Mukolytic preparations with dry cough

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Antitussive, expectorant for dry cough


Coughing is a protective, reflex reaction of the body, which removes the pathological altered bronchial secretion from the respiratory tract. Sometimes it occurs when there are foreign substances in the trachea or bronchi.

Coughing is not a disease, it is a symptom, therefore it should be treated as a manifestation of the underlying disease. The choice of medications that affect cough, depends on the individual characteristics of the person, the type and clinical manifestations of the disease.

The effectiveness of the basic treatment of any disease accompanied by a cough, significantly increases with the rational use of antitussive, mucolytic and expectorants. We will consider the causes of dry cough and drugs used to soften it and transfer it into productive, into humid.

What is the best medicine for dry cough?

The choice of medication depends primarily on the nature of the cough and must be agreed with the physician:

  • Cough is dry, painful, painful, unproductive, frequent, leading to a loss of appetite and sleep, choice -
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    antitussives or combination drugs.
  • A productive cough, but with a hard to separate, thick, viscous sputum, a choice -mucolytic drugs.
  • The cough is productive, with phlegm, and it is not viscous, and not thick - the choice of expectorating cough medicines.
  • Mucolytic agents can not be used simultaneously with antitussive drugs.

Dry cough - causes:

Most often, dry cough occurs at the onset of a cold, flu, acute bronchitis, pneumonia, as well as inhaling various substances that irritate the mucous membrane. In the case of a severe attack of dry cough, inspiration is accompanied by a wheezing noise between coughing jerks. This is due to the narrowing of the lumen of the bronchi, larynx or trachea and leads to shortness of breath. Before the attack of dry cough can feel pain with a deep breath.

Causes of dry cough:

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  • Causes of dry cough without fever
  • Inhalation with bronchitis and laryngitis
  • Allergic cough - symptoms
  • Antibiotics for bronchitis
  • Laryngitis in a child - treatment
  • Viral, infectious diseases - ARVI, influenza, parainfluenza, pneumonia, bronchitis, etc.
  • Allergy-allergic rhinitis, allergy to dust, chemicals, may be the initial sign of asthma.
  • Bronchospasm - spasm in the bronchial tubes
  • Medicines that reduce high blood pressure - enalapril maleate, caproptil, lisinopril.
  • Reflex response to smoke, cold air, sharp odor

Strong dry cough - what to treat?

The better to cure a dry cough? The use of antitussives is considered advisable only at conditions when the cough is strong and often dry (exhausting) and only as prescribed by the doctor.

If the cough is dry, unproductive, it should first be transferred to the moist one, and then use mucolytic or expectorant drugs. And also with an unproductive cough, combined drugs that have both antitussive and expectorant effect are effective:


Sinekod

Sinekod - instructions for use

Dosage Form: Tablets for children in syrup and in drops for oral administration.


Pharmacological action: Sinekod - antitussive drug, has a direct effect on the cough center. Has an expectorant property, has a moderate anti-inflammatory, bronchodilating effect, improves spirometry. It is indicated for acute dry cough of various origin.
Contraindications: Do not use in pregnant and lactating women. Children under 2 months are contraindicated, children under 3 years can not use syrup, only drops, tablets are contraindicated for children under 12 years.
Side effects: Nausea, dizziness, diarrhea, allergic reactions.
Price: syrup 220 rubles, a drop of 320 rubles. AnalogOmnitussyrup 150 rubles, tab. 190 rubles.

Herbion

Herbion - plantain syrup

Dosage form: syrup


Pharmacological action: Herbion - a combined medicine of plant origin, has antitussive, expectorant, antimicrobial, anti-inflammatory effect. In the composition extracts of flowers mallow and grass plantain lanceolate. The drug softens and relieves dry cough.
Contraindications: Hypersensitivity to herbal preparations, intolerance to fructose. Take precautions with diabetes.
Side effects: Allergic reactions.
Price: the average price for pharmacies is 220 rubles.

Kodelak Phyto

Dosage form: elixir, syrup
Pharmacological properties: Kodelak Phyto-combined antitussive. Contains codeine and extracts of thermopsis, thyme and licorice. Has an expectorant effect.
Contraindications: bronchial asthma, children under 2years old, pregnant and lactating women, with respiratory failure and hypersensitivity to plant components preparation.
Side effects: allergic reactions, nausea, vomiting, headache, drowsiness, constipation. With prolonged use, drug dependence develops to codeine.
Price: 130-140 rub.

Stopoutsin

Dosage form: tablets, drops for internal administration


Pharmacological action: Stopoutsin - combined antitussive and secretolitic action. The composition includes butamirate citrate, which has a local anesthetic, bronchodilator and antitussive action, and Guaifenesin reduces the viscosity of sputum, improving its departure. Effective with dry cough in children and adults.
Contraindications: Children under 1 year of age and pregnancy during 1 trimester should not be used.
Side effects: Allergic reactions, rarely - vomiting, diarrhea, dizziness, headache.
Price: drops 70-80 rubles., Tablets 130-140 rubles.

Bronhicum

Dosage form: syrup, elixir, lozenges


Pharmacological action: Combined drug with anti-inflammatory, expectorant, bronchodilator effect. The syrup and tablets contain the extract of thyme herb, and the elixir also contains the root extract of the primrose. Bronchicum is universal, it is an effective expectorant for dry cough and damp. At the stage of the disease, when a dry cough Bronchicum helps to cope with severe attacks, transferring a dry cough to wet. Then, with a damp cough, he facilitates expectoration of the sputum, contributing to its excretion from the lungs.
Contraindications: Syrup is contraindicated for children under 6 months, and children under 6 years of age should not take troches, patients with significant violations of liver and kidney function, with individual intolerance, during pregnancy and feeding the chest.
Side effects: irritation of the gastric mucosa, allergic reactions.
Price: 270 rubles.

