Drug treatment of bronchitis in adults: groups and forms of drugs


Bronchitis is an inflammatory disease of the bronchi, characterized by damage to the mucous membranes and bronchial tree. Often the disease is accompanied by a malfunction of the upper respiratory tract - larynx, nasal mucosa, trachea, nasopharynx. Bronchitis can be acute or chronic. The active phase of acute bronchitis lasts from several days to several weeks. The symptoms of the acute form of the disease are similar to acute respiratory infections. The main problem of the chronic form of bronchitis is a constant, persistent cough. The cause of the development of this type of disease is damage to the respiratory tract and smoking for a long time.

Many people have heard that all diseases are associated with disruption of the digestive system and contamination of the gastrointestinal tract. However, not many people know that chronic bronchitis is also partly related to this.

According to statistics, bronchitis most often affects people in adulthood, after about 50 years of age. Men suffer from bronchitis 2-3 times more often than women. You need to know that chronic bronchitis can be fatal. This is due to the fact that there is a strong expansion of air spaces and pulmonary heart failure quickly develops.

Chronic obstructive bronchitis also causes inflammation and affects the bronchi. In this case, the processes of ventilation of the lungs are disrupted. The main symptom of chronic bronchitis is a persistent cough with sputum and shortness of breath.

Features of bronchitis

This pathology often affects people who have had colds, including the flu. Also, inflammation in the bronchi can be caused by hypothermia, smoking, weakened immunity and other factors.

Acute bronchitis can be of bacterial or viral origin, sometimes it is caused by fungi or exposure to chemicals - fumes from paints, aerosols, varnishes.

Usually only the bronchial mucosa is affected. These factors are taken into account by the doctor when deciding what to take for a patient with bronchitis.

At the initial stage of the disease, the symptoms are very similar to those of ARVI. The patient feels weak, tired, and begins to cough.

At the next stage of the disease, a feeling of discomfort in the throat, hoarseness, chest pain is added, sometimes the temperature rises, a dry cough turns into a wet one, and sputum appears.

With reduced immunity or without proper therapy, there is a risk of the disease becoming chronic or developing various complications.

SINECODE

Best result Country:

Switzerland

Average price:

360 rub.

Rating (2019):

4.9

Cough drops for children from a Swiss manufacturer are an effective drug used from 2 months of age. The main action is to eliminate dry cough. The medicine, unlike its analogues, does not contain sugar, so it is suitable for children with diabetes, obesity, etc. It works by cleansing the bronchi and improving sputum discharge.

Advantages:

  • components of plant origin;
  • does not contain sucrose;
  • good quality;
  • quickly improves the condition;
  • Suitable for children from two months.
  • convenient way to use.

Flaws:

  • side effects;
  • high price.

Basic principles of disease treatment

Therapeutic measures begin after a comprehensive examination and diagnosis by a general practitioner or pulmonologist.

The treatment is designed to destroy the infection, reduce inflammation of the bronchi, clear their lumens of sputum, and relieve symptoms of intoxication of the body.

The doctor selects medications and treatment regimen depending on the severity of the disease, symptoms and test results:

  • expectorants - to stimulate the discharge of sputum;
  • bronchodilators - for difficulty breathing, wheezing in the bronchi;
  • antiviral drugs - these are usually the starting point for treating bronchitis. As a rule, it makes sense to take them for the first three days from the moment the symptoms of bronchitis appear;
  • immunomodulators - to maintain immunity;
  • antibiotics - for bacterial infections;
  • hormonal anti-inflammatory drugs - quickly relieve swelling of the respiratory tract, make breathing easier, used for severe forms of bronchitis and asthma.

Invaluable assistance in therapy is provided not only by medications for bronchitis, but also by such simple techniques as maintaining bed rest, getting a full eight hours of sleep, drinking plenty of warm liquids, and avoiding heavy foods.

When prescribed by a doctor, be sure to undergo a course of massage, physiotherapy, and inhalations.

Among the huge variety of drugs, it is difficult to choose the best medicine for bronchitis. All medications have their own specific effects and complement each other in the treatment process.

Various combination drugs do the job well. They have antitussive and anti-inflammatory effects.

Such medications are good because they significantly reduce the burden on the body and prevent the risk of “conflict” between different drugs taken by the patient separately.

Typically, the name of a complex product contains abbreviated names of the main ingredients of the drug.

Inexpensive bronchitis medications can also be very effective. The main thing is to choose a reliable manufacturer. There are cheap but well-proven drugs.

EUCALYPTUS BALM DOCTOR THEISS

Natural composition Country:

India

Average price:

190 rub.

Rating (2019):

4.7

Doctor MOM is one of the most famous cough syrups. It is indicated for tracheitis, bronchitis, laryngitis and other chronic diseases. Suitable for children from 3 years old, available without a prescription. The composition of the drug includes only useful plant extracts: licorice root, elecampane, Barbados aloe, etc.

