Solutions for inhalers (nebulizers)

Inhalation is one of the options for the introduction of therapeutic drugs, the base is the penetration of vapor, gas, and sometimes even smoke during breathing. The procedure can be natural (boat trips, etc.), as well as artificial (special devices). So one of the installations contributing to the quality of treating inhalation is a nebulizer.

The principle of operation of the device is quite simple. Use it conveniently. With proper use during the procedure, you will be able to do some personal matters, such as reading a book.

However, before flying to the pharmacy and sweeping from the shelves all sorts of drugs for the purchased device miracle, familiarize yourself with what cases this installation is used, which solutions for the nebulizer are possible and which are strictly prohibited and why. So, in order.

When to use

First, we resort to the nebulizer in cases where the use of other types of inhalers is not feasible due to low efficiency. Secondly, in case of diseases, when the medicine should reach the alveoli of the lungs as completely as possible.

Thirdly, there are cases when the use of a conventional inhaler is impossible due to physical features. And most importantly, to use a nebulizer or not should be determined by a specialist.

What solutions can be used in the nebulizer?

I do not want to offend anyone, but before using this or that solution, consult with a specialist, but it is better, if possible, and not with one. And certainly there is no need to listen to Granny with a packet of seeds in the yard. For each disease has its own solution, a certain concentration of components.

There are also drugs that help with normal inhaler manipulations, and when used in a nebulizer can cause serious diseases. Let's start with them.

What solutions for the nebulizer can not be used.

Do not use drugs that do not interact with the mucous membrane and do not affect the lungs. This could include zufillin, papverin, dimedrol. It is strictly forbidden to use solutions containing essential oils. In the lungs, oils will only harm!

Broths, miraculous homemade tinctures, including those for medicinal herbs, are unacceptable for a nebulizer. The reason is simple - it is impossible to control the saturation of the active substances. There can be no amateur activity when using the device: we don’t push tablets, we don’t use syrups.

Permitted solutions

So, what solutions can be used in a nebulizer? This unit involves the use of only solutions that are prepared by experienced pharmacists and designed exclusively for this therapy.

Experts "love" to appoint inhalations with high-quality mineral waters. For example, Essentuki (exclusively the one that is sold in a pharmacy), Borjomi, Narzan. When choosing a solution for inhalation, it is necessary to take into account not only the disease, but also the type of installation.

Recall that there are three types of devices:

Nebulizers are called compression nebulizers that turn an inhalation solution into a mist by passing air through it. Ultrasonic units are units that act on a fluid by ultrasound vibrations.

Membrane devices are devices that “sift” the solution through a special membrane with very small holes. It uses low-frequency ultrasound. The "sifted" solution is mixed with air particles.

Solutions for compressor nebulizer

Solutions for the compressor nebulizer involve the use of any drugs. Here and antibiotics, hormonal agents. So, in the process of inhalation the following occurs:

  • particles with a size of 10 microns or more are trapped immediately deposited in the oropharynx,
  • 5-10 microns settle in the oropharynx, larynx, trachea,
  • 2-5 microns are deposited in the lower respiratory tract,
  • 0.5-2 microns fall into the alveoli.

How to prepare a solution for the nebulizer

Despite the fact that the doctor explained to us that yes how, we quite often go into a stupor when the question “how to prepare a solution for a nebulizer” arises. For this, it is better to keep a “reminder” with you.

Sterile saline is used as the dissolving part. We throw away the myths from the head that it can be replaced with distilled, tap (even boiled) water. At the time of inhalation, the temperature of the solution should be 20 ° C and above.

If several inhalations are given at a time, it is primarily carried out with a bronchodilator content, mucolytic within a quarter of an hour, and then after sputum separation, an anti-inflammatory drug.

The question "how to make a solution for a nebulizer" should not scare you. The most important thing is to observe the concentration of saline and the drug. First, add the required amount of saline to the flask, and then the drug.

The soda solution for the nebulizer is considered the simplest. Baking or tea soda has disinfectant properties. This solution for inhalation helps to remove sputum when coughing. But this mixture can not be used at high temperatures.

For this unit is best to use soda-buffer for inhalation, which is sold in a pharmacy, or do it yourself, using baking soda. So how to prepare a solution for inhalation with a nebulizer with soda?

We will need one liter of water, which is heated to a temperature of 50 ° C. We bring in one teaspoon baking soda and knead well. The solution is allowed to cool to 40 °, and then make inhalation. The procedure is carried out no earlier than two hours after meals. No more than four inhalations are allowed per day.

Nebulizer solution for laryngitis

With a disease such as laryngitis, inhalation is required. Refers to this in cold blood is not worth it. If you skip all by, then in the end you can just stay without a voice. Nebulizer solution for laryngitis should be prepared immediately before the procedure.

Alkaline soda inhalations, which were described earlier, will also be beneficial. However, there are cases when antibiotics are necessary for treatment. Now we consider options for solutions, where the solvent is saline.

A drugHow to cookNotes
Lasolvan, Ambrobene1:1This concentration is the most frequent, but the ratio should determine the doctor. This concentration is the most frequent, but the ratio should be determined by the doctor.
Epinephrine, epinephrine, aminophylline1:6
Mineral water Yessentuki, Narzan, Saline-In its pure form, oche is useful to use, but not more than 6 times a day.
Antibiotic Fluimucil-Since this is an antibiotic and quite a potent drug, the doctor prescribes its dosage and frequency of use. Self-activity is strictly prohibited.

