Medicine for persistent cough. Cough medicines: dry and wet for children and adults

When a child or an adult coughs, others consider them sick. This is true, but coughing in itself is not a disease, but only one of the symptoms of an existing disease. Therefore, it is necessary to treat not only cough, but also the main ailment, which everyone can have “his own”: from a common cold to severe pneumonia and mediastinal tumors.

The causes of dry cough are varied:

• acute bronchitis and tracheitis, SARS, bronchial asthma, COPD (chronic obstructive pulmonary disease), pleurisy, tuberculosis, tumors of the lungs and mediastinum. Read about how to treat cough cough with tracheitis;
• irritation of the bronchi with tobacco smoke, gases, dust;
• pharyngitis, laryngitis, sinusitis, rhinitis with mucus flowing from the nasal passages into the bronchi along back wall pharynx;
• heart disease with symptoms of heart failure;
• Problems digestive system and in particular GERD (gastroesophageal reflux disease);
• an adverse reaction of the body to the inhalation of oxygen;
• the consequences of taking a number of medications, for example, Amiodarone;
• pathology of the psycho-emotional sphere, the so-called. habitual cough, etc.

The goal of the doctor (and the patient himself) is to correctly select medicines to alleviate a dry cough and transfer it to a wet one, accompanied by expectoration (mucus separation from respiratory tract).

In this article, we will perform a detailed analysis of antitussive drugs for dry cough. Their choice depends on the age and condition of the patient, clinical symptoms, the presence of other diseases and a number of other reasons.

Classification of antitussive drugs and agents

Cough suppressants can be classified according to various criteria, such as:

• release form;
• country and manufacturer;
• composition: natural or synthetic components;
• mechanism of action.

In turn, antitussive drugs can be produced in various dosage forms:

• pills;
• syrup, elixir;
• drops;
• teas with extracts of medicinal plants;
• herbs and herbal preparations;
• chewing lozenges, lozenges;
• rectal suppositories.

There are other types of classifications intended for specialists. Last item in this list (mechanism of action) means that an antitussive drug belongs to one or another group. Let's dwell on this moment in more detail.

How do cough medicines work?

Means of narcotic action

Block the cough reflex by inhibiting brain function. Assigned with caution, especially to children, because. are addictive. However, there are cases when they cannot be dispensed with: pleurisy or whooping cough with bouts of debilitating cough. Find out when and to whom they do it. Examples of narcotic antitussives include Codeine, Dimemorphan, Ethylmorphine.

Non-narcotic antitussives

Unlike the drugs of the above group, non-narcotic drugs do not affect brain function and block the cough reflex, without causing consequences in the form of addiction to the drug. They are usually prescribed for severe forms of influenza and SARS, accompanied by a strong dry cough that is difficult to treat. An example of a non-narcotic antitussive drug is Butamirate, Glaucine, Oxeladin, Prenoxindiosin.

Medicines - mucolytics

Used for dry unproductive cough became productive. They do not suppress the cough reflex, but the patient's well-being improves due to liquefaction of sputum. With bronchitis, pneumonia, the patient's bronchi are clogged with viscous mucus, which is not released on its own due to its thick consistency. Mucolic antitussive drugs help to free the bronchi from sputum and, accordingly, colonies of microorganisms. Often the medicinal basis of them are herbs. An example of a mucolic antitussive is ACC, Ambroxol, Mukaltin, Solutan.

Means of combined action

In some cases, physicians prescribe to their patients combined preparations giving a multi-effect. With their help, you can stop the inflammatory process, eliminate bronchospasm, increase the productivity of coughing. An example of a combined antitussive drug is Dr. MOM, Codelac Phyto.

List of the most effective medicines

Below is a list of popular and effective antitussive drugs.

• Codeine (Methylmorphine)
  Effectively reduces the cough reflex. Single dose the drug provides a period of rest from bouts of dry cough for 5-6 hours. It has a depressing effect on the respiratory center, which is why Codeine is rarely prescribed. Reduces the degree of ventilation of the lungs and leads to other undesirable consequences- addiction, drowsiness, lethargy of the intestines, constipation. When taken simultaneously with alcohol, sleeping pills or psychotropic drugs, it can cause life-threatening conditions. This cough medicine is contraindicated in children aged 0-2 years, as well as pregnant women.
• Ethylmorphine (Dextromethorphan)
  Synthetic substitute for methylmorphine, showing the same high antitussive activity. However, the number and severity side effects this drug is much lower.
• Glaucine (Glauvent)
  This antitussive drug is available in several dosage forms - antitussive dragees, tablets, syrup. Effectively transforms a non-productive cough into a wet one, is relatively inexpensive, but can cause arterial hypotension, weakness, dizziness or allergic reactions. Patients with low blood pressure, previous myocardial infarction, prone to allergies this drug are not assigned.
• Levopront
  Inexpensive, but quite effective medicine for adults and children, is available in the form of drops and antitussive syrup with a pleasant taste. Side effects from taking - stool disorder, nausea, heartburn, drowsiness, weakness, skin rashes. The drug is not prescribed to pregnant and lactating mothers, as well as patients with renal insufficiency.
• Libeksin
  Effectively fights dry cough, reduces the effects of bronchospasm, has a local anesthetic effect. The effect of taking this antitussive drug for dry cough lasts about four hours. Indications for use: SARS, pleurisy, bronchial asthma, pneumonia, emphysema, etc. There are also side effects, which can manifest as dry mouth, sluggish digestion, nausea, allergies.
• Sedotussin (Pentoxyverine)
  There are two forms of release of this antitussive drug - syrup and rectal suppositories. It is prescribed for dry, exhausting cough, acute and chronic bronchitis, pneumonia. A contraindication to use is the presence of a history of the following diseases: allergy to individual components of the drug, bronchial asthma, some forms of glaucoma, pregnancy, lactation, elderly age and under 4 months of age.
• Tusuprex (Paxeladin, Oxeladin)
  Synthetic drug aimed at stopping attacks of dry cough. Possible side effects from taking it in the form of nausea, vomiting, increased fatigue, decreased concentration, drowsiness.
• Butamirat (Sinekod)
  A drug combined action, has anti-inflammatory and expectorant effects, expands the bronchi, facilitates external breathing.
• Prenoxdiazine (Libexin)
  The drug of combined action and selective effect on brain activity. Does not depress breathing pain when coughing, relieves bronchospasm, reduces the excitability of peripheral receptors. With special care is assigned to expectant mothers.
• Tussin Plus
  Syrup based on guaifensine and dextromethorphan, which has expectorant and antitussive effects. Can be used in the treatment of adults and children from six years.
• Stoptussin
  Two dosage forms: drops for oral use and tablets. The main active ingredient is butamirate, which has a bronchodilator, analgesic, antitussive effect. Another component in the composition of this antitussive drug is guaifensin, which acts as a mucolytic.
• Broncholitin
  Combined drug, one of the most popular among ENT doctors and their patients. The active ingredients in it are ephedrine and glaucine, due to which dry cough becomes less painful and painful, inflammation and bronchospasm decrease, and the patient feels better. Produced in the form of syrup for children from three years and adults.