Broncholitin

Dosage form: syrup


Pharmacological action: Broncholitin is a combined preparation of antitussive, bronchodilating and bronchoseptic action. The composition includes Glaucina hydrobromide, which has a depressing effect on the cough center, a mild anti-inflammatory, analgesic effect. Basil oil has a minor sedative, antimicrobial, antispasmodic property. Ephedrine stimulates breathing, dilates the bronchi, has a vasoconstrictive effect, thereby eliminating the edema of the bronchial mucosa.
Contraindications: heart failure, children under 3 years of age, pregnant and lactating women should not be used.
Side effects: tachycardia, tremor, insomnia, drowsiness, visual impairment, nausea, vomiting, difficulty urinating, rash, increased sweating.

Price: 60 rubles.

Libexin

Dosage form: tablets


Pharmacological action: Libexin is an antitussive remedy of peripheral action. It has a local anesthetic, bronchodilator effect, its antitussive effect is approximately comparable to codeine. Unlike codeine, Libexin does not cause dependence, does not affect the central nervous system. With chronic bronchitis has an anti-inflammatory effect.
Contraindications: diseases, with the release of abundant bronchial secretion, with caution used in childhood, in pregnancy is not recommended.
Side effects: dry mouth, temporary numbness in the oral mucosa, mild sedative effect, skin rash.
Price: 260-280 rub.

Linkas

When the cough is not so dry, you can use this herbal preparation.


Dosage form: Brown syrup, the composition includes extracts of 10 medicinal plants - flowers of althaea, onmsma, hyssop, violet, alpinia, fruits of pepper, licorice root, leaves adhatodes and others.
Pharmacological action: Linkas - a combined preparation of plant origin, reduces intensity of cough, increases its productivity, has mucolytic, expectorant, and anti-inflammatory effect.
Contraindications: Children under 6 months of use is not recommended, with hypersensitivity to herbal remedies, use with caution in diabetes mellitus.
Side effects: allergic reactions.
Price: 130-140 rub.

To prescribe and determine the duration of administration of the listed medicinal, expectorant drugs with a dry cough should be the attending physician. There are cases when, with a painful, debilitating, non-productive cough, medications do not help, and simple methods of traditional medicine, such as mustard, cans, steam inhalations, warming ointments and creams bring significant relief and quickly transfer dry cough to wet.

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Mucolytic agents

Drugs that are mucolytic have a secretolitic property, contributing to liquefaction of the sputum, accelerating its withdrawal and facilitating breathing. Mucolytic agents are prescribed for diseases accompanied by the formation of dense mucus (bronchitis, pneumonia, tracheitis) and lor diseases (sinusitis, sinusitis, rhinitis).

Mucolytic action - what is it?

The peculiarity of such means is to improve the sputum discharge without increasing its volume. These drugs are divided into three groups according to the principle of action:

  • affecting the viscosity of mucus;
  • activating the output of phlegm;
  • reducing the formation of mucus.

Mucolytic agents with dry cough

An important stage in the treatment of cough is his transition from dry to wet. This is achieved by taking mucolytics, which make sputum less viscous, dilute it. Briefly describe the most effective drugs.

Acselcysteine

It is available in the form of tablets and granules for dissolution in water, and also as a solution for injection. Its high efficiency is explained by the triple action: antitoxic, mucolytic and antioxidant. The drug helps to withdraw phlegm, reduces inflammation. The action of the drug is based on the property of depolitizing mucoproteins, reducing viscosity and pus.

Ambroxol

It resembles Bromgexin, however, it has a more pronounced expectorant effect. The drug activates the formation of pulmonary surfactant, stimulates expectoration.

Carbocysteine

This drug should also be attributed to mucolytic drugs from cough, which not only contributes to the removal of mucus, but also restores the work of secretory cells. The medicine is available in the form of syrup and capsules.

Mucolytic drugs for the nose

Mucolytics are also prescribed to prevent the accumulation of mucus in diseases of the nose. They are prescribed in combination with antimicrobial agents and home treatment methods.

The following mucolytic drugs are distinguished for sinusitis:

  • Fludex;
  • Mukodin;
  • Fluimucil.

The content of carbocisteine ​​in them promotes the removal of a viscous secretion, the restoration of the mucosa, and the facilitation of respiration. Specialists recommend that they be used to combat rhinitis and sinusitis. Efficacy is due to the effect immediately on several mucous membranes, which helps a more productive sputum recovery.

Mucolytic medicinal products on plant basis

Many people prefer to limit the intake of medicines produced without the use of natural components. However, it must be remembered that herbal preparations, like chemical ones, have their contraindications and side effects.

Mukaltin

The main product is polysaccharide components, which are extracted from the althea plant. The root of the plant contains asparagine, betaine, starch, and also mucus, which relieves inflammation.

Linkas

It is another mucolytic agent of plant origin. It is sold in the form of a syrup, which contains hyssop, marshmallow, licorice root,

violet and others.

Bronhicum

Sold in the form of an elixir, syrup and lozenges. The drug has a combined effect on the body, providing anti-inflammatory, bronchodilator and expectorant effect. The main elements of the remedy are the root of the primrose and the grass thyme. The drug improves the condition with a dry and moist cough, helps make it productive, facilitating the withdrawal of mucus from the lungs.

Gelomirtol

Helps cope with both the first signs of a cold, and with a progressive disease. The drug activates the mechanisms of self-cleaning, relieving microbes and diluting sputum.


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Mucolytic agents: expectorant and excretory mucus

  • Popular tools
  • Tablets and drops
  • Mukaltin

The work of mucolytics is concentrated on the relaxation of excretion of sputum accumulating in the respiratory tract.

During the action of the drug, serous cells are activated, which are on the mucous layer bronchi, in which the balance between the mucous and serous elements is restored, activated hydrolase.

Also, the work of the medicinal product is aimed at breaking the chemical bonds of phlegm with further inhibition of its development.

