Expectorant syrups for sputum removal in adults: list of the best. Expectorants for children - good and effective Expectorants for a 9 year old child

Content

A productive (wet) cough is characteristic of various infectious viral diseases - bronchitis, pneumonia, influenza. Treatment is often aimed at facilitating mucus production. For this purpose, special expectorants are used in the form of syrup, tablets, drops.

Expectorants for children under 1 year of age

Remember that self-medication for young children is dangerous due to the development of complications and severe adverse reactions.

The choice of cough therapy methods should be made by a pediatrician based on the results of the analysis, indications and contraindications. More often, the treatment regimen includes one of the following medicinal expectorants:

• Mucaltin is an expectorant tablet based on marshmallow root. The drug thins mucus and promotes its removal from the bronchi. When treating children, the tablets must be crushed and dissolved in 1/3 tbsp. warm water. Be careful: Mucaltin can provoke allergies and is prohibited for stomach ulcers. The cost of 10 tablets is 10–15 rubles.
• Gedelix - syrup and drops based on ivy leaf extract. The drug has an expectorant and mucolytic effect (removes phlegm). For children under one year of age, Gedelix is ​​prescribed 2.5 ml per day. The medicine can provoke nausea, diarrhea, and is contraindicated in case of individual intolerance. The cost of 100 ml of syrup is 434 rubles, 50 ml of drops is 408 rubles.
• Alteyka is a cough expectorant for children in the form of syrup. Contains marshmallow root, thyme, marigold flowers, oregano, viburnum fruits, sugar. The drug has enveloping and expectorant properties. Children under one year of age are prescribed 2.5 ml 1-2 times a day. In rare cases, Alteyka can cause allergies; it is contraindicated if the composition is intolerant. Price for a 130 ml bottle is 109–120 rubles.

Expectorants for children over 1 year of age

Medicines for wet cough have several forms of release. Drops and syrups are recommended to be given to children from birth to 3 years of age; after six years, medications in tablets can be prescribed. Teenagers can take cough medicine in capsule form. Expectorant drugs for children can have not only different shapes release, but also differ from each other in their mechanism of action. The following categories of drugs are distinguished:

• stimulants of reflex action and direct resorptive action;
• secretolytic expectorants - proteolytics, cysteines, mucoregulators.

Reflex medicines

These drugs have an irritating effect on the gastric mucosa, resulting in increased mucus synthesis in the respiratory tract. Reflex medications additionally increase the peristalsis of the smooth muscles of the bronchi, which increases the urge to cough and increases the amount of mucus produced.

Expectorant medications for children include:

Name of medicine		Indications for use	Contraindications	Price, rubles
Thermopsol (tablets)	Sodium bicarbonate, thermopsis grass powder.	Cough with difficult sputum.	Peptic ulcer of the digestive tract.	10 pieces. – 34-37 rub.
Codelac Broncho (elixir)	Ambroxol hydrochloride, trisodium salt, thyme extract.	Bronchitis, pneumonia, bronchiectasis.	Childhood(up to 2 years), intolerance to the composition.	100 ml – 187-196 rub.
Bronchophyte (elixir)	Licorice root, violet herb, sucrose, sage leaves, plantain, anise fruits.	Inflammatory diseases of the upper respiratory tract.	With caution for children under 18 years of age.	from 187 rub. for 100 ml.
Pertussin (expectorant solution for oral administration)	Thyme extract, thyme, potassium bromide, sugar syrup.	As an expectorant for wet coughs.	Liver diseases, children under 3 years of age, diabetes mellitus.	100 ml – 33 rub.

Resorptive drugs

Medicines with a resorptive mechanism of action are prescribed in cases where the amount of sputum is insignificant. Medicines increase the secretion of bronchial mucus and stimulate rapid secretion. Children are often prescribed:

Cysteine ​​derivatives

The mechanism of action of these drugs is based on the cleavage of disulfide bonds, which are the basis of sputum protein. Medicines thin out, quickly remove mucus from the bronchi, and make breathing easier. Cysteine ​​derivatives approved for children include:

Name of medicine		Indications for use	Contraindications	Price, rubles
ACC (syrup)	Acetylcysteine.	Bronchitis, pneumonia, prolonged wet cough, acute sinusitis.	Pulmonary bleeding, intolerance to the composition.	100 ml – 269–286 rub.
Bronchobos (syrup)	Carbocysteine.			200 ml – 385 rub.
Mucomist (granules for preparing a solution)	Acetylcysteine.	Wet cough, bronchitis, pneumonia, laryngotracheitis.	With caution in case of bronchial asthma.	On this moment the drug is undergoing recertification.
Fluimucil ( effervescent tablets)	Acetylcysteine.	Respiratory diseases.	Children under 18 years of age are prescribed with caution.	10 pieces. – 137 rub.
Fluifort	Carbocysteine.	Inflammatory diseases of the middle ear, paranasal sinuses nose, productive cough.	Diseases urinary system, peptic ulcers of the stomach or intestines.	120 ml – 308 rub.
Fluditek (potion)	Carbocysteine.			125 ml – 421 rubles.

