11 best expectorants
All drugs that are expectorants, or exposing agents, serve one purpose: effectively remove sputum from the small bronchi and bronchi of medium caliber.
The accumulated sputum must be removed, as it constantly irritates the sensitive ending, or the receptors of the cough reflex arc. As a result, the patient begins to cough, there is a spasm of the bronchi. Phlegm is a very good breeding ground for the reproduction of not only viruses, but also pathogenic bacteria and fungi. Finally, trophic disorders of the mucous membrane of the bronchial tree, caused by excessive accumulation of sputum, lead to chronic inflammation that can accompany a person for many years.
In some cases, sputum is poorly expectorated, there is stagnation and secondary infection with bacterial flora, and this contributes to chronic pulmonary infection. Medications that help to excrete sputum, stimulating physiological mechanisms, are referred to as drugs that stimulate expectoration.
In other cases, the physiological mechanisms of expectoration of sputum work well, but it is so thick that it does not cough up on its own. Therefore, in this situation, we need other means that act not on the sputum removal mechanisms, but on its physical and chemical properties. They contribute to the dilution, the melting of sputum, and therefore are called mucolytics, in some cases, you can find another name - sekretolitiki.
Finally, there is a third group of drugs that help fight cough. But their action is quite the opposite: they do not at all contribute to either stimulating the expectoration of the sputum, nor to its dilution, or expectoration. They simply struggle with cough, as with a painful symptom that significantly reduces the quality of life. After all, not every cough needs good drainage and sputum discharge.
There are such conditions, for example, associated with excessive irritation of cough receptors, (after being in a smoky atmosphere). And in this case, we need drugs that inhibit or cough center located in the brain, or act on receptors that are located in the bronchi and reduce their sensitivity. As a result, a cough, as a symptom, starts to disturb or significantly less, or disappears altogether. Representatives of all these three groups are included in the current rating of anti-cough medications.
Top Expectorant Ratings
| Nomination | a place | Name of product | price |
| Medications that stimulate expectoration | 1 | Pertussin | 44 ₽ |
| 2 | Mukaltin | 64 ₽ | |
| 3 | Licorice Syrup | 47 ₽ | |
| 4 | Syrup when coughing from Universal Pharma | 53 ₽ | |
| The best mucolytic drugs for expectoration | 1 | Ambroxol (Ambrobene, Ambrohexal, Ambrosal, Bronkhovern, Lasolvan, Medox) | 240 ₽ |
| 2 | Fluimucil (Acylcysteine, ACC) | 139 ₽ | |
| 3 | Bromhexine (Bronchotil, Paxirazole, Solvin, Flegamine) | 155 ₽ | |
| 4 | Libexin Muko (Carbocysteine) | 491 ₽ | |
| Best Antitussives | 1 | Sinekod (butamirate) | 362 ₽ |
| 2 | Libexin (prenoxdiazine) | 431 ₽ | |
| 3 | Phalymine (acetylaminonitropropoxybenzene) | 318 ₽ |
Medications that stimulate expectoration
These drugs mainly affect the ciliary, or ciliated epithelium, which is covered with the inner mucous membrane of the bronchi. They stimulate specific movements of the bronchioles, that is, small bronchi, which resemble intestinal peristalsis. The task of the peristaltic waves of the bronchi is to move the sputum from the depth to the periphery. Also, these expectorant drugs stimulate an increase in secretion of the bronchial glands, and slightly reduce the density of sputum, although this is not their main function. There are quite a lot of herbal remedies among these drugs, and they work effectively, despite the existence of other synthetic drugs.
Pertussin
Rating: 4.9
Opens a rating of effective and affordable expectorant drugs Pertussin. It is a complex medicine that consists of thyme extract (thyme), supplemented with potassium bromide. In fact, Pertussin belongs directly to two groups: to stimulants, and to mucolytics. After all, potassium bromide is a compound that is very good at diluting sputum.
The tool is available in the form of syrup, and is used in adults, 15 ml in a single dose, or one tablespoon, and children are prescribed significantly in a smaller dose - from half a teaspoon three times a day. Individually prescribed by a pediatrician. Pertussin is used, as well as other drugs from this group for the treatment of acute inflammatory diseases of the bronchopulmonary system - tracheitis, bronchitis, laryngitis, in the treatment of pneumonia. Pertussin produces the drug a significant number of domestic pharmaceutical companies. Pertussin is a very inexpensive and popular expectorant drugs. One bottle of 100 ml syrup can be purchased for 12 rubles.
