Preparations for inhalation with bronchitis Nebulizer

In the treatment of inflammatory diseases of the respiratory tract, including bronchitis, inhalation is the most effective method. Various preparations are used for this procedure, which are converted into fine dust. using a nebulizer. Thanks to this treatment, the activity of the action of the drug and the speed of its penetration into the focus of inflammation increase.

Classification of funds

Therapy for bronchitis includes inhalation therapy, which has several advantages over other methods. To eliminate a painful cough, various groups of drugs are used for inhalation.

The speed of recovery is greatly influenced by the rate of inflow of the drug directly into the focus of inflammation. Nebulizers - new generation inhalers that are capable of form a cloud of finely dispersed dust (drug particles) using various mechanisms. It is quite easy to inhale.

Since the dust consists of small particles (their diameter is 5 microns), they easily penetrate into the inflammation focus, where they realize their functions.

There are different types of these inhalers:

Nebulizer Type	Advantages	Flaws
Compressor, forming aerosol based on the action of the compressor	can use all kinds of drugs	are large, make a lot of noise
Ultrasonic	compact, lightweight, virtually silent	can use a limited set of medicines
Mesh nebulizers	make it possible to treat even bedridden patients, are small in size and weight, you can carry it with you and carry out the procedure even at work

This method of treatment has several advantages:

• can be used in the therapy of adults and children;
• no age restrictions;
• there is no need to take a deep breath (important for asthma attacks and for the treatment of the elderly);
• drugs are used in effective doses;
• the drug is almost not absorbed into the blood;
• drugs spread rapidly in the bronchial tree;
• the safest way of inhalation treatment (no propellants, freon, aerosol dust goes directly into the alveoli);
• you can combine various drugs;
• can be connected to the ventilator circuit.

Preparations for inhalation with bronchitis with a nebulizer differ in their functions.

Usually, the course of therapy for bronchitis involves the use of:

• bronchodilators;
• mucolytics;
• immunomodulators;
• anti-inflammatory drugs;
• anticholinergic drugs.

Bronchodilators are medicines that dilate the bronchi. This is important in diseases of the lungs and bronchi, since bronchospasm is of great importance in the mechanism of their development, which leads to a contraction of the airways and an obsessive cough.

To stop this process and enable the patient to breathe normally, various drugs are used: beta 2-agonists, which improve the basic functions of organs and systems (Salbutamol, Salgim, Astalin, Fenoterol, Sterineb Salamol), and combination drugs (Berodual is a combination of Fenoterol and Ipratropium bromide). They dilate the bronchi well and relieve bronchospasm with M-anticholinergics, for example, Atrovent inhalation solution.

The next group of medicines used for bronchitis are mucolytics. Their second name is expectorants. They irritate the mucous membrane and increase the production of bronchial secretions and the cough reflex. As a result, the sputum acquires a thinner consistency and is easily excreted.

In the process of liquefaction, the sputum increases in volume. The most popular drugs in this group are: Bromhexine, Sinupret, Ambroxol, Acetylcysteine, Mukaltin, ACC, Lazolvan, Ambrohexal.

Mineral water has the same effect. For bronchitis, Borjomi, Narzan, and saline are recommended. Thanks to their use in the nebulizer, the patient's mucous membrane of the respiratory tract is moistened and secretion discharge is greatly facilitated.

Immunomodulators help to strengthen the patient's immune defense and are widely used to prevent and treat diseases of the respiratory system. The most common immunomodulators used for bronchitis are Derinat, Interferon, Cycloferon.

Since bronchitis causes inflammation of the small bronchi, this leads to impaired secretion and the formation of bronchial mucus. The result is edema, bronchospasm and congestion. To exclude the development of such a pathology, anti-inflammatory drugs are used (Pulmicort, Dekasan, Flixotide, Tonsilgon N, Budesonid, Malavit). Some of them are available in the form of ready-made solutions for inhalation.

All these drugs together give the following effect:

• moisturize the mucous membrane of the entire respiratory system;
• liquefy the phlegm that forms in the bronchi;
• increase the bronchi;
• improve blood circulation;
• relieve inflammation;
• have an expectorant effect;
• fight bacteria;
• relieve swelling;
• restore damaged tissues.

Preparations for inhalation with bronchitis Nebulizer have an effective effect on all types of inflammatory processes in the respiratory tract. They accelerate recovery and serve as an excellent preventive measure.

Rating of drugs from the pharmacy

For the treatment of bronchitis, it is necessary to use drugs of various functional orientations, which together will have a quick positive effect on the patient's body.

Ambroxol

It is used for diseases of the respiratory system associated with sputum production and the complexity of its discharge (bronchitis, pneumonia in acute and / or chronic form, asthma). The main component is ambroxol hydrochloride, auxiliary - water, citric acid monohydrate, sodium chloride, sodium hydrogen phosphate dihydrate and benzalkonium chloride.

