Cough is the body's response to absolutely different respiratory diseases, more often in inflammatory nature. Sometimes it passes independently and does not require help from the outside. But, with a weakened immune system, the cough is tightened for a long time, tormenting the patient and delivering it a lot of inconvenience.
For the treatment of inflammatory pathologies of the bronchopulmonary system, there are quite a few drugs, one of which is the ACC. It is used for the treatment of dry and wet (wet) cough, both in adults and in pediatrics. The ACC is a safe and popular remedy that has repeatedly proved its effectiveness in the fight against viscous sputum, but because of its high costs, cheap analogues of the ACC become popular. Pharmacological affiliation - Mukolitic, ATX code: 05cb01.
Basic properties, composition and form of production ACC
Acetylcysteine, the main substance of the ACC, has a pronounced anti-inflammatory, expectorant, diluted and antioxidant action. The main task of the drug is to ignite and remove the hardwood sputum from the respiratory tract. Thanks to the purification of the bronchi, the inflammation is removed, the cough is eliminated, the protective function of the mucous membrane is restored.
The ACC with dry cough is most in demand, so do not doubt, acquire the drug or not. It is necessary to help the bronchoms as quickly as possible to cleanse the vulipulate sputum, which prevents the recovery of the patient. Cough is not able to oust such a sputum, so mercolics will be required. The ACC and its analogues, cheap or more expensive, allow you to free yourself by the bronchology system from the accumulated mucus and get rid of cough.
For ease of use, the drug is produced in different forms. Patients can use hyperships, hot drinks (prepared from powder), solution (base - powder). One of the latest innovations Salutas Pharma GmbH (Germany) was the finished syrup, which is produced in bottles of 100 and 200 ml.
According to taste qualities, the ACC has a variety. There are forms with orange, cherry, lemon and black taste.
The ACC action comes on the first day of admission, and on the second day the patients note that they have wet wet, and already have something to expect. The feeling of constraint, pain, and other unpleasant symptoms in the chest decrease.
What pathologies are the ACS use?
The drug is used for all diseases accompanied by the accumulation of viscous, thick and hardwood sputum in bronchi. These pathologies include:
- acute and chronic bronchitis;
- CHOOL (chronic obstructive lung diseases);
- pneumonia;
- bronchial asthma (light and medium degree);
- bronchiectase;
- abscess lung;
- tracheitis and laryngotrachite;
- fibrousosis (systemic disease in which mucus is disturbed);
- sinusitis;
- inflammation of the middle ear.
How to dispense the drug?
Depending on the disease, the severity of the symptoms and the age of the patient, the ACC dose may vary.
So, with fiberglass, the maximum daily dose is allowed to 800 mg, while the mass of the patient's body should not be less than 30 kg.
Breasts (from the third week of life) and kids up to 2 years old are prescribed to 150 mg per day, separating 50 mg reception. Children from 2 to 5 years old are allowed to give up to 400 mg per day (we divide the drug for 4 receptions). After 6 years, the maximum daily dose increases to 400-600 mg per day, it is also divided (three receptions per day).
With an uncomplicated cough, the course of treatment of the ACC is a week. If necessary (chronic diseases), the drug is used up to 6 months.
The ADC is dissolved in liquid (100 ml), it is better to use water, but you can also apply compote, juice, cool tea. Reception is made after meals. Doctors do not advise drinking ADC before bedtime, because Strengthening of sputum outflow, even in a horizontal position, can enhance cough. Therefore, the last reception should be immediately after dinner (about 18:00).
The instruction on the use of the ACC prohibits the use of the drug in the following cases:
- intolerance of acetylcysteine \u200b\u200band all complementary components;
- heavy allergic;
- bleeding from pulmonary fabric;
- a tendency to the bronchial spasm;
- hypotension;
- hemochlorin;
- fructose intolerance;
- ulcerative processes of the gastrointestinal tract;
- hepatitis and heavier kidney disease in children.
Against the background of the reception of the ACC, such negative reactions are possible:
- sharp decrease in blood pressure;
- headache;
- the appearance of noise in the ears;
- nausea, diarrhea;
- stomatitis;
- sodes dermatoses;
- tachycardia;
- attack of suffocation;
- others.
