How many drops of Berodual does a child need for inhalation?

Inhalation procedures today are one of the most effective tools for treating respiratory diseases. This is due to the fact that the medicine goes directly to the inflamed area. Most often, bronchodilators are used for inhalation. One of the most popular drugs in this group is Berodual, prescribed by pediatricians when a child has a cough and other signs of bronchial obstruction.

Berodual is usually used for inhalation therapy using a nebulizer. When prescribing this drug to a child, all parents should know how to properly perform inhalations, how to prepare an inhalation solution, and many other nuances that will be discussed in this article.

Release form and composition

Today, pharmaceutical companies produce Berodual in two forms:

In the form of an aerosol spray. This is an indispensable remedy for asthmatics. The spray does not need to be diluted with anything; it is already ready for use. When using it, it is important to inhale the drug correctly so that it enters the respiratory tract and does not settle on the surface of the tongue.
In the form of a clear solution for inhalation procedures. It is sold in dark brown bottles with a stopper that acts as a dropper.

The active ingredients of Berodual are:

Phenotrol hydrobromide (content per 1 milliliter of drug is 500 µg);
Ipratropium bromide (content per 1 milliliter of medication is 250 mcg).

Release form

Berodual is available in the form of a solution, which is used by inhalation:

The solution is produced in a special dark bottle, which in its upper part is equipped with a special mouthpiece . The volume of the bottle is 20 ml. The solution has a clear appearance, but the bottle is opaque. The consistency should be uniform without additional suspensions.
A more effective release form of Berodual N is also presented as a solution for inhalation or inhalation. Its instructions will be no different, but its effect is several times higher. This must be taken into account when choosing Berodual, and also depending on the stage of the process and the severity of symptoms.

Berodual-N

Berodual

Indications for use in children

Thanks to the active substances of the drug, it has a positive effect on the child’s health. Berodual ensures the formation of mucus in the upper respiratory tract and relaxation of the smooth muscles of the bronchi.

Pediatricians recommend this bronchodilator if you have the following list of diseases:

Bronchial asthma;
Spasms in the bronchi;
Laryngotracheitis, pneumonia, tracheitis, laryngitis, which is accompanied by a constant barking cough;
Obstructive diseases of the respiratory system that have a chronic form;
Emphysema.

Directions for use and dosage

Inhalation procedures can only be done with a nebulizer, and the optimal dose of the drug is determined by the pediatrician. According to the instructions, Berodual for children for inhalation should be taken in the following ratio: per 2 kilograms of the child’s weight, one drop of Berodual. You cannot increase the dosage yourself, since only your doctor can do this. Regular increase in dose leads to a more severe course of the disease.

For moderate bronchodilator spasm, the dosage of Berodual is increased to about.5 ml (10 drops) per inhalation.
Severe bronchodilator spasm and severe asthma are treated using a regimen tailored to the child's age. Children under 12 years of age are given 2 ml (40 drops) of Berodual in a nebulizer, and adolescents 12 years of age and older are given 2.5 ml (50 drops) at a time.
In especially severe cases, the dosage looks like this: for children under 12 years old - 3 ml (60 drops), over 12 years old - 4 ml (80 drops).

At the discretion of the doctor, the maximum dosage can be increased to 4 ml per day for children under 12 years of age, and up to 8 ml for children 12 years of age and older.

Most often, doctors recommend inhalation 2 times a day. Taking into account the child’s condition, the doctor may change the frequency of inhalation procedures.

Attention! The drug for the inhaler must be diluted exclusively with saline solution. Distilled water is not suitable for these purposes!

Combination with other drugs

Berodual, in addition to being used as an independent remedy for inhalation procedures, is often prescribed by pediatricians as a component of complex treatment.

With Lazolvan

Berodual together with Lazolvan is recommended for pathologies of the upper respiratory tract and bronchi. Indications for this method are obstructive bronchitis and laryngitis.

This combination of drugs has a positive effect on the respiratory system. Berodual liquefies mucus and relieves inflammation, and Lazolvan promotes better mucus removal.

For inhalation procedures, children use saline solution, observing the following proportion:

6 – 7 drops of Berodual;
1 milliliter Lazolvan;
2 milliliters of saline solution.

Attention! These are approximate drug doses and should not be used as a guide for inhalation. The dosage of medications is always calculated by the attending physician.

With Pulmicort

Pulmicort is one of the most popular drugs with anti-inflammatory and mucolytic effects. It is effectively used to treat bronchitis and pulmonary diseases.

The combination of Pulmicort and Berodual gives good results in the treatment of pulmonary pathologies and obstructive bronchitis. The drug is taken by inhalation using a nebulizer. First, the child is allowed to breathe over Berodual, which is diluted in saline solution in the ratio: no more than 20 drops of medicine per 3 milliliters of saline solution. This solution helps open the bronchi.

