Expectorants For Bronchitis - List

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-15 09:49

Expectorants for bronchitis

Acute respiratory infections, bronchitis and other diseases of the respiratory system that provoke coughing require the use of various drugs, both synthetic and herbal, for a speedy recovery.

Among patients of otolaryngologists, there are often people who, by any means, try to limit the use of artificial pharmaceuticals, preferring natural remedies. It is known that medicines prepared using the knowledge of traditional medicine have a fairly strong effect, but one should not be mistaken about their safety for the body. Just like synthetic medicines, they have their own side effects and various contraindications.

Medicinal plants, in whatever ecologically clean area they grow, have a very complex composition. Therefore, among the components of decoctions, tinctures and homeopathic preparations prepared from these plants, harmful or even toxic substances (roughly speaking, poisons) can be found. Given the widespread prevalence of various allergic reactions among the modern population, even the most expensive and safe drugs can be rejected by the body and provoke a worsening of symptoms.

Content:

• Classification of remedies that relieve cough and promote rapid recovery
• Expectorants for cough reflex action
• Direct resorptive cough expectorants
• Mucolytic cough remedies for bronchitis

Classification of remedies that relieve cough and promote rapid recovery

Various medications, divided into three types, help relieve cough:

1. Antitussive and combined medications - are taken for dry cough without discharge, which can disrupt normal appetite and sleep.

2. Expectorants for bronchitis - stimulate the secretion of mucus with a wet cough, if the sputum does not have a viscosity and density.

   Of these, two more subtypes are additionally distinguished:

   • Reflex action - drugs of this subtype, getting on the gastric mucosa, activate the gag reflex. In this case, there is no gagging, but the motility of the bronchial muscles improves, and the amount of mucus produced in the bronchi increases. In response to this, the work of epithelial cells is also accelerated, transporting sputum from small bronchioles to the large and the trachea itself. Improving the process of expectoration and sputum production is achieved due to the result of the reaction of the gastric mucosa to irritation. Such properties are mainly possessed by pharmaceutical preparations of herbal origin: marshmallow, thyme, mother and stepmother, plantain, thermopsis, wild rosemary, etc.;
   • Direct resorptive action - substances from this group, when absorbed in the gastrointestinal tract, irritate the mucous membrane of the bronchi, thereby increasing the volume of secreted fluid that forms phlegm. With an increase in the proportional proportion of water in the mucus, its density decreases, which is associated with the stimulation of expectoration.

3. Mucolytic - necessary to facilitate the separation of too viscous and thick sputum.

   Sputum thinning agents can be:

   • Influencing indicators such as the viscosity and elasticity of mucus in the bronchi;
   • Stimulating sputum excretion;
   • Inhibiting and limiting the formation of bronchial mucus.

Antitussive medicines should not be used in conjunction with expectorants or mucolytics. To produce a double effect, various combined agents have been created that combine expectorant and weak antitussive properties.

Expectorants for cough reflex action

Preparations from Altea

Accepted for the following indications: tracheal and obstructive bronchitis, pulmonary emphysema, the presence of difficult to separate high-viscosity sputum.

Means from marshmallow medicinal work by accelerating bronchial peristalsis, they are also capable of thinning mucous secretions and inhibiting inflammatory processes.

Preparations with marshmallow are prohibited for children under three years of age and in the presence of hypersensitivity to any of the components of the drug, as well as gastric ulcer or duodenal ulcer. With diabetes mellitus and fructose intolerance, marshmallow in syrup should be taken with caution. During pregnancy - only as directed by a doctor.

Among the side effects of marshmallow, allergic reactions are most common, less often nausea and vomiting.

• Mukaltin. 50 mg tablets. For children, dissolve 1 tablet in a third of a glass of water, for adults take 1-2 tablets 3-4 times a day before meals for two weeks.
• Marshmallow roots. Chopped raw materials for the preparation of infusion. Infusion recipe: 1 tbsp. l. boil marshmallow roots in a water bath in 300 ml of water, then set aside to cool naturally to room temperature, strain, squeeze and two hundred boiled water, solution volume up to 0.2 L. Take the product for 2-3 weeks from 3 to 4 times a day, children from three to five years old - 1 tsp., from 6 to 14 years old - 1-2 tbsp. l., adults - 100 ml.
• Alteyka syrup. It is taken after meals, children under 12 years old need 4 doses per day for 1 tsp, adults - 1 tbsp. l. The required course of therapy is 2 weeks, it can be extended if indicated.

Thermopsis preparations

Infusion of herbaceous plant thermopsis has expectorant properties, but its use should be strictly limited. Even a small overdose of drugs from thermopsis in children provokes vomiting, and the alkaloid cytisine is able to briefly accelerate and then greatly slow down breathing, which can frighten the child.

• Thermopsol. It is taken three times a day, one tablet in a small course of three to five days. Contraindicated in case of hypersensitivity and peptic ulcer disease.
• Codelac Broncho without codeine. Contains thermopsis extract, sodium glycyrrhizinate, baking soda and ambroxol. The combined medicine is an expectorant mucolytic with mild anti-inflammatory properties. Sodium glycyrrhizinate is an antiviral and anti-inflammatory component, ambroxol is a mucolytic ingredient, thermopsis and baking soda form an expectorant reaction, irritating the gastric mucosa.

