The ratio of berodual and saline solution for inhalation for children. Berodual for inhalation for children: instructions, dosage, reviews

20.10.2019 -

One of the most common diseases in childhood are colds, ARVI and other lesions respiratory system. In their treatment, inhalations are often used, using for such procedures steam inhalers or different types nebulizers.

The use of a nebulizer is designed to quickly deliver medications in liquid form to the child’s lungs, resulting in faster recovery.

But, before doing inhalation to their child, every parent should find out why such a procedure is needed, in what case it can harm the baby, and also how often and for how long inhalations can be performed in childhood.

Indications for the procedure

Using inhalations, you can eliminate nasal congestion, dry or moist cough, runny nose, bronchospasm, sore throat. Such procedures eliminate inflammation, moisturize the mucous membrane and strengthen local immunity. Their appointment is justified when:

ARVI;
Acute bronchitis;
Acute laryngitis, tracheitis or sinusitis;
Burns respiratory tract;
Exacerbation of chronic tonsillitis, pharyngitis, laryngitis, bronchitis or sinusitis;
Bronchial asthma;
Pneumonia during the recovery period;
Fungal infections of the respiratory tract;
Tuberculosis;
Cystic fibrosis;
Pulmonary emphysema.

Are there any contraindications?

In early childhood (for different medicines And different types inhalations have their own age restrictions).
For bacterial sore throat or otitis media.
For pneumonia ( acute stage).
For fever (procedures are permissible only at temperatures not exceeding +37°C).
If you have a tendency to bleed from the nose or detect blood in your sputum.
In case of intolerance to the drug used for the procedure.
At in serious condition child (respiratory and heart failure).

How many times a day can you inhale?

The most common frequency of inhalations is twice a day. Many drugs are recommended to be administered by inhalation three times a day, for example, miramistin, tussamag, chlorophyllipt or berodual. If saline solution is used for the procedure, such inhalations can be done 2 to 4 times daily.

The duration of one procedure is determined taking into account the age of the child and the type of inhalation. Young children are not advised to breathe in steam or through a nebulizer for more than five minutes. For older children, inhalation is carried out for 7-10 minutes. Long procedures may make the child reluctant to continue such treatment.

For information about what is best for inhalation for a baby and whether it is worth doing inhalation over a basin, see Dr. Komarovsky’s program.

How many days to do inhalations: course duration

Depending on the drug used for inhalation, procedures are prescribed for a period of five to eleven days. For example, inhalations with Lazolvan or Berodual are recommended to be done for no longer than 5 days, and procedures with mineral water can be carried out long time until the symptoms of the disease disappear. Inhalations with ACC injection are prescribed for no longer than 10 days.

When using any type of nebulizer for inhalation, you should remember that you cannot pour an oil solution into such a device (this can lead to complications such as pneumonia) or herbal infusions(this increases the risk of clogging and damage to the device).
The procedure is carried out mainly in a standing or sitting position, although there are nebulizer models that allow inhalation while lying down.
Depending on the disease, the child must breathe through a mask or a tube. For diseases of the nasopharynx and throat, you need to inhale the medicine in the form of an aerosol through your nose, and to eliminate a cough, inhale through your mouth.
If the child is prescribed steam inhalations, you should protect your baby from the risk of burns from hot steam. For this purpose, you need to ensure that the water temperature is not higher than +60°C.
Medicines should be diluted with sterile saline immediately before the procedure. The remains of the diluted drug should not be stored.
After the procedure, it is important to wash the child’s face and also make sure that the baby rinses his mouth. If the child is still too small for rinsing, he is given clean water to drink.
Drinking and eating are allowed only 30-60 minutes after the procedure. Before inhalation, you should not eat for 1.5-2 hours.

Berodual for inhalation is effective for bronchial asthma and other pathologies of the respiratory tract; the drug contains clear instructions for use. The child will be able to use it independently, since the medicine is contained in an inhaler with a nebulizer. It is inserted with the outlet into the open mouth and pressed top part nebulizer. After a quarter of an hour, the patient will feel relief.