Solutions for bronchitis

In most cases, all solutions for a nebulizer with bronchitis contain Lasolvan in their composition. This drug in its composition as the active ingredient contains ambroxol hydrochloride. Therefore, these solutions contribute to the active withdrawal of mucus.

There are many indications for such inhalations: bronchitis, inflammation, lung asthma, bronchial and so on. Lasolvan procedures are strictly prohibited in the first three months of a baby’s life.

Solutions for angina

As a drug in nebulizer solutions for sore throat, as a rule, Tonsilgon N is used, and the standard solution is physiological saline. We remind you that only a specialist can assign the exact dosage.

However, most often the solutions for a nebulizer for sore throat are prepared in the following proportions:

  • 1 ml "Tonsilgon N",
  • 2 ml of physiological solution, with a temperature not lower than 20 °,

Often, Miramistin 0.01% is used as a medicine. Nebulizer inhalation in case of sore throat is carried out in the oral cavity, so when purchasing a unit, pay attention to the equipment, there must be a mouthpiece.

During the wellness process, do not tilt the nebulizer camera more than 45 °. The air pipe should not be bent. If the drug contains hormones, it is not recommended to use it for inhalation.

Nebulizer solution for adenoids

Inhalation with adenoiditis is advisable to carry out only at stages 1 and 2. In this case, the output you will receive:

  • reduction of inflammation
  • localization of coughing
  • hydration of the mucous membrane,
  • relief of complications of the disease,
  • thinning mucus.

Solutions for the nebulizer with adenoids is a doctor otolaryngologist.

1. Bronchodilators

Berodual: The active substances fenoterol and ipratropium bromide eliminate the effects of choking in chronic obstructive respiratory diseases. The drug is highly effective, there are no side effects.

For one inhalation for adults and children over 12 years old it takes 2 ml (40 drops), up to 6 years - 0.5 ml (10 drops), 3 ml of saline must be added to the recommended dose.

Berotec: It is prescribed for the prevention and symptomatic treatment of bronchial asthma and chronic obstructive pulmonary disease. For adults and children over 6 years old - 0.5 ml (0.5 mg - 10 drops), up to 4 times a day, children under 6 years old (body weight less than 22 kg) - 0.25-1 ml (0.25 -1 mg - 5-20 drops), 3 times a day. Dilute with saline to a volume of 3-4 ml.

For one inhalation, for adults and children over 12 years old, 0.5 ml is required (0.5 mg - 10 drops), in fluxed cases - 1 ml (1 mg - 20 drops), 6–12 years (body weight 22–36 kg ) - 0.25-0.5 ml (0.25-0.5 mg - 5-10 drops), in severe cases - 1 ml (1 mg - 20 drops), Active ingredient fenoterol (0.1% solution for inhalation) eliminates attacks of asthma.

Salgim, Ventolin Nebula: The drug is used without the addition of saline. The active ingredient salbutamol (0.1% solution for inhalation), eliminates asthma attacks, is used for the prevention and treatment of bronchial asthma and chronic obstructive pulmonary disease.

Per inhalation for adults and children requires 2.5 ml (2.5 mg), apply up to 4 times a day with an interval of at least 6 hours between inhalations.

Atrovent: Ipratropium bromide active ingredient (0.025% solution for inhalation), eliminates asthma attacks, is suitable for the prevention and symptomatic treatment of bronchial asthma and chronic obstructive pulmonary disease. The drug is safe to use.

One inhalation for adults and children over 12 years old requires 0.5 mg (40 drops), 3–4 procedures per day, 6–12 years - 0.25 mg (20 drops), 3-4 times a day, up to 6 years - 0.1–0.25 mg (8–20 drops), 3-4 times a day (under medical supervision). Bred with saline to a volume of 3-4 ml.

Bronchodilators - drugs that expand the bronchi

Berodual. Berodual in which the active ingredient is fenoterol and ipratropium bromide is a drug that dilates the bronchi. This drug prevents and treats asphyxiation in the case of chronic obstructive respiratory diseases. It is considered the most effective of the drugs that expand the bronchi, and it has the least side effects.

Application: for children under the age of 6 years, 10 drops (0.5 ml) are needed per inhalation. Inhalation can be done up to 3 times a day. For children aged 6 to 12 years, 20 drops (1 ml) are needed per inhalation. Inhalation can be done up to 4 times a day. For children over 12 years old and adults, 40 drops (2 ml) are needed per inhalation. Inhalation can be done up to 4 times a day.

To prepare a solution for nebulizer inhalers, you need to add 3 ml of saline to the recommended dose of the drug.

Fenoterol. Berotek is a bronchodilator, fenoterol is used as an active ingredient. It is used to stop an attack of bronchial asthma.

Application: for children aged from 6 to 12 years (weighing from 22 to 36 kg) per inhalation, 5-10 drops of 0.25-0.5 mg (0.25- 0.5 ml). If the case is severe, then the dosage is increased to 20 drops of 1 mg (1 ml), for children over 12 years of age and adults, 10 drops of 0.5 mg (0.5 ml) are needed per inhalation. If the case is severe, the dosage can be increased to 20 drops in 1 mg (1 ml).

