Antibiotic Fluimucil for inhalations

One of the effective methods for treating inflammatory diseases of the upper and lower respiratory tract is inhalation. Depending on the drugs used for the procedure, various therapeutic effects can be obtained. When it comes to pathologies of the lower respiratory tract, inhalations usually have as their goal the facilitation of sputum discharge. In diseases of the upper respiratory tract, the removal of edema and inflammation, as well as the removal of purulent contents from the nasal passages, comes to the fore. But since the inflammatory pathologies of the respiratory system are most often associated with an infectious factor (bacteria and viruses), it would be good for the table to have an effective procedure, like inhalations, to fight the pathogens of the disease, exerting a local effect on them, and to achieve such an effect allows "Antibiotic Fluimucil for inhalations and injections.

What is the drug?

Some people who are personally or in absentia familiar with the drug "Fluimucil", can be confused by the fact that we called the drug an antibiotic. In fact, "Fluimutsil" and "Fluimutsil - Antibiotic IT" - two different drugs.

In the first case, we are dealing with a good mucolytic agent based on acetylcysteine, which is effective for bronchitis, tracheitis, pneumonia, cold with a difficult cough. As a normal mucolytic, this drug contributes to the dilution of sputum and has an antioxidant effect, but it does not have antimicrobial effect. The drug is produced in the form of granules for oral administration and a solution in ampoules, which are used for injections and inhalations for respiratory diseases of a viral, bacterial or non-infectious nature.

"Fluimucil - Antibiotic IT" - a combined preparation in the form of powder (lyophilate), from which you can then prepare a medicinal composition for inhalations, as well as a solution for intravenous or intramuscular injections. It can be used both in pathologies of the bacterial plan, and to prevent bacterial complications, because in the composition of this drug there is an antibiotic.

The active substance of the drug is a special complex of antibiotic (tiamphenicol) and mucolytics (acetylcysteine), called thiamphenicol glycinate acetylcysteinate.

Acetylcysteine in this drug acts as a means, which very quickly and well dilutes not only the mucous contents of the bronchi and nasal passages, but also purulent discharge, the formation of which is provoked by bacteria. More often in this role are staphylococci and in particular their bright representative Staphylococcus aureus, less often streptococci and other species of opportunistic and pathogenic microflora. The same substance promotes a more complete penetration of the antibiotic into the lung tissue and weakens the adhesion of bacterial cells to the epithelial cells of the respiratory mucosa, which facilitates their removal from the body.

With regard to the antimicrobial component, thiamphenicol is considered one of the derivatives of the synthetic antibiotic chloramphenicol, which blocks the synthesis of protein in the microbial cell and thereby acts on bacteriostatically sensitive microorganisms, i.e. Inhibits their growth and reproduction.

Thiamphenicol is a substance with a large spectrum of antibacterial action. In addition to gram-positive staphylococci and pneumococci, Streptococcus pyogenes (a rare resident of the pharynx and the main causative agent of scarlet fever) and corynebacteria (causative agents of diphtheria), as well as listeria, clostridia and some other pathogenic microflora are sensitive to it.

An antibiotic is also effective against a diverse flora from the discharge of gram-negative microorganisms: hemophilic rods, neyerias (responsible for inflammatory processes in the genitourinary system), salmonella, E. Coli. And also with respect to the lesser known microflora: shigella, bordetell (pertussis causative agents), yersinia (diseases: iersiniosis, gastrointestinal tract, plague, pseudotuberculosis and some others), brucella (bacteria transmitted to humans from animals and affecting various organs and systems), bacteroides .

Thiamphenicol in the composition used for inhalation is released after the absorption of the complex compound and acts locally, penetrating into various tissues of the respiratory system.

Indications for the procedure

Inhalation is a medical procedure and, depending on the drugs used, it can be prescribed for various diseases. Since we are now talking about a drug with an antibiotic, then it can be used for the procedure only according to the doctor's prescription. It should be understood that antibiotics are potent agents, and their uncontrolled use can do a disservice, causing disruptions in the work of various organs and systems and provoking various complications in the form of superinfections, candidiasis, etc.

