Description and value of Medicine
Berodual solution has no precipitate is colorless or yellowish white, has a barely perceptible odor of medicines. This form is used for inhalation using nebulizers any type. The preparation is filled into bottles of 20 ml with a dropper. On September 2018 its price varies between 200-600 rubles.
Inhalation Aerosol called Flomax N. The drug is packaged in opaque cans with dispenser 10 ml (200 doses). The minimum cost is 370 rubles. For this form of the drug does not need a nebulizer: bottle already equipped with an inhaled spray.
Composition of Medicine
In one dose Berodual H is 20 mcg ipratropium bromide, 50 mg fenoterol. In 1 ml dose includes ipratropium bromide 0.25 mg (in terms of 250 mcg) and fenoterol amount of 0.5 mg (500 micrograms).
action Medicine
With inhalation Berodual obtained for children to use smaller doses of other drugs increases the efficiency of the basic therapy. The combination of this active ingredient does not allow to produce too much sputum, relaxing effect on the bronchial wall, helping to reduce inflammation and swelling of the shells.
After aerosol administration airway lumen expands after 15 minutes, the effect lasts for up to 6 hours. The child is better ventilated lung lining breath, removed the signs of choking, coughing spells become less frequent, easier to proceed or disappear, disappear wheezing.
Side effects Medicine
More often during treatment appears dry, sore mouth, cough, hoarseness, sore throat, dizziness, cephalalgia, nausea, heart palpitations, trembling fingers, the change in pressure, impaired gastrointestinal motility. Fixed and frustration of a chair, skin itching, sweating, pain in the eye, blurred vision.
At 1 in 10,000 cases revealed:
- anaphylaxis;
- Angioedema;
- bronholaringospazm;
- urinary retention.
Attention! Side effects may be symptoms of an overdose. When they appear necessary to show the child's doctor. In complex cases require intensive care. Severity can determine only the doctor.
When applied Medications
Berodual in solution or aerosol prescribed for chronic diseases with airway obstruction. Used to eliminate suffocation due to bronchoconstriction.
Prescribe appropriate medication for children with a diagnosis:
- COPD;
- emphysema;
- asthma;
- obstructive bronchitis.
The direct testimony Berodual also include training of the respiratory tract for subsequent inhalation antibiotics, mucolytics, corticosteroids or other medications. Means a doctor can authorize the use of and for the prevention of acute asthma attacks, treatment of complicated laryngotracheitis, tuberculosis.
Therapy for cough
Flomax does not cure the cause of the cough, but facilitates its attacks. The use of inhaled drugs is only permitted in the complex therapy.
Flomax is prescribed for:
- noncommunicable dry cough with bronchospastic reaction (typical for asthma, allergy);
- copious sputum with wheezing;
- suffocating wet cough.
Attention! Flomax can alleviate dry cough without concomitant bronchial constriction or as a result of falling crumbs, liquid in the airways during breastfeeding.
Contraindications Medicine
Drugs with fenoterol and ipratropium bromide in pediatrics used with caution, regardless of the presence of concomitant diseases. The solution was administered to a child of any age, but babies and 1-5-year-olds there is a strict dosing. Aerosol Berodual H prohibited patients aged 6.
The drug is contraindicated in:
- tachyarrhythmia;
- hypertrophic cardiomyopathy with obstruction;
- sensitivity to any composition of matter;
- intolerance atropine and its compounds.
Attention! Fenoterol passes into breast milk and gets into the digestive tract of the child. During treatment Berodual lactating women, it is desirable to transfer the baby to artificial feeding.
dosing Medicine
The manual contains a total dosage and frequency of application Berodual without regard to individual nuances of the disease. Therefore, the drug should be used as recommended by the doctor after the examination, the baby weighed.
Standard dosing aerosol
For relief of acute attacks in children or adults are recommended to inject a dose of 2 Berodual N. If no action after 5 minutes, again administered 2 doses. If there is no effect after 4 inhalations deliver the baby immediately to a doctor for examination and selection of a different treatment plan.
If your doctor has prescribed a long intermittent treatment:
- procedure makes 1-4 p / day, no more than 8 doses per 24 hours.;
- interval between inhalations is maintained for at least 4 chasa;
- 1 for inhalation by 1-2 injected dose.
Important! Flomax for inhalation for children with a high risk of respiratory failure appoint 1 dose twice a day. allowed cupping 2 times to inject the medicine, the procedure is repeated after 5 minutes if necessary.
Standard dosing solution
The forums parents of preschoolers to share information that is used in the standard scheme of medical institutions fizkabinetov: a drop for each year. According to the instruction child aged 1-5 years who weigh less than 22 kg are given per 1 kg of body weight to 25 micrograms ipratropium bromide + 50 ug fenoterol, but no more than 10 drops per Berodual procedure. Inhalation allowed to spend 1-3 times / day.
On a note! In Berodual 1 milliliter of solution contains 20 drops each of which contains ipratropium bromide, fenoterol 12.5 ug + 25 .mu.g.