Advantages and disadvantages
The disadvantages of Pertussin include its slow expectorant action: it is indicated for a course of treatment, with a minimum duration of 10 days. Also, when a patient is intolerant of bromides, heartburn or allergic reactions may occur, and in case of an overdose, nausea is possible. Pertussin is not for everyone. Given that Pertussin contains a small amount of ethyl alcohol, it should not be prescribed to persons with severe liver damage, alcoholism, epilepsy, children under three years of age. It cannot be prescribed to diabetics, since the bulk of excipients are sugar syrup. The obvious advantage of Pertussin is the lowest price of all possible preparations for expectoration in the rating, which is why it occupies the first “national” place.
Mukaltin
Rating: 4.8
Mukaltin is a tableted dry extract of medicinal Althea, and refers to herbal remedies, each tablet contains 50 mg of dry extract. Mukaltin is indicated in pneumonia, in acute and chronic bronchitis, in obstructive pulmonary diseases, in bronchiectasis. The principle of action of Mukaltin is classical for this group, and is explained by an increase in the activity of the ciliated, or ciliated epithelium of the bronchi, an increase in their motility and an increase in bronchial secretion, which leads to effective expectoration. Mukaltin is applied according to a simple scheme: 1 or 2 tablets three times a day, you need to take the drug before meals. When prescribing Mukaltin to children, it is possible to pre-dissolve the tablet in a small amount of water, the drug can be prescribed to children from 12 years and older. Mukaltin produces several domestic enterprises, for example, Medisorb, Pharmstandard. Packaging in 30 tablets will cost the patient only 41 rubles.
Advantages and disadvantages
The advantages of the expectorant Mukaltin include good tolerability and the absence of symptoms of overdose, accessibility and low cost, the ability to combine Mukaltin together with other means to treat diseases of the bronchi, it is allowed during pregnancy and breastfeeding. In rare cases, the occurrence of allergic reactions, and the appearance of dyspepsia symptoms: abdominal discomfort, mild nausea. The disadvantages of Mukaltin should be attributed to its insufficiently high rapidity of onset of effect: it takes several days to activate the physiological mechanisms. But almost all the drugs that act only on the "physiology" suffer from this drawback, unlike mucolytics, in which the sputum when they are used is diluted in just a few hours.
Licorice Syrup
Rating: 4.7
Licorice root is an effective and popular expectorant of plant origin. Glycyrrhizin contained in licorice enhances the secretion of the glands of the upper respiratory tract, which facilitates the release of sputum. Licorice is produced in different dosage forms, both in the form of a syrup and in the form of lozenges.
If we are talking about syrup, then you need to take into account contraindications that are due to the presence of 10 g of ethyl alcohol and sugar syrup. Thus, it is undesirable to give licorice syrup to children, pregnant women, people suffering from chronic alcoholism, with the consequences of traumatic brain injury and with epilepsy, as well as diabetics. Chewable tablets have no such restrictions.
Apply expectorant syrup in adults should be one teaspoon three times a day, diluting it in a glass of water, and in the case of tablets - one or two tablets three times a day - until complete resorption. And in that and in another case, if the phlegm badly departs, plentiful warm drink is necessary. By the way, this advice is good for all, without exception, drugs that stimulate the separation of sputum, and alkaline mineral water is especially good.
The indications for the use of various forms of licorice are exactly the same - these are inflammatory diseases of the bronchi, a cough, in which there are difficulties with excretion of sputum. It produces licorice syrup Tula pharmaceutical factory, and lozenges - Vneshtorgfarma. In the case of tablets, one pack of 50 pieces can be purchased for 130 rubles.
Advantages and disadvantages
Licorice contributes well to sputum discharge, it can be used in combination therapy with other drugs, and has no interactions. Still, sometimes patients may have side effects, signs of individual intolerance - diarrhea and allergic reactions, and if you use licorice drugs for too long, it helps to reduce the concentration of potassium in the blood. This can lead to an increase in blood pressure, changes in the exchange of electrolytes in the body, and contribute to the development of peripheral edema, therefore, licorice must be used in short courses, or under medical supervision.
Syrup when coughing from Universal Pharma
Rating: 4.6
This drug, or drug, can claim uniqueness in the rating for its simple and effective name, which has a clear commercial benefit. It is enough for the patient to come to the pharmacy, say that he needs a "cough syrup", and the finished bottle will appear on the counter. In fact, cough syrup is a combination of the components that have been described above. This syrup contains: marshmallow, licorice, echinacea and vitamin C.