Mucolytic agents are used to treat dry cough - transform it into a damp. Another area of ​​application is the treatment of nasal inflammation.

The main mucolytics with dry cough are:

  • Acetylcysteine ​​- belongs to the category of the most active agents. The drug has antitoxic and antiexudative properties, dilutes sputum.
  • Carbocysteine ​​- in addition to the basic mucolytic effect, regenerates sector cells.
  • Bromgeksin - has the effect of expectoration, is used in acute forms of bronchitis.
  • Ambroxol - affects the combination of bronchial secretions. It is used for acute diseases, and diseases that have passed into a chronic form.
  • Flegamine is a combined remedy based on mint, eucalyptus, menthol and bromhexine. Used for dilution and sputum production.

Mucolytics for the nose are used not only for liquefaction of mucus, but also for its removal from the sinuses, such as:

  • Sinuporte is a medicinal product used for the therapy of the sinusitis series. The spray consists of plant components, when the product hits the mucous layer, the liquefied mucus is rapidly diluted. This is achieved by stimulating the membranes, which stimulate the withdrawal of fluid from the sinuses. In addition to this effect, there is a general improvement in the state of the nasopharynx, edema decreases.
  • Rinofluimucil - a drug that combines tuamine heptane and acetylcysteine. Has anti-inflammatory, mucolytic and antioxidant effects, reduces swelling and redness.

The popularity of mucolytics on the basis of plant components is determined by the fact that, in contrast to artificial preparations, vegetative possess an indisputable advantage - minimal side effects.

These drugs include:

  • Bronchicum is a drug based on thyme. In addition to the basic mucolytic effect, reduces the feeling of perspiration and hoarseness in the throat.
  • Mukaltin - has in its composition an altine root. Gives an expectorant effect, and also reduces spasmodic compressions of the bronchi.
  • Lincas - in addition to the root of the althea, includes violet and hyssop.

Mucolytics should be used in diseases of the respiratory tract, which can be accompanied by a high viscosity of phlegm with the connection with a purulent infection. These diseases include bronchitis, pneumonia, etc.

Also, drugs of this category are quite effective in infectious allergic asthma, which has complications in the form of bacterial or purulent bronchitis.

Enzymes of mucolytics are able to cause bronchospasm, allergies, damage to the bronchial mucosa, blood spitting.

Such drugs are not allowed for emphysema, which is accompanied by pulmonary insufficiency, pulmonary tuberculosis, dystrophy, liver cirrhosis, infectious hepatitis and pancreatitis. Nonfermental mucolytics are not allowed to be taken with pulmonary hemorrhage, ulcer of the stomach and duodenum.

In some cases, they can cause heartburn, nausea, vomiting, stomach pain, diarrhea, and constipation. It can also cause an exacerbation of ulcers and bleeding in the gastrointestinal tract, dry mouth.

Popular expectorants and thinners

Expectorants and liquefying sputum remedies differ from mucolytics in that expectorants do not prescribe in the presence of thick, difficultly detachable mucus.

Also, mucolytics in the liquefaction of mucus does not increase it in volume, so this group does not have the negative effect of preparations for expectoration.

Means for expectoration should be taken when the maximum removal of mucus from the respiratory system is necessary.

Such a rush is due to the fact that the dead tissues and products of the inflammatory process leave the mucus.

The most common expectorant and thinning liquor are:

  • Ambroben- It is prescribed for bronchitis, pneumonia, asthma. Are made in the form of capsules, tablets, syrup, internal injections; The price ranges from 120-200 rubles. Has a lot of positive feedback.
  • Ambrohexal- Used for acute and persistent diseases of the lungs and bronchi complicated by heavy progression of mucus. Are made in capsules, syrup, tablets. The price of syrup is about 120 rubles per 100ml. Has positive and neutral reviews.
  • Ambroxol- in its effect similar to Bromhexine. Produced in tablets and in the form of syrup. The price ranges from 120-200 rubles. It is considered a cheaper analog. A lot of positive feedback.
  • Mukaltin. The price for 20 tablets is 60 rubles. Consumers designate this drug as one of the cheapest, but this does not affect the positive effects.
  • Gedelix- with diseases of the upper respiratory tract. The average price for 100 ml of syrup is 410 rubles. There are positive reviews.
  • Pertussin- used in ARI, tracheitis, bronchitis, whooping cough. Tablets will cost 40 rubles for 10 pieces. Also has a lot of positive feedback.

Folk expectorants attract attention in the first place to the cost, as well as the naturalness of the components. Traditionally, recipes for such products consist of herbs. In folk medicine with accumulated mucus are struggling with the help of honey.

Due to its constituents, honey perfectly performs anti-bacterial action. It can be used either inward or as an inhalation. Also, quite popular products for the treatment of respiratory diseases are onions, radish and banana.

Drugs that dilute sputum: tablets and drops

Tablets are one of the forms of cough medicine, and drugs that dilute sputum are no exception. Such medicines include Mukaltin, Termopsol, Kodelak Broncho.

To the category of drops from cough are:

  • Sinekod - a universal combination drug, suppressed the cough center, activates the respiratory system. Contraindicated in pregnancy and children under 2 months.
  • Herbion is a plant-based expectorant. Has in its composition an extract of mallow and plantain. Contraindicated in diabetics.
  • Kodelak Fito - contains in its composition codeine, licorice, thermopsis and thyme. Contraindicated in pregnancy, asthma and children younger than 2 years.
  • Bronchicum - consists of primrose and thyme. Do not use during pregnancy and children younger than 6 months.
  • Stoptussin - effective at the age of more than one year, has an anesthetic effect.

These drugs diluting sputum should be used with a dry cough.

If you are concerned about a damp cough, then the following drugs specialize specifically on this kind of cough:

  • Gedelix;
  • Lazolvan;
  • Ambrogen;
  • Ascoril;
  • Syrup of althea;
  • Prospan (allowed for children older than 1 year);
  • Herbion.