Safe cough medicines for children

• Lazolvan (Ambrogexal, Ambrobene)
  They are based on Ambroxol, which strengthens the immune system. child's body and has an anti-inflammatory effect. These antitussive drugs for dry cough are given even to premature babies.
• Bronkatar (Mukopront, Mukodin)
  The active ingredient in them is carbocysteine, which helps to thin sputum and increase the activity of cells that produce bronchial secretions.
• Bromhexine
  Effectively liquefies sputum and removes it from the respiratory tract.
• Bronchicum
  Herbal preparation, available in the form of syrup, elixir and lozenges. It is indicated for children from six months with a dry cough with sputum difficult to separate.
• Linax
  Another drug based on plant materials with antitussive, antispasmodic and mucolytic effects. It is shown to children from one year and only by prescription, because. has an effect on blood glucose levels.
• Libeksin
  Can be taken at the first sign of a cold. The drug suppresses the cough reflex, without inhibiting respiratory functions at the level of the central nervous system. Bitiodin pills have approximately the same effect.
• Breast collection No. 1, 2, 3, 4; Phytopectol №№ 1,2
  Collection of medicinal herbs for self cooking decoctions and infusions. The composition includes marshmallow root, licorice, oregano; plantain, sage, coltsfoot, wild rosemary, chamomile, mint, violet, pine buds and etc.

In this vein, the question arises: are drugs used in the treatment of children that block cough at the level of the brain (for example, codeine, ethylmorphine, dimemorphan)?

Answer: this happens extremely rarely and only in emergency cases, when it is urgent to stop a painful attack of dry cough with whooping cough, pleurisy, malignant tumor mediastinum.

Drugs allowed during pregnancy

During the waiting period for the baby, the body of the expectant mother is extremely vulnerable, and immunity is reduced. It can be said that the metabolism of a pregnant woman and a fetus is one for two. Therefore, the choice of antitussive drugs during pregnancy should be approached very carefully and nothing should be taken without a doctor's prescription. Without going into details of how a particular substance crosses the placental barrier, we will give general information about which antitussive drugs for dry cough can be taken during pregnancy.

• I trimester
  Mukaltin, Ekvabal, marshmallow root - herbal preparations which can be used without fear.
  Bronchicum, Gedelix, Doctor MOM - are used as directed by a doctor. Possible action on the embryo has not been studied enough.
  Libexin - synthetic drug, appointed by a pregnant woman in the first trimester only in exceptional cases.
  As an addition to the main treatment, dietary supplements can be used: Florafors, Mamavit, Bifidophilus, Pregnacare.
• II and III trimesters
  In the second and third trimesters of pregnancy, in case of dry cough, you can use the drugs recommended for the first trimester.
  In particular difficult cases instead of the above-mentioned Libexin, you can (as prescribed by a doctor!) Apply Akodin, Bromhexin, Stoptussin.

Find out about antibiotics allowed during pregnancy at.

Patient Reminder: Important information about cough management

In the process of treating dry cough, many mistakes are made by patients. This guide help you avoid them.

1. Before starting treatment, you should make sure that it is a dry (and not wet) cough.
2. The choice of antitussive therapy is the prerogative of the doctor, because. it is he who knows the mechanism of action of a particular drug, indications, contraindications and side effects.
3. The simultaneous use of mucolytics and drugs that suppress the cough reflex is prohibited.
4. A cough accompanied by vomiting and severe shortness of breath cannot be treated at home. Especially if the patient is a child.
5. Dry cough lasting more than six weeks that does not respond to medication standard schemes, should be the reason for a visit to the doctor.
6. The doctor who selects drugs for dry cough should be informed about the available chronic diseases such as diabetes, allergies, arterial hypertension, glaucoma, etc. This will reduce the risk of side effects.

Don't forget about funds. traditional medicine- inhalations, irrigations, mustard plasters, banks, etc. In combination with drugs traditional medicine they will get rid of dry cough as quickly and effectively as possible.

Cough accompanies most diseases, being a very unpleasant symptom. Cough can be of two types: wet and dry. Today we will talk about the latter, find out what effective medicine can be used for children and adults and how to cope with this ailment. Below we provide a list of good and inexpensive medicines you can buy for children and adults.

What to choose?

Antitussive drugs, the list of which will be given below, can effectively treat cough in children and adults. But what drugs are really able to give the desired result, providing a quick treatment? A dry cough is difficult to treat, as the medicine must turn it into a wet one. Effective treatment in this case shows ACC. Antitussive drugs are divided into several groups, but what are they? The categories of dry cough remedies for children and adults include:

• Drugs that act on the smooth muscles of the bronchial tree, thereby suppressing the symptom.
• Tablets from dry cough inhibitory processes in the cough center, leading to a decrease in symptoms.
• Antitussives that affect sputum production.

But, unfortunately, it was not possible to come up with a drug that would be universal in the treatment of any types of diseases of the bronchial tree, as well as in the elimination of all their symptoms.

Antitussive drugs

If children and adults have a dry cough, then it is recommended to use such medicines:

1. Sinekod, Glauvent, Demorfanu. Medicines are aimed at eliminating cough, affecting the cough center. Such antitussive drugs are quite effective for the treatment of children, but are sold only by prescription. Therefore, it is not always possible to buy such dry cough tablets. Medicines are prescribed only by a doctor, the method of administration and dosage should also be prescribed by the attending physician. Such medicines that eliminate dry cough are quite serious, so it is not recommended to carry out treatment on your own.
2. Levopront, Helicidin, Libexin. These are peripheral drugs. They are less effective but have fewer side effects. Cough treatment with their help is carried out for adults and children.
3. Tussin, Lorraine, Bronholitin, Stoptussin. These are antitussive combined drugs. Such expectorants for dry cough are very popular and are widely used in the treatment of children and adults. To eliminate cough, it is enough to take 1 or 2 tablets per day. Treatment should not last more than 5-7 days.

Contraindications

Choosing the best remedy from dry cough, it should be understood that even such a medicine may have its own contraindications. Deciding to treat cough in children and adults, you should know that many drugs have side contraindications and don't use them:

• During lactation.
• During pregnancy.
• With individual intolerance to the constituent parts of the drug.
• In the presence of respiratory failure.
• For children up to two years old.
• In the presence of bronchial asthma.

