11 best remedies for bronchitis
As clinical practice shows, cases of primary acute bronchitis in adults are quite rare. Usually we are talking about a chronic condition, which modern medicine is called not chronic bronchitis, but chronic obstructive pulmonary disease (COPD). This is a whole group of diseases in which pulmonary ventilation is impaired. In addition to the "former" bronchitis, this group also includes, for example, emphysema. In adults, the cause of exacerbation of obstructive disease most often is hypothermia, smoking, and others. According to the World Health Organization (WHO), several tens of millions of patients around the world are diagnosed with chronic obstructive pulmonary disease, COPD are in third place in the world in terms of mortality after cardiovascular disease and oncological diseases.
About the symptoms
Typical symptoms of exacerbation of bronchitis (we will call the state of the altered reactivity of the bronchi with the prevalence of inflammation bronchitis in the old manner, for greater convenience). The most common complaints are dry cough, which is soon joined by sputum. In the case of a long dry cough, he becomes a nadad and agonizing, there is a feeling of scratching behind the sternum. Then there are wheezing in the lungs, which can sometimes be heard from a distance. Typically, these symptoms occur without general signs of general intoxication, against the background of normal well-being. In case bacterial flora joins, the general state of health worsens, weakness appears, chills, the temperature rises, usually to subfebrile values. In the analysis of blood, leukocytosis occurs, and in severe cases a shift of the leukocyte formula to the left.
The rating of drugs includes the means of pathogenetic treatment, that is, aimed at reversing the pathological process. In the case when the patient feels normal and there is no mucopurulent sputum, then the main methods of treatment will be abundant vitamin drink, alkaline mineral water, normalization of the bronchial tree function, and the fight against inflammation. Antibacterial drugs are not shown, but immunomodulators can also be used and, if indicated, antiviral drugs, especially if the epidemiological situation and symptoms contribute to the diagnosis of influenza. Consider the most effective and popular drugs for the treatment of bronchitis, both acute and with exacerbation of the chronic process, including those with developed bronchial obstruction.
The best remedies for bronchitis
| Nomination | a place | Name of product | price |
| The best expectorant and mucolytics | 1 | Carbocysteine (Floutidec, Fluifort, Libeksin Muko) | 186 ₽ |
| 2 | Nursing chest number 4 | 55 ₽ | |
| 3 | Lasolvan solution (Ambroxol) | 365 ₽ | |
| 4 | Evkabal | 254 ₽ | |
| 5 | Prenoxdiazine (Libexin) | 474 ₽ | |
| Best Bronchodilators | 1 | Salbutamol (Ventolin) | 165 ₽ |
| 2 | Ascoril | 177 ₽ | |
| 3 | Atrovent (ipratropium bromide) | 305 ₽ | |
| The best means to fight inflammation | 1 | Erespal (Fenspirid) | 236 ₽ |
| 2 | Coldrex HotRem | 304 ₽ | |
| 3 | Paracetamol (efferalgan, effervescent tablets) | 98 ₽ |
The best expectorant and mucolytics
One of the most important stages in the treatment of inflammatory lesions of the bronchi is the prevention of thickening of the bronchial secretion, its liquefaction and elimination from the bronchi. In case this is not done, the protein in the composition of the mucus begins to linger in the bronchi, and then becomes a breeding ground for pathogenic microorganisms. Therefore, the restoration of drainage function is very important.
Carbocysteine (Floutidec, Fluifort, Libeksin Muko)
Rating: 4.9
Fluditec is a remedy that is excellent for treating unproductive cough. The active substance is carbocysteine, which is able to activate a special enzyme - sialic transferase. It allocates special goblet cells of the bronchial mucosa. As a result of carbocysteine exposure, the balance between the acidic and neutral parts of the bronchial secretion is normalized, the viscosity of mucus decreases, its elasticity decreases, fluidity increases and its discharge improves. It is very important that it is carbocysteine that improves the secretion of immunoglobulin A, which protects the mucosal surface from viral and bacterial aggression. Fluidedek is indicated in the complex therapy of any bronchitis, both acute and chronic. Suitable remedy for the treatment of bronchiectasis, asthma, as well as any condition in which it is difficult to secrete mucus or secretions. These are sinusitis, rhinitis and similar inflammatory diseases of the ENT organs.
