Clenbuterol cough syrup for children. Instructions for use, analogues, price, reviews

Clenbuterol is a medicine in the form of a syrup, often prescribed for children during the period the development of various obstructive diseases.

Forms of release and composition of the drug

The pharmaceutical preparation is available in the form of a syrup for oral administration, the main component of which is clenbuterol hydrochloride.

Additional ingredients:

• 0.28 g of a 6-atom alcohol;
• 0.2 g glycerol;
• 0.1 g propylene glycol;
• 5.8 mg sodium citric acid;
• 7 mg citric acid monohydrate;
• 0.45 mg parahydroxybenzoic acid methyl ester;
• 0.05 mg parahydroxybenzoic acid propyl ester;
• 0.05 mg butyl parahydroxybenzoate;
• 1.2 mg sodium benzoate;
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• 0.45 mg raspberry flavored filler (flavor);
• 5 mg of alcohol (ethanol) with a concentration of at least 96%;
• filtered water.

The syrup is poured into glass dark bottles and packed in a cardboard box.

Pharmacological properties

The drug belongs to the selective beta group₂-adrenomimetic agents. In this case, the active substance has a pronounced bronchodilator effect due to its effect on the smooth muscle muscles of the bronchi.

When using the drug, stimulation and production of the enzyme adenylate cyclase occurs. The process leads to an increase in specific enzymes that are responsible for the tension and increase in bronchial motility.

The drug has a stimulating effect aimed at strengthening and restoring the mucous membrane of the bronchi, which leads to an increase in the expectorant effect.

With the systematic use of syrup and adherence to the established dosage regimen, the medication does not have a negative effect on the heart rate and blood pressure level.

Pharmacodynamics and pharmacokinetics

The drug has good absorption capacity and quickly penetrates into the gastrointestinal tract. The active substance binds to proteins. In this case, the level of binding is from 90 to 100%. The time required for the half-life of the components of the agent is about 3.5 hours. The drug is excreted mainly by the kidneys in the form of inactive metabolites.

Indications for use

Clenbuterol is a syrup for children that should only be used as directed.

The drug is used as directed by a specialist.

Indications:

• various forms and types of bronchial asthma;
• COPD is a chronic course of obstructive lung disease.

The drug can be used both as part of a complex drug treatment, and it can be prescribed as the main method of therapy for obstructive pathologies in the lungs.

Contraindications

Before prescribing the remedy, you must make sure that there are no contraindications, since otherwise if the medication can lead to a worsening of the condition and cause a more severe course disease.

Contraindications:

• the presence of reactions of intolerance to the components of the drug;
• increased blood levels of thyroid hormones - hyperthyroidism;
• obstructive form of cardiomyopathy, accompanied by hypertrophy;
• angle-closure glaucoma;
• neoplasms in the adrenal cortex - pheochromocytoma;
• increased heart rate;
• myocardial infarction;
• period of bearing a child (1st or 3rd trimester;
• breast-feeding;
• childhood.

With great care, the drug can be used in the following cases:

• the rehabilitation period after myocardial infarction;
• failure of the kidneys or liver;
• irregular heart rate;
• mitral valve lesions;
• inflammatory processes in the heart muscle;
• low potassium content in the body;
• uncompensated form of diabetes mellitus.

In these conditions, syrup treatment is carried out only under the supervision of a treating specialist.

At what age can the drug be used?

The drug is approved for use in childhood, starting from the age of 6. In this case, therapy should be carried out under the supervision of a pediatric specialist.

Instructions for use, dosage

The product is intended for oral administration:

• Children from 6 to 12 years old are prescribed 15 mcg per day. In this case, the indicated dosage should be divided into 2 equal doses.
• In children from 12 years of age, 10-20 mcg of the drug is prescribed. Syrup is consumed 2 times a day.
• As a maintenance therapy, 10 mcg of the drug is prescribed 2 times a day.

Treatment with medication is carried out for 2-3 days. The duration of maintenance therapy should not be more than 1 week. The duration of the course can only be changed by the attending specialist.

Side effects

Clenbuterol is a syrup for children, which in most cases is well tolerated and not addictive. In some cases, the medicine can lead to the development of undesirable symptoms caused by the influence of the active components of the syrup on the patient's body.

