Cold and flu powder. List of how to choose an inexpensive, effective children's brew, rating, prices

Colds and flu are the most common illnesses among all categories of patients. In most cases, this is a harmless, transient condition, but it is accompanied by symptoms that significantly impair the quality of life.

Presented on the pharmaceutical market a wide range of remedies for these diseases. Preparations in the form of a powder are preferable, since the therapeutic effect when they are taken occurs faster - within 30-60 minutes. Elimination of the symptoms of flu and colds can last for 2-4 hours, after which you can take a second dose of the medicine.

Criteria for choosing powder for colds and flu

Powder for colds and flu, used in therapeutic practice for symptomatic treatment, may include the following components:

• pain reliever / antipyretic;
• decongestant (decongestant);
• antihistamine;
• vitamin C;
• caffeine;
• antitussive agent.

The combined dosage form eliminates the need to take several drugs of different groups at once. These components can be in various combinations and quantities, so you can choose an effective remedy with the greatest severity of certain symptoms.

Compound

When choosing a powder for colds and flu, you need to consider the characteristics of the common ingredients, which are described in the table below.

Name	Main effect	Peculiarities
Paracetamol	Pain relief, decrease in body temperature Moderate anti-inflammatory effect	A softer effect on the mucous membrane of the digestive system Is the drug of choice in pediatric practice Has an immunotropic effect when used in moderate therapeutic doses Possible side effects: a decrease in the number of platelets and leukocytes in the blood, anaphylactic shock, skin rash, Quincke's edema, bronchospasm, liver dysfunction.
Acetylsalicylic acid	It has a damaging effect on the gastrointestinal mucosa, therefore it is contraindicated in erosive peptic ulcer disease, as well as in renal or hepatic insufficiency Increases the risk of heart failure Effective against thrombophilia Reception in childhood and adolescence is contraindicated due to possible complications Possible side effects: exacerbation of urolithiasis, peptic ulcer.
Phenylephrine	Systemic decongestant, vasoconstrictor	Possible side effects: increased nervous excitability, dizziness, insomnia, increased blood pressure, tachycardia, palpitations, nausea, vomiting, acute attack of glaucoma, skin rash, dilated pupils, urinary retention In pediatric practice, it is allowed only from the age of 12.
Ascorbic acid	Replenishment of the supply of vitamin C, increasing the body's resistance	Possible side effects: skin rash, redness of the skin, irritation of the gastrointestinal mucosa, an increase in the number of platelets or a decrease in red blood cells, potassium ions in the blood; increased urination (if the dose is exceeded 600 mg per day).
Pheniramine	Antihistamine	Contraindicated in angle-closure glaucoma and prostatic hypertrophy Possible side effects: drowsiness or agitation, indigestion, increased heart rate, urinary retention, allergic reactions, increased intraocular pressure.

Action

Cold and flu powder, despite the identical composition from manufacturers, can have different effects. So, at high doses of paracetamol (750-1000 mg), patients experience a more pronounced decrease in body temperature and pain.

However, with an active inflammatory process in the pharynx, systemic analgesics may not be enough and in such cases the use of local anesthetics is required. If the patient has a severe headache, then an NSAID, such as ibuprofen, is required.

Preparations containing an increased amount of antihistamines are indicated for nasal congestion, profuse lacrimation and discharge from the nasal passages.

Since antihistamines can cause severe sedation, they are not recommended for use. those patients whose activities are associated with the management of high-risk mechanisms, including by car. On the other hand, caffeine, which is part of some drugs, increases concentration and performance.

Fastest-acting powders

Most of the modern remedies for eliminating the symptoms of acute respiratory infections, acute respiratory viral infections and "colds" are made on the basis of paracetamol.

According to a study conducted by specialists from the World Health Organization in 1995, this substance from the group of anilides has the best performance according to the criterion "Efficiency / safety". There are more than 200 drugs in the world, the active ingredient of which is paracetamol.

Its maximum daily dose should not exceed 4 g, and a single amount required to reduce the temperature by 1-1.5 ° C is 10-15 mg per 1 kg of the patient's body weight. In Russia, the average dosage is 60 mg / kg per day.

Exceeding the maximum dose threatens such a complication as acute liver failure. Therefore, it is necessary to strictly adhere to the recommendations set out in the instructions for the drugs.

Coldrex MaxFlu

Coldrex MaxGripp is a lemon-flavored powder containing the substances listed in the table below.

Name	Quantity, mg	Pharmacological effect
Paracetamol	1000	Due to the maximum single dose allowed in over-the-counter drugs, paracetamol rapidly reduces temperature and eliminates headache, muscle pain and soreness in the throat, which are observed with colds.
Phenylephrine hydrochloride (alpha-adrenergic agonist)	10	A vasoconstrictor that acts on the blood vessels of the nose and paranasal sinuses. Narrowing them helps to eliminate puffiness, due to which there is a feeling of nasal congestion.
Ascorbic acid (synthetic analogue of vitamin C)	40	Vitamin that contributes to the overall strengthening and increase the body's resistance to infections. Participates in carbohydrate metabolism and redox reactions, lengthens the action of paracetamol.