An hour later, repeat the procedure with 1 mg of Pulmicort diluted in 2 milliliters of saline. This inhalation ensures the penetration of the drug into the lungs and has antihistamine and anti-inflammatory effects. The dosage should be discussed with your pediatrician.

Correct dilution with saline: dosage by age

Saline solution is actively used for diluting drugs used in inhalation therapy. The saline solution moisturizes the respiratory tract and removes mucus.

The saline solution can only be used with an inhaler. The procedure can be done two hours after eating. The duration of a session with saline solution for children is two minutes.

The drug must be diluted with saline in equal proportions. The amount of Berodual depends on the age of the child:

1 ml - for children under 2 years of age;
2 ml – for the age category from 2 to 6 years;
3 ml – for children over 6 years old.

By observing the specified proportions when preparing the inhalation solution, you can avoid an overdose of the drug and reduce the risk of adverse reactions. The finished solution must be used in full.

How many minutes to inhale

The duration of one procedure is 7 – 10 minutes until the healing solution completely evaporates. Inhalations should be done carefully, avoiding getting the solution into the eyes.

How many days

The duration of inhalation therapy for children depends on the general condition of the child and the diagnosis he has been given. The average course of treatment is 5 days.

Mode of application

Berodual is recommended for use by children and adults only using a nebulizer in the form of inhalation. Treatment begins under conditions of constant medical supervision.

The dose for different ages is selected by the doctor after observing the reaction to the drug. Young patients tolerate the drug more easily, but it is still dangerous to start treatment without supervision. The dose of Berodual for a child will also depend on the nebulizer model and its effectiveness.

For children six years old, Berodual is diluted immediately before the start of the procedure. The solution should be used immediately after preparation, and any remaining residue should be destroyed.

It is better to inhale the sprayed solution through the mouthpiece. If it is not there, the child needs to use a mask. If a child is prone to developing glaucoma, it is necessary to protect the eyes during inhalation.

Side effects

According to the instructions, the use of Berodual for inhalation therapy can cause a number of adverse reactions in children. The most common of them are:

Appearance of dry mouth;
Nervous state in a child;
The occurrence of tremor of skeletal muscles.

Less common adverse reactions include:

Pain in the head and dizziness;
Increased heart rate;
Tachycardia.

Even less frequently, the following adverse reactions may occur:

Irritation in the respiratory tract, accompanied by bouts of severe coughing;
Vomiting and nausea;
The occurrence of arrhythmia;
Allergic rashes on the skin, swelling of the face, lips and tongue may appear;
If the drug comes into contact with the eyes, blurred vision, pain in the eyes and spots before the eyes may occur for some time;
Increased sweating, muscle cramps, difficulty urinating and a weakened state of the body.

Side effects and contraindications

A pediatrician may prescribe inhalation of Berodual to a child if there are no contraindications to the use of the product.

The drug is prohibited for the following pathologies:

disruption of the functioning of the main cardiac muscle due to an increase in heart size;
pathological heart diseases, including congenital ones;
frequent heart contractions;
presence of elevated temperature;
the presence of acute infectious diseases;
intolerance or allergic reaction to elements of the product;
increased intraocular pressure;
the presence of blood streaks in the sputum;
impaired brain function due to poor circulation;
pathological changes in the thyroid gland;
genetic disorder of lung function.

If you have diabetes, the drug is used only under the supervision of a pediatrician.

These restrictions were introduced due to the likelihood of side effects during inhalation:

severe dryness of the oral mucosa and larynx;
disruption of muscle contractility due to the removal of potassium from the body under the influence of berodual;
dizziness and headaches;
increased heart rate and increased blood pressure;
feeling of nausea, possible vomiting with the release of masses;
bowel dysfunction (diarrhea or constipation) and difficulty urinating;
prolonged cough with a large amount of sputum;
irritation of the skin with an itchy rash;
loss of strength and feeling of general weakness;
change in behavior (irritation, anxiety).

If side effects are detected, the pediatrician adjusts the dosage and course of therapy or replaces the medication.

Contraindications

Berodual cannot be used for inhalation by children without the recommendation of a pediatrician, as it has contraindications. Treatment with it is not allowed:

In case of hypersensitivity to the ingredients of Berodual;
If the child has vascular and heart diseases - tachyarrhythmia, rapid heartbeat, high blood pressure and after myocardial infarction;
If there are lesions on the bladder neck;
If there are existing thyroid dysfunctions;
For angle-closure glaucoma;
If you have diabetes.

Attention! The use of Berodual for inhalation by children under 3 years of age may cause an allergic reaction in them. If your baby experiences shortness of breath, you should immediately call an ambulance.