"Fluimutsil" with an antimicrobial component is used in the treatment of infectious and inflammatory diseases of the respiratory system, which are caused by bacteria that show sensitivity to the drug, if the disease is accompanied by a difficult passage of sputum and pus from the broncho-pulmonary system and nasal passages. Ideally, the drug should be administered after an analysis of the causative agent, but a wide range of antibacterial activity allows the drug to be used even before the results are obtained.

"Fluimucil-Antibiotic IT" for inhalations can be appointed by a doctor in the following cases:

• With inflammatory and suppurative inflammatory processes in the upper respiratory tract: sinusitis, sinusitis, laryngotracheitis, etc.

Especially exemplary is the use of the drug "Fluimucil" with an antibiotic for inhalations in sinusitis, when excretion of pus from the paranasal sinus is difficult. Thiamphenicol is considered an antibiotic that is active against almost all pathogens of the disease, and acetylcysteine helps to thin the pus and remove the now less active bacteria from the area of their localization.

The drug solution for sinusitis is used not only for inhalations, but also for effective washing of the nose, which is carried out in hospital conditions. "Fluimucil - Antibiotic IT" can be used for wetting turundas, which are injected deep into the nasal passage in the genyantritis. In this case, and other ENT diseases, the ready solution can be advised by doctors to dig in the nares or ears.

• With common diseases of the lower respiratory tract: bronchitis, occurring in acute and chronic form, pneumonia (pneumonia) and their complications (abscess and emphysema of the lungs).
• Inhalation with mucolytics and antibiotics for bronchiectasis, which has hereditary or other causes and proceeds in chronic form, when purulent contents accumulate in the dilated and weakened bronchi, will be useful.
• Sometimes inhalation procedures are prescribed for bronchiolitis, a disease of the inflammatory plan that affects bronchioles, if the causative agent of the disease is viral-bacterial infections. Inhalations help remove the accumulating inflammatory exudate from the terminal sections of the bronchial tree, which can cause obstruction. Simultaneous infection control helps to reduce the inflammatory process.
• Pertussis is a predominantly infantile infectious disease caused by specific bacteria of the bordetella. At 3-4 weeks of the disease, a dry, painful cough that does not respond to the antitussive drugs changes into a paroxysmal moist, while the viscous mucus is separated with great difficulty. Coughing attacks become so painful that the patient even has a redder face from tension. The disease is very dangerous for children up to 2 years, and in newborns it often causes death due to a stoppage of breath between attacks.

Inhalations with mucolytics and antibiotics help to solve at once 2 problems: having warned reproduction of bacterial flora, to stop inflammatory process and to help the small patient to cough up hard-to-recover thick sputum.

• Dense mucus in the airways, attaching a bacterial infection, can also accumulate in a severe hereditary disease called "cystic fibrosis" that occurs in the pulmonary (respiratory) form. If the mucus is not removed, it will lead to obstruction of the lungs development of emphysema (in this pathology, air accumulates in the lung tissue and inflates them) or prolonged pneumonia.

The disease is considered to be practically incurable, and inhalations that facilitate liquefaction of mucus and control of bacterial microflora multiplying in the lower respiratory tract are effective measures to alleviate the patient's condition and prevent dangerous complications.

Inhalations with the drug "Fluimucil - Antibiotic IT" can act as a prophylaxis of complications after thoracic interventions in traumatic lung injuries accompanied by a cough with phlegm.

Apply inhalation with "Fluimutsil" and before treatment and diagnostic procedures (for example, before bronchoscopy or aspiration (removal) allocated from the bronchi) as an effective preparation for them. If we are talking about nonspecific infections of the respiratory tract, inhalations will provide drainage function in the region of cavernous foci caused by mycobacteria and in the lungs in tuberculosis.

[1], [2], [3], [4], [5], [6], [7]

Preparation

Inhalations are considered a therapeutic and prophylactic procedure, in which the patient inhales air saturated with particles of medicinal products, softening and moisturizing the respiratory mucosa of solutions, etc. And like any procedure of such a plan, they require some simple preparation.