For the prevention and symptomatic treatment of chronic obstructive pulmonary disease and asthma, the following dosage is used. For children under the age of 6 years (with a body weight less than 22 kg) 5-20 drops of 0.25-1 mg (0.25-1 ml). Inhalation can be done up to 3 times a day. For children over 6 years of age and adults it is necessary to take 10 drops and 0.5 mg (0.5 ml) per inhalation. Inhalation can be done up to 4 times a day.

The dose recommended for a specific group of persons, immediately before use, is diluted with saline to a volume of 3-4 ml. Between inhalation should take at least 4 hours.

Atrovent. Atrovent is used for the nebulizer, in which the active ingredient is ipratropium bromide. It is used to stop asthma attacks, for the prevention and symptomatic treatment of chronic obstructive pulmonary disease and bronchial asthma. In terms of its effectiveness, it is inferior to the drugs of salbutamol and berotok, but its main advantage is in the safety of its use.

Application: for children under the age of 6 years, 8–20 drops (0.1–0.25 mg) are required per inhalation. Inhalation can be done under the supervision of a doctor 3-4 times a day. For children aged 6 to 12 years, 20 drops (0.25 mg) are needed per inhalation. Inhalation can be done 3-4 times a day. For children over 12 years old and adults, 40 drops (0.5 mg) are needed per inhalation. Inhalation can be done 3-4 times a day. Immediately before use, the recommended dose should be diluted with saline to a volume of 3-4 ml. Between inhalation should take at least 2 hours.

Mucolytics and secretolytics, expectorant - drugs that dilute and deduce sputum

Fluimucil. Fluimucil, which use acetylcysteine ​​as the active substance, is a drug that dilutes and removes sputum. It is used in case of violation of sputum discharge from the lower respiratory tract, in order to facilitate the discharge of mucous secretion in the upper respiratory tract.

Application: for children aged 2 to 6 years per inhalation need 1-2 ml of the drug. Inhalation do 1-2 times a day. For children between the ages of 6 and 12, 2 ml of the drug are needed per inhalation. Inhalation do 1-2 times a day. For children aged 12 years and for adults, one ml of the drug is needed per inhalation. Inhalation do 1-2 times a day. Before you inhale, you need to dilute the recommended dose of the drug should be with saline in the ratio of 1 to 1. The duration of treatment is not more than 10 days.

The simultaneous use of drugs acetylcysteine ​​and antibiotics is not recommended, because they decrease the absorbability of the latter. If it is necessary for acetylcysteine ​​and an antibiotic to be administered simultaneously, then it is advisable to use another form of the drug Fluimucil-antibiotic or other mucolytic drugs that can be combined with antibiotics (for example, based on ambroxol). When using drugs acetylcysteine ​​reduces the toxic effect of paracetamol on the liver.

Ambrobene and Lasolvan. Ambrobene and lazolvan are also used for the nebulizer, in which ambroxol acts as the active substance. It is used in acute and chronic respiratory diseases when viscous sputum is secreted. For children under the age of 2 years, 1 ml of solution is required per inhalation. Inhalation do 1-2 times a day.For children aged 2 to 6 years, 2 ml of solution is needed per inhalation. Inhalation do 1-2 times a day. For children over the age of 6 years and for adults, 2-3 ml of solution is needed per inhalation. Inhalation do 1-2 times a day. To prepare an inhalation solution, the recommended dose of the drug must be diluted with saline in the ratio of 1 to 1. The duration of treatment is no more than 5 days.

The simultaneous use of drugs based on amboxol and antitussive drugs (for example, codeine, libexin, phalimint, bronholitin, pectussin, synecod, etc.) is not recommended. Ambroxol preparations promote good absorption of antibiotics.

Sinputpret. To restore the protective properties and reduce swelling of the mucous membrane of the respiratory tract in chronic and acute sinusitis, you can use a synopret, a homeopathic herbal remedy (it consists of drops based on plant extracts: gentian root (gentian), sorrel, primrose, elder, verbena). This drug contributes to the outflow of exudate from the paranasal sinuses. To prepare an inhalation solution for a nebulizer, the drug must first be diluted in saline in the following ratios: for children aged 2 to 6 years - 1 to 3 (3 ml of saline per 1 ml of the drug), for children aged 6 - up to 16 years - 1 to 2 (2 ml of saline per 1 ml of the drug), for children over 16 years old - 1 to 1. For one inhalation, 3-4 ml of solution is used.

Gedelix For the treatment of diseases of the bronchi and upper respiratory tract with sputum difficult to separate, cough (including dry) is used gedelix, herbal remedies (as drops based on ivy extract). To prepare an inhalation solution, the drug is pre-diluted in saline in the following ratios: for children under 10 years old - 1 to 2 (2 ml of saline per 1 ml of the drug), for children over 10 years old and adults - 1 to 1 For one inhalation 3-4 ml of solution is used. Inhalations are done 3 times a day.

Mukaltin. In the case of diseases of the lungs and respiratory tract, mukaltin, a phytopreparation (in the form of tablets based on Althea root extract) are used as an expectorant. To prepare an inhalation solution for the nebulizer, you need to dissolve 1 tablet in 80 ml of saline. The tablet should be completely dissolved without sediment. For one inhalation 3-4 ml of the obtained solution is used. Inhalations are done 3 times a day.

