Ambroxol suspension for children. Ambrohexal syrup - instructions for use

Ambroxol is an antitussive, belongs to mucolytics. It is usually prescribed in the presence of thick, difficult to separate bronchial secretions. The drug has different forms of release, which are used in specific cases.

Ambroxol is a Russian-made product, published in several forms, which creates additional convenience for its use.

This:

• pills;
• injection;
• solution for inhalation;
• drops;
• syrup.

The tablet form contains 30 mg of ambroxol hydrochloride.

In addition to the active ingredient, Ambroxol tablets consist of the following additional ingredients:

• corn starch;
• lactose;
• cellulose;
• silicon dioxide;
• magnesium stearate.

5 ml of children's syrup Ambroxol contains 15 mg of the active ingredient.

Also, this form consists of the following components:

• flavors;
• sodium benzoate;
• purified water;
• sodium saccharin;
• glycerin;
• menthol;
• propylene glycol.

1 ml of Ambroxol for inhalation contains 7.5 mg of the active ingredient.

In addition, it consists of the following substances:

• sodium chloride;
• dihydrate;
• benzalkonium chloride.

The injection solution consists of 15 mg of the active ingredient.

Also, injections consist of the following substances:

• water for injection;
• sodium chloride;
• disodium monohydrogen phosphate.

Pharmacological action, pharmacodynamics and pharmacokinetics

Ambroxol belongs to mucolytics, has the following pharmacological action:

• expectorant as a result of stimulation of motor function;
• sputum-stimulating;
• liquefies sputum, reduces its viscosity;
• improves the transport of bronchial secretions;
• increases lung surfactant volume;

On a note! As a result of taking Ambroxol, there is an increase in the secretion of the respiratory organs, the removal of sputum from the lungs.

Many patients are interested in what kind of cough to take the drug. Ambroxol is known for its wide mucolytic action. If the patient suffers from a dry cough, then the drug has a thinning effect on a thick secret. With a wet cough, the drug improves the excretion of sputum from the lungs.
After entering the body, Ambroxol begins its action in half an hour. If the dosage is observed correctly, then the therapeutic effect is observed within 10 hours. The drug is absorbed into the digestive tract in a few minutes. After 2 hours, the maximum concentration in the body is observed. The active substance quickly enters the lungs. The drug is broken down by the liver, excreted by the kidneys within 10 hours.

What is Ambroxol used for?

Ambroxol is prescribed by a doctor if the following diseases are diagnosed:

• pneumonia;
• bronchial asthma;
• tracheitis;
• obstructive bronchitis;
• laryngitis;
• bronchiolitis;
• pharyngitis;
• rhinitis;
• laryngitis;
• cystic fibrosis;
• bronchial blockage.

At what age can children be given

Doctors recommend giving Ambroxol from the neonatal period. There are also known cases of the use of drugs for the treatment of premature infants. Ambroxol treatment of children in the first year of life should be carried out strictly under the supervision of a pediatrician. This will help avoid negative consequences. The tablet form is given if the child does not have difficulty swallowing the tablet. Usually it is prescribed from the age of 6.

Instructions for use for children and adults

Instructions for use describe different variations of taking the drug, based on the age of the patient, the type of Ambroxol.

Ambroxol 30 mg tablets

The tablet form should be taken with clean water. Usually, doctors prescribe the drug in the following doses:

• from the age of 12 - 1 table. twice a day. With an intense cough, it is allowed to take three times;
• if necessary, it is possible to increase the dosage to 2 tablets. twice;
• for the children's population, the dose of the drug is calculated: 1.2 mg of Ambroxol per 1 kg of weight.

The treatment course is shown individually. It usually lasts at least 10 days.

Important! It is forbidden to take Ambroxol less than 3 hours before bedtime. This is due to the irritating effect on the cilia of the bronchi, as a result of which the patient may suffer from coughing all night.

Children's cough syrup

The calculation of the dose of Ambroxol in the form of a syrup is based on the age of the children.

• from 5 years is prescribed 2 times a day, 5 ml each (if an acute stage is observed, then it is possible to increase the frequency of administration up to 3 times);
• from 2 years, a three-time intake of 2.5 ml is recommended;
• up to 2 years is prescribed 2.5 ml 2 times a day.

