Pulcicort for obstructive and acute bronchitis: inhalation treatment

Bronchitis is one of the most common pathologies of the respiratory system. The disease is known to science a long time ago, the first descriptions were made more than 3 thousand years ago. However, for a long time only descriptive data existed, the etiology, the features of pathogenesis remained unclear for a long time. However, bronchitis and bronchial asthma spread more and more. The frequency of pathology reached 1% of the entire population. At this time, new cases of the disease were registered, the course of the disease became heavier, new forms of pathology arose. The disease began to occur among the children's age group. An active search for means of treatment and prevention of disease began. Widespread use of sympathomimetics, steroid drugs. By the end of the sixties a new generation of preparations of the systemic action of corticosteroid nature was created. Most of the drugs, such as pulmicort, beclomethasone dipropionate, flunisolide, fluticasone propionate, mometasone furoate, were the most widely used because of their high efficiency and relative safety. Today pulmicort for bronchitis is used much more often than other drugs. It can be used even for children.

Treatment of bronchitis with pulmicort

Treatment of bronchitis requires only complex therapy. Despite the high effectiveness, as the only means of treating bronchitis, pulmicort is not used. As a means for inhalation, it is used for both children and adults. Helps in all types of bronchitis: acute, chronic, obstructive, and even with bronchial asthma. It is a reliable tool for the treatment and prevention of complications. Usually, the drug is used only in cases when conventional complex therapy is ineffective. It is a hormonal agent that belongs to the class of inhaled corticosteroids.

Pulcicort quickly eliminates pathology due to the fact that it has a local effect, it penetrates directly into the broncho-pulmonary tissue. If you compare with the drugs of systemic action, the effective dose will be much less. This makes it possible to radiate bronchi, without affecting other organs. Usually, the course of treatment is short, since it is impossible to use hormonal means for a long time. But in this short time a person can completely recover.

Indications of the pulmicorta with bronchitis

Indications for use is primarily bronchitis. The pulmicort is suitable for treating any stage and form of bronchitis. Most often, the need for it occurs in the treatment of obstructive, acute or chronic bronchitis, with the appearance of asthma attacks during bronchial asthma. Hormone therapy is usually resorted to when the usual, complex is ineffective, that is, with a severe form of the disease.

Has a positive effect with ineffectiveness of bronchodilators, eliminates the symptoms of severe allergies. It can be used to eliminate the effects of angenturotic edema and anaphylactic shock, for the treatment of rhinitis, dermatitis, asthma with predominance of the allergic component. Has a leading role in the treatment of psoriasis, lung disease, with infection, insufficiency, emphysema.

Pulcicort for obstructive bronchitis

The use of pulmicort is advisable in the case of obstructive bronchitis by inhalation. At the heart of the inhaler is a jet nebulizer, which contains a certain amount of substance. In obstructive bronchitis, a positive effect can be achieved only with the use of a jet inhaler. It is recommended for a pronounced course of the disease. Also used in the remission phase for prevention.

[1], [2]

Pulcicort for acute bronchitis

In acute bronchitis pulmicort helps quickly and effectively eliminate the main symptoms of the disease, to remove acute inflammation in the bronchi and alveoli. Provides liquefaction and outflow of fluid. Promotes the removal of hyperemia, edema, allergic reactions. Spasm is removed due to the fact that smooth muscle relaxes smoothly. Removing the edema and spasm promotes free breathing. Thinned mucus is easier to expectorate. Rapid removal of symptoms occurs due to the fact that the drug is absorbed directly in the bronchi, affects the mucosa. Acts quickly - approximately 30 minutes after the administration of the drug

In acute bronchitis, inhalation has the greatest positive effect. In stationary conditions, the ultrasonic inhaler is most often used. It promotes deeper penetration of medicines into the bronchi, the lungs and the alveoli. When carrying out inhalations for children, use a special mask. It is necessary to control the tightness of the mask.