The clinical trials of the ACC did not find the negative effect of the drug on the fruit, but it is not recommended to be applied in all terms of gestation and during breastfeeding.
If the patient does not suit the price or side effects appeared, the ACC can always be replaced by cheaper analogues as domestic and foreign production. In this case, it is better to use medicines with another active substance, because Structural analogs with high probability will cause the same unwanted symptoms.
ACC - cheap analogues for children and adults
To determine which analogs will be cheaper, let's get acquainted with some prices for the ACC:
- orange granules №20 - 140 rubles;
- syrup 200 ml - 350 rubles;
- syrup 100 ml - 225 rubles;
- ACS 200 tablets №20 - 250-320 rubles;
- The Long Long 600 mg hypertension of Tablets No. 10 is about 400 rubles.
The most popular analogue of the ACC is the Swiss drug Fluimucil. It is a structural analogue, and has a lot in common with the ACC, even the price coincides.
- You can buy cheaper, for example, Acetylcystein of Estonia (Vital-HD). At a lower price, you can also buy drugs of Ambrohexal, Ambroben or Domestic Ambroxol preparation. These funds have another active substance - ambroxol.
- Bromgexine is considered a cheap analogue of the ADC. The price for 100 ml of Syrope (Russia) - 80 rubles, produced by Latvia - 125 rubles.
- Popular, but more expensive analogues, are Ascoril and Lazolyvan.
To replace the drug, always refer to a specialist who has prescribed cough treatment. If there is no such possibility, you will have to work a bit independently. To do this, you need to take the instructions for the main drug, in our case it is the ACC, and compare it with an alleged substitute.
Many instructions already give a prompt in the form of a list of potential analogues. The main thing is to pay attention to the list of cautions, readings, as well as age, especially when therapy is necessary for the child. In principle, you need to make a comparative assessment, and allocate all the advantages of the analog.
What is better - the ACC or his analogues? Such a concept has its relativity, because One patient is suitable, for example, the ADC, and another tool with another composition. The clinical picture of the disease, the reception of concomitant drugs, chronic pathologies in history - all this in aggregate affects the exact definition of the desired drug. That is why without medical education it is not desirable to conduct experiments on yourself and their loved ones.
By comparing drugs, you can only single out the pros and cons in order to better navigate in the choice of analogs, as well as to purchase a less toxic and more efficient means.
ACC - Instructions and analogues
Azz or Lazolyvan - what to choose?
Preparations differ in their composition, therefore, they are not structural analogs. ACS active substance - acetylcysteine, Lazolyvan has the main component - ambroxol. Funds are issued by different countries. ACCs produce Slovenia and Germany, and Lazolyvan produces France, Germany, Spain and Greece.
By the number of dosage forms, Lazolyvan has an advantage, he has five of them, the ACC has only three.
Both drugs have a pronounced musolitic effect, i.e. They dilute the sputum, but the mechanism of "work" they have different. In contrast, it also exhibits antitoxic and antibacterial effect.
Sometimes the funds under consideration are prescribed in parallel. One drug is taken inward, the other is used inhalation.
In pediatric practice, the Lazolvan is successfully applied from an early age, and the ACC, starting from two years (when cycidating from birth). Lazolyvan is often used for inhalation, so some pediatricians prefer to it.
The price of drugs depends not only on the dosage form, but also the producer countries. In general, the funds under consideration are close at a price, and may differ within 20%, and in some pharmacies more expensive lazolvan, in others, on the contrary, the ACC.
What is better than the ACC or Ambroben?
Preparations differ in their composition, but the pharmacological affiliation has one - mucolytics. Active component Ambroben - ambroxol hydrochloride.
A variety of dosage forms from Ambroben (their five) is an advantage over the ACC.
According to the latest studies, it has been established that it has antiviral activity, has a soft analgesic effect, relieves inflammation, removes toxins. Studies also showed that the spread of an alpha sinucleaine harmful protein, which causes the progression of severe illness, as Parkinson's disease.
Despite how they act, the main task is alone - to save the patient from thickened sputum.
Suppose also combined reception of these funds. Such a combination is shown when the disease acquires more serious forms.
According to pediatricians, and considering the instructions for drugs, for the smallest patients, including infants, it is better to use Ambroben.