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It has a pleasant sweetish taste and an unusual green color. Because of this, Doctor MOM is easy to give to children of different ages. The medicine has an expectorant and anti-inflammatory effect. A special measuring cup is included in the kit. Effectively eliminates pulmonary diseases, quickly improves breathing.

Advantages:

  • excellent quality;
  • natural composition;
  • quick results;
  • pleasant taste and aroma;
  • convenient dosage;
  • optimal cost.

Forms of drugs for bronchitis

Modern pharmacology produces various forms of medicines. Pharmacy chains offer medications for bronchitis in the form of:

  • tablets and capsules;
  • sprays;
  • drops - characterized by a high concentration of the active substance, taken in diluted form;
  • syrups, elixirs;
  • lollipops, lozenges;
  • ointments - for external use.

Anti-bronchitis tablets or capsules are convenient to take and carry with you; they do not need to be measured, like syrups or solutions.

Ointments have a local warming effect on the chest and bronchi.

Sprays or aerosols are considered the most effective dosage form in the treatment of bronchitis. They quickly deliver the medicine to the site of inflammation, and it immediately begins to act.

A feature of this dosage form is that the active substance is suspended in a gaseous environment. They are convenient to use, since one click corresponds to one dose of the active substance.

An important advantage of sprays is the delivery of the drug without the participation of the digestive tract and systemic blood flow. This ensures a quick effect of treatment and minimizes unwanted side effects.

Medicines in aerosol form can be sprayed using inhalers and nebulizers - special devices that convert the active ingredient into a fine suspension, which facilitates its delivery to all parts of the bronchi.

ACC 200

Best Efficiency Country:

Germany

Average price:

549 rub.

Rating (2019):

5.0

It is a medicine belonging to the group of mucolytics. It can liquefy mucus and remove it from the lungs. Large round effervescent tablets dissolve instantly in water. This solution immediately counteracts the mucopolysaccharides that live in sputum. It is often prescribed for purulent inflammation, as it actively fights even the most advanced disease: asthma, pneumonia, pulmonary eczema and others.

The main active ingredient is acetylcysteine. It is this that effectively cleanses the bronchi and can significantly alleviate the patient’s condition. It is worth noting that the drug does not contain harmful components that can harm the body. In addition, its pleasant taste will turn the administration procedure into an unobtrusive application.

Groups of drugs for the treatment of bronchitis

An integrated approach to the use of medications provides a quick and effective cure for bronchitis. You should act in several directions at once:

  • stop the process of reproduction of infectious agents;
  • remove phlegm from the bronchi;
  • restore the functions of the respiratory system;
  • strengthen general immunity.

When treating adult patients for bronchitis, medications from the following pharmacological groups can be used:

  • antibiotics;
  • antiviral agents;
  • antitussives;
  • mucolytics;
  • bronchodilators;
  • anti-inflammatory and antipyretic drugs.

The main symptom of bronchial inflammation is a prolonged, debilitating cough. Inadequate treatment or refusal of treatment is fraught with serious complications.

In therapy, drugs with different directions of action are used. Courses of anti-inflammatory, expectorant and antibacterial drugs are prescribed.

Antibiotics

This group includes penicillins, cephalosporins, macrolides and others. Antibiotics for bronchitis in adults are prescribed when the high temperature does not subside for more than five days and the sputum contains purulent discharge.

The necessary medications for bronchitis are determined by the doctor in each individual case, based on the test results.

Antibiotics are an effective treatment for bronchitis in adults; they have multidirectional effects and can be used together with other types of drugs:

  • fluoroquinolones - disrupt bacterial DNA synthesis, which allows the destruction of many types of microorganisms. They should be taken with caution in case of diseases of the gastrointestinal tract, since their use often provokes dysbacteriosis;
  • cephalosporins - used to combat bacteria resistant to penicillin, they have, in addition, another undeniable advantage - they practically do not cause allergic reactions;
  • macrolides - disrupt the synthesis of intracellular protein of bacteria, thereby preventing their reproduction, and inhibit the development of bacterial flora, are considered one of the most effective means. They have a serious drawback: bacteria quickly develop resistance to them, so re-treatment with macrolides is possible no earlier than after three months;
  • aminopenicillins - the action is aimed at destroying the cell membranes of bacteria. Virtually no side effects.

Courses of antibiotics should not be interrupted even if there is a noticeable improvement in health. Incomplete treatment can provoke the formation of bacterial strains that are resistant to the antibiotics used and lead to a new round of the disease.

Antiviral drugs

Antiviral drugs have multidirectional effects in the treatment of bronchitis:

  • protect healthy cells from viruses;
  • block the reproduction of viruses, prevent their exit from infected cells;
  • strengthen the immune system.