Properties, composition and release forms of the drug for children

Berodual is available in 2 forms - as a ready-made aerosol in a small spray device and as a solution for inhalation. Both forms of the medicine are equally effective in helping with asthma. It is more convenient for children to use the drug in a device with a nebulizer. The product has the following useful properties:

Quick effect. No later than 15 minutes after inhalation, the baby feels much better. Berodual helps with asthma and persistent cough caused by respiratory diseases. It is prescribed for obstructive bronchitis.
The medicine relieves bronchospasm and relaxes muscles. However, it does not negatively affect gas exchange in the respiratory tract. The secretion of the glands decreases, but the protective function of the mucous membrane is not impaired.
The product prevents pathogenic microorganisms from multiplying.
The medicine can be used in complex therapy simultaneously with other means.
The drug is approved for use by patients with vascular and heart diseases, but under the supervision of a physician.

Berodual contains fenoterol hydrobromite in an amount of 500 mcg per 1 ml and ipratropium bromide (260 mcg per 1 ml of the composition). The solution contains water, citric acid, ethanol and Excipients. The aerosol contains about 200 inhalation doses.

Indications for use

The medicine is prescribed in the following cases:

inflammation of the mucous membranes of the larynx (laryngitis), acute and chronic;
inflammation of the tonsils (tonsillitis);
acute and chronic bronchitis;
some types of pneumonia;
occupational acquired pathologies of the larynx (singers, teachers) and lungs (workers of contaminated chemical industries);
different types of otitis;
ARVI;
bronchial asthma (we recommend reading:);
obstructive bronchitis;
pulmonary emphysema;
preventive measures in case of risk of respiratory tract diseases;
protecting the patient from complications;
after past pneumonia and other serious diseases.

Berodual is used for bronchial asthma and obstructive airway diseases

The drug is used for inhalation into the bronchi and lungs. Another way to deliver medicine these organs are not allowed. Berodual quickly brings relief. Its effectiveness against continuous severe cough has been proven by pharmacists.

Instructions for use of Berodual for children with dosages by age

The drug is especially effective for dry cough. By inhaling the substance through a nebulizer, the mucous membrane is moistened, sputum discharge is improved, and it is blocked. inflammatory process. How long to spray the finished aerosol is written in detail in the instructions for use. The solution for inhalation must be diluted in a certain proportion.

In what proportions should it be diluted with saline?

For indomitable cough in children with inflammation and emphysema, obstructive bronchitis, inhalations with Berodual are very effective. Berodual is prescribed to children from birth. The drug purchased at the pharmacy - a mixture for inhalation - must be diluted in saline solution.

How many drops of medicine should be used for a child? The proportions depend on the weight and age of the baby.

The instructions suggest the following dosages:

For children 6 years of age and older early age if you weigh less than 22 kg, you should take 2 ml of saline solution and 1 drop of the drug per 2 kg of baby’s body weight. The minimum dose is 10 drops (0.5 ml). Treatment begins with 10 drops in order to find out how the body reacts to the drug. Inhalations should be done twice a day. If the cough, which turns into an attack of suffocation, does not stop, you can increase the number of procedures up to 4 times a day.
For children 12 years of age and over 6 years of age, the dosage is calculated based on the diagnostic results and the patient’s health condition. If moderate bronchospasm is observed, take 10 drops of the product and dissolve it in 3 or 4 ml of saline. For asthma attacks associated with bronchial asthma, you can use up to 20 drops of the drug. The volume of saline solution does not change.
For adolescents over 12 years of age, the dosage is the same as in paragraph 2. If the patient suffers from attacks of difficulty breathing, the volume of the drug is increased by 30 or even 60 drops, using the same amount of saline solution (3-4 ml).

Sometimes pediatricians advise adding Lazolvan to the diluted drug, then for 10 drops of Berodual there should be 2 ml of Lazolvan.