As for the price, we will make a small calculation. For a course of treatment of cough with a conventional viral infection, about 20 tablets Ambroben will be needed. The price of them is 150 rubles. Tablets ACC 200 No. 20 cost about 300 rubles, such a number is also suitable for a course of treatment.
So, we see that the treatment of the ACC will be twice as expensive. What is better to choose - to solve the doctor and the patient.
ACC or Fluimucil - What is better?
The funds under consideration are structural analogues, and this suggests that the principle of action they have the same. After receiving both drugs, the cough productivity is noticeably improved by the end of the first day of reception, and after a few days this symptom itself retreats due to the output of the sputum and purification of the bronchopulmonary tree.
Firms and country producers in drugs are different. Someone prefers the products of Switzerland or Italy (Fluimucil), and someone Slovenia and Germany (ACC).
If somewhere and you can find significant differences in the presented funds, then these are forms of release. These funds exist different variations not only in the form of release, but also by dosages, which makes it possible to use the medicine at any age. Immediately need to be noted, according to these criteria, the ACC has an advantage.
For example, the ACC has syrup, and there is no such form in the flohimucil. But the floimumucil has a solution for intake, inhalation and injection (ACC has no such forms). In more detail about all doses and forms, it is written in official instructions, where you can more clearly familiarize yourself with the information you are interested in.
Pulmonologs consider undoubted - this use tools for inhalation and injectionAt the expense of which acetylcysteine \u200b\u200bfalls faster for its intended purpose. Especially important is the velocity of the drug in acute cases of the disease.
More syrups are popular in children's practice, so the kids are better to advise the ADC in syrup with a cherry flavor. But, in any case, the desired drug is picking only a pediatrician.
Parents must necessarily ensure that the child is correctly taken by syrup. It is also important to enhance the action of the ACC or Fluimucil, to give patients with alkaline drink.
Comparing prices, it was noted that the cheaper will be fluimucil in the form of effervescent tablets at a dose of 600 mg (about 150 rubles for 10 pieces). The price of the ACC for the same dose and the number of tablets is much more expensive, and is about 400 rubles. The cost of other forms is not particularly different, fluimucil is cheaper literally by 10%.
Bromgexine or ATSC?
Preparations are analogues only on therapeutic effect. The active ingredient of Bromgexin repeats its name, the drug belongs to the stimulants of the motor function of the respiratory tract and secretolics.
As well as the ACC Bromgexin affects the allocation of bronchus by the glands, thereby changing the thick sputum. Under the action of the media under consideration, the selection of sputum and evacuation of it from the bronchi is improved.
The toxicity of the ACC is lower, therefore the list of contraindications is shorter. Bromgraxine perfectly suppresses the cough center, and the ACC acts on the peripheral cough mechanism. Such a feature of these funds allows them to be appointed comprehensively, and the effect of treatment is much better than solitary reception. Preparations perfectly complement each other.
Despite this possibility - this is not a reason to immediately take the ACC and Bromgexin together. It all depends on the clinic of the inflammatory process and the ability of bronchi to self-cleaning.
All forms of bromgexine are lower in terms of costFor example, the price for its 100 ml syrup is cheaper than 100 rubles than the same syrup of the ACC.
ACC or ASKoril?
Comparing these funds, we will pay attention, the ACC is a mono preparation (active component of acetylcysteine), and the ascoril is a combined means, which includes three active substances: bromgexin, gutufenesin and salbutamol.
Even an ordinary person, without medical education, it will be clear that Ascoril has a more powerful action, because Equipped with three medicinal substances. In addition to the musolithic and expectorant effect, Ascoril has also a bronchhalytic property (removes the spasm of a smooth muscles of bronchi). Simply put, removes a feeling of compression in the chest (choking).
If you view the proposals of the pharmacy, then in most cases Ascoril and the ACC will be practically coincided. For example, the price of a 200 ml syrup bottle is approximately 400 rubles from both drugs.
The fundamental difference of the drugs under consideration - ascoril is not used for coughing, which is not accompanied by obstruction and attacks of choking.
Conclusion
The ACC and its analogs help both dry and wet cough, and choose a substitute for a valid substance or a suitable preparation on therapeutic action - to solve the doctor. Especially unacceptable independent purpose of such drugs as Ascoril, which includes an active substance (Salbutamol), expanding bronchi.