Mucaltin - the best expectorant

The best expectorant, no doubt, is Mukaltin. Its advantages are that it combines the virtues of herbal preparations (almost complete absence of contraindications), efficiency and low cost, in comparison with their own analogues.

Mukaltin is considered a harmless drug and is not contraindicated in children.

However, infants up to 1 year of age, the drug is prohibited. In accordance with this, when breast feeding is not recommended use of the drug. As for pregnancy, there are no direct contraindications for the use of the drug. However, it is worth remembering that the plant moths in its pure form is forbidden to take in the 1st trimester of pregnancy. In this case, Mukaltin is better not to combine with other drugs aimed at fighting cough. Thus, treatment with this drug during pregnancy is not prohibited, but it is better to conduct it only on the prescription of the doctor and under his supervision.

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Mucolytics

When inflammatory diseases of the respiratory system is often one of the symptoms becomes a cough. It can be dry, unproductive, with difficult sputum separation or moist, considered productive. Sputum is a secret secreted by the respiratory system. If it becomes too viscous, then the cough is difficult. Help in this situation can special mukoactive drugs that can be conditionally divided into 3 groups:
  1. Mukokinetics improving mucus yield, for example, bromhexine, ambroxol and others.
  2. Mucolytics that dilute mucus, reducing its viscosity. These include acetylcysteine, proteolytic enzymes and others.
  3. Mucoregulators affecting the amount of mucus secreted. These are M-holinoblokatory, carbocysteine, glucocorticoids.

The action of mucolytics

The action of mucolytic agents is aimed at destroying the molecules of mucopolysaccharides contained in sputum, because of which it becomes liquefied. Such drugs are divided into non-enzyme and enzyme. Thus, proteolytic enzymes are capable of breaking peptide bonds of proteins and destroying polypeptides, or high molecular weight products formed during the breakdown of proteins. These include terrylitin, trypsin, ribonuclease, terridecase and others. Non-enzyme agents affect the disulfide bonds of the molecules of sputum proteins, rupturing them. This group of drugs includes bromhexine, ambroxol, acetylcysteine ​​and others.

The drug acetylcysteine ​​contains in the molecules reactive sulfhydryl groups, which destroy the disulfide bonds of mucopolysaccharides contained in bronchial mucus. This leads to a dilution of phlegm. In addition, the components of this agent reduce the number and activity of pathogenic microorganisms on the respiratory mucosa. Also, acetylcysteine ​​has an antioxidant effect, since it contains free sulfhydryl groups, reacting with free radicals and reactive oxygen metabolites and removing them from organism. Namely, these substances contribute to the development of the inflammatory process of the respiratory tract and lung tissue.

Carbocysteine ​​has mucolytic and mucoregulating effects. This drug reduces the number of neutral and increases the number of acid glycopeptides, normalizing their ratio, resulting in affecting the elasticity and viscosity of phlegm. The drug helps regenerate the mucosa and restore its structure. In addition, when it is taken, the secretion of the specific local defense factor IgA is increased, and secretion is normalized sulfhydryl groups, related to factors of nonspecific defense, the functioning of the ciliary epithelium is activated bronchi.

Ambroxol and bromhexine have a similar effect. When they are taken, lysosomes are released from Clara cells, hydrolysing enzymes are activated, mucopolysaccharides and mucoproteins present in the carrot are destroyed. Thus, the viscosity of mucus decreases, its composition changes, the work of the bronchial glands increases, motor activity of ciliated, or ciliary, epithelium, the peristalsis of the smallest bronchi. In addition, these drugs have anti-inflammatory effect and reduce swelling of surrounding tissues.

Contraindications

The use of enzyme type mucolytics can lead to allergic reactions, damage to the mucosa respiratory tract, hemoptysis, bronchospasm, side effects from other systems and organs rights. Direct contraindications to their use are the following pathologies: decompensated heart failure, cirrhosis and dystrophy liver, hepatitis of an infectious nature, pancreatitis, pulmonary emphysema, characterized by respiratory failure, tuberculosis and hemorrhagic diathesis.

Nonfermental mucolytics can not be used for ulcers of the stomach and intestines, as well as for pulmonary hemorrhages. These drugs can provoke the emergence of dyspeptic phenomena, such as nausea, pain in the area stomach, heartburn, vomiting, constipation, diarrhea, and also cause gastrointestinal bleeding and exacerbation of ulcerative disease. These drugs can lead to an allergic reaction, rhinorrhea, dry mouth, or, conversely, increased saliva.

Mesna, acetylcysteine ​​and carboxymethylcysteine ​​can lead to bronchospasm. These drugs, especially acetylcysteine, should be taken with great care in dry cough, as they greatly increase the amount of sputum. Bromhexine and ambroxol should not be used if the patient has a convulsive syndrome. With increased attention, one should treat the dosage of medicinal products if the patient has severe renal failure. When using bromhexine and ambroxol for intravenous injection, there are possible side effects such as dyspnea, chills, increased blood pressure, fever and stupor.

All drugs belonging to the mucolytics group have contraindications for use in pregnant women in the first trimester and lactating women. To prevent the development of bronchospasm in people suffering from bronchial asthma, before taking inhalation with mucolytics, use β2-adrenomimetic in inhalations.

You can not simultaneously use mucolytic and antitussive drugs, as this can cause stasis in the bronchi. With the parallel reception of non-enzyme mucolytics and some groups of antibiotics, the concentration of the latter in the respiratory organs can significantly increase.

Between taking such a mucolytic as acetylcysteine, and antibiotics of the tetracycline group, ampicillin, amphotericin B, should take at least two hours. Otherwise, a reaction between the components of the drugs is possible. When combining acetylcysteine ​​and paracetamol, there is a decrease in the hepatotoxic effect. Carbocysteine ​​and glucocorticoids, when taken together, enhance each other's actions. And with the parallel application of carbocisteine ​​and theophylline, the bronchodilator effect is enhanced.

