The use of the herbal preparation "Bronchipret" in the treatment of inflammatory diseases of the respiratory system in children

Causes of dry cough

The development of cough may be associated with direct or indirect irritation of cough receptors in the upper respiratory tract. For example, a natural reaction would be a dry cough in response to choking, inhalation of strong-smelling chemicals, or inhalation of tobacco smoke by a non-smoker. Even excitement can provoke a cough attack. Pathological causes of dry cough include diseases that activate cough receptors in the mucous membrane of the respiratory tract.

Bacteria and viruses

ARVI is the most common cause of dry cough. Viruses penetrate the mucous membrane of the respiratory tract, causing damage to its cells, which irritates the cough receptors. Influenza, parainfluenza, some rhinoviruses, adenoviruses and others can occur with a dry cough. The disease begins acutely, with a dry cough, redness and sore throat, runny nose, nasal congestion and other signs of an acute respiratory viral infection.

Diseases of ENT organs

A reflex cough is often associated with irritation of cough receptors located in the back wall of the pharynx and tonsils. They are stimulated by mucus flowing down the back wall of the pharynx, mediators that are released during inflammatory processes in the nasopharynx. Here are the probable causes of a dry cough: acute and chronic tonsillitis, pharyngitis, rhinopharyngitis, as well as postnasal drip syndrome - irritation of the larynx with discharge from the nose or paranasal sinuses.

Gastrointestinal diseases

The causes of a dry cough may lie in diseases of the digestive system, namely the stomach and esophagus. Excitation of the receptors of the trachea and bronchi is associated with compression caused by epibronchial diverticula of the esophagus - protrusions of various sizes. It may also be due to the reflux of stomach acid due to gastroesophageal reflux disease (GERD).

Heart diseases

Dry cough is accompanied by some heart diseases, for example:

• dilated cardiomyopathy - a myocardial disease with the development of stretching of the heart cavities;
• Coelomic pericardial cysts are benign formations;
• pericarditis;
• post-infarction syndrome;
• chronic heart failure;
• pulmonary hypertension;
• pulmonary embolism.

Thyroid diseases

Enlargement of the thyroid gland leads to mechanical compression of surrounding tissues. The cause of a dry cough in this case may be the development of diffuse toxic goiter.

Allergic cough

There are several factors that provoke a non-productive cough: non-microbial and microbial antigens that enter the body from the outside or are already present in it. An allergic reaction in the form of symptoms of respiratory system dysfunction may be accompanied by other manifestations. The reaction to various inhalant allergens consists of allergic rhinitis or laryngitis accompanied by a dry cough.

Smoking

The effect of tobacco smoke on the respiratory system is another possible cause of dry cough. However, a smoker's cough is usually accompanied by sputum that is difficult to separate.

Injuries

Injuries to the mucous membranes of the respiratory tract sometimes provoke a dry cough. Typically, such injuries are explained by a recent intervention or the entry of a foreign body into the respiratory tract. In some cases, reflex vomiting is also possible. The cough persists for a long time, until the foreign body is removed or coughed up.

Stress

A dry cough in an adult without fever may be associated with a tense psycho-emotional state. The so-called neurotic psychogenic cough is associated with stress and vivid experiences.

Bronchipret: natural cough relief

Alla Lepeeva

In order to understand which cough treatment (especially for children) can be recommended to the buyer, the pharmacist needs to know about some of the subtleties and differences in the manifestation of this symptom and the related aspects of therapy. This will help you navigate and choose the right drug that will help and not harm either the child or the adult.

FEATURES OF COUGH

The causes of cough in children and adults are similar: • Infections that cause inflammation in both the lower respiratory tract (tracheitis, bronchitis, pneumonia) and the upper (ARVI, sore throat, laryngitis, pharyngitis, sinusitis). • Narrowing of the bronchi and a decrease in their lumen due to contraction of the muscles of the bronchial walls (for example, with obstructive bronchitis). • Obstruction (blockage) of the airways with viscous mucus. • Impaired mucus outflow due to increased viscosity, increased secretion, swelling of the bronchial mucosa. In childhood, due to the immaturity of the immune system, anatomical and physiological characteristics of ARVI, cough occurs more often, is more severe and lasts longer.

COUGH CLINIC

Upon examination, it immediately becomes clear to the doctor what kind of cough he is dealing with. It is much more difficult for a pharmacist, because often a pharmacy visitor asks for a medicine not for himself. But the leader must always give advice. Cough can be dry (non-productive) or wet (productive). It can be of varying intensity: strong and dry, leading to vomiting, or wet and painful, disrupting sleep. Sometimes a cough is accompanied by pain, which greatly worsens the patient’s well-being. When processing a request, be sure to ask the buyer about the nature of the cough: a wet cough is usually associated with sputum production. If the cough is not associated with the leakage of mucus from the nose (typical for young children), this is a true cough characteristic of diseases of the lower respiratory tract.