If you have a dry cough, then treatment with such drugs will allow you to transfer it to a wet one. In the future, to treat already wet cough It is recommended to take the following medications:

• expectorant medicines: Marshmallow, Licorice, Thermopsis. The presence of herbal natural substances in preparations makes them completely harmless. It is possible to treat a cough with such drugs at any age, but in the absence of an allergy to the components of the remedy.
• Medicinal mucolytic drugs: Bromhexine, Halixol, Lazolvan, Pertussin, Mukobene, ACC. Treatment with such drugs is used everywhere, they have managed to prove themselves well, they allow you to quickly cope with the dry cough that has arisen.
• Anti-inflammatory drugs for the treatment of cough: Ascoril, Gedelix, Eucabal, Pulmotin, Sinupret.

In order for the treatment to be effective, and the cough gone in the first few days, it is necessary to consult with your doctor. most effective treatment dry cough is to use combined drugs. It is extremely important which form of the drug is used in the treatment of the disease. To treat children, it is best to use effervescent tablets and syrups, as they are able to digest much faster. Positive result from such treatment comes earlier. The use of effervescent tablets is not recommended in the presence of stomach problems.

In any case, before starting treatment, you should consult a doctor, especially if you need to treat children.

Acetylcysteine ​​(ACC)

Such a drug has gained great popularity in the treatment of dry cough among children and adults. The principle of action of such a drug lies in the liquefaction of viscous and thick sputum, which allows it to be rapidly removed from the bronchial tree. This drug is rapidly absorbed into gastrointestinal tract. It enters through the thickness of the hematoplacental barrier and accumulates in the amniotic fluid, so it is forbidden to use it during pregnancy.

Indications for use:

• With bronchitis in any of its manifestations.
• With trazeitis.
• For sinusitis.
• Bronchiectasis at any of its stages.
• With laryngitis.
• With otitis.

The method of using the drug for dry cough at home is very simple. During the treatment of dry cough with bronchitis, ACC is used in this way:

• Children from birth to two years of age are recommended to take 50 milligrams of the drug, divided into three doses per day.
• At the age of a child from two to five years, 100 milligrams should be taken four times a day.
• Starting from the age of six, it is recommended to divide into three doses per day, 60 milligrams of the drug. The duration of treatment can be up to several months;
• From 14 years of age, dosage medicinal product is 300 milligrams twice a day. The duration of treatment should not be more than a week. In the presence of chronic disorders, the duration of therapy can be up to 6 months.

It is recommended to use such a drug for the treatment of dry cough after eating. The sachet or tablets are dissolved in a small amount of liquid (you can use water, tea, juice) and taken orally.

Side effects

But, like all medicinal ACC preparations has its side effects. While taking the drug, you can observe:

1. vomiting;
2. nausea;
3. heartburn;
4. stomatitis;
5. lowering blood pressure;
6. pain in the head;
7. skin rash;
8. tachycardia.

Contraindications

• Available hypersensitivity to the constituents of the drug.
• There is hereditary diseases associated with fructose intolerance.
• With hepatitis.
• In the presence of blood clots in the expectorant fluid.
• At bad job kidneys.

If an overdose occurs during therapy with such drug it is recommended to consult a doctor immediately. Timely assistance will not only allow you to continue treatment, but also avoid negative consequences for good health.

Folk remedies

There are various folk remedies from dry cough, which can be used at home. Such prescriptions can be considered safer in comparison with medications, but at the same time they are less effective. Most often they are used to treat children and in the presence of contraindications to the use of medicines.

1. Water with salt and soda. As an expectorant at home, you can use this composition twice a day. Mix a pinch of salt and ½ teaspoon of baking soda in a glass of water. Drink ½ cup before lunch and breakfast.
2. Marsh wild rosemary tincture. swamp wild rosemary used to treat dry cough at home. Pour 30 grams of grass with a glass of boiling water, let it brew and filter. Take three times a day, 2 tablespoons. The second recipe: pour a teaspoon of chopped plant grass with 400 milliliters of boiled water at room temperature, insist for 8 hours and filter. Drink 4 times a day, 100 milliliters as an expectorant.
3. Decoction of elecampane. It is a good home remedy for dry cough. In a thermos, brew 2 teaspoons of the roots of the plant with a glass of boiling water. It is recommended to drink the decoction three times a day, 1/3 cup half an hour before meals. This decoction is used as an expectorant. strong remedy with bronchitis. The second recipe: pour a tablespoon of plant roots with two glasses of water and boil for 15 minutes over low heat. Take 2 tablespoons every 60 minutes throughout the day.
4. A decoction of viburnum. The flowers of the common viburnum are an effective expectorant. You can also use a decoction of the fruits of the tree: per liter hot water add a glass of berries, boil for 10 minutes, filter, add a few tablespoons of honey. Drink 3-4 times a day for ½ cup.
5. collection. We take the same amount of grass common oregano, coltsfoot leaves, common raspberry fruit. Pour a tablespoon of the mixture with a cup of boiling water, let it brew for 25 minutes and drink it like hot tea.
6. Cabbage juice. Freshly squeezed cabbage juice is used with sugar as an expectorant for hoarseness and coughs. Drink several times a day for a teaspoon. A decoction of cabbage with the addition of honey is taken for diseases respiratory system inside.
7. Onions with milk. Finely chop a head of garlic and 10 onions. Boil the mixture in milk until tender, add mint juice and honey. Take an hour later, a tablespoon with a dry, prolonged cough.
8. Milk with burnt sugar. We take a tablespoon of sugar and keep on fire until dark brown. Pour the composition into a bowl with milk. With a dry cough, keep the resulting "candy" in your mouth until it is completely dissolved.
9. Sugar and bananas. Mash 2 bananas thoroughly and pour sweetened hot water. It is recommended to take the composition only in the form of heat.
10. Cherry syrup. Excellent tool to soften the cough was cherry syrup. It is recommended to add the product directly to the tea.

Advice from a specialist

Each of us has experienced a debilitating dry cough. In order not to aggravate the situation, it is recommended to start immediate therapy. Before you start taking medications, it is recommended to consult a doctor so as not to cause even more harm to the body. Do not self-medicate, because an untreated cough can develop into a chronic form. Be always healthy!

Cough is a defense reaction of the human body. It helps to clean the mucous membranes of the respiratory tract from sputum, dust, pathogenic microorganisms.

There are two types of cough: wet and dry. The first is accompanied by the discharge of mucus. The microorganisms in it are removed from the respiratory tract, facilitating and making more fast period convalescence. In the second type, there is no mucus discharge. It most often does not bring relief, exhausting attacks. It also contributes to severe irritation of the respiratory tract, causing chest pain, and sometimes even damage to mucosal tissues.

Dry cough in adults

Signs that usually accompany the pathological condition:

• runny nose;
• nausea, vomiting;
• enlarged lymph nodes;
• body aches;
• temperature increase;
• drowsiness;
• hoarse voice;
• loss of appetite;
• change in the nature of the chair;
• periodontal disease;
• frequent urination;
• swelling;
• tachycardia;
• sensation of "lump" when swallowing;
• dyspnea.

