Inhalation with Berodual and saline: proportions for adults, children, instructions

For the treatment of diseases of the respiratory tract, pulmonologists prescribe inhalations to patients using medication. means Berodual and saline. Already after the first procedure, it is possible to relax the muscles of the bronchi, stop attacks of suffocation and eliminate the swelling of the mucous membrane of the oropharynx.

Safe proportions of drugs for adults and children are determined exclusively by the attending physician, taking into account the patient's age, his current condition and the presence of concomitant diseases. Self-medication is strictly prohibited, as it is fraught with an increase in systolic blood pressure, urticaria and coughing fits.

What effect does Berodual have?

The drug Berodual is a bronchodilating drug that belongs to the category of selective beta-2-adrenergic agonists and m-anticholinergics. In the process of inhalation, the components of the drug expand the lumen of the bronchi, due to which it is possible to achieve effective ventilation of the respiratory tract.

The composition of the Berodual product includes 2 active substances - ipratropium bromide and fenoterol hydrobromide. The first component helps to expand the lumen of the bronchi, which is due to a decrease in the intensity of the effect on the body of the vagus nerve.

Ipratropium bromide blocks the synthesis of acetylcholine, which plays a key role in the functioning of the tenth pair of cranial nerves. Fenoterol hydrobromide is responsible for the stimulation of individual beta-adrenergic receptors that affect the state of the bronchi. This component relaxes the muscles of the intrapulmonary blood vessels. Fenoterol hydrobromide protects the respiratory tract mucosa from negative environmental influences and allergens.

The drug shows a positive therapeutic effect even if only 40% of the standard dosage got into the bronchi, and most of the drug remained in the inhaler. Within 10 minutes. after the completion of the procedure, the patient's condition improves significantly. The therapeutic effect after inhalation lasts for 6 hours.

When is Berodual used for inhalation?

Inhalation with Berodual and saline (the pulmonologist determines the proportions for adult patients on an individual basis, since everything depends on forms of diagnosed bronchospasm) should be carried out in accordance with the instructions in order to reduce the risk of side reactions. The drug helps to stop the reflexes transmitted by the vagus nerves. Due to this, it is possible to overcome attacks of a suffocating cough.

In the annotation to the bronchodilating drug, the following indications for use are indicated:

• Bronchial asthma. It is a chronic non-infectious airway disease.
• Emphysema. This is a pathological condition in which the alveoli in the lungs are partially destroyed, which leads to a gradual decrease in the surface of the lung tissue, due to which the patient develops a progressive dyspnea.
• Chronic bronchitis.
• Respiratory diseases in which there is a blockage of the airways.
• Laryngotracheitis. This is an infectious and inflammatory lesion of the larynx and trachea, accompanied by signs of an acute respiratory infection.
• Chronic obstructive pulmonary disease, in which spasms occur in the bronchi.
• Laryngitis. This is an inflammation of the lining of the larynx and vocal cords.

Inhalation with Berodual and saline is prescribed by pulmonologists to those patients who have been diagnosed with diseases of the lungs, pleura, bronchi or trachea, accompanied by obstruction. The procedure is indispensable in cases where there is a risk of asthma attacks, which is caused by a sharp narrowing of the airway lumen.

The drug Berodual is effective in bronchial asthma, which is associated with the presence of disorders in the autonomic division of the central nervous system. The drug does not belong to the category of hormonal drugs, and is also not an antibiotic. At the same time, inhalation therapy has not only positive, but also negative characteristics.

Advantages	Flaws
Inhalation therapy achieves a high concentration of drugs in the lungs.	The patient must be able to inhale.
The components of the drugs enter the distal respiratory tract.	There is a risk of local irritation.
If all the recommendations of the pulmonologist are followed, the likelihood of adverse reactions is only 1%.	Due to inhalation therapy, a high dose of drug deposition in the oropharynx is recorded.
Inhalation therapy is safe not only for adults but also for newborns.	Inhalation with Berodual and saline is prohibited during the period of gestation.

Carrying out inhalation therapy at home will only be safe if the patient knows how to handle the inhaler and uses the drugs in accordance with the instructions.

Contraindications

The drug Berodual is prohibited from taking those patients who have an increased sensitivity of the body to ipratropium bromide or fenoterol hydrobromide.

In the annotation to the drug, the manufacturer also indicated a number of contraindications:

• Tachyarrhythmia. This is a significant increase in heart rate (from 100 to 400 beats per minute).
• Obstructive hypertrophic cardiomyopathy.
• The period of bearing a child.

One of the active components of the drug is fenoterol hydrobromide, which affects the work of the heart muscle.

