia, bronchiolitis, obstructive bronchitis and pleurisy.

Ambroxol and Bromhexin activate the formation of pulmonary surfactant, which ensures the normal functioning of the alveoli of the lungs, preventing their collapse and adhesion, therefore they are widely used in pediatric practice for the treatment of bronchopulmonary pathology in young children, premature babies and toddlers with intrauterine hypotrophy.

Their negative side is the ability to cause bronchospasm, which is considered a contraindication to the use of these drugs during periods of exacerbation of bronchial asthma.

The main groups of mucolytic drugs

In medicine and pharmacology mucolytics are divided into several groups:

1) drugs that are developed based on proteolytic enzymes - chymotrypsin, trypsin and mesna. But this group of medicines is used only in extreme cases, always in a hospital and under the supervision of the attending physician;
2) drugs based on acetylcysteine ​​- ATSTS, Mukobene, Fluimutsil, Exemuk, Mukomist and others.

The mechanism of action of these drugs is based on dilution of thick and viscous sputum as a result of rupture of large molecules of mucus to small in connection with this facilitates the process of coughing and evacuation of sputum from the respiratory tract. Also, acetylcysteine ​​drugs have a protective effect on the inflamed cells of the bronchopulmonary system.
Preparations of this group can not be taken simultaneously with antitussive drugs, which leads to stagnation of sputum in the bronchi and alveoli, oppression of the cough and the development of complications (bronchopneumonia, respiratory failure, and with the layering of aggressive microflora - abscesses of the lungs and purulent pleurisy).
3) drugs based on carbocisteine ​​(mucoregulators) - Bronkatar, Carbocysteine, Drill, Mukodin, Fluvik, Mukoprint.

They normalize not only the qualitative composition of the sputum (liquefying it and easing the cough), but also increase the activity of cells that produce bronchial secretion and the work of cilia of bronchial epithelium and bronchioles. And also have an anti-inflammatory effect and stimulate local immunity in connection with the increase in the production of protective immune complexes (group A immunoglobulins).
The most modern preparations of this group are Fluviert, its distinctive feature is a longer lasting effect.
4) mucolytics with expectorant effect - derivatives of Ambroxol and Bromhexine

The mechanism of action of these drugs is based on stimulation of secretion by alveoli of liquid sputum and liquefaction and already accumulated mucus, stimulate the formation of immunoglobulin and lysozyme in a bronchial secretion and have an expectorant effect.
But the pronounced effect of these drugs does not come immediately, but only on the fourth - the sixth day from the beginning of treatment.
Bromhexine preparations include - Flexin, Bronchosan, Flegamin, Bromoxin, Fulpen, Solvin.
Drugs of this group also can not be used simultaneously with antitussive drugs in connection with possible accumulation of excess sputum as a result of cough suppression and the absence of evacuation of the accumulated secretion from the bronchi and alveoli. In addition, when this group of drugs is prescribed, the use of a vibratory (drainage) massage and postural drainage (the patient's acceptance of certain body positions that improve the outflow phlegm).
Ambroxol preparations are active metabolites of Bromhexine with an improved chemical structure, so these medicinal means have a complex effect on the respiratory tract - mucolytic, anti-inflammatory and expectorant. Since 2012 Ambroxol is on the list of the most important and vital medicines. But Ambroxol preparations also can not be taken simultaneously with antitussive drugs.

The main drugs are Ambrobene, Lazolvan, Ambrohexal, Khaliksol, Bronhoverne, Dephlegmine, Ambrolan.

Good tablets against coughing

Definitions of "good pills for cough" from both medical and pharmaceutical point of view does not exist. Cough is only a symptom, the complete elimination of which or even its reduction can do more harm than good. With the development of bronchopulmonary pathology in both children and adults, treatment is aimed at eliminating the cause of the pathological process - cupping bronchospasm, the elimination of inflammation, the removal of a foreign body from the trachea and bronchi or the treatment of other systems and organs - neuroses, psychopathies (with neurotic character of coughing).

Therefore, the choice of the drug for cough treatment is individual and is made after a patient's examination, careful collection of anamnesis and diagnosis.

Tablets for children cough

The right choice of medicines for cough therapy in children is determined by the main factors - the cause of cough, the mechanism of action of antitussive drugs, features of a cough reflex in a child, and the full spectrum of all these factors can be assessed only by a specialist who will assign the baby the correct one in each case treatment.

Inhibition of cough reflex in a child, the use of several antitussive drugs from different groups simultaneously, increasing dosages, multiplicities and the duration of taking the drug can lead to many negative consequences, the development and progression of hazardous to health and even life complications.