The powder is indicated for the occurrence of symptoms of colds and flu, from which the patient's general condition worsens:

• high body temperature (according to medical recommendations, the threshold value requiring the use of antipyretic drugs is a temperature of + 38.5 ° C);
• headache, muscle, joint pain;
• nasal congestion;
• chills (a feeling of coldness, accompanied by shivering and appearing due to spasms of superficial blood vessels);
• sore throat and sinuses with inflammation.

The method of application is as follows:

1. Pour half a glass of hot boiled water.
2. Pour out the contents of one sachet.
3. Stir until the powder is completely dissolved.
4. Add cold water or sugar to taste, stir.
5. Drink the given amount in full.

It is allowed to take no more than 4 sachets per day with a time interval of 4-6 hours. The duration of treatment should not exceed 5 days, if the symptoms persist, you should consult a doctor.

The average price for a drug is 400 rubles. for 10 sachets.

AntiGrippin

The composition of AntiGrippin, like the previous medicine, includes paracetamol (500 mg) and ascorbic acid (200 mg). Chlorphenamine (10 mg), which belongs to antihistamines, is used instead of phenylephrine hydrochloride. It helps to reduce swelling in the nasal passages, eliminate itching, watery eyes and normalize breathing.

The indications are the same as for Coldrex:

• heat;
• runny nose;
• pain in joints, head, throat, sinuses, and muscles;
• feverish condition.

Powder (1 sachet) is diluted in 1 glass of warm boiled water and taken orally. Frequency rate of use per day - 2 or 3 times with a time interval of at least 4 hours. As an antipyretic drug, this medicine is used no longer than 3 days, and as an analgesic - no more than 5 days (this applies to all drugs belonging to this category).

The average price for a drug is 300 rubles. for 10 sachets.

Nimesil

The only active ingredient of Nimesil is nimesulide (in 1 sachet with powder - 100 mg). Studies show that it has a more gentle effect on the gastrointestinal mucosa. This compound belongs to the class of sulfonamides (NSAID group). Just like paracetamol, it has anti-inflammatory, analgesic and antipyretic effects.

The indications for its use are pain syndrome of various localization (teeth, head, back, muscles, ligaments, joints) and pain during menstruation. Single dosage: 1 sachet of the drug is dissolved in ½ tbsp. warm boiled water. The maximum daily dosage is 2 packets.

With acute respiratory infections and acute respiratory viral infections, this medicine is used to lower the temperature and eliminate painful sensations. In pediatric practice, the use of nimesulide is prohibited.

The average price for a drug is 300 rubles. for 9 sachets.

Antipyretic

High body temperature puts an increased strain on the heart and blood vessels, especially in those people who suffer from circulatory failure. The frequency of cardiac contractions and vascular tone increase, arrhythmia may occur.

Blood pressure increases due to the spasm of the blood vessels. In the gastrointestinal tract, the production of gastric juice decreases and motility deteriorates, food is delayed, rotting, and flatulence occurs. On the part of the nervous system, negative phenomena are also observed - headache, fatigue, a feeling of weakness.

Most non-narcotic analgesics have antipyretic effects at the same time. The most common are paracetamol and salicylates. Means for which the main action is to reduce inflammation (aspirin, butadione, derivatives of phenylpropionic and phenylacetic acids - diclofenac, ibuprofen) are referred to NSAIDs.

Fervex

Fervex, which is made with raspberry and lemon flavors, contains paracetamol (500 mg), ascorbic acid (200 mg) and pheniramine maleate (25 mg). The latter component is an antihistamine and can reduce negative symptoms such as nasal mucus, watery eyes, itching and swelling of the nasal and nasopharyngeal mucosa.

This medicine can be used for the following diseases:

• infectious diseases of the upper respiratory tract - ARVI, influenza, runny nose,
• inflammation of the mucous membrane of the pharynx and nose due to rhinovirus infection;
• headache, joint pain, muscle pain, toothache;
• painful sensations with damage to peripheral nerves (neuralgia) and during menstruation in women;
• pain from burns and physical injuries.

The therapeutic dosage is 1 sachet in the morning and in the evening (dissolve in 1 tbsp. warm water). The average price for the drug is 340 rubles. for 8 sachets.

TeraFlu

TeraFlu with lemon, wild berries, apple and cinnamon flavor contains 4 active ingredients:

• paracetamol (0.325 g) - analgesic and antipyretic;
• phenylephrine (0.01 g) - an alpha-adrenergic agonist that constricts blood vessels and eliminates swelling in the nose;
• pheniramine maleate (0.02 g) - antihistamine;
• ascorbic acid (0.05 g) - vitamin.