Anti-inflammatory drugs

Rotokan. For the treatment of acute inflammatory diseases of the middle and upper respiratory tract rotocan, phytopreparation is used (it is an alcoholic extract from plant extractions: chamomile, calendula, yarrow). To prepare a solution for nebulizer inhalers, you need to dilute the drug in saline in the ratio of 1 to 40 (40 ml of saline 1 ml of the drug). For one inhalation, 4 ml of the resulting solution is used. Inhalations are carried out 3 times a day.

Propolis. For the treatment of inflammatory processes, pain and injuries of the middle and upper respiratory tract is used propolis, herbal remedies (in the form of tincture). To prepare the solution for inhalation, the drug must be diluted in saline in the ratio of 1 to 20 (for 20 ml of saline 1 ml of the drug). For one inhalation you need 3 ml of the resulting solution. Inhalations are carried out 3 times a day. If you are allergic to bee products, then this drug is contraindicated to you.

Eucalyptus. For the treatment of inflammatory diseases of the middle and upper respiratory tract is used eucalyptus, herbal remedies (in the form of alcohol tincture). To prepare the solution for inhalation, you need to dilute 10-15 drops of the drug in 200 ml of saline. For one inhalation, you must take 3 ml of the resulting solution. Inhalation done 3-4 times a day. The drug is contraindicated in bronchial asthma, bronchospasm (suffocation).

Calendula. For the treatment of acute inflammatory diseases of the upper respiratory tract, calendula and herbal remedies are used (in the form of an alcohol extract of calendula extract). To prepare the solution for inhalation, it is necessary to dilute the drug in saline in the ratio of 1 to 40 (40 ml of saline 1 ml of the drug). For one inhalation, you will need 4 ml of solution. Inhalation is recommended to do 3 times a day.

Glucocorticosteroids and Antihistamines - anti-inflammatory hormonal and antiallergic drugs

Pulmicort Pulmicort is used as an anti-inflammatory hormonal and antiallergic drug, in which budesonide is used as an active substance. This drug is used to treat acute inflammatory diseases of the lower respiratory tract (bronchial asthma, chronic lung disease) that require hormone therapy. It is characterized by anti-inflammatory and anti-allergic effect. For children between the ages of 6 months and 12 years, 0.25 mg of solution is needed per inhalation. Inhalation do 1-3 times a day. For children over the age of 12 years and for adults, 1 mg of solution is required per inhalation. Inhalation do 1-3 times a day. This drug is not used in ultrasonic nebulizers. With a single dose of the drug less than 2 ml, to increase the volume of the solution for inhalation to 2 ml should be added saline. In other cases, the drug for inhalation in the nebulizer can be used in its pure form. The drug can be prescribed for inhalation from 1 to 3 times a day.

Dexamethasone. Dexamethasone is used to treat acute inflammatory diseases of the respiratory tract, which require the use of hormonal drugs. For one inhalation need 0.5 ml of the drug. Inhalation can be done no more than 4 times a day. The duration of treatment is not more than 7 days. To prepare an inhalation solution, it is necessary to add 3 ml of saline to the recommended dose of the drug. Ampoules with the drug can be pre-diluted in saline in the ratio of 1 to 6 (6 ml of saline per 1 ml of the drug) and make inhalation, using 3-4 ml of the resulting solution.

2. Preparations of thinning and expectorant action

Fluimucil, ACC Inject: Active ingredient acetylcysteine ​​(10% solution for injection). Used in violation of sputum discharge from the lower respiratory tract. Facilitates the discharge of mucus from the upper respiratory tract.

For one inhalation for adults and children over 12 years old it takes 3 ml, 1-2 times a day, from 6 to 12 years - 2 ml of the drug, 1-2 times a day, from 2 to 6 years - 1-2 ml, 1 -2 times a day, diluted 1: 1. The course of treatment is not more than 10 days.

Not recommended for use at the same time taking antibiotics. If necessary, the simultaneous administration of acetylcysteine ​​and an antibiotic, use "Fluimucil-antibiotic", or use mucolytic drugs that are compatible with antibiotics, such as Ambroxol. Acetylcysteine ​​preparations reduce the toxic effect of paracetamol on the liver.

Lasolvan, Ambrobene: The active substance Ambroxol (solution for inhalation and oral administration) perfectly treats acute and chronic diseases of the respiratory tract with the release of high viscosity sputum. Ambroxol-based drugs are not recommended for use with antitussives, such as codeine, libexin, falimint, bronholitin, pectussin, synecod, etc. When using ambroxol preparations, good absorption of antibiotics is noted.

One inhalation for adults and children over 6 years old requires 2-3 ml of solution, 1-2 times a day, from 2 to 6 years - 2 ml of solution, 1-2 times a day, up to 2 years - 1 ml of solution, 1 -2 times a day. Diluted with saline in a 1: 1 ratio. The course of treatment is not more than 5 days.

Narzan, Borjomi: For 1 inhalation - 3-4 ml of mineral water, 2-4 times a day. Before inhalation, water is degassed. Apply to moisturize the respiratory tract mucosa.