Pulcicort for chronic bronchitis

In chronic bronchitis pulmicort helps to relieve spasm, resulting in better breathing. Withdrawal of chronic chronic edema and hyperemia leads to elimination of inflammation and allergic reaction, as a result of which the structure and function of the bronchi is normalized, recovery comes.

Release form

Produced in the form of a suspension, which is used for inhalation. Usually found in polyethylene containers that contain a single dose.

Pulmicort for inhalation with bronchitis

Pulmicort is effective in the conduct of inhalation, because it pierces deeply in the bronchial tissue, removes there swelling, inflammation. It is used in strictly individual dosage. Usually, children younger than 6 months of the drug is not prescribed, but in some exceptional cases, can be prescribed only in extremely severe cases. Inhalations are useful in the case when bronchitis occurs in severe form, with suffocating coughing attacks, stenotic manifestations. 

When carrying out inhalations, you must follow certain recommendations. First, the procedure should be carried out using a nebulizer that provides spraying and directs the flow of drugs directly into the bronchi and lungs. It is also important that this device is compression.

Before carrying out the inhalation, you need to prepare a suspension. To do this, take a plastic container containing the drug, shake it. After that, the drug is opened. The proper dosage should be poured into the nebulizer container. For example, if 1 ml of medication is prescribed for inhalation, 1 ml of the suspension should be squeezed into the container. Then, the same amount of saline is added.

If the inhalation is carried out by the baby, you also need to use a special mask that will fit tightly to the face, and provide a more effective treatment. The duration of the procedure, as well as the dosage, is determined by the doctor. On average, the procedure lasts 10 minutes. Or you just need to wait until the substance completely evaporates. For children it is enough 1-2 minutes. After the procedure you need to rinse all used devices and components.

[3], [4]

Pharmacodynamics

The drug has a local effect on the body. Can be used intranasally, in the form of inhalation and even napkin. It removes inflammation and allergy, eliminates exudates, itching. It has an immunomodulatory effect that normalizes not only the activity of the immune system, but also the endocrine system, the metabolism. The active substance of the drug promotes more intensive production of lipomodulin, which inhibits alkaline phosphatase, phospholipase A. As a result, the synthesis of those substances that provoke the inflammatory process is reduced.

Prevents the accumulation of neutrophils, which reduces exudative processes, reduces the production of lymphokines. This significantly reduces allergic reactions, puffiness. The desensitization of the body decreases, the normal function of bronchial receptors is restored. They acquire normal clearance, there is no spasm. The volume and consistency of mucus changes significantly, resulting in improved mucociliary transport.

[5], [6], [7]

Pharmacokinetics

The active substance has a low absorption capacity, and accordingly the possibility of its absorption by surrounding tissues is significantly reduced. Consequently, the negative impact and side effects on the entire body does not occur. The drug has only a local effect. He shows a high tropism only in relation to the cells of the bronchi, lungs, that is, can only be absorbed and affected by these tissues. The half-life is approximately 30 minutes, that is, after this time the drug has a therapeutic effect. Approximately 10% is excreted by the calves, the rest by the kidneys.

Pulmicort for children with bronchitis

Pulmicort is used to treat bronchitis in children. The drug is contraindicated for use in children up to 6 months. According to the performance of this age, with particularly severe diseases, it is possible to prescribe the drug, starting with the minimum dosages. Calculate the dose should only the doctor. The initial dosage may vary in the direction of decrease or increase, depending on the severity of the symptoms and the extent to which the disease is treatable. It should be used cautiously and only according to the doctor's prescription, as this hormonal agent.

After inhalation is carried out, it is necessary to thoroughly rinse the mouth. This should be done to children in order to avoid the appearance of candidiasis, stomatitis and other manifestations of dysbiosis of the oral cavity. Young children have enough to drink water. Also after the procedure, the children are necessarily washed with a face, which is necessary in order to prevent irritation. It should be taken into account that the drug is ineffective in the therapy of bronchitis of viral etiology.