Any cough that lasts more than 2 weeks and is accompanied by acute symptoms becomes a reason to contact a pulmonologist. The specialist will conduct a series of tests that will allow you to put correct diagnosis. Pharmaceutical companies produce many medicines sold in various forms (syrups, cough tablets, drops, potions). Only a doctor should choose the right medicine.

Features of dry cough

There are 3 types of unproductive cough:

1. Deaf. Possible sign lung tumor formation or initial stage tuberculosis.
2. Barking. Becomes a consequence viral disease that damaged the vocal cords.
3. Overhead. Most often diagnosed in children with whooping cough.

Depending on the duration, it may be:

• acute - up to 3 weeks;
• chronic - more than 2 months.

In 10-40% of cases of visiting a doctor, the occurrence of dry barking cough- the only complaint of the patient.

Reasons for the appearance

The problem usually occurs due to external conditions or infection.

Main development factors:

• smoking;
• neuralgia;
• sinusitis;
• sinusitis;
• aortic aneurysm;
• lupus erythematosus;
• dust, allergens;
• dry air in the room;
• pleurisy;
• whooping cough and measles;
• reflux of the stomach;
• chlamydia, mycoplasmosis;
• laryngitis;
• tracheitis;
• helminthic invasion.

The main cause of the problem is that the respiratory organs are not able to get rid of the irritating factor on their own. With a prolonged course of the process, a person may experience deformation of the walls of the bronchus, which will become a provoking factor for the development of asthma, lung abscess, and pneumonia. Therefore, it is better to treat a dry cough immediately after the onset, adhering to all the advice of a specialist.

Types of medicines for dry cough

Dry cough tablets are a separate pharmaceutical group of medications designed to alleviate and eliminate pathological process. The choice of treatment tactics should be entrusted to the doctor, who, after performing diagnostic procedures, set possible cause If a problem arises, he will select the best medicines.

Drugs for therapy are divided into three options:

Antitussives (Omnitus, Libeksin, Terpinkod). The drugs of this group successfully block seizures. The mechanism of action is aimed at suppressing a certain part of the brain responsible for the formation cough reflex. Assign only for coughing with no sputum. The list of medicines is very large. They are divided into two subspecies:

1. Drugs with narcotic influence. They dull a special center in the central nervous system, block a dry cough. Their danger lies in the risk of addiction and drug dependence. Indications for the appointment are considered severe headaches, as well as paroxysmal cough without mucus.
2. Medications without narcotic influence. They are not addictive or addictive. They create an antitussive effect, lower blood pressure, relieve spasms from the bronchi.

Mucolytic (Ambroxol, Bromhexine, Lazolvan). These tools are very effective. Mucolytics anesthetize, block the cough receptors of the central nervous system, relieve bronchospasm.

Combined (Stoptussin, Codelac, Halixol, Lorain, Bronchicum). The ingredients in their composition have an expectorant, bronchodilator, mild anti-inflammatory effects.

Patients suffering from a smoker's dry cough should give up the bad habit at least for the period of illness, as it strengthens unpleasant symptoms. It is also necessary to use medications that help expand the airways.

Antitussive tablets

Terpincode.

It has a noticeable anti-inflammatory effect, reduces the number of attacks, as well as their strength. Restores irritated larynx, improves expectoration, reducing the density and viscosity of sputum.

The medicine is effective for bronchitis, tracheitis, pneumonia and other colds of the respiratory system.

Cannot be used when ulcerative lesions stomach, diarrhea, lactose intolerance, bronchial asthma and hypersensitivity to the composition of the drug. Forbidden to children under 12 years of age.

Prescribed 1 tablet about 3 times a day, a course of up to 5 days.

Omnitus.

Stops the problem by acting on a specific area of ​​the central nervous system. Does not inhibit respiratory function, does not lead to irritation of the gastrointestinal tract. Has an anti-inflammatory effect.

Indicated for cough of any etiology.

Omnitus is not prescribed for allergies, during pregnancy and lactation. The age limit is also 6 years old.

Apply 1-2 pieces 2-3 times a day for about 4-5 days.

Libeksin.

The drug blocks the cough reflex, relieves spasm from the bronchi, has a slight anesthetic effect.

Indicated for lesions of the upper and lower respiratory tract.

Libeksin can not be used for individual sensitivity to the components of the drug and lactose deficiency. The medicine is also prohibited for pathologies accompanied by strong secretion sputum.

Assign 1 tablet 3 r. in a day. Desired period treatment is chosen by the doctor.

Mucolytic drugs

Ambroxol.

Causes a noticeable expectorant effect. It cleanses the bronchi well, thinning sputum and improving its excretion.

Indications for the use of Ambroxol are infectious lesions respiratory system, and cystic fibrosis.

Contraindicated during pregnancy, with ulcerative lesions of the gastrointestinal tract, convulsions of any origin, allergies to Ambroxol.

You need to take it according to a certain scheme:

• 3 days, 1 piece three times a day;
• then the dosage can be reduced to 2 pieces in 24 hours;
• the entire therapeutic course is performed from 5 days to 2 weeks.

The duration of treatment depends on: the course of the pathological process; the stage at which therapy was prescribed; concomitant diseases - and is determined by the doctor.

Bromhexine.

It has a noticeable mucolytic effect, thinning the mucus that accumulates in the trachea, bronchi, nasopharynx and larynx.

Bromhexine is contraindicated in early dates pregnancy, with personal intolerance to the ingredients of the remedy, renal, hepatic insufficiency

Bromhexine is prescribed, according to the instructions, 1-2 pieces three times within 24 hours. The duration of administration varies depending on the severity of the symptoms of the disease.

Lazolvan.

The main thing active substance Ambroxol increases the content of mucus in the bronchi and removes it from there. Lazolvan also affects the formation of a surfactant in the lungs, which promotes the expansion of the alveoli.

Indications for appointment are bronchitis, pneumonia, COPD, bronchial asthma.

Reception of Lasolvan is prohibited in the first 12 weeks of pregnancy, with allergies to the components of the drug. With caution, the specialist prescribes the drug during lactation, as well as for patients with liver and kidney damage.

Combined funds

Stoptussin.

Stoptussin is combined medication having an expectorant effect. The main components of the drug are butamirate and guaifenesin. The first has an analgesic effect on the lining of the bronchi, and the second thins the mucus, making it not so thick, and contributing to its better discharge.

Stoptussin is prescribed for dry cough, which has a different origin.