Sinupret: a homeopathic herbal remedy based on gentian root extract (gentian), sorrel, primrose, elderberry, verbena. It contributes to the restoration of protective properties, and reduction of edema of the mucous membrane of the respiratory tract in acute and chronic sinusitis. Well cleans the sinuses from the mucus.

For one inhalation for adults and children over the age of 16, 1 ml of the drug in 1 ml of saline is required to be diluted, from 6 to 16 years old - 1 ml of the drug in 2 ml of saline, from 2 to 6 years 1 ml of the drug and 3 ml of saline. It is recommended 3-4 ml of the resulting solution 3 times a day.

Cough syrup Phytopreparation based on anise extract, licorice root, althea root, thermopsis. Effective remedy for coughing and difficult sputum discharge.

Contents of 1 package are dissolved in 15 ml of saline without sediment. At 1 inhalation for adults and children require 3-4 ml of the resulting solution, taken 3 times a day.

Mukaltin, phytopreparation: expectorant for respiratory diseases.

For 1 inhalation, 3-4 ml of the obtained solution is required, 3 times a day. 1 tablet is dissolved in 80 ml of saline without sediment,

Pertussin. Phytopreparation based on thyme and thyme extract. Expectorant for tracheitis, bronchitis, whooping cough.

For adults and children over 12 years old, 1 ml of the drug is diluted in 1 ml of saline, up to 12 years per 1 ml of the drug, 2 ml of saline. For one inhalation - 3-4 ml of the resulting solution, 3 times a day.

3. Anti-inflammatory drugs

Rotokan, phytopreparation, alcoholic extract of calendula, chamomile, yarrow: Acute inflammatory diseases of the upper and middle respiratory tract.

For 1 inhalation, 4 ml of the solution obtained from 1 ml of the preparation and 40 ml of saline solution are required, 3 procedures per day.

Propolis, phytopreparation: Indications: inflammatory processes, pain and injuries of the upper and middle respiratory tract. The tool is contraindicated in case of individual intolerance to bee products.

For 1 inhalation, 3 ml of the solution obtained from 1 ml of the preparation and 20 ml of saline solution are required, 3 procedures per day.

Eucalyptus, Phytopreparation: Inflammatory diseases of the upper and middle respiratory tract. Contraindications are bronchial asthma, bronchospasms.

At 1 inhalation requires 3 ml of the resulting solution, 3-4 times a day. A solution of 10-15 drops of the drug and 200 ml of saline.

Malavit Biologically active additive, alcohol tincture based on minerals and plant extracts. Acute inflammatory diseases and pain of the upper and middle respiratory tract.

Requires 1 ml of the drug and 30 ml of saline. For 1 inhalation - 3-4 ml of solution, 3 times a day.

Tonsilgon N. Homeopathic Phytopreparation, drops based on extract of Althea root, leaves of walnut, horsetail, chamomile, yarrow, oak bark, dandelion: It is used for tonsillitis, pharyngitis, laryngitis.

For adults and children over 7 years of age, 1 ml of the drug is diluted in 1 ml of saline, from 1 to 7 years old 1 ml of the drug and 2 ml of saline, up to 1 year 1 ml of the drug and 3 ml of saline. For 1 inhalation - 3-4 ml of solution.

Calendula, herbal medicine, alcohol infusion extract calendula: Acute inflammatory diseases of the upper respiratory tract.

1 ml of the drug and 40 ml of saline. For 1 inhalation - 4 ml of the prepared solution.

4. Glucocorticosteroids and Antihistamines

Pulmicort: The active ingredient is budesonide (suspension for inhalation, available in “nursery” (0.25 mg / ml) and “adult” (0.5 mg / ml) dosages). It is prescribed for bronchial asthma, chronic lung disease, acute inflammatory diseases requiring treatment with hormonal drugs. It has anti-inflammatory and anti-allergic properties.

On 1 inhalation for adults / elderly and children over 12 years old need 1 mg, 1-3 times a day. Children from 6 months. and up to 12 years, 0.25 mg, 1-3 times a day.

Note: This drug is not used in ultrasonic nebulizers. If a single dose of the drug is less than 2 ml, then saline should be added to increase the volume of the inhalable solution to 2 ml. In other cases, the drug is injected neat.

Dexamethasone: Appointed in acute inflammatory diseases of the respiratory tract, requiring treatment with hormonal drugs.

At 1 inhalation requires 0.5 ml (2 mg) of the drug, 4 times a day. The course is a week. To the recommended dose add 3 ml of saline. Ampoules with the drug can be pre-diluted in saline at a ratio of 1: 6, apply 3-4 ml of the resulting solution.

Cromohexal: The active substance is cromoglycic acid (solution for inhalation, 20 mg / 2 ml), has anti-allergic, anti-inflammatory, anti-asthmatic action.

For 1 inhalation in adults and children over 2 years old, 1 vial, 4 times a day, at regular intervals. The recommended dose can be increased by 2 times, and the frequency of use - up to 6 times.

5. Antimicrobial and antibacterial drugs (Antibiotics and Antiseptics)

Fluimucil-antibiotic: Active ingredients acetylcysteine ​​and thiamphenicol (powder for injection and inhalation, complete with a solvent). At the same time, an antibiotic and a diluting and expectorant drug are injected.