Enzyme proteolytics

Mechanism of data action medicines is based on the destruction of peptide bonds between the molecules of bronchial mucus, resulting in the liquefaction and removal of sputum. Proteolytic expectorant medications include:

Name of medicine		Indications for use	Contraindications	Price, rubles
Ribonuclease (solution for injection)	Ribonuclease.	Wet cough, respiratory system diseases.	Increased sensitivity to the drug.	On prescription.
Himopsin (powder)	A mixture of trypsin and chymotrypsin.	Suppurative bronchopulmonary pathologies, diseases of the ENT organs.	Malignant neoplasms, respiratory failure.	10 bottles – 1119 rub.

Mucolytic response regulators

Medicines in this group increase the synthesis of pulmonary surfactant, dilute and remove viscous secretions. Children's expectorants include:

Name of medicine		Indications for use	Contraindications	Price, rubles
Bromhexine (potion)	Bromhexine hydrochloride.			60 ml – 195–211 rub.
Lazolvan (syrup)	Ambroxol hydrochloride.	Upper respiratory tract diseases.	Intolerance to the composition.	100 ml – 319–351 rub.
Solvin (tablets)	Bromhexine hydrochloride.	Pneumonia, bronchitis, cystic fibrosis.		20 pcs. from 128 rub.

Folk remedies

Many mothers believe that the best expectorant for children is decoctions and herbal tinctures.

The following cough recipes have received many positive reviews:

• Buy breast collection No. 1 at the pharmacy. 1 tbsp. l. pour herbs into a glass cold water, boil in a water bath for 15 minutes. Strain the finished broth and bring to a volume of 200 ml. Give your child 50 ml 2-3 times a day. The course of treatment is 2 weeks.
• Peel and grind the turnips in a meat grinder. Mix the gruel with milk and honey to make a liquid drink. Give your child ½ cup warm 2 times a day. The course of therapy is 5 days.
• Squeeze the juice from aloe leaves. Mix it with honey in proportions of 1 to 1. Give the medicine to the child 1 tsp. before meals. Duration of treatment is 1 week.

Video

Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only qualified doctor can make a diagnosis and make treatment recommendations based on individual characteristics specific patient.

Found an error in the text? Select it, press Ctrl + Enter and we will fix everything!

Cough can bother all people, regardless of age, skin color or religion. Most of all, you don’t want to observe coughing in children, as carefree faces change into sick ones. Therefore, treatment of cough in children should be carried out as efficiently and quickly as possible.

The occurrence of spasms in the lungs and bronchi, which manifest themselves in the form of a cough, is the body’s response to irritation. Having received a similar impulse from cough center , the brain causes a spasm to clear the airways.

It’s worth mentioning right away that cough there are 2 types: dry and wet. A dry cough is mostly useless and needs to be soothed or suppressed.

Another thing is with a wet cough, which helps the body clear phlegm, pathogenic bacteria, etc.

Thus wet cough only necessary stimulate and make his work easier. To make it easier for the body to remove everything foreign from the lower respiratory tract, it is worth taking expectorants.

They dilute sputum, allow it to separate more easily, and sometimes even change its composition. Then everything extraneous will turn away through a cough and The recovery process will go extremely quickly.

Plant-based mucus thinners and expectorants for children

Herbal preparations have always been more in demand, as they are organic and safe for health. Among all the drugs plant origin such drugs should be identified:

1. Gerbion. The medicine is recommended for children over 2 years of age. The main advantage is that in addition to the expectorant effect, it also has an anti-inflammatory effect. Additionally, the spread of the virus is blocked and its elimination from the body is accelerated. The composition contains thyme, which enhances expectoration, and essential oils soothe the mucous membrane. It is recommended to take for bronchitis, tracheitis and tracheobronchitis;
2. Gedelix. The effectiveness of the medicine is due to the fact that it contains ivy leaf extract. It causes an expectorant effect, thins sputum, reduces bronchospasm and improves the removal of sputum from the body;
3. Mukaltin. Contains marshmallow root extract and sodium bicarbonate. Reduces the viscosity of sputum and thins it. Thanks to stimulation of the mucous membrane, expectoration is greatly facilitated and a speedy recovery is guaranteed.