Used drug in the form of syrup. Adults Flutydek appointed 15 ml 3 times a day, between meals or one hour before meals. The course of treatment is 10 days. The French company “Inoterra Laboratory” produces Flyuditek in the form of a syrup, and one 125 ml bottle, which is enough for 3 days of administration, costs about 380 rubles. Therefore, the cost of a ten-day course will be approximately 1,140 rubles.
Advantages and disadvantages
The advantage is the release form in the form of a syrup, which quickly penetrates the bloodstream, and from there begins to work with sialic transferase. The drug differs from its predecessors by the activation of immunoglobulins, and in this sense it is superior in efficiency to ACC and mucolytics containing acetylcysteine. But its cost is rather high in comparison with analogues. Fluidedek should be prescribed by a doctor, as it is contraindicated in case of exacerbation of gastric ulcer, chronic glomerulonephritis, is prohibited for pregnant women and children under two years of age. In that case, if the drug causes a side effect, it is most often nausea, flatulence, and in rare cases - allergic reactions.
Nursing chest number 4
Rating: 4.8
This collection has a pronounced anti-inflammatory effect, but is devoid of the side effects of synthetic drugs. He is called: "Collection chest number 4 anti-inflammatory." It is produced by domestic companies Fitofarm, and Krasnogorskleksredstva. In the form of a phyto tea filter bag, it is produced by the company Farmgroup.
It consists of selected medicinal raw materials: it is chamomile, wild rosemary, licorice, mint, violet, and marigolds. One pack of 20 filter bags costs, on average, 65 rubles, which is quite inexpensive. Chamomile flowers, wild rosemary sprouts, mint leaves and other active ingredients together produce a bronchodilator, anti-inflammatory, expectorant, and general tonic effect due to phytopolysaccharides and bioflavonoids. The wild rosemary essential oil, contained in the violet herb, quercetin and saponins strengthen the immune system.
Indications for use of Chest collecting - acute bronchitis, chronic bronchitis, other components of the syndrome of chronic obstructive pulmonary diseases, such as bronchial asthma, bronchiectasis, and other conditions accompanied by unproductive cough. To effectively apply the filter bag, you need to pour one glass of boiling water, insist 15 minutes, and take it as usual tea, only after meals.It is necessary to accept one glass 3 times a day for an adult patient for two or three weeks. Thus, one pack, on average, is enough for one week of reception. The price of this popular herbal tea is low, and a three-week course will cost an average of 180 rubles.
Advantages and disadvantages
Chest collection is a truly popular, low-budget, mildly acting and effective remedy. To him rarely symptoms of individual intolerance, or allergic reactions. Of the official contraindications in the instructions indicated only hypersensitivity. To the great lovers of herbal teas, this collection may seem really tasty: it has a slightly sweetish taste due to the presence of licorice. On the other hand, for patients who value their time, it is not always convenient to prepare boiling water three times a day, especially in conditions of a shortage of working time in production.
Lasolvan solution (Ambroxol)
Rating: 4.7
Lasolvan, or Ambroxol, is well known to pulmonologists. It is produced in tablets, in solution for ingestion and inhalation, as well as in syrup. Ambroxol belongs to the group of expectorant and mucolytic agents, and it acts at the stage of the synthesis of pulmonary surfactant. This is a special fat-like substance that prevents adhesions of the terminal parts of the respiratory tract, resulting in air bubbles, or alveoli, in which gas exchange occurs. Ambroxol improves the activity of the ciliary epithelium, and as a result, bronchial mucus begins to move faster, sputum is better, and the cough is relieved. Against the background of taking Lasolvan, patients “go away” faster from taking antibacterial drugs, and their number of exacerbations of chronic bronchitis decreases.
In addition to these diseases, the tool is shown in complex therapy for the treatment of pneumonia, asthma and in bronchiectasis. The drug is applied orally, adults - 4 ml 3 times a day. This amount is equivalent to 100 drops. But it is much more efficient to use Lasolvan inhalation, if we mean modern “cold”, rather than steam, ultrasonic inhalers. The required amount of the drug is mixed with an equal volume of isotonic sodium chloride solution, and is carried out, 2 - 3 inhalations a day. The usual volume of the mixture is 2 ml, that is, 1 ml of Lasolvan per 1 ml of saline. When conducting inhalation should breathe normally, without provoking a deep breath. One or two days is usually enough to feel significant relief, increased cough productivity, and improved sputum discharge.
