11 best remedies for bronchitis

Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.

As clinical practice shows, cases of primary acute bronchitis in adults is quite rare. Usually it’s about a chronic condition that modern medicine does not call chronic bronchitis, and chronic obstructive pulmonary disease (COPD). This is a whole group of diseases in which ventilation of the lungs. In addition to the “former” bronchitis, this group also includes, for example, emphysema. In adults, the cause of exacerbation obstructive disease most often is hypothermia, smoking, other. According to the World Health Organization (WHO), tens of millions of patients worldwide are diagnosed chronic obstructive pulmonary disease, COPD are on the third place in the world in mortality after cardiovascular disease and oncological diseases.

About symptoms

Typical symptoms of exacerbation of bronchitis (we will be the old fashioned way name the state of altered reactivity of the bronchi with a predominance inflammation of bronchitis, for greater convenience). Most often complaints like dry cough, which soon sputum joins. In case of prolonged dry cough it becomes harsh and painful, there is a feeling of scratching for the sternum. Then wheezing occurs in the lungs, which can sometimes be hear in the distance. Usually, such symptoms occur without a general signs of general intoxication, against the background of normal health. IN if bacterial flora joins, the total feeling worse, weakness, chills, rising temperature, usually to subfebrile values. In blood test leukocytosis occurs, and in severe cases, a shift in leukocyte formulas left.

The rating of drugs includes pathogenetic treatment, that is, aimed at the reverse development of the pathological process. In the case when the patient is normal and not mucopurulent sputum, the main treatment methods will be, plentiful vitamin drink, alkaline mineral water, normalization functions of the bronchial tree, and the fight against inflammation. Antibacterial drugs are not indicated, but can be used immunomodulators and, if indicated, antiviral agents, especially if the epidemiological situation and symptoms are diagnosed with the flu. Consider the most effective and popular drugs for the treatment of bronchitis, both acute and exacerbation of the chronic process, including with phenomena developed bronchial obstruction.

The best remedies for bronchitis

Nomination a place Name of product price
The best expectorants and mucolytics 1 Carbocysteine ​​(Flutidec, Fluifort, Libexin Muco) 186 rub
2 Breast collection number 4 55 rub
3 Lazolvan solution (Ambroxol) 365 rub
4 Eucabal 254 rub
5 Prenoxidiazine (Libexin) 474 rub
Best Bronchodilators 1 Salbutamol (Ventolin) 165 rub
2 Ascoril 177 r
3 Atrovent (ipratropium bromide) 305 rub
The best remedies for fighting inflammation 1 Erespal (fenspiride) 236 rub
2 Coldrex HotRem 304 rub
3 Paracetamol (Efferalgan, Effervescent Tablets) 98 rub

The best expectorants and mucolytics

One of the most important steps in treating an inflammatory lesion bronchus is a warning thickening of bronchial secretions, its liquefaction and excretion of the bronchi. In the event that it is not to do, the protein in 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 ​​(Flutidec, Fluifort, Libexin Muco)

Rating: 4.9

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Fluditec is a remedy that is great for treating unproductive cough. The active substance is carbocysteine, which is able to activate a particular enzyme – sialic transferase. Special goblet cells secrete it. bronchial mucosa. As a result of exposure to carbocysteine the balance between the acidic and neutral part of the secret is normalized bronchi, mucus viscosity 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 surface of the mucosa from viral and bacterial aggression. Flutidec is indicated in the complex treatment of any bronchitis, both acute and chronic. Suitable for treatment bronchiectatic disease, bronchial asthma, as well as any conditions in which hard mucus is formed or secret. These are sinusitis, rhinitis and similar inflammatory diseases of the ENT. �- organs.

The drug is used in the form of a syrup. Adults Flutidec 15 ml is prescribed 3 times a day, between meals or per hour before meals. The course of treatment is 10 days. Releases Fluditec as a syrup French company – Inoterra Laboratory, and one bottle a volume of 125 ml, which is enough for 3 days of admission, costs about 380 rubles. Therefore, the cost of a ten-day course will be about 1140 rubles.

