The best antibiotic for bronchitis in adults: list, doctor’s prescription, composition of drugs, pros and cons

Forms of the disease

Bronchitis in adults and children can be chronic, acute and obstructive. Depending on the form of the pathology, the specialist decides on the need to use certain antibiotic drugs.

• Acute bronchitis usually does not require the use of antibacterial drugs. The only exceptions are those rare cases where there is a high risk of bacterial complications. In this situation, the best antibiotic for bronchitis in adults is a drug belonging to the penicillin group.
• The chronic type of the disease during the period of exacerbation is well treated with aminopenicillins, cephalosporins and macrolides. Therapy with similar agents is also indicated for elderly patients (to reduce the risk of complications and pneumonia).
• Obstructive bronchitis is treated only with antibacterial drugs if a person has a purulent infection. This course of the disease may be indicated by the patient’s high body temperature. In this case, the best antibiotic for bronchitis in adults is the one that will get rid of the causative agent of the disease. Only a specialist should prescribe an effective medicine based on analysis data. If the disease is severe, then antibacterial agents are prescribed in injections.

Therapy for chronic bronchitis

Antibiotics for chronic bronchitis are the basis of therapy.

Additionally, for treatment in adults, the following medications are required:

1. During the period of exacerbation of the disease, viral infections may occur; if they are detected, it is necessary to take: aflubin, amizon, arbidol.
   Read also:  Roxithromycin, 150 mg, film-coated tablets, 10 pcs.
2. Inhalations using medications (dioxidine, rotokan, salbutamol). As well as oral administration of drugs for the discharge of sputum (Atrovent, Berodual, Lazolvan).
3. Additional procedures include massages and breathing exercises.
4. To maintain immunity, it is necessary to take immunostimulating agents (thymalin, vitamins A, C). Medicines are also needed to restore the microflora of the gastrointestinal tract (Linex, Acipol, Normaze).
5. Long-term treatment requires taking medications that support the functioning of the liver and heart. In this case, medications can be prescribed by the attending specialist, depending on the course of the disease and how much the organs are damaged.

Upon completion of treatment, a visit to the sanatorium is necessary to restore the functioning of all organs.

Review of effective antibiotics

In chronic bronchitis, all groups of antibiotics are used for therapy. Drugs are prescribed after determining the sensitivity of bacteria to them.

Prescribed funds:

1. Group of macrolides. Due to their extended spectrum, these drugs can be prescribed before examining coughed up mucus:

• macropen. Prescribed 400 mg 3 times every 24 hours. Accepted from 7 to 14 days. Admission may be accompanied by the appearance of a rash and loss of appetite;
• sumamed Prescribed 1 tablet/capsule 1 time per day. Duration of therapy is from 3 to 5 days. Admission may be accompanied by impaired hematopoiesis, allergic edema, as well as malfunction of the nervous and cardiovascular systems;

• erythromycin. Antibiotic use is considered in the treatment of acute bronchitis.

2. Penicillin group. In the chronic form, these drugs are rarely prescribed. Only in case of contraindications for other groups or presence of side effects.

Prescribed drugs include:

• panclav. Prescribed 750 mg per day (divided into 3 doses). The duration of therapy is from 5 to 14 days. Treatment may be accompanied by itching, vomiting and dizziness;
• amoxicillin. The dosage and course of treatment coincides with the acute form of bronchitis;
• flemoxin solutab. The course of treatment and single dosage are determined by the severity of the pathology and the general condition of the patient. Taking the drug can cause itching, nausea and disturbances in the functioning of the nervous system.

3. Cephalosporin group . Antibiotics are capable of destroying a wide range of bacteria, but have a large number of adverse reactions. They are prescribed mainly intramuscularly.

List of medications:

• cefuroxime Treatment coincides with therapy for acute bronchitis;
• ceftriaxone. It is administered by injection; a single dose and course are prescribed by the attending physician. Injections/droppers may be accompanied by allergic itching, nausea and blood disorders.