It is forbidden to use in case of personal intolerance to the ingredients in the composition of the medicine. And also the drug is not prescribed for children under 12 years old, pregnant women (in the first three months) and lactating women. The dose of the drug must be calculated taking into account the weight:

• up to 50 kg - 0.5 tablets 4 times in 24 hours;
• 51-70 kg - 1 piece 3 times a day;
• 71-90 kg - 1.5 tablets three times a day;
• from 90 kg - 1.5 pieces 4 times a day.

Halixol.

This is an expectorant, the main substance of which is ambroxol, which thins sputum. It reduces its viscosity and adhesive properties.

Halixol is prescribed during various diseases of the respiratory system. It can be asthma, pneumonia, COPD, bronchitis.

The remedy is not recommended in the presence of an ulcer, in the first three months of pregnancy, with an allergy to the components of the drug. Prescribed with caution to persons with insufficient bronchial motility or with not very viscous sputum, because mucus stagnation in the bronchi may occur. Since Halixol contains sweeteners, it is necessary for patients with diabetes to take it only after consulting a doctor.

Prescribe 1 tablet three times a day for two days. Then they continue the course also for 1 piece, but already twice a day.

Lorraine.

Combined remedy, the action of which is due to the ingredients present in its composition. Paracetamol has anti-inflammatory, analgesic and antipyretic effects. Phenylephrine - constricts arterioles, reducing swelling of the nasal mucosa and the amount of mucus discharge. Chlorphenamine works as an antihistamine.

It is forbidden to use the drug in case of individual sensitivity to the ingredients of the remedy, diseases of the blood, liver and kidneys, high blood pressure, thyrotoxicosis, glaucoma, prostate adenoma, diabetes, jade.

Reception Lorraine is performed within a week, 2 pieces up to 6 times a day.

Bronchicum.

The tool effectively stimulates the rarefaction of sputum, facilitates its discharge. Removes puffiness of the bronchial mucosa, noticeably softening coughing attacks.

Assign for bronchitis, SARS, acute respiratory infections, influenza.

Do not apply for diseases of the kidneys and liver, problems with the absorption of fructose, during pregnancy, lactation, as well as allergic reaction on one or more components of Bronchicum.

All dry cough tablets for adults are quite affordable and effective, provided correct use. Which of them will fit and quickly help, only the doctor should decide. You should carefully follow the instructions for the use of drugs, avoid taking antitussive and mucolytic tablets at the same time. It is not recommended to use drugs longer than the period recommended by the instructions or the doctor. In the absence of a therapeutic effect from the use of the drug, it is better to stop using it and, after consulting a doctor, change the tablets.

Cough reflex attacks can have a variety of causes. Therefore it is very important competent diagnostics and the right treatment. Therapeutic procedures for dry cough should be aimed at relieving symptoms and eliminating the disease that provoked coughing attacks.

Sometimes the beginning of the pathological process is a consequence of irritation of the pleura or larynx. The cough is very painful, there is a risk of complications: pneumothorax or subcutaneous emphysema - conditions when pleural cavity or air gets under the skin.

In addition to the basic medication treatment with the need to drink pills, you need to drink enough fluids, and control the humidity in the rooms. To thin and remove sputum, mucolytic and expectorant drugs are used. Mucolytics break the molecular bonds between the elements of mucus, reducing its viscosity. Expectorants increase the production of mucus in the bronchi. All of them are relatively inexpensive, but they do their job well. On these principles, dry cough therapy is performed.

Any disease can be prevented if the necessary measures are taken in a timely manner. preventive measures. Personal hygiene, balanced nutrition, avoidance of drafts, hardening, sufficient physical activity- all this will help prevent many diseases that provoke dry cough. And when it occurs, only a thorough diagnosis and timely treatment Properly selected drugs will help you quickly get rid of a debilitating cough and avoid complications.

Cough is a physiologically determined reaction of the body in response to irritation of the respiratory tract by mechanical particles, biological substances, or an excess of sputum. However, coughing can be a symptom of a pathological condition and then it requires treatment. For therapy, expectorant drugs are used, inexpensive, but effective.

Types of budget expectorants: list

Cough is a complex reflex process, which involves various parts of the nervous system. The irritating agent activates sensitive receptors of nerve endings, which are located in the larynx, bronchi, ear canal and even in the stomach. Impulses from the receptors pass to the "cough center" located in the brain stem. From there, the response signal travels along the nerves to respiratory muscles causing cough. It is taking into account the mechanism of occurrence of cough that drugs are being developed for its therapy.

Drugs that inhibit cough receptors

Unproductive (dry, without sputum) cough does not fulfill the physiological role of cleansing. It significantly reduces the quality of life and often provokes the development of complications. A productive cough, accompanied by sputum, is suppressed only when its character exhausts the patient, becomes obsessive.

To eliminate cough, drugs are used that directly affect the mechanism of the reflex.

They are usually divided into two groups:

• peripheral action - affect the sensitivity of receptors or block the passage of a signal from them to the cough center (afferent pathway) and back to the respiratory muscles (efferent pathway);
• central action - acting directly on the centers in the medulla oblongata or the higher nerve centers associated with it.

Peripherally acting drugs that block afferent pathway signals act like mild local and systemic analgesics on the airway mucosa. They are:

• reduce the sensitivity of receptors located in it;
• change the consistency and amount of sputum;
• reduce the tone of the muscles of the bronchi.

Drugs that affect efferent signal transit:

• facilitate the discharge of sputum;
• reduce the viscosity of mucus;
• exacerbate coughing.

Means of afferent influence have an enveloping and barrier effect. They may be natural or synthetic.

Preparations of natural composition are made on a plant basis with the addition of glycerin, honey and other components that create a protective layer for the mucosa. These include:

Codelac.

Available in the form of syrup, tablets, elixir. Contains thermopsis herb, thyme and licorice root. The price of the drug is from 140 rubles.

Syrup Gerbion with plantain.

Envelopes, has a bactericidal effect, improves immunity. Price from 250 rubles.

Mukaltin.

Lozenges contain marshmallow herb extract. Price 15 rubles.

Herbion syrup with primrose.

It is prescribed for the relief of productive cough and persistent cough caused by insufficient blood supply to the lungs. Price from 200 rubles.

Doctor Mom.

Release form - lozenges, lozenges, lozenges. Price from 140 rubles.

Cough is a protective physiological reflex aimed at cleansing the respiratory system. It occurs when irritation, inflammation or accumulation of mucus in the nasopharynx and bronchi. May be the result of a hit foreign body in the nose, mouth or ear. The intensity and duration of cough depends on the degree of impact of the disease on the respiratory system.

Cough itself is not a disease, but one of its symptoms. As soon as the sick person begins to recover, the severity of the symptoms weakens. Individual manifestations may disturb for some time after the end of the infection, then the respiratory organs return to normal.

Cough medication is prescribed to relieve general flow illness and speed up recovery. In some cases, taking cough medicines can avoid possible complications. Promptly appointed effective pills cough will clear the upper respiratory tract and prevent bacteria from entering the lower respiratory tract.