Mucolytic drugs list

The list of drugs belonging to the mucolytics group is as follows:

  1. Ambrobene, available in the form of syrups, tablets, capsules and injectable solutions.
  2. Ambroxol. This drug is also available in various varieties: Vramed, Richter, Verte, Hemofarm, Teva, retard. Forms of release - tablets, capsules, syrup.
  3. Acetin, in the form of effervescent and conventional tablets.
  4. AmbrogEXPHONE. It can be in the form of a solution for drinking, tablets, syrup and capsules.
  5. ATSTS and its version of ATSTS Long. The preparation can have the appearance of effervescent tablets, granules intended for ingestion and preparation of a solution, as well as a solution intended for injection.
  6. Dephlegmine in drops and tablets.
  7. Ambrolan. It can be in forms such as a solution for ingestion, capsules, syrup or tablets.
  8. Lazolvan - syrup, troches, injectable solution, tablets.
  9. Capsules of AMBROTARD 75.
  10. Mukodin, available in the form of syrup and capsules.
  11. Acetylcysteine, its form of injection for injection, substance, solution for internal use. One of the varieties of the drug is Acetylcysteine ​​SEDICO in granules.
  12. Pulmozyme solution used for inhalation.
  13. Bromhexine - syrup, tablets and solution for oral administration.
  14. Medox in tablets and syrup.
  15. Carbocysteine, it is made in the form of capsules and syrup.
  16. Solvyn. Form release - solution and tablets.
  17. Bronchoval, manufactured in the form of tablets and syrup.
  18. Flavamed - solution and tablets.
  19. Mukobene in usual and effervescent tablets.
  20. A solution for internal use with the name of the Bronhawern drop.
  21. Fluimucil in effervescent tablets and solutions for injection and oral administration.
  22. Syrup Libexin Muko.
  23. Chalixol in syrup.
  24. Sinupret - drops and dragees.
  25. Mukonist for inhalations.
  26. Tablets of Suprima-Broncho.
  27. Fluidite.
  28. Remebroks.
  29. Fluviert, produced in granules, from which a suspension is prepared, and syrup.
  30. Rinicold Broncho.
  31. Mukonex.

Mucolytics and expectorants

For many pathologies of the respiratory system, such as bronchitis of various forms, bronchial asthma, silicosis of the lungs, bronchoectatic disease and others, the following processes are characteristic. Under the influence of inflammation of an allergic, infectious or immunological nature in the goblet cells of the bronchial mucosa, mucus (sputum) begins to be produced in large quantities. Isolation of this secret is a protective mechanism of the body, designed to remove harmful substances from the respiratory tract and protect the respiratory system. The appearance and nature of the sputum can vary greatly depending on the agents that caused this reaction. Thus, for bacterial contamination, mucus can acquire a yellow or green color and an increased viscosity, with viral - a more liquid consistency and whitish or transparent shades, with allergies the secret is usually viscous and transparent. Sputum discharge in the morning can also be observed in people who smoke for a long time, this indicates the development of the so-called "smokers' bronchitis". Departure of mucus is one of the symptoms of a disease accompanied by bronchial involvement, so such cases require a compulsory visit to the doctor.

For the treatment of such pathologies, quite often various agents are used to promote liquefaction and sputum discharge. It is divided into several groups.

Mucolytics

Preparations related to mucolytics, do not affect the volume of excreted mucus, but dilute it and promote its retreat. They improve the sputum composition and, acting on goblet cells located in the bronchial mucosa, normalize the secretion of mucus. In this group, two subspecies can be distinguished: mucolytics with direct and indirect action.

Mucolytics with direct action affect complex chemical compounds of sputum, destroying them. These drugs include:

  1. Enzymes. Destroy the bonds of mucus glycopeptides. Among other things, have an anti-inflammatory effect. Means of this type are streptokinase, trypsin, streptodornase, alpha-chymotrypsin.
  2. Thiols. In their composition there is a thiol group acting on polysaccharides of secretion. Such drugs improve the excretion of bronchial sputum, and some of them are also antioxidants. Thiols include mesna, mystaborne, acetylcysteine, fluimucil, mucosolvin, cysteine, mucomist.
  3. Means with another active substance. They are used very rarely. This is potassium iodide, Mucaltin, ascorbic acid, hypertonic solution.

Mucolytics of indirect action

They are divided into several groups depending on the action:

  1. Means that influence the adhesiveness of the gel layer. Preparations: bromhexine and its analogs, ambroxol and its derivatives, sodium ethanesulfate, sodium bicarbonate.
  2. Terpenes and pineny. They are often used for home treatment and are often found in various dietary supplements. This pine and fir essential oils, menthol, camphor, tepineol.
  3. Medicines that reduce the composition and volume of mucus produced. These include sorberol, carboxymethylcysteine, summestein.
  4. Drugs that affect the musculature of the bronchi, they also cause vomiting. To date, these funds are used very rarely. To this group belong thermopsis, sodium citrate, ipecacuana, ammonium chloride.
  5. Means that reduce the amount of sputum production. These include:

- xanthines. This is theophylline.

- β2-adrenomimetics. They activate the mucociliary clearance. These are salmeterol, salbutamol, formoterol, terbutaline, fenoterol and their analogues.

- antagonists of leukotriene receptors - montelukast, zafirlukast, pranlukast.

- Glucocorticosteroid preparations. These include methypred, prednisalone, baclomethasone dipropionate, azmocort, budesonide, propionate, flunisolide, triamcenol acetonide and others, as well as their derivatives and analogues.

Mukokinetics

The drugs of this group contribute to the acceleration of excretion of sputum from the bronchi. Preparations related to mukokinetics are usually also mucolytics. This is bromhexine, sodium ethanesulfate, ambroxol and sodium bicarbonate.