4. Group of fluoroquinolones. Prescribed after determining sensitivity. They are most effective in treatment.

These means include:

• moxifloxacin. The dosage and duration of therapy are prescribed by the therapist. Treatment may be accompanied by hand tremors, headaches and cardiac dysfunction;
• levofloxacin. The duration of taking the antibiotic is from 10 to 14 days. It is enough to take 1 or 2 tablets per day. Therapy may be accompanied by diarrhea, dizziness and low blood pressure;

• ciprofloxacin . Depending on the severity of the disease, from 1 to 3 tablets are prescribed, 2 times a day for 7-28 days. May cause disruption of the heart, urinary system and hematopoiesis.

Drug therapy and course duration are prescribed by the therapist. If there are side effects or ineffectiveness of the drug, a specialist will replace it.

Duration of treatment

Therapy for bronchitis in the chronic stage is considered effective during exacerbation. The course of antibiotic treatment can range from 5 to 14 days. Together with the recovery period, the duration is up to 30 days.

When should an antibiotic be used for bronchitis in adults (in tablets, injections, etc.)?

According to doctors, inflammation of the bronchial mucosa is not always treated with antibacterial agents. Usually, in the first days of illness, specialists refrain from prescribing such medications. However, there are also cases when antibiotics are simply necessary. For example:

• if the patient has a bacterial infection and his body cannot cope with it for two weeks;
• if chronic bronchitis is protracted and often relapses, as a result of which a person’s immunity is greatly reduced;
• if bronchitis is accompanied by weakness, shortness of breath, breathing problems and high, difficult-to-control temperature (for several days);
• if the patient has symptoms of intoxication, and test results reveal an increase in ESR;
• with the patient's advanced age, as well as a high risk of complications.

Which antibiotic is best for adults to take for bronchitis should only be decided by a doctor after a thorough examination and diagnosis. It should be remembered that self-medication of such a disease is fraught with serious complications and even death.

Frequently asked questions to the doctor

I often suffer from bronchitis, so I decided to take azithromycin. Did not help. Why did it happen so?

This happens in two cases. Either the main cause of your illness was not bacteria, or the pathogen turned out to be resistant to the drug. Your attending physician will be able to clarify the cause after an in-person examination.

The doctor prescribes the same antibiotic all the time, is this normal?

Yes, if the effect is good and does not disappear over time. This happens if you follow the instructions and follow the duration of the course. In this case, the bacteria do not develop resistance, since the drug destroys them completely.

Action of antibacterial drugs

Before using an antibiotic for bronchitis in adults (in tablets, injections, etc.), you should find out how they act in certain forms of the disease.

In the classical treatment regimen for the disease in question, drugs from the penicillin group are usually used. At the same time, it is impossible to unequivocally answer the question of which antibiotic is better for bronchitis in an adult. It all depends on the form and nature of the current disease, the characteristics of the patient’s body, as well as the sensitivity of the bacteria.

Usually, for inflammation of the bronchial mucosa, doctors prescribe antibiotics from the following groups to their patients:

• Aminopenicillins (for example, Augmentin, Amoxiclav or Amoxicillin). Such drugs can have a destructive effect on bacterial cell membranes. The main advantage of such drugs is that they do not cause serious side effects. As for the disadvantages, these include frequent allergic reactions that occur during the use of medications.
• Fluoroquinolones (for example, Ofloxacin or Levofloxacin). These names of antibiotics for bronchitis in adults are familiar to many patients. Such drugs affect a wide range of pathogens (destroy their DNA). Such drugs can be prescribed by specialists even before the results of an analysis of the sensitivity of bacteria to antibiotics. The main disadvantage of fluoroquinolones is that with prolonged use they can cause dysbacteriosis.
• Cephalosporins (for example, Ceftriaxone, Cefazolin, Ceftazidime, Suprax). Such names of antibiotics for bronchitis in adults should alert you, as they can cause severe allergies. That is why they are prescribed with extreme caution. The main advantage of such drugs is that they are able to slow down the production of protein in bacterial cells, as a result of which the process of reproduction of the pathogen stops and its death occurs.
• Macrolides (for example, Midekamicin, Sumamed or Azithromycin). These are some of the best antibiotics for bronchitis in adults. Reviews from experts report that the active substance of such drugs disrupts the production of protein in bacterial cells, which ultimately leads to stopping the proliferation of pathogenic microorganisms and their death. Typically, such medications are prescribed for long-term illness or when other medications cause an allergic reaction.