Patients over 12 years of age at the onset of the disease are prescribed 10 ml 3 times. Further, the dosage is reduced to 5 ml 3 times a day. Usually therapy lasts for a week. If there is a need for a longer treatment, then the dose is reduced by half. It is necessary to drink the syrup with a large volume of clean water. This affects the best liquefaction of bronchial secretions, improving sputum output.

How to use Ambroxol for inhalation

Ambroxol in solution for inhalation is allowed to be used from the neonatal period. For children over 2 years old, the dose of the drug is 2 ml, if inhalations are carried out twice a day. The drug is diluted in saline.

From the age of 12, 3 ml of solution is prescribed for inhalation. If necessary, it is possible to increase the procedures up to 3 times a day. Babies of the first year of life are recommended to use 1 ml of Ambroxol. To achieve better hydration of the respiratory system, a 1:1 dilution is recommended. It is important to ensure that the saline solution has a temperature of at least 36 degrees.

For your information! For inhalation, use a nebulizer. Steam inhalers are not suitable for use.

During pregnancy and lactation

The appointment of Ambroxol at the beginning of pregnancy is not indicated. In the 2nd and 3rd trimesters, the medication is prescribed strictly by the doctor. After assessing the intended benefit to the woman, the potential harm to the fetus. The drug easily crosses the placental barrier. Therefore, there are known cases of his appointment to the mother, if an unborn baby is diagnosed with accumulation of sputum in the respiratory organs.

On a note! During pregnancy, lactation, it is most advisable to use Ambroxol in the form of inhalations.

During lactation, subject to treatment with Ambroxol, the issue of transferring the child to artificial feeding is being considered. This is due to the fact that the active ingredient with mother's milk penetrates into the child's body.

drug interaction

Parallel use of Ambroxol with other cough medicines is not recommended. Since this can lead to inhibition of the cough reflex. Which contributes to the stagnation of sputum, thereby causing a dangerous condition. If there is a need for such a combination, then the combination should be carried out exclusively by a doctor.
Simultaneous administration with antibiotics increases the effect of Ambroxol, improving the symptoms of a respiratory infection, enhances the penetration of the active component of the antibacterial drug into the bronchi.

Contraindications and side effects

Ambroxol is not indicated in the presence of:

• hypersensitivity to the active substance;
• insufficient amount of digestive enzymes;
• weak cough reflex;
• impaired mucus transport;
• renal failure;
• serious liver pathologies;
• ulcerative lesions of the gastrointestinal tract.

In these situations, it is advisable to replace the internal use of Ambroxol with inhalation.
Most often, the drug is tolerated by patients easily.

But the instructions for use indicate the possibility of developing the following side effects:

• rashes on the skin;
• itching;
• swelling of the skin;
• lowering blood pressure;
• nausea;
• vomiting;
• diarrhea;
• increased nervous excitability;
• increased sensitivity of the skin;
• dryness of mucous membranes.

If these side effects occur, it is necessary to stop taking Ambroxol. If an overdose has occurred, then problems with the digestive system may develop, and nervous overexcitability may occur. In this case, you should perform a gastric lavage, take activated charcoal.

Analogues

The analogues of Ambroxol for the active ingredient include the following drugs:

• Lazolvan;
• Flavamed;
• Ambrobene;
• Abrol;
• Mukolvan;
• Halixol;
• Paralen;
• Ambrochem;
• Bronchosol;
• Ambrosan;
• Ambrolan;
• Bronchoval.

Often parents have a question: Bromhexine or Ambroxol, which is better. It should be decided with the attending physician, since it is necessary to be guided by the clinical picture of the patient, the severity of the disease. The well-known pediatrician Komarovsky with bronchitis and pneumonia recommends the use of Ambroxol, which more quickly and effectively eliminates sputum from the respiratory tract. If the patient suffers from epileptic seizures, convulsions, then it is better to replace the drug with Bromhexine.

Ambroxol is known as a drug of wide mucolytic action. It has a variety of release forms, which allows it to be prescribed in different situations and different age groups.

There is nothing more important than the health of your baby. The most common illness is the common cold. When a child develops a strong and persistent cough, any normal parent is in search of a remedy that helps to quickly alleviate the well-being of their child.

Doctors prescribe therapy, which includes agents that are effective in getting rid of the formed sputum that appeared as a result of the inflammatory process.