This over-the-counter drug is used to treat the symptoms of SARS and influenza:

• increased body temperature;
• runny nose and nasal congestion;
• headache and muscle pain.

Since the content of paracetamol is less, the medicine can be taken up to 3 doses with a time interval of at least 4 hours. The average price for the drug is 375 rubles. for 10 sachets.

Grippoflu extra

Grippoflu extra contains the same components as for the previous drug. But the amount of paracetamol is almost 2 times more - 650 mg, due to which it has a more pronounced analgesic and antipyretic effect. The content of other components does not differ from TeraFlu.

The powder is produced in several versions - with currant, cherry, cranberry, raspberry, lemon and strawberry flavors.

Mode of application:

1. Pour 1 sachet into a glass.
2. Cover with hot water.
3. Stir until completely dissolved.
4. Take 1-2 hours after meals. The maximum dosage is 4 bags per day, the time interval between doses is 4-6 hours.

The average price for the drug is 178 rubles. for 8 sachets.

Cold powders

Cold and flu powder may contain systemic decongestants, the action of which is based on the stimulation of alpha-adrenergic receptors in the blood vessels of the nasopharyngeal mucosa. As a result, their lumen narrows, edema decreases, and tissue drainage in the nasal sinuses improves. This relieves the symptoms of nasal congestion.

Phenylephrine is the most commonly used decongestant. When it is taken, side effects from the nervous system (agitation, irritation, tremor) may occur, as well as arrhythmia, dizziness and headache, therefore, prescribing drugs with its content is not recommended for children under 12 years old.

Rinzasip with vitamin C

As part of 1 sachet of Rizansip, there are increased doses of paracetamol (750 mg) and vitamin C (200 mg), a standard amount of phenylephrine (0.01 g) and pheniramine maleate (0.02 g), as well as 30 mg of caffeine. The last component stimulates the activity of the central nervous system, contributing to the elimination of fatigue and feeling overwhelmed with a cold, increases efficiency.

This medicine is used as a symptomatic drug for influenza, acute respiratory viral infections and acute respiratory infections, and its complex effect is to reduce temperature, pain, watery eyes and nasal congestion.

The average price for a drug is 290 rubles. for 10 sachets.

AnviMax

In terms of its pharmacological action, AnviMax is somewhat different from the drugs described earlier. The table below shows the composition and therapeutic effect of its components.

Name	Quantity, mg	Pharmacological effect, features
Paracetamol	360	This dosage is lower than the WHO recommended for a single use. The main therapeutic effect is antipyretic and analgesic.
Ascorbic acid	300	Normalization of capillary vascular permeability, which helps to reduce edema in tissues Increasing the body's resistance to infectious agents. Replenishment of vitamin C deficiency, which is observed with colds.
Calcium gluconate monohydrate	100	Prevention of increased capillary permeability and fragility. Antihistamine action.
Rimantadine hydrochloride	50	Antiviral effect (against the causative agent of influenza A). Neutralization of toxins formed during influenza B.
Rutoside	20	Strengthening the walls of blood vessels. Reducing the effect of gluing erythrocytes in the blood, which leads to disruption of microcirculation and metabolic processes.
Loratadin	3	Antiallergic drug that reduces tissue edema in the nasopharynx.

This drug is used not only as a symptomatic remedy for colds, but also as an etiotropic for influenza A. It is used for moderate or mild pain syndrome and pronounced signs of a cold.

Dosage - 1 sachet 2-3 times a day after 4-6 hours. between successive receptions. The powder is dissolved in ½ tbsp. warm water. The average price for a drug is 360 rubles. for 12 sachets.

Maxicold Reno

The therapeutic effect of using Maxicold Rino is the same as that of TheraFlu. These drugs have exactly the same content of active ingredients and are interchangeable analogues. Maxicold Reno is available in 3 different flavors - raspberry, lemon and orange.

The recommended maximum dosage, according to the instructions, is no more than 3 sachets per day. The best effect is obtained when the medicine is taken at night. The average price for a drug is 230 rubles. for 10 sachets.

Inexpensive effective remedies

Cold and flu powder of the mid-range and budget category is also made on the basis of paracetamol in most cases. Decongestants are used as additional components to alleviate the condition for colds.

Such drugs should not be taken simultaneously with other paracetamol-containing agents, since with this increases the toxic effect on the liver, which can lead to acute insufficiency of this organ. In medical practice, there are frequent cases of paracetamol poisoning with the uncontrolled use of paracetamol-containing drugs.

If the maximum dosage is exceeded, it is necessary to consult a doctor even if the patient does not feel disturbances from the internal organs. You can also not combine treatment with alcohol intake.