This wonderful drug is produced by the German company Beringer Ingelheim, and the cost of one 100 ml bottle of solution is 365 rubles. Naturally, it is much more profitable to use it as a means for inhalation, then the consumption is half as much, and at the same time the agent is directly delivered to the respiratory tract without passing through the liver.
Advantages and disadvantages
It should be borne in mind that, despite all its effectiveness, the drug is able to penetrate the placental barrier, and although extensive clinical experience has not shown its harmful effect on the fetus after the 28th week of pregnancy, it cannot be used in the first trimester. In the early stages it is better to refuse any medication at all. Lazolvan can cause side effects such as nausea, diarrhea, skin rash, or urticaria. Quite often, up to 10% of all cases, patients notice a violation of taste sensations. But with the timely inhaled appointment of Lasolvan patients are less in need of prescribing antibiotics.
Evkabal
Rating: 4.7
Evkabal is a complex, gently acting herbal expectorant. It is produced in the form of a syrup, and contains a liquid extract of plantain, thyme, and is applied orally, after meals, undiluted.Among the indications, in addition to acute and chronic bronchitis, mention should be made of acute tracheitis, laryngotracheitis, parainfluenza, as well as other viral and bacterial infections of the upper respiratory tract. Evkabal is also used to improve sputum discharge in elderly patients with symptoms of chronic heart failure. It is used in adults one or two tablespoons from 3 to 5 times a day. The average duration of admission is 2 weeks. Evkabal is produced by the German company Esparma, and the average cost per bottle of 100 ml is 250 rubles. This means that with an average volume of a tablespoon of 15 ml, from 45 to 70 ml can be taken in one day, and with the most economical expenditure, one bottle will last for two days. Accordingly, the cost of the course lasting 2 weeks will be equal to the price of 7 bottles, or 1,750 rubles.
Advantages and disadvantages
The advantage of Eucabalus can be considered optimally selected herbal ingredients, which gently, but at the same time actively improve sputum discharge. However, the syrup is an alcohol solution, and therefore it is undesirable to give the drug to children, as well as to patients with various diseases of the liver and kidneys, working with mobile and dangerous mechanisms, the driver, people with alcohol and drug addiction. The relative disadvantage of the product is its inconvenient form of release (the bottle consumes completely within two days), and also a fairly high price.
Prenoxdiazine (Libexin)
Rating: 4.7
Finally, in the fight against cough, it is sometimes necessary not to stimulate the discharge of sputum, but to suppress a cough that is painful, dry, irritating and debilitating to the patient. Such a cough can occur in some variants of chronic bronchitis, but only a doctor should prescribe such drugs. After all, if you make the wrong choice, then sputum will accumulate in the depth of the bronchi, and if it is not removed in a timely manner, it becomes infected, which causes rapid adherence to a secondary infection, with a significant deterioration in health.
But in the first 2-3 days with the flu, when the cough is completely fruitless, and exhausts the patient, you can use a drug such as Libexin. The active ingredient is prenoxdiazine, its task is to block the work of receptors for stretching the walls of the bronchi. As a result, the level of cough reflex decreases, the drug has an effect similar to a local anesthetic on the mucous membrane. Libexin is usually prescribed one tablet three times a day, it is advisable to take it in short courses, and only on prescription.
This drug is used infrequently, its cost on average is 450 rubles. per pack of 20 tablets of 100 mg. It is produced by the Hungarian company Hinoin.
Advantages and disadvantages
It is important that Libexin does not inhibit the respiratory center, as drugs containing codeine, and it does not cause either drug dependence or addiction. This drug is indispensable if you need to conduct any research, for example, bronchoscopy in patients with chronic bronchitis. As a result of the suppression of the cough reflex, the doctor will be able to safely and confidently conduct research. But this drug is strictly prohibited for use in pregnant and lactating women, and may cause mild sedation, skin rash or dry mouth. It goes without saying that it is not used together with expectorant drugs, as well as means, diluting the sputum. Finally, do not confuse Libexin and Libexin Mucco, which is carbocysteine and has the opposite effect.