Tablets for coughing during pregnancy

Pregnancy in most cases is an absolute contraindication to taking many antitussive medicines, especially narcotic antitussives, many complex medicines, in connection with their pronounced negative impact on the embryo, followed by the development of fetopathies and other violations of the correct laying of organs and systems of the future child.

Relatively contraindicated medicinal products for treating cough are:

• insufficiently studied drugs, in which application the risk of a dangerous effect on the baby's body is possible;
• medicines, with the possible risk of development in the future mother of side effects.

Also on any period of pregnancy, some medicinal plants and medicinal funds that have them in its composition - juniper, nettle, oregano, mother-and-stepmother, St. John's Wort and others. The negative effect of medicinal herbs on the fetus is sometimes many times more active than synthetic drugs - they have a fetopathological and teratogenic effect on the fetus, change the hormonal background of the pregnant, can stimulate the contraction of the myometrium and cause miscarriages, especially in the early terms.

Therefore, even at the planning stage, and even more so in the early stages of pregnancy, it is necessary to take with caution any medicinal and / or homeopathic medicines and herbs.

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All expectorants for cough with bronchitis

When ORVI, bronchitis with a damp cough with poorly separated sputum, the use of medicines is recommended, which either dilute sputum - mucolytic drugs, or facilitate its separation - expectorants from cough. These include both herbal remedies and synthetic preparations.

Many of us prefer to restrict the intake of medications not obtained from natural substances, however, it should always be remembered that any a medicinal plant, no matter what positive properties it possessed, as well as synthetic agents have side effects, and has a number contraindications.

Since the composition of all medicinal plants is very complex and saturated, in addition to useful and medicinal herbs, a lot of other, sometimes toxic, harmful substances are included in the herbs and preparations. Moreover, in our days, the majority of the population suffers from various types of allergies, and any drug, even the most expensive, effective and safe, can cause an inadequate body reaction.

Classification of funds that facilitate cough and promote rapid recovery

All means for cough relief are subdivided into antitussives, expectorants and mucolytic agents.

• Antitussives, as well as combination preparations - are indicated for dry, unproductive cough, disturbing sleep and appetite (see. article antitussives with dry cough).
• Expectorants - are indicated with a productive cough, when the sputum is not thick, not viscous.
• Mucolytic agents - are shown with a productive cough, but with a thick, hard to separate, viscous sputum.

Any cough medicine must be prescribed only by your doctor. Antitussive remedies can not be used to treat concomitantly with mucolytic drugs, but there are combination drugs that have a weak antitussive and expectorant effect.

Expectorants - means that stimulate expectoration are also divided into:

• Reflex action - these drugs have an irritating effect on the gastric mucosa, and this in its turn excites the vomiting center, but vomiting does not occur, but the production of mucus in respiratory ways. The peristalsis of the smooth musculature of the bronchi and the activity of the epithelium, which removes phlegm from small to large bronchioles and into the trachea, is also intensified. The result of this irritation is the facilitation of expectoration of mucus and the removal of sputum from the bronchi. In general, these are herbal preparations - thermopsis, Ledum, mother and stepmother, althea, plantain, thyme, etc.

• Direct resorptive action - after digestion of these cough suppressants in the digestive tract, they cause irritation of the bronchial mucosa, thereby increasing the secretion of liquid sputum.

Mucolytic agents are preparations that dilute sputum:

• Mukoliticheskie means, affecting the elasticity and viscosity of bronchial mucus (ATSTS, etc.)
• Mucolytic agents that accelerate the excretion of sputum (bromhexine, ambroxol)
• Mucolytic drugs that reduce the formation of mucus (Libexin Muko, M-cholinoblockers, glucocorticoids).

Expectorants for cough reflex action

The use of infusions from the herb of thermopsis should be treated very carefully. At children at the slightest overdose there can be a vomiting. Moreover, the cytisine (alkaloid) entering into its composition in large doses can cause a short-term stimulation of respiration in children, which then gives way to respiratory depression.

Preparations of Althea Indication: Chronic and acute diseases of the respiratory system - bronchitis, tracheobronchitis, obstructive bronchitis, emphysema. At which a difficultly separated sputum is formed, increased viscosity. Pharmacological action: When using expectorants from the herb althea medicinal, the effect is achieved by stimulation of peristalsis of bronchioles, it has an anti-inflammatory effect, dilutes bronchial secret. Contraindications: increased sensitivity to this drug, gastric and duodenal ulcer. For preparations in syrup, use with caution in diabetes mellitus and fructose intolerance. Children under 3 years, with pregnancy only according to the indications. Side effects: allergic manifestations, rarely nausea, vomiting Mukaltin, tablets (20 rubles). Method of use: Children mukultin as an expectorant for cough take, dissolving 1 a tablet in 1/3 of a glass of water, adults are recommended to 50-100 mg 3/4 p / day before meals, a course of therapy 1-2 weeks.

