Ambroxol tablets for children. Dosage, instructions for use

Ambroxol is an effective medicine with mucolytic properties, which is actively used in the treatment of patients with pathologies of the bronchi and lungs. Tablets are often used for children if necessary, but the dosage should be determined individually by the pediatrician.

Composition and form of release

The drug can be found in pharmacies in several dosage forms, but the tablet form is considered the most popular. The tablets are white, round, and small in size. They are placed in plates of 10, which are in small cardboard boxes.

In addition to 2 plates with tablets, a description can be found in the package, which indicates all the features of use, possible complications and contraindications. The composition of the tablets includes the ambroxol component, which has the main therapeutic effect.

The tablet form includes several auxiliary ingredients:

• Silica.
• Lactose.
• Talc.
• Magnesium stearate.
• Starch.
• Microcrystalline cellulose.

These substances have no medicinal properties. It is also available as a syrup and parenteral solution. The composition of such dosage forms also contains ambroxol and other auxiliary components. The amount of the main substance per 1 tablet of the drug is 30 mg.

Terms of sale, prices

The tablet medication is sold freely in pharmacies, but this is not considered a reason for uncontrolled use for a long period and without a doctor's prescription. The cost of the medicine ranges from 30-60 rubles. per package, but may differ in different regions.

Pharmacological properties

Ambroxol - tablets for children (the dosage of the drug in different forms is different), used quite often due to the pronounced effect on the body. The drug has mucolytic properties, helps to liquefy and remove phlegm from the bronchi and lungs, which relieves the condition.

The medicine shortens the period of tissue repair by quickly clearing them from phlegm. Large volumes of mucus in the respiratory organs lead to difficulty in the penetration of oxygen to the cells, as well as the multiplication of microbes that provoke tissue damage, the formation of foci of different sizes.

Pharmacodynamics and pharmacokinetics

After the drug enters the digestive tract, it quickly dissolves and the ingredients enter the systemic circulation. The main substance belongs to mucolytic components, therefore, it not only stimulates the excretion of sputum, but also reduces its viscosity. Often, the increased viscosity of sputum leads to a significant difficulty in cleansing the tissues, while the patient speaks of a strong cough that irritates the mucous membranes of the throat.

Liquefaction of mucous secretion with its subsequent excretion can significantly reduce the likelihood the multiplication of microbes that provoke the inflammatory process of a bacterial or viral origin.

Additionally, the medicine has other properties:

• Stimulates the formation of phlegm. Often, the lack of a sufficient amount of mucus interferes with its normal expectoration.
• Increases the motor activity of the ciliated epithelium of the lungs and bronchi.
• Despite the ability of the agent to stimulate the formation of sputum, it does not significantly affect its volume. That is, if there is a large amount of viscous mucus in the lungs or bronchi, the tablets will not lead to a rapid increase in volume. Often, drugs with similar properties lead to indomitable coughing and even suffocation, since the child cannot cough up such an amount of mucus.
• It has mild anti-edema properties, which also helps to improve the functioning of the respiratory system in the acute period of the disease.

The drug is well absorbed in the digestive tract and quickly concentrates in the tissues of the respiratory system. Its maximum concentration in the blood is observed 1-2 hours after oral administration.

The processing of the substance occurs in the liver, after which the decay products are evacuated with the help of the kidneys. Dysfunction of the liver and kidneys can make the process of processing and removing ingredients from the body somewhat difficult. Within 12-24 hours, the body is completely cleansed of the metabolites of the main substance.

Indications for use

Ambroxol is used for children with various forms of diseases, but the dosage is determined depending on the manifestations.