How many drops Berodual need for inhalation child:
Age |
For cupping |
To remove heavy attack |
To remove moderate bronchospasm |
With intermittent long-term treatment |
Teenagers from 12 years |
20 drops of 1 inhalation |
40-80 cap. / 1 procedure |
10 cap. / 1 aerosol administration |
10-40 drops. / 1 times |
Children 6-12 years |
10-20 cap. /1 time |
40-60 drops / 1 inhalation |
10 cap. / 1 procedure |
10-20 cap. / 1 aerosol administration |
grudnichki |
Dosing calculates the doctor after individual examination and weighing of the child. Depending on the severity of attacks Flomax children under one year may be given from 1 to 10 drops to 1 inhalation. |
Note. When the multiplicity of intermittent treatment procedures should not exceed 4 times / day. Therapy begins with the low dosages, gradually increasing the concentration of solution and stopping at an effective amount. Treatment was stopped after removal of features bronchospastic states.
Carrying nebulizer treatments
Distilled water may not be used, so dilute Flomax inhalation child can only saline (buy in a drugstore). You can not drink the drug, gargle liquid, rinse the mouth or nose, wet cotton turundy and do intranasal application. Procedures are carried out under the supervision of an adult.
How to plant medicine for inhalation nebulizer and do:
- Gaining saline syringe for injection in a volume of 3 mL and poured it into the purified inhaler container.
- Added to the nebulizer Berodual the number of drops that the doctor has prescribed. If necessary, saline liquid volume adjusted to 4 ml.
- Capacity with a solution close, easy to rotate in a circle, to substances mixed.
- The solution is ready, the remaining parts of the inhaler is connected, comprise the unit.
- The baby must breathe no longer than 7 minutes.
After each procedure, the device should be cleaned according to the requirements of its operation. If a child is being treated for an infectious-inflammatory disease, it is also necessary to disinfect the mouthpiece or mask.
Carrying spray treatments
The drug is used under adult supervision. The balloon can not be opened, to heat, to leave near hot devices. Means forbidden to spray on wounds, burns.
Before application of the primary Berodual H canister shaken repeatedly turned upside down and 2-3 doses jetted in the air to test the sprayer.
The algorithm of the child inhalation Berodual H:
- Is removed from the dispenser cap.
- The aerosol canister is inverted upside down. If the medicine is not used for more than 2 days, the air spray means 1 dose.
- The child asked to slowly and completely exhale and hold the breath.
- Insert the mouthpiece into the baby's mouth and on his slow breath spray 1 time Flomax, crushing the container bottom.
- Child after spraying should inhale to the end, to hold his breath, and a mouthpiece removed from the mouth.
- If your doctor has prescribed a dose of 2 for 1 inhalation, it is necessary to repeat points 2-
- After the procedure, the dispenser is covered with a cap.
Inhaler with Berodual children cleaned at least 1 time per week, pulled out a spray can and rinse under running water. Then shake the device from moisture, leaving room for drying. The mouthpiece is wiped with a disinfectant after each use if the child has an infectious disease.
Features of application Medicine
Flomax diluted with saline solution before each child should be re-inhalation. Unutilized balances of liquid is stored. Procedures can be done at night. It is impossible to increase dosage: surplus substance causes respiratory failure.
Inhalation should be done in between meals (at an interval of more than an hour) and active types of games. After the procedure is not recommended to eat or drink for 30 minutes.
Elevated body temperatures is not a contraindication for use Berodual, since the nebulizer or aerosol inhalation are unheated. According to the standard, doctors prescribe a 5-day course of treatments. In the same period, the child should drink or aerosol administered clears his throat, antibiotics and / or other medicines.
If during treatment Berodual appeared shortness of breath, swelling of the mucous membranes, urticaria, deteriorated state of health, it is necessary to urgently take the child to the hospital. After eye washing solution makes the conjunctiva and cornea.
Combined with other inhaled medications
Berodual combine therapy with Pulmicort budesonide or other drugs. After inhalation corticosteroids child must rinse your mouth and spit out the water that did not develop candidiasis.
From mucolytics used Mucosolvan, Ambrobene ambroxol or other means. These inhalation desirable to do a couple of hours before bedtime. After the procedure starts output gain phlegm from the bronchial tubes, the child often coughs.
How to carry out a combination therapy:
- Berodual inhalation and saline to make children first, to expand the bronchi.
- After a quarter of an hour inhalations of budesonide or mucolytic drug.
All funds are diluted with saline dosing selects the physician individually for each child. It is not recommended to mix with corticosteroids and mucolytics, as controlled studies of their interaction have been conducted.
Important! Any combined regimen should be carried out under medical supervision.
analogues of Medicine
By absolute counterparts Berodual include Ipraterol-Nativ, Freeway Combi Ipradual and other funds with a combination of fenoterol + ipratropium bromide. To replace the doctor may recommend Anor elliptic powder Ipratropium-Salbutamol-Teva, Spiolto Respimat, Ultibro Brizhayler or other drugs for inhalation with other active ingredients. In the selection of drugs is better to be guided by the views of the child's care.
sources:
Vidal: https://www.vidal.ru/drugs/berodual__108
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = ee5d6014-5331-4532-a95d-0491582ba829 & t =
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