Features of the choice of tablets

First of all, it is necessary to deal with the disease itself that caused the cough. To determine the choice of cough tablets, first identify the cause of its occurrence. Not only colds cause this symptom, but also some disorders of the brain and heart, chronic diseases respiratory system.

The list of diseases, the symptom of which can be a cough, is quite large:

• Viral infections (ARVI):

Upper respiratory tract (laryngitis, pharyngitis, tracheitis, tonsillitis)

Lower respiratory tract (bronchitis, tracheobronchitis, pneumonia, pleurisy)

• Allergic reaction.
• Bronchial asthma.
• Foreign body in the airways.
• Cancers of the respiratory organs.
• Exposure to harsh chemicals ( carbon monoxide, paint, gasoline, acetone, etc.)
• angina, birth defect heart, heart failure.
• Interstitial lung diseases.
• Gastroesophageal reflux.
• Smoking.
• Brain disorders (Parkinson's disease, dementia).
• Taking drugs to lower blood pressure.

Most often, coughing occurs during colds. With viral respiratory infection the patient is shown bed rest, rest, plentiful warm drink. The amount of liquid should reach 2-2.5 liters per day, not counting liquid food. You can drink tea by adding herbs and honey, mineral and plain water, juices, compotes, berry fruit drinks. A sufficient amount of liquid does not allow sputum in the respiratory tract to thicken, it is easier to cough up. It is especially important to comply drinking regimen at high temperature, as water losses in this case increase.

At severe course viral infection recommend taking antiviral drugs containing interferon and other auxiliary components. In case of joining bacterial infection treatment is most often associated with broad-spectrum antibiotics. For improvement general condition use anti-cough, runny nose, sore throat and antipyretic drugs. Comprehensive treatment increases the chances of a quick recovery without complications.

To understand how to properly deal with a cough, determine its type - dry or wet. Suppression of the cough reflex is justified only in cases where the cough is dry and causes spasms, difficulty breathing, pain in the chest. Severe seizures can provoke vomiting, a feeling of suffocation, and interfere with sleep.

If sputum is secreted during expectoration, then the absence of cough will lead to its excessive accumulation and deterioration. In such cases, the main task of the prescribed tablets is to facilitate the discharge of the discharge. Medicines thin thick sputum and increase its amount, stimulating the body to actively cleanse.

Cough medicines are available in various forms: tablets, syrups, drops, tinctures, ointments, inhalation solutions. Adult patients are more often prescribed tablets in doses according to the instructions, and liquid forms for children. For each case, the medicine is selected individually.

Important! Only a doctor can accurately diagnose and select the most effective active ingredients in the right dosage.

Depending on the type of cough, the doctor should change the treatment regimen in a timely manner in order to maintain airway patency to ensure normal free breathing.

Classification of cough tablets

There are an incredible number of cough medicines on display in pharmacies. Far from all of existing tablets placed on the counter, the less popular pharmacist will find on demand. In addition to medicines, in any store you can find mint, eucalyptus, honey candies that make breathing and coughing easier.

When choosing pills, it is better to focus on a prescription written by a doctor. If a visit to a specialist is postponed or the prescribed drug was not available, then it is worth a little understanding of the main types of tablets and syrups. Knowledge of the mechanisms of action different groups cough medicines will help you not to get confused in the names and choose the best and safest drugs.

All drugs prescribed for coughing can be attributed to one of three main groups:

• Antitussives,
• mucolytics,
• Expectorants.

Antitussives

This group of drugs acts on the part of the brain that is responsible for the cough reflex. The action of the reflex is reduced or blocked for a certain time, until the drug is removed from the blood.

Cough suppressants are divided according to the mechanism of action into subgroups:

1. Drugs of central action.

Act directly on the central nervous system, that is, on medulla. The part of the brain responsible for coughing stops signaling. The cause of the cough is not eliminated, but the patient stops debilitating attacks and there is an opportunity to rest.

Among these drugs there are a number of substances related to narcotic drugs. They may have different commercial names and contain as an active substance:

• codeine,
• morphine,
• demorphan,
• codipront,
• hydrocodone.

The use is limited, as they can be addictive. A side effect of taking it is also the inhibition of respiratory activity, which is usually indicated in the instructions. They are mainly used for especially strong, barking and severe coughs with whooping cough or pleurisy.

Important! Narcotic drugs not to be taken without a doctor's prescription!

More modern drugs central action are non-narcotic, do not cause dependence:

• glaucine (Broncholithin),
• oxeladine citrate (Tusuprex),
• ethylmorphine,
• dextromethorphan,
• butamirate (Sinekod, Intussin).

They can be prescribed for a long time with advanced influenza and other complicated forms of respiratory diseases.

2. Drugs of peripheral action.

They affect the signal transmission from the cough center to the nerve endings and smooth muscles. They practically do not affect the part of the brain itself, but the impulse from it does not reach the organs of the respiratory system.

Most commonly prescribed:

• Libeksin,
• Levopront,
• Helicidin.

Less effective, but safer means than the central action group. For the treatment of uncomplicated forms of dry cough, it is better to choose tablets from this group.

There are antitussive drugs that combine several therapeutic actions. They inhibit the cough center and at the same time help the formation of sputum to make the cough moist and productive:

• Stoptussin,
• tussin plus,
• Prothiazine.

Some combined means stop coughing and relieve inflammation in bronchopulmonary tissues:

• Broncholitin,
• Hexapneumin,
• Lorraine.

Mucolytic

These medicines must be used to thin the accumulated sputum. The mucus that flows down the walls of the larynx and accumulates in the bronchi tends to thicken, become dense and viscous. As a result, it sticks to the cilia of the bronchi, settles in the nasopharynx, and is difficult to expectorate. The respiratory organs, irritated by mucus, try to clear themselves and a cough begins with sputum difficult to separate. It can be painful and lingering.

Mucolytic drugs make sputum more liquid, it is easily coughed up and quickly peels off the walls and tissues. The following groups are conditionally distinguished:

Direct acting drugs.

They destroy the binding molecules of sputum, breaking its viscous structure and elasticity. Two subgroups of substances have the same effect, but destroy bonds in different chemical ways:

• Acetylcysteine ​​(ACC, Mukomist, Mukobene, Fluimucil, Acestine),
• Trypsin, chymotrypsin, chymopsin, ribonuclease.

Drugs of indirect action (mucoregulators).

Relatively new drugs for the treatment of cough, the principle of which is to increase the amount of discharge, which provokes a more active airway clearance. At the same time, the water content in the sputum increases.

Mucoregulators include:

• Ambroxol (Ambrobene, Lasolvan, Ambrohexal, Halixol, Ambrolanlasolvan, Medovent, Flavamed),
• Bromhexine (Bronchostop, Bronchotil, Flegamine, Flekoksin).