Since the increased secretion of mucus and its difficult passage are not pathological in themselves, but only symptoms of any disease, then take mucolytic drugs alone worth it. From the correct diagnosis, the timely beginning, completeness and correctness of treatment often depends on the health and life of the patient. Therefore, it is advisable to visit a doctor before taking such medications. However, if this is not possible, some of the tools that combine quality mukokinetics and mucolytics, can be taken with colds accompanied by a cough, even without doctor's recommendations.

Mucolytics with genyantema

As mentioned above, mucolytics exert an effect on the properties and amount of mucus evolved, making it more fluid and helping its escape. Such drugs can be used in the treatment of sinusitis along with antibiotics and other drugs.

For the treatment of sinusitis, Flujucil, Mucodina and Guafenizina are considered the most effective. Their reception contributes to the liquefaction of mucus accumulating in the maxillary sinuses and its excretion. Among other things, these drugs reduce the severity of the inflammatory process. With the correct application and compliance with the dosage, most of these remedies are safe.

So, Guafenizine is often used for inflammation of the maxillary sinuses, although according to official data such a drug effect is not confirmed.

It is worth remembering that for children under the age of two, pediatricians prohibit the taking of any mucolytics, since the possible side effects and the negative effects of taking are clearly superior to the benefits.

Contraindications to the use of mucolytics for the treatment of sinusitis are the following factors:

  • children's age up to 12-18 years;
  • the period of breastfeeding and the first trimester of pregnancy;
  • an ulcer of the stomach or intestines;
  • individual reaction to the components of the drug;
  • hepatic or renal insufficiency;
  • bronchial asthma.

In the second and third trimester of pregnancy, mucolytics can be taken to treat colds diseases and their consequences, in particular sinusitis, but only after a preliminary consultation with doctor.

Mucolytics for inhalations with bronchitis

With chronic bronchitis as a treatment often use inhalation with mucolytics. To do this, use various means: ambroxol, sodium chloride, acetylcysteine, potassium iodide and others.

It is possible to use special ultrasonic inhalers, spraying large volumes of medicines. For such procedures suspensions of ambroxol, glucocorticosteroids, acetylcysteine ​​and other mucolytics and only compression inhalers, since with inhalation the structure and properties preparations.

For one procedure, 20 ml of a solution of sodium hydrogencarbonate, potassium iodide, sodium chloride is sufficient. For several inhalations carried out with a single ultrasonic inhaler, up to 100 ml of a medicinal solution can be filled into its chamber. The duration of inhalation for each patient is about 10-15 minutes, the time depends on the parameters of the device. The course of treatment is usually 1 weeks, every day, 1-2 procedures are carried out.

kashelb.com

Antitussive drugs used to treat dry cough

When fighting with dry cough, it is important to choose a drug or procedure that will work on your body more effectively and will not cause side effects. Before you begin treatment, read more carefully the contraindications. Almost every drug can be used for both children and adults, the difference is only in the frequency of use and the volume of a single dose.

For adults

Dry cough appears only at the very beginning of the inflammatory process. This is the response of the human body to various kinds of irritants.To properly start treatment, it is necessary to determine correctly whether the cough is dry.If you start to treat wet cough with drugs designed to treat dry, you will not achieve not only the result, but also complicate the process of recovery. To treat a dry cough it is necessary. It does not bring any benefit to the body, becoming heavy and suffocating, only draining you.

From this article you can learn in detail why pershit in the throat and cough.

The pharmacological industry offers a wide variety of drugs with a variety of uses. The ill person must choose what to heal easier and more effectively.

To combat dry cough can be used narcotic drugs (Codeine, etc.), which you can buy in the pharmacy just does not work, but only on prescription. But it is better to avoid such means, in order not to cause dependence on the narcotic ingredient itself.

Combined medicines become more popular. But any application should be based on the main rules: do not treat dry cough with funds from wet, otherwise treatment can lead to pneumonia.

How is the treatment of dry cough and perspiration in the throat, you can learn from this article.

The video tells about antitussive drugs with a dry cough:

Complementary help in the fight against dry cough may be compresses, rubbing, warming ointments based on propolis. But they only enhance the effect of the prescribed treatment.

For oral administration

The most well-known method of treatment remains tablets. Most often they are not washed down with water, but dissolve in the oral cavity. They can be in the form of pops or candies. I work much more effectively than other drugs, immediately relieve pain and discomfort in the throat. The only restriction on the testimony, if the patient suffers from a peptic ulcer, high acidity of the stomach or gastritis.

What can be the reasons for a prolonged dry cough in an adult, you can learn from this article.

  • Libexin. It is prescribed at the very beginning of acute respiratory disease, colds, flu, with severe bronchitis. Recommended for problems with the heart. Its cost is low - about 276 rubles, but its influence is not inferior to codeine containing tablets. It blocks not only cough, but also works like a weak bronchodilator drug, relieves inflammation. If the word "muko" is added to the name, the mucolytic substance Carbocysteine ​​that is capable of diluting sputum is included in its content. It lasts up to 4 hours, it is applied four times in knocking, every reception - ¼ - 2 tablets of medicine.
  • Glaucine or Glavent Syrup. The simplest of all antitussive drugs blocks and eliminates cough itself, but does not weaken breathing does not violate the flora of the intestine, the absence of narcotic compounds does not allow us to get used to application. Contraindicated to people after myocardial infarction, reduces blood pressure. It starts to work in half an hour for 8 hours, so it is enough to eat 2-3 times a day. Its cost is almost ridiculous - from 40 rubles.
  • Bithiodine. The drug is peripheral. Simple composition of its effectiveness can be compared with the action of Codeine. It almost has no side effects, because of the lack of drugs there is no addiction. Tipedipine is an active ingredient, contraindicated only to those with an increased sensitivity to this ingredient. Appointed up to 3 times a day.
  • Stopoutsin. One of the popular and favorite drugs to combat coughing. Has not only an effect on the cough center, but also mucolytic properties. The main active substances butamir and guaifenesin provide an expectorant effect. It is prescribed from 4 to 6 times to knock, the time of excretion is 6 hours. It differs from simpler drugs with a whole list of contraindications and side effects. Especially not recommended for children, pregnant and nursing. The price category is more than affordable - 87 rubles.