The doctor gives specific dosage recommendations. It must be remembered that they depend on the age and weight of the patient. The specialist will also take into account the patient’s health condition. Before starting treatment, you need to check for the presence of allergic reactions, since modern world This common occurrence. Children are especially sensitive to flowering plants. In this case, the doctor will recommend another drug for treatment.

How to do inhalations correctly?

The inhalation technique is not complicated. A diluted solution is poured into an inhaler with a nebulizer. The procedure is carried out until all the liquid is used up. Each time, a fresh drug is prepared for the inhaler. The doctor will advise how many times to perform the procedure. Usually their number is 1-2 per day.

Inhalation is done an hour to half an hour before meals. After inhalation, the child is prohibited from drinking or eating for an hour. A sick baby should not have high temperature. If, while inhaling the medicine, the child develops coughing, then treatment must be interrupted. After inhalation, it is better to hold the baby in your arms or sit him on high pillows. After the procedure, the little patient will feel noticeable relief.

After inhalation with Berodual, it immediately becomes easier for the child to breathe

Contraindications and possible adverse reactions in children

the patient has a high temperature;
nosebleeds;
disruption of blood flow to and outflow from the brain;
allergic reaction to the components of the solution;
hypertonic disease;
diseases associated with heart or lung failure;
sore throat with purulent inflammation;
accumulation of gases in the pleural area (pneumothorax);
cardiac arrhythmia.

When prescribing treatment, the doctor takes into account the patient's medical history. If one of the listed diseases is present, another therapy is selected.

In addition to contraindications, Berodual has side effects: dry mouth, muscle tremors, increased nervousness. Rare manifestations when using Berodual are headaches, increased heart rate, and dizziness. The following body reactions are also observed:

the respiratory organs react with irritation and increased coughing;
The gastrointestinal tract responds with nausea and vomiting, diarrhea;
the heart and blood vessels give arrhythmia, a decrease in lower diastolic pressure and an increase in upper systolic pressure;
vision deteriorates, pain and sensation of flickering spots and a halo in the eyes occur, the conjunctiva enlarges, intraocular pressure increases;
Allergy in all its manifestations is possible - rash, redness, itching, swelling;
weakness, difficulty urinating, sweating, convulsions, and mental abnormalities are noted.

If any of the above reactions occur, consult a specialist. The doctor will choose another medicine. Exist similar drugs, having a different composition.

Cost and analogues of the drug

The cost of the solution is no more than 300 rubles. Berodual in a device with a nebulizer costs about 500 rubles. This is a more convenient form because it does not require dilution and can be used at any time during a coughing attack.

If necessary, the drug can be replaced with a drug similar in active substance and/or properties:

Analogues of Berodual include Ipraterol Nativ. The drug contains the same active ingredient. The medicine is diluted in 0.9% sodium chloride solution. Prescribed for children over 2 years of age. Up to 6 years of age, 2 drops per 1 kg of body weight are prescribed. Total for single use should not exceed 10 drops.
Atrovent contains only ipratropium bromide and is used to block spasms of the smooth muscles of the respiratory tract. It is convenient because it comes in aerosol cans. One canister contains 200 or 300 doses. There is a release form in the form of a liquid for preparing a solution and inhalation. Children under 12 years of age should receive 1 to 2 inhalations per day (see also:). The drug is prescribed from birth.
Berotec contains only fenoterol. Inhalations stop asthma attacks if it is difficult to breathe. The medicine is used during coughing attacks; it is not prescribed for permanent treatment. Used for children from the 5th year of life under medical supervision.
Ventolin Nebula is a medicine for inhalation with the active ingredient salbutamol. It is a beta-agonist. One bottle contains 2.5 ml of the product, which is a single dose for inhalation. Designed to both block asthmatic attacks and treat obstructive airway diseases. Prescribed for children over one and a half years old and adults. The latter dose can be doubled.

When faced with any illness, it is important to learn as much as possible about it. Forewarned is forearmed. Having a full range of information about pathology, a person knows when to see a doctor, what symptoms to focus on, and whether it is possible to get rid of health problems on our own and what complications should be prepared for.