Do not select analogues on your own risk, coming up to the choice based only from the price, cheaper - does not mean more efficient! Competent purpose is a chance for rapid healing! Be healthy!
Updated: 08/12/2019 11:02:35
Expert: Evgeny Ginzburg
In the period of colds virus, microbial or combined types, people have the problem of choosing the best tool from cough. Some of the frequently appointed by the doctors of drugs and their favorite users are Ascoril and the ACC. In which cases, it is better to choose a particular drug whether they can be combined with each other, the testimony and contraindications of ascoril and the ADC. Specialists of the magazine "" by posting only good evidence about Ascoril or the ACC comparison of drugs and what is better to understand this situation.
In order to understand the principle of action of the drug, you need to understand the nature of the cough. Cough arises when the bronchi narrowing and irritation of the bronchi mucosa.
Ascoril - a preparation from cough, which has proven itself very well due to the combined composition:
1 Component - Salbutamol, who removes bronchial spasms and improves their permeability.
2 components - bromgexine, which has a property to sound a sputum.
3 Component - Givephenesin for expectoration of the mucus accumulated in bronchi.
pharmachologic effect
Ascoril acts on the bronchial tree, removing bronchospasm due to Salbutamol. This is an alpha-adrenoreceptor stimulator, which, due to the removal of spasms, improves respiratory tract. Spasm can be caused by an inflammatory or allergic component. He also causes the expansion of coronary arteries without reducing hell. The patient becomes easier to breathe, the compensatory shortness of breath is stopped. The drug has a very quick effect. Bromgexin helps the debit of sputum due to an increase in the volume of secrets and irritation of the family epithelium. Givephenesin is a flour, which stimulates secretion in bronchi, thereby reduces the viscosity of sputum. Activation of the eyelet epithelium allows you to quickly disrupt the sputum. Dry, unproductive cough becomes wet. This greatly facilitates the patient's condition and removes stagnant phenomena that can lead to protracted bronchitis or pneumonia.
Attention! The composition is selected in such a way that each component is an addition to the beneficial properties of the other. The syrup contains menthol, which also has expanding bronchi action, increases the secretion of sputum, has an antiseptic effect.
Indications to use ascoril
The drug is used as auxiliary means in the composition of combined therapy of various lung diseases. The main appointment is the hardwood, viscous sputum, shortness of breath, bronchospasm.
Used in the following diseases:
Bronchospasm.
Tracheit and bronchitis.
Obstruction syndrome.
Acute or chronic pneumonia.
Emphysematous changes in the lungs.
Pneumoconiosis.
Pulmonary tuberculosis.
Mukobovysidosis.
Treatment diagram of drug
Available in two main versions - tablets and syrup for children Ascoril Exactor 100 and 200ml. The drug is calculated by age. The medicine is taken inside. Adult dosage 1T x 3 r per day. Children from 6 to 12 years old on ½ or 1tab x 3 / day. Can be taken regardless of food. Syrup is taken up to 12 years to 5 ml x 3 times a day. From 12 years and adults 10 ml x 3 times. The duration of the course is prescribed by a doctor, most often 7 days.
Side effects
The drug has the following side manifestations:
In rare cases, dizziness, headaches, nervous excitability or drowsiness, disruption of sleep mode, tremor limbs, convulsive syndrome.
On the part of the gastrointestinal tract - the aggravation of the ulcer of the stomach and the duodenum.
From the heart - the rise in heartbeat.
By kidney side - urine coloring in pink color.
One of the most Grozny complications is an allergic reaction - the urticaria, swelling of quinque. There may also be a collapse or amplification of bronchospasm.
There are also contraindications when the drug is not recommended to assign.
Contraindications for use
You can not appoint and take the medicine in the following cases:
high sensitivity to the components of the components of the means;
pregnancy and lactation
lactation period;
tendency to tachycardia;
myocarditis or heart rate;
diabetes mellitus in the decompensation stage;
thyroid diseases;
an increase in intraocular pressure;
peptic disease;
hypertonic disease;
children under 6 years old.