One of the best drugs for getting rid of cold symptoms is Ambroxol or the trade name Ambraxol - Vial. The substance that is part of the drug is ambroxol hydrochloride.

It has different types:

A viscous, colorless or slightly yellow liquid, is a syrup. Children's medicine has a pleasant taste: banana, apricot, raspberry, and other fruits. In addition to hydrochloride, the composition includes: distilled water, glycerol, sorbitol, benzoic acid, fruit lactose, etc.

The amount of useful substance of a tasty suspension per fifteen milliliters is 15 or 30 milligrams. Packing 50,125,150 ml. For convenience, a measuring spoon or glass is included. Solution for inhalation or internal use - transparent, colorless. One milliliter contains almost eight milliliters of the active substance.

The package contains 40 or 100 ml. liquids. A measuring vessel is included. Physical solution for injections is packaged in ampoules of 2 ml. For intramuscular injections and intravenously. One ampoule contains 15 mg. Ambroxol.

Tablets in the form of a slightly elongated circle, white. Each contains 30 ml of the active ingredient. The package contains 10 or 20 blisters of 10 or 100 tablets.

pharmachologic effect

According to the signs of action on the bronchial tree, Ambroxol is a synthetic mucolytic agent. Increases lung activity. It increases the level of mucus production in the bronchi, which allows the drug substances to completely dissolve in the lung tissues, normalizes serous and mucous components, and helps in sputum discharge.

Reduces its viscosity, as a result of which coughing is much easier. It tends to stimulate the activity of the respiratory tract, increases the movement of epithelial cells. This creates efficiency in the use of the drug. In parallel, active substances stop the breakdown of the surfactant and increase its performance.

When it enters the body, the substance almost completely dissolves, interacting with blood proteins, a splitting process occurs, the necessary cells move with the bloodstream, and the rest is excreted naturally. The active composition cleanses the walls of the lung from microbes, thereby stopping the inflammatory process.

Indications for use

Ambroxol is used in case of development of diseases affecting the respiratory tract:

• Chronic or acute form of bronchitis;
• Bronchial asthma;
• Obstructive pulmonary disease, in severe form;
• Bronchiectasis inflammation of the lung;
• Respiratory disorder - distress (in newborns);
• Cystic fibrosis (purulent cough, congenital disease);
• Tracheitis - the development of pathology of the trachea;
• Laryngitis (thanks to anesthetics, getting into the throat, cleanses the mucous membrane, reduces swelling, relieves the symptoms of perspiration, burning).

You should start taking it when a dry, barking cough appears. The drug course continues until the release of viscous sputum. If there is no expectoration, supplement with some remedy until improvement appears.

Contraindications

• Individual intolerance to individual elements of the drug that cause allergies;
• First trimester of pregnancy (there is a risk of negative effects on the fetus, penetration through the amniotic membrane is carried out);
• The impossibility of the breakdown of fructose, due to the inferiority of the microflora of the digestive system;
• Ulcer of the duodenum, gastric system (disturbance of the cell structure is accelerated due to a decrease in the protective functions of the mucous organs);
• Liver failure;
• Inflammation of the kidneys (in acute or chronic form);
• Development of seizures;
• Problems in carbon exchange;

With caution appoint pregnant women in the later stages (2-3 trimester) and during lactation. In this case, a doctor's recommendation is required. When prescribing a treatment course, it is necessary to analyze the therapy for the maternal organism, to identify the negative impact on the fetus or baby. The use of any of their forms of Ambroxol suspension, only after examination by a specialist.

Side effects

• Digestive system: change in stool, the appearance of signs of intoxication - vomiting, nausea, burning in the throat, Skin - rash, swelling, dermatitis, anaphylactic shock;
• Sometimes symptoms of headache, dry mouth, weakness, snot are characteristic;
• Nervous cobweb - nervousness, irritability may appear;
• With improper administration of the drug into a vein, a severe headache, shortness of breath, fever, jumps in blood pressure, chills can develop;
• The development of Steven-Jones syndrome is quite rare;
• Any of the developed signs is a signal that you should immediately stop taking the drug.

Dosage of Ambroxol syrup for children and method of application

Details are in the user manual. For babies, it is more effective to use ambroxol syrup. Due to the pleasant taste, this medicine is very popular with young patients, it can be given up to a year old.