If Libexin is used in a high dosage, this can cause such a side effect as slowing down the reaction rate, so it is not recommended to use the drug and drive the car together.
The best bronchodilators
Sometimes manifestations of acute and chronic bronchitis occur with signs of bronchial obstruction, and in this case, bronchodilators, or bronchodilator drugs should be added to the treatment regimen. Bronchial obstruction, or spasm of the bronchi, quite often occurs in acute bronchitis in children, and is manifested by coughing episodes that emaciate the patient, and at the height of the seizure, discharge of light and transparent mucous sputum is possible. There is expiratory dyspnea when exhalation is difficult. In such cases, and shows the use of bronchodilators. If we talk about high-speed tools that are used infrequently, and occasionally - most often it is salbutamol. It belongs to the means of short action, and is able to relax well the smooth muscles of the bronchi after a short time (5 minutes).
Salbutamol (Ventolin)
Rating: 4.9
The effect of salbutamol is based on the relaxation of the smooth muscles of the bronchi, it is used in inhalations and in tablets of prolonged action. The maximum speed of action of salbutamol allows it to be used for emergency care, relief occurs after 5 minutes, a maximum of an hour. The duration of the effect is 4-5 hours.
It is shown to relieve bronchial obstruction against the background of exacerbation of chronic bronchitis, with bronchial asthma, emphysema. The most effective way to administer salbutamol is inhalation. It is necessary to be able to use the inhaler, and at first it is desirable to do this under the supervision of medical personnel. Proper use is shaking the spray can, and simultaneously pressing the spray button and taking a deep, intense breath. After penetration of salbutamol into the lungs, you must hold your breath for 10 seconds. Proper synchronization of spraying and deep inhalation is very important, this requires training.
Salbutamol produces several pharmaceutical companies, and the average cost of an aerosol can for 200 doses (100 mg per dose) is 125 rubles. With proper use of this drug will last for a long time. It can be taken with you as an emergency aid for bronchospasm in people with chronic bronchitis and polyvalent allergies, when bronchospasm can develop into the flowering of herbs, with symptoms of pollinosis.
Advantages and disadvantages
It is desirable to use the drug as seldom as possible, since with frequent use the so-called ricochet syndrome develops. So, with bronchial asthma, this means that each subsequent attack of suffocation becomes more intense. In addition, the risk of such complications will be high with a sharp cancellation of salbutamol, which was used for a long time. You also need to know that for systematic use there are not short-range, but long-acting drugs. Therefore, salbutamol is a means of a “one-off effect,” then it will be the best choice. If it is used more than 4 times a day, a side effect such as tremor may develop, especially in elderly patients, or tachycardia.
Ascoril
Rating: 4.8
In some cases, a mildly acting complex drug is shown, which combines expectorant and bronchodilator effects. Its components, besides salbutamol, are guaifenesin and bromhexin. Salbutamol sulfate in each tablet Ascoril - 2 mg, and bromheksina and guaifenesina, respectively, 8 and 100 mg. Bromhexine exerts expectorant and mucolytic action, guaifenesin reduces sputum viscosity, facilitates its excretion, improves the drainage function of the bronchial tree and increases the productivity of cough.
Salbutamol, as a beta-2 bronchial adrenoreceptor agonist, eliminates bronchospasm and decreases airway resistance to the airways.Appointed Ascoril as part of complex therapy, with obstructive forms of chronic bronchitis, as well as with more serious diseases such as emphysema, asthma, some forms of pulmonary tuberculosis, and whooping cough, when the main clinical sign is a severe asthma attack.
Apply the drug to adults need one tablet three times a day, the duration of the course is set by the doctor. This product is produced by Glenmark from India, and the average cost per pack of 20 tablets for approximately one week of use is 310 rubles.