The tolerability of the drug is good when testimony and contraindications. The effect comes quickly. The drug is accepted by courses up to 7 days. With long-term reception, bromgexine can accumulate in the body. The medicine is appointed by a doctor, it is released in a pharmacy only by prescription.
A flourity that is used for all states when the accumulation of thick sputum in bronchi occurs.
pharmachologic effect
The ACC is well absorbed into the gastrointestinal tract, the maximum effect after 1 - 3 hours. Binds with plasma proteins by 50%. Excreted through the kidneys and gasts. Half-life - 1 hour, with kidney pathology up to 8 hours.
The main action is acetylcysteine \u200b\u200bis an enzyme that has a diligent effect on the sputum and removal from the respiratory tract. The release of the respiratory tract improves blood oxygenation and the fastest recovery. Dense purulent tubes can even cause pneumonia, so the ACC prevents the transition to the chronic form of bronchitis or the development of pneumonia.
Also, the ACC has an antidote in poisoning poisoning and toxins, in particular - paracetamol, aldehydes, phenol.
Indications for use
Indications are any congestion in the lungs:
Tracheobronchitis.
Obstructive bronchitis.
Bronchiectase.
Asthma bronchial.
Protractable sinusitis.
Mukobovysidosis.
Laryngitis.
Sideflines
From the CNS, headaches, noise in the ears.
Cardiovascular system - arrhythmia, increased blood pressure.
GCT - diarrhea, nausea, vomiting, heartburn, stomatitis.
Contraindications:
Increased sensitivity to components.
Gastric ulcer.
Bleeding from the lungs.
Glucose intolerance.
Hepatitis and renal failure.
Pregnancy and lactation.
The main similarities include:
Applied with similar diseases that are accompanied by a cough.
Common contraindications - pregnancy and lactation, intolerance of components, it is impossible for children to 2 years.
It is impossible to combine with antitussive drugs. This can cause unwanted effects.
The main differences of drugs
Ascoril expands bronchi, the ACC can be revived - cause bronchospasm.
The ACC reduces the effect of antibiotics, ascoril enhances the effect of antibacterial drugs. These facts must be taken into account when bacterial pneumonia and bronchitis, when antibiotics are prescribed.
Ascoril is more effective in the acute period of the disease, when there is a spasm, dry cough. He removes these phenomena, translates the cough into the wet, facilitating the course of the disease. ACC - with chronic flow with a thick viscous sputum.
What drug is better to take
Preparations are not interchangeable. Indications for each drug their own:
Ascoril is obstructive bronchitis, asthma, cough and other states with respiratory spasms.
The ACC is sharp, chronic bronchitis. Mukobovysidosis, bronchiectatic disease, pneumonia, tracheitis with thick viscous sputum.
Is it possible to take advantage and ascoril
These drugs can be taken simultaneously by testimony, since they have a different mechanism of action:
The ACC (acetylcysteine) is an enzyme that breaks the relationship between polysaccharides and makes the sputum more liquid. That is why it can be used in sinusitis and otitis.
Bromgexin affects glands that produce a secret in bronchi, normalizing the serous and mucous component. The wet is diluted and is displayed faster. Also stimulated by the bronchi camber epithelium, which allows you to quickly evacuate the secret of the bronchi. But if in bronchi a thick secret, then bromgexin may be ineffective. In this case, the ACC comes to the rescue.
It is very important that before taking one or another drug, be sure to consult with the attending physician. Cough is a serious symptom, which is characteristic of many pathological conditions. To clarify the diagnosis, it is necessary to undergo a comprehensive examination, which will reveal the cause of the pathological condition. After setting the correct diagnosis, appropriate treatment is prescribed. Self-medication is not permissible, especially as strong drugs as Ascoril and the ACC. This can lead to irreparable consequences.
A nerval is a combined drug that is used in the treatment of cough and colds. It exhibits bright, mercolytic, expectorant activity.
The mechanism of action of the drug is due to the combined composition. Thus, Caltonol is a selective β 2 -adrenoreceptor stimulator, which contributes to the expansion of the lumen of the bronchi.
In the dose used in Ascoril (20 mg per 100 ml), it does not affect cardiac activity. Bromgexine hydrochloride reduces the viscosity of the pulmonary secret and contributes to its disbelief.
Givephenesin stimulates the process of relaxation and purification of bronchi from exudate, alleviating expectoration. Menthol eliminates the symptoms of irritation and inflammation of the mucous membranes of the respiratory tract.
Indications for use and dosage
Instructions for use says that ascoril is shown within the framework of secretolithic therapy in the diseases of the respiratory tract, accompanied by bronchospasm and the formation of viscous sputum, which is poorly separated.
These ailments include tracheobronchitis, bronchial asthma, pulmonary emphysema, fibrosis, pulmonary tuberculosis, which is accompanied by the formation of sputum and attacks of suffocation, pleurisy, pleuropneumonium, bronchopneumonia, pneumoconiosis, cough (with a clogging cough, moving sometimes in vomiting).
Ascoril is not an antibiotic, however, in view of the content of salbutamol, the drug should be taken as prescribed and under the supervision of the doctor, especially in pediatric practice.
For adolescents from 12 years and adult patients, the daily dose is 30 ml of syrup, divided into 3 receptions.
A more accurate dose is calculated by a doctor taking into account the weight of the child. Children from 2 to 6 years old - at 1 tsp. 3 times a day.
Tablets are used in the therapy of children from 6 years and adults: older than 12 years is recommended on a tablet 3 times a day, from 6 to 12 - 1 tab. twice a day.
The duration of therapy is established by the attending physician, which will take into account the severity of the course of illness and its symptoms.
Contraindications and side effects
Ascoril is not used in hypersensitivity to salbutamol and sympathomimetics in history, bromgexin and the rest of the main and auxiliary components of the drug.
It is also forbidden to take syrup patients with arrhythmia, severe cardiovascular pathologies, hyperthyroidism, liver dysfunction, ulcer of the stomach and / or 12-rosewind, pregnant women and women during lactation.
According to the reviews, when admission of "Ascoril", the development of side effects from side effects is possible:
- immune system in the form of rashes, skin serium, anaphylactic reactions, multiform erythema, Stevens-Johnson syndrome, face swelling;
- gastrointestinal bodies: dyspeptic disorders, nausea, attacks of vomiting, diarrhea, epigastria pain, aggravation of the course of ulcerative stomach disease, the appearance of an unpleasant lift in the mouth;
- nervous system: tremor, Malgy, migraine, hyperactivity, insomnia, dizziness;
- cardiovascular system: tachycardia, heart rate disorders, decrease / increased blood pressure, myocardial ischemia;
- respiratory system: shortness of breath, stealing cough jolts, periodoxal bronchospasm;
- causes, an increase in body temperature, narrowing of pupils, hypokalemia.
List of analogues cheaper ascohlor
Ascoril is produced in two dosage forms:
- syrup, FL. 100 ml - 350 rubles;
- tablets №20 - 375 rubles.
Axcoril analogues, regardless of the price, must provide the most close therapeutic effect. In any case, select a similar preparation is the doctor.
- Erispal, syrup 2 mg / ml 150 ml - 250 rubles, tab. №30 - 425 rub;
- Ambroxol, Sir. 100 ml (domestic producer) - 120 rubles, tab. №20 - 50 rubles;
- Stopatssin, syrup - 250 rubles, tab. №20 - 199;
- Lazolyvan, Sir. 15 mg / ml, 100 ml - 210 rubles, tab. №20 - 165;
- Dr. MOM, Sir. 150 ml - 165 rubles;
- Ambroben, Sir. 15 mg / ml 100 ml - 148 rubles.
To the structural analogues ascohoril cheaper, which have identical composition include: "Kashnol" syrup (170 rubles), "JOSET" syrup (185 rubles). These drugs manufactured by India and the cost of them are significantly lower than the original.
What kind of substitutes are suitable for children
In pediatric practice, Ascoril is applied solely on the appointment of a doctor, since in rare cases it is possible to develop paradoxical bronchospasm as a side effect of syrup.
The drug is prescribed to the younger group of patients with a complicated flow of bronchopulmonary diseases.
With a productive (wet) cough The pediatrician, as the cheaper analogue of Ascoril for children, can designate "Ambroben" (148 rubles) in the form of a syrup, if a child has allergic reactions in history, otherwise a solution for preparing a suspension is recommended.
In addition, the Russian "Ambroxol" (120 rubles), Greek "Lazolyvan" (210 rubles), German "Prospan" (417 rubles), French "Fludico" (378 rubles) are prescribed. These drugs stimulate wet wet and facilitate its elimination.
With dry unproductive cough Drugs depressing the cough center in the brain are shown.
Such includes syrup of the prescription vacation "Broncholitin" (121 rubles) as well as non-delicate - "Stoptussin" (161 rubles) "Synecode" (251 rubles)
To eliminate spasmodic coughPertuche's characteristic, recommended Erispal (250 rubles).
From structural substitutes The syrups "JOSET", "Kashnol" (170 and 185 rubles are appropriate).
Ascoril or Lazolvan - What is better?
Lazolyvan is a cheap analogue of ascoril, which has different from the original means. Its main component is an ambroxol hydrochloride, due to which the drug is prescribed as an expectorant and a musolitic agent.
Also, the medicine is also distinguished by a large number of output forms: syrup, inhalation, pupinte, pills, capsules, focused on different age groups of patients. Ascoril is released only in the form of syrup and tablets.
Lazolyvan is better suitable for the treatment of bronchopulmonary diseases accompanied by cough, with uncomplicated flow. Ascoril, in contrast to the analog, due to the combined composition effectively used in the treatment of severe forms of such pathologies.
However, it is wider and a list of possible side effects and contraindications.
If necessary, the simultaneous reception of ascoril and the Lazolyvan is allowed for the rapid onset of the therapeutic effect, But solely on the appointment of the attending physician.
Ascoril or Erispal
Erispal - similar on efficiency on the original Ascoril. However, in contrast to it, it is a monopreparation containing hydrochloride phenspirid.
In this regard, the ereser has significantly less contraindications to use and side effects arise less often, and it is transferred to children much easier.
The mechanism of action in drugs is different. So, Erispal manifests an anti-inflammatory effect, prevents the formation of a viscous secret and blocks H1-histamine receptors, relaxing the smooth muscle bronchial fabric.
Ascoril stimulates the debit of sputum. Concerning, Erispal is more expedient to appoint a long-term cough to form a viscous sputum against the background of elevated body temperature, and Ascoril in the event of a feeling of suffocation after coughing.
Advantages of Erespal:
- cheaper than the original;
- fewer contraindications and side effects;
- additional anti-inflammatory effect;
- more pleasant taste of syrup.
Disadvantages:
- less effective in the fog-like cough;
- the rate of reception is at least 10 days (Ascoril, as a rule, it is recommended to receive for 5-7 days).
Ascoril or Fluedite.
Fluditec - the most similar substitute ascohoril, having a different composition. The main component of the syrup is carbocysteine, which activates the sial transferass than the complex effect of the drug is determined:
- lighting of viscous sputum;
- an increase in the number of sialomucins, which inhibits the reproduction of pathogenic viruses;
- improving the structure and restoration of the mucous membranes of the respiratory organs;
- reducing the number of heights of the epithelium, thanks to which the stock products are suppressed.
As well as Ascoril, Fluditek is not appointed at an early stage of bronchitis or ORVI.
The drug is shown in pneumonia, fibrosis, bronchiectic disease, that is, with a well-seized heap of sputum.
Fludite additionally dilutes the contents of the incomplete sinuses, so it is prescribed in and sinusitis.
The advantage of the fluid is also a smaller list of side effects and contraindications. Syrup can be taken for a long time, which is written in the instructions: with the chronic form of bronchitis and bronchial asthma up to 30 days.
Ascoril, with long-term admission, accumulates and can trigger the development of dizziness, nausea, vomiting.
The course of treatment should not exceed 7 days, so syrup is prescribed to relieve symptoms provoked by the formation and stagnation of a viscous secret.
Ascoril or Ambroben
The main component of the ambroben is ambroxol hydrochloride. Since the composition in drugs is absolutely different, such a replacement is possible only on the recommendation of the attending physician.
Also, thanks to the combination of medicinal substances, the original medication aspects of the testimony is significantly wider than among Ambroben.
When applying ascoril, bronchodular spasms are oppressed, especially at night. In addition, the lung capacity increases, thereby facilitating the breath and excretion of a viscous secret.