To facilitate the penetration of the complex drug with mucolytic and antibiotic into the nasal passages, they must first be cleaned with saline solution (1 teaspoon of salt or sea salt per 0.5 liters of water) or with preparations based on sea salt (Salin, Aquamaris , "Humer", etc.). Then the vasoconstrictors are instilled in the nose, eliminating the swelling of the tissues and helping to remove mucus from the nasal passages in order to gain access to the maxillary sinuses.

If by inhalation the lower respiratory tract is treated and air penetrates into the bronchi bypassing the pharynx, one simply needs to thoroughly rinse the throat with saline or infusion of herbs to remove the mucus that inhibits the penetration of the drug into the diseased tissues. Preparing the mucous throat and nose to the procedure should be done 1-1.5 hours before the start of inhalation.

If the patient only ate, to conduct inhalation is undesirable, because the procedure in this case can cause nausea and vomiting. Inhalation is best done an hour after eating. This will help reduce the power of dizziness that often occurs during the procedure, especially if it is performed on an empty stomach.

If a person smokes, then he will have to wait an hour before the procedure and as many after it.

Inhalation means deep breathing, so before the procedure it is recommended to save strength and give up any physical exertion. The best preparation will be rest with normalization of breathing and palpitation. We need to take care of light clothing of loose cut from natural fabrics, which will not squeeze the chest, preventing deep breathing, and will not create a greenhouse effect (especially when it comes to steam inhalations).

Inhalation in respiratory diseases can be done in two ways: above the pot with hot water and the medicine dissolved in it, covering the head with a towel (steam) and using a nebulizer (dry). Before the procedure, you must prepare in advance all necessary for the selected type of inhalation accessories, make sure they are clean, check the inhaler for leaks. The drug "Fluimucil" and especially "Fluimucil - Antibiotic IT" is used primarily for inhalations by a nebulizer. The antibacterial component of thiamphenicol is considered an unstable compound that is not used in its pure form, but in the bound one can enter into undesirable reactions with metal and rubber surfaces.

The choice of an inhaler will also have to be approached carefully. Usually, two types of drugs are used: compression and ultrasound. Last though considered a more modern inhaler, in the case of "Fluimutsil" is not suitable. Preference should be given to compression nebulizers or use a device with a glass container.

Before you start working with a solution for inhalations, you must wash your hands with soap and water. The solution is prepared in accordance with the recommendations for the preparation.

Usually, complex physiotherapeutic treatment (and inhalation is a physiotherapeutic procedure) of the lower respiratory tract implies the alternate use of several drugs: a bronchodilator, a mucolytic, an anti-inflammatory and antibacterial drug. That is, it is usually 3 consecutive procedures, conducted with an interval of 20-30 minutes.

If you use Fluimutsil for inhalations, then the procedure will be the second in the list, and if you take "Fluimucil - Antibiotic IT" instead, all three procedures can be combined into one, because this drug has a complex effect. However, if a patient is diagnosed with bronchial obstruction before inhalation with mucolytics and an antibiotic, a bronchitis drug should be taken or pre-inhaled in a bronchodilator that will clear the way into the antibiotic.

[8], [9], [10]

Technique of the fluimucil for inhalations

As we have already mentioned, before the beginning of inhalations it is necessary to prepare a medicinal solution, and if the infusions of herbs can be used, especially without worrying about the dosage, then with medication you need to be cautious. If the drug can be used for inhalations, this must necessarily be written in the instructions to it. There you can find information about effective and safe doses of the drug.

Consider how you can apply "Fluimucil" 100, 250 and 500 mg for inhalation in diseases of the upper and lower respiratory tract.

"Fluimcil" 100 mg / ml is a mucolytic agent in ampoules containing 3 ml of a ready-made solution for inhalations and injections. This is a ready-made 10-percent solution of acetylcysteine, which does not require additional dilution.