Advantages and disadvantages
Gvayfenezin, and salbutamol - are substances that have, despite the joint high activity, some contraindications. These are heart diseases, accompanied by tachycardia, increased activity of the thyroid gland, glaucoma, arterial hypertension, as well as gastric ulcer and duodenal ulcer in the acute stage. Means are contraindicated for pregnant and lactating women, as well as children under 6 years. Do not prescribe Ascoror to patients with decompensated diabetes. Alkaline should not be consumed with Ascoril, which is usually recommended for sputum discharge. But in the event that Ascoril is prescribed according to indications and a short course, then he is able to significantly improve the drainage function of the bronchi, to prevent bronchospasm.
Atrovent (ipratropium bromide)
Rating: 4.7
In conclusion, the rating of bronchodilators consider the popular drug Atrovent, which expands the bronchi due to the anticholinergic effect. It reduces the influence of the vagus nerve, causes blockade of cholinergic receptors in the bronchi, thereby suppressing the reflex to their narrowing. The drug is administered by inhalation, and acts topically. This remedy is well suited to patients who outpatient treat exacerbation of chronic bronchitis, in whom reflex bronchial spasm and asphyxiation develops after being in a smoky room in cold air.
Atrovent is shown in patients with long-term experience of chronic bronchitis, other forms of obstructive pulmonary disease, which are accompanied by a regular feeling of suffocation or difficulty breathing out, painful coughing episodes and other manifestations of bronchial obstruction. Atrovent is used both as a solution for inhalation and as an aerosol. The solution for inhalation is used by adults 3 times a day, 40 drops through a nebulizer, first diluted with saline to a volume of 3 ml. Atrovent is produced by the German company Beringer ingelheim, and the packaging of the solution in 20 ml costs about 240 rubles.
Advantages and disadvantages
Atrovent well tolerated. It is practically not absorbed into the blood, and such usual anticholinergic effects as frequent heartbeat, dilated pupils, urinary retention are almost never encountered. In rare cases, the development of an allergic reaction is possible, but most often there is dry mouth and a headache. The drug is contraindicated only if patients have an individual hypersensitivity to atropine. Atrovent is not used in pregnant women, especially in the first trimester and in children under 6 years of age. In the case of 2-3 trimesters, as well as during lactation, specialist advice is necessary: the effect of using Atrovent should be higher than the possible risk to the fetus or child. But among the bronchodilator drugs Atrovent is widely used, the effect of its reception lasts up to 6 hours, and it causes systemic side effects.
The best means to fight inflammation
One of the most important pathogenetic stages in the treatment of acute and chronic bronchitis is the elimination of the inflammatory component. After all, bronchitis is, above all, an inflammatory reaction of the small bronchi, as a result of which the secretion and transport of bronchial mucus is disturbed.Inflammation, despite the fact that it is a protective mechanism, in some cases contributes to the occurrence of the above described syndrome of bronchial obstruction.
In this case, ongoing edema, and changes in the properties of mucus cause bronchospasm and stagnation. For the relief of the inflammatory process are widely used various drugs that belong to the groups of NSAIDs, starting with acetylsalicylic acid. The most frequent indications for acute and chronic bronchitis for the relief of the inflammatory syndrome are the occurrence of general malaise, signs of intoxication and a rise in temperature. Consider the most commonly used effective remedies for bronchitis from the group of anti-inflammatory drugs.
Erespal (Fenspirid)
Rating: 4.9
Erespal, or fenspirid, is a special anti-inflammatory agent from the group of antihistamines. It produces an anti-bronchoconstrictor effect, preventing the narrowing of small bronchial elements. The product is available in the form of tablets or in the form of a syrup: it is a brownish-yellow clear liquid. The drug reduces spasm of the smooth muscles of the bronchi, prevents the occurrence of edema and reduces the symptoms of exudation and inflammation.
Erespal is widely prescribed not only for various forms of acute and chronic bronchitis, but also for diseases of the upper respiratory tract, for tracheitis and laryngitis, for various forms of bronchial asthma, for hoarseness and sore throat, and other unpleasant respiratory symptoms. Erespal is also indicated in all those cases where antibiotic therapy is prescribed for the treatment of respiratory tract infections. It is necessary to use it for adults from 3 to 5 tablespoons per day before meals - a significant amount. The duration of the course is determined by the attending physician. Eraspal is produced by Pharmstandard, a domestic company, and the average cost of a syrup in a 250-ml bottle is 450 rubles.