Side effects:

• Muscular system disorders: the temporary development of tremors in the muscles (tremors).
• Malfunctions of the central nervous system: a feeling of anxiety, migraines.
• Changes in the cardiovascular system: changes in blood pressure (decrease or increase), increase in heart rate. In rare cases, it is possible to develop a ventricular form of extrasystole, as well as the formation of anginal pain.
• Violations of the skin and subcutaneous tissues: the formation of rashes on the skin, the development of puffiness in the face, urticaria.
• Disruptions in the hematopoietic system: a decrease in the quantitative content of platelets in the blood (thrombocytopenia), a lowered level of glucose in the blood (hypoglycemic syndrome).
• Disturbances from the gastrointestinal tract: the development of nausea and diarrhea, the formation of dry mouth. In extremely rare cases, gastritis may occur.
• Changes in the urinary system: violation of the processes of urination.

These signs should go away on their own without symptomatic treatment. Adverse reactions can occur during the first 2 weeks of treatment.

With prolonged preservation of negative symptoms, as well as in cases of the formation of other reactions, do not marked in the annotation, you should stop taking the drug and contact a specialist for consultation.

Overdose

If the dosages indicated in the instructions or by the doctor are exceeded, negative reactions may develop.

Overdose signs:

• trembling in the fingers;
• development of hyperhidrosis;
• headaches;
• increased heart rate;
• convulsive conditions;
• collapse;
• coma.

With the development of symptoms of intoxication, you should stop taking the drug and immediately consult a specialist for the appointment of symptomatic therapy. In severe cases, gastric lavage is performed, and sorbing drugs are prescribed. If necessary, diuresis is performed.

It should be borne in mind that exceeding the dosage of the drug can lead to a worsening of the course of obstructive pulmonary diseases. If such a condition occurs, emergency hospitalization of the patient is required.

special instructions

Clenbuterol should only be used in accordance with the prescribed dosage guidelines.

When using a syrup, it should be borne in mind that it contains esters of parahydroxybenzoic acid, which can lead to the development of urticaria or contact dermatitis. In extremely rare cases, these substances can cause the development of rapid allergic reactions or bronchospasms in children.

It is recommended to strictly adhere to the established dosage regimens, since the drug contains glycerol in its composition. A high content of this component in the body can lead to the development of headaches, diarrhea or other gastrointestinal disorders.

With high caution, a medication should be prescribed to patients with the following disorders and disorders:

• chronic liver pathologies;
• alcoholism;
• epileptic seizures;
• brain damage or pathology;
• children under 6 years old;
• pregnancy.

These groups of patients should avoid using the syrup due to the presence of ethanol in its composition.

The medication is able to enhance the effect of other medications.

The drug is also not prescribed to patients with congenital fructose intolerance due to the presence of sorbitol in the drug.

In the early days of therapy, the medication may cause temporary tremors or anxiety. Therefore, it is recommended to exercise a high degree of caution when driving or performing work that requires increased concentration.

Drug interactions

Drugs belonging to the group of β-blockers can reduce the therapeutic efficacy of the syrup. With their simultaneous admission, the development of bronchospasm is possible. The combination of syrup and medications aimed at lowering blood glucose levels can lead to a decrease in the effectiveness of the second group of funds.

The medicine can lead to increased action and the development of adverse reactions with the simultaneous use of the following drugs:

• β-adrenergic agonists;
• drugs that block the action of a neurotransmitter;
• theophylline.

The risks of developing arrhythmias increase significantly with the combined appointment of syrup and drugs belonging to the group of halogenated hydrocarbons used in surgical interventions.

The medication is allowed to be used in conjunction with diuretic drugs, as well as simultaneously with cardiac glycosides. However, it is necessary to constantly monitor the level of electrolytes in the blood serum.

The combined use of the drug with MAO inhibitors can become the main cause of the development of arrhythmias. When using other medicines during the period of taking the syrup, it is recommended to inform the attending specialist about this in advance.

Analogs

Clenbuterol is a syrup for children, which in some cases can lead to allergic reactions. With the development of such effects, it is recommended to replace the drug with a similar agent.