For 1 inhalation in adults and children over 12 years old - 250 mg, 1-2 times a day, up to 12 years - 125 mg, 1-2 times a day. The recommended dose of the drug is diluted with 2 ml of saline.

To prepare the drug, add 5 ml of the solvent (1 ampoule) to the vial of powder. Do not store the obtained preparation for more than a day; warm it to room temperature before use.

Furacilin: The active ingredient is nitrofural (a 0.024% aqueous solution, 1: 5000) and has disinfectant properties. Treatment of acute respiratory viral infections, preventing the penetration of infection into the deep bronchi

At 1 inhalation of 4 ml, 2 times a day. You can dissolve 1 tablet of furatsilin in 100 ml of saline, 2 times a day.

Dioxidine, (0.5% or 1% solution for injection): For 1 inhalation - 3-4 ml of the resulting solution. Only 2 treatments per day. 1% drug is diluted with saline 1: 2, 0.5% 1: 1. It has a broad spectrum disinfectant properties.

Chlorophyllipt, phytopreparation, 1% alcoholic infusion based on chlorophyll leaves of eucalyptus: The drug is directed against staphylococcal infections of the respiratory tract.

For 1 inhalation, 3 ml of the solution prepared from 1 ml of the preparation and 10 ml of saline, 3 times a day. The dye contained in the product is not washed!

Gentamicin, 4% solution of gentamicin sulfate for injection, 40 mg / ml: For 1 inhalation, adults and children over 12 years old require 0.5 ml (20 mg) of the drug, 1–2 times a day, from 2 to 12 years - 0 , 25 ml (10 mg), 1-2 times a day. Dilute the dose for adults and children over 12 years old in a ratio of 1 ml and 6 ml of saline. Use 3-4 ml, 1-2 times a day, from 2 to 12 years old, dilute 1 ml of the drug in 12 ml of saline, 3 ml per procedure. Respiratory tract infections.

Miramistin: A broad spectrum antiseptic. Treatment of respiratory tract infections, including purulent secretions.

For 1 inhalation, adults and children over 12 years old recommend a 0.01% solution of Miramistin, 4 ml 3 times a day, up to 12 years, 1 ml and 2 ml of saline solution, 3-4 ml 3 times a day.

6. Immunomodulators

Interferon, powder for making nasal drops: Prevention and treatment of influenza, as well as other acute respiratory viral infections.

At 1 inhalation requires 2 ml of the resulting solution, 2 times a day.

Derinat: The active substance is sodium deoxyribonucleate (0.25% solution for external use). For the prevention and treatment of influenza, ARVI and other viral infections of the upper respiratory tract and their complications.

For 1 inhalation use 2 ml of the drug, 2 times a day. To the recommended dose of the drug add 2 ml of saline.

7. Vasoconstrictor (decongestant) drugs

Epinephrine (Epinephrine): Active substance epinephrine (0.1% solution of epinephrine hydrochloride for external use or injection). Primaenetsya with bronchospasm, with allergic edema of the larynx, laryngeal edema with laryngitis, laryngotracheitis and croup.The drug can cause heart palpitations!

For one procedure for adults and children over 2 years old, 0.5 ml of the drug is prescribed, for children under 2 years old - 0.25 ml, for adults and children over 2 years old, 1 ml is diluted with 6 ml of saline, 3 ml of solution is used once a day, for children under 2 years old - 1 ml of the drug and 12 ml of saline, 3 ml of solution 1 time per day.

Naphthyzinum: Active ingredient naphazoline (nasal drops, 0.05% and 0.1% solution). In case of allergic stenosis (edema) of the larynx, stenosis of the larynx with laryngitis, laryngotracheitis and croup

1 ml of 0.05% drug is diluted in 5 ml of saline, 0.1% in 10 ml. For one procedure - 3 ml of solution.

8. Cough suppressants

Lidocaine, 1% lidocaine hydrochloride solution: Compulsive dry cough. Local anesthetic action. Apply after consulting a doctor!

For 1 inhalation in adults and children over 12 years old - 2 ml of the drug, 1-2 times a day, children from 2 to 12 years old - 1 ml of the drug, 1-2 times a day. To the recommended dose, add 2 ml of saline.

Tussamag, thyme-based drops: used for non-productive cough

For 1 inhalation 3-4 ml of the prepared solution, 3 times a day. For adults and children over 17 years old, 1 ml of the drug is diluted in 1 ml of saline, for children from 6 to 16 years old - 1 ml of the drug and 2 ml of saline, for children from 1 to 5 years old - 1 ml of the drug and 3 ml of saline,

Education: Moscow Medical Institute. I. M. Sechenov, specialty - “Medicine” in 1991, in 1993 “Occupational diseases”, in 1996 “Therapy”.

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Cough is a reflex protective reaction of the body, manifested by jerky exhalations and ensures the removal of a foreign body or sputum from the respiratory tract. Cough can be a symptom of many diseases, so its correct diagnosis is of great importance. Coughing allows.

Cause sputum and some diseases. One of them is asthma. In the initial stages of the disease, there is often mild hoarseness and dry cough, but over time, strong wheezing and cough with sputum begin. The formation of thick mucous secretions is possible.

Wet cough, accompanied by sputum. Its useful function is that microbes contained in the secretions are removed from the respiratory tract, thereby accelerating the healing process and eliminating the development of complications. Dry unproductive cough usually does not bring relief, it is very exhausting in the form.