Treatment with antiviral drugs begins from the first day of the onset of symptoms of the disease, especially if bronchitis develops against the background of a cold, adenoviral infection or flu.

These drugs do not act against bacteria, so if there is no improvement in the first three days, treatment measures must be adjusted.

Antitussives

These medications for bronchitis are indicated for dry, non-productive cough to relieve debilitating attacks.

The most potent drugs are codeine-based drugs. These drugs act on the cough center in the brain and suppress the cough reflex. Such products are sold in pharmacies only with a doctor's prescription.

Less strong antitussive drugs can be purchased without a prescription; they are based on prenoxdiazine, which acts as a local anesthetic and bronchodilator, and also slightly reduces the activity of the cough center.

It must be remembered that these drugs cannot be taken together with mucolytic drugs and expectorants.

Mucolytics

Mucolytic drugs are highly effective agents designed to thin and remove mucus from the respiratory system.

However, this medicine for bronchitis is not prescribed for a dry cough without sputum or simultaneously with antitussives. Such illiterate use will only lead to the effect of mucus stagnation in the bronchi.

When taking mucolytics, you need to drink more fluids. Drinking plenty of fluids will also help expel mucus.

There are forms of mucolytics for administration using inhalers, which promotes rapid penetration of the active substance into the lesion.

Mucolytics not only thin out thick secretions in the bronchi, but also activate the movement of epithelial cilia in the respiratory tract, which remove mucus.

Bronchodilators

Bronchodilators for bronchitis are prescribed to relax the muscles of the bronchi, which helps relieve bronchospasms and normalize breathing by expanding the small branches of the bronchial tree.

Most bronchodilators are made in aerosol form, which is more effective than tablets and syrups.

The aerosol acts faster and helps the patient get rid of the symptoms of obstructive bronchitis almost immediately, since the active substance goes directly to the affected area without passing through the digestive tract and has fewer side effects.

Bronchodilators are widely used in the complex treatment of bronchitis and pneumonia. However, taking such medications can cause side effects such as low blood pressure, vomiting, and drowsiness.

Anti-inflammatory and antipyretic drugs

Anti-inflammatory drugs are prescribed by a doctor for bronchitis in adults to relieve inflammation. They also have analgesic and antipyretic properties.

They are used for hyperthermia in a patient. There are special effective remedies for bronchitis that can narrowly suppress inflammation in the respiratory tract, thereby preventing bronchospasms.

Some of these drugs can be taken in parallel with antibiotics. They usually do not cause allergic reactions, but are contraindicated during pregnancy, since their complete safety for the fetus has not yet been proven.

BROMHEXINE

Effective for chronic diseases Country:

Germany

Average price:

160 rub.

Rating (2019):

4.8

The drug "Bromhexine 4" in the form of a solution is indicated for children with asthma, cough and viruses. It helps relieve the discomfort of coughing, as well as effectively treat the cause itself. Children really like the pleasant taste with the aroma of orange. The product effectively thins mucus, clears the respiratory tract and alleviates the general condition.

Advantages:

  • does not contain alcohol;
  • good composition;
  • pleasant taste that children like;
  • easy to take;
  • effective;
  • helps with dry and wet cough;
  • used for chronic diseases.

Prevention of bronchitis

Any disease is easier to prevent than to treat. This also applies to bronchitis.

It is necessary to lead a healthy lifestyle, give up bad habits, eliminate or minimize exposure to dirty air, and carry out wet cleaning of your home more often. The main means of preventing bronchitis are:

  • regular physical exercise;
  • healthy balanced diet;
  • daily exposure to fresh air;
  • measures to harden the body;
  • vaccination;
  • use of protective equipment when working with toxic substances.

AMBROBENE

Sugar free Country:

Germany

Average price:

150 rub.

Rating (2019):

4.8

A drug based on ambroxol is an effective remedy against respiratory diseases in adults. Liquefies and removes mucus due to the production of special enzymes. The first result is felt within 30 minutes after administration. Breathing quickly becomes comfortable, sputum is more liquid, and the cough disappears.

Advantages:

  • does not contain sugar;
  • high efficiency;
  • good price;
  • fast-acting active substances;
  • clears the airways;
  • improves the condition.

Flaws:

  • many contraindications;
  • chemical origin.

MUKALTIN

Best Price Country:

Russia

Average price:

60 rub.

Rating (2019):

4.7

The well-known drug “Mukaltin” is an effective drug for thinning sputum. It is used for tracheitis, bronchitis, pneumonia, etc. The medicine has an excellent composition due to the high content of medicinal marshmallow extract. This substance quickly removes mucus and improves the functioning of the bronchial glands.

Advantages:

  • natural composition;
  • excellent components;
  • low price;
  • quick results;
  • efficiency;
  • there are rarely side effects;
  • It thins and removes mucus well.