With caution, the drug Berodual can be used by patients with the following diseases:

• Hypertension.
• Heart failure.
• Glaucoma. This is a chronic eye pathology characterized by an increase in intraocular pressure, the development of optic neuropathy and impaired visual function.
• Diabetes.
• Coronary heart disease.
• Hyperthyroidism This is a condition of hyperthyroidism, which is accompanied by excessive production of thyroxine and triiodothyronine.
• Blood vessel pathology.
• Prostate adenoma.
• Cystic fibrosis. This is a hereditary congenital disease that affects the exocrine glands and is manifested by excessive synthesis of mucous secretions in the body.
• Bladder neck sclerosis. This pathological condition is characterized by cicatricial deformation of the urethro-vesical junction, which is associated with traumatic effects or the development of an inflammatory process.
• Hormone-dependent oncological neoplasms (for example, pheochromocytoma).

If there are contraindications, you need to consult a pulmonologist who will help you choose a more suitable analogue of the drug.

Why is Berodual diluted with saline?

Berodual is a combined medication that has bronchodilator properties. The drug in the form of a solution is intended for inhalation. The drug can be used only in a diluted form. A concentrated stimulant of beta-2-adrenergic receptors is dangerous for the body, since it is likely 99.9% it can provoke the development of adverse reactions and a rapid deterioration in health sick.

To dilute the drug Berodual, saline is used so that the final concentration of the drug is 0.9%. It is forbidden to use distilled water to dilute the medication.

The proportions of Berodual and saline for simple inhalations

Inhalation with Berodual and saline will be effective only if the therapy has been prescribed by a qualified pulmonologist. A safe treatment regimen for respiratory diseases is determined by the attending physician on an individual basis, since the proportions of drugs for adult patients and children are significantly different.

For children

For the treatment of children under 6 years of age, it is recommended to use 4 ml of saline and 5 drops of Berodual. Effective treatment of respiratory diseases in children from 6 to 12 years old involves the use of 10 drops of a beta-2-adrenergic receptor stimulant and 4 ml of sodium chloride. The procedure is repeated 2 times a day.

To improve the condition of the child, additional ventilation of the lungs can be additionally performed. Children over 6 years old should be diluted with 2.5 ml of Berodual in 4 ml of saline. Inhalations are carried out in the morning and in the evening. The duration of treatment is determined by the pulmonologist on an individual basis.

For adults

To relieve the symptoms of respiratory tract disease in adults and children over 12 years old, it is recommended to use from 20 to 50 drops of the drug Berodual and 3-4 ml of saline. In severe bronchial obstruction, the dosage of the beta-2-adrenergic receptor stimulator can be increased to 80 drops. The drug must be diluted in 4 ml of saline. A more accurate treatment regimen can only be prescribed by a pulmonologist.

To reduce the likelihood of asthma attacks in 15 minutes. before the expected performance of physical exercises or contact with an allergen, 2-4 drops of Berodual should be used, followed by dilution in 3 ml of saline.

Dilution of Berodual for inhalation through a nebulizer

For inhalation in traditional medicine, a nebulizer is increasingly used, which functions on the principle of ultra-small dispersed nebulization of the components of a drug. The procedure helps to improve the patient's condition in the presence of diseases of the respiratory system.

To achieve a positive therapeutic effect, the Berodual medicine (20 drops) must be diluted in 3-4 ml of saline. Inhalations are carried out 3-4 times a day. The standard therapeutic course is designed for 10 days.

Can Berodual be used without saline?

It is forbidden to use Berodual's solution without saline, as this is fraught with the onset of a coughing attack and the development of angina pectoris. The patient's condition will worsen against the background of the manifestation of an allergic reaction. If the patient accidentally forgot to use saline, then you need to seek advice from the attending physician a doctor who must make sure that there is no laryngospasm (sudden involuntary muscle contraction larynx).

Procedure rules, instructions

Inhalation can be carried out at any time of the day. If the dosage of Berodual and saline is correctly selected, then the therapeutic components quickly penetrate into the tissues of the respiratory organs, which will help to achieve antispasmodic and bronchodilator effect.

In order to prevent common mistakes, you need to carry out the procedure in the following sequence:

• It is necessary to thoroughly disinfect the mask and the reservoir into which the drug will be poured. If the nebulizer used is equipped with a mouthpiece, then it must also be decontaminated.
• Saline and Berodual must be poured into the reservoir of the device in the proportion prescribed by the pulmonologist. The reservoir should be tightly closed to avoid accidental spillage of the solution.
• It is necessary to put on the mask and fix it securely on the face. The mouthpiece must be tightly wrapped around the lips.
• At the final stage, it remains to turn on the nebulizer.

The duration of the procedure depends on the age of the patient and the form of the disease diagnosed with him. The standard duration of the procedure is 10 minutes. To achieve the maximum therapeutic effect, inhalation should be carried out up to 4 times a day. With bronchitis, the patient's treatment should last no more than 5 days. Only in rare cases does the pulmonologist extend the therapeutic course for another 3-6 days.