Advantages and disadvantages
Erespal is a drug that belongs to antihistamines, so it is not recommended to combine it with drugs of the same class, alcohol and sedatives. It is not used in children under two years, and in case of hypersensitivity to fenspiride. Erespal is also not recommended for pregnant and lactating mothers, but only because of the lack of necessary research. Quite often, against the background of taking Erespal, (that is, from 1% to 10% of cases) various gastrointestinal disorders, loose stools can develop. But in general, this tool works effectively with various inflammatory changes in the bronchial tree, and in the case of timely prescribing of Erespal, anti-bacterial therapy is sometimes not necessary.
Coldrex HotRem
Rating: 4.8
This powder with vitamin C, dissolves in hot water and is used most often in acute bronchitis, or when expressed in general manifestations, with fever, intoxication during exacerbation of chronic bronchitis. The tool contains paracetamol as the main and safe drug from the group of NSAIDs, phenylephrine and ascorbic acid.
Coldrex with regular use produces anesthetic, antipyretic and anti-edematous effect. It is shown, in addition to acute and chronic bronchitis, with various forms of fever, with acute tonsillitis, with pharyngitis, with various forms of sinusitis. Paracetamol has an antipyretic effect, and anesthesia, and phenylephrine excites alpha receptors, which reduces both the swelling of the nasal mucosa and others parts of the upper respiratory tract. Coldrex Hotrem is produced by the English company Glaxosmithkline, and powder in sachets number 10 can be purchased at a price of 309 rubles.
Advantages and disadvantages
Coldrex will benefit from its quick effect and ability to reduce fever, symptoms of intoxication, and normalize well-being. However, it should be remembered that he will not be able to cure bronchitis on his own, since he does not have any antimicrobial or antiviral effect.But if you use it together with mucolytics, expectorant drugs, and combined with abundant vitamin drink, then with the rapid start of treatment, you can sometimes get rid of without treatment with antibiotics. It must be remembered that this drug should not be used for severe disorders of the liver and kidneys, and if you exceed the dose more than 4 times a day, as a result, blood pressure may rise, nausea, diarrhea, palpitations or insomnia may occur.
Paracetamol (efferalgan, effervescent tablets)
Rating: 4.7
Efferalgan is “pure” paracetamol, and it should be used for bronchitis if and only if there are pronounced symptoms of intoxication. This is an indisposition, fever, or fever, the appearance of unpleasant symptoms of a viral infection, such as pain when moving by eyeballs, pain in the skin when brushing hair, and other similar symptoms. It is used for chills, with aching muscles. Efferalgan in effervescent tablets is one of the most effective types of paracetamol. They are quickly absorbed. Paracetamol blocks cyclooxygenase, as a result, it relieves fever and anesthetizes. Paracetamol has no pronounced anti-inflammatory effect. Therefore, if there is no pain and no temperature during bronchitis, then it should not be used. Usually he is prescribed for one or two effervescent tablets 3 times a day, but not more than 8 tablets. Effervescent tablets are not allowed to swallow, be sure to dissolve in a glass of warm water. Efferalgan is produced by the manufacturer “Upsa”, and 16 effervescent tablets with a dosage of 500 mg are inexpensive: only 155 rubles.
Advantages and disadvantages
It is important to remember that Efferalgan, as well as other drugs from the group of anti-inflammatory drugs, do not cure bronchitis. They do not affect microbes, or the secretion of communication, or to improve expectoration. Their task is to relieve symptoms such as heat and pain. Usually the remedy is very well tolerated, and only occasionally side effects can occur, only with an overdose. Nausea, vomiting, abdominal pain, pallor occur most often. In order to avoid overdose, it is advisable not to exceed the maximum daily dose of 8 tablets, and in any case not to use Efferalgan and other varieties of paracetamol for more than 3 days as a fever-reducing agent. However, paracetamol in cases of banal colds with fever, headache and muscle aches is very effective, and therefore it should be in any home medicine chest.
In conclusion, it should be noted that antiviral and antimicrobial agents are also used in the treatment of acute and chronic bronchitis, depending on the duration of the disease, and on the indications. Since antibiotics in the Russian Federation are currently sold exclusively by prescription, it makes no sense to describe them, since they are not available for sale.
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.