PRINCIPLES OF COUGH TREATMENT

In order to choose the optimal cough medicine, you need to remember some principles of treatment for this symptom and, if necessary, inform the buyer about them: 1. The cough reflex, especially in children, is suppressed in special cases. For example, when the cough becomes debilitating, it is accompanied by vomiting, as with whooping cough. 2. A dry cough is associated either with the fact that the mucous membrane of the upper respiratory tract is irritated and inflamed, or with the viscosity of the mucus, impaired sliding and weak activity of the ciliated epithelium of the bronchi. To treat such a cough, agents are used to soften the mucous membrane and thin the sputum. 3. Treatment of wet cough is necessary to facilitate the outflow of sputum, especially when its volume is large, and to prevent airway obstruction.

WHAT TO CHOOSE FOR TREATING COUGH

Selecting a drug to treat cough – especially in children!
– several important points need to be taken into account: its effectiveness, safety, age restrictions, versatility in the treatment of both unproductive and wet coughs, good tolerability, release forms. A competent pharmacist will recommend to a pharmacy visitor drugs based on herbal ingredients, since, on the one hand, they are effective and safe, and on the other hand, there is a significant evidence base that scientifically confirms these benefits, which cannot always be said about some synthetic drugs1. Taking into account all these features, a pharmacy worker can recommend such a cough remedy, including for children, as the herbal medicine Bronchipret
2. Why this particular drug?
It's simple: Bronchipret meets all the basic requirements in the treatment of cough. BRONCHIPRET IS MANUFACTURED USING A SPECIAL TECHNOLOGY IN ACCORDANCE WITH THE CONCEPT OF PHYTONIRING IMPLEMENTED BY THE BIONORICA COMPANY – FOR EFFECTIVE AND SAFE TREATMENT OF PRODUCTIVE AND UNPRODUCTIVE COUGH FROM THE FIRST DAY OF ILLNESS IN CHILDREN 3+ MONTHS AND ADULTS. The main advantages of the drug Bronchipret:
• Has several pharmacological effects (secretolytic, anti-inflammatory, bronchospasmolytic, antiviral).
Thanks to its unique composition of herbal components, Bronchipret is indicated both for coughs with difficult to separate sputum and for wet coughs. • Has a high safety profile, so it is allowed for children from three months3. • Contains the largest amount of active ingredient – ​​thymol in thyme, which reduces the frequency and severity of coughing attacks. • Well tolerated and can be used for long-term therapy (relevant for frequently ill children, patients with chronic respiratory diseases with frequent exacerbations). • Two forms of release (syrup and tablets) make Bronchipret convenient to use. A pharmacist is not a doctor, he should not make a diagnosis and prescribe treatment, but he cannot refuse a recommendation to a visitor. Bronchipret will help a pharmacy worker get out of the most difficult situation with honor. 1. C. Ismail et al. Bronchipret and synthetic mucolytics for acute bronchitis: a comparative cohort study. 2. O. Marcian, MD, pediatrician. Hannover, Germany. Treatment of acute bronchitis in children and adolescents. 3. E.S. Keshishyan, G.Yu. Semina, Moscow Research Institute of Pediatrics and Pediatric Surgery of Roszdrav. The effectiveness of the antitussive drug Bronchipret in young children.

Symptoms accompanying dry cough

Based on what manifestations occur along with a dry cough, one can draw conclusions about the possible causes of the condition and decide on diagnostic measures.

Cough without fever

A severe dry cough without fever in an adult is almost always explained by the non-inflammatory nature of the disease. Often the reasons lie in allergies, bronchial asthma, smoking, diseases of other organs and systems, especially when it comes to long-term coughing.

Paroxysmal dry cough

Coughing attacks are usually acute and are most often associated with an inflammatory process, including in the ENT organs. Also, sometimes we are talking about diseases accompanied by irritation of the cough center. The attack can be mild if the cause is ARVI or a bacterial infection, or quite painful in the case of whooping cough. In children, the symptom is more pronounced, but there are cases of severe whooping cough in adults.

Prolonged (persistent) cough

Chronic cough is rarely accompanied by high fever. It is associated with irritation of the mucous membrane of the respiratory tract and can be explained by diseases of the digestive and cardiovascular systems, side effects from taking medications or allergies. If a prolonged dry cough does not go away on its own, it is important to find the cause.

Severe pain when coughing

Pain during and outside of a coughing attack is a serious symptom. Sometimes a strong, dry cough causes strain in the chest muscles, leading to muscle pain. This symptom is not a health hazard. However, chest pain is a possible indication of pneumonia. In this case, the unpleasant sensations do not depend on a change in body position or a coughing attack; they can occur anywhere - behind the sternum, between the shoulder blades, etc.

Painful sensations may also indicate heart disease.

Night cough

Increased dry cough at night is possible in different cases. Sometimes this symptom is observed exclusively at night. This may be due to prolonged retention of a horizontal position, in which mucus from the nasopharynx flows down the back wall of the respiratory tract and irritates the receptors, provoking a cough reflex. In addition, if the air in the room is dry, the mucous membrane dries out and becomes vulnerable to any irritants.

Bronchipret solution for oral administration 100ml No. 1

Name

Bronchipret.

Release forms

Drops.

INN

Ivy leaf extract+common thyme herb extract.

FTG

Expectorant of plant origin.

