AmbroGEXAL: instructions for use for children

Every mother faces a cough in a child, and since this symptom causes severe discomfort in children, I want to help a coughing child as soon as possible. If the phlegm in the bronchi is too thick, and it is difficult for the baby to cough it up, the pediatrician will recommend mucolytic medications. One of them is AmbroGEXAL. Is it possible to give this drug to children under one year old, how does the child's body react to its active substance, how is AmbroGEXAL correctly dosed and what drugs can be used to replace it?

Release form

AmbroGEXAL is available in the following variants:

Syrup... It is presented as a colorless or yellowish liquid, packaged in dark glass bottles of 100 ml or 250 ml. The concentration of the active substance in such AmbroGEXAL is 3 mg or 6 mg in 1 ml. The package includes a measuring spoon.

Solution, which is taken orally or inhaled with it. Such liquid transparent AmbroGEXAL without color is poured into glass vials in the form of a dropper with a capacity of 50 or 100 ml. Each milliliter of the drug (20 drops) contains 7.5 mg of the active compound. The package contains a measuring cup.

Pills... They are white in color and round in shape. The content of the active substance in each tablet is 30 mg. The package can hold from 10 to 100 tablets, and one blister contains 10 or 20 pieces.

Capsules... These are white dense capsules, each containing 75 mg of active substance and characterized by long-lasting action. One package contains 10, 20, 50 or 100 capsules, packed in blisters of 10 pieces.

Composition

The main component in AmbroGEXAL is ambroxol hydrochloride.
In addition to it, water, sorbitol solution, apricot or raspberry flavor, glycerol, propylene glycol and other substances are added to the syrup.
In addition to ambroxol, tablets contain calcium hydrogen phosphate, silicon dioxide, corn starch, milk sugar, sodium carboxymethyl starch, and magnesium stearate.
The AmbroHEXAL solution contains water, Na hydroxide, propyl and methyl parahydroxybenzoate, Na metabisulfite and citric acid.
Additional components of AmbroGEXAL capsules are gelatin, titanium dioxide, cellulose, dyes and other components.

Operating principle

The drug is referred to as mucolytic expectorant drugs, because it changes the structure of the polysaccharides that are in the phlegm. In addition, ambroxol enhances the production of glycoproteins. The result of this action will be a decrease in the viscosity of the secretion formed in the bronchi and trachea.

Reception of AmbroGEXAL also affects the ciliated epithelium of the bronchial tree, stimulating the movement of its cilia. The drug also has a positive effect on the formation of surfactant - ambroxol improves its synthesis and prevents its breakdown.

Video instructions for the drug can be viewed here:

Indications

AmbroGEXAL can be taken with:

Respiratory distress syndrome.
Acute course of bronchitis.
Inflammation of the lungs.
Chronic bronchitis.
Bronchiectasis.
Asthma.
COPD.

Surely you will be interested in the video of the program of Dr. Evgeny Komarovsky, dedicated to the problem of child cough:

Preparations with ambroxol are recommended for excessively viscous sputum, if it leaves with great difficulty.

From what age is it allowed to take?

AmbroGEXAL can be prescribed to children from birth, but a child under two years of age (for example, at the age of 2 months) should be supervised by a pediatrician while taking such medication.

For babies, the drug is given in the form of a syrup with a dosage of 3 mg / ml or a solution that is taken orally. The tablet form of AmbroGEXAL is prescribed for children 6 years and older. The use of AmbroGEXAL capsules is allowed from the age of 12.

Contraindications

Instructions for use for children prohibit giving AmbroGEXAL in such situations:

If the child has a hypersensitivity to Ambroxol or other components of the medicine.
If the patient has an ulcerative lesion of the digestive tract.
With convulsive syndrome.
If bronchial motility is impaired or the secretion is secreted in the bronchial tree in an excessively large volume. In such cases, the risk of mucus stagnation increases.

The use of AmbroGEXAL is limited for liver or kidney pathologies. The tablet form is contraindicated in case of lactase deficiency or lactose allergy, and the syrup should not be given to children with fructose intolerance.

Side effects

Rare side effects from taking AmbroGEXAL are:

Diarrhea.
Headache.
Hives.
Constipation.
Weakness.
Dryness of the mucous membranes of the mouth and nasopharynx.
Rash on the skin.
Discharge from the nose.
Problems with urination.
Angioedema.