The website provides information about various diseases, their symptoms and diagnostic methods, directions of therapy and specific list medications. Publications are created by us using reliable scientific sources and presented in an easy-to-understand manner.

In the first section " Traditional medicine» information materials on various medical areas. Second section " Health from colds» is dedicated to ENT topics and colds, as the most common diseases in the world. The third section “” (abbreviated N.I.P.) - the name speaks for itself.

We wish you pleasant reading and be healthy!

Sincerely, Site Administration.

The drug is available in two forms: a pocket aerosol, convenient for asthmatics, and a solution for inhalation using nebulizers. In terms of popularity and effectiveness today, Berodual is the leader among bronchodilator drugs.

Pharmacological properties

This bronchodilator contains 2 active components that have multidirectional effects:

Ipratropium bromide, which blocks cholinergic receptors. It is able to quickly stop reflex reactions that occur during irritation vagus nerve, which contributes to the rapid elimination of bronchospasm. This component reduces phlegm production. Inhalation promotes rapid relaxation of the bronchial muscles due to the fact that ipratropium bromide has a local anticholinergic effect and does not act systemically on the entire body. It does not have a negative effect on the natural secretion of mucous membranes, on gas exchange processes and on mucolitic clearance.
The main effect of a therapeutic dose of fenoterol is to selectively stimulate b2-adrenergic receptors. If the dose of the substance is exceeded, the effect on b1-adrenergic receptors begins. As a result, the smooth muscles of the bronchi relax, and the effect on the blood vessels is reduced, which helps eliminate the development of reflex bronchospasms that occur when allergens, histamines, methacholine or ordinary cold air penetrate. The effect of the substance begins almost immediately after its administration, which allows you to quickly eliminate the onset of an asthma attack or severe cough. At a component dose of 600 mcg, patients experience an increase in the process of mucociliary clearance.

When a high concentration of fenoterol in the blood plasma is reached, metabolic effects may begin, for example, lipolysis, hyperglycemia, hypokalemia, as well as inhibition of uterine contractility processes. The cause of hypokalemia is usually the increased incorporation of potassium ions into the muscles.

The use of Berodual often has a beta-adrenergic effect on the functioning of the cardiovascular system, causing an increase in the frequency of contractions of the heart muscle and their strength, which is explained by the effect of fenoterol on the blood vessels.

When carrying out inhalation procedures with a nebulizer using Berodual, a fairly high systemic effect on the body can be observed, which practically does not happen when the drug is administered using pocket inhaler, having a dosed release in the recommended amount.

In general, the drug perfectly blocks attacks of asthmatic cough and breathing problems caused by the penetration of allergens, cold air or physical activity into the human body.

Composition of the drug

Aerosol cans (pocket inhalers), equipped with a metering valve, with a volume of 15 ml, designed for 300 doses of Berodual.

Each dose of the drug contains:

Ipratropium bromide - 0.02 mg.
Feloterol hydrobromide - 0.05 mg.
Auxiliary components: distilled water, lemon acid and ethanol.

Berodual solution for inhalation using a nebulizer or other inhaler devices is available in 20 ml dropper bottles. 1 ml of the drug contains 0.5 mg of fenoterol hydrobromide and 0.621 mg of ipratropium bromide.

Dosage of the drug

Aerosol cans are used equally in both children and adults - 1-2 injections 3 times a day. If the patient has high risk occurrence of an attack respiratory failure, you will need to administer two doses of the drug at once, repeating after 5 minutes. Next appointment funds cannot be made earlier than 2 hours later.

How to properly dilute Berodual for inhalation

Inhalation with Berodual is not recommended for children under 6 years of age weighing less than 22 kg, since there are no studies on the safety of using the drug at such an early age. Berodual for children can only be used with a doctor's prescription. In this case, the dosage will be no more than 1 drop per 2 kg of the child’s weight. The maximum dose per day should not exceed 1.5 ml. The required number of drops of the drug is diluted in 2 ml of saline solution. You should always start procedures with the very minimum dose, while observing the baby’s reaction, which is always individual.