Colds

The main component of Colds is paracetamol (750 mg), phenylephrine hydrochloride (10 mg) and ascorbic acid (60 mg). Due to the increased content of paracetamol, it has a more pronounced analgesic and antipyretic effect.

The drug belongs to the symptomatic remedies used for acute respiratory infections and colds. The maximum daily dosage is 4 sachets per day, it is recommended to use the minimum amount of powder, which helps to eliminate cold symptoms.

The average price for a drug is 230 rubles. for 10 sachets.

Rinikold HotMix

Rinikold HotMix is ​​an analogue of Rizansip with vitamin C. In composition, they differ only in that the former lacks ascorbic acid. Rinikold HotMix is ​​available in three flavors - pineapple, orange and lemon.

The indications and pharmacological action of these two drugs are similar. The maximum total daily dose is 4 sachets (1 sachet per glass of hot water) with an interval of at least 4 hours between doses. You can add honey or sugar to sweeten the taste. It is recommended to drink plenty of water during treatment.

The average price for the drug is 215 rubles. for 10 sachets.

Aquacitramon

The composition of Aquatsitramon includes such components as:

• paracetamol - 270 mg;
• caffeine - 45 mg;
• acetisalicylic acid - 360 mg.

  

Acetisalicylic acid belongs to NSAIDs that have analgesic and antipyretic effects. In addition, it helps to reduce platelet aggregation and is used to prevent thrombolytic complications. It should be borne in mind that caffeine in this medication can lead to an increase in blood pressure, so it is used with caution in hypertension.

The drug is indicated in the following cases:

• headache, toothache, muscle pain, joint pain, thoracic radicular syndrome of weak and moderate severity;
• lumbago in the lower back;
• pain with menstrual bleeding in women;
• colds and other infectious and inflammatory diseases (as a symptomatic agent).

Before taking, the powder must be dissolved in ½ tbsp. warm water. The solution is drunk after meals. The maximum daily dose is 6 sachets per day (the interval between them is 4-6 hours).

The average price for a drug is 150 rubles. for 5 sachets.

Baby Cold Powders

The drugs of choice for symptomatic treatment of colds in children are paracetamol and ibuprofen. Acetylsalicylic acid is not used in pediatric practice, since it can cause the development of Reye's syndrome - acute liver failure against the background of a viral disease.

One of the most severe consequences of this syndrome is progressive encephalopathy, which occurs due to cerebral edema. Ultimately, this can lead to coma, respiratory arrest and death (20-30% of patients).

Children's forms of drugs contain a safe amount of analgesic, as well as auxiliary components - vitamin C, antihistamines.

Rinzasip for children

Rizansip for children with raspberry flavor contains the following components:

• paracetamol (antipyretic and analgesic) - 0.28 g;
• pheniramine maleate (antiallergic agent that reduces lacrimation, itching in the nose and eyes, tissue swelling, impairing breathing) - 0.01 g;
• ascorbic acid (vitamin C) - 0.1 mg.

The drug belongs to the group of combined agents for the symptomatic treatment of colds and flu, as well as reducing inflammation of the nasal and pharyngeal mucosa of an allergic nature.

Dosage regimen: dissolve 1 sachet of powder in 1 glass of warm water, stir until completely dissolved and drink the medicine immediately after its preparation.

The maximum daily dosage is selected depending on the age of the child:

• 6-10 years old - 1 sachet twice a day;
• 10-12 years old - 1 sachet 3 times per knock;
• 12-15 years old - 1 sachet 4 times a day.

It is necessary to maintain an interval of at least 4 hours between repeated doses. The average price for the drug is 260 rubles. for 10 sachets.

Fervex for children

The chemical composition and amount of active ingredients in Fervex baby powders are absolutely identical to the previous drug, that is, it is a complete analogue of Rizansip described above. The maximum dosage and dosage regimen are also the same. The duration of the course of treatment should not exceed 3 days. The average price for a drug is 360 rubles. for 8 sachets.

Antiflu Kids

Antiflu Kids contains a reduced amount of active ingredients, so it can be used in children from 2 years of age:

• paracetamol - 0.16 g;
• pheniramine maleate - 0.01 g;
• ascorbic acid - 0.05 mg.

The drug can be used regardless of food intake.

A single dose is:

• 2-5 years - 1 sachet;
• 6-12 years old - 2 sachets.

The maximum permissible daily dose is 3 single sachets. Between doses, you need to maintain an interval of 4-6 hours.

The average price for a drug is 250 rubles. for 5 sachets.

When choosing a powder for colds and flu, first of all, it is necessary to be guided by the clinical symptoms of the disease.

Combined, multisystem agents should contain no more than 3 active ingredients from different pharmacological groups (no more than 1 substance from each group).

This ensures the greatest safety of use and the minimum number of side effects. Modern drugs can also contain antiviral components.

Article design: Vladimir the Great

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