Advantages and disadvantages

The advantage is the syrup release form, which quickly enters the bloodstream, and from there begins to work with sialic transferase. The drug is different from its predecessors. activation of immunoglobulins, and in this sense it is superior in the effectiveness of ACC and mucolytics containing acetylcysteine. But its cost is quite high compared to peers. Flutidec should be prescribed by a doctor, since it is contraindicated in exacerbation of gastric ulcer, chronic glomerulonephritis, banned for pregnant women and children under two years of age. In If the drug causes a side effect, then this is most often nausea, flatulence, and in rare cases – allergic reactions.

Breast collection number 4

Rating: 4.8

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This collection has a pronounced anti-inflammatory effect, but devoid of side effects of synthetic drugs. It’s called: “Breast collection number 4 anti-inflammatory.” It is produced by domestic companies “Fitofarm”, and “Krasnogorsksklezstva”. In the form of herbal tea filter bags, he produced by Pharmgroup.

It includes selected medicinal raw materials: this is chamomile, ledum, licorice, mint, violet, and marigolds. One pack of 20 filter bags cost an average of 65 rubles, which is quite inexpensive. Chamomile flowers, Ledum shoots, mint leaves and other active the ingredients collectively cause bronchodilator, anti-inflammatory, expectorant, and general tonic effect thanks to phytopolysaccharides and bioflavonoids. Essential oil Ledum contained in the herb violets quercetin and saponins strengthen immunity.

Indications for use Breast collection – acute bronchitis, chronic bronchitis, other components of chronic syndrome obstructive pulmonary diseases such as bronchial asthma, bronchiectatic disease, and other conditions accompanied by unproductive cough. For effective use of the filter bag you need to pour one cup of boiling water, insist 15 minutes, and take like regular tea, only after eating. Take one at a time a glass 3 times a day for an adult patient for two or three weeks. Thus, one package, on average, is enough for one week of admission. The price of this popular herbal tea is low, and a three-week course will cost an average of 180 rubles.

Advantages and disadvantages

Breast collection is truly folk, low-budget, soft effective and effective tool. Symptoms rarely occur. individual intolerance, or allergic reactions. Of official contraindications in the instructions only hypersensitivity. Big lovers of herbal teas the collection may seem really tasty: he has a little sweet taste due to the presence of licorice. On the other hand, patients who value their time are not always comfortable three times a day to cook boiling water, especially in conditions of a shortage of working time for production.

Lazolvan solution (Ambroxol)

Rating: 4.7

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Lazolvan, or ambroxol, is well known to pulmonologists. is he produced in tablets, in a solution for oral administration and administration inhalation, as well as in syrup. Ambroxol belongs to the group expectorant and mucolytic agents, and it acts at the stage synthesis of pulmonary surfactant. This is a special fat-like substance, which prevents the adhesion of the terminal respiratory paths ending in air bubbles, or alveoli, in which gas exchange takes place. Ambroxol improves activity ciliary epithelium, and as a result, bronchial mucus begins move faster, sputum departs better, and coughing eases. On the patients receiving Mucosolvan faster “leave” from the reception antibacterial drugs, and their number decreases exacerbations of chronic bronchitis.

In addition to these diseases, the drug is indicated in complex therapy for the treatment of pneumonia, bronchial asthma and bronchiectasis illnesses. The drug is used orally, for adults – 4 ml 3 times a day. This amount is equivalent to 100 drops. But much it is more effective to use Lazolvan inhalation, if you mean modern “cold” rather than steam, ultrasonic inhalers. The required amount of the drug is mixed with an equal volume isotonic sodium chloride solution, and carried out, 2 – 3 inhalation day. The usual volume of the mixture is 2 ml, i.e. 1 ml of Mucosolvan per 1 ml of saline. When carrying out inhalation should breathe normally without provoking a deep breath. Usually just one or two days is enough to feel significant relief, increased cough productivity and improved discharge sputum.

German company launches this wonderful drug “Beringer Ingelheim”, and the cost of one bottle of solution volume 100 ml is 365 rubles. Naturally, much more profitable use it as a means for inhalation, then the expense is doubled less, and the product is directly delivered to airways without passing through the liver.

Advantages and disadvantages

It must 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 28 weeks of pregnancy, it can not be used in the first trimester. In the early stages, it is better to abandon any medicines. Lazolvan can cause side effects such as nausea, diarrhea, a skin rash, or hives may appear. Quite often, up to 10% of all cases, patients report violation of taste. But with timely inhalation Lazolvan appoint less patients antibiotics.

Eucabal

Rating: 4.7

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Eucabal is a complex, mildly active plant expectorant. It is available in syrup form and contains liquid extract of plantain, thyme, and applied orally, after food, undiluted. From indications, except acute and chronic bronchitis, acute tracheitis should be mentioned, laryngotracheitis, parainfluenza, as well as other viral and bacterial upper respiratory tract infections. Eucabal also applies to improvement in sputum discharge in elderly patients with symptoms chronic heart failure. It is used in adults for one or two tablespoons 3 to 5 times a day. Average duration admission is 2 weeks. German company produces eucabal “Esparma”, and the average cost of one bottle of 100 ml is 250 rubles. This means that with an average dining room spoon in 15 ml, in one day you can take from 45 to 70 ml, and with the most economical use of one bottle is enough for two days. Accordingly, the cost of a course lasting 2 weeks will be equal to the price of 7 bottles, or 1750 rubles.

Advantages and disadvantages

The advantage of Eucabal can be considered optimally selected herbal ingredients that are gentle but active improve sputum discharge. However, the syrup is alcohol solution, and therefore it is undesirable to give the drug to children, and also patients with various diseases of the liver and kidneys, working with mobile and dangerous mechanisms, the driver, persons with alcohol and drug addiction. Relative minus funds is its uncomfortable form of release (within two days completely consumed bottle), as well as a fairly high price.

Prenoxidiazine (Libexin)

Rating: 4.7

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Finally, in the fight against cough, sometimes you need to not stimulate sputum discharge, and suppress a cough, which is painful, dry, irritating and debilitating to the patient. Such cough may occur in some cases of chronic bronchitis, but only a doctor should prescribe such medicines. After all if you make the wrong choice, then in the depths of the bronchi will be sputum accumulate, and if it is not removed in a timely manner, it becomes infected, which causes a quick attachment of a secondary infection, with a significant deterioration in well-being.

But in the first 2-3 days with flu, when the cough is absolutely sterile, and exhausting the patient, you can use such a drug, like libexin. The active substance is prenoxidiazine, its the task is to block the work of the receptors for stretching the walls of the bronchi. As a result, the level of the cough reflex is reduced, the drug has an effect similar to local anesthetic on the mucosa shell. Libexin is usually prescribed one tablet three times a day, it is advisable to take it in short courses, and only for doctor’s prescription.

This drug is used infrequently, its cost on average, is 450 rubles. for one pack of 20 tablets of 100 mg. It is released by the Hungarian company Hinoin.

Advantages and disadvantages

It is important that Libexin does not inhibit the respiratory center, as preparations containing codeine and it does not cause any drug addiction, not addictive. This medication is indispensable in in case you need to do some research, for example, bronchoscopy in patients with chronic bronchitis. IN as a result of suppressing the cough reflex, the doctor will be able to calmly and confidently conduct research. But this drug is categorically banned for use by pregnant and lactating women, and may cause mild sedation, skin rash, or dry mouth. It goes without saying that it is not used with expectorants drugs, as well as sputum thinners. Finally not should be confused Libexin and Libexin Muco, which is carbocysteine ​​and has the opposite effect.

If Libexin is used in a high dosage, it can cause a side effect such as slowing down the reaction rate, therefore, to use the drug and drive a car together is not recommended.

The best bronchodilators

Sometimes manifestations of acute and chronic bronchitis occur with signs of bronchial obstruction, in which case you need add to the treatment regimen bronchodilators, or bronchodilators drugs. Bronchial obstruction, or bronchospasm, is quite often occurs in acute bronchitis in children, and manifests itself coughing attacks that exhaust the patient, and at the height of the attack light and transparent, sputum mucosa is possible. Expiratory dyspnea occurs when exhalation is difficult. Such cases and the use of bronchodilators is indicated. If we are talking about high-speed tools that are used infrequently, and occasionally – most often it is salbutamol. It relates to means short action, and able to relax smoothly well the muscles of the bronchi in a short time (5 minutes).

Salbutamol (Ventolin)

Rating: 4.9

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The action of salbutamol is based on relaxing smooth muscles of the bronchi, it is used in inhalations and in tablets prolonged action. Maximum speed of action 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 indicated for the relief of bronchial obstruction in the background exacerbations of chronic bronchitis, with bronchial asthma, emphysema. The most effective way to administer salbutamol is by inhalation. You must be able to use an inhaler, and first it is desirable do under the supervision of medical personnel. Right use is shaking the can, and simultaneously pressing on the spray button and a deep, intense breath. After the penetration of salbutamol into the lungs is necessary to hold your breath for 10 Seconds. Correct spray timing and deep breath, this requires training.

Salbutamol is produced by several pharmaceutical companies, and 200-dose average aerosol can (100 mg per dose) is 125 rubles. When used correctly this drug is enough for a long time. You can take it with you as first aid for bronchospasm in people with chronic bronchitis and polyvalent allergies when bronchospasm can develop on flowering herbs, with the symptoms of hay fever.

Advantages and disadvantages

It is advisable to use the drug as rarely as possible, since with frequent use develops the so-called rebound syndrome. So, with bronchial asthma, this means that each subsequent an attack of suffocation becomes more intense. In addition, the risk of development such complications will be high with a sharp abolition of salbutamol, which has been used for a long time. You also need to know that for systematic application there are not short-range, but long-acting drugs. Therefore, salbutamol is a remedy “one-time effect”, then this will be the best choice. If a use it more than 4 times a day, then this can develop side effect like tremor, especially in elderly patients age, or tachycardia.

Ascoril

Rating: 4.8

Ascoril

In some cases, a mildly acting complex a drug that combines an expectorant and bronchodilator act. Its components, in addition to salbutamol, are guaifenesin and bromhexine. Salbutamol sulfate in each tablet Ascoril – 2 mg, and bromhexine and guaifenesin, respectively, 8 and 100 mg Bromhexine has an expectorant and mucolytic action, guaifenesin reduces the viscosity of sputum, facilitates it excretion, improves the drainage function of the bronchial tree and increases cough productivity.

Salbutamol, as a beta-2 agonist of bronchial adrenergic receptors, eliminates bronchospasm and reduces air resistance respiratory tract. Ascoril is appointed as part of a comprehensive therapy, with obstructive forms of chronic bronchitis, as well as with more serious diseases, such as emphysema, asthma, some forms of pulmonary tuberculosis, as well as whooping cough, when the main a clinical sign is a severe attack of suffocation.

Adults should use the drug one tablet three times a day, the duration of the course is set to the doctor. Let it out means the company “Glenmark” from India, and the average cost of one packs of 20 tablets for about a week application is 310 rubles.

Advantages and disadvantages

Guaifenesin and salbutamol are substances that possess 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 the duodenum in the acute stage. Facilities contraindicated in pregnant and lactating women, as well as children under 6 years old. Do not prescribe Ascoril to patients with sugar decompensation diabetes. Alkoril should not be consumed with Ascoril, which is usually recommended for sputum discharge. But in that if Ascoril is prescribed according to indications and a short course, then it can significantly improve the drainage function of the bronchi, prevent bronchospasm.

Atrovent (ipratropium bromide)

Rating: 4.7

ATROVENT

In conclusion, the rating of bronchodilators consider the popular Atrovent drug, which expands the bronchi due to anticholinergic effect. It reduces the influence of the vagus nerve, causes blockade of cholinergic receptors in the bronchi, thereby suppresses the reflex to their narrowing. The drug is administered by inhalation, and acts locally. This remedy is well suited for patients who outpatient treatment of exacerbation of chronic bronchitis, in which after being in a smoky room, in cold air, arises reflex bronchial spasm and suffocation.

Atrovent is shown in patients with a long experience of chronic bronchitis, other forms of obstructive pulmonary disease that accompanied by a regular feeling of suffocation or difficulty breathing out, excruciating coughing attacks and other manifestations of bronchial obstruction. Atrovent is used as a solution for inhalation, and in the form of an aerosol. Inhalation solution is used by adults 3 40 drops once a day through a nebulizer, first dilute it saline to a volume of 3 ml. Atrovent releases German company “Beringer Ingelheim”, and the packaging solution in 20 ml costs about 240 rubles.

Advantages and disadvantages

Atrovent is well tolerated. It is practically not absorbed in blood, and common anticholinergic effects such as frequent palpitations, dilated pupils, urinary retention – practically never meet. In rare cases, development is possible allergic reaction, but most often dry mouth and the appearance of a headache. The drug is contraindicated only in that if patients have individual hypersensitivity to atropine. Atrovent is not used in pregnant women, especially in the first trimester and in children under 6 years. In the case of 2-3 trimesters, as well as with lactation, specialist consultation is required: the effect of the application Atrovent should be higher than the possible risk to the fetus or a child. But among the bronchodilating drugs Atrovent it is widely used, the effect of its reception lasts up to 6 hours, and it causes systemic side effects.

The best remedies for fighting inflammation

One of the most important pathogenetic stages in the treatment of acute and chronic bronchitis is the elimination of inflammatory component. After all, bronchitis is, first of all, inflammatory reaction of small bronchi, as a result of which secretion is disturbed and transport of bronchial mucus. Inflammation, even though it is is a protective mechanism, in some cases contributes to the occurrence of the above syndrome of bronchial obstruction.

In this case, ongoing edema, and changes in the properties of mucus cause bronchospasm and congestion. For stopping various drugs are widely used in the inflammatory process, which belong to NSAID groups, starting with acetylsalicylic acids. The most common indications for acute and chronic bronchitis for the relief of inflammatory syndrome is occurrence of general malaise, the appearance of signs of intoxication and rise in temperature. Consider the most commonly used effective remedies for bronchitis from the group of anti-inflammatory preparations.

Erespal (fenspiride)

Rating: 4.9

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Erespal, or fenspiride, is a special anti-inflammatory an antihistamine agent. He produces anti-bronchoconstrictor effect, preventing narrowing of small bronchial elements. The product is available in the form of tablets or in syrup: it is a brownish-yellow clear liquid. A 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 in various forms acute and chronic bronchitis, but also with upper diseases respiratory tract, with tracheitis and laryngitis, with various forms bronchial asthma, with hoarseness and sore throat, and other unpleasant respiratory symptoms. Erespal is also shown in all those cases when antibiotic therapy is prescribed for treating respiratory infections. Apply it for adults you need 3 to 5 tablespoons a day before meals – significant amount. The duration of the course is determined by the attending a doctor. Erespal is released by the domestic company Pharmstandard, and the average cost of syrup in a 250 ml bottle is 450 rubles.