Expectorants

reflex drugs.

They act on the walls of the stomach, causing specific irritation of the mucous membrane. A certain part of the brain is activated - the vomiting center. At the level of the reflex, the secretion of saliva and mucus in the bronchi increases, which leads to a gradual thinning of the sputum. The liquid part of the mucus increases, its total amount increases, stimulating productive expectoration.

This group includes preparations based on plant extracts: licorice, marshmallow, thermopsis, ivy, plantain, primrose, thyme, thyme, anise and others.

Important! Herbal remedies are prescribed with caution to children!

The natural base is not always safe. In young children, the bronchi have small size and narrow gaps, so increasing the amount of mucus can lead to obstruction and other complications. In addition, pomace and plant extracts can cause violent attack allergies, Quincke's edema.

resorptive drugs.

They come from the gastrointestinal tract into the blood, and then are excreted through the bronchial mucosa. With the medicine, additional fluid comes in, which dilutes the sputum. These include: sodium or potassium iodide, ammonium chloride, sodium bicarbonate (baking soda). AT recent times tablets of this group are rarely prescribed.

Principles of treatment of dry cough

A dry cough is much more difficult to tolerate than a wet one. It is a consequence of irritation and inflammation of the ENT organs when exposed to a viral or bacterial infection, aggressive and toxic chemicals, allergens.

Exist different types dry cough:

• Periodic. Occurs against the background of a cold, does not cause much discomfort. Turns wet quickly.
• Paroxysmal. Lasts for several minutes, has a pronounced effect. Feeling a lot of tension pectoral muscles, pain or spasms. Has a debilitating character.
• "Barking". Accompanied by suffocation, difficulty breathing. In the respiratory tract, wheezing and wheezing are heard.
• Chronic. Occurs periodically throughout the year. May be caused by allergies, asthma, nervous exhaustion, smoking.

With a dry cough, sputum does not separate, which means that dead cells and dead microorganisms are not excreted. In addition, a dry cough can be painful, paroxysmal, protracted. It is very tiring, deprives of strength and the opportunity to sleep and rest. In children, a hysterical cough leads to bronchospasm, causing significant difficulty in breathing. Adult patients note chest pain, a feeling of heaviness on inspiration.

If a debilitating dry cough occurs, it is imperative to visit a doctor in order to understand its causes and take it in a timely manner. effective measures treatment of the disease. The therapist will tell you which cough pills are the best at the moment.

The cough itself is often blocked to relieve the patient's condition until sputum begins to be expectorated. As soon as a dry cough turns into a wet one, the treatment tactics are changed and expectorant and mucolytic drugs are prescribed.

It is important to understand that the substances provided for a wet cough, when dry, not only will not be effective, but can worsen the situation.

Important! Use cough tablets according to the instructions inside the package!

The main drugs that are prescribed for dry cough are antitussives. They inhibit the work of the cough center or block its signals at the nerve level. This method of treatment does not act on the very cause of the cough and does not cure the disease, but it significantly improves well-being.

To strong drugs from dry cough include drugs of the narcotic group of central action. Since they form an addiction and can depress breathing, non-narcotic drugs are more often prescribed, which also inhibit the cough center. They are not addictive and do not affect the respiratory function.

Peripheral drugs are also widely used, which do not allow the cough signal to reach the smooth bronchial muscles. They are somewhat inferior in effectiveness, but much safer and acceptable for use in children.

Codeine.

Codeine is an antitussive drug from the narcotic series. Among contraindications childhood, pregnancy and period breastfeeding. It is forbidden to take codeine in patients with bronchial asthma and respiratory failure, in these cases it will cause exacerbations. It is strictly forbidden to take alcohol, it is not recommended to drive a car during the period of therapy.

Important! Reception of codeine is prescribed only by a doctor!

The most popular codeine-based drug is Codelac cough tablets. Their composition additionally includes herbs of thermopsis and licorice, sodium bicarbonate. These funds provoke sputum production, contributing to the transfer of dry cough into a productive one.

Butamirat.

It is not a drug, it is not addictive. Refers to drugs of central action. Reduces the excitability of the area of ​​the brain responsible for coughing. Has moderate bronchodilator properties, reduces inflammation. Improves blood circulation in the respiratory organs.

The most nominated and effective drugs butamirate are:

• bluecode
• Codelac Neo
• Omnitus.

Treatment is continued until a wet cough appears, but not longer than the time determined by the attending physician. It is prescribed for children with whooping cough, it is the safest for young children compared to other centrally acting drugs. For adults, it is available in tablets.

Oxeladin.

The drug is allowed to be used only for the treatment of adults. Does not affect the activity of the respiratory center, does not cause dependence.

Preparations based on oxeladin are available in tablets and capsules:

• Tusuprex
• Paxeladin

Like other antitussives big list side effects. Instructions for use warns that the drug may cause drowsiness and lethargy.

Dextromethorphan.

It is part of the combined anti-cold drugs. Most often combined with antipyretic (paracetamol), vasoconstrictor and antihistamine. As a result of taking powder or effervescent tablets, the patient feels better: fever subsides, swelling, runny nose and cough decrease.

Included in the composition of anti-cold drugs:

• Fervex for dry cough
• Tussin plus
• Grippex
• Caffetin Cold
• Tylenol for colds.

Libexin (Prenoxdiazine).

Refers to drugs of peripheral action. Reduces sensitivity nerve fibers respiratory organs. Expands the bronchi and relieves spasm, fights the inflammatory process. These effective dry cough tablets are comparable to codeine, but have significantly fewer side effects.

Stoptussin.

It is a successful combination of antitussive and mucolytic. It blocks a debilitating cough due to butamirate, which is part of it, and guaifenesin provokes sputum separation. After a few days of taking the tablets according to the instructions, the dry cough is replaced by a wet one.

wet cough therapy

Wet cough is accompanied by the release of bronchial secretions, which is called sputum. With different diseases and stages of their development, different amounts of sputum can be secreted. The color of the discharge can be from light and transparent to dark green, purulent. The greater the viscosity and density of sputum, the more difficult it is to expectorate, settling tightly in the bronchi and interfering with their normal functioning.

The human bronchi are lined with mobile epithelial "cilia" that trap invading bacteria and viruses. Normally, the bronchi contain a small amount clear slime, which binds foreign microorganisms trapped by cilia. The smooth muscles of healthy bronchi contract rhythmically, gradually removing fluid through the nasal and oral cavity. If a small amount of mucus has accumulated overnight, then in the morning there may be a short cough, which is the norm.

When a lot of sputum settles on the cilia of the bronchial tree, they cease to retain bacteria. The action of the mucociliary transport mechanism, that is, the normal discharge of mucus. The more thick sputum, the tighter it closes most cilia.