The most effective means

In addition to treatment aimed at relieving symptoms, the following antibiotics are prescribed for bronchitis in children.

• Aminopenicillins. This group belongs to penicillins and includes the following names:
• ampicillins, for example, Ampicillin trihydrate, Ampiox;

amoxicillins, for example, Ospamox, Flemoxin Solutab.

This disease is also treated using:

• ampicillin in combination with sulbactam, for example Trifamox;
• amoxicillin with clavulanate, for example, Amoxiclav, Flemoklav Solutab.

Aminopenicillins have a destructive effect on bacteria, and there is a targeted effect on pathogenic bacteria and does not harm the entire body. However, this group is characterized by frequent manifestations of allergic reactions.

These drugs are most often used to treat chronic diseases; they are also characterized by a smaller number of allergic manifestations.

These drugs treat acute, chronic and purulent course of the disease.

Obstructive bronchitis and antibiotics

Usually, with obstructive bronchitis in children, there is no need to take antibiotics, since this type develops due to damage to the body by viruses or allergens. However, if the baby develops broncho-obstructive syndrome due to pneumonia, then there is a need to take them. Self-medication in this case can lead to the development of complications.

Treatment of obstructive bronchitis in children is carried out using the following means:

• penicillin series – Ampicillin, Amoxiclav;
• macrolides – Azithromycin, Erythromycin;
• cephalosporins – Pancef, Cefazolin.

Prescriptions should be carried out from mild drugs to more severe ones; in case of intolerance to the penicillin series, it is recommended to take other groups.

The treatment of bronchitis in children should be approached with all responsibility; all doctor’s recommendations must be followed and antibiotics must be used strictly according to the prescribed regimen. In this case, the baby can be “put on his feet” after 10 days.

List of the best antibiotics for bronchitis in adult patients at an affordable price

Most patients who suffer from inflammation of the bronchial mucosa are interested not only in which drugs will most effectively cope with their illness, but also in which of them have an affordable price.

Experts say that the best antibiotics for bronchitis in adults are not always overpriced. Moreover, many of them have very reasonable prices. These inexpensive but effective medications include:

• "Amoxicillin." This antibiotic from the penicillin group contains the active substance of the same name and is actively prescribed for pneumonia and bronchitis, as well as in the treatment of ENT organs, urinary system organs, gastrointestinal tract and other pathologies. This medicine is commercially available in tablets, granules and capsules. As medical practice shows, the effect of the antibacterial medication begins half an hour after administration, and its effect lasts approximately 6 hours.
• "Biseptol". Of the best antibiotics for bronchitis in adults, this is the most inexpensive. It belongs to the group of sulfonamides and is prescribed only in the complex treatment of diseases of the respiratory system (for example, bronchitis, lung abscess and pneumonia). This remedy has quite a few contraindications and also causes a large number of side effects.

Biseptol has been used in medicine for a very long time. It should be noted that many bacteria are insensitive to the active substance of the drug mentioned, therefore, before starting therapy, it is imperative to undergo a sensitivity test for pathogenic microorganisms.

• "Ofloxacin." Which antibiotic injection is best for bronchitis in an adult? When answering this question, many experts mention Ofloxacin. The active substance of such a drug from the group of fluoroquinols is capable of destroying the DNA of bacteria, which leads to their death.

The drug in question is prescribed to patients against a variety of bacteria, as well as in cases where other antibiotic drugs for bronchitis do not work.

According to the instructions, the drug “Ofloxacin” is actively used for inflammation of the bronchial mucosa. Also indications for the use of this medicine are pneumonia and diseases of other organs. It should be noted that this drug is prohibited from being taken by pregnant women and nursing mothers, minors, as well as those who have been found to be highly sensitive to the substances of the medication.

Only a doctor should select the dosage of Ofloxacin on an individual basis, since there is a huge risk of developing side effects from the cardiovascular, genitourinary and nervous systems.

The danger of bronchitis, why the disease needs to be treated

Bronchitis is dangerous in any form. The disease is characterized by an inflammatory process occurring in the bronchi.