The roots of the althea(60 rubles) raw materials crushed Dosage: Take in the form of infusion, which is prepared as follows - a tablespoon on a glass of cold water, in a water bath is boiled for 15 minutes, cooled, filtered, squeezed, brought to 200 ml. Admission is carried out 3-4 r / day after eating, before taking shake. Children 3-5 years, 1 dessert each. spoon, 6-14 years for 1-2 tablespoons, adults 1/2 cup for 1 reception. The course of treatment is 12-21 days.

Alteika syrup(90 rub) syrup Althea (30-130 rub) Application: Inside after meals, children under 12 years old - 4 r / day for 1 hour. spoon, diluted in a quarter of a glass of water, adults for 1 tbsp. l. syrup, diluted in half a glass of water. The course of treatment is up to 2 weeks, according to the indications the duration of therapy can be continued.

Preparations of thermopsis Thermopsolpills for cough (30-50 rub) The herb of thermopsis has a pronounced expectorant property, this herbal preparation contains many alkaloids (cytisine, thermopsin, methyl cytisine, anagirine, pachycarpine, thermopsidin), which exert a stimulating effect on the respiratory center, and at high doses on the vomiting Centre. Sodium bicarbonate, which is a part of the tablets Termopsol also reduces the viscosity of phlegm, stimulating the secretion of bronchial glands. Indications: Tablets from cough Termopsol are indicated when coughing with hard-to-recover sputum, with bronchitis and tracheobronchitis. Contraindications: Stomach ulcer and 12-finger. gut, hypersensitivity Usage: 1 table. 3 r / day course of 3-5 days.

Kodelak Broncho(120-170 rubles)without codeinethe composition includes (thermopsis extract, ambroxol, sodium hydrogen carbonate and glycyrrhizinate) Kodelak Broncho with thyme100 ml. elixir (150 rub)without codeine,in the composition (thyme extract, ambroxol, sodium glycyrrhizinate) These are combined expectorants that have expressed and mucolytic, and expectorant action, in addition have a moderate anti-inflammatory activity. Included in Ambroxol reduces the viscosity of phlegm, and Sodium glycyrrhizinate has antiviral and anti-inflammatory properties. Indications: Kodelak Broncho is used for difficulty in sputum discharge during pneumonia, COPD, bronchitis acute and chronic, with bronchoectatic disease. Contraindications: Pregnancy, children under 12 years, during lactation, with increased sensitivity to components of Kodelak Broncho. With caution in bronchial asthma, ulcerative gastrointestinal diseases, people with hepatic and renal insufficiency. Dosage: When eating 1 table. 3 r / day, can not be used for more than 4-5 days. Side effects: Headache, weakness, dry mouth, diarrhea, constipation, with high doses and prolonged reception - nausea, vomiting. Dryness of the mucosa of the respiratory tract, allergic reactions, dysuria, exanthema.

Thoracal Nos. 1, 2, 3, 4 The composition of which includes medicinal herbs: Breast gathering 1 - mother and stepmother, oregano Breast gathering 2 - plantain, mother and stepmother, licorice (Phytopectol 40-50 r.) Breast gathering 3 - marshmallow, pine buds, anise, sage Breast gathering 4 - Ledum, licorice, chamomile, calendula, violet More details about these collections of medicinal herbs from coughing can be read in our article - Breastfeeding, "from coughing - instructions for use.

Expectorant collection- Ledum, chamomile, elecampane rhizomes, mother and stepmother, calendula, peppermint, licorice, plantain. Application: infusion take 4 r / day before meals in 1/4 cup or 50 ml, course 10-14 days. Infusion is prepared as follows - 1 tbsp. l. collection boil in a water bath for 15 minutes in 200 ml of water, then cool, bring to 200 ml. Side effect: Diarrhea, heartburn, nausea, allergic manifestations. Bronchophyte(elixir, manufacturer of Ukraine) composition: Ledum, plantain, anise, violet, licorice, sage, thyme.