After completing the procedure, the nebulizer reservoir is carefully opened and the remaining solution is poured out. Before each inhalation, Berodual must be mixed with saline again.

When is it better to do inhalation: before meals or after?

Medical research has shown that it is best to administer inhalation therapy between meals. If the patient has just eaten, then you need to wait 30-60 minutes. It is forbidden to eat food immediately after the procedure, as 2 hours must pass. The smell of the solution can provoke an attack of nausea and vomiting in the patient. If you carry out the procedure on an empty stomach, then a small part of the drug Berodual will enter the stomach, provoking irritation of the mucous membranes of the gastrointestinal tract.

Only in rare cases, pulmonologists are allowed to do inhalations immediately after waking up (within 25 minutes. before breakfast). This is necessary in order to alleviate the patient's condition, when painful symptoms and swelling of the soft tissues of the throat prevent him from speaking or eating normally. It should be borne in mind that food negates the benefits of the procedure, which is why the effectiveness of therapy is reduced by 40-60%.

How long can you take inhalations with saline?

The duration of the procedure depends on the age of the patient. Newborns are inhaled for 3-5 minutes. For children under 12 years of age, the duration of the procedure is increased to 10 minutes. But adults and children over 12 years old should inhale the vapors of the solution through the inhaler mask for 10-20 minutes.

It is forbidden to complete the procedure earlier than time, since only in this case most of the medicinal solution will enter the focus of the disease. But it is not recommended to abuse inhalations, as it is fraught with the development of complications.

How many times a day do adults and children inhale?

Only a doctor can determine the permissible number of inhalation procedures that can be carried out in 1 day. In 98% of cases, pulmonologists recommend that adults and children over 12 years old use Berodual and saline 3-4 times a day. For the treatment of children under 12 years of age, the procedure is carried out in the morning and in the evening.

How many days can you take Berodual?

Inhalation with Berodual and saline (the proportions for adult patients and children should be determined by a qualified pulmonologist, otherwise tremor of the limbs and heart rhythm disorder) is most effective only if the full course of therapy has been completed.

For adults and children over 12 years of age, inhalation should be carried out for 7-10 days. If a respiratory disease has been diagnosed in a child under 12 years old, then the standard course of therapy is designed for 5 days. In severe cases, treatment can last 2 weeks. In the absence of positive dynamics on the 3rd day of therapy, it is necessary to contact the attending physician who will help to adjust the therapeutic course.

Can it be used during pregnancy and lactation?

Inhalation with Berodual and saline (the proportions for adults, children are determined by the pulmonologist only after a complex examination of the patient) can provoke the development of adverse reactions and a deterioration in the general condition of a woman during the period carrying a child.

The beta-2-adrenergic receptor stimulant contains fenoterol hydrobromide, which affects the contractile activity of the uterus. Even a slight excess of the standard dosage of the drug negatively affects the development of the fetus (especially in the 3rd trimester of pregnancy). If inhalation is required to improve a woman's condition, then a safe treatment regimen should be discussed with a gynecologist.

Possible side effects

In 99% of all cases, inhalation with Berodual and saline solution is well tolerated by the body of adults and children, but only if the recommended dosage and frequency of procedures are observed.

Otherwise, there is a high likelihood of developing side reactions:

• Angioedema. This is a sudden swelling of the deeper layers of the skin and subcutaneous tissue.
• Oral mucosa candidiasis.
• Increased irritability.
• Allergic dermatitis.
• Dry mouth.
• Irritation of the mucous membranes of the respiratory tract.
• Confusion of consciousness.
• Hypofunction of the adrenal cortex.
• Mydriasis. This is a condition of the pupil in which it dilates and does not respond to light stimuli.
• Dizziness.
• Attacks of nausea, vomiting.
• Tachycardia.
• Coughing fits.
• Increased blood pressure indicators.
• Stomatitis. This is an inflammation of the oral mucosa.
• Violation of intestinal motility.

In the event of adverse reactions, it is recommended to refuse inhalations with Berodual and saline solution. If after 2 days the patient's condition has not improved, then you need to seek advice from a pulmonologist, who, if necessary, will prescribe effective symptomatic treatment.

When inhalations with Berodual and saline solution are carried out more than 6 times a day, the patient may experience symptoms that are associated with excessive stimulation of the activity of beta-adrenergic receptors. In such a situation, the total amount of potassium in the blood decreases, chest pain occurs, and symptoms of broncho-obstructive syndrome increase.

Safe dilution proportions of drugs for inhalation for adults and children can only be determined by a specialist. Self-medication of respiratory diseases is prohibited, as this is fraught with the development of complications that can threaten the patient's life.

Video about the drug Berodual

Berodual. Description, mechanism of action, side: