Upper and lower respiratory tract problems can happen to anyone. Moreover, with incorrect or untimely treatment, they can lead to serious consequences. Therefore, at the first symptoms of the disease, you should immediately contact an otolaryngologist. The latter is obliged to conduct an examination and prescribe medications.
The most popular remedy used to treat the respiratory tract is Erespal. Instructions for use (for children this medicine is prescribed very often) of the drug, its forms and analogues will be presented in this article.
Composition, description, packaging, release form
Why is Erespal prescribed to patients? We will talk about this below.
Currently, the mentioned drug is available in two different forms. This is:
- Erespal tablets. Instructions for use (this form is not suitable for children) states that this product contains fenspiride hydrochloride, as well as auxiliary components such as calcium hydrogen phosphate, hypromellose, macrogol 6000, povidone, dioxidesilicon, titanium dioxide, glycerol and magnesium stearate. Cough tablets are coated in white and are sold in cartons of 30 pieces.
- Suspension "Erespal" (syrup for children). Instructions, analogues of this medicine are presented below. It is marketed as an orange clear liquid which may precipitate. The active substance of the syrup is fenspiride hydrochloride, and additional flavors, licorice extract, glycerol, propyl parahydroxybenzoate, Sunset Yellow S, methyl parahydroxybenzoate, potassium sorbate, sucrose, saccharin and water. The drug is sold in plastic bottles of 150 ml each.
Pharmacological action
From what "Erespal" can be appointed by a doctor? According to experts, this remedy is able to provide anti-inflammatory, antihistamine and antispasmodic effects.
The drug in question prevents bronchoconstriction and also slows down exudation. Its anti-inflammatory effect is attributed to its ability to inhibit the metabolism of arachidonic acid.
The anti-bronchoconstrictor effect of this drug is due to the process of releasing such biologically active substances as serotonin, histamine and bradykinin. Also, the drug blocks alpha-adrenergic receptors, which, when stimulated, increase the production of bronchial secretions.
The drug "Erespal" in syrup and tablets prevents bronchospasm. In the event that the drug was prescribed in largedosages, it helps to reduce the production of various inflammatory factors.
Kinetics
Is Erespal absorbed (in syrup)? Reviews of experts indicate that this remedy is well absorbed from the gastrointestinal tract. The highest concentration of the active ingredient in the blood is observed 2.5 hours after ingestion. The half-life of the drug is 12 hours.
The drug is excreted through the kidneys in an amount of 90%, and through the intestines - 10%.
Indications
Why is Erespal prescribed to children and adults? Indications for taking this medicine are diseases of the upper and lower respiratory tract, and more specifically:
- bronchitis;
- nasopharyngitis;
- diseases of the respiratory tract, which are infectious in nature (including cough);
- laryngitis;
- hoarseness, itching and coughing, disturbing patients with whooping cough, measles and flu;
- tracheobronchitis;
- sinusitis;
- bronchial asthma (in complex treatment);
- otitis media
Contraindications
From what "Erespal" can be prescribed to the patient, we told a little higher. However, it should be noted that this drug also has contraindications for use:
- hypersensitivity to the active substance or other components;
- under two years of age.
When should not appoint "Erespal" in syrup to children? Reviews of doctors say that this form of the drug withcaution is recommended for people who have fructose intolerance, diabetes mellitus, glucose-galactose malabsorption, isom altase or sucrase deficiency. This is due to the fact that the drug contains sucrose.
How to take Erespal tablets?
Analogues for children will be presented a little lower.
Medicine in the form of tablets is used only for the treatment of adults. When taking them, you must strictly follow all the requirements of the instructions.
Cough medicine is taken only before meals. In chronic inflammatory diseases, it is recommended to take one tablet twice a day.
In the acute course of the disease, the doctor may prescribe a course of three tablets per day.
Suspension "Erespal" (syrup): application
For children from two years old, this medicine is prescribed very often. Also, syrup can be prescribed to adults. It is taken in the amount of 3-6 spoons per day (that is, 45-90 ml).
For children from two years old, the drug is prescribed depending on the age and weight of the child (4 mg per 1 kg of body weight). The daily dosage of the drug is divided into 2 or 3 doses. It is consumed immediately before meals.
Children under two years of age are not prescribed the drug.
The duration of therapy is determined by the doctor. As a rule, the duration of the course depends on the severity of the diseases.
Consumer feedback indicates that the child's condition is improving markedlyalready three days after the start of treatment.
Side effects
What negative reactions does Erespal (syrup for children) cause? Instructions for use, reviews of experts claim that during treatment with this remedy, the patient may develop:
- tachycardia that improves with lower dose of medication;
- intestinal and stomach disorders, nausea, epigastric pain, diarrhea and vomiting;
- drowsiness and dizziness;
- asthenia and severe fatigue;
- urticaria, rash, erythema, skin itching;
- hypersensitivity reactions to dyes.
If any of these adverse reactions occur, you should definitely consult a doctor.
Overdose cases
In case of an overdose of the drug, you should immediately seek medical help. In this case, the patient has a state of agitation or drowsiness, nausea, sinus tachycardia or vomiting.
To restore the patient's condition, gastric lavage and an ECG are performed.
Drug Interactions
How does the drug we are considering interact with other drugs? The instruction indicates that a special study of the interaction of fenspiride with other medicines has not been conducted.
Due to the possible increase in the sedative effect when taking H1-histamine receptor blockers, Erespal syrup and tablets are not recommended to be taken simultaneously with sedatives.
Special Recommendations
Quite often, patients are interested in the question of whether Erespal is an antibiotic. Doctors say that this remedy is not. Moreover, it cannot replace antibiotic therapy.
Patients suffering from diabetes, the drug in question is prescribed only in tablets. This is because the syrup contains sucrose.
It should also be noted that due to the presence of yellow in the Sunset suspension, patients with intolerance to acetylsalicylic acid and NSAIDs may experience bronchospasm.
Studies to draw conclusions about the effect of this drug on a person's ability to drive vehicles and work with complex mechanisms have not been conducted. However, it should be said that when using it, the patient may experience drowsiness, especially if the drug was combined with alcohol or sedatives.
Cost and analogues
The price of the drug in the form of a syrup is 220-250 rubles, and in the form of tablets - 290-330 rubles.
What can replace the medication "Erespal"? Analogues for children should be recommended only by an experienced pediatrician. As a rule, these include the following drugs: Inspiron, Sinekod, Lazolvan, Ambrobene, Prospan, Ascoril and others.
All of the listed funds are designed to fight coughs and respiratory diseases in general.
Reviews
Patients leave both positive and negative reviews about Erespal. The first one says that thisThe product works quickly and effectively. It reduces symptoms of illness such as coughing and shortness of breath, and improves overall well-being.
As for negative feedback, most often patients report the manifestation of such side effects as weakness, insomnia, tachycardia, nausea and others. As a rule, negative messages about Erespal are left by those who took it on their own, without consulting a doctor.
When taking this remedy, be sure to consider what kind of cough it is used for. It is also necessary to remember that the drug "Erespal" is a rather potent medicine. In this regard, it should not be used, guided only by the opinion of members of the forum. The drug should be prescribed only by specialists, according to strict indications.