As a result, changes occur in the body:

• Lung tissue loses its elasticity , as a result the bronchi cannot be completely filled with air to replenish oxygen reserves. And also there is no complete release of carbon dioxide. This causes oxygen starvation of the entire body and oversaturation of tissues with carbon dioxide;
• bronchial tissues swell, therefore their “working” volume decreases, which also leads to impaired oxygen saturation of the body.

These changes can also cause suffocation, the development of bronchial asthma and heart problems. When the pathology occurs with elevated temperature, the body becomes intoxicated, which further reduces immunity and affects the functioning of organs. In its advanced form, bronchitis can be fatal.

"Flemoxin-Solutab"

The active ingredient of this medicine is amoxicillin trihydrate. The drug also contains the following excipients: dispersible cellulose, lemon flavor, crospovidone, tangerine flavor, magnesium stearate, vanillin, microcrystalline cellulose, saccharin.

This is a medicine from the penicillin series. It is usually prescribed for complicated chronic or acute bronchitis. This medicine comes on sale in the form of traditional and chewable tablets, which have a pleasant taste.

In addition to adults, Flemoxin-Solutab is also actively prescribed to children. Side effects after taking this drug are extremely rare.

"Augmentin"

This is one of the best antibiotics for bronchitis in adults. Its active substance is amoxicillin (in the form of trihydrate), as well as clavulanic acid (in the form of potassium salt). The medication also contains auxiliary components such as sodium carboxymethyl starch, magnesium stearate, colloidal silicon dioxide and MCC.

"Augmentin" is a drug from the group of aminopenicillins. It suppresses the proliferation of bacteria and also prevents them from synthesizing β-lactamase, which protects them from penicillins. This medicine is prescribed for inflammatory infections caused by pathogenic microorganisms.

"Augmentin" is very convenient to use, as it is available in several forms (in the form of tablets, injections, powder for suspension and drops). Adverse reactions after using this drug are rare.

Treatment of bronchitis with antibiotics during pregnancy

The most unpleasant and dangerous thing you can imagine during pregnancy is a sudden serious illness, the treatment of which may require medications that harm the unborn baby. If a pregnant woman is diagnosed with bronchitis, all measures must be taken to activate her immunity and help her cope with the disease on her own. There are also special immunostimulants that directly protect the fetus and have a local effect, for example, rectal and vaginal suppositories Viferon. They are administered depending on which physiological opening the placenta is closest to.

If bronchitis cannot be stopped with symptomatic and immunostimulating treatment, it is still wiser to resort to antibiotics rather than allow intoxication of the body and high leukocytosis in the expectant mother. These factors will affect the development of the fetus even more negatively than modern antibacterial drugs. We should also not forget that the diaphragm of a pregnant woman is compressed by the growing fetus, and this significantly complicates the passage of bronchial mucus and thereby accelerates the proliferation of bacteria in the bronchi.

The treatment tactics for bronchitis during pregnancy are as follows:

• In the first trimester, when all the main systems and organs of the unborn child are formed, treatment with antibiotics is extremely undesirable. But if you can’t do without them, the doctor usually prescribes Amoxicillin, Flemoxin or another drug from the aminopenicillin group.
• In the second and third trimester, it is possible to prescribe cephalosporin antibiotics, as well as macrolides;
• It is strictly forbidden to treat bronchitis in pregnant women with tetracyclines and fluoroquinolones;

"Sumamed"

The active component of this medicine is azithromycin dihydrate. The antibiotic also contains the following excipients: pregelatinized starch, anhydrous calcium hydrogen phosphate, microcrystalline cellulose, hypromellose, magnesium stearate, sodium lauryl sulfate and corn starch.

This medicine, from a number of macrolides, is prescribed to patients for an extensive list of infectious and inflammatory diseases. It can be purchased in tablets, capsules and strawberry flavored powder.

"Sumamed" is known for the shortest period of use. To eliminate all signs of bronchitis, it is usually enough to take three tablets.

The drug in question is quite well tolerated by patients. It rarely contributes to the development of adverse reactions. The only exceptions are cases of incorrect administration or overdose.

"Azithromycin"

The main component of this medicine is azithromycin (in the form of dihydrate). It also contains the following additional substances: croscarmellose sodium, sodium lauryl sulfate, pregelatinized starch, magnesium stearate, calcium hydrogen phosphate.