Instructions for use and doses

The dosage and frequency of AmbroGEXAL application will depend on the patient's age and the severity of clinical manifestations. In order for the mucolytic effect of AmbroHEXAL to be more pronounced, the child should be given a lot of fluids, for example, water, tea or juice. The duration of therapy will be affected by the severity of the disease, but you should not take the drug for more than 4-5 days without consulting a doctor.

Syrup

A measuring spoon of syrup with an ambroxol concentration of 3 mg / ml contains 15 mg of the active substance. This form of medication is given orally in such a single dosage:

A scoop of syrup with an ambroxol concentration of 6 mg / ml contains 30 mg of the active ingredient. A single dose of this AmbroHEXAL:

The maximum daily dosage for children aged 12 and over will be 120 mg of ambroxol, which corresponds to four scoops of 6 mg / ml syrup.

The frequency of use in babies up to two years of age is twice a day. A child 2-5 years old is given the drug 3 times a day, and at 6-12 years of age - from two to 3 times a day. Children 12 years and older in the first two or three days of treatment are given the medicine three times a day, and then they switch to a two-time dose.

Solution

This form of AmbroGEXAL is dosed in drops. For internal use, they are guided by the following doses:

The required number of drops must be diluted with tea, water, juice or milk.

If the child is given inhalation with AmbroGEXAL and saline, then the procedure is performed once a day, but it can be performed twice. For babies under five years old, 40 drops of the drug (2 ml) are taken for one inhalation, and for a child over 5 years old, the dosage of AmbroGEXAL for one inhalation will be from 40 to 60 drops (2-3 ml).

The procedure is performed using modern inhalers, adding the same amount of saline to the required volume of AmbroGEXAL. For example, the proportion for a 4-year-old child will be 2 ml of AmbroGEXAL + 2 ml of saline. The mixture is heated to body temperature.

Pills

Such AmbroGEXAL is given after meals. The tablet should be swallowed and then washed down with plenty of water. At the age of 6-12 years, a single dosage of this form of the drug will be half a tablet. It is given to the child 2 or 3 times a day.

If the child is already 12 years old, the dosage is increased to a whole tablet. At this age, AmbroGEXAL begins to be given three times a day, and after 2-3 days from the beginning of the reception, they switch to double use.

Capsules

A child over 12 years old is given this form of AmbroGEXAL in the morning and in the evening, one capsule. The medicine is offered after meals. You should not chew the capsule - after swallowing it, drink it with a large volume of liquid.

Overdose

Too high a dose of AmbroGEXAL causes vomiting, abdominal pain, severe saliva, severe nausea, low blood pressure. In such a situation, it is recommended to rinse the stomach and give fat-containing foods. If the condition is severe, you need to see your doctor for another treatment.

Interaction with other drugs

You should not prescribe AmbroGEXAL and antitussive drugs to the child, since such a combination of drugs, although it will help eliminate cough, will worsen sputum production.
If you use AmbroGEXAL together with antibiotics such as Doxycycline, Erythromycin, Cefuroxime or Amoxicillin, then their penetration into the bronchial secretions will be enhanced.

Terms of sale

You can buy AmbroGEXAL in a pharmacy without a prescription from a doctor. The price of 20 tablets is about 100 rubles. Approximately the same cost is noted for the 3mg / ml syrup in the solution.

Shelf life and storage conditions

So that AmbroGEXAL does not lose its medicinal properties, it should be kept in a dry, dark place, far from children, where the temperature will not rise above + 25 ° C. The shelf life of the syrup is 2 years, the capsules are 3 years, and the solution is 4 years. The tablets can be stored for up to 5 years.

Reviews

The use of AmbroGEXAL in the treatment of cough in a child is generally responded positively. Most parents confirm that the drug is quite effective in thinning phlegm, relieving coughing and promoting faster recovery from bronchitis, pneumonia, or other pathologies of the respiratory tract.

According to mothers' reviews, babies tolerate AmbroGEXAL mostly normally.... Rarely, an allergic reaction is noted, such as a skin rash or Quincke's edema. In some children, the drug caused a negative reaction in the digestive tract. Also there are reviews in which mothers complain about an increase in the excitability of the child's nervous system due to the intake of AmbroGEXAL.