For children from 6 to 12 years old, according to the instructions, for acute asthmatic attacks, the dosage ranges from 10 (0.5 ml) to 40 drops (2 ml) based on the severity of the attack.

For adults, including older people, as well as adolescents over 12 years of age during acute asthmatic attacks, the drug is prescribed in a dosage of 20 (1 ml) to 50 drops (2.5 ml), depending on the severity of the condition. In especially severe cases, you can increase the dose to 80 drops (4 ml).

The cost of the solution for inhalation is about 300 rubles. The price of a pocket inhaler with a solution is about 600 rubles.

When are inhalations indicated?

The main effect of Berodual is to relax the smooth muscles of the bronchi and normalize the natural production of mucus in the lower respiratory tract. This allows you to quickly stop reflex spasms of the bronchi when they enter the body. irritants. The use of Berodual is indicated for adults and children as a means for symptomatic treatment emphysema, bronchial asthma, COPD, and also as a prophylaxis for various obstructive diseases accompanied by reversible bronchospasm.

How to carry out the procedure correctly

When carrying out inhalation using stationary inhalers or nebulizers, you must follow a number of rules:

The required dose of the drug, calculated for one procedure, must be diluted only with saline solution (3-4 ml).
Berodual should not be diluted in distilled water.
The prepared dose of the substance must be used completely in one inhalation.
For each procedure, a fresh solution should be prepared. It is unacceptable to prepare the composition for several sessions at once. The diluted drug cannot be stored.
The duration of the procedure is always different and largely depends on the amount of solution and the operating characteristics of the device, but inhalation can be completed only when the prepared dose of the substance is completely consumed.

When using an aerosol can, it must be remembered that the injection of the medicine must be carried out simultaneously with a deep breath so that the substance enters the respiratory tract. In adults, in most cases the procedure is not particularly difficult, but in children it may require some training.

The tip of the plastic adapter must always be kept clean. It is important to remember that the inhaler supplied with the medicine bottle must be used exclusively with this medicine. Do not use the drug with another inhaler, or place other medications in the device.

Features of the drug in children

Despite the contraindications to the use of Berodual for the treatment of young children, the drug is quite widely used in modern pediatrics, which is explained high efficiency the drug and the speed of its action. But under no circumstances should you prescribe this drug to a child yourself.

Inhalations with Berodual for children can only be done in the most extreme cases, when it is necessary to stop an attack that has begun or eliminate an existing one. acute condition respiratory failure. Thanks to fast action improvement is observed within 15 minutes. The effect of the administered drug lasts for 6 hours.

Pediatricians advise children to give inhalations using a nebulizer, without using aerosol cans, since using them can cause laryngeal stenosis in children.

Contraindications to the drug

The drug is contraindicated if the patient has hypersensitivity to its components, tachyarrhythmia, hypertrophic obstructive cardiomyopathy, as well as during pregnancy (especially in the 1st trimester) and breastfeeding baby.

Berodual can have many side effects, for example:

From the central nervous system, headaches, nervousness, dizziness, and mental state disorders may be observed.
When increasing the dose prescribed according to the instructions, the pressure may increase or decrease, and an attack of tachycardia may occur.
On the part of the respiratory system, the appearance of a reflex cough and local irritation of the mucous membranes may be observed. In some cases, paradoxical bronchospasm may occur.
From the gastrointestinal tract, taking the drug may lead to attacks of nausea or vomiting.
Some people may experience a variety of allergic reactions, expressed in the appearance of a rash, swelling of tissues (mainly lips and tongue, but sometimes the entire face).

If during inhalation a person begins to lose clarity visual perception, sees multi-colored spots, or pain appears in the eyes, this may indicate the presence of closed-angle glaucoma. In this case, the procedure should be stopped immediately and immediately consult a doctor. As emergency care You should put drops into your eyes that have a constricting effect on the pupils.