The drug increases immunity, which is especially important for children, stimulates their natural defense mechanisms. In addition, it helps to reduce the amount of mucus in the body, helps to remove liquid and phlegm out. Reduces inflammation and eliminates edema, making it one of the most popular methods of treatment in pediatrics.

[8], [9]

Dosing and administration

Precisely to say the dosage is impossible, since it is very individual and depends on the severity of the disease, the form, the individual characteristics of the organism. Usually even a doctor can not prescribe the required dosage without having the necessary tests. Therefore, trying to choose a dosage yourself - not only senseless, but also dangerous. Usually, for carrying out one inhalation, 200-800 μg are required, which are calculated for 2-4 breaths. The maximum dose is 800 mcg / day, the minimum dose is 200. With a particularly severe form, the daily dose may increase to 1600 mcg.

For children, the daily norm ranges from 50 to 200 μg / day. In severe exacerbation, an increase of up to 400 μg is allowed. A solution for inhalations must be prepared strictly before use.

How much to breathe pulkmikortom with bronchitis?

The duration of the procedure depends on the age and condition of the patient. Kids 2-3 minutes are enough, older children should breathe less than 10 minutes. Adults should complete the procedure on average 15-20 minutes.

[15], [16]

Berodual and pulmicort with bronchitis

The introduction of two agents simultaneously, for one inhalation, mutually reinforces each other's action. At the same time, the effectiveness of therapy is significantly increased. This is due to the combined effect of drugs, their interaction with each other. The action is intensified, since both drugs are aimed at expanding the bronchi and eliminating bronchospasm. Dosage and method of administration, the duration of treatment can be chosen only by a doctor. Clinical trials show an increase in the effectiveness of combined therapy by 33%.

[17], [18]

Use of the pulmicorta with bronchitis during pregnancy

Many pregnant women took this drug. But there was no adverse effect on the fetus. Of course, absolutely to exclude the possibility of a negative effect of the drug on the fetus would be unreasonable. Effects on the fetus are not noted and when lactation. It is advisable to use the minimum possible dosage. 

Contraindications

Pulmicort has no contraindications, except for cases when individual intolerance of its components is observed. This is due to the fact that it has a local effect, and does not affect the entire body.

Since the drug is hormonal, it is not prescribed for children up to 6 months. But there are cases of successful therapy of children younger than this age in severe forms of the disease.

The drug is not recommended for tuberculosis, Cushing's disease, as well as for severe types of insufficiency, especially kidney failure. It is also ineffective if the disease is caused by viruses.

[10], [11]

Side effects of the pulmicorta with bronchitis

Side effects are rare. Sometimes there may be irritation, especially in toddlers. Children need to rinse their mouth or drink at the end of the procedure to reduce the risk of dysbiosis of the oral cavity, to prevent the development of candidiasis and stomatitis. Older people can develop a hypertensive crisis, steroid diabetes. But such a pathology is extremely rare. Contact dermatitis, hives can develop. Sometimes there are infectious complications, but this is most often a consequence of dysbiosis.

[12], [13], [14]

Overdose

Cases of overdose are rare. The exception is a pulmicort with other hormonal means. There may be a violation of hormonal metabolism in the body.

[19]

Interactions with other drugs

An increase in the effect is observed with combined treatment with beta-adrenostimulants. A decrease in efficacy is observed when interacting with phenobarbital, diphenin, rifampicin.

Undesirable effects and side effects are observed when combined with methandrostenolone and estrogen preparations. The combination with any other hormonal drugs is not recommended, as there may be an imbalance and an overdose of hormones.

[20],

Storage conditions

Storage is carried out in a safe place, which will not be accessible to children and animals. The opened envelope must be in the dark. Storage temperature should not exceed 30 ° C.

[21], [22]

Shelf life

In unpackaged form the drug is stored for 2 years. After opening the envelope in which the containers are stored, they should be used within 3 months. The open container can be stored for no more than 12 hours.