Take one tablet three times a day for no more than five days in a row. It is indicated for the facilitation of sputum secretion in various types of bronchitis, pneumonia, COPD and bronchiectasis. Contraindicated in pregnant and lactating mothers, people with hypersensitivity to certain components, children under 12 years of age.

Possible side effects: nausea and vomiting in case of overdose, headaches and weakness, constipation or diarrhea, dysuria and exanthema.

Breast Fees

Composition of antitussive herbal breast preparations:

• No. 1: oregano with mother-and-step mother;
• No. 2: mother-and-stepmother, plantain and malo;
• No. 3: pine buds, marshmallow, sage and anise;
• No. 4: tumbler, wild rosemary, calendula, malt and violet.
• Expectorant collection. A mixture of elecampane roots, chamomile flowers, young shoots of wild rosemary, peppermint leaves, coltsfoot leaves, marigold flowers, licorice root and plantain leaves.
• Bronchofitis. Elixir of Ukrainian production. Contains anise, violet, plantain, wild rosemary, sage, thyme and licorice. Boil a tablespoon of the collection for a quarter of an hour in a water bath in 0.2 l of water. Bring the strained broth to the original volume with boiled water. For two weeks, drink 50 g of the medication 4 times a day before meals. Side effects such as heartburn, diarrhea, nausea, and various allergic reactions are possible.

Plantain leaf, mother and stepmother, wild rosemary and other herbal preparations

• Plantain leaf - has an anti-inflammatory effect, normalizes the function of the ciliated epithelium of the bronchi, mucolytic effect;
• Herbion with plantain;
• Young shoots of wild rosemary - anti-inflammatory and expectorant effect;
• Mother-and-stepmother leaves - antispasmodic, wound healing, expectorant and antimicrobial action;
• Plantain and coltsfoot syrup
• Stopussin phyto syrup - a preparation based on plant raw materials, contains plantain, thyme and thyme extract, has antimicrobial properties, facilitates expectoration;
• Coldrex broncho - a preparation based on guaifenesin, contains anise oil, red pepper tincture, levomenthol, camphor, macrogol;

Thyme (thyme extract)

• Thyme herb - has antimicrobial properties and analgesic effect, contraindications are the same as for drugs based on plantain;
• Bronchikum, Tussamag, Pertussin - preparations based on the herb of thyme, used to facilitate expectoration, have a mucolytic effect. (Read also: Useful properties and use of thyme herb)

Gelomirtol

Gelomirtol is a medicinal product based on herbal raw materials, used for difficult sputum separation in the treatment of chronic bronchitis.

Direct resorptive cough expectorants

The composition of this type of drugs usually includes components that stimulate the release of fluid into mucus: ammonia (ammonium chloride), baking soda, sodium and potassium iodine salts, as well as herbal analogues: aniseed essential oil, herbs oregano (oregano), wild rosemary and others. …

Amtersol - promotes increased sputum separation, has an expectorant effect, like herbal preparations of anise, rosemary and oregano, contains ammonium chloride, potassium iodide, sodium bicarbonate.

Mucolytic cough remedies for bronchitis

Drugs from this category are able to reduce the viscosity of mucus in order to facilitate the removal of a medium suitable for the reproduction of pathogens from the bronchi.

Acetylcysteine

It has mucus-thinning properties, facilitates expectoration and excretion of excess phlegm, which creates a beneficial environment for the vital activity of pathogenic bacteria. Preparations based on acetylcysteine are used for otitis media, laryngitis, bronchitis (including chronic), pneumonia. Medicines based on this active ingredient:

• ACC;
• Weeks asset;
• Fluimucil.

The therapeutic effect of these medicines is improved by increasing the daily intake of water.

Bromhexine

A substance with mucolytic properties, has an antitussive effect and facilitates the release of sputum, the results of treatment appear 2-5 days from the start of administration. Medications:

• Bromhexine;
• Bronhosan;
• Solvin.

Combined drugs Jocet, Ascoril, Kashnol

Medicines based on bromhexine, salbutamol and guaifenesin are used only as directed by a doctor. Used for the treatment of chronic bronchitis, bronchial asthma, pneumonia, tuberculosis. Drug names:

• Jocet syrup;
• Kashnol syrup;
• Ascoril.

Ambroxol

A drug with a mucolytic effect is used in the treatment of chronic bronchitis, bronchial asthma, pneumonia and other diseases of the respiratory system, in which sputum separation is difficult and its viscosity increases. Analogs:

• Lazolvan;
• Ambrobene;
• Ambrohexal;
• Ambrosan;
• Flavamed;
• Haliksol.

Carbocisteine

Mucolytic agent that promotes expectoration and separation of bronchial secretions. Medications:

• Libeksin Muko;
• Bronchobos;
• Fluifort;
• Fluditek.

Author of the article: Alekseeva Maria Yurievna | Therapist

Education: From 2010 to 2016 Practitioner of the therapeutic hospital of the central medical-sanitary unit No. 21, city of elektrostal. Since 2016 she has been working in the diagnostic center No. 3.