It is for women who are waiting for a baby that coughing during pregnancy is a particular problem, since most drugs - expectorant and antitussive - are forbidden to receive during this period. In an attempt to fence the fruit from chemical exposure.

Dry cough is not accompanied by copious expectoration. It can be very strong, tearful, causes painful sensations. The cause of dry cough in a child becomes a cold and respiratory tract infection. At the beginning of a cold, the child has a sore throat in the throat.

It has long been proven by practical medicine that inhalation is gentle and safe, and most importantly a very effective method of treating cough in children. It is also an excellent alternative to pills, mixtures and injections, often causing side effects and effects. If there are no complications, then it is correct to begin treatment with the help.

Egg mixture can cure even the most powerful cough, which is not amenable to treatment by means of modern medicine. This recipe is known to many grandmothers, who at one time quickly put anyone on their feet. This recipe can cure even severe bronchitis! A lot of time has passed, but they still use this old one.

What is treated with inhalation

During inhalation, the active ingredient of the drug quickly reaches the center of inflammation, while reducing the time of absorption of drugs. The solution bypasses the digestive system, reduces the risk of side effects. Relief can be felt after the first procedure, it is maintained for several hours. Indications for inhalation:

  • pharyngitis, tracheitis, laryngitis, rhinitis, laryngotracheitis,
  • Rhinosinusitis as a complication of ARVI,
  • bronchiectasis of the lung,
  • pneumonia,
  • tuberculosis,
  • bronchial asthma,
  • fungal infection of the respiratory tract,
  • recurrent rhinitis, tonsillitis, sinusitis,
  • chronic bronchitis in relapse,
  • cystic fibrosis.

Types of drugs for inhalation

The choice of drugs is determined by the nature, stage of pathology. Drugs of different pharmacological groups are not recommended to be combined. With complex therapy, the time between the use of drugs should be at least 15 minutes. The choice and sequence of use of drugs for inhalers is negotiated by the attending physician individually.

Liquefy sputum, contribute to its discharge.

  • Bronchipret,
  • Lasolvan,
  • Ambroxol,
  • Flavamed,
  • Fluimucil.

With obstructive bronchitis, the bronchi expand, suppress a coughing fit, stop other symptoms of the disease.

  • Ventolin,
  • Salgim,
  • Berotek,
  • Atrovent,
  • Berodual.

Suppress the inflammatory process, accelerate recovery.

  • Tonsilgon N,
  • Malavit,
  • Rotokan.

Increase the body's resistance to pathogen infection.

  • Interferon,
  • Derinat.

vasoconstrictor (decongestant) drugs

Suppress bronchospasm, relieve swelling of the larynx, facilitate breathing.

  • Adrenalin,
  • Naphthyzinum
  • Epinephrine.

They have an anesthetic effect, stop the cough reflex.

  • Tussamag,
  • Lidocaine.

antiseptics and antibiotics

Exterminate the pathogenic flora, accelerate recovery.

  • Furacilin,
  • Gentamicin,
  • Chlorophyllipt,
  • Miramistin.

hormonal and antihistamine drugs

Suppress the binding of histamine, stop allergic reactions. Reduce the inflammatory process.

  • Cromohexal,
  • Pulmicort
  • Dexamethasone.

What solutions can be used in the nebulizer

The choice of medication for an inhaler depends on the nature of the disease and its course. For bronchitis, you can use these drugs:

  • Lasolvan with ambroxol hydrochloride,
  • mineral water (Narzan, Borjomi),
  • Chlorophyllipt with eucalyptus extract,
  • Pulmicort based on budesonide.

In case of bacterial infection, procedures with Miramistin, Chlorhexidine are effective. In case of aggravation of pharyngitis, the sore throat can be cured with Tonsilgon N, Malavit. When sore throat for inhalation with nebulizer choose Furacilin, Dioxidin, Chlorophyllipt. The doctor prescribes antibiotics individually.

Recipes for inhalation

When choosing a medicinal composition is required to exclude allergies to its components. For specific diseases, different solutions are used. Soda and salt compositions remove puffiness and restore the patency of the upper respiratory tract. Such drugs are effective for respiratory infections, allergic rhinitis. Simple cooking recipes:

  • Dilute in 1 liter of hot water 1 tbsp. l sea ​​salt. Stir to dissolve the crystals. Babies under 3 years old should use less concentrated saline for inhalation.
  • Dissolve 1 tbsp. l soda in 1 tbsp. warm water or saline. Stir, use the resulting solution for inhalation.