Ambroxol is one of the safest remedies for relieving a child of coughing and preventing the transition of the disease to a more complex stage. Also used for sore throat. The active composition of the substances of the drug facilitate the inflammatory process.

Use the medicine should be in accordance with the instructions for the use of Ambroxol syrup for children. The dosage and frequency of administration is determined according to the age of the child.

Ambroxol tablets for patients under five years of age are recommended at 7.5 mg. This is 1 milliliter of solution for internal use or half a special spoonful of syrup.

Adolescents from 6 to 12 years old -15 mg. This is 2 ml. liquids. Concentrated syrup - 1 measuring spoon, which corresponds to 5 mg of the active substance.

Dosage for adults over twelve years old - 30 mg (one tablet or 4 ml of solution, or 10 ml of thick syrup). Give twice a day.

Directions for use

Before use, read the instructions for Ambroxol for children.

Taking the medicine is recommended after a meal, in order to protect the gastric mucosa from irritation by the elements of the drug, drink plenty of liquid, which contributes to better dissolution. For young children, Ambroxol is prescribed by a pediatrician.

Taking the medicine is recommended no more than twice a day. Older patients, while maintaining the dosage, increase the amount of the drug. The first day the initial dose is maintained, then reduced. Relief occurs within 30 minutes after taking the medicine.

The duration of the therapeutic course for each patient is individual. Treatment with Ambroxol is stopped after the elimination of the symptoms of the disease and the transfer to other drugs.

Inhalation procedures are carried out using a nebulizer. To do this, mix the liquid with saline 1/1. The patient inhales beneficial substances for 10-15 minutes. In the absence of the necessary apparatus, enp can be replaced with an inhaler. Therapeutic procedures are recommended for children from the age of five.

Injections are prescribed for newborn babies. The amount of ambroxol depends on body weight. 1 milligram is equal to 1 kilogram of the child's weight. The procedure can be used 3-4 times a day.

Overdose

Symptoms appear as a result of uncontrolled use. Characterized by salivation, signs of intoxication, lowering the level of pressure, gag reflex.

With the appearance of characteristic syndromes, it is necessary to clean the stomach as much as possible, using a solution of manganese. Provide the baby with food enriched with fats, if all else fails, consult a doctor.

Terms and conditions of storage

You can buy medicine at a pharmacy. To purchase it, a prescription is required. For a patient - a child, a consultation with a pediatrician is required. The price depends on the form of release of the drug. The cost varies from 35 rubles.

The medicine should be stored at a temperature of plus 25 degrees, in a dry, impenetrable place for sunlight, protected from children.

Consume immediately after opening the shell. The medicine should be disposed of in case of the expiration date indicated in the second row on the package. The duration of storage of the syrup is two years, and the tablets are three.

Ambroxol syrup analogues

If it is impossible to buy the original, it can be replaced. Similar medicines according to the action of the active substance include the following drugs:

Ambrobene - manufacturer, country Germany. Pharmacological form of release - syrup. It is used to treat inflammation of the respiratory tract, occurring in chronic and acute form. The active substance is ambroxol hydrochloride;

Ambrosan is a drug based on Ambroxol. Helps with the development of inflammation of the broncho-pulmonary system. It is prescribed as a prophylactic agent for stagnation in the bronchi, after an operation or traumatological conditions;

Bronchicum is a medicine based on thyme. Does a good job of clearing up mucus. The main difference between the action of the drug is that it dilutes sputum, but changes its composition. Not recommended for combination with other medicines in this group.

AmbroHexal is the most popular prototype of Ambroxal. They have identical properties of the main drug and, in addition, prevent the transition of allergies to an asthmatic state.

• Bronolac - a remedy for getting rid of a wet cough;
• Halixol;
• Bronchous;
• Medox;
• Remebox.

Bromhexine - is used as a drug for respiratory diseases, accompanied by the formation of dense, difficult to expectorate sputum. It is a prophylactic for the development of pneumonia. The active substance is bromhexine. It has contraindications, therefore it is used only after medical consultation.

• Mukonens;
• Bronchostop;

Ambroviks is a well-known analogue of Ambroxol. Children's medicine, which is a syrup with a banana flavor. Ambrovix instructions for children: Take 2-3 times a day, in a measuring cup, after consulting a pediatrician.