Effective drugs for thinning sputum in children

Among all the variety of drugs can be called the most effective Ambrobene, Bromhexine and ACC Long.

Each drug has approximately the same set of properties, although the composition is slightly different.

Important! It is not recommended to use Bromhexine and ACC Long during pregnancy or breastfeeding. These drugs contain inactive ambroxol, which requires placement in a suitable environment (swallowing a tablet). Since an additional digestion process is required, the released substances can harm the fetus.

Syrups

The best are Gerbion ivy or primrose syrup, Lazolvan, Flavamed And Fluditek.

Lazolvan is a mucolytic type drug based on ambroxol.

It has a bronchosecretolytic and expectorant effect. Prescribed for diseases with difficult sputum discharge.

A similar drug is Flavamed, its action is completely identical Lazolvanu.

Fluditek is a syrup based on carbocysteine. Produces mucoregulatory and mucolytic effects, while stimulating the immune system.

Mucolytic cough suppressants for children

is headed by the drug ACC 100, which is indicated for use in viscous, difficult-to-separate sputum.

Often prescribed for acute and chronic bronchitis, laryngitis, sinusitis and inflammation of the middle ear. Can be used by children at any age, but for those under 2 years of age, only as prescribed by a doctor.

As an alternative it is used Fluimucil, which performs only a mucolytic function and rhinofluimucil, additionally the medicine helps with pulmonary edema.

Medicines with antitussive effects

Antitussives help reduce the aggression of the cough center. This reduces the frequency and strength of chest spasms.

This approach opposite of expectoration and is often used for temporary cough relief.

• Codelac- This effective medicine for treatment nonproductive cough. It contains the substance codeine, which soothes the cough center and prevents coughing attacks.
• Stoptussin is a complex drug that contains the function of blocking the cough reflex at the central level and relieves spasmodic phenomena. It also promotes liquefaction, separation and removal of mucus.

Other medicines to thin sputum in children

There are Althea preparations, such as mucaltin, marshmallow roots, marshmallow syrup. All of them make it easier for the child to cough and remove all foreign matter from the respiratory tract.

Thermopsol- these are tablets for thinning sputum when coughing in children, which have a pronounced expectorant property and stimulate the respiratory center, and the drug is herbal based.

Inhalation treatment

In combination with tablets or syrups, the body should be helped with the removal of sputum and through inhalation. The composition of the respiratory mass requires add special nebulizers.

• Fluimucil– children 2-6 years old should use 1-2 ml, for 6-12 years old – 2 ml, and 12 years and above – 3 ml. Inhalation should be done 1-2 times a day, the course of treatment is 10 days.
• Lazolvan, Ambrobene– children under 2 years old should be given 1 ml, 2-6 years old – 2 ml and over 6 years old – 2-3 ml. It must first be diluted with saline 1 to 1. Treatment lasts 5 days.
• Sinupret. Requires dilution with saline solution depending on age group the coefficient changes: 2-6 years - 1 to 4 ml, 6-16 years - 1 to 2 ml and over 16 years 1 to 1 ml.

Folk remedies for removing phlegm for children

Known for hundreds of years and some herbs and fruits have shown particularly strong expectorant properties.

Most of them can be found in syrups and tablets, as extracts.

1. Carrot juice with honey. Helps soothe a cough and, in the process, helps thin the phlegm somewhat. The only one important nuance is that carrot juice must be fresh. Take 4-5 times a day, 1 tbsp;
2. Radish with sugar. You need to cut the black radish into small pieces and pour it into a saucepan, cover with sugar. Place in the oven to bake for 2 hours. Strain the liquid from the remaining vegetables. Take 2 tsp syrup. 3-4 times a day;
3. Lemon with honey. You need to squeeze the juice from the lemon into a glass. Next add 2 tbsp. glycerin and mix thoroughly. Then fill the glass to the top with honey. Take 1 tsp several times a day.

If you take it, then here too big variety: Mother and stepmother, thyme, licorice, chamomile, sage and even plantain. By making tinctures or decoctions of these herbs, you can quickly get rid of a wet cough.

Contraindications

There are no specific contraindications for these medications, except individual hypersensitivity to the components of any drug. It is worth paying attention to the fact that some medicines contain sugar, which must be taken into account when diabetes mellitus. You should also consult your doctor and peptic ulcer or pregnancy.

Please note that you should not take several medications at once, especially those with opposite effects.

Cough in children occurs due to colds, flu, bronchitis, pharyngitis, laryngitis. Therapy children's cough depends on the cause and type of cough. As a rule, in these cases the child is treated with syrups.