In the video - mucolytic drugs used with a dry cough:

You can find out how to stop a night lagoon in a child by reading this article.

For rinsing

Rinse throat has its own peculiarity or rule: the more often you rinse, the effect will be obvious. This can be explained by the fact that the tonsils collect toxic substances in themselves-irritants and they must be regularly rinsed. The minimum amount of rinses per day is 5 times. The methods and the active substances are the simplest here.

  • Salt and water. The components are added to the water in an equal volume, possibly adding a few drops of iodine. Once the solution is mixed - you can start rinsing. Already after the first time you will feel a weakening of the pain effect, a partial removal of the inflammation. Although the method is very simple, it is quite effective.
  • Furacilin. One tablet is diluted with a glass of warm water and the rinse solution is ready. The price does not reach 50 rubles. It is considered the most effective in fighting cough or with sore throat. Already after the first procedure you will feel a noticeable relief.
  • Medicinal herbs. To rinse your throat, you can use any medicinal plants that have anti-inflammatory effect, for example: chamomile, sage, calendula, polynya and plantain. Dried and crushed simply brewed with steep boiling water, it insists. The cooled, slightly warm solution is immediately ready to rinse. You can use several components at the same time, or you can brew only one.

How to cure a dry cough in a child of 3 years is indicated in this article.

Means for inhalation

Inhalation is the most natural method in fighting cough. It can be used at the onset of the disease and as a preventive measure. Translation of the word means "breathe in but this is not the most important when inhaling, it is enough to recall the medicinal properties of the sea air or the curative atmosphere of the coniferous forest. Unlike all possible drugs, inhalations have no side effects, it is impossible to get used to them, and the effect is sometimes even stronger than from pharmaceuticals. Such procedures have their own classification, which many do not even guess.

What can be the causes of a nocturnal dry cough in a child, you can find out by reading this article.

  • Steam inhalations. Available at home. To conduct them, it is sufficient to heat the water almost to the boiling point and add the drug, essential oils. Often this component is eucalyptus. Hot steam is inhaled into the nasal or oral cavity and further enters the throat, larynx and trachea.
  • Dry inhalation. First, the drug mixes with water, and then falls under the streams of hot air. The moisture quickly evaporates, therefore only one drug substance reaches the airways in a dry form.
  • Wet inhalation of vapors. The procedure is more like fogging: the drug component turns into an aerosol.
  • Aeroionoinhalation- Negative or positively charged air ions enter the body. It is believed that a greater effect is achieved with negative charges

For children

Children are skeptical about the use of tablets, especially if they have to be absorbed, because the taste of such drugs is not very pleasant for children's receptors. Still other than tasty and sweet syrups for children, our pharmacists have not yet invented.The main goal of the doctor and the patient himself: as soon as possible to translate dry cough into wet, and then appoint an expectorant for the excretion of phlegm.

How to cure barking dry cough in a child without temperature, you can find out by reading this article.

  • Lazolvan or Ambrobene Syrup. Applied even for premature babies. The main substance Ambroxol raises the immune system and has an anti-inflammatory effect. The cost of this drug starts at 200 rubles.
  • Bronhicum. The drug is based on medicinal herbs. Has the appearance of a syrup or elixir. It can be used even for children from six months with a dry cough and hard-to-recover sputum. Pharmacy price is slightly more than 300 rubles per 100 mg flacon.
  • Libexin. It is prescribed in the first stages of the disease. Effects on the cough reflex, without inhibiting the respiratory system by influencing the central nervous system. By the principle of work is similar to Bithiodine. The approximate cost is up to 300 rubles.
  • Breast gathering 1/2/3/4. Phytopectol 1, 2. These are whole complexes of medicinal herbs for making infusions and broths from: althaea, oregano, plantain, sage, wild rosemary, chamomile, violet, mint, mother-and-stepmother, etc.

When treating children from dry cough, it is extremely rare to use drugs blocking the cough reflex at the level of the brain, that is, codeine containing, etc. Refer to such tools only with pleurisy, whooping cough and malignant tumors the mediastinum.

What you need to do when a dry cough does not pass, you can learn from this article.

Rinse aid

The most effective, sparing and effective methods for controlling coughing are rinsings.

  • Soda, salt and vinegar. This way you can get rid of a cough in one day. Rinse each substance separately and in turn. The first half of the day every 30 minutes, the second - every hour. To prepare the solution, you need 1 teaspoon of the drug for a glass of water.
  • A solution of propolis. A few drops of propolis on a glass of warm water and rinse as often as possible.
  • Rinse with decoctions of medicinal herbs: sage, calendula, cypress, chamomile, eucalyptus.

What to do when the child does not go through a dry cough for a long time, you can learn from the article.

Children's inhalations

In addition to known steam inhalations for children was invented and ultrasonic. It is most often used in the treatment of children. The drug is finely divided by ultrasound, and then small particles enter the children's body.

It has the appearance of an aerosol, its action penetrates much deeper than other similar procedures, but you will need to purchase an ultrasonic inhaler. To this procedure, children are more relaxed and sustained, so the effect will be more noticeable.

You can find out how cough is treated in infants by reading this article.

Both rinsing and inhalation are only means to relieve symptoms, but they are not able to defeat the infection and cure the child completely.