Pharmacological release of drugs is quite diverse - from tablets to physical. solution for inhalation.

Ambroxol syrup reviews

It is in demand among people who have had respiratory diseases. It normalizes the function of the cilia of the bronchi, helps to thin the sputum, removes it from the body. The use of any of the forms of Ambraxol clears the pulmonary system and bronchi from sputum.

The most unpleasant symptoms of respiratory diseases are shortness of breath and an annoying cough. The reason for their occurrence is sputum, which was formed as a result of the inflammatory process. Accumulating in the bronchi, it irritates them and causes a cough reflex in the patient. Coughing is especially disturbing for a sick child at night, depriving both the baby and the worried parents of a good night's sleep. Children's cough syrups come to the rescue in such a situation. Ambroxol belongs to the group of modern expectorants.

Release form and composition of Ambroxol

The drug Ambroxol is intended not only for children, the remedy is universal for all ages. For ease of use, the pharmaceutical industry produces several forms of the drug:

For any particular disease, it is easy to choose the most appropriate form of release of the drug. As for children, the most popular form is the syrup, which comes in different dosages. The undoubted advantage of the syrup is several versions of the release with fruit flavors, so parents can choose the medicine in accordance with the preferences of their children. Ambroxol syrup contains:

• ambroxol hydrochloride (the main active ingredient);
• sodium benzoate (E211);
• propylene glycol;
• glycerol;
• sodium saccharin;
• sorbitol (E420);
• hydroxyethylcellulose;
• lemon acid;
• aromatic additives (raspberry, orange, apricot);
• menthol;
• water purified from impurities.

For older children (from 12 years old), adolescents and adults, it is recommended to take Ambroxol tablets (the concentration of the main substance is 30 mg).

How does the medicine work?

Ambroxol syrup, getting into the body, simultaneously begins to affect several processes. It is thanks to this that the drug quickly alleviates the patient's condition. The use of Ambroxol provides the following therapeutic effects:

• mucolytic (the drug reduces the viscosity of bronchial secretions, without increasing their total volume);
• mucokinetic (stimulates the motor function of the respiratory system and activates the movements of the cilia of the ciliated epithelium, which lines the inner surface of the respiratory tract);
• stimulates the synthesis of pulmonary surfactant (this has a positive effect on the efficiency of the lungs);
• immunomodulatory effect (increases the activity of monocytic phagocytes and activation of the secretion of immunoglobulin A);
• anti-inflammatory action;
• anti-edematous effect.

Ambroxol is rapidly absorbed in the body, and within two hours reaches its maximum concentration in the blood. The sputum liquefied as a result of the action of the drug is more easily excreted from the bronchi along with a cough. The anti-edematous effect contributes to the expansion of the lumen of the bronchi, which further facilitates the release of sputum when coughing and improves ventilation of the lungs. In simple words, it becomes easier for a sick child to breathe.

Additional advantages of the drug include the fact that Ambroxol enhances the effect of some antibiotics (Ampicillin, Amoxicillin) and bronchodilators (Theophylline). This means that the standard dosages of these drugs, when used together with Ambroxol, are more effective than usual. Metabolism of Ambroxol occurs in the liver, after which the metabolites are excreted from the body in the urine.

Instructions for use

Ambroxol in the form of tablets and syrup is intended for oral use. Doctors recommend taking the drug after meals and drinking water. The frequency of administration and dose depends on the age of the patient and the characteristics of the disease. The standard scheme for the use of tablets involves taking 30 mg of the drug two or three times a day.

In case of exacerbation of chronic respiratory tract infections, it is allowed to increase the dose to 2 tablets (60 mg) twice a day. Children under 12 years of age are recommended to give Ambroxol syrup, which contains 15 mg of the active substance for every 5 ml.

In what cases is the drug prescribed?

For which cough is Ambroxol most effective? Due to the fact that Ambroxol has an expectorant effect, it is prescribed for all diseases that are accompanied by the formation of sputum in the lungs and a wet cough. An approximate list of diseases in which the use of this medication is necessary:

• pneumonia;
• obstructive bronchitis;
• tracheitis;
• laryngitis;
• pharyngitis;
• bronchial asthma;
• constrictive bronchiolitis;
• rhinitis;
• cystic fibrosis;
• lung atelectasis;
• respiratory distress syndrome;
• syndrome of respiratory disorders in newborns and premature infants with incomplete maturation of lung tissue.