Azithromycin is prescribed to patients for diseases caused by various bacteria (for example, bronchitis and pneumonia). The medicine is available in capsules and tablets.

After 3 days of treatment, the drug completely eliminates all signs of bronchitis. However, when taking it, the following contraindications should be taken into account: hypersensitivity to the components of the drug, pregnancy and breastfeeding. As for adverse reactions, the most common ones are: vomiting, nausea, diarrhea, allergic reaction.

Possible complications

If you ignore the symptoms of bronchitis, self-medicate, or refuse antibacterial drugs, quite serious complications of bronchitis can develop:

• pneumonia and pneumothorax;
• bronchial asthma - obstructive bronchitis is especially dangerous in this regard;
• pulmonary hypertension;
• emphysema;
• bronchiectasis.

With proper treatment, acute bronchitis can be cured fairly quickly, otherwise the form of the disease will certainly be replaced by a chronic one.

"Cefazolin"

What to do if for one reason or another the patient cannot take pills? Which antibiotic is best for bronchitis in an adult? "Cefazolin" is an effective product that is sold in the form of ampoules with powder intended for the preparation of injections. This is a relatively old medicine from the cephalosporin series. It is prescribed to patients against many types of bacteria that cause infectious and inflammatory diseases, including pneumonia, all forms of bronchitis and lung abscess.

The active substance of Cefazolin is the component of the same name. It has a minimum of contraindications and is considered one of the low-toxic in its group. However, this medicine should not be used by pregnant or breastfeeding women. It should also be noted that while taking it, adverse reactions from the urinary system and gastrointestinal tract are likely.

Children's bronchitis: are antibiotics needed?

When a child gets sick, parents are ready to pay any money for medicine, and take literally everything from the pharmacy that can help him. Seeing the child’s suffering, mothers usually hardly demand that the pediatrician prescribe antibacterial drugs, and if he refuses, they run to get the pills themselves, fortunately, they are available without a prescription. In fact, this is not a good thing at all, but a real evil.

Treating childhood bronchitis with antibiotics is almost always inappropriate, and here's why:

• In 99% of cases, bronchitis in children is viral in nature and is not complicated by a bacterial infection. A strong, young immune system copes with the disease on its own in 1-2 weeks. The only exceptions are premature babies and frequently ill children under the age of three;
• Even in the presence of a bacterial infection, it is more reasonable to try to support the child’s immunity, rather than poisoning his body with antibiotics, on the contrary, reducing the defenses and activating other, dormant bacteria;
• Whenever a child is treated with antibiotics, his risk of developing allergies increases, and his pathogenic microflora becomes familiar with the drugs and adapts to them. In the future, this may deprive a person of the opportunity to receive help when it is truly vitally necessary, because he will be allergic to some antibiotics, while pathogens will no longer be sensitive to others.

Everything speaks in favor of getting by with taking immunostimulants (Imudon) and symptomatic therapy (hot drinks, inhalations, rubbing, mucolytic agents). It is very important to provide the child with rest and proper nutrition during illness (read about this below).

Here is a list of reasons that may prompt a pediatrician to prescribe antibiotics to a small patient for bronchitis:

• Cough does not stop for three weeks or more;
• The sputum has acquired a pathological color and smell;
• A blood test shows high leukocytosis and ESR above 20 mm/h;
• There are wheezing, shortness of breath, intercostal depression and chest pain;
• Fever is life-threatening (temperature is above 39 and does not subside);
• There are signs of large-scale intoxication of the body;
• The baby is premature, weakened, under three years old.

Many parents are opposed to putting their child in a hospital for treatment, they say, they will pick up more infections there than they will cure. These fears are not unfounded, but still, if the child is very unwell, it is better to entrust him to specialists.

"Ceftazidime"

Not only specialists, but also patients should know the names of the best antibiotics for bronchitis in adults. This will allow you to choose the most suitable and safe drug, as well as decide on its form.

"Ceftazidime" is available in powder form for the preparation of intravenous or intramuscular solution. Its active ingredient is ceftazidime (in the form of pentahydrate), and the auxiliary component is sodium carbonate.

The drug in question, a new cephalosporin, is a third-generation antibiotic. It is prescribed for severe purulent-septic conditions, as well as complicated respiratory infections. Ceftazidime helps cope with acute and chronic bronchitis and pneumonia. It is contraindicated for use in case of individual intolerance, and it is prescribed with caution to people with bleeding and renal failure.

Among the side effects after using the medicine, the following are possible: nosebleeds, allergic reactions, changes in blood composition, diseases of the digestive system, problems in the functioning of the nervous system.

Types of bronchitis

Acute bronchitis

This term refers to an inflammatory process in the bronchi that occurs against the background of seasonal ARVI or influenza. A viral attack is a serious blow to the immune system, which bacteria that live in almost any body rush to take advantage of: staphylococci, pneumococci, streptococci. They multiply in the bronchi and first cause attacks of painful dry cough, and then stagnation of viscous sputum, which is difficult to get rid of.

Before resorting to extreme measures, it is necessary to try to help the patient cope with bronchitis on his own, with the help of rest, drinking plenty of fluids and symptomatic treatment with antitussive drugs (Sinekod, Libexin), expectorants (Bromhexin, Lazolvan) and medical procedures (inhalations, mustard plasters, rubbing) . Of course, during fever, warming is unacceptable. Acute bronchitis usually goes away within two weeks.

Treatment of acute bronchitis with antibiotics is indicated in the following cases:

• Cough lasts more than three weeks in a row;
• The patient has a low-grade or febrile body temperature (37.5-38.5 C);
• The sputum is opaque, yellow-green, bloody, and foul-smelling;
• There are signs of severe intoxication of the body (nausea, loose stools, gray complexion, weakness, profuse sweating);
• Blood tests demonstrate leukocytosis, high ESR and a shift to the right;
• The patient complains of chest pain;
• When breathing, distinct wheezing is heard and intercostal retraction is visible.

Chronical bronchitis

Bronchitis is considered chronic if it lasts more than three months in total over two years. This disease is accompanied by a severe cough with copious discharge of bronchial mucus, is difficult to respond to symptomatic treatment and recurs at the first weakening of the immune system. Chronic obstructive bronchitis and smoker's chronic bronchitis are of great danger - these diseases often provoke the development of lung cancer. Allergic and asthmatic chronic bronchitis also requires increased attention due to the risk of suffocation.

The treatment of such complex diseases is a topic for a separate discussion, but today we are discussing antibiotics. It is advisable to prescribe them to patients (especially the elderly and very young) in whom any hypothermia results in a new outbreak of chronic bronchitis. The reason lies in a weakened immune system and a large colony of bacteria nested in the bronchi. With the help of antibiotics, a preemptive strike should be made against this hotbed so that a common cold does not turn into a multi-day nightmare again.

Atypical bronchitis

In very rare cases, bronchitis is caused by anaerobic pathogens, such as chlamydia or mycoplasma. Atypical bronchitis occurs in people with weak immune systems, the elderly, and those who have recently suffered another serious infectious disease. The insidiousness of anaerobic microorganisms lies in their amazing vitality, resistance to many antibiotics and a consistent, but very slow destructive effect on the respiratory system.

A person suffering from atypical bronchitis usually does not see a doctor for a long time. The temperature is low, the cough is moderate, there is little sputum. But over time, he gets worse: pain in the chest and muscles, weakness, and intoxication increase. The later such a patient finally visits a doctor and gets tested, the worse it is, since it takes months to fight anaerobic pathogens, even taking into account the power of modern antibiotics.

Features of the use of antibacterial drugs

Now you know which antibiotic is best to take for bronchitis in an adult. However, before taking this or that drug, you should know that the antibiotic course cannot be interrupted, and the duration of treatment prescribed by the doctor cannot be shortened or extended.

When treating bronchitis with antibacterial drugs, you need to know the following:

• Taking any antibiotics must be timed, taking into account the hourly interval recommended in the instructions for use. That is, during treatment, the periods between taking the medication should be equal, and if the medication is taken once a day, then this should be done at the same time. This will allow you to maintain the required concentration of the active component in the body, and the fight against microbes will be carried out regularly.
• While taking antibiotics, it is necessary to monitor the patient's health status, identify improvements or, conversely, deterioration, as well as side effects. If after two days there is no improvement, then it is better to replace the drug with another one.
• It is imperative to observe all hygiene measures, establish a drinking regime and adjust the diet. This is necessary so that the human body can fight bacteria, and toxic substances are gradually removed.
• Along with antibacterial agents, the specialist should prescribe antifungal and antihistamine medications to the patient.

The best expectorants and mucolytics

One of the most important stages in the treatment of inflammatory lesions of the bronchi is the prevention of thickening of bronchial secretions, its dilution and removal from the bronchi. If this is not done, the protein contained in the mucus begins to linger in the bronchi, and then becomes a breeding ground for pathogenic microorganisms. Therefore, restoration of drainage function is very important.

Carbocisteine ​​(Flutidec, Fluifort, Libexin Muco)

Rating: 4.9

Fluditec is a remedy that is excellent for the treatment of unproductive cough. The active substance is carbocisteine, which is capable of activating a special enzyme - sialic transferase. It is secreted by special goblet cells of the bronchial mucosa. As a result of the effect of carbocisteine, the balance between the acidic and neutral parts of the bronchial secretion is normalized, the viscosity of mucus decreases, its elasticity decreases, fluidity increases and its discharge improves. It is very important that it is carbocisteine ​​that improves the secretion of immunoglobulin A, which protects the mucosal surface from viral and bacterial aggression. Flutidec is indicated in the complex therapy of any bronchitis, both acute and chronic. The remedy is suitable for the treatment of bronchiectasis, bronchial asthma, as well as any condition in which difficult-to-discharge mucus or secretion is formed. These are sinusitis, rhinitis and similar inflammatory diseases of the ENT organs.

The drug is used in the form of syrup. For adults, Flutidec is prescribed 15 ml 3 times a day, between meals or an hour before meals. The course of treatment is 10 days. Fluditek is produced in the form of a French syrup, and one bottle of 125 ml, which is enough for 3 days of use, costs about 380 rubles. Therefore, the cost of a ten-day course will be approximately 1,140 rubles.

Advantages and disadvantages

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

Chest collection No. 4

Rating: 4.8

This collection has a pronounced anti-inflammatory effect, but is free from the side effects of synthetic drugs. It’s called: “Chest collection No. 4 anti-inflammatory.” It is produced by domestic companies, and “Krasnogorskleksredstva”. It is produced in the form of herbal tea filter bags.

It contains selected medicinal raw materials: chamomile, wild rosemary, licorice, mint, violet, and marigold. One package of 20 filter bags costs an average of 65 rubles, which is quite inexpensive. Chamomile flowers, wild rosemary shoots, mint leaves and other active ingredients together cause a bronchodilator, anti-inflammatory, expectorant, and tonic effect thanks to phytopolysaccharides and bioflavonoids. Ledum essential oil, quercetin and saponins contained in violet herb strengthen the immune system.

Indications for use of Chest Collection are acute bronchitis, chronic bronchitis, other components of chronic obstructive pulmonary disease syndrome, such as bronchial asthma, bronchiectasis, and other conditions accompanied by an unproductive cough. To use it effectively, the filter bag needs to be filled with one glass of boiling water, left for 15 minutes, and taken like regular tea, only after meals. An adult patient should take one glass 3 times a day for two or three weeks. Thus, one package is, on average, enough for one week of use. 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 a truly popular, low-budget, gentle and effective remedy. It rarely causes symptoms of individual intolerance or allergic reactions. Of the official contraindications, the instructions indicate only hypersensitivity. Big fans of herbal teas may find this collection really tasty: it has a slightly sweet taste due to the presence of licorice. On the other hand, for patients who value their time, it is not always convenient to prepare boiling water three times a day, especially in conditions of shortage of working time in production.

Lazolvan solution (ambroxol)

Rating: 4.7

Lazolvan, or ambroxol, is well known to pulmonologists. It is produced in tablets, in solution for oral administration and inhalation, and also in syrup. Ambroxol belongs to the group of expectorants and mucolytics, and it acts at the stage of pulmonary surfactant synthesis. This is a special fat-like substance that prevents the terminal sections of the respiratory tract, ending in air bubbles, or alveoli, in which gas exchange occurs, from sticking together. Ambroxol improves the activity of the ciliated epithelium, and as a result, bronchial mucus begins to move faster, sputum is cleared better, and the cough is relieved. While taking Lazolvan, patients quickly “go away” from taking antibacterial drugs, and their number of exacerbations of chronic bronchitis decreases.

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

This wonderful drug is produced by a German company, and the cost of one 100 ml bottle of solution is 365 rubles. Naturally, it is much more profitable to use it as a means for inhalation, then the consumption is half as much, and at the same time the product is directly delivered to the respiratory tract without passing through the liver.

Advantages and disadvantages

It should 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 effects on the fetus after the 28th week of pregnancy, it cannot be used in the first trimester. In the early stages, it is better to give up any medications altogether. Lazolvan may cause side effects such as nausea, diarrhea, skin rash, or hives. Quite often, up to 10% of all cases, patients note a disturbance in taste. But with timely inhalation administration of Lazolvan, patients are less likely to need antibiotics.

Eucabalus

Rating: 4.7

Eucabal is a complex, mildly acting herbal expectorant. It is produced in the form of syrup, and contains liquid extract of plantain, thyme, and is used orally, after meals, undiluted. Indications, in addition to acute and chronic bronchitis, include acute tracheitis, laryngotracheitis, parainfluenza, as well as other viral and bacterial infections of the upper respiratory tract. Eucabal is also used to improve sputum discharge in elderly patients with symptoms of chronic heart failure. It is used in adults one to two tablespoons 3 to 5 times a day. The average duration of treatment is 2 weeks. It is produced by German Eucabal, and the average cost of one 100 ml bottle is 250 rubles. This means that with an average volume of 15 ml in a tablespoon, you can take from 45 to 70 ml in one day, and with the most economical use, one bottle will last for two days. Accordingly, the cost of a course lasting 2 weeks will be equal to the price of 7 bottles, or 1,750 rubles.

Advantages and disadvantages

The advantage of Eucabal can be considered to be optimally selected plant components, which gently, but at the same time actively improve the discharge of sputum. However, the syrup is an alcohol solution, and therefore it is not advisable to give the drug to children, as well as to patients with various liver and kidney diseases, those working with moving and dangerous mechanisms, drivers, and people with alcohol and drug addiction. A relative disadvantage of the product is its inconvenient release form (the entire bottle is used up within two days), as well as its rather high price.

Prenoxdiazine (Libexin)

Rating: 4.7

Finally, in the fight against cough, sometimes it is necessary not to stimulate the discharge of sputum, but to suppress a cough that is painful, dry, irritating and debilitating for the patient. This cough can occur with some types of chronic bronchitis, but only a doctor should prescribe such medications. After all, if you make the wrong choice, then sputum will accumulate deep in the bronchi, and if it is not removed in a timely manner, it will become infected, which causes the rapid addition of a secondary infection, with a significant deterioration in well-being.

But in the first 2-3 days of influenza, when the cough is absolutely fruitless and exhausts the patient, you can use a drug such as Libexin. The active substance is prenoxdiazine, its task is to block the work of stretch receptors in the walls of the bronchi. As a result, the level of the cough reflex decreases, the drug has an effect similar to a local anesthetic on the mucous membrane. Libexin is usually prescribed one tablet three times a day, it is advisable to take it in short courses, and only as prescribed by a doctor.

This drug is used infrequently, its average cost is 450 rubles. for one package of 20 tablets of 100 mg. It is produced by Hungarian.

Advantages and disadvantages

It is important that Libexin does not depress the respiratory center, like drugs containing codeine, and it does not cause drug dependence or addiction. This drug is indispensable if it is necessary to conduct any research, for example, bronchoscopy in patients with chronic bronchitis. As a result of suppressing the cough reflex, the doctor will be able to calmly and confidently conduct the examination. But this drug is strictly prohibited for use in pregnant and lactating women, and may cause mild sedation, skin rash or dry mouth. It goes without saying that it is not used together with expectorants or sputum thinners. Finally, Libexin should not be confused with Libexin muco, which is a carbocisteine ​​and has the opposite effect.

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