Release form - tablets, syrup, lozenges and solution for inhalation and intravenous administration. The drug has a mucolytic, expectorant effect. For the procedure, the solution for inhalation is mixed with saline in a 1: 1 ratio and heated to body temperature. The duration of the procedure is up to full use of 4 ml of solution.

Contraindications: allergy to the composition of the product, stomach ulcer, convulsions, pregnancy (1 trimester), lactation. It should be used with caution in the 2nd and 3rd trimester of pregnancy, in case of kidney and liver diseases. There may be side effects from the nervous, immune and digestive systems. Overdose data have not been identified. Available for free sale, price - from 130 to 230 rubles.

Lazolvan

Mucolytic, expectorant. It is used for diseases of the lungs and bronchi in acute / chronic form, when bronchial secretion and mucus outflow are impaired. Composition - like Ambroxol. Available in the form of tablets, cough syrup and solution for inhalation or internal use (light brown or colorless).

It has a local anesthetic effect, activates the formation of secretions, facilitates its excretion, reduces coughing, and prevents the alveoli from collapsing. Before using in the Nebulizer, the solution (with a temperature equal to body temperature) is mixed with sodium chloride (0.9%) in the same proportion. For children, take 2 ml of Lazolvan solution, for adults - 2 - 3 ml. Inhalation is done 1 - 2 times a day.

It should not be used by women during the period of activation and in the first trimester of pregnancy, carefully - with pathologies of the liver and kidneys. In case of an overdose, in rare cases, vomiting, diarrhea, abdominal pain, side effects - changes in the functioning of the gastrointestinal tract and the nervous system may appear. It is sold freely in pharmacies, the price ranges from 313 to 375 rubles.

ACC

Acetylcysteine ​​solution is intended for the treatment of respiratory diseases, which are accompanied by sputum production.

The main component of the composition of the drug is acetylcysteine. In addition to it, the composition includes a solution of sodium hydroxide and disodium edetate. ACC is available in the form of powder, syrup, granules for the preparation of a solution or syrup.

ACC promotes good liquefaction of phlegm, including purulent phlegm, increases its amount and facilitates its separation. In addition, it has an antioxidant effect. Inhalations are done 1 - 2 times a day in a volume of 3 ml (for children - 1.5 ml), after diluting the substance with water (1: 1).

The drug should not be used for exacerbation of gastrointestinal ulcers, bleeding, pregnancy and during breastfeeding, as well as in childhood (up to 6 years). Care should be taken when using it for those who have problems with the kidneys, liver, high blood pressure, asthma and pathology of the veins of the esophagus. Overdose can provoke an increase in the concentration of secretions and lead to obstruction.

Side effects:

• obstruction of the bronchi;
• stomatitis;
• severe rhinitis;
• manifestations of allergies.

You can buy ACC in pharmacies without a prescription at a price of 90 - 137 rubles. Preparations for inhalation with bronchitis with a nebulizer should help strengthen the immune system, have an antiviral and antiproliferative effect on a weakened patient's body.

Interferon

Interferon is used for therapeutic and prophylactic purposes in cases of influenza, acute respiratory viral infections and upper respiratory tract infections. It is available in the form of a powder or a ready-made solution. The powder consists of natural alpha interferon, produced from human blood leukocytes, and in the solution also includes sodium chloride, as well as sodium hydrogen phosphate dodecahydrate and sodium dihydrogen phosphate dihydrate. The drug increases the resistance of cells to the action of viruses and bacteria, relieves inflammation, and enhances the immune response.

For inhalation, the contents of the ampoules are diluted with water according to the instructions (3 ampoules and 4 ml of water), heated to 37 ° C and poured into a nebulizer. The procedure is carried out 2 times a day. It should be used with caution by individuals allergic to protein and / or antibiotics. Overdose symptoms were not identified. Among the side effects, signs of an allergic reaction are named. Interferon goes on sale in pharmacies, its price ranges from 103 to 130 rubles.

Derinat

Derinat is intended for the treatment of diseases of the upper respiratory tract (ARVI, influenza, bronchitis). It is a combination of sodium deoxyribonucleate and sodium chloride, available in the form of a solution for intramuscular injection or inhalation.

Derinat promotes rapid tissue regeneration, accelerates recovery, relieves inflammation, and stimulates metabolic processes.

For inhalation, dry powder is diluted with water in a 1: 1 ratio or a ready-made solution is used. The duration of the procedure is about 5 minutes, 2 times a day. The course is from 10 days. It is not recommended to use Derinat in case of individual intolerance, pregnancy (1 trimester) and lactation.

Overdose can provoke allergies. Possible side reactions are allergies, fever and decreased glucose levels. When buying a drug, a doctor's prescription is not required. Cost - from 239 to 1641 rubles.

Berodual

The drug is aimed at treating obstructive diseases of the upper respiratory tract. It contains active ingredients: ipratropium bromide and fenoterol hydrobromide, as well as sodium chloride, benzalkonium chloride, sodium edetate, hydrochloric acid and water.