Leaf of plantain, mother and stepmother, ledum and other vegetable preparations Leaf of plantain(30 rubles pack) Plantain contains many useful biologically active substances, mucus, vitamins, essential oil, oleic acid, bitter and tannins, resins, saponins, sterols, emulsions, alkaloids, chlorophyll, mannitol, sorbitol, phytoncides, flavonoids, macro- and microelements. It has bacteriostatic, anti-inflammatory, anti-allergic, expectorant, mild laxative effect. It also has a mucolytic effect, restoring the work of the ciliated epithelium. Indication: diseases of the digestive tract, kidneys, atherosclerosis (treatment of cerebral atherosclerosis), cystitis, inflammatory diseases nasopharynx and oral cavity, with atopic dermatitis, with whooping cough, bronchitis, pneumonia as a strong expectorant therapeutic means. Contraindications: gastritis hyperacid, ulcerative lesions of the gastrointestinal tract, allergic reactions to herbal preparations. Application: infusion for half an hour before a meal of 2 tbsp. spoons. 3 r / day course 1-2 weeks. Side effect: Heartburn (see. tablets from heartburn), allergic reactions Herbion with plantain(180-230 rubles) For more details on the use of Herbion in dry cough and Herbionum with a damp cough, read in our article.

Grasshopper herb grass(35 rubles)is part of the expectorant collection, Breastfeeding No 4 and Bronchophyta. Herbal means of expectorant action, essential oil components have a locally irritating effect on mucous membranes bronchi, ledum has both antimicrobial and moderate anti-inflammatory effect, has an exciting effect on myometrium and CNS. Dosage: Infusion of 3 r / day for 1/2 cup, for infusion it takes 2 tablespoons of herbs per 200 ml of boiling water. Side effects: Increased bronchospasm, increased irritability, excitability, dizziness.

Mother and stepmother(40 rub) Application: due to the biologically active substances included in the composition it has antimicrobial, expectorant, diaphoretic, choleretic, wound-healing and antispasmodic properties. Dosage: every 3 hours for 15 ml infusion or 2-3 tablespoons 3 r / day for an hour before meals. Prepare the infusion as follows - 2 tbsp. Spoons are filled with a glass of water and for 15 minutes. boil in a water bath, then cool, filter, volume is adjusted to 200 ml.

Plantain syrup and mother and stepmothers(200 rubles) Contraindications: children under 6 years of age, pregnancy, lactation, peptic ulcer. Use: the syrup is taken to children 6-10 years old to 15 years old for 2 hours. spoon, adult 1-2 tbsp. spoon 4 r / day course 14-21 day. The change in the duration of therapy is determined by the attending physician. Side effects: allergic reactions (see. all tablets from allergies)

Stoppussin phyto syrup(130 rubles)composition: plantain, thyme, thyme. This is a phytopreparation with an anti-inflammatory and expectorant effect. Contraindicated: during pregnancy and feeding, children under 1 year. Patients with epilepsy (causes), kidney and liver diseases, brain injuries should be taken with caution. Application: after meals 1-5 years for 1 hour. spoon 3 r / day, 5-10 years for 1-2 hours. l. 10-15 years for 2-3 tsp, adults for 1 tbsp. l. 3-5 r / day. Usually the course of treatment is not more than 1 week, continue therapy is possible according to the indications.

Coldrex bronchus (syrup 110-250 rub) Syrup Caldrex bronchus has the smell of anise and licorice, the main substance used is guaifenesin, and also includes dextrose, macrogol, sodium cyclamate and benzoate, tincture of red pepper, star anise seed oil, racemic camphor, levomenthol. Contraindicated: children under 3 years, with peptic ulcer, hypersensitivity. Usage: Children from 3-12 years of age are shown an example in a single dose of 5 ml every 3 hours, an adult 10 ml every 3 hours. Side effects: abdominal pain, vomiting, nausea, vomiting, diarrhea, urticaria, rash.

Thyme (thyme extract) Thyme grass(40 rub) Thyme essential oil (90 rub) It is also an expectorant for coughs of plant origin, has analgesic and antimicrobial effect. Contraindications and side effects are similar to plantain leaf. Usage: 1 tbsp. spoon or 15 sachets filled with a glass of water and boiled in a water bath for 15 minutes, cooled, filtered, brought to 200 ml. Take after eating 1 tbsp. l. 3 r / day course of 14-21 days.