Analogs:

• Azmaril. This medication is available as a syrup for oral administration. It is a combined agent with expectorant and mucolytic action. The composition of the drug includes the following components: bromhexine, guaifenesin and menthol. The combined action of several active components helps to eliminate obstructive disorders. The medication is used in the development of diseases occurring in the respiratory tract and accompanied by the formation of cough and bronchospasm. Reception of syrup requires mandatory consultation with a specialist, since the drug has multiple restrictions on use, including the period of pregnancy. Children aged 3 to 6 years are prescribed 1 tsp. syrup no more than 2 times a day. In children from 6 to 12 years old, the recommended daily dosage should not exceed 15 ml. Therapy is carried out until the acute condition is removed and should not exceed 7 days. The drug can only be purchased with a prescription from your doctor. Prices for the product in pharmacies in Moscow and the regions start at 340 rubles.
• Jocet. The manufacturer of this drug is an Indian pharmaceutical company. The medication is produced in the form of a syrup for oral administration. It consists of several active ingredients that work to eliminate and remove phlegm from the lungs. Main ingredients: salbutamol, menthol, bromhexine, guaifenesin. The syrup has a mucolytic, expectorant and antitussive effect and is used in the presence of the following pathologies: bronchial asthma, chronic bronchitis, pneumonia, chronic obstructive pulmonary disease, tuberculosis. For children from 6 to 12 years old, the recommended daily dosage is 1 tsp. syrup 2 to 3 times. The remedy has numerous contraindications, therefore, before taking it, in order to avoid deterioration of the condition, you should consult a specialist. This product can be purchased in pharmacies only with a prescription from your doctor. The cost of a bottle in Moscow and regional pharmacies is from 430 rubles.
• Ascoril. This drug is manufactured by a pharmaceutical plant in India. The manufactured dosage form is tablets for oral administration. The tool is a combined preparation consisting of several active substances. It has high mucolytic, expectorant and antitussive properties. Scope of the tablets: bronchial asthma, pneumonia, the presence of emphysema in the lungs, whooping cough, tuberculosis, obstructive disorders. Before taking the capsules, you should consult your doctor and read the instructions for use, since the product has numerous contraindications. In children under 6 years of age, half a tablet is prescribed 3 times a day. For children from 6 to 12 years old, the dosage can be increased to 1 capsule 3 times a day. It should be borne in mind that drug treatment in childhood is carried out only under the supervision of a doctor. The method of dispensing from pharmacies is prescription. The cost of tablets in regional and Moscow pharmacies starts at 207 rubles. per pack.
• Erespal. This product is produced in tablet form or as a syrup for oral administration by a French pharmaceutical company. The main active ingredient of the capsules / syrup is fenspiridine hydrochloride, which has high anti-inflammatory and anti-bronchoconstrictor properties. In this case, the drug has an antispasmodic effect. It is prescribed in the treatment of diseases of the upper respiratory tract, including bronchitis, bronchial asthma, as well as infectious and inflammatory processes occurring in the upper respiratory tract. The medicine also has a high effect against sinusitis and otitis media of various origins. The dosage rules and the duration of the medication are determined based on the dosage form of the drug, as well as the patient's age. The method of dispensing drugs from pharmacies is prescription. You can buy the product at any regional or Moscow pharmacy at a price of 470 rubles. per packing.

Clenbuterol is a syrup for children, which is allowed to be replaced with similar drugs only after consultation with a specialist. The attending physician should select an analogue based on the indications, age and degree of tolerance of the active components of the drug.

Terms, conditions of sale and storage

• It is recommended to store the syrup out of the reach of children at temperatures up to 25⁰C.
• The shelf life of the product is 2 years from the date of manufacture. In this case, after opening the bubble, it is allowed to use the product for 1 month.
• Do not use the solution after the expiration date engraved on the package.
• The medicine is dispensed with a doctor's prescription.

Price

A syrup has a different cost depending on the area of ​​its sale, a retail pharmacy network or an institution that dispenses and sells medicines. You can clarify the cost, as well as purchase the drug at any private or state pharmacy located at the place of residence.

Region / region	Dosage form / volume	Price
Moscow, Moscow region	Syrup, 100 ml	RUB 75-489
Moscow, Moscow region	Tablets, 0.02 mg	RUB 174-688
St. Petersburg	Syrup, 100 ml	RUB 70-226
Saint Petersburg (suburbs)	Syrup, 100 ml	RUB 78-115
Novgorod region	Syrup, 100 ml	RUB 78-92
Leningrad region	Syrup, 100 ml	74-95 rubles.

Before using the syrup, you should carefully read the instructions for the use of Clenbuterol and study the features of using the product in childhood. Additionally, it is recommended to consult with a pharmacist or specialist, as well as to study parental reviews.

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