Inhalations with it can be carried out in devices of any plan. For ultrasonic nebulizers per procedure, it is necessary to take from 3 to 9 ml of the preparation (1-3 ampoules). For the compressor devices, 2 ampoules of "Fluimutsila" are taken as standard.

The drug is generally safe, therefore the above dosage is applicable for the treatment of adults and children. However, the doctor can adjust the dose depending on the patient's condition. For example, if the secret leaves quickly and in large quantities, it will need to be removed (sucked off), and the dose of the drug is reduced.

Usually the doctor appoints from 2 to 4 procedures a day, which lasts 15-20 minutes. The course of treatment of acute pathologies usually does not exceed 10 days, for chronic diseases aerosol therapy can be prescribed for a period of up to six months.

The drug "Fluimucil - Antibiotic IT" goes on sale in bottles with powder. Each vial contains 500 mg of thiamphenicol. A 4 ml ampoule of water for injections is applied to the vial with the preparation, which is used to dissolve the lyophilizate.

How to prepare a solution for inhalation? First, from the vial containing the powder, remove the metal edging, then remove the rubber stopper. From the ampoule containing the solution for injection, with the help of a nail file, remove (top and break off on a special ring) top part. Its contents are poured into a vial of powder, close it with a rubber stopper and mix thoroughly.

There is another, more reliable way of preparing the solution, preventing once again the contact of the preparation with air. We open the ampoule with water for injections, draw the liquid into the syringe and release it into the vial of powder, piercing the rubber stopper with a needle. The composition is thoroughly mixed, and then the required quantity is still collected in a syringe and transferred to a nebulizer reservoir.

The preparation "Fluimucil - Antibiotic IT" for inhalation can also be diluted with purified water or a solution of sodium chloride (saline solution). Many readers are interested in how to build Fluimutsil with antibiotic saline, if required by the instructions to the nebulizer? In fact, saline solution should replace only one-fourth of the water for injections, i.e. Instead of 4 ml of the water for injection, complete with the preparation, take only 3 ml and add to it 1 ml of 9% sodium chloride solution. This composition subsequently and will need to dilute the powder.

If the preparation was prepared without opening the bottle with powder, it can be stored in a refrigerator for 1 day. However, some experts insist that the antibiotic compound is unstable and can be destroyed under the influence of water, so for each procedure they recommend taking a new vial of the drug and an ampoule with water for injection.

The liquid that is used to dilute the drug must be at room temperature, i.e. Not less than 20 degrees.

According to the manufacturer's official instructions, 1-2 procedures can be performed per day, although in a difficult situation the doctor can increase their number up to 4 times a day. Independently to change the multiplicity of procedures is not necessary, after all it is not a safe mucolytic, but a potent agent with an antibiotic, an overdose of which can have very unpleasant consequences.

If inhalation is performed by an adult in 1 procedure, 250 mg of thiamphenicol should be used, i. E. We take the amount of solution equal to half of the prepared dose. Children for the procedure can use only half of the adult dose, i.e. 125 mg of thiamphenicol or ¼ full dosage.

If necessary, the attending physician may increase the dosage of the medication for inhalation. Usually prescribed increased doses of the drug or increase the multiplicity of procedures in the first 2-3 days of treatment, if it comes to acute pathology. An increase in the dose is unacceptable in the treatment of newborns and premature infants.

If the drug "Fluimucil - Antibiotic IT" is used for inhalations for the first time, doctors recommend preliminary to make an allergic test, i.e. A small amount of the finished composition should be applied to the inner surface of the forearm and left for a day. Usually, an allergic reaction occurs within the first 2 hours, but for greater persuasiveness, if there is no rash, flushing or itching of the skin, it is better to observe it within 24 hours. In the absence of a negative reaction of the body to the drug, it is possible to carry out inhalations with it.