On the video - more information about the dry cough in the child, about what drugs to treat:

Treatment of any cold or infectious disease is possible only with the help of medicines. But the use of additional procedures (rinsing and inhalation) will noticeably bring recovery and ease the pain.

ProLor.ru

ATSTS at dry cough: it is possible or not to cure the disease with this medication

When there is a cough, dry or with sputum, it brings a feeling of discomfort, pain, difficulty breathing. Modern pharmacology offers a very large selection of remedies for eliminating this unpleasant phenomenon.

Before deciding, the drug ATSTS with a dry cough can be or not to take, you should carefully study the composition of the drug and its main effect.

It is a preparation of mucolytic effect, the main active ingredient of which is acetylcysteine, effectively relieving the patient of a wet cough. In addition to the mucolytic effect, the medicine also exerts an expectorant action, antioxidant, removes toxins from the body, removes inflammation.

Produced antitussive drug in the form of syrup, effervescent tablets, powder in a sachet, solution for injection, a mixture for inhalation, which helps patients choose the most convenient form of the drug and the method reception. Children are not always comfortable with taking different medications and such diverse forms of release help them take medicine with tea and juice.

To understand whether or not to take ATSTS with a dry cough, you need to know what diseases it is prescribed:

  • different forms of bronchitis;
  • pneumonia;
  • bronchial asthma;
  • otitis media;
  • sinusitis.

Contraindications for taking the drug are:

  • hypersensitivity to the components of the drug;
  • sputum with bloody clots;
  • septic ulcer;
  • pulmonary hemorrhage.

Side effects occur rarely, but still occur. They appear as in the case of taking the majority of other medications in the form of pain in the head and abdomen, accompanied by nausea and vomiting. Also, heartburn, tachycardia, problems with arterial pressure, allergic skin reactions may be manifested.

Therefore, the question of whether it is possible ATSTS with a dry cough or not, doctors respond that yes, you can. But only on condition that the drug will be used together with those medicines that contribute to the dilution of sputum.

Cough therapy with ACC always yields positive results, about what the reviews say, both doctors and patients. Thanks to different forms of the medicine, it actively helps to suppress and save from any manifestation of cough, both wet and dry.

To get the most effective result of therapy, the question of whether you can use ATSTS with a dry cough or not, should decide the attending physician.

ACS: at what cough to take this medication

The drug has a wide range of effects and if you prescribed the drug ATSTS, with what cough to take it in detail describes the instruction.

If you purchased the medicine in the form of a sachet of powder or granules, you should know that one such sachet is diluted in half a glass of warm water.

The product should be thoroughly stirred and consumed immediately after a meal.

Please note that the prepared solution does not lose its medicinal properties during3-хhours.

To prepare a similar medicine from the granules of ACC, you can use not only plain water, but also warm tea, juices, compotes, which then should be drunk with several sips of ordinary water and thereby clean the oral cavity of the active components medicament.

When the doctor told you, at what cough to take ATSTS, he prescribes doses of the drug, based also on the causes of the appearance of a cough. If you have bronchitis, tonsillitis and other diseases, the dose of the drug will be different to get the most effective result of therapy.

Adults are prescribed 2-3 times a day for 200 mg of the drug (granules). The same dosage is for children over 14 years.

As for the question of which cough and how to take ATSTS for children, it all depends on the type of drug:

  • ACTS 100 - admission for the youngest children is allowed. Children under 2 years are allowed 50 mg 3 r. / Day; children from 5 years - 100 mg, 4 rubles / day; children from 6 years - 600 mg, divided into 3 doses per day.
  • ATSTS Long is prescribed for children over 14 years of age. The daily dose is 600 mg per time. The drug is taken after meals.
  • ATSTS 200 the doctor can recommend for therapy of children from 6 years. Most often, a solution is prepared: 1/2 bags are dissolved in half a glass of warm water 2 r. / Day. Children from 12 years - 3 times a day.

The medicine is allowed for therapy of pregnant and lactating women. In this case, you can use ACS 100, which is taken 3 r./day for 50 mg. When a patient has an inadequate response to the drug, stop taking it and consult a doctor.

When treating dry cough in pregnant women, the doctor also prescribes other drugs aimed at treating the cause of the disease, which resulted in a cough.

Since the state of pregnancy does not allow the use of many drugs, especially antibiotics, then the whole complex of medicines can be prescribed only by a doctor, based on the characteristics of the organism of the pregnant woman and the course pregnancy. Self-administration and taking medication is contraindicated.

The analogues of ACC are:

  • Fluimutsil, this is a complete analog of ATSTS, which is prescribed for the same diseases and different types of cough, in the same dosage.
  • Acetylcysteine-Hemofarm is perfectly suitable for children's cough therapy, has release forms in small dosages (100 and 200 mg each).
  • Ambrohexal has the same therapeutic effect, dilutes sputum and does not cause side effects.
Regardless of the cough you decide to take ACS, its effect begins within 30 minutes after taking medication and lasts from 4 hours to 24 hours, depending on what was the dose of the medicine - 100 or 200 mg or 600 mg.

On the third day of treatment, the concentration of the drug in the body reaches a maximum and you have a persistent therapeutic effect.Therefore, reviews of doctors and patients about this drug are always positive.

This is also facilitated by the fact that the drug helps to cure the cough that may result from a variety of viral, infectious diseases of the upper and lower respiratory tract, as a result of an allergic reaction.

ACC helps to get rid of productive cough, unproductive, acute, chronic, subacute, night and morning. The doctor, when diagnosing your disease, will definitely clarify all the nuances of the cough, its features, in order to choose a dosage form - ACC 100, 200, Long or hot drink.

For each specific clinical case, the correct concentration of active substance - acetylcysteine, which will ensure high efficiency of treatment and rapid recovery patient.

The potential of the drug has not yet been fully identified and active research is being conducted in this field, aimed at developing effective properties of ATSs for eliminating cough symptoms.

.

gajmorit.com

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