Available in the form of a solution for inhalation. It relaxes the muscles of the bronchi, prevents the development of obstruction, improves breathing. The dose for inhalation is selected individually - from 1 to 4 ml, starting with the minimum. The drug is diluted with sodium chloride solution (0.9%) and immediately used 2 times a day.

Contraindications: allergic predisposition to the components, heart disease. Berodual has many side effects from the immune, respiratory, nervous systems, gastrointestinal tract, vision, skin. It is released freely, the price in pharmacies is 247 - 426 rubles.

Pulmicort

For inhalation with a Nebulizer, you can use the drug Pulmicort - a remedy for the treatment of asthma, bronchitis, COPD and laryngotracheitis. It contains budesonide as an active substance, and sodium chloride, disodium edetate, sodium citrate, polysorbate, water and citric acid are auxiliary.

Pulmicort is a light-colored suspension for inhalation that relieves allergic symptoms, inflammation and has a glucocorticoid effect.

The drug cannot be used in ultrasonic nebulizers. The suspension must be diluted with a solution of sodium chloride (0.9%) or other solutions (for example, sodium cromoglycate) and used within half an hour.

Pulmicort should not be used by children under 6 years of age, with an allergy to the main substance. Patients with tuberculosis, infectious diseases of the respiratory system, asthma, cirrhosis of the liver and pregnant women should be cautious in the treatment with the drug. Among the side effects are possible pathologies of the respiratory and nervous systems, skin, kidneys. You can buy Pulmisort freely in the pharmacy at a price of 383 to 950 rubles.

Flixotide

This anti-inflammatory drug is used for bronchial asthma, as well as for pathologies of the lungs and bronchi with an obstructive component (emphysema, bronchitis). It is also a preventive measure. The active ingredient is fluticasone propionate, and the auxiliary is tetrafluoroethane. Available in aerosol form. Flixotide relieves inflammation and has an antihistamine effect, reduces the symptoms of upper respiratory tract diseases and prevents exacerbations.

For prevention purposes, it can be used regularly. The dose depends on the patient's age. Inhalation is carried out in the morning and in the evening, gradually increasing the dose of the drug. Contraindications: bronchospasm, asthmatic component, age (up to 1 year), allergy. Adverse reactions can occur with metabolism, immune, endocrine, nervous, respiratory systems, skin. The price in pharmacies is from 542 to 900 rubles.

Atrovent

Preparations for inhalation with bronchitis with a Nebulizer have a therapeutic effect within a few hours. One of them is Atrovent, used to treat obstructive bronchitis, asthma and pulmonary emphysema. Its action is based on the properties of the main (ipratropium bromide monohydrate), as well as auxiliary (benzalkonium chloride, sodium chloride, disodium edetate dihydrate, water and hydrochloric acid) components.

Atrovent is a transparent solution that has a bronchodilator effect on the patient, prevents bronchospasm, facilitates breathing. Adults are usually prescribed 2 ml of solution for inhalation, children (6 - 12 years old) - 1 ml. The dose is diluted with a solution of sodium chloride (0.9%), bringing to 3 - 4 ml. The duration and interval between inhalations are determined by the doctor.

You can not use Atrovent for those who are allergic to its components, glaucoma, prostate pathology, as well as kidney disease (obstruction). Children under 6 years of age and women who are breastfeeding should treat the drug with caution.

Side effects - headache, cough, problems with the gastrointestinal tract, vision, heart function, rash, diarrhea, constipation, pathologies of the respiratory, immune and urinary systems. The drug goes on sale and is sold at a price of 136 to 325 rubles.

Mineral water

In addition to medicines, mineral water - "Borjomi", "Narzan" is actively used in the treatment of bronchitis. In addition, it eliminates the symptoms of acute respiratory viral infections, eliminates dry cough, relieves an asthma attack, improves sputum outflow and promotes rapid recovery from diseases of the broncho-pulmonary system.

The mineral waters contain sulfates, magnesium, calcium, iron, fluorine and other trace elements. The product is produced in the form of a liquid with useful substances dissolved in it, extracted under natural conditions. Mineral water moisturizes the bronchi, relieves inflammation, dilutes the secretion and improves its outflow. Apply water in the form of drinking or inhalation, directly pouring into the nebulizer. The frequency of such inhalations is several times a day.

Inhalation, including mineral water, is not carried out if the patient has nosebleeds, tumors, fever, intoxication, heart problems, tuberculosis. Mineral water is an affordable product that you can buy at any pharmacy. Its price is from 38 to 60 rubles. depending on the volume.

In the treatment of diseases of the upper respiratory tract, including bronchitis, inhalation with a Nebulizer has a significant effect. To this end, you can use drugs of various actions, which in a short time will ease the patient's condition, reduce the risk of complications and accelerate recovery.

Video about inhalation for bronchitis

Nebulizer. Treatment of asthma, COPD, bronchitis: