Erespal: the most mysterious cough medicine. Carefully!!! erespal! terrible drug with a huge number of dangerous side effects! do not repeat other people's mistakes

Many patients are interested in: "Erespal" - an antibiotic or not, whether it can be used during antibiotic therapy. This drug has an anti-inflammatory effect, helps to thin and remove sputum from the bronchi. However, in order to get maximum effect, it is recommended to take it during complex therapy.

Antibiotic or expectorant drug

Many patients, during the treatment of colds and respiratory diseases, try to choose drugs so that they have the maximum result. That is why you need to know if Erespal is an antibiotic or not, and how exactly it affects the body. This product is not antibacterial.

The drug "Erespal" can eliminate the inflammatory process, but cannot replace antibiotic therapy. Therefore, if necessary, it is taken along with antibiotics. And since this drug can also have a sedative effect, it is not recommended to simultaneously prescribe it with sedatives and tranquilizers.

Features of the drug

The need to take the described drug annually occurs in many people. The reason for this may be a combination of many different factors, in particular the following:

• infection with viruses or bacteria;
• poisoning with toxins;
• allergy.

For quality treatment colds it is necessary to carry out complex therapy and use drugs that help eliminate viruses and bacteria. They help to suppress the processes of reproduction and activity of microorganisms that provoke the disease.

In colds and flu, the main symptom is inflammation. respiratory tract. And the drug "Erespal" has a complex effect, namely:

• anti-inflammatory;
• antihistamine;
• normalizes the separation of mucus.

The medicine prevents the occurrence of swelling of the mucosa, prevents the occurrence of spasms in the bronchi. That is why, answering the question: "Erespal" is an antibiotic or an expectorant, we can say for sure that it is very good drug, but it does not belong to these groups of drugs. At the same time, it helps to eliminate the inflammatory process, reduces the viscosity of sputum and contributes to its rapid removal. Although, in addition to the named remedy, it is recommended to use antibacterial and expectorant agents, for example, such as Prospan, Lazolvan.

Composition and form of release

It is important not only to know if Erespal is an antibiotic, but also in what form it is produced, what composition it has, how it is used, and what diseases it helps to treat. This drug is available in tablet and syrup form.

Syrup "Erespal" is a children's form of the drug and is available in 150 ml bottles. It has a very pleasant orange tint, the smell and taste of honey, as well as a viscous texture. 1 ml of syrup contains approximately 2 mg of the active substance and other auxiliary components that contribute to faster absorption of the drug.

Indications for use

Many patients would like to know what Erespal is, an antibiotic or not, and, according to the instructions for use, it does not contain antibacterial components. This drug is used to treat the following ailments:

• acute and chronic lesions of the respiratory system;
• influenza, whooping cough, measles;
• chronic and obstructive pulmonary disease;
• allergies.

In addition, the drug is prescribed during the period postoperative rehabilitation during the surgical intervention in the region of the nose and throat. It helps to significantly reduce tissue swelling, normalizes breathing, and also improves the sense of smell.

For what diseases is prescribed

Since it is forbidden to use several at once for therapy antibacterial drugs, you need to know for sure, "Erespal" is an antibiotic or expectorant. This medicine belongs to anti-inflammatory and antihistamine. It very well helps to cope with many diseases:

• With rhinitis, which is considered the most common disease of the nasal mucosa.
• With sinusitis, characterized by inflammation in the paranasal sinuses and severe headache.
• With inflammation of the bronchi, in which there is coughing with sputum production, and pain in the chest area.

• In addition, very often it is used for laryngitis and pharyngitis, which are characterized by inflammation of the trachea, resulting in pain in the throat, chest, dry cough.

But all these conditions do not accept self-administration of the drug and require a doctor's consultation, as well as competent treatment.

Instructions for use

The described drug perfectly eliminates inflammation, which is why many are puzzled whether Erespal is an antibiotic or not. But the main component of this remedy is fenspiride hydrochloride, which has absolutely nothing to do with antibacterial drugs.

The drug is used to eliminate pathogenic microflora and holding symptomatic therapy. It can be taken for any kind of cough, both dry and wet. Most rational decision will be simultaneous application with others therapeutic agents able to expel mucus.

It is important to determine not only whether Erespal tablets are an antibiotic or not, but also how to take it correctly. According to the instructions for use, the medicine should be taken half an hour before meals.

In chronic inflammatory diseases, it is recommended to take 2 tablets of the drug per day, morning and evening. In acute inflammatory processes - 3 times a day. In addition, the doctor can choose an individual regimen for the use of the drug.

It should be borne in mind that the maximum dosage should not exceed 240 mg. The duration of therapy is determined strictly individually and can range from 1 week to several months.

Erespal syrup (is it an antibiotic or not, we have already found out) for children weighing less than 10 kg, 1-2 tsp is prescribed. 2 times a day. With a weight of more than 10 kg, the optimal dosage is 1-3 tbsp. l. 2 times a day. For children, the course of therapy is usually 20-30 days.

Parents should remember that this drug It has only anti-inflammatory effects, but it does not have antibacterial and antiviral qualities. That is why Erespal syrup and tablets cannot replace antibacterial drugs.

Contraindications

In some cases, the drug "Erespal" is prohibited to use. Experts do not recommend treatment for them if the patient has:

• individual intolerance to the drug;
• diabetes;
• violation of the kidneys;
• children's age up to 2 years.

Pregnancy is also a contraindication, regardless of the period, as well as lactation, since there is no data on the effect of the active substance included in the composition on the development of the fetus or the health of a child who is breastfed.

Side effects

The drug can cause a number of side effects, in the event of which it is necessary to cancel its use or switch to another form of the drug. Side effects of the drug include abdominal discomfort, anxiety, tachycardia, nausea, and dizziness.

Diseases of the upper and lower respiratory tract can occur in anyone. Moreover, if the wrong or untimely treatment they can lead to serious consequences. Therefore, at the first symptoms of the disease, you should immediately contact an otolaryngologist. The latter is obliged to conduct an examination and prescribe medications.

The most popular remedy used to treat the respiratory tract is Erespal. Instructions for use (for children this medicine is prescribed very often) of the drug, its forms and analogues will be presented in this article.

Composition, description, packaging, release form

Why is Erespal prescribed to patients? We will talk about this below.

Currently, the mentioned drug can be purchased in two different types. It:

• Tablets "Erespal". Instructions for use (this form is not suitable for children) states that this product contains fenspiride hydrochloride, as well as auxiliary components such as calcium hydrogen phosphate, hypromellose, macrogol 6000, povidone, silicon dioxide, titanium dioxide, glycerol and magnesium stearate. Coated cough tablets white color and are sold in cartons of 30 pieces.
• Suspension "Erespal" (syrup for children). Instructions, analogues of this medicine are presented below. It is marketed as an orange clear liquid which may precipitate. The active substance of the syrup is, and the additional ones are flavoring, licorice extract, glycerol, propyl parahydroxybenzoate, sunset yellow S, methyl parahydroxybenzoate, sucrose, saccharin and water. The medication is sold in plastic bottles of 150 ml each.

pharmachologic effect

From what "Erespal" can be appointed by a doctor? According to experts, this tool can have anti-inflammatory, antihistamine and antispasmodic effects.

The drug in question prevents bronchoconstriction, and also slows down exudation. Its anti-inflammatory effect is attributed to its ability to inhibit metabolism arachidonic acid.

The anti-bronchoconstrictor effect of this drug is due to the release of such biologically active substances as serotonin, histamine and bradykinin. Also, the medication blocks alpha-adrenergic receptors, upon stimulation of which there is an increase in the production of bronchial secretions.

The drug "Erespal" in syrup and tablets prevents bronchospasm. In the event that the drug was prescribed in large dosages, it helps to reduce the production of various inflammatory factors.

Kinetics

Is Erespal absorbed (in syrup)? Reviews of experts indicate that this remedy is well absorbed from the gastrointestinal tract. The highest concentration of the active ingredient in the blood is observed 2.5 hours after ingestion. The half-life of the drug is 12 hours.

Through the kidneys, the drug is excreted in the amount of 90%, and through the intestines - 10%.

Indications

Why is Erespal prescribed to children and adults? Indications for taking this medication are diseases of the upper and lower respiratory tract, and more precisely:

• bronchitis;
• nasopharyngitis;
• diseases of the respiratory tract, which are infectious nature(including with cough);
• laryngitis;
• hoarseness, perspiration and cough, disturbing patients with whooping cough, measles and influenza;
• tracheobronchitis;
• sinusitis;
• bronchial asthma (in complex treatment);
• otitis.

Contraindications

From what "Erespal" can be assigned to the patient, we told a little higher. However, it should be noted that this drug also has contraindications for use:

• hypersensitivity to active substance or other components
• up to two years of age.

When should not appoint "Erespal" in syrup to children? The doctors' comments say that this form of the drug is recommended with caution to people who have fructose intolerance, diabetes mellitus, glucose-galactose malabsorption, isomaltase or sucrase deficiency. This is due to the fact that the drug contains sucrose.

How to take Erespal tablets?

Analogues for children will be presented a little lower.

medicinal product in the form of tablets is used only for the treatment of adults. When taking them, you must strictly follow all the requirements of the instructions.

Cough medicine is taken only before meals. In chronic inflammatory diseases, it is recommended to use one tablet twice a day.

In the acute course of the disease, the doctor may prescribe a course that involves taking three tablets per day.

Suspension "Erespal" (syrup): application

For children from two years old, this medicine is prescribed very often. Also, syrup can be prescribed to adults. It is taken in the amount of 3-6 tablespoons per day (that is, 45-90 ml).

For children from two years of age, the drug is prescribed depending on the age and weight of the child (4 mg per 1 kg of body weight). The daily dosage of the drug is divided into 2 or 3 doses. It is consumed immediately before meals.

Children under two years of age are not prescribed the drug.

The duration of therapy is determined by the doctor. As a rule, the duration of the course depends on the severity of the disease.

Consumer reviews indicate that the child's condition is noticeably improving already three days after the start of treatment.

Side effects

What kind negative reactions causes the medication "Erespal" (syrup for children)? Instructions for use, reviews of experts claim that during treatment with this remedy, the patient may develop:

• tachycardia, which decreases with a decrease in the dose of the drug;
• bowel and stomach disorders, nausea, pain in the epigastrium, diarrhea and vomiting;
• drowsiness and dizziness;
• asthenia and severe fatigue;
• urticaria, rash, erythema, itching of the skin;
• hypersensitivity reactions to dyes.

If any of these side effects occur, you should definitely consult a doctor.

Cases of overdose

In case of an overdose of the drug, you should immediately contact for medical help. In this case, the patient has a state of excitement or drowsiness, nausea, sinus tachycardia or vomiting.

To restore the patient's condition, gastric lavage is performed and an ECG is performed.

drug interaction

How does the drug we are considering interact with other drugs? The instruction indicates that a special study of the interaction of fenspiride with other medicines has not been carried out.

because of possible increase sedative action when taking blockers of H1-histamine receptors, Erespal syrup and tablets are not recommended to be taken simultaneously with sedatives.

Quite often, patients are interested in the question of whether Erespal is an antibiotic. Doctors say that this remedy is not. Moreover, it cannot replace antibiotic therapy.

Patients suffering from diabetes, the medicine in question is prescribed only in tablets. This is due to the fact that the syrup contains sucrose.

It should also be noted that due to the presence of Sunset Yellow in the suspension, bronchospasm may occur in patients with intolerance to acetylsalicylic acid and NSAIDs.

Studies to draw conclusions about the effect of this drug on a person's ability to drive vehicles and work with complex mechanisms, were not carried out. However, it should be said that when using it, the patient may experience drowsiness, especially if the medication was combined with alcohol or sedatives.

Cost and analogues

The price of the drug in the form of a syrup is 220-250 rubles, and in the form of tablets - 290-330 rubles.

What can replace the medication "Erespal"? Analogues for children should be recommended only by an experienced pediatrician. Typically, they include the following medicines: "Inspiron", "Sinekod", "Lazolvan", "Ambrobene", "Prospan", "Ascoril" and others.

All of these funds are designed to fight cough and respiratory diseases in general.

Excipients: licorice extract, vanilla extract, saccharin, glycerin, propyl parahydroxybenzoate, methyl parahydroxybenzoate, sucrose, potassium sorbate, yellow-orange dye.

Pharmacodynamics

Pharmacokinetics

Indications

• In the treatment of acute and chronic inflammatory lesions respiratory tract, throat, nose ( rhinitis, sinusitis, otitis media, bronchitis, tracheitis, nasopharyngitis, rhinotracheobronchitis ).
• In the treatment of influenza, measles, whooping cough.
• In the treatment of chronic obstructive pulmonary disease.
• In the treatment of allergies associated with ENT organs.
• For postoperative rehabilitation after operations in the pharynx and nose.

applied after surgical operations on the ENT organs, the drug provides a rapid reduction in tissue edema, normalization of nasal breathing, and improved sense of smell.

A brief description of the diseases for which treatment with the drug is indicated

Application and dosage

Why is Erespal the drug of choice?

• Accelerates the healing process.
• Reduces intensity clinical manifestations ORZ ( swelling of the mucous membrane, cough, sore throat, runny nose).
• It acts directly on the focus of inflammation - that is, it does not just relieve symptoms, but eliminates the very cause of the disease.
• Restores breathing through the nose.
• Thanks to high efficiency no extensive concomitant therapy is required.
• The risk of an allergic reaction is very low.
• The drug is used in combination with symptomatic drugs and antibiotics, and does not affect the effectiveness of these drugs.
• Even infants you can prescribe the drug in the form of a syrup.

What is included in the concept of concomitant therapy?

• Antipyretics.
• Antibiotics.
• Mucolytics ( promote thinning and expectoration of mucus).
• Immunostimulating agents.

Contraindications

Side effects

Note: treatment with Erespal does not replace antibiotic therapy.

Overdose

Pregnancy and Erespal

Storage of the drug

Reviews

The drug helps out not the first time. I think this is the number one remedy for colds. As soon as I feel that snot begins to flow from my nose, and my throat scratches, I immediately take Erespal. I buy pills for myself, and give syrup to my child. And it works well, and the price is normal. I advise!

She suffered from bilateral sinusitis. I asked the doctor very much not to make punctures, because it is very painful ( my sister did), and besides, I read that it is not so effective method. The doctor agreed that while you can try to recover conservative methods. He recommended washing and prescribed this drug. And I still recovered from sinusitis, without a puncture! And for this many thanks to Erespal.

I have allergies since high school. How much time was treated - does not pass. And every year when the pollen blooms begins terrible runny nose, watery eyes, nose reddens and itches ... I drank the usual Aleron for allergies, but he only relieved the symptoms and did not treat anything, it cost 1 day not to take a pill - itching and runny nose started again. And recently I was prescribed Erespal. I've been drinking it for 2 weeks now. The condition has clearly improved. And I hope for the best - that at the end of the course from my allergic rhinitis there will be no trace!

I've been smoking since I was 20, and I'm not going to quit, I'm too used to smoking. But in recent times an incomprehensible cough began, I feel that my chest is starting to hurt. I went to the doctor - he diagnosed obstructive pulmonary disease. He said, of course, quit smoking. He prescribed treatment. And this medicine, Erespal, was also prescribed. But I could not say goodbye to cigarettes - I smoked for too many years. Just tried to reduce the number of cigarettes a day. He took his medicines properly. And after two months, indeed, the cough almost stopped ... The doctor said that this was not a recovery, this was an improvement, that is, one must continue to follow all the prescriptions. But I'm so glad that it got better with the lungs.

Previously, she often had the flu, a protracted one that does not last a week, but longer. I tried several drugs, and settled on this one. Read about him good feedback. Really, good remedy, and the pain instantly relieves, and there is no such lethargy and weakness after the flu, as usual.

Read more:

Reviews

P.S: People suffering from panic attacks, it is better not to drink this drug at all. Everything is individual.

I do not suffer from chronic diseases allergic reactions I have no medicines.

In the Instructions for medical use Erespal, there is a paragraph highlighted in a special font: Side effects - Inform your doctor if you have any, including those not mentioned in this manual, adverse reactions and sensations, as well as changes in laboratory parameters during therapy.

With such a quantity negative feedback on this Drug and not a low price for it, why there are such a huge number of side effects associated with the cardiovascular system and whether this Drug is proven, tested, or the above paragraph from the instructions says that it is still being tested on our poor people and it was interesting I would like to know how things are with the French patients?

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Erespal - instructions for use, composition, indications, analogues and reviews

Erespal is an anti-inflammatory and anti-bronchoconstrictor drug used in diseases of the upper and lower respiratory tract.

Composition and form of release

Release form of the drug:

• Tablets.
• Syrup.

The composition of the drug in the form of tablets

The composition of Erespal tablets includes the following components:

• additional substances - hypromellose, calcium hydrogen phosphate, macrogol 6000, silicon dioxide, povidone, titanium dioxide, magnesium stearate, glycerol.

The composition of the syrup includes the following components:

• active substance - fenspiride hydrochloride,
• additional substances ─ flavor, glycerol, licorice extract, sunset yellow S, propyl parahydroxybenzoate, methyl parahydroxybenzoate, sucrose, saccharin, potassium sorbate, water.

Erespal instructions for use in various dosage forms

Erespal: application in the form of tablets

The drug Erespal is taken before meals.

For the treatment of a chronic inflammatory process, according to the instructions, take 2 tablets of 80 mg - in the morning and in the evening. For treatment acute form disease specialist can prescribe individual course treatment in which tablets are taken in the morning, afternoon and evening.

The duration of treatment depends on the nature of the disease and the tolerance of Erespal.

Erespal: application in the form of syrup

The scheme for treating cough with Erespal syrup is as follows. The remedy is recommended for adults and children over 12 years of age. From 3 to 6 tablespoons of the product (45-90 ml) can be used per day. The duration of the therapeutic course depends on the recommendations of the attending physician.

The use of Erespal for bronchitis

For children under the age of 14, it is recommended to give Erespal in the form of syrup. The dose will be determined by the body weight and age of the patient. According to the instructions, Erespal syrup is taken thirty minutes before meals. Shake the syrup bottle well before use. Children under 2 years of age weighing less than 10 kg drug preparation appoint pml per day. The average daily amount of the drug is divided into 3 doses. It is allowed to add Erespal to a bottle with baby food. The dosage of the drug for patients aged 2 to 14 ml per day. The average daily rate of the drug is divided into three doses. Adults are recommended to use 1 tablet of Erespal containing 80 mg of fenspiride hydrochloride, 2-3 times a day. The dosage of syrup for adults is from fifty to ninety milliliters per day. The course of treatment can last up to 20 days.

Erespal storage conditions

The medicine is stored in a dry place, out of reach of children, at room temperature. The drug in the form of a syrup is stored for 3 years, in the form of tablets - for 2 years.

Indications, contraindications, side effects of Erespal

Indications for use Erespal

In accordance with the reviews about Erespal, this drug gives a fairly high result in relation to all kinds of diseases of the upper and lower respiratory tract. Erespal is used for the following diseases: laryngitis, nasopharyngitis, otitis media, sinusitis various genesis(covering seasonal and permanent allergic sinusitis), bronchitis and rhinotracheobronchitis. In addition to this, they take Erespal as part of complex treatment with isolated asthma and complicated bronchial asthma. According to the instructions for use, Erespal is used as an effective remedy for respiratory manifestations that often accompany diseases such as influenza, measles and whooping cough.

Contraindications for the use of Erespal

During treatment with the drug, very rarely observed side effects. Methyl parahydroxybenzoate, which is contained in the syrup, can only occasionally cause allergic reactions (urticaria, Quincke's edema). In addition, during therapy, dyspeptic disorders (nausea, vomiting), drowsiness, agitation and sinus tachycardia may occur. The instructions for use note that it is not recommended to prescribe the drug in the following cases:

• The presence of intolerance to one of the components of the drug;
• Erespal for children under 14 years of age is prescribed only in the form of a syrup.

If any side effects appear when using Eurespal syrup or tablets, you should definitely contact a specialist, describing to him your well-being.

Holding therapeutic treatment may cause the following side effects:

• In work of cardio-vascular system sometimes the following changes may occur: tachycardia, which decreases with a decrease in the dose of the drug.
• In the work of the gastrointestinal tract, disorders of the stomach and intestines, pain in the epigastrium, nausea are often observed; occasional vomiting and diarrhoea.
• In the work of the central nervous system sometimes there is a state of drowsiness, and dizziness.
• Sometimes there is asthenia, severe fatigue.
• The occurrence of allergic reactions to skin- urticaria, erythema, rash.
• There may be a manifestation of strong sensitivity to the dye that is part of the drug.

Erespal: overdose symptoms

In the event of a drug overdose, seek immediate medical attention medical care. An overdose of Erespalm can lead to next states: drowsiness or agitation, sinus tachycardia, nausea and even vomiting. In such a situation, the patient needs to wash the stomach, while constantly monitoring the ECG. If necessary, carry out maintenance therapy for vital important functions organism.

How long can Erespal be used

The duration of the course of application, according to the annotation to the drug Erespal, is usually days. If it is necessary to conduct a second course of treatment using Erespal, you should consult a specialist.

The use of Erespal during pregnancy

Certain research data on the use of fenspiride hydrochloride during pregnancy are not available or they are limited. However, if pregnancy was detected during treatment with Erespal, it should not be interrupted. There is also no information regarding the entry of fenspiride into breast milk. Thus, when feeding, it is best not to use this Erespal. Treatment infectious diseases respiratory tract is carried out with the help of other drugs, for this reason a woman needs to consult a specialist.

Erespal: application for children

The instructions indicate that the drug Erespal can only be used for children from two years of age. For babies this pharmaceutical drug not allowed for use. Infants with respiratory tract infections are advised to give other medicines.

Therapeutic effect of Erespal

The action of Erespal is due to the fact that fenspiride reduces the production of certain biologically active substances (cytokines, especially tumor necrosis factor alpha (TNF-alpha), arachidonic acid derivatives, free radicals) that have great importance in inflammation and bronchospasm. Inhibition of the metabolism of arachidonic acid by fenspiride is determined by the blockade of histamine H1 receptors, since histamine activates the formation of its products (prostaglandins and leukotrienes). Fenspiride blocks alpha-adrenergic receptors, the stimulation of which increases the secretion of bronchial glands. As a result, fenspiride reduces the action of several factors that contribute to the hypersecretion of pro-inflammatory factors, the development of inflammation and bronchial obstruction. Fenspiride, as part of the product, has an antispasmodic effect.

Erespal compatibility with antibiotics

It is allowed to use the drug Erespal with antibiotics, antiviral and expectorants.

In pharmacies you can find similar preparations having similar properties. Erespal's analogues of syrup and tablets in terms of their effect on the human body are Stoptussin, Fenspiride, Ascoril, Lazolvan, Ambrobene.

The cost of drugs - analogues can be both high and lower. But, if you want to buy more cheap analogue 80 mg tablets or Erespal syrup, you should consult your doctor. With certain diseases, you can replace Erespal medication Bronchicum, which is taken for bronchitis, for dry and wet coughs.

The price of the drug in pharmacies

Check out the price of Erespal in 2018 and cheap analogues >>> The cost of Erespal in different pharmacies can vary significantly. This is due to the use of cheaper components in the preparation, and pricing policy pharmacy network. But what is important is that the difference in price between foreign and Russian counterparts remains virtually unchanged.

On the MedMoon.ru website, drugs are classified both alphabetically and by their effect on the body. We publish only the most relevant and new medicines. Instructions for use Erespal is regularly updated at the request of manufacturers.

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How to take Erespal for adults

Erespal - known medicine for the treatment of diseases of the ENT organs. Erespal for adults is prescribed exclusively in the form of tablets, for children the drug is usually prescribed in syrup.

Composition and medicinal properties

Cough, as a sign of infectious diseases, indicates the development of inflammatory phenomena in lower sections respiratory organs. Accumulation and stagnation of sputum lead to a feeling of heaviness in chest, pain, and severe itching in the throat.

To reduce coughing attacks and extract mucus, specialists prescribe various means of antitussive and expectorant effects. Erespal, unlike other medicines, acts purposefully, eliminating the cause of cough - the inflammatory process.

The product is produced in the form of tablets of 80 mg, as well as in the form of a syrup of 150 ml. AT childhood used liquid form, which additionally contains flavor additives, licorice, sucrose, and is easily absorbed by the child's body.

In addition to anti-inflammatory properties, the tool has the following abilities:

• relieves swelling of mucous surfaces;
• prevents narrowing of the lumen of the bronchi;
• thins viscous mucus.

The active ingredient of the drug is fenspiride, which has a bronchodilatory and anti-inflammatory effect. In addition to the main ingredient, the tablets also include:

• calcium hydrophosphate;
• hypromellose;
• stearic acid;
• silicon dioxide.

Thanks to complex action on organs respiratory system the drug not only effectively relieves spasms of smooth muscles, relaxing and expanding the bronchi, but also exhibits antitussive qualities. It is these properties that make it possible to use it in the treatment of unproductive cough.

How it works

Erespal is a unique medication that prevents the spread of the inflammatory process in a short time and has bronchodilatory properties.

The drug blocks mediators of the inflammatory process, removing not only the symptoms of the disease, but also its root cause, acting directly in the focus of inflammation.

The drug affects the activation of the ciliated epithelium, normalizes gas exchange in lung tissues, stimulating mucus thinning.

Fenspiride blocks histamine receptors, inhibits the production of arachidonic acid, which plays an important role in the appearance of edema, bronchospasm and sputum hyperproduction.

Thus, the tool acts in several directions:

• helps to reduce the clinical manifestations of infectious diseases - relieves swelling of the mucous membranes, relieves pain symptoms in the throat, cough and runny nose;
• affects the focus of the inflammatory process;
• restores nasal breathing;
• does not require intensive concomitant treatment;
• practically does not provoke allergic reactions;
• can be combined with other agents without reducing their therapeutic efficacy;
• shortens the period of illness, accelerating the cure;
• may be given to children early age from 2 years.

When taken orally, the drug in tablets reaches its highest concentration after 6 hours, in syrup - after 3 hours. 12 hours after ingestion, the substance is excreted by the kidneys.

Indications for admission

According to the instructions for use, Erespal is prescribed for the treatment of infectious and inflammatory diseases. respiratory organs. The main indications are:

• SARS, influenza, colds;
• inflammation in the throat;
• bronchitis;
• rhinitis;
• inflammation of the larynx;
• tracheobronchitis;
• pneumonia;
• bronchial asthma;
• sinusitis and its varieties;
• otitis and other diseases accompanied by cough.

In addition, Erespal can be used after suffering surgical interventions on ENT organs: it significantly reduces swelling of tissues, normalizes breathing through the nose, and restores the sense of smell.

The use of the drug in case of serious pathologies of the respiratory organs - pneumonia, pleurisy and other diseases, can facilitate their course and improve general state sick.

The drug is considered universal: it is used both to mitigate dry cough and wet cough with sputum difficult to separate. However, treatment with Erespal cannot replace antibiotics.

How to take adults

The drug is prescribed before or after a meal in doses depending on the severity of the disease and the age of the patient.

For adults, the medicine is prescribed one tablet two to three times a day.

Chronic inflammatory pathologies require the use of two tablets per day in the morning and evening time. With an exacerbation of inflammation, it is recommended to take three pills per day. In addition, a specialist can prescribe an individual treatment regimen for a particular patient.

It is also allowed to take Erespal in syrup for adults. The optimal dosage is 3-6 tablespoons per day.

The highest dosage in 24 hours should not exceed 240 mg. The duration of the course is determined by the attending physician. Most often, it is recommended that adults take Erespal for 7 days.

Clinical trials have established that the positive effect of the drug appears after a week of continuous therapy. In chronic pathologies and pulmonary obstruction, treatment can be extended to several weeks. Thus, an adult can drink Erespal for up to 30 days.

Erespal: compatibility

One of the advantages of the drug is its good compatibility with other drugs - expectorants and antibiotics, so it can be used as part of a combined treatment.

Erespal and alcohol are incompatible: the drug can enhance the sedative effect ethyl alcohol. For the same reason, the drug is not recommended to be taken together with sedatives: it can lead to increased sleepiness and decreased performance.

Contraindications and side effects

Fenspiride is a fairly safe substance that allows the use of medicines based on it in pediatric practice. Despite this, the tool has some limitations for reception:

• hypersensitivity to the active substance;
• children's age less than 2 years.

Caution in the use of the drug must be observed in adult patients with fructose and sucrose intolerance, as well as those suffering from diabetes mellitus.

You should not treat a child with a pill, dividing it into parts: in childhood, only medicine is used. However, in some situations, syrup is prescribed for adult patients.

It is worth refraining from using Erespal during pregnancy and breastfeeding: data on the effect of the drug on a woman and a child in this moment not available.

Usually the drug is easily tolerated and does not provoke side effects. However, in case of individual intolerance, the drug can provoke:

• abdominal pain;
• diarrhea
• nausea;
• loss of strength, increased fatigue;
• dizziness;
• heart rhythm disorder;
• skin rash.

When using the tool in overdose overdose symptoms may occur - increased heart rate, gag reflexes, overexcitation, or, conversely, weakness. In this case, it is necessary to carry out symptomatic treatment.

Erespal - indeed effective drug, which has a complex effect. In addition to its direct purpose - elimination of cough, the drug has an anti-inflammatory, bronchodilatory, antispasmodic effect, which allows it to be used in the treatment of diseases of various parts of the ENT organs.

How to take Erespal for cough

With what kind of cough should Erespal be taken? A question that worries many, the remedy is given to position itself as an effective cure for the disease. It is possible to take it for adults and children, the manufacturer produces the drug in the form of syrup and tablets. A medication is prescribed, as a rule, to improve the reproductive (dry) cough, its positive effect has also been proven during a wet attack.

What kind of cough helps Erespal?

Erespal became popular more than 10 years ago. As soon as the drug appeared, otolaryngologists and therapists began to use it effectively. The versatility of the impact, the properties of the drug help to fight a variety of ailments and even relieve allergic coughing. Erespal is taken to relieve a dry cough, for a quick transition to a wet one when sputum is present.

The medicine is indicated for the following pathologies of the upper and lower respiratory tract:

Versatility of use is the main advantage of the drug. It is able to alleviate dry coughing, promote an early transition to mucus secretion, eliminate the wet type of pathology, and relieve allergic ailments. The drug is available in the form of syrup and tablets. The first is used, as a rule, to facilitate the therapy of children, the second - for adults. The effective effect of Erespal as an anti-cold remedy has been proven. It eliminates the symptoms of the disease, promotes a speedy recovery.

The next advantage of the drug is its safe nonsteroidal action. It is able to relieve the inflammatory process, antihistamine, bronchodilator, sedative properties of the drug help to relax the muscles of the bronchi, blood vessels, alveoli. The drug has antipyretic properties.

Erespal has practically no contraindications, in addition to individual intolerance to the components. Adverse reactions are also extremely rare, but despite these advantages, it should not be used during lactation and with caution while expecting a baby.

How much is syrup and tablets

The cost of syrup and tablets varies. The drug, according to people's reviews, has a high price, which makes it impossible to use it for some patients. Tablets are available in blister packs of 80 mg, 30 pieces per pack. The average cost is rubles. Syrups differ in volume, you can purchase a bottle of 150 or 250 ml. The cost of the first will be an average of 300 rubles, the second - 480.

Instructions for use Erespal syrup from dry cough and tablets

The dosage differs depending on the age of the patient, his state of health and related complications, other factors. It is possible to take Erespal, both for adults and children. Instructions for use recommends the following types dosing of the medication.

For kids

Children and adolescents are recommended to take syrup as a therapy until the age of 18. After 18 years of age, it is possible to use tablets as directed by a doctor. The concentration of the active substance in the syrup is slightly less than that contained in one tablet, so often during severe coughing attacks, doctors recommend choosing the second option.

For adults

Adults are advised to use tablets as therapy. 80 mg. = 1 tablet. This dose should be taken 2-3 times a day. If the doctor prescribed the syrup, then its dosage will be ml. Note! The daily dose of the drug should not exceed 240 mg. The course of treatment is calculated only by the attending doctor.

Pregnant

The active dose of the drug contains the substance fenspiride. It is able to penetrate the placenta, breast milk, cause early miscarriage. Therefore, manufacturers do not recommend the use of Erespal as a therapy during pregnancy and lactation. A medication can be prescribed only in extreme cases, when the benefit to the mother outweighs the threat to the baby. If treatment is mandatory during breastfeeding, it is worth postponing it and using artificial for the duration of the entire course of therapy and a week after it.

Contraindications

The list of contraindications for the drug is minimal, which is why it is so loved by many specialists. You can not use the drug in the form of tablets if the patient is under 18 years of age. Other contraindications include the following:

• individual sensitivity to the components of the drug;
• fructose intolerance;
• diabetes;
• period of pregnancy and lactation.

Pros and cons of the drug

Erespal, despite its wide popularity, has several disadvantages, they should be taken into account when planning drug therapy. The negative aspects of the funds include the following factors:

1. Tablets may provide backlash on the body. Many patients note drowsiness, absent-mindedness after taking it, which is contraindicated for drivers.
2. The drug should be used with caution, if any. chronic pathologies Gastrointestinal tract, according to patients, the result of taking Erespal can be pain in the epigastric region.
3. Greater efficiency gives in combination with other means. With the help of Erespal alone, it is impossible to completely get rid of colds, SARS, bronchitis, etc.
4. Relatively high cost. Almost 80% of people say that the drug is not available as a therapy and that it is necessary to use analogues for treatment that are cheaper compared to the original.

Among positive sides medicines are as follows:

• promotes fast and effective removal coughing fits;
• facilitates the general condition during a cold, other pathologies of the respiratory system;
• contributes to the rapid transition of dry cough to wet;
• has an anti-allergic effect;
• able to slightly lower body temperature.

Starting therapy with Erespal, it is worth considering all the positive and negative sides medication. Many of them are not listed in the instructions for use.

Analogues

Since many patients talk about the high cost of the drug, it is worth pointing out the presence of analogues of the drug. They have a lower cost, have a similar effect on the disease, that is, they relieve attacks of dry and wet cough.

The most popular analogues of Erespal include the following medicines:

1. Ambrobene - popular remedy, helps to alleviate the condition with reproductive cough, activate sputum. Its cost is cheaper than that of Erespal. Can be used in the 2nd and 3rd trimester of pregnancy. However, Ambrobene does not have additional qualities that are present in Erespal - a pronounced anti-inflammatory and antihistamine effect.
2. Ascoril is an excellent analogue. The only negative side is big list contraindications. The drug can be used for diseases of the upper and lower respiratory tract. Excellent removes mucus, diluting it. At a cost lower than Erespal.
3. Sinekod is an antitussive. It is used against dry, wet and combined ailments. The action is based on creating a blockage of the cough center in the brain. Specialists use it, as a rule, during pathologies of the upper respiratory tract, when coughing is caused by a sore throat and sputum is not observed.
4. BronchoMax is a structural analogue, has a similar active ingredient with Erespal. Helps to relieve attacks of various coughing, has antihistamine action. It is used for diseases of the upper and lower respiratory tract.

Note! The analogues presented above have a lower cost, but you should not use them without consulting a specialist. Sometimes Erespal cannot be replaced with another medication due to the severity of the pathology or its allergic component. Erespal - an effective remedy that saves from coughing fits various etiologies. It is possible to use the drug with infancy. The main advantage of the drug is the versatility of the impact. Only the attending physician should prescribe therapy.

Dry cough during pregnancy

Safe expectorants for children of all ages

Citrus fruits help strengthen the immune system, but they are not always allowed to be used for lung diseases. Consult with your physician for clarification.

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All about lung and respiratory health

The information on the site is provided for reference purposes only. At the first sign of disease, consult a doctor!

A lot has been said and written about the treatment of cough. With a wet cough, it is necessary to thin the sputum with the help of mucolytics and remove it with expectorants, and with a dry cough, an antitussive effect should be achieved, which is exhibited by centrally acting drugs. Erespal stands out from this harmonious row: a cough medicine that does not affect either sputum, or the rate of its excretion, or the center of the cough. So how does this medicine work and, most importantly, how to take it correctly?

Cough treatment is simple and understandable only at first glance. In fact, it has many nuances, and disputes in scientific environment on some issues do not subside to this day. Many Western experts generally believe that a cough in its usual sense, that is, a reflex that develops against the background of a bacterial or viral infection, treatment is not necessary at all. Like it will go away on its own. However, the vast majority of domestic experts categorically disagree with this approach to business.

In Russian practice, cough is treated, and often treated for a long time, stubbornly and unsuccessfully. The gloomy results of therapy can be the result of incorrect diagnosis, incorrect therapy tactics or incorrect prescription, and sometimes an intricate combination of several errors. There are also many unfulfilled expectations among patients who are looking for a magic cough pill: I drank - and the next day again, like a peppy cucumber from the garden. Unfortunately, such drugs simply do not exist. The possibilities of pharmacology, alas, are not unlimited, but with the correct, correct use of drugs, full-fledged help can still be obtained. So, let's understand the features of the appointment, action and dosage of one of the most incomprehensible cough medicines for people far from medicine - Erespal.

Before continuing reading: If you are looking for an effective way to get rid of constant colds and diseases of the nose, throat, lungs, then be sure to look into section of the site "Book" after reading this article. This information is based on personal experience the author and helped many people, we hope it will help you. NOT advertising! So, now back to the article.

Rescue cough

To understand how Erespal works in our body, we will have to start from afar - from the mechanism of cough development. Why do we suddenly start coughing? Where does mucus come from?

Mucus in the airways is vital importance. It plays the role of a filter for small foreign particles and bacteria that enter the bronchi along with the inhaled air.

Removal of "used" bronchial mucus from the body provides a constantly working mucociliary apparatus.

It is a system of cilia that translational movements. Thanks to their tireless work, the mucus gradually rises up the respiratory tract and enters the throat and oral cavity. In a healthy person, several tablespoons of bronchial mucus are secreted per day. Without noticing it, we swallow it. Having reached the stomach, the bacteria contained in the sputum die ingloriously.

Another mechanism for removing mucus is the cough reflex. The sputum that accumulates in the lower respiratory tract irritates special receptors that trigger the cough mechanism. These receptors are located sequentially along the entire path of air: from the nose to the deepest bronchi. After their irritation, the muscles of the respiratory tract contract and a deep exhalation occurs through the mouth, which allows you to remove a large amount of mucus at once. Thanks to coughing, our bronchi and lungs are additionally protected from the penetration of dust, pieces of food and other uninvited guests into them. However, sometimes the situation develops in a different, pathological scenario.

Cough as a symptom of the disease

Unfortunately, some bacteria and viruses still “take root” in the upper respiratory tract and start the pathogenic process. Reaching the lower respiratory tract, they stimulate the development of a powerful inflammatory response. It is accompanied by the release of special substances - the so-called inflammatory mediators, which cause swelling of the mucous membrane and sharp rise mucus products. For the time being, excess mucus accumulates in the lower respiratory tract, as a result of which the patient begins to feel heaviness in the chest, pain, coughing, and then coughing.

As a rule, at the beginning of the inflammatory reaction, swelling of the airways precedes excessive production of mucus. Therefore, often in infectious diseases, primarily due to irritation of the receptors located in the bronchi, a dry, unproductive cough appears. As mucus production rises and accumulates, the cough becomes more and more wet. That's when expectorant and mucolytic cough medicines are prescribed. For a long time they were the only ones left effective means to manage this symptom. However, today there is another medicine, and it works in a completely different way. Now we have come to the description of the properties of the hero of our article, the cough medicine Erespal.

Three effects of Erespal tablets and syrup

If antitussive and expectorant drugs act on the effects of dry or wet cough, then Erespal affects its root cause, namely, inflammation. At the same time, it works simultaneously in several directions.

Firstly, Erespal blocks the so-called H1-histamine receptors. Due to their binding to the allergy mediator histamine, which is released during inflammation, swelling of the mucous membrane quickly develops. Erespal "neutralizes" these receptors, making them insensitive to histamine.

Secondly, the cough medicine Erespal reduces the production of special biologically active substances that “nourish”, that is, support the inflammatory reaction and are responsible for its manifestations. Their names are often mentioned in the instructions for drugs, including Erespal, but most often they do not tell the average consumer anything. So that every reader of tricky drug annotations has at least an approximate understanding of what the manufacturers are trying to convey to him, we will give a list of pro-inflammatory factors. These include:

• cytokines;
• tumor necrosis factor-α;
• arachidonic acid derivatives;
• prostaglandins;
• leukotrienes;
• thromboxane;
• free radicals.

Pro-inflammatory factors not only stimulate inflammation, but also contribute to bronchial constriction. This disrupts airflow through the respiratory tract and contributes to a decrease in oxygen levels and an increase in blood levels. carbon dioxide in blood. The patient feels a lack of air, shortness of breath appears. Accordingly, the blocking of pro-inflammatory factors due to the effect of Erespal tablets and syrup prevents the narrowing of the lower respiratory tract and the appearance of breathing difficulties, no matter what kind of cough the patient is worried about.

Erespal - has an anti-inflammatory effect, inhibits exudation, prevents bronchoconstriction. This medication from French manufacturers is very popular in otolaryngological and pulmonological practice. It is prescribed in the complex therapy of many pulmonary diseases, as well as for the treatment upper divisions respiratory system.

It has a clinically proven ability to increase the activity of the cilia of the bronchial ciliated epithelium, normalize the volume of bronchial secretions and reduce its viscosity. According to the instructions for use, Erespal has an antispasmodic, antihistamine, anti-inflammatory, anti-edematous effect.

If antitussive and expectorant drugs act on the consequences of a dry or wet cough, then Erespal affects its root cause, namely inflammation. At the same time, it works simultaneously in several directions.

Due to the complex effect on the respiratory tract, the mechanism of mucus formation and inflammation, Erespal also has an antispasmodic effect, and its intake helps to relax the bronchi, and, therefore, their expansion.

When taking Erespal in tablets or syrup, the highest concentration of the drug in the blood is reached after about 6 hours. After another 6 hours (12 in total), the dose of the drug is already excreted from the body along with urine (90%), through the intestines 10%.

The active substance of all dosage forms of the drug is fenspiride hydrochloride. Active substance The drug has a pronounced anti-inflammatory and anti-bronchoconstrictor effect due to a decrease in the production of the main biologically active substances that play a key role in the development of the inflammatory response and bronchospasm: cytokines, free radicals, metabolites of arachidonic acid.

Fenspiride reduces the action of a number of factors that contribute to the hypersecretion of pro-inflammatory agents, the development of inflammation and bronchial obstruction.

Erespal is available as:

- film-coated cough tablets, each containing 80 mg fenspiride hydrochloride;

- cough syrup, 10 ml of which contains 20 mg of fenspiride hydrochloride.

Indications for use Erespal

Indications for the use of Erespal are diseases accompanied by cough and other symptoms of respiratory diseases. Indications for the use of syrup are similar to those for the use of the drug in tablets.

The medication is prescribed for:

• treatment of acute and chronic inflammatory processes ENT organs and respiratory tract (otitis media, sinusitis, rhinitis, nasopharyngitis, tracheitis, rhinotracheobronchitis, bronchitis),
• therapy of chronic obstructive pulmonary diseases (COPD), as part of the complex therapy of BA;
• seasonal and year-round treatment allergic rhinitis and other manifestations of allergies from the respiratory system and ENT organs;
• therapy of respiratory manifestations of measles, influenza and other acute respiratory viral infections;
• as a symptomatic treatment for whooping cough.

Instructions for use Erespal, dosage

The drug should be taken before meals, 15 minutes before the main meal.

The syrup should be shaken before use.

Adults Erespal is prescribed 80 mg (1 tab.) 2-3 times / day. or 3-6 tablespoons (45-90 ml) of syrup per day.

1 tablespoon (15 ml of syrup) contains 30 mg of fenspiride hydrochloride and 9 g of sucrose.

The maximum daily dose is 240 mg. The duration of treatment is determined by the doctor.

For the treatment of children and adolescents under 18 years of age should use Erespal ® syrup.

- Children weighing up to 10 kg - 10-20 ml per day (it is possible to add syrup to a bottle with baby food);

- Children weighing more than 10 kg - 30-60 ml per day;

- Children from 2 years old - at the rate of 4 mg per kg of body weight per day;

- Adolescents and adults - 45-90 ml per day.

The course of taking the drug can last from 20 to 30 days. The period of taking the medication is determined by the attending physician in each individual case.

Application features

Studies to study the effect of Erespal on the ability to drive vehicles and work with the mechanisms was not carried out. Patients should be aware of possible development drowsiness and weakness when taking the drug Erespal, especially at the beginning of therapy or when combined with alcohol intake.

Taking the drug during pregnancy is not recommended.

In the treatment of infectious diseases of the respiratory tract, Erespal should be combined with a course of antibiotics. Treatment with the drug does not replace antibiotic therapy.

Use with caution while taking sedative, sedative and hypnotic drugs, since their interaction can lead to potentiation of the sedative effect and cause excessive weakness and drowsiness. For the same reason, it is undesirable to combine ethanol and Erespal and refrain from drinking any alcoholic beverages during the period of therapy.

The drug is not recommended to be combined with acetylsalicylic acid and other non-steroidal anti-inflammatory drugs due to possible risk the development of allergies and other reactions of the body, which include bronchospasm.

Side effects and contraindications Erespal

Possible digestive disorders, diarrhea, nausea, stomach pain, drowsiness, dizziness, moderate tachycardia, increased fatigue, asthenia.

Dye and Excipients as part of the syrup can provoke the development of allergic reactions.

If any adverse symptoms occur, the dosage form should be discontinued and medical attention should be sought for the appointment of adequate therapy.

Overdose

Symptoms: drowsiness or agitation, nausea, vomiting, sinus tachycardia.

Treatment: gastric lavage, ECG monitoring. Support of vital body functions.

Contraindications

• Hypersensitivity (allergy) to the active substance or to any of the components of the drug.
• Children's age up to 18 years (for tablets).
• Age up to 2 years (for syrup).

The composition of the drug includes sucrose, so contraindications to the use of the drug are congenital fructose intolerance, glucose and galactose malabsorption syndrome, sucrose-isomaltose deficiency.

Analogues Erespal (list)

Preparations analogues of Erespal, a list of medicines:

1. Inspiron;
2. Ascoril;
3. Ambrobene;
4. Lazolvan;
5. Prospan;
6. fenspiride hydrochloride;
7. Eryspirus;
8. Cinnabsin;
9. Nux-Vomica-Homaccord;
10. air-sea;
11. Incena;
12. Softovak;
13. Vinblastine-teva.

The drug "Erespal" is a fairly potent medicine. In this regard, it should not be used, guided only by your own opinion and the recommendations of friends or Internet reviews. The drug should be prescribed only by specialists, according to strict indications.

Erespal's instructions for use, price and reviews are not related to analogues and cannot be used as a guide to prescribing, replacing or dosages of drugs. All therapeutic manipulations must be carried out by a doctor. Replacing Erespal with an analogue may require adjustment of dosages or course of treatment.