In addition to the effect on the physiological mechanisms of sputum excretion, this syrup can be prescribed for chronic infections of the bronchopulmonary system, and has a tonic effect. This syrup is applied three times a day, 2-3 teaspoons dissolved in warm water during meals.This syrup is produced by the domestic company Universal Pharma, and 100 ml of the syrup costs only 75 rubles.
Advantages and disadvantages
Unlike the previous forms in the form of the expectorant syrup described above, this syrup does not contain ethyl alcohol, but only sugar and potassium sorbate. Therefore, only diabetes mellitus remains a restriction for use in this syrup, but it is indicated for children and can be used in people suffering from alcohol dependence, in the presence of epilepsy and in the aftermath of brain injuries. The effectiveness of this syrup is higher than individually the use of Mukaltin and licorice, because it is a complex drug.
The best mucolytic drugs for expectoration
Mucolytic drugs act not on the physiological mechanisms of the bronchopulmonary system, and not on the secretion, but only on the sputum itself. The main mechanism of their action is the activation of enzymes producing hydrolysis of sputum, or the splitting of mucus molecules (mucins) into more mobile fragments. But, despite the composition of mucolytics, it must be remembered that along with these medications for expectoration it is necessary to prescribe a generous and warm drink, at least one and a half liters per day, when it comes to the treatment of an adult. With a lack of liquid, no matter how well the drug has affected the structure of sputum, it will be very difficult to remove it.
Ambroxol (Ambrobene, Ambrohexal, Ambrosal, Bronkhovern, Lasolvan, Medox)
Rating: 4.9
Such a number of different synonyms, and trade names indicates the great popularity of all funds that contain Ambroxol. We consider one of the most popular and high-quality drugs, Ambrobene, which is produced by the German company Merkle. Ambroxol is a classic mucolytic - benzylamine. Unlike drugs of the first group, it begins to act not after a few days, but after 30 minutes. In addition to the effect on sputum, Ambroxol acts a little on the glands and on the epithelium. This substance helps to form a surfactant, or a special fat-like lubricant that covers the inside of the smallest respiratory units - acini, and prevents them from sticking together.
The expectorant Ambrobene is indicated for all diseases of the bronchopulmonary system, both acute and chronic, in which sputum is poorly formed and excreted. In this article we will not dwell on the dosage regimens, since Ambrobene is produced not only in tablets and in syrup, not only in capsules that have a prolonged effect, but also in a solution for intravenous administration, and even in the form of a solution for ultrasound inhalation. In each of these cases, there may be a special dosage regimen prescribed by a doctor. Ambrobene tablets can be purchased for 100 rubles., One bottle of syrup with a volume of 100 ml - for 100 rubles. And approximately in the same price range, prolonged capsules and solution for intravenous administration will cost.
Advantages and disadvantages
Since this drug is artificially synthesized, then it may be, and quite often some side effects develop. It is nausea, various disorders of taste, and occasionally dry mouth and throat. All Ambroxol preparations, including Ambrobene, are contraindicated in the first trimester of pregnancy, at later periods - only on prescription, and after assessing the degree of risk. Ambroxol is better not to prescribe in patients with severe hepatic and renal dysfunction. Ambroxol is indicated for children, but under the age of two years it is necessary to be treated only under the supervision of a specialist. A huge advantage of Ambrobene is a very fast effect, and accessibility in various forms of administration.
Fluimucil (Acylcysteine, ACC)
Rating: 4.8
This expectorant drug, which is available in the form of a solution for oral administration and inhalation, as well as in granules and in effervescent tablets, contains acetylcysteine.Its action is based on the ability of sulfhydryl groups, or sulfur compounds with hydrogen, to rupture the molecules of mucopolysaccharides, of which the sputum consists. As a result, the molecules become shorter, which reduces the viscosity of sputum, increases its fluidity and ability to leave the bronchial tree.
This drug in any form is well absorbed from the gastrointestinal tract, and works equally well with both internal use and inhalation. Fluimutsil has a wide range of indications, and, besides traditional inflammatory bronchopulmonary diseases, it is successfully used for emphysema and cystic fibrosis, for lung atelectasis, when the segment of the bronchus is broken by blocking the bronchus with a tight sputum plug.
If we talk about effervescent tablets, the dosage regimen for adults is very convenient. One 600 mg tablet is dissolved in half a glass of water and drunk, with a frequency of only once a day. For the use of other forms, you must consult with your doctor, especially during the initial appointment of inhalation. Fluimucil is produced by Zambon, an Italian pharmaceutical company, and the price of this drug is low. The most expensive form is effervescent tablets, and one pack in 20 pieces will cost 370 rubles. But it must be remembered that one tablet is enough for one day of intake, which means that this package will last for 3 weeks.
Advantages and disadvantages
The advantage of Fluimucil, and the indisputable one, which more than compensates for the shortcomings, is its powerful diluting action. Not every expectorant drug will be able to expel the dense mucous plug that occluded the main segmental bronchus and caused lung atelectasis, that is, its shutdown from breathing. But this means there are side effects: sometimes heartburn, sometimes skin rash. Of the contraindications should be considered acute gastric ulcer, for granules - children's age up to 2 years, and for effervescent tablets, even up to 18 years, the period of lactation and pregnancy, as well as diseases of the liver and kidneys.
Bromhexine (Bronchotil, Paxirazole, Solvin, Flegamine)
Rating: 4.7
Expectorant Bromhexin refers to mucolytics and at the same time to the stimulants of smooth muscles of the bronchi. Like Ambroxol, it stimulates the synthesis of surfactant, which facilitates alveolar ventilation, and is indicated for all chronic diseases of the bronchopulmonary system with an inflammatory component. It can also be used for injuries of the chest, in the preoperative period and after thoracic operations in complex therapy. Most commonly, tablets containing Bromhexine hydrochloride are available in dosages of 4 and 8 mg. It is used in uncomplicated cases, one to two tablets three times a day, depending on age, the dosage may vary, so it is prescribed by a doctor. In addition to tablets, there is a solution, syrup for inhalation and other forms for convenient use.
Bromhexine, as a popular Ambroxol, produces a lot of different companies. This is Berlin-Chemie, Grindeks, Nikomed and Akrikhin, and other companies. The cheapest tablets can be purchased at a price of 9 rubles. per pack of 50 tablets, and of course, it will be a domestic pharmaceutical company Ozone. For comparison, the same dosage of 8 mg, but only in a package not 50, but 25 tablets, produced by the German company Berlin-Chemie, will cost from 95 rubles.
Advantages and disadvantages
Bromhexine is a convenient and powerful drug that comes in various dosages and forms, is inexpensive, and acts as fast as acylcysteine, or Fluimucil. But this drug has contraindications, and, apart from individual intolerance, it is necessary to take into account also the exacerbation of gastric ulcer and duodenal ulcer, breastfeeding and the first trimester of pregnancy.This expectorant is not recommended for use in children under the age of three.
Libexin Muko (Carbocysteine)
Rating: 4.6
The active ingredient of the drug Libeksin Muko is carbocysteine. Carbocysteine is similar to acylcysteine, but slightly modified. It affects the glycoproteins of bronchial secretions and mucus, but it is also capable of activating a special enzyme called sialic transferase. As a result, the special cells of the bronchial mucosa begin to secrete it, and this leads to a stable balance of the acid-base state of the mucus, namely, to the normalization of the ratio of acidic and neutral constituents. As a result, the mucus becomes more fluid, and even contributes to the protection and improvement of the regenerative properties of the bronchial membrane.
Carbocisteine is able to improve the secretion into the lumen of the bronchi of specific antibodies, or secretory immunoglobulins of class A. The drug is indicated for all diseases in which sputum becomes very viscous and difficult to separate. Also, the drug is prescribed as a prophylactic before bronchoscopy, to facilitate the procedure.
This expectorant drug is available in the form of a syrup, and adult patients need to take 15 ml three times a day, and children need a lower dosage, as prescribed by a doctor. This drug is produced by the French company Sanofi, and a 125 ml bottle can be purchased starting at a price of 400 rubles.
Advantages and disadvantages
One of the indisputable advantages of Liebeksin Muku is not only the ability to treat them for diseases of the bronchopulmonary system, but also to apply it to liquefy the mucous secretion in diseases of the ENT organs, for example, in chronic rhinitis and sinusitis. Libeksin Muko has some contraindications, which include not only peptic ulcer disease, like other mucolytics, but glomerulonephritis and cystitis. It is also contraindicated in pregnant women and children under the age of two years, and special control over the use of this drug in diabetics is necessary, since the syrup contains sugar.
Antitussives
The task of antitussive drugs is to suppress cough as a process, and these drugs should be used only when the doctor is sure that removing sputum does not cause the patient good, and suppressing cough centers in the brain, or reducing the activity of peripheral receptors will not cause the patient harm. In case of a diagnostic error, a significant deterioration in the patient’s condition is possible.
So, with a painful and dry cough, which is one of the symptoms of an acute respiratory viral infection, an inexperienced doctor can immediately prescribe antitussive drugs, that is, begin to fight cough, rather than to stimulate sputum discharge. The patient will no longer experience the painful sensation, but in the bronchi the pathological process of transformation of viral bronchitis into bacterial will continue, purulent sputum will form and accumulate. As a result, fever may rise, there will be signs of intoxication, shortness of breath, pain in the side, and pneumonia will develop. Therefore, there are certain and specific indications for the appointment of antitussives. It is much safer to err on the other side, and assign sputum by mistake than to suppress coughing unnecessarily.
Of course, the cough reflex of the drug with the so-called narcogenic potential, based on codeine phosphate - 3-methylmorphine, one of the opium alkaloids, is most strongly inhibited. These are such means as Dianin, and Estotsin. But we will not dwell on medications for which prescription forms of strict reporting are needed; we will dwell on those cough medicines that can be bought without a prescription.
But before you start listing them, you need to make it clear to the reader who will use the knowledge gained in practice, that you yourself, without prescription, and especially for the first time and without permission, in no case should you prescribe these drugs to yourself. There are many chances that more harm will be received than good.
Sinekod (butamirate)
Rating: 4.9
First of all, the very name of the drug is interesting. Almost all the names of drugs that talk about their composition, give information about what is in the medicine. The drug Sinekod immediately declares what is not in it. Translated from the Latin sine codeinum means "devoid of codeine", not containing codeine. Thus, in the very name of the drug states that it does not contain narcotic substances. But there are other analogues with the names Codelac, Omnitus.
Butamirate belongs to antitussive drugs of central action, and comes in the form of syrup with vanilla aroma for adults, and in drops for children. Butamirate does not contain drugs, but directly affects the cough center. Along the way, it promotes the expansion of the bronchi, facilitates breathing, and increases blood oxygen saturation. The drug is indicated to reduce cough in the case when it can be harmful. This is the postoperative period in thoracic (thoracic) surgery, to prevent seam divergence in the lungs and bronchial cults, in time for minimally invasive procedures, for example, during bronchoscopy. Also one of the indications for receiving Sinekod and its analogues, as well as other antitussive drugs is whooping cough. With this disease, coughing episodes are so painful and long that children can turn blue and lose consciousness.
The drug is used in adults 15 ml three or four times a day, for the dosage there is a measuring cap. Drops for children are prescribed depending on age. The minimum dose of 10 drops four times a day is indicated for children from 2 months to a year, and for children who have reached the age of five, the drug is prescribed in the form of syrup 5 ml 3 times a day. The exact dosage can be obtained from a pediatric pulmonologist. The Swiss company Novartis produces the drug Sinekod, and a bottle of 100 ml of syrup can be purchased at a price of 175 rubles, and drops in a small bottle of 20 ml will cost 300 rubles.
Advantages and disadvantages
The advantage of Sinekod is the absence of drug interactions, the possibility of taking it almost from the second month of life, and a lasting effect. A great advantage is the absence of addiction and the formation of dependence, because the drug does not contain a narcotic substance. The negative side should include a rare, but still the development of side effects in the form of drowsiness, nausea and rash. Sinekod is not recommended for admission in the first trimester of pregnancy, as well as during breastfeeding. But this drug was included in the rating as effective and reliable, which fully meets the objectives.
Libexin (prenoxdiazine)
Rating: 4.8
Here, in the ranking of antitussive agents, we are again confronted with a unique drug name, and this is a very special case. As we remember, in the previous section of mucolytic drugs for expectoration, we had a remedy called Libeksin Muko, or carbocysteine, one of the best means to thin the sputum. The same drug is simply called Libexin, and contains not carbocysteine, but the special substance prenoxdiazine, and its function is completely opposite: to act on peripheral bronchial receptors and suppress cough. Patients should be especially careful not to get a preparation with a very similar name, which will reduce coughing, instead of stimulating expectoration. Why such a similar name was chosen for the product, which can be easily confused with the opposite drug, is completely unclear, especially since drugs contain completely different active substances.
Prenoxdiazine hydrochloride is available in tablets, in the amount of 100 mg per tablet, and the task of this substance is to block the cough reflex on the periphery. It slightly relieves the bronchial mucosa, which leads to a decrease in cough receptor irritability. This tool is quite strong, and the antitussive effect is equal to that of the use of codeine. But, unlike codeine, Libexin does not cause addiction and addiction.
Indications for use are any condition that is accompanied by the appearance of an empty and unproductive cough. This may be coughing of an ill-origin, for example, in patients with heart failure at night, when the lack of myocardial contractility overwhelms the pulmonary circulation with blood. The indications for Libexin are a postoperative condition in thoracic surgery and minimally invasive interventions.
Libexin is administered one tablet three times a day, and in severe cases, the dose is doubled. Children can also be prescribed the drug, but only depending on body weight. The Hungarian company Hinoin produces the drug Libeksin, and one pack of 20 tablets costs from 350 rubles.
Advantages and disadvantages
Libexin, like Sinekod, was included in the rating, firstly, for its safety with respect to narcotic drugs for cough, and secondly, for its good and lasting action. As for the negative sides, you should not exceed the dosage, otherwise there may be side effects such as dry mouth, skin rash and mild sedation. The tool should be used with caution in children, and it is contraindicated in persons with lactose intolerance, which is part of the tablet as an auxiliary filler.
Phalymine (acetylaminonitropropoxybenzene)
Rating: 4.7
Falimint tablet contains 25 mg of the active substance with a hard-to-name. By the way, if we digress a little from a serious topic, then by the complexity of pronunciation this active substance takes the first place in the rating.
Falimint has a local anesthetic effect, in which the mucous membrane of the bronchi begins to numb, and becomes insensitive to irritating effects. In addition, Falimint is an antiseptic, and since it is available in absorbable pills, it causes a feeling of mint coolness in the mouth, refreshes, and, very importantly, does not dry the mucous membranes, but does not feel numbness in the mouth.
It is shown Falimint, except for diseases of the bronchopulmonary system, accompanied by unproductive cough, also in various inflammatory lesions of the oral cavity. These are stomatitis and gingivitis, the condition after the intervention of dentists, sore throat, pharyngitis and laryngitis. Falimint is shown before preparation for various instrumental studies in ENT practice, to reduce the possibility of attaching a secondary infection and the appearance of complications. Tablets dissolve in the mouth, from 3 to 5 times a day, but not more than 10 tablets. The manufacturer does not recommend long-term use of Falimint, and, of course, in order to maximize the antiseptic effect for a long time, one cannot drink water and eat food after resorption. It produces the drug Falimint JSC "Berlin - Pharma".
Advantages and disadvantages
The advantage of Faliming is that, in addition to the mild antitussive action, it is widely used in ENT practice, in dentistry for the treatment of a large number of diseases that are extremely common. The main disadvantage of the Faliming is the fact that, unfortunately, since 2017 it has disappeared from sale. Manufacturers explain this vaguely, sometimes they talk about re-registration of the drug, sometimes complain about the problems at work, and it is unclear whether Falimint will be sold again. There are no official statements that Falimint can pose a threat to health does not exist, so it is hoped that this tool will reappear in the retail network, possibly under a different name.
Conclusion
This article reviewed the ratings of the most popular and effective drugs to stimulate sputum separation, to dilute it, or examiners, and antitussives that suppress the cough reflex, both at the periphery and at the level of cough centers of the brain. Of course, not all preparations were considered. Behind the scenes multi-component tools, which are mainly produced on the basis of vegetable raw materials, such as Bronhikum, Doctor Mom, and so on. The fact is that the purpose of this short review was to present the key drugs, without which it is impossible to do. Additional herbal remedies, which are overlooked, do not produce an effect that can be compared in strength with the above means, but they can be used together as part of complex therapy.
In conclusion, it should be said that in no case can the antitussive drugs be combined with expectorants, because as a result, excessive production of sputum will occur, but under the condition that the cough reflex is inhibited, it will accumulate, stagnate and become infected. In addition, in the treatment of diseases, the main symptom of which is cough, and sputum excretion is necessary, it is impossible to prescribe old antihistamines, such as diphenhydramine, Pipolfen (Diprazin). Their side effect is to thicken sputum. Naturally, you need plenty of drink, preferably alkaline, and the rejection of diuretic and laxative drugs that remove fluid from the body, and impede the quality of expectorant drugs. In the event that diuretics are indicated to the patient as part of a long-term therapy, for example, in the treatment of heart failure, then this issue must be solved with the attending physician.
Attention! This rating is subjective, is not advertising and does not serve as a guide to the purchase. Before buying, you should consult with a specialist.