It should be taken into account that when Berodual is used simultaneously with anticholinergic and beta-adrenergic drugs, the bronchodilator effect can be significantly enhanced or lead to side effects.

If the patient has severe obstructive respiratory disease, he may be prescribed steroid drugs, diuretics, and xanthine derivatives. In this case, it is necessary to prescribe Berodual inhalations with great caution, since this can cause hypokalemia, which significantly increases the risk of arrhythmia, so before prescribing, you should definitely take a blood test for potassium levels.

At diabetes mellitus the drug is prescribed with caution, as in the presence of various cardiovascular diseases, especially in severe or chronic form. It is also necessary to closely monitor the body’s reaction during hypertrophy. prostate gland, with existing obstruction urinary tract. Those who have previously suffered a myocardial infarction also need extreme caution when inhaling Berodual.
In some cases, if long-term treatment with Berodual is necessary, some precautions should be taken, for example:

For bronchial asthma and chronic obstructive pulmonary conditions, it is better not to use the drug for a long time, but to prefer symptomatic treatment.
In the steroid-dependent form of some chronic respiratory lesions, one should not forget about anti-inflammatory therapy.

A few important points

It must be remembered that the drug should never be taken orally, as this can cause many serious complications. The substance is designed exclusively for inhalation.

If during the procedure the patient begins to experience shortness of breath or attacks of difficulty breathing, it is necessary to immediately stop inhalation and seek help from a doctor.

Patients with any form of bronchial asthma, including allergic, can use the drug only to eliminate attacks with additional anti-inflammatory therapy.

With uncontrolled use of the drug or a constant unreasonable increase in dosage, a sharp exacerbation of the underlying disease may occur. Increasing the dosage of the drug on your own can lead to very dangerous consequences.

When prescribing Berodual, each patient must be instructed on the correct conduct of inhalations. It is unacceptable for vapors of the substance to get into the eyes, so they should be inhaled through a special mouthpiece of the device, and if it is not available, a tight-fitting mask should be used. When using an aerosol pocket inhaler, it is important to ensure that at the time of injection the patient tightly wraps his lips around the tube of the device.

Useful video about inhalations using a nebulizer

Therapeutic inhalations are one of the effective ways combat respiratory tract diseases, since they deliver medications directly to the child’s respiratory tract. One of the groups of drugs often used for inhalation are bronchodilators. These include Berodual, prescribed for cough and other symptoms of bronchial obstruction.

This medicine is most often administered to children via nebulizer inhalation. If it is prescribed to a child, parents should know how to breathe correctly through a Berodual nebulizer and other nuances of such treatment.

Composition and form for nebulizer therapy

The drug is sold in dark-colored bottles, the volume of the medicine in which is 20 ml. The bottle is equipped with a polyethylene dropper. The liquid has virtually no odor or color. In addition, normally there should be no suspensions in such a solution.

In this medicine you will see two active ingredients– fenoterol hydrobromide(1 ml of the drug contains 500 mcg) and ipratropium bromide(in each milliliter of solution it is presented at a dose of 250 mcg). Such active ingredients supplemented with purified water, sodium chloride, hydrochloric acid, disodium edetate and benzalkonium chloride.

How does it work?

Main influence medicinal components, which are part of Berodual, is to expand the lumen of the bronchi by relaxing the smooth muscles of the bronchial tree.

At the same time, the main advantage of this medication is its speed of action.(after 15 minutes the child’s breathing becomes easier). The effect of the drug lasts up to six hours.

In addition to eliminating bronchospasm and relaxing smooth muscles in the bronchi, inhalation with Berodual:

Reduces mucus secretion in the bronchi.
Stimulates breathing.
Relaxes smooth muscles in blood vessels.
Does not impair the breathing process.

At what age can it be done?

Parents should know that Berodual for inhalation at 1 year old, for a child 2 years old or at the age of 4 years is prescribed only by a doctor, taking into account the weight of the baby. The use of this drug under the age of six is permissible only after examining the small patient and assessing his condition.