Cough solutions

When an unpleasant symptom is prescribed medication with anti-inflammatory, bronchodilators, mucolytics. The solution for inhalation cough has age restrictions. Effective means for inhalers:

  • Saline, procedures with which help with dry cough. 4-5 ml of solution is required for 1 inhalation. The duration of therapy is up to 10 days.
  • Fluimucil, ACC Injection with a wet cough. For adolescents from 12 years and adults, the dose is 3 ml of a concentrated formulation. For children aged 6–12 years, the drug is diluted with 0.9% NaCl in a 2: 1 ratio, for babies 2–6 years old - 1: 2. The procedure is performed 2-3 times per day. The course of treatment is no longer than 10 days.
  • Tussamag with dry cough. The recommended dosage is 1 ml / time. Before use, the drug must be diluted with saline: patients 1–5 years old in a ratio of 1: 3, children 6–18 years old - 1: 2, adults - 1: 1. The procedure should be carried out 3 times / day for 5 days.
  • Lasolvan with a wet cough. The solution for inhalation cough before use diluted with 0.9% NaCl in the same proportions. Patients younger than 2 years old are prescribed 1 ml of medication, children 2–6 years old - 2 ml each, from 6 years old and older - 3 ml per procedure. The procedure is carried out 3 times / day. The course of treatment is 5 days.
  • Narzan. When treating it is better to use compression and ultrasonic nebulizers. For inhalation, 5 ml of alkaline mineral water is poured into the device reservoir. Inhale the solution by mouth. Treatment regimen: 5 minutes, 3 times / day. After the procedure, you can not eat, eat, talk for 1 hour. The course of treatment is 7 days.

Recipes for a cold

With progressive rhinitis inhalation relieve swelling of the mucous membrane of the nasal passages, promote the removal of mucus, facilitate breathing. Solutions eliminate the feeling of dryness, relieve the symptoms of a cold. They are well tolerated, with proper preparation of drugs provide a sustainable therapeutic effect:

  • Miramistin. Patients older than 12 years old can use undiluted solution in a dosage of 4 ml. Children under 12 years old are diluted with 4 ml of the drug with the same amount of saline. Inhalation perform 3 times / day for 1 week.
  • Eucalyptus oil. Dilute 10–12 drops of an oil base with 200 ml of saline. For one procedure, use 3 ml of solution. Sessions should be carried out 2 times / day, but not more than 30 procedures per course.
  • Naphthyzinum. Children prescribe a drug with a concentration of 0.05%. Dosage: 1 ml Naphthyzinum is diluted with 5 ml of saline. Adults recommend Naphthyzinum 0.1%. 1 ml of the drug is diluted with 10 ml of saline. Per day, perform 3 sessions. The course of treatment is 5 days.
  • Sinupret. Homeopathic medicine is pre-diluted with saline: adults in a 1: 1 ratio, children 6–16 years old –1: 2, babies 2–6 years old – 1: 3. Use solutions for inhalation with a nebulizer for a cold 3 times a day for 5-7 days.

Inhalation with laryngitis

Nebulizers and steam inhalers are used if not only the throat is inflamed, but also the larynx. Relief comes after the first day of the procedure. Inhalation is used in the treatment of laryngitis. It is recommended to use such solutions:

  • Malavit When preparing a medication for inhalation, dilute 1 ml of the drug per 30 ml of saline. For 1 procedure, use 3-4 ml of the resulting solution. Home sessions are held 3 times / day for 5–10 days.
  • Eucalyptus tincture. 10–12 drops of alcohol tincture diluted with 200 ml of saline. A session for children should not be more than 3 minutes, for adults - up to 10 minutes. The course of treatment lasts 5-10 days.
  • Acetylcysteine ​​20%. In 1 procedure, use 1/2 ampoule of a concentrated solution. The patient is recommended to carry out 3 inhalations per day for 5 days. There are age restrictions.

Antibiotics and antiseptics - antimicrobial and antibacterial drugs

Nitrofural As antimicrobial and antibacterial drugs used furatsilin, in which the active ingredient is nitrofural. This drug has disinfecting properties, it is used in the treatment of SARS, to prevent the penetration of infection in the deeper parts of the bronchial tree. To conduct inhalation, the ready solution furatsilin is used. 4 ml is required per inhalation. Inhalation spend 2 times a day. The solution can be prepared independently. To do this, dissolve 1 tablet of furatsilina in 100 ml of saline. The tablet should be completely dissolved without sediment.

Dioxidine. Dioxidine has a disinfecting effect. It has a wide spectrum of action. To prepare the inhalation solution, you need to dilute the drug in saline in the ratio of 1 to 4 to get 1% drug, or in the ratio of 1 to 2, to get 0.5% drug. For one inhalation you need 3-4 ml of the resulting solution. Inhalation spend 2 times a day.

Chlorophyllipt. For the treatment of staphylococcal infections of the respiratory tract are used chlorophyllipt, phytopreparation (in the form of a 1% alcoholic infusion based on chlorophyll of eucalyptus leaves). To prepare the solution for inhalation, the drug is diluted with saline in the ratio of 1 to 10 (per 10 ml of saline 1 ml of the drug). For one inhalation you need 3 ml of the resulting solution. Inhalation done 3 times a day. Be careful when using this drug because it is very stained and cannot be washed off.

Miramistin. For the treatment of infections of the respiratory tract, including infections that are accompanied by purulent secretions, Miramistin is used (in the form of a 0.01% solution). It refers to antiseptics with a wide spectrum of action. Application: for children under the age of 12, the drug must be diluted in saline in the ratio of 1 to 2 (2 ml of saline per 1 ml of the drug). For one inhalation you need 3-4 ml of solution. Inhalation should be done 3 times a day. For children older than 12 years and adults, Miramistina solution is used in its pure form (0.01% solution). For one inhalation you need 4 ml of solution. Inhalation done 3 times a day.

Watch the video: How to Use an Acorn Nebulizer (September 2019).