Analogs

Berodual is not always suitable for inhalation for a child. This may be due to the baby’s contraindications or age restrictions. Then you need to replace the drug with its worthy analogue. The most popular analogues of berodual are:

Lazolvan

This is a drug with an expectorant and mucolytic effect. It is often combined with Berodual for the complex treatment of pulmonary diseases and bronchi. The list of contraindications for lazolvan is much smaller, and it costs approximately the same as berodual.

Ambrobene

Helps thin mucus and remove it from the lungs. This is one of the most effective and affordable mucolytic agents.

Biasten

A remedy that is best used after the remission stage. It supports normal health in children suffering from bronchial asthma. Biasten helps relieve attacks, reduces coughing and helps remove accumulated mucus, which causes inflammation.

Intal Plus

The drug helps treat bronchial asthma. It prevents the development of allergic manifestations and inflammation. Intal Plus is mainly used as one of the components of complex treatment of bronchial diseases.

Ditek

Liquefies mucus, helping to remove it from the lungs. Effective in combination with other medications for the treatment of pulmonary and bronchial diseases. Ditek is the most affordable medicine in this category of medicines.

All these medications are used together with Berodual, but can replace it if necessary.

Dosage and methods of application

The dosage is calculated depending on the age of the patient; for children, the number of drops depends on the weight of the baby. Your doctor will give you exact information about how many drops of medicine you will need. To prepare the medicine for inhalation, the drug must be diluted with saline solution. Make sure that the solution is not cold. Therapeutic inhalations are carried out 30 minutes before meals. After the procedure, you should refrain from eating for about an hour.

To purchase the drug you will need a doctor's prescription. This drug is listed on List B and is potent. Like many other medications, it should be stored in a specially designated place, at room temperature and away from children. Freezing of the drug should be avoided. When the expiration date has passed, the old medicine should be thrown away.

The procedure for preparing the composition for inhalation is as follows:

pour the required amount of the drug into a measuring cup;
Add saline solution to a total volume of 4 ml.

There are restrictions on the use of Berodual in the first trimester of pregnancy and before childbirth. You should not use the drug without a doctor's recommendation.

It can be very difficult to force a child to swallow bitter medicine, and if the child is very small, you have to additionally dissolve and grind the tablets. This drug is taken by inhalation. To use it, a special device is used - a nebulizer. A dispersed spray of the substance occurs in the nebulizer. The medicine enters the body through a mask or tube. The spray is very fine. The medicine reaches all respiratory sections. An infant needs to be strengthened with a special mask and the drug will enter the body itself through natural inhalation.

Such an unpleasant disease as false croup is becoming a common occurrence in our time. If the baby suffers from attacks of false croup, Berodual should be used in the first three days of illness. Feedback from mothers when eliminating the symptoms of false croup is usually positive. “Attacks of “barking cough” and choking in a child occur against the background of allergic reactions, if during this period there is an unfavorable infectious background, then the disease can spread to the bronchi and lungs. The first time such an attack was very frightening, but an experienced emergency doctor conducted a competent consultation.

Now we meet the disease head on. We purchased a Dolphin and Berodual compressor nebulizer for inhalation. At a temperature, taking any medicine becomes more difficult. In this condition, the child may vomit, and the usual medicine in the form of a tablet simply does not enter the body. For inhalations with this drug, temperature is not a contraindication. The mask or breathing tube can be used even if the child is lying down. You just need to make sure that the liquid does not leak out of the dispenser.

Special instructions and recommendations for use

For infants in the first year of life, inhalation therapy with Berodual is prescribed taking into account their weight. A child in the age category from 1 to 6 years weighing less than 20 kilograms must take inhalation procedures in a hospital under medical supervision.

Pediatricians recommend the following dosage of the drug - for each year the child lives, take 1 drop of the drug.

This means that inhalations are carried out with 1 drop of Berdual for a one-year-old baby, 2 drops for a two-year-old child, and 3 drops for a three-year-old baby.

Reviews and prices in pharmacies

Most parents note a positive effect on the health of children from the use of Berodual for inhalation. It dilates the bronchi well, is easy to use and has an affordable price. One package of the drug with a volume of 20 milliliters in pharmacies costs no more than 290 rubles. But they also pay attention to the fact that Berodual also has some side reactions. The baby may begin to feel dizzy and the heart rate may increase.

Doctors also disagree about the use of this solution for children's inhalations. But the overwhelming majority of them prefer to treat severe bronchial obstruction with Berodual, as an effective remedy with rapid action.

The well-known pediatrician Komarovsky also speaks of the drug as an effective remedy for the treatment of bronchial asthma and other obstructive diseases. However, he draws the attention of parents to the need to consult a pediatrician before starting inhalation therapy for their baby.

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