Exists great amount children's cough syrups: expensive and cheap, imported and domestic, combined and single preparations, effective and ineffective. Most of these medications have age restrictions and contraindications for use.

Causes

Cough often accompanies various diseases respiratory tract. In itself, this is just a symptom, a protective reaction by which the body clears the airways of phlegm and microorganisms. For this reason, in some cases, cough is not treated, but only tried to make it more productive.

If a child coughs periodically during the day, and this does not cause him discomfort (no fever or deterioration in health), then the manifestation is considered within normal limits. But in other cases, you should pay attention to additional symptoms and choose the right one baby syrup From cough.

Causes of cough can be:

• Presence in the body inflammatory process(any infections or allergies);
• Irritation of the mucous membrane respiratory organs as a result of being hit foreign bodies(small objects, dust, microparticles);
• The state of excitation of the cough center in the absence of irritation of the respiratory tract (with nervous tension, fright, embarrassment);

As a result of inflammation of various etiologies, a child may develop a barking cough. To treat it, first of all, it is necessary to determine the type of cough: productive (wet, with sputum) or unproductive, dry.

Possible diseases

So, what diseases in a child can be accompanied by a cough?

Disease	Characteristic symptoms
	Soreness, pain, feeling of a “lump” in the throat.
Laryngitis	Dry, barking cough, sore throat, hoarse voice. Children are characterized by: narrowing of the larynx (croup), wheezing.
	Deep cough strong pain in the throat.
	Chesty, wet cough with sputum, with wheezing in the throat. Obstructive bronchitis is accompanied by painful coughing attacks. Against the background of a number of obstructive bronchitis, bronchial asthma can develop.
Flu	A dry, persistent barking cough develops against the background of the flu. Parainfluenza occurs with heavy discharge from the nose and without fever.
Measles	Initially, a dry cough without sputum occurs, which then takes on a paroxysmal form, becomes rough, dry, and wheezing is heard.
Whooping cough	Dry, painful cough, leading to vomiting. During the inhalation stage, whistling sounds are heard.

Definition of expectorants

Majority medicinal syrups cough medicines are divided into 2 main groups: antitussives and expectorants. Drugs that help thin viscous mucus, increase its volume, and also improve the functioning of the mucous membranes of the respiratory system are called expectorants. The mechanism of action of such drugs is to reduce the viscosity of sputum and evacuate it from the bronchi. By affecting the stomach, they enhance the work of the bronchi to produce liquid sputum. If the cough is not treated, phlegm will interfere with normal wakefulness and sleep and will get stuck in the bronchi. For a wet, productive cough, it is advisable to use expectorants, which will help completely get rid of accumulated sputum.

Syrup is the optimal remedy for treating cough in children. Such dosage form has a number of advantages: the syrup is suitable for children infancy, convenient in dosage, pleasant to the taste. Children's cough syrups come in 3 types: expectorant, mucolytic, and antitussive. But now they produce combination drugs with mucolytic and expectorant effects.

The purpose of these expectorants is to evacuate mucus from the respiratory system. This best medicines against wet cough for children. They are effective for tracheitis, laryngitis, bronchitis, and pneumonia. Expectorant drugs can be divided into 2 groups.

• Vegetable. These are drugs based medicinal plants: thyme, oregano, licorice, marshmallow, plantain, ivy, pine buds, anise, coltsfoot, wild rosemary, elecampane, violet, thermopsis, istoda and others. Many vegetable syrups cough medicines are approved for use in children under 1 year of age. Of the most common side effects are noted allergic reactions for the plant component.
• Combined. These preparations are based on various herbal extracts (thyme, anise, thermopsis, etc.) and chemical substances(sodium bicarbonate, ammonium chloride, potassium bromide and others). Combination drugs More often prescribed for cough in children over one year of age.

The effectiveness of herbal expectorant drugs increases significantly if synthetic mucolytics are added to them.

To choose the right expectorant, you need to evaluate:

• Frequency of cough;
• Type of cough (dry or wet);
• Character (thin sputum or difficult to separate);
• Amount of sputum.

Further choice is determined by the patient’s age, presence chronic diseases, individual intolerance to the composition.

Children are advised to choose syrups based on medicinal herbs. They are better tolerated and have fewer side effects. However, in case of severe disease, preference may be given combined means. The age of the child must be taken into account, since many drugs are contraindicated for children under 2 years of age.

List of good expectorants

In pediatrics, a large number of expectorant syrups are used to treat cough. The most popular ones are listed below:

Cost from 300 rub.