Also, the drug is prescribed in case of artificial ventilation of the lungs through a tracheostomy tube.

Thus, cough syrup is indicated not only for localizing changes in the lungs and bronchi, but also for inflammatory processes in the upper respiratory tract (rhinitis, pharyngitis, etc.). This is because inflammation of the upper respiratory tract also produces sputum, some of which can travel down the respiratory tract, causing coughing and further complications. Taking the drug helps to increase the local resistance of the bronchial mucosa, protecting it from a spreading infection and possible complications.

Contraindications to the use of Ambroxol

Any medicines have a number of contraindications for use. Ambroxol should not be used to treat:

• pregnant women in the first 12 weeks;
• breastfeeding (since the drug is excreted in milk);
• patients with epilepsy;
• suffering from peptic ulcer of the stomach and duodenum;
• in case of individual intolerance to any component that is part of the drug and in case of congenital disorder of fructose metabolism.

Doctors do not prescribe this drug if the disease is accompanied by a dry cough without sputum (flu, viral respiratory infections, colds). Ambroxol is effective only in the presence of sputum.

Method of application and dosage calculation for children

Basically, children are prescribed Ambroxol syrup, so many parents are interested in the question of how to accurately and correctly calculate the dose. Adolescents over 12 years of age are recommended to give 2 teaspoons (10 ml) three times a day in the first 2-3 days of illness, and on other days reduce the dose to 1 teaspoon at each dose.

Children 5-12 years old are given a teaspoon of syrup two or three times a day. The total daily dose ranges from 30 to 45 mg.

Children 3-6 years old are given 2.5 ml of syrup (half a teaspoon) 3 times a day, and babies under 3 years old are given the same dose, but 2 times a day. The total dose of the drug with this intake is 22.5 and 15 mg per day, respectively.

The indicated dosage is an average. However, there is a more accurate and correct way to calculate the required dose: to calculate it, you need to multiply 1.2-1.6 mg by the child's body weight in kilograms, and divide the result by the multiplicity of doses. Especially carefully you should calculate the dose for infants up to a year.

Different teaspoons may not have the same volume, and parents often have doubts about the correct dosage. The best way out of this situation would be to measure the amount of the drug not with a spoon, but with a conventional disposable syringe without a needle. On the body of the syringe there are divisions that allow you to measure the desired dose with an accuracy of a fraction of a milliliter.

Can the child experience adverse reactions?

Side effects against the background of the use of Ambroxol rarely develop. The drug acts quite gently, so it is prescribed even for infants and pregnant women in the 2-3 trimester. Undesirable symptoms usually occur due to uncontrolled medication without following the instructions or ignoring individual intolerance. They can be expressed in the form:

• dyspepsia (nausea, vomiting);
• skin rashes;
• urticaria and angioedema;
• general weakness;
• headache attacks.

Very rarely, drug intolerance is manifested by serious complications in the form of Stevens-Johnson syndrome and Lyell's syndrome. Parents should be attentive to any changes in the child's condition and, if an adverse reaction is suspected, immediately stop taking the drug and consult a doctor.

Overdose and interaction with other drugs

The syrup has a pleasant taste, and the child can drink a large amount at once. In such a situation, it is necessary to make the child gastric lavage, and then give him food that contains a large amount of fat that can neutralize the components of the drug. Such an unpleasant situation can be avoided by keeping the medicine out of the reach of children.

As for the interaction of Ambroxol with other drugs, the drug is characterized by the following effects:

• increasing the concentration of antibiotics and enhancing their action;
• enhancing the action of Theophylline.

Medicine analogs

There are many analogues of the drug. The most famous of them:

• Ambrobene;
• Lazolvan;
• Bronchoxol;
• Medox;
• Neo-Bronchol.

The undoubted advantage of Ambroxol is the budget cost, which allows you to choose it for any category of the population. The cost of a bottle of syrup, depending on its volume, varies from 90 to 110 rubles. Detailed instructions are included with the package.

Ambroxol is a mucolytic agent intended for the treatment of the human respiratory system. It has found application in pediatric medicine. It is prescribed to children of different ages, including infants and premature babies. For mothers, a review of this medicine will be very useful, because it should find a place in the first aid kit in every home with kids.