Reviews

You can find both positive and negative feedback. Positive prevails. Almost in all cases, the drug contributes to the treatment of cough, withdrawal of spasms and attacks of suffocation in bronchitis and asthma. Has a positive effect in chronic obstructive pulmonary disease, with severe allergic edema and emphysema.

Quickly removes inflammation, breathing becomes smooth and calm, the constant sensation of squeezing in the chest disappears. A person can clear his throat and get phlegm. When asthma removes seizures. With long-term treatment is tolerated well enough. The therapeutic effect after inhalation is achieved quite quickly. You can talk about recovery after 1-2 weeks after the beginning of treatment.

The disadvantage is that it is not prescribed for children under 6 months. But cases of successful treatment of children are known even from three months, with severe forms of bronchitis and asthma. In some cases, the drug was administered even from birth.

There are reviews that describe the positive effect of bronchial asthma on a child aged 2 years. At first the child had a cold, which was treated with alternative means, then the doctor prescribed a remedy, without previously testing for allergy, as a result of which complications arose. Then the baby was treated for the arisen laryngitis. He for a long time did not give in to treatment, the disease progressed. There was a wet cough, unproductive. The child could not cough up, there was a high temperature, which did not get off. Diagnosed bronchitis. Attacks of suffocation, cough with a strong spasm and pain in the sternum area began.

The child was prescribed inhalation with pulmicort, since there was nowhere else to pull. The pulmicort was diluted in physiological saline. It was terrible to give the child a hormonal drug, but the pulmonologist assured that he was not so dangerous, and that he would benefit much more than he could harm. It acts only in the respiratory tract, and does not extend to other organs. For the child, the mask was additionally applied. The drug really turned out to be very good, the attack of coughing took off quite quickly. At discharge I was advised to buy the drug for home use, in cases of severe seizures. Immediately acquired, but rarely used, only in the most urgent cases. For two years, only two inhalations were made. The attack was so fast that it did not even need to call for an ambulance.

Also among the reviews can be found quite an interesting case, when the child was helped by the preparation from wheezing in the lungs and barking cough. He could not say a word, gasped, turned pale, had to call an ambulance. The child was hospitalized with a diagnosis of laryngeal stenosis. The child was brought to life. During the treatment, inhalations with pulmicort were done. At discharge, it was also advised to buy the drug home. I had to use the drug three times a year for symptoms of suffocation. Quite quickly helps to cope with this terrible condition.

A case is known when a child was treated for a long time from asthma with salbutamol. But soon this drug ceased to be effective. The condition only worsened, there were autoimmune diseases. Once, at a reception with a new allergist, we were advised to replace the usual remedy for pulmicort. Immediately he bought it, because for a long time it was feared that our remedy would soon cease to function at all. The drug was good. It helps very quickly, it is required in small amounts, it is convenient to use. Approximately a month made inhalation according to the prescribed scheme. And now the bouts do not bother for more than 5 months.

Elderly people write that many steroid drugs increase blood pressure. But pulmicort can be used even in hypertension. The fact that the drug does not enter the blood, but acts only locally. This is a real salvation for those who suffer from increased blood pressure.

Analogues

The closest analogue is fliksotid. This is a product of prolonged action, which acts long enough, can accumulate in bronchial cells. Therefore, it is also effective in severe forms of bronchitis, with no effect on hormonal inhalers.

An effective analogue is flunisolide, which effectively relaxes smooth muscles, resulting in a spasm. It works quickly, after 15 minutes. Action local. Its only drawback is that it is contraindicated for children up to the age of six.

[23], [24], [25], [26], [27]

A pulmicort or a ferocious? What is better with bronchitis?

These two drugs are not analogous to each other, so to say which remedy is better and which is worse is impossible. Often they are assigned in parallel, which allows to achieve a positive effect in the shortest possible time. One more effectively removes the spasm, the second eliminates inflammation - as a result, the healing comes several times faster. Together, they can ensure complete recovery, since pulmicort in bronchitis provides even the dilution of sputum and its complete separation. 

[28], [29], [30], [31]