Tablets are shown in the following cases:

• Bronchitis in acute and chronic form, accompanied by cough and the formation of a large amount of phlegm.
• An obstructive form of bronchitis, in which there are changes in the structure of the bronchial tissues.
• Pathologists of the lungs of inflammatory origin. With pneumonia, the drug can be used as an auxiliary method to increase the effectiveness, since in most cases the intake of antibacterial drugs is indicated.
• Tracheitis in the acute stage or chronic course of a pathological condition.
• Bronchial asthma. The drug does not affect the muscle layer of the respiratory system, does not help eliminate bronchospasm, but often the condition is accompanied by complications from the bronchi and lungs, so the use of the medication is advisable.
• Diagnosis of cystic fibrosis at different stages of development. The drug is also prescribed as an adjunct treatment.
• Respiratory disorders in children and adults, accompanied by the formation of viscous mucus in the respiratory organs.

The medicine is often combined with other medicines, since patients may additionally suffer from general weakness, fever and related manifestations.

Contraindications

Do not prescribe a tablet remedy if a tendency to allergies to the components or the development of such disorders in the anamnesis is detected.

The tablets have other contraindications for use:

• Carrying a baby in 1 trimester. Lactation is considered a relative contraindication, since the doctor decides on the appointment of a medicine on an individual basis.
• Exacerbation of gastritis with increased acidity of gastric juice, peptic ulcer, colitis or enteritis. The use of tablets often provokes an aggravation of symptoms, therefore, therapists and pediatricians prefer to prescribe after the elimination of acute manifestations.
• Internal bleeding of various origins.
• Shock state.
• Forced long-term immobilization in case of injuries or after undergoing severe surgery.
• Dry cough. Often, flu and other diseases of viral origin are accompanied by a dry cough, and treatment with pills provokes an aggravation of the condition.
• Acute diseases of the liver and kidneys of an infectious, viral origin. Sometimes it is better to choose another medication to eliminate cough.
• The patient's age is up to 6 years. For patients under this age, it is recommended to take a syrup in which the concentration of the component is slightly lower.

Relative contraindications include acute pathologies of the nervous system, psychoemotional disorders in the acute stage. Any individual contraindications may become an obstacle to treatment.

Methods of administration and dosage

Ambroxol - tablets for children (the dosage of the medicine for patients from 6 years old may be lower) and adults, which are taken only orally after examination by a pediatrician or therapist. The dose and duration of the course differs depending on age, symptoms of pathology, the presence of concomitant symptoms and the main course of treatment.

Patient's age	Dose and duration of the course
Children from 6 to 12 years old	Such patients are prescribed ½ tablets 2-3 times a day. If the symptoms are mild or moderate, it is enough to use a one-time rate 2 times a day. A serious condition requires more frequent use. The duration of treatment is usually 1 week, as this time is sufficient to obtain a therapeutic effect. But with a severe course of pathology, treatment may be required for 2 weeks, especially in the case of combined treatment.
Teenagers over 12 years old	Patients at this age use 1 tablet of the drug 3 times a day in severe pathological conditions. In the absence of acute and severe manifestations, it is enough to take the medicine in the morning and in the evening in a single therapeutic dosage. The duration of therapy is determined individually, as well as when using the drug in the treatment of children of a different age. The average course duration is 10-14 days.

Extension of the therapeutic course is prohibited on its own, as is the change in the daily or one-time rate. Adults also take the medicine 1 tablet 3 times a day.

When taken orally, it is important to drink the tablets with plenty of water. The intervals between doses should be approximately equal, which will maintain a constant level of the agent in the tissues.

Side effects

Ambroxol - tablets for children (the dosage of the medication in a severe course of the disease is increased by the doctor), provoking complications if the instructions are violated. Compliance with all recommendations does not guarantee the absence of complications during the course of therapy.

The most common adverse reactions:

• From the side of the nervous system, patients may experience headache, dizziness, weakness and drowsiness. Sometimes the patient is hyperactive at the same time as symptoms of insomnia appear. Negative reactions can manifest themselves in the form of irritability and psychoemotional disorders.
• The digestive system often suffers during pill treatment, especially in the case of a long course. Perhaps the appearance of nausea and bouts of vomiting, upset stools, pain and flatulence. The drug can lead to an increase in gastric acidity, which provokes heartburn. Sometimes patients have persistent constipation, accompanied by pain in the intestines.
• Violations of the skin are manifested not only in the form of allergies, in which a rash appears, itching, irritation and burning are observed. In some patients, erythematous foci appear on the body and limbs, which are difficult to eliminate with conventional drugs for external use.
• Increased urination and pain in the lower abdomen is usually observed in adolescents and adults, but sometimes such reactions are observed in children.