Advantages and disadvantages

Erespal is a drug that refers to antihistamines, therefore it is not recommended to combine it with drugs of the same class, alcohol and sedatives. It is not used in children before two years, and with increased sensitivity to fenspiride. At Erespal’s pregnant and lactating mothers are also not recommended, but only due to the lack of necessary research. Quite often, while taking Erespal, (that is, from 1% to 10% cases) can develop various gastrointestinal upsets, loose stools. But in general, this tool works effectively with various inflammatory changes in the bronchial tree, and in in case of timely appointment, Erespal sometimes disappears the need for antibiotic therapy.

Coldrex HotRem

Rating: 4.8

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This vitamin C powder dissolves in hot water and most often used for acute bronchitis, or for severe general manifestations, with fever, intoxication with exacerbation chronic bronchitis. The product contains paracetamol as the main and safe drug from the NSAID group, phenylephrine and ascorbic acid.

Coldrex with regular use produces an anesthetic, antipyretic and decongestant effect. It is shown, except for sharp and chronic bronchitis, with various forms of fever, with acute tonsillitis, with pharyngitis, with various forms of sinusitis Paracetamol has an antipyretic effect, and anesthetizes, and phenylephrine stimulates alpha receptors, which reduces how swelling mucous membrane of the nose and other parts of the upper respiratory tract. Issues Coldrex Hotrem English company “Glaxosmithkline”, and powder bags number 10 can be purchased at a price of 309 rubles.

Advantages and disadvantages

Coldrex’s plus will be its quick effect, and ability reduce fever, intoxication symptoms, normalize well-being. However, it should be remembered that he can’t cure bronchitis on his own. can, because it has neither antimicrobial, nor antiviral effect. But if you use it together with mucolytics, expectorant drugs, and combine with copious vitamin drink, then with a quick start to treatment, you can sometimes get rid without antibiotic treatment. It must be remembered that this the drug can not be used in severe disorders of the liver and kidneys, and if you exceed the dose over 4 times a day, then as a result it may increase blood pressure, nausea, diarrhea, palpitations or insomnia.

Paracetamol (Efferalgan, Effervescent Tablets)

Rating: 4.7

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Efferalgan is “pure” paracetamol, and apply it necessary for bronchitis if and only if there are severe symptoms of intoxication. This is a malaise, a fever, or fever, the appearance of unpleasant symptoms of a viral infections, such as pain while moving eyeballs, skin pain when combing hair, and other similar symptoms. He applied with chills, with aching muscles. One of the most effective The type of paracetamol is Efferalgan in effervescent tablets. They quickly absorbed. Paracetamol blocks cyclooxygenase, in As a result, it relieves fever and anesthetizes. Pronounced Paracetamol has no anti-inflammatory effect. Therefore in if with bronchitis there is no pain and no temperature, then it should not be used. Usually he is appointed one or two effervescent tablets 3 times a day, but not more than 8 tablets. Effervescent it is forbidden to swallow tablets, it is necessary to dissolve in a glass of warm water. Produced by Efferalgan by the manufacturer “Upsa”, and 16 effervescent tablets with a dosage of 500 mg are inexpensive: only only 155 rubles.

Advantages and disadvantages

It is important to remember that Efferalgan, as well as other means from groups of anti-inflammatory drugs do not treat bronchitis. They are not affect neither microbes, nor secretion of communication, nor improvement expectoration. Their task is to relieve symptoms such as a feeling of heat. and pain. Usually the product is well tolerated, and only occasionally side effects may occur, only with an overdose. More often total nausea, vomiting, abdominal pain, pallor. In avoid overdosing, it is advisable not to exceed the maximum daily dose of 8 tablets, and in no case apply Efferalgan and other varieties of paracetamol for longer than 3 days in as an antipyretic. However, paracetamol for symptoms common cold with fever, headache and muscle aches very effective, and therefore it should be in any home first-aid kit.

In conclusion, it should be said that in the treatment of acute and chronic bronchitis are also used antiviral and antimicrobial agents, depending on the duration diseases, and from indications. Since now antibiotics are sold in the Russian Federation exclusively by prescription, it makes no sense to describe them, because in they are not available for free sale.


Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.

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