After the finished solution is poured into the reservoir of the device, and the mask is put on the face, the nebulizer can be turned on. For the treatment of children usually use a mask that is attached to the head and closes both the mouth and the nose of the baby. For older patients, special nozzles can be used:

• nasal nozzle for inhalation with sinusitis, sinusitis and other diseases of the upper respiratory tract, where it is important to get the medicine deep into the nasal passages,
• mouthpiece for inhalation treatment of bronchitis, tracheitis, pneumonia and other infectious-inflammatory pathologies of the lower respiratory tract.

Inhalations using special attachments are considered to be more effective than those in which the mask is used.

During the procedure, the patient should sit comfortably (for young children and those who are seriously ill, the reclining position is allowed with the upper body raised so that the nebulizer remains in the upright position). Breathing should be smooth and calm. When inhaled nebulizer does not necessarily take a deep breath. To breathe deeply it is necessary only at treatment of deep departments of the bottom respiratory ways. After inhaling, you need to hold your breath for a couple of seconds, then exhale should follow.

If a mask is used depending on whether the upper or lower respiratory tract needs to be treated, it is necessary to breathe properly. With sinusitis and sinusitis, breathing in must be done with the nose, so that the medicine penetrates into the nasal passages and exerts a therapeutic effect there, and lets the air out through the mouth. If it is necessary to treat cough, bronchitis and other pathologies of the lower respiratory tract, inhale with the mouth, but breathe out with the nose, if necessary, cough up phlegm from the bronchi, removing the mask and turning off the device.

What can not be done with inhalation nebulizer? Of course, talk. Ideally, for these 15-20 minutes, when the procedure is carried out, a person should be distracted from conversations and all sorts of cares and focus on equal and proper breathing, which will make treatment effective.

Contraindications to the procedure

The fact that inhalations of a nebulizer with inflammatory diseases of the respiratory system are very effective procedure, which considerably facilitates the excretion of mucus and pus from the respiratory tract, there is no doubt. This procedure is useful for infectious pathologies, if the medicinal compositions include an antibiotic. Moreover, such treatment has less negative consequences for the body, than oral administration of antibiotics or injection / infusion of their administration.

Nevertheless, even such an effective and relatively safe procedure has its own limitations on the conduct. Inhalation procedures doctors do not recommend for patients who have the following pathologies diagnosed:

• arterial hypertension (people who have high blood pressure, need medical advice about the safety of the procedure),
• other serious cardiovascular pathologies (those who underwent myocardial infarction or stroke of the brain, inhalations are strictly prohibited),
• severe blood circulation disorders in the brain can also cause the doctor not to recommend such an effective procedure for diseases of the respiratory system,
• pulmonary insufficiency is unambiguously a contraindication to any inhalation,
• predisposition to bleeding from the nose,
• pulmonary hemorrhage,
• purulent sore throat.

A relative contraindication to the procedure is an elevated body temperature (more than 37.5 degrees) or nasal bleeding caused by single mechanical vascular damage (without predisposition).

It is also important that nebulizers are allowed to use solutions based on purified or mineral water, water for injection or saline solution, and no other solvents can be used in devices. Preparing a medicine for inhalations from the drug "Fluimutsil" in tablets is impossible, because insufficiently small particles can clog the filter of the device.

Concerning contraindications to the preparations "Fluimucil" and "Fluimucil - Antibiotic IT", used for inhalations, they are not prescribed primarily with hypersensitivity to the components of the drug. It is undesirable to carry out inhalation with drugs during exacerbation of ulcerative processes in the digestive tract.

"Fluimutsil" with an antibiotic is not used for inhalations in patients with impaired blood composition (for anemia, leukopenia, thrombocytopenia). If the procedure is carried out by the nursing mother, then during the treatment it is better to refuse from breastfeeding the baby.

"Fluimucil" (with antibiotic and without it) for inhalations during pregnancy is not prohibited by drug manufacturers, however, doctors prefer to prescribe such procedures not often and only if there is a big risk to the life and health of the future mother. During this period, a woman needs to be careful with any procedures, even if they use safe drugs. The possibility of carrying out inhalations must be coordinated with the doctor at any time of pregnancy.