The appearance of negative symptoms is the reason for the immediate refusal of treatment with the remedy. At the same time, the doctor examines the child, decides on the appointment of drugs to normalize the condition, or monitors the patient's well-being.

Overdose

Overdose when taking pills can develop, but such cases are not so common.

At the same time, the child's condition is aggravated, the following reactions may appear:

• Repeated vomiting during the day, frequent loose stools.
• Severe dizziness and lack of coordination of movements.
• Hallucinations.
• Decrease in blood pressure indicators.
• Pain in the abdomen that is relieved by a bowel or stomach emptying.

In case of an overdose, the patient must immediately receive medical attention. It consists in washing the stomach, prescribing sorbents and other medications that help eliminate symptoms. Because overdose cases are less common, there is no standardized method of patient care. Treatment is always symptomatic, depending on the specific manifestations of the child or adult.

special instructions

Ambroxol - tablets for children (the dosage of the drug for children from 12 years old does not differ from that used for adults), prescribed only after a preliminary examination by a pediatrician or pediatrician pulmonologist. Parents are prohibited from giving the child medicine on their own, even if a cough occurs.

A prerequisite for treatment is the intake of a large amount of fluid. This allows you to prevent the formation of a viscous secretion and a decrease in its amount. Often, against the background of insufficient fluid intake, it becomes difficult to remove sputum, which prolongs the recovery period.

If the child has chronic diseases of the skin, for example, erythema, dermatitis, in the first few days after the start of treatment, the symptoms may worsen, the appearance of pain in the body. Usually the manifestations disappear after a few days, sometimes they persist. It is not recommended to use the funds on your own in this case. On examination, a specialist, if necessary, prescribes additional funds for the skin.

Drug interactions

The drug is not prescribed in combination with other mucolytic medicines. Simultaneous administration with drugs based on codeine is prohibited. They suppress the cough reflex, and the simultaneous use with Ambroxol leads to stagnation of mucus and the development of complications.

The drug slightly increases the penetration of antibacterial drugs into the tissues of the lungs and bronchi. This enhances the therapeutic effect. In combination with antibacterial drugs, the medication is often prescribed.

Analogs

In some cases, the medicine is not used by patients, as they prefer to use imported analogues with similar properties.

Most popular substitutes:

• Abrol - tablets and syrup for oral use based on ambroxol. The drug can be used in the therapy of patients over 2 years of age if necessary. With bronchitis, pneumonia and other pathologies, the drug is considered effective, helps to quickly stop symptoms and is prescribed in combination with other drugs.
• Bronchorus also has a similar composition, available in tablet form and in the form of a syrup. The medicine is indicated for bronchitis of various forms and severity, and other diseases of the respiratory system. Like the original, the drug is used in courses of 1-2 weeks, but the specific dosage and duration of treatment is determined individually.
• ACC in the form of a syrup, it is often prescribed to children. The medicine has a different composition, but it has expectorant properties, facilitates the discharge of sputum, and helps to speed up the healing process. The drug is prescribed as the only treatment or in combination with other medicines.

Medication substitutes are selected individually, since the patient cannot independently determine the best remedy for himself.

Storage conditions and periods

The drug can be stored for 3 years in a dark and cool place, restricting access to children.

After the expiration date, the use of the medicine is prohibited. The manufacturer indicates information about the production date on the packaging, so you can pre-study the information.

Ambroxol is a mucolytic medication for children and adults, which is used in the treatment of pathologies of the respiratory system, accompanied by cough and sputum formation. Tablets help to quickly relieve symptoms, the dosage for patients is determined individually. The drug is effective, but should only be prescribed by a doctor.

Video about the drug Ambroxol

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