Ambroxol treats respiratory diseases.

When is Ambroxol prescribed for children?

In the instructions for use, which can be downloaded or viewed, indications for taking the drug are defined:

• bronchial asthma;
• tracheitis;
• tracheobronchitis;
• pneumonia;
• COPD;
• pulmonary cystic fibrosis;
• respiratory failure syndrome in newborns.

Do not forget - dry and wet cough are treated with different drugs.

You can take Ambroxol only for a wet cough. Treatment of dry cough will be unsuccessful, because it is caused by other causes. It is easy to distinguish a wet cough from a dry one in a child. If sputum is secreted, then it is wet. At the same time, a dull sound of “bursting bubbles” is heard. Dry cough is loud and painful.

It can be concluded that Ambroxol is intended to combat diseases of the respiratory system, in which sputum is formed and difficult to withdraw. Diseases can be inflammatory in nature. The drug is also used to stimulate the synthesis of surfactant in prematurely born children - a substance that covers the pulmonary alveoli and facilitates breathing.

How does the drug work?

Ambroxol increases the amount of mucus produced by the glands of the bronchi. It thins the mucus, making it less viscous. The active substance affects the ciliated epithelium, which, from its effect, begins to work more actively. Therefore, liquefied sputum quickly leaves the bronchial tree when coughing.

Coughing fits become milder, and their frequency is reduced. Taking the drug prevents the development of tracheobronchitis due to the inhibition of the activity of pathogenic microflora. This confirms the review left by Natalia:

“My daughter began to have a strong cough, and sputum was difficult to stand out. The doctor prescribed Ambroxol syrup for children. Already on the second day, the cough softened, plentiful liquid sputum began to depart. It's nice that the drug with a good therapeutic effect turned out to be a low price.

Composition and form of release

From a plant called justice vascular, scientists isolated a substance with an expectorant effect - vasicin. They then obtained the same substance artificially and named it Bromhexine. Then the scientists changed the molecular composition to improve the medicinal properties: instead of the methyl group, they substituted the hydroxyl group. And the resulting substance was named Ambroxol.

It is best to give medicines in the form of syrup to children, so it will be absorbed faster and better.

The drug is produced in the following forms:

• white tablets 30 mg in a cardboard box (5 blisters of 10 tablets) for oral administration;
• solution in ampoules 15 mg in 2 ml for injection into a muscle or vein;
• inhalation solution with a concentration of 15 mg in 2 ml in 100 ml vials;
• drops of Ambroxol 15 mg in 2 ml in 50 or 100 ml vials with a dropper for oral administration;
• 75 mg capsules in a cell pack and a carton for oral administration;
• children's syrup with a concentration of 15 mg in 5 ml in 100 ml vials for oral administration.

Attention! Ambroxol, depending on the form of release, contains excipients. These are sweeteners, starch, dyes and other components. They do not pose a risk to adults and children.

Frequency of administration, dosage of the drug and duration of the course

For children under 5 years of age, the recommended form of Ambroxol is syrup. Drops can be used for newborns and infants. Inhalations are acceptable at any age. Capsules need to be swallowed whole, so they are prescribed to older children. Intramuscular and intravenous administration of the drug is prescribed for treatment in stationary conditions.

Only a pediatrician can prescribe this or that drug.

Let's opt for syrup, drops and tablets - forms of medicine that are acceptable for treating children at home. The dosage and frequency of taking the drug depending on age is shown in the table below.

For a therapeutic effect Ambroxol should be given only after meals. You can take a tablet with a small amount of liquid. But drops and syrup are not recommended to be mixed with anything.

Important! You can give Ambroxol from birth, but only with the obligatory observance of the instructions in order to avoid overdose. The drug can be taken only after a doctor's prescription.

From the following review left by Galina, it is clear why it is important not to self-medicate:

“I regretted 100 times and I still regret that I decided to cure a baby from coughing myself. The baby was only 2 months old when I noticed a cough. Without thinking twice, she gave half a spoonful of syrup. The son choked and began to choke. Terrified, I called an ambulance. Subsequently, we ended up in the hospital with dacryocystitis. Moms! Do not treat babies yourself and follow the precautions, as well as the recommendations of the doctor!