Compound

1 ml (equivalent to 1 g) of solution contains: 0.5 ml of liquid extract of thyme herb (1: 2-2.5) (extractant: ammonia solution 10% (m/m), glycerol 85% (m/m), ethanol 90% (v/v), purified water (1:20:70:109)); 0.03 ml of liquid extract from ivy leaves (1:1) extractant – ethanol 70% (v/v). Auxiliary ingredients: ethanol 96% (v/v), purified water, hydroxypropyl betadex, sodium saccharin dihydrate, citric acid monohydrate. Contains 24% (v/v) ethanol.

Description

Brownish, clear or cloudy liquid with a thyme aroma. Minor precipitation may occur.

Pharmacotherapeutic group

Expectorants in combination

Pharmacological properties

The results of experimental in vitro and animal studies with preparations of thyme and thyme oil or its main component thymol showed the presence of weak expectorant and antispasmodic effects. Pharmacological studies in humans using individual extracts, as well as with a fixed combination, have not been conducted.

Indications for use

To relieve symptoms of acute inflammatory diseases of the respiratory tract, accompanied by cough and the formation of viscous sputum.

Contraindications

Children's age up to 6 years. Bronchipret solution should not be taken in cases of known hypersensitivity to common ivy, thyme or other plants of the Lamiaceae family, in cases of known allergic reaction to birch pollen, wormwood, celery, or to any other component of the drug.

Special warnings and precautions

Not prescribed to children under 6 years of age due to the lack of sufficient clinical studies of its use. If symptoms persist for more than 7 days while using the drug, or shortness of breath, fever or hemoptysis develops, you should consult your doctor immediately. Due to the ethyl alcohol content, in children aged 6 to 12 years, the interval between doses should be at least 4 hours. If symptoms worsen while using the drug, you should consult your doctor. The drug contains 24% (v/v) ethanol, that is, up to 0.49 g per single dose of 2.6 ml. Due to the ethyl alcohol content, the drug should not be taken by patients suffering from alcoholism. The ethyl alcohol content should be taken into account when prescribing to high-risk patients, such as patients with liver disease or epilepsy. A single dose of Bronchipret solution does not contain countable bread units (XU). Use with caution in patients with gastritis or peptic ulcers. Bronchipret solution does not contain gluten.

Interaction with other drugs

Concomitant use with antitussive drugs is not recommended.

Use during pregnancy and lactation

It is not recommended to take the drug during pregnancy and breastfeeding.

Effects on the ability to drive a car or operate machinery

The medicine contains ethyl alcohol! During the treatment period, care must be taken when driving vehicles and engaging in other potentially hazardous activities that require concentration and speed of psychomotor reactions.

Directions for use and doses

Use internally. Adults and children over 12 years of age: 3 times a day, 2.6 ml. Children aged 6 to 11 years: 3 times a day, 1.3 ml. The solution should be taken using a measuring cup and, if necessary, it can be taken with some liquid (for example, with a glass of water). Shake the bottle before use! The duration of treatment depends on the severity of the disease. If symptoms persist for more than 7 days or shortness of breath, fever, or hemoptysis develops, consult your doctor. Due to the ethyl alcohol content, in children aged 6 to 12 years, the interval between doses should be at least 4 hours.

Side effect

When taking Bronchipret solution, like any other drug, adverse reactions may occur. When assessing side effects, the following data on the frequency of their occurrence are used as a basis: Very often: ≥1/10 Often: ≥1/100, but

Reporting suspected adverse reactions

Reporting suspected adverse reactions after drug registration is important. This allows you to control the further benefit/risk ratio of the drug. Please report any suspected adverse reactions through the national reporting system (UE “Center for Expertise and Testing in Healthcare of the Ministry of Health of the Republic of Belarus”, rceth.by).

Overdose

When taking the drug in doses significantly higher than therapeutic doses, gastrointestinal disorders, vomiting, and diarrhea are possible. In case of overdose, consult a doctor.

Best before date

24 months, after opening – 6 months. The expiration date is indicated on the packaging. Do not use after the expiration date.

Storage conditions

Store in a place protected from light and moisture, at a temperature not exceeding 25°C. Keep out of the reach of children!

Release form

Dark glass bottles with a filling device of 50 ml and 100 ml and a measuring cup, together with instructions for medical use, are placed in a folding cardboard box.

Vacation conditions

Without a doctor's prescription.

Buy Bronchipret solution for oral administration in fl. 100ml per pack. No. 1 in pharmacy

Price for Bronchipret solution for oral administration in fl. 100ml per pack. No. 1

Instructions for use for Bronchipret solution for oral administration in vial. 100ml per pack. No. 1

Diagnosis of dry cough

A severe dry cough in an adult is a reason to visit a doctor. You can start with a therapist, and if necessary, he will refer you for consultation to specialists of a narrow profile. An initial examination is necessary to assess the condition of the respiratory system, so the doctor may prescribe diagnostic methods such as:

• plain radiography of the chest organs;
• tuberculosis test;
• general blood test with leukocyte formula;
• bronchography or bronchoscopy;
• spirometry;
• Ultrasound of the pleura - the membrane covering the lungs;
• CT scan of the chest;
• allergy tests, etc.