For a video demonstrating how to prepare Berodual for inhalation for children, see below:

Indications

Inhalation administration of Berodual is prescribed for:

Bronchial asthma.
Obstructive chronic diseases respiratory system.
Pulmonary emphysema.
Obstructions in tuberculosis.

Contraindications

It is not recommended to breathe Berodual if:

Individual drug intolerance.
Diabetes mellitus.

The medicine should be used with caution in case of heart disease and increased blood pressure, as well as pheochromocytoma and hyperthyroidism. Besides, procedures are not performed with elevated body temperature, bacterial infections ENT organs, acute stage of pneumonia, detection of blood in sputum or a tendency to nosebleeds.

Side effects

Berodual, like any other drug, has its own negative effects and risks of use. This medicine may cause tremors skeletal muscles, dry mouth and increased nervousness. Also, inhalation may cause dizziness, tachycardia, headaches and other negative effects. Therefore, the use of Berodual using an inhaler should be only as indicated and prescribed by a doctor. It is unacceptable to let small children breathe berodual without supervision from a pediatrician.

Instructions for use

Inhalations are done only in a nebulizer, and exact dosage Berodual should be selected by a doctor. Usually it is 1 drop per 2 kg of child’s weight. Increasing the dose beyond that recommended by your doctor is very dangerous. In addition, a constant increase in dose can worsen the course of the disease.

If bronchospasm is moderate, then Berodual is prescribed in a dosage of 10 drops (0.5 ml) per procedure.
For severe bronchospasm and severe course asthma, a single dose for a child under 12 years old can be 40 drops (2 ml), and for a child over 12 years old - 50 drops (2.5 ml).
In case of a particularly severe condition, inhalation is carried out with 60 drops (3 ml) for children under 12 years of age and 80 drops (4 ml) for children over 12 years of age.
Maximum dose per day is 4 ml for children under 12 years of age and 8 ml for children over 12 years of age.

The number of drops prescribed by the doctor is diluted only with saline solution. Distilled water is not used for diluting Berodual. The drug diluted with saline solution should be used fresh (it cannot be stored).

To dilute Berodual, saline solution is added to a volume of 3-4 ml. For example, at the age of 7 or 9 years, the doctor prescribed 1 ml of Berodual for inhalation, then 2 or 3 ml are added to it saline solution. If the child is over 12 years old or the course of the disease is severe, the proportions will be different, so the ratio of Berodual and saline solution must be clarified individually for each child.

Most often the procedure is performed twice a day, but depending on the pathology, the pediatrician may prescribe inhalation either once a day or three times during the day. In severe cases, it can be done up to 4 times a day, but with a break of at least 4 hours.

The average duration of treatment with Berodual is 5 days. The duration of one procedure is 6-7 minutes until the solution is completely used up. The drug should not come into contact with the eyes during inhalation.

Quite often, inhalations with Berodual are simultaneously prescribed with inhalation administration Lazolvana. In this case, the child breathes Berodual first so that the bronchi expand and sputum production becomes more active. This procedure should not be carried out at night, since after inhalation the child will cough and the mucus from the bronchi will drain more actively.

Drug interactions

The effect of bronchodilation with simultaneous use of Berodual and other drugs, including anticholinergic compounds or beta-agonists, will be enhanced. However, this combination of drugs will also increase the risk of side effects.
If you prescribe beta blockers to your child, the effect of Berodual will decrease.
When treated with diuretics, corticosteroids or xanthine derivatives, the use of Berodual will provoke hypokalemia.
Glucocorticoids and cromoglycic acid increase therapeutic effect Beroduala.

Terms of purchase and storage

You can buy the drug at a pharmacy only after presenting a prescription from a doctor. The cost of one package (20 ml) varies from 250 to 290 rubles. At home, it is important to store bottles of Berodual out of the reach of children. The temperature in it should not be below 0°C or above +30°C. The shelf life of the medicine is 5 years.