• Bronchicum. The main active ingredient is thyme extract. The syrup has antimicrobial, bronchodilator, anti-inflammatory effects. Contraindicated for babies under 6 months.
• Dr. Theis. Main component drug – plantain extract. The syrup has a mucolytic, anti-inflammatory effect. Contraindicated for children under 1 year of age.
• Overslept. The medicine is based on an extract from ivy leaves. It has secretolytic, mucolytic, antispasmodic effects. Contraindicated for babies under 3 months.
• . Herbal preparation based on licorice, basil, ginger, aloe, turmeric, elecampane, menthol. Has anti-inflammatory, distracting properties. Contraindicated in children under 3 years of age.
• . The main component is ivy leaf extract. Allowed for use from infancy, but under strict medical supervision.
• Lazolvan. Synthetic drug. Special components medications regulate the composition of sputum, thin it and improve its production. An effective remedy fast action, good for children.
• Ambrobene- one of the most frequently prescribed syrups, which has expectorant and mucolytic properties. Active substance– ambroxol. The syrup contains liquid sorbitol, raspberry flavor, purified water, propylene glycol and saccharin.

Not a single highly effective and most expensive syrup with an expectorant effect will help if 2 are not followed important conditions during treatment:

• Cool, moist air;
• Drinking regime.

Seemingly safe herbal preparations can provoke the formation of excess mucus, which will lead to a lingering cough. Despite the availability and popularity of cough expectorants for children, self-medication should not be done. This is fraught with various complications.

Features of the use of children's syrups, dosages, contraindications

Expectorant syrups help a child get rid of a cough if taken correctly. Even the most safe means must be taken under medical supervision. This is especially true for young children.

Expectorants related to herbal remedies (for example), in addition to the main effect, have a number of other positive effects. They are quite safe and can be prescribed to children from 2 years of age. Contains no alcohol. These syrups are compatible with any antibiotics, but are contraindicated if you are allergic to the components of the composition and have diabetes.

Average price 300 rub.

The herbal medicine Gedelix from ivy extract should be given to children carefully. Even natural ingredients can harm the baby. The syrup contains menthol, which can cause laryngeal spasm. Other components (eucalyptus and anise) may also contribute to an allergic reaction. But if the child does not have individual intolerance to the components, it is prescribed to adolescents from 10 years old 5 ml three times a day, children 4-10 years old - 2.5 ml 4 times a day. For patients under 4 years of age, syrup is given 3 times a day, 2.5 ml.

Kids take sweet syrups with pleasure, but remember that their overdose can lead to dangerous consequences. So, syrups based on licorice root can cause vomiting. Children over 12 years old are given 1 teaspoon of the product three times a day, 2–12 years old - 0.5 teaspoon of syrup diluted with water.

Children like the aniseed sweet taste of Doctor Mom syrup. They perceive it as a treat. The product acts comprehensively. It is used as an expectorant, mucolytic and anti-inflammatory drug. The medicine contains more than 10 different herbal components. It is a popular remedy for coughs. The drug is prescribed 3 times a day for children over 3 years of age at a dose of 0.5 teaspoon per dose, for children 6–14 years old the dose is increased to 0.5–1 teaspoon.

Ambrobene is a drug known for its effectiveness. Indications for use: dry cough due to a cold. Diseases for which syrup is taken: lung disease (chronic and obstructive), chronic and acute bronchitis, pneumonia, bronchiectasis. The syrup is prescribed to children under 2 years of age (except newborns and premature infants) 2.5 ml 2 times a day; from 2 to 5 years – 2.5 ml 3 times a day; from 5 to 12 years – 5 ml 2-3 times a day.

Bronchicum cough syrup is used for inflammatory diseases upper and lower respiratory tract in the presence of a wet cough with difficult to separate viscous sputum. A contraindication to the use of Bronchicum syrup is individual intolerance to the components of the drug. For adolescents over 12 years of age, Bronchicum syrup is prescribed 1 teaspoon 5-6 times a day. For children aged 6 to 12 years, the drug is prescribed 1/2 teaspoon 3-4 times a day. Children under 6 years of age are prescribed 1/4 teaspoon 2-3 times a day. For babies under 1 year old – 1/8 teaspoon (0.5-0.6 ml) 2-3 times a day.

Video

conclusions

Cough expectorants should help transform a dry, unproductive cough into a wet one. The effectiveness of these drugs is assessed by the appearance of sputum and improvement of its discharge. If it does appear, then it is worth taking additional tests.

No matter how safe cough syrups are considered, they should not be chosen based on popularity, suggestions from people around you, or advertising. This choice should be entrusted to a pediatrician, who will help quickly cure the baby of a disease that is accompanied by a cough. Also read about the causes and treatments for headaches.