Bronchicum - pastilliki from cough (150 rub) syrup (250 rub) Pertussin syrup (30 rub) Tussamag drops and syrup (90-170 rub) These are liquid extracts of thyme, which are mucolytic and expectorant agents for coughing with bronchitis, pneumonia, with diseases with paroxysmal coughing, and with hardly detachable sputum. Bronchicum With syrup and lozenges After meals, children 6-12 months - on, h. spoons 2 r / day, 2-6 years - 1 hour. l. 2 r / day, 6-12 years - 1 tsp3 r / day, for adults 2 tsp. 3 r / day. Pastilles should be absorbed, children 6-12 years old - 1 paste. 3 r / day, for adults 1-2 pastes. 3 r / day. Bronchicum TP (primrose with thyme) Children 1-4 years - on, ch. 3 r / day, 5-12 years - 1 tsp each. 4 r / day, adults for 1 tsp. 6 r / day. Bronchicum should be taken throughout the day at regular intervals. Pertussin (thyme + potassium bromide) After meals, children 3-6 years old, ch. Lolki, 6-12 years old by 1-2 tsp, over 12 years old on a dessert spoon, adults on a tablespoon 3 r / day, course 10-14 days. Tussamag drops and syrup (thyme extract) Children 1-5 years old take 2-3 r / day for 10-25 drops, which can be taken in diluted and undiluted form. Children older than 5 years of 20-50 drops, adults 40-60 drops of 4 r / day. Syrup should be taken after meals for children 1-5 years 3p / day for 1 tsp., Over 5 years 1-2 tsp, for adults 2-3 tsp. 4 r / day.

Gelomirtol Gelomirtol (170-250 rub) It is an expectorant for coughing with chronic and acute bronchitis, of plant origin. Dosage: Children under 10 years of 120mg 5p / day for acute inflammation, 3 r / day for chronic process. Adults for half an hour before meals with acute bronchitis 300 mg 4 r / day, with chronic 2 p / day for chronic. In chronic bronchitis at bedtime, 300 mg are additionally taken to improve sputum excretion. Side effects: dyspepsia, allergic reactions, abdominal pain, increased mobility of stones in the gallbladder and kidneys.

Expectorants for cough of direct resorptive action

Such active ingredients as ammonium chloride, sodium hydrogen carbonate, potassium and sodium iodides increase secretion liquid sputum, the same effect is possessed by essential oils of fruits of anise, medicinal herbs - rosemary, oregano and etc.

Amtersall Composition: ammonium chloride, sodium benzoate, potassium bromide, licorice root extract and herbs of thermopsis. Contraindicated in pregnancy and lactation, children under 3 years, peptic ulcer, hypersensitivity. Application: After meals, children 3-6 years old - 1 / 2hl. 3 r / day, 6-12 years - 1 teaspoon, 12-18 years - 1 dessert each. spoon, adults for 1 tbsp. l 3 r / day, the course of treatment 10-14 days.

Mucolytic agents for coughing with bronchitis

Mucolytic agents help to dilute viscous sputum, improving the process of its removal, eliminating the nutrient medium for pathogenic microorganisms.

Acetylcysteine ATSTS (sachets, tab. soluble, syrup, bottles (120-400 rub) Vix active agent ekspedomed (tab. soluble 220-280 rub) Fluimucil (granules, ampoules, tablets 200-240 rub) Mucolytic agent, reduces the severity of the inflammatory process, reduces the frequency of exacerbations in chronic bronchitis. It is indicated for laryngitis (treatment in a child), otitis media, obstructive, acute bronchitis, pneumonia. Contraindicated in pregnancy, children under 2 years of age, with pulmonary hemorrhage, with caution in bronchial asthma (may worsen bronchospasm), renal and hepatic insufficiency, adrenal diseases. Application: Duration of therapy for acute catarrhal diseases should not exceed 7 days, with chronic bronchitis a longer reception is possible. Preparations of acetylcysteine ​​is better taken after eating, it should be borne in mind that always additional fluid intakeincreases the expectorant effect. Children 2-5 years of 100 mg 2-3 r / day, from 6-14 years 3 r / day for 100 mg, an adult at 200 mg 3 r / day or 600 mg once a day. Side effects: tinnitus, headache, stomatitis, vomiting, heartburn, tachycardia, lowering of blood pressure, bronchospasm, development of pulmonary hemorrhage, urticaria, skin rash.

Bromhexine Bromhexine (table 40-80 rub, drops 100 rubles, potion (140 rub) Bronchosan (drops 160-190 rub) Ingredients: bromhexine hydrochloride, oil of oregano, fennel, mint, eucalyptus, anise, levomenthol Solvyn (syrup, table. 120 rubles) Mucolytic agent, has expectorant and weak antitussive effect. The effect occurs within 2-5 days after the initiation of therapy. Contraindicated: children under 6 years of age for tablets, hypersensitivity, 1 trimester of pregnancy, during lactation. Application: children from 6 years 8 mg 3 r / day, from 2-6 years (in syrup, medicine) 2 mg 3 r / day, adults 8-16 mg 4 r / day. You can treat in the form of inhalations with bronchitis, laryngitis, they are 2 r / day, the solution is diluted with saline solution or distilled water 1/1, heated to body temperature, dosage for children 2-10 years -2 mg, over 10 years - 4, adults - 8 mg. Side effects: vomiting, nausea, allergic reactions, headache, dizziness.

Combined preparations Dzhoset, Ascoril, Kashnol They are used only for strict indications. On the appointment of a doctor with obstructive syndrome. Dzhosset syrup price 150-180 rub. Cough syrup 130 rub. Ascoril tablets. 300 rubles, syrup 250 rubles. Ingredients: Bromhexine, Guaifenesin, Salbutamol. Shown: with bronchial asthma, COPD, pneumonia, pulmonary emphysema, tuberculosis, chronic bronchitis, tracheobronchitis. Contraindications: children under 3 years, glaucoma, pregnancy and the period of feeding, tachyarrhythmia, thyrotoxicosis, myocarditis, diabetes mellitus, stomach ulcer and duodenal ulcer, hepatic and renal failure, aortic stenosis. It should not be taken together with non-selective blockers of β-adrenoreceptors, with antitussive agents, MAO inhibitors. Dosage: Children strictly according to prescription of the doctor 3-6 years for 5 ml 3 r / day, from 6 to 12 years 5-10 ml. 3 r / day, over 12 years and adults 10 ml. 3 r / day. Side effects: increased nervous excitability, headache, convulsions, dizziness, drowsiness, tremor, sleep disturbance (see. how quickly to fall asleep), vomiting, nausea, diarrhea, exacerbation of stomach ulcers, depression of pressure, tachycardia, staining of urine pink, rash, urticaria, paradoxical bronchospasm. Special instructions: Do not drink alkaline.

Ambroxol analogs - Lazolvan (Table. syrup, bottles 200-360), Ambrobe (tab. ampoules, capsules, syrup 120-200 rub), Ambrohexal (tab. syrup 70-100 rubles), Ambroxol (Table. syrup 20-40 rubles), Ambrosan (tab. 100 rubles), Flavamed (tab. the flask. 150-200 rubles), Haliksol (tab. 100 rubles). This mucolytic, expectorant drug, Lazolvan - is today considered one of the most effective mucolytic drugs. Indications: with COPD, pneumonia, acute and chronic bronchitis, bronchial asthma, etc. diseases of the respiratory tract accompanied by viscous sputum. Contraindicated: in 1 trim-re pregnancy, in 2 and 3 trim-re with caution, patients with chronic diseases of the liver and kidneys. Application: Take the tablets after meals for 30 mg. 3 r / day for adults. Children are shown reception in the form of a syrup up to 2 years, ch. 2 r / day, 2-6 years ch. 3 r / day, 6-12 yearsfor 1 tsp. 3 r / day, adults for 2 tsp. 3 r / day, the course of therapy is usually no more than 5 days. The syrup should be taken with a large amount of liquid during meals. Side effects: heartburn, vomiting, diarrhea, allergic reactions, skin rash.

Carbocysteine Libexin Muko for adults, Libexin Muko for children (270 rubles) Bronchobos syrup and capsules (200 -220 rub) Fluviert syrup and tablets (230-280 rub) Flüditik syrup (250 rub) expectorant mucolytic agent, increases the viscosity of sputum, improves the elasticity of bronchial secretions. Contraindications: pregnancy, up to 2 years (for children's forms) for children under 15 years (for adult forms - Libexin Muko, Bronhobos capsules, Flouifort tablets), gastric ulcer, chronic glomerufrit, cystitis. Application: 15 ml or 1 measuring cup 3 r / day, separately from food intake. The course of treatment can not be conducted for more than 8 days Side effects: gastrointestinal bleeding, nausea, vomiting, urticaria, skin itching, weakness, dizziness.

zdravotvet.ru

How to use expectorants and a list of drugs

Cough is most often observed in acute and chronic diseases of the respiratory tract. This is a protective reaction, aimed at releasing the bronchial tree from mucus, pus and dust. Expectorant tablets in this case can ease the condition, accelerate the healing process.

The choice of medications depends on the characteristics of clinical manifestations: some drugs are better for using with a dry cough, others are effective enough to help with the appearance of sputum. It is especially important to choose the right medicines in the treatment of children.

Mechanism of action

All expectorants are divided into 2 groups. The first group is secretion-releasing drugs that stimulate sputum evacuation. This includes substances of vegetable origin: althea grass, thermopsis, terpinhydrate, thyme, coltsfat, licorice, various essential oils.

Getting into the stomach medicine irritates the receptors located in the mucous membrane. Further information enters the medulla oblongata, where the vomiting center is located. As a result, a reflex increase in the activity of the glands of the bronchial tree, ciliated epithelium, the walls of the bronchi begin to contract more strongly. The amount of sputum increases, it becomes less viscous and leaves more easily.

This group also includes substances that have a direct resorptive effect. After ingestion, the medicine is absorbed and delivered to the bronchi with blood flow. In this case, the mucus is formed more, the phlegm is diluted and leaves. This includes, for example, sodium bicarbonate. Independently this substance is not used, but it is part of many drugs that can be used to treat not only wet, but also dry cough.

The second group is mucolytics, they are also called secretolytics. Such expectorant tablets help to dilute sputum, acting on its various components: mucoproteins, mucopolysaccharides and their bonds. This is important when the bronchial secretion is viscous, mucopurulent, purging with difficulty.

Preparations of this group are divided into enzyme and non-enzyme. Currently, mainly non-enzyme medicines are used: acetylcysteine, carbocysteine, bromhexine, ambroxol. In combination preparations may be added guaifenesin.

Some tablets may additionally contain substances that have bronchodilator, anti-inflammatory, antiviral (sodium glycyrrhizinate) action. As a result, the effectiveness of the drug is increased, the number of medications taken is decreasing, which is especially important in the treatment of children.

Indication for treatment

The main indications for using cough drugs in adults and children:

• acute and chronic bronchitis with a bronchial obstructive component;
• atelectasis, arising on the background of blockage of the bronchus with a viscous secret;
• pneumonia of any etiology;
• bronchiectatic disease;
• bronchial asthma;
• cystic fibrosis;
• bronchiolitis;
• COPD.

Essential medicines

Tablets containing the same active substance may have different names.

1. Ambroxol - Ambrobene, Lazolvan, Ambrosan, Flavamed, Khaliksol, Suprima-kof, AmbroGEXAL, Toraxol Solyushon Tablets.
2. Acetylcysteine ​​- ATSTS, ACTS Long, Mukobene, Mukomist, Fluimutsil, Vicks active expecomed.
3. Bromhexine - Solvin, Bromhexin Berlin-Chemie, Flegamin.
4. Carbocysteine ​​(capsules) - Mucodin, Bronhobos, Mucosol.
5. Thermopsis + Sodium bicarbonate - Tablets for cough, Thermopsol.
6. Althaea officinalis is Mukaltin.

Can be used in the treatment of combination drugs.

• "Kodelak bronho" - a combination of ambroxol, thermopsis, sodium glycyrrhizinate and sodium bicarbonate.
• "Kodelak broncho with thyme" contains ambroxol, thyme and sodium glycyrrhizinate.
• "Ascoril" is effective at the expense of bromhexine, guaifenesin and euphyllin. The latter component has a bronchodilator effect.

There are various plant expectorants, which are usually available in the form of lozenges for resorption, capsules or dragees. For the treatment of young children, this dosage form is not used.

In diseases of the respiratory system, including to relieve dry cough, you can use tablets:

• Bronchicum;
• Doctor MOM;
• "Linkas Lor
• "GeloMirtol" capsules;
• Sinupret is a dragee.

Features of treatment in the absence of phlegm

Usually, in the treatment of dry cough, when there are severe attacks, antitussive medications are prescribed. Expectorant tablets can also be prescribed for dry cough, including in children. This is possible when the sputum does not depart, but there is a feeling of stuffiness in the chest, it is felt that there is phlegm, you want to clear your throat, but it does not work. This condition can be noted at the beginning of the disease.

With such a dry cough, it is better to use combined expectorant tablets containing a bronchodilator. As a result, the bronchi expand, which facilitates the departure of sputum. In this case, the drug "Ascoril which was formerly produced only in syrup, will be effective, but now pills have appeared. For the treatment of children, it is better to use syrup.

With a dry cough, it is also possible to use combination drugs that have an expectorant and antitussive effect:

• "Stoptussin" containing butamirate and guaifenesin;
• "Terpinkod which includes codeine, sodium bicarbonate and terpinhydrate;
• "Kodelak" operates at the expense of codeine, sodium bicarbonate, licorice and thermopsis.

Features of treatment in childhood

In the treatment of children are more often used such medicinal forms as syrup and drops. Tablets can be given approximately from 6-12 years, when the child can swallow well, and there is no likelihood of choking. In addition, these drugs often include components that are not designed for young children.

Treatment of cough, including dry, is carried out on the same principles as in adults. But before using any medication it is necessary to consult with your doctor. You can not treat children yourself, as you can miss serious complications or get unwanted side effects.

To address to the doctor at occurrence both productive, and a dry tussis, it is necessary and to adults. Not everyone is able to adequately assess their condition and choose the right medicine.

In the treatment of the underlying disease, various groups of drugs are often used that can enhance or weaken each other's effects. If this is not taken into account, then you can either harm yourself, or delay the course of the disease. Expectorant tablets that will be effective in each case, can appoint only a doctor.

ingalin.ru

Names of the most popular antibiotics for cough

Cough and antibiotics for many people are closely interrelated. According to sociological polls and statistics, more than sixty percent of the population of our country after a few days of severe coughing begin to take antibiotics. At the same time, almost half of them do not consider it necessary to first visit a doctor. This terrible mistake can turn into serious health problems, because this symptom does not always require the taking of medications of this type. In order to understand in what cases strong medicines are needed, and in which there are not, you should know what diseases can be cured with their help.

Antibiotics for cough for which diseases are indicated for admission

It should be noted immediately that the names of such drugs, as well as instructions for their use, do not contain any information about the fact that they help to heal from this symptom. Therefore, choosing a suitable medicine, it should be remembered that such a disease as coughing does not exist. This is just a symptom that can accompany various ailments. So, there are no names of antibiotics that help to cope with such a sign.

The cough medicine antibiotic helps cope with the disease only if it is bacterial. With viral infections, as well as colds, it is not advisable to take it.

Here is a list of diseases for which the doctor prescribes antibiotic drugs:

• Pneumonia. When pneumonia is ill, the patient is prescribed a cure for antibiotics of a wide range of action that successfully cough successfully. Similar means within five - seven days put in order lung tissues. With severe lung damage, injections or pills from cough antibiotics, can fight the main symptom and last longer. In this case the doctor considers it expedient to change them or prolong the course for another five to seven days.
• Tracheitis. At the initial stages, this disease is treated with anti-inflammatory drugs, as well as tablets and sprays, softening the mucous throat. However, if the disease does not recede within three to four days, the patient is prescribed antibiotics against cough and sore throat.
• Tonsillitis. With angina and cough, antibiotics are prescribed only if it is non-viral.
• Tuberculosis. This disease does not completely cure, but with proper treatment the condition of the body is maintained with the help of tablets and injections of antibiotics from cough.

Separately, we should say about the disease, like bronchitis. The bronchial asthma does not always require the use of such strong drugs. In some cases, the doctor decides on the need to prescribe only anti-inflammatory drugs. Antibiotics from bronchitis and cough apply for deep obstruction. Another example that confirms the need for their use is a strong chest cough with bronchitis, which also requires the intake of antibiotics.

Antibiotics for coughing the name

There are many medicines of this type. In the table below you can find the names of the most popular and common drugs of the antibiotic type.

Name	Indications for use	Contraindications
Amoxiclav	Bronchitis, tonsillitis, inflammatory processes in the upper respiratory tract.	Pregnancy and lactation period, acute cardiac and renal insufficiency, gastritis and peptic ulcer, children under one year old.
Sumamed	Bronchitis and pneumonia.	Diseases of kidney and liver, children under 3 years of age, gastrointestinal diseases.
Azithromycin	Respiratory diseases, tonsillitis, bronchitis, pneumonia.	Pregnancy and lactation, diseases of the digestive tract, liver and kidneys, children under 12 years.
Amoxicillin	Bronchitis, tracheitis, pneumonia	Peptic ulcer and gastritis, impaired kidney and liver function, children under 3 years old.
Zi-factor (antibiotic for cough 3 tablets)	Tracheitis, pharyngitis, tonsillitis, bronchitis.	Pregnancy and the period of breastfeeding, children under 18 years of age, serious diseases of the stomach, liver, kidneys.

We draw your attention to the fact that the information in the table is for information only. To prescribe antibiotics from a cough, the list of which is listed above, should only the doctor.

When antibiotics for cough and cold do not help?

Colds themselves do not require the use of strong drugs. They are treated with medicines, the action of which is directed to a certain symptom, for example, temperature or a cold. In more serious diseases, such as ARVI and influenza, as well as other viruses, the use of strong medicines means is also inexpedient, since they do not affect bacteria and microorganisms that are the causative agent infection. Drugs of this type are prescribed only if the flu or other virus causes complications.

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