Is the medicine safe for children?

In most cases, treatment with Ambroxol does not give any negative consequences. But in rare cases, there are: Differs in the increased biological availability. The average price is 200 rubles.

Attention! There are many more similar drugs, but they are not suitable for treating cough in children. This is due to the inconvenient form of the drug (tablets, capsules) or the presence of only an adult dosage. Therefore, do not take other medicines for babies, even if they were recommended by a pharmacist from a pharmacy.

No mother wants to harm her baby. Therefore, she must approach the treatment of the child with responsibility. At the first symptoms of a cold, go to the doctor or call the pediatrician at home. You can start treatment with medicines only after a medical appointment. Never use adult forms of Ambroxol and strictly follow the dosage of the drug.

Alisa Nikitina

Ambroxol is a mucolytic drug that helps thin sputum and facilitate its removal from the lungs.

Release form and composition

The following dosage forms of Ambroxol are made:

• Tablets of 30 mg regular, effervescent or prolonged action, in a package of 50 pieces;
• Ampoules of 15 ml;
• Syrup containing 15 mg or 30 mg of the drug in 5 ml, in 100 ml vials;
• Solution for inhalation containing 15 mg of the drug in 2 ml, in 100 ml vials.

The active ingredient in Ambroxol is ambroxol hydrochloride.

Indications for use Ambroxol

According to the instructions, Ambroxol is indicated for:

• Chronic and acute diseases of the respiratory tract, accompanied by sputum production (bronchial asthma, chronic bronchitis with broncho-obstructive syndrome, bronchiectasis);
• Respiratory distress syndrome in premature and newborn babies.

Contraindications

According to the instructions, Ambroxol should not be taken if there is hypersensitivity to the active or auxiliary components of the drug.

Ambroxol tablets are contraindicated in children under 6 years of age.

In the use of Ambroxol, caution should be exercised in case of gastric and duodenal ulcers, as well as in renal or hepatic insufficiency.

The use of Ambroxol is contraindicated in the first trimester of pregnancy. The drug should be prescribed in the second and third trimesters based on the potential benefit to the mother and the possible danger to the fetus.

If there is a need to use the drug during lactation, then breastfeeding should be stopped for the duration of treatment.

Method of application and dosage of Ambroxol

Tablets and syrup Ambroxol are intended for internal use. Ambroxol syrup is prescribed, as a rule, at a dosage of 30 mg at a time (for children over 12 years old and adults). For children under 12 years of age, syrup is prescribed at a dose of 15 mg at a time. The syrup is taken three times a day.

Ambroxol tablets are taken during a meal with a small amount of liquid. Children over 12 years of age and adults take the medicine three times a day according to the following scheme: the first 2-3 days, 30 mg per day, after which you can switch to 15 mg per day or continue to take 30 mg twice a day.

For children from 6 to 12 years old, Ambroxol tablets are prescribed at a dosage of 15 mg, divided into two or three doses.

According to the instructions, Ambroxol in the form of a solution is administered orally three times a day according to the following scheme:

• The first 2-3 days, 4 ml;
• Subsequent days of treatment - 2 ml per day.

Children aged 2-5 years take Ambroxol in the form of a solution of 1 ml three times a day, children under two years old - 1 ml twice a day.

Ambroxol for inhalation is prescribed for children 5-12 years old, 1 inhalation per day, after 12 years and adults - 2 inhalations per day.

After application, the drug begins to act after half an hour and retains its therapeutic effect for 9-10 hours.

Side effects of Ambroxol

The use of Ambroxol can cause the following side effects:

• Allergies: skin rash, urticaria, allergic contact dermatitis, angioedema, anaphylactic shock;
• Digestive system: dry mouth, diarrhea, constipation, nausea, vomiting, gastralgia;
• Respiratory system: rhinorrhea, dry mucous membranes of the respiratory tract;
• Other side effects: exanthema, dysuria, headache, weakness.

special instructions

In the combination of Ambroxol with cefuroxime, erythromycin, doxycycline, amoxicillin, there is an increase in their penetration into the bronchial secret.

In patients with bronchial asthma, it is recommended to use bronchodilators before inhalation in order to avoid specific irritation of the respiratory tract and their spasm.

Ambroxol syrup can be prescribed to patients with diabetes mellitus.