The cough center reacts and a cough begins, aimed at removing sputum. At the same time, the amount of secretion in the bronchial tree increases. Under unfavorable conditions, the mucus continues to thicken, and it becomes increasingly difficult to cough up. In children and some adults, expectoration is further complicated by narrow airways. Under such conditions, pathogenic bacteria begin to multiply very actively and bacterial bronchitis occurs. Ultimately, a wet cough can lead to bacteria entering the lungs and developing pneumonia.

To help the body naturally eliminate sputum, you need to change its properties and make it as liquid as possible. good pills from a wet cough will help to more effectively clear the respiratory tract and recover faster.

Antitussive drugs that inhibit the reactions of the cough center and suppress its signal are not used in the treatment of wet cough. This is due to the fact that the absence of a cough will lead to accumulation a large number sputum in the bronchi, which can cause obstruction and bacterial growth.

Important! Taking antitussive drugs with a wet cough can be dangerous!

In the treatment of wet cough, drugs of the following groups are used:

• Mucolytic
• Expectorants
• Combined.

The action of mucolytics.

Mucolytic drugs work on the top thick layer of sputum called the "gel". They destroy the bonds between molecules, which leads to the thinning of the upper layer of the secret. The result is easy and effective coughing. The total amount of mucus practically does not increase.

By chemical composition Mucolytics are divided into non-enzymatic and proteolytic enzymes. I use non-enzymatic preparations more often, as they have fewer side effects and are well tolerated by patients.

Acetylcysteine.

Among non-enzymatic mucolytics, the substance acetylcestin is distinguished, which has a high proven efficacy. Based on it, drugs have been created under the trade names:

• Mukobene
• Mukomist
• Fluimucil
• Mukonex
• WixActive ExpectoMed.

The principle of its action is to destroy the bonds of certain components of sputum - mucopolysaccharides. In this case, the mucus loses its density and viscosity. Effervescent tablets cough ACC act faster than pills in the shell.

The use of acetylcysteine ​​has several features:

• With increased bronchospasm, obstruction may develop, so taking a mucolytic is combined with drugs that expand the lumen of the bronchi. Important! In the treatment of cough in children, acetylcysteine ​​is used with caution, since children are more prone to developing bronchial obstruction.
• Drugs in this group reduce the absorption of antibiotics. It is important to observe a sufficient interval between doses or choose tablets from another group.
• Long-term use (more than 10 days) provokes a decrease in local immunity.

Carbocysteine.

Acts similarly to acetylcysteine, but is considered more safe drug, since it does not provoke bronchospasm and does not affect its own immunity.

Produced under the names:

• Bronchobos
• Mucodil
• Mukopront
• Mukosol
• Libeksin Muko
• Fluditec.

Ambroxol.

It occupies a separate place in the group of mucolytics, as it differs somewhat in the principle of action.

It thins mucus by increasing the substance that coats the alveoli and prevents them from sticking together (surfactant). At the same time, the amount of sputum does not change, but it becomes less thick. In addition, Ambroxol stimulates the work of the bronchial epithelium, activating the movement of cilia. Coughing becomes active and productive.

Produced under the trademarks:

• Lazolvan
• Ambrobene
• Ambrohexal
• Ambroxol
• Bronchoxol
• Flavamed
• Halixol

Ambroxol-based preparations have a number of advantages:

1. These are the most effective remedies for a wet cough if antibiotics are taken in parallel.
2. Works well with other wet cough medicines.
3. They are produced and used in various forms: tablets, syrups, solutions for inhalation).
4. They are safe, well tolerated and have a minimum of side effects.

The use of expectorants.

Expectorants are conventionally divided into reflex action and resorptive action.

Plant-based expectorants are the most widely represented on the pharmaceutical market and are very popular. Mainly produced in liquid forms(drops, syrups).

Ivy leaf extract.

It's universal herbal remedy prescribed for any kind of cough. They provide effective softening and sputum discharge due to natural saponins in the composition.

Included in the preparations under the names:

• Gedelix
• Prospan
• Gelisal.

Contraindicated in pregnant and lactating women with bronchial asthma. It is not prescribed for children under two years of age, as it can cause laryngospasm.

Primrose and thyme extract.

It has not only an expectorant effect, but also relieves inflammation and fights the reproduction of pathogenic flora. Improves blood circulation.

Included in the preparations:

• Herbion
• Bronchicum
• Bronchipret.

It is not prescribed for bronchial asthma, after suffering croup, with a tendency to allergic reactions.

Althea root extract.

Is used for complex treatment unproductive wet cough for adults and children from a year. May cause an increase in dry cough and provoke allergic reactions

Althea root preparations:

• marshmallow syrup
• Marshmallow Syrup
• Althea syrup
• Mukaltin.

In the form of tablets, Mukaltin is produced - proven over the years and inexpensive remedy against cough. Tablets are convenient to take with you to work, on the road.

Eucalyptus.

In addition to the expectorant action, it muffles the sore throat and makes breathing easier.

On the basis of eucalyptus, a variety of lozenges and cough drops are prepared, which can be found not only in a pharmacy, but also in an ordinary supermarket. Inexpensive eucalyptus lozenges are called:

• Pectusin
• Evamenol.

Complex compositions.

One of the most popular and inexpensive pills cough - Travisil. They contain a complex of more than 10 herbs and plant extracts. Lozenges are available in various flavors.

Combined drugs.

They combine funds from different groups, providing several therapeutic actions at once in the fight against cough.

For example, Codelac Broncho cough tablets contain ambroxol, sodium glycyrrhizinate and thermopsis. Ambroxol and thermopsis thin and remove sputum, and sodium glycyrrhizinate has a pronounced anti-inflammatory effect. There is another version of the drug with thyme instead of thermopsis (Codelac Broncho thyme).

Previously popular tablets, which are called "Cough Pills" combine an expectorant plant origin(thermopsis) and resorptive (soda). These are inexpensive and effective cough tablets, but they often cause unpleasant reactions from the gastrointestinal tract, therefore they are contraindicated in children under 12 years of age, pregnant women and people with diseases of the digestive system.

If the disease is accompanied by bronchospasm, then in addition to affecting the consistency of sputum, it is necessary to expand the bronchial lumen to ensure easy drainage of the discharge. In such cases, combined preparations based on bromhexine are used, including the bronchodilator salbutamol:

• Joset
• Ascoril.

Important! Bronchodilator drugs are used in specific cases according to the doctor's instructions. Self-medication is unacceptable.

Cough is a common symptom that goes away with the disease. Pharmacological companies offer a wide range of products to relieve coughs, clear phlegm, get rid of attacks and prevent complications. In order not to harm yourself, you need to carefully approach the choice of cough tablets, follow the instructions and do not neglect visiting a doctor.