Caution is given to the administration of inhalations of "Fluimucil" with antibiotics in newborns and premature infants (the procedure is best performed in a hospital), toddlers under 2 years, as well as gastric and duodenum ulcers outside the exacerbation period, with bronchial asthma and obstructive bronchitis, impaired renal or hepatic function.

Consequences after the procedure

Usually, if the inhalations are correctly administered taking into account the recommended doses of the drug and the contraindications to the procedure, the consequences will be most positive. The antibiotic will reduce the activity of the pathogenic bacterial microflora in the area of its localization (nasal passages, maxillary sinuses, bronchi, lungs, etc.), and mucolytic will promote the liquefaction of mucus and pus and its removal together with bacteria from the body. The patient will stop the unproductive urge to cough, and sputum will be much easier to leave.

The trouble with using the drug "Fluimucil - Antibiotic IT" for inhalations can begin if you adjust the dosage of the drug and the frequency of the procedure yourself. It is a well-known fact that antibiotics can change the microflora of the body, because they do not have selective action, which means that they destroy both harmful microorganisms and useful ones that are necessary for the normal functioning of the human body and maintain the acid-base balance.

So, an overdose of a drug with an antibiotic can change the bacterial flora in the mouth, throat, intestines, which will lead to the development of superinfections (useful bacteria are responsible for immunity, and if they become few, different viruses, bacteria and fungi begin to show activity time were in a sleeping state).

In preparations called "Fluimucil", as with other drugs, there are side effects, which are manifested more intensively, the higher the dose of the drug. This is mainly about nausea, irritating action on the respiratory tract, resulting in a reflex cough, and sometimes bronchospasm, requiring urgent introduction of bronchodilators, the appearance of a runny nose and inflammation of the oral mucosa, which in medicine is called stomatitis.

If you do not perform an allergic test before the procedure, that is, there is some probability that after the procedure or during it there may be reactions of drug intolerance.

It is not necessary to carry out inhalations with mucolytics and at the same time to take antitussives. Such treatment will not give the expected effect, because it will slow the excretion of phlegm containing bacterial cells. In addition, you can get a not very pleasant result, when the mucus begins to clog the bronchi and prevent the passage of air.

If you do not take into account contraindications to the procedure, then after it you can expect various complications, such as increased blood pressure and temperature, circulatory disorders of the brain, bleeding, violation of consciousness, tachycardia, etc.

[11], [12], [13], [14], [15]

Care after the procedure

Inhalation is a treatment and prophylactic procedure that involves not only a certain preparation, but also the requirements for caring for the patient after it. If the inhalations are taken with the drug "Fluimucil" with an antibiotic, this indicates that during the procedure there will be a fight against infection and inflammation, requiring the patient to rest and some concentration to breathe properly.

To say that such a procedure is not very tiresome, but, nevertheless, it requires some effort and perseverance. After the nebulizer is disconnected, and the mask is removed from the face, the sick person still needs to rest, recover breathing, cough / bleat, because mucolytic acetylcysteine in the drugs "Fluimucil" or "Fluimucil - Antibiotic IT", used for inhalations, will be to encourage the sputum to leave the bronchi or nasal passages as soon as possible.

Do not immediately after the procedure to take on hard work, show excessive activity, go for a walk, take on cigarettes. Within one and a half hours after the procedure, doctors are not advised to take food or drinks. It is necessary to allow the drug to work effectively in the affected area, and the body should not be distracted by digesting food, but concentrate on fighting the disease.

Analogues of "Fluimutsila"

The drug "Fluimucil" is a mucolytic (phlegm-thinning) agent having a form that is convenient for inhalation use. You can replace it with any of the following mucolytics:

• "Acetylcysteine" (for the procedure use a solution of 200 mg / ml in a volume of 2-4 ml),
• "ACTS Inject", which is a 10% solution of acetylcysteine, used similarly to "Fluimucil"
• "Mukomist" with the same active substance (20% solution - 3-5 ml per procedure, 10% - 6-10 ml),
• "Ambroxol solution for inhalation (from 1 to 3 ml of solution for inhalation, it is better to mix in equal proportions with saline solution)
• "Lazolvan" in the form of a solution (has active substance ambroxol and is used according to the same scheme)
• "Ambrogen" in the form of a solution for inhalation (identical with ambroxol according to the active substance and use).