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TUSSAMAG

Quickly reduces puffiness Country:

Germany

Average price:

226 rub.

Rating (2019):

4.9

The syrup promotes the effective removal of mucus and subsequently cleanses the respiratory tract. The herbal remedy has an exclusively natural composition, which sets it apart from other drugs with the addition of chemical components. A debilitating wet or dry cough subsides after a course of using Tussamag. By reducing the viscosity of sputum and activating the relief of muscle tissue spasms, the drug cures the disease completely.

The most unique composition of the syrup allows it to gently and, at the same time, effectively fight cough. Due to glycerol, potassium sorbate, alcoholic extract of chestnut leaves, thyme extract and other components, Tussamag quickly eliminates the problem and prevents further complications. It will gradually reduce swelling of the larynx and instantly relieve discomfort. Buyers in reviews actively advise purchasing the product and do not find any significant shortcomings in its operation.

What is bronchitis and what causes it?

Bronchitis is an inflammatory process in the bronchi, which is accompanied by cough, sputum production and other symptoms. As already mentioned, the cause of the disease is viruses and bacteria. The disease can also begin to develop due to an allergic reaction.

In order for this disease to begin its development, certain conditions must exist, namely:

  • hypothermia of the body;
  • weakened immune system;
  • the presence of an infectious disease of other human organs.

STOPTUSSIN

The most prescribed drug. Non-addictive Country:

Czech

Average price:

210 rub.

Rating (2019):

4.9

A fast-acting drug that actively resists even severe coughs. It is one of the most prescribed remedies for respiratory diseases. It is recommended for use for wet and dry coughs, accompanied by nasal congestion and sore throat. All these cold symptoms will disappear without a trace during the course of treatment, and the patient’s condition will improve. Stoptussin is sold in the form of drops and tablets. The first option is suitable for children, and the second for adults.

The best therapeutic effect occurs due to the proper composition of the medicine. Butamirate and guaifenesin are the main components in Stoptussin, which perform expectorant and antitussive functions. The process of removing mucus from the bronchi becomes easier, and coughing attacks occur less and less. In addition, the drug is not addictive and has few side effects on the list.

Antipyretics

In addition to coughing, bronchitis often causes fever. To help the patient in this condition, it is necessary to use antipyretics. I advise you to take them when your body temperature reaches 38.5 degrees. Antipyretic syrups for bronchitis are recommended for children: Paracetamol, Nurofen, Ibuprom, Ibuprofen. These drugs can also be used in the form of rectal suppositories. Read “Which syrup to choose for bronchitis in children” https://medboli.ru/lechenie-bronhita/kakoj-sirop-vybrat-pri-lechenii-bronhita-u-rebyonka.html

CODELAC PHYTO

Powerful anti-inflammatory effect Country:

Russia

Average price:

250 rub.

Rating (2019):

4.9

The domestically produced medicine Codelac Broncho contains a unique thyme extract, which has a strong expectorant and anti-inflammatory effect. The active substance ambroxol reduces the viscosity of sputum, and sodium glycyrrhizinate has an antioxidant effect. Excellent for pneumonia and bronchitis.

Advantages:

  • long shelf life;
  • pleasant herbal taste;
  • high-quality and effective composition;
  • has a useful component - liquid thyme extract;
  • Suitable for children too.

Flaws:

  • unpleasant side effects are possible.

Injections

Advantages of injections for bronchitis:

  • fast action;
  • high level of availability of the substance;
  • shortening the treatment period for bronchitis;
  • sparing the gastric mucosa;
  • Possibility of use for nausea, vomiting;
  • Possibility of administration in case of inability to swallow, lack of consciousness.

Antibacterial agents, as well as anti-inflammatory and antipyretic agents are used in the form of injections. The latter include a lytic mixture (analgin, diphenhydramine, papaverine or no-shpu), diclofenac and glucocorticoids for febrile fever and bronchospasm with bronchial edema.

Types of injections

List of names of antibiotics , which in most cases are administered intramuscularly or intravenously for bronchitis:

  • amoxiclav (Amoksiklav);
  • cefazolin (Cefazolin);
  • cefoperazone/sulbactam;
  • ceftriaxone;
  • cefuroxime;
  • ceftazidime.

Indications for intramuscular administration of antibiotics in adults are bronchitis of moderate and severe severity, exacerbation of chronic, as well as obstructive form.

It is customary to administer antibiotics intramuscularly for bronchial inflammation for 7-10 days.

To treat complicated bronchitis, bronchopneumonia must be injected with ceftriaxone once a day for at least 1 week or another new generation antibiotic from the cephalosporin group, and macrolides are often prescribed for follow-up treatment.

Intravenous injections are carried out either as a stream from a syringe or as a drip. Antibiotics can be injected into a vein for bronchitis.

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