There are many other drugs with mucolytic and expectorant effect, which are used for inhalations with respiratory diseases accompanied by a difficult cough: Gedelix, "Cough Medicine", "Mukaltin" (tablets need to be crushed and dissolved in water), "Pertussin", etc. For the treatment of sinusitis and sinusitis, inhalations with Sinupret can be used.

The drug "Fluimucil - Antibiotic IT" has virtually no analogues that could be used for inhalations, because acetylcysteine, like other mucolytics, does not go very well with various antibiotics. If there is no possibility to purchase "Fluimucil" with an antibiotic, inhalations can be carried out sequentially by mucolytics, and then after half an hour with antibiotic or antiseptic:

• "Dioxydin" in the form of 0.5 or 1% solution diluted in saline solution in a ratio of 1: 2 or 1: 4, respectively (allowed from 2 years of age),
• "Gentamicin" (antibiotic, toxic, use a 45-ml solution for injection, diluted with saline in a ratio of 1: 6 or 1:12 if inhalations are administered to children)
• "Furatsilin" (antiseptic, 1 tablet for ½ cup hot water, after dissolving 4 ml of solution is used),
• "Chlorophyllipt" (antiseptic, 1% alcohol solution, diluted 1: 10 with saline solution) is used,
• "Miramistin" (antiseptic, helps with purulent discharge, use a 0.01% solution of the drug, do not grow adults, babies are bred in physiological saline in the proportion 1: 2).

Antiseptics and antibiotics are considered potent drugs, prescribed by a doctor. Thus, if there is a need to replace the drug "Fluimucil - Antibiotic IT" with others that are similar in effect, this issue should be decided by the attending physician, and not the patient at his own discretion.

[16], [17]

Reviews about the drug

If you look closely, you can find quite a lot of drugs on the shelves of pharmacies, the active ingredient of which is acetylcysteine. In addition to the above, there are other drugs with mucolytic effect, provided by the same active substance: "Acestin", "Mukobene", Mukrneks "," Exomuk "and others. This suggests that acetylcysteine is a good mucolytic, which is in demand. And the increased demand happens only for effective medicines.

Feedback from those who used the drug for their treatment or treatment of their children, confirms the opinion of doctors about the effectiveness of this drug, which does not have serious side effects and the possibility of an overdose. Acetylcysteine is generally a safe mucolytic, which can be safely used for inhalation of small children.

As for the drug "Fluimucil - Antibiotic IT", despite the inclusion of a potent antimicrobial component in the preparation, it is also easily tolerated by patients of different ages, if the dosages recommended by the doctor and the frequency of the inhalation procedure are adhered to. Judging by the reviews, the drug is well tolerated by both adults and children, showing very worthy results, so many patients prefer to turn to him for help and in the next times, once the disease overtakes them again.

The possibility of simultaneously obtaining and diluting sputum, including purulent, and destroying bacterial microflora, in one procedure is quite an attractive moment, because it makes it possible to reduce the number of procedures that other drugs can not offer. In addition, the local use of an antibiotic is considered safer for the body than taking the drug inside or injecting it into the blood.

Very good effect shows the drug in the treatment of sinusitis, helping to remove from the maxillary sinuses pus and conducting an active fight with an infection localized in a hard-to-reach place.

"Fluimutsil" and "Fluimutsil - Antibiotic IT" are considered quite popular drugs used for inhalations in diseases of the respiratory system. Their effectiveness is confirmed by hundreds and thousands of positive reviews. But we must understand that even such effective drugs are not a panacea for severe infectious diseases requiring an integrated approach to treatment. It is not always possible to confine oneself only to the local use of antibiotics, often you have to resort to systemic therapy in addition. But "Fluimutsil" with an antibiotic helps to reduce the dosages of antimicrobial drugs used in systemic therapy.