Ambrogen stimulates the products of serous cells, which contributes to increasing the amount of sputum. It becomes less viscous and easier leaves.
The advantages of Ambroben is lower cost, fewer contraindications and rare development of side effects.
The disadvantages include the absence of a bronchyolic action, a narrower list of indications and a weak therapeutic effect.
Ascoril or ambroxol
Ambroxol is a structural analogue of Ambroben and Lazolyvan. Therefore, the list of indications, contraindications and side effects in drugs is almost the same.
This analogue ascoril is cheaper, but effective only if the cough is an ARZ symptom with an uncomplicated flow.
In another situation, replacing ascoril cheap ambroxol does not make sense, since the expected therapeutic effect will not be.
Ascoril or Joset - what is better
JOSET is an inexpensive structural analogue of Ascoril. The main components of the syrups are identical, as well as their dosages, the difference is only in the auxiliary components.
A list of indications, possible side effects, and mounted contraindications is also similar.
Like the original Ascoril, JOSET is used in pediatric practice from 2 years strictly under the supervision of the doctor. The duration of therapy is determined by the diagnosed diagnosis.
However, unlike Ascoril, a similar JOSET is made only in the form of a syrup of 100 ml. That is, an adult patient of one bottle on the course of treatment is not enough, so therapy can do even more than the cost of Ascoril.
Ascoril or Prospan - what is better
Prospan is a vegetable preparation containing a dry extract of ivy leaves. It is produced in several leaps: syrup, solution, drops, loosening, soluble tablets.
The drug shows a muscolitic, secretolithic, antispasmodic activity, as well as a soft bronchological effect.
Ascoril, unlike the shell, contains synthetic components, due to which it has greater efficiency. A list of indications of this syrup is much wider than that of a similar shear.
However, more and a list of side effects and contraindications.
The advantages of the spoken:
- vegetable composition (extract obtained from ivy leaves);
- short list of side effects and contraindications;
- it is used in pediatric practice from 1 year.
Disadvantages:
- high cost compared to ascoril;
- narrow spectrum of action;
- weak bronchhalytic effect;
- practically ineffective with bronchospasms.
Ascoril and Prospan can be taken simultaneously to enhance the therapeutic effect.
When choosing analogue, it should be remembered that inadequate replacement may cause a decrease in the expected therapeutic effect of either its absence.
Such experiments lead to additional spending, the development of complications, the chronicization of the ailment. Only the correct diagnosis and appointment of appropriate treatment is the key to speedy recovery.
Ambroan Lazolvan Dr. GOM Herbion Synecode Ascoril Joset Preparations for the treatment of cough in children
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Ascoril is a medicated preparation with a combined effect. Each of its components is intended to perform a specific function. Thus, the tool is effectively coping with the cough, and also can withdraw the sputum and restore all the functions of the respiratory system. No less effective in the fight against the cough are the analogues of Ascoril.
Ascoril: List of cheap analogues
The ascoril preparation is produced in the form of syrup and tablets. The cost of one package of this means varies within 350-400 rubles. There are a number of analogues of the drug with a similar therapeutic effect.
The list of the most popular of them is as follows:
- . Syrup can be purchased for 250 rubles, and tablets for 425;
- Ambroxol. The cost of the syrup is 120 rubles, and the packaging of the tablets is only 50;
- Stoptushin. Regardless of the form of release, the price of the drug is within 200-250 rubles;
- Lazolyvan. Syrup - 210 rubles, and tablets - 165;
- Dr. Mom - 165 rubles;
- Ambroan - 150 rubles;
- ACC - from 120 to 350 rubles, depending on the form of release.
Among the preparations with similar to the ascoril composition, Colanol and Joseret are distinguished. The cost of these drugs that are manufactured in India does not exceed 200 rubles.
Ascoril: Analogs for children
Apply Ascoril in the treatment of children can only be prescribed by the pediatrician. It is due to the fact that sometimes there are such side effects as paradoxical bronchospasm.
The indication for its use is the complicated flow of the pathologies of the respiratory tract.
If a child has a wet cough, the ascoril is often replaced with syrup ambroben. Its price is only 150 rubles. Ambroxol (120 rubles) and Lazolvan (210 rubles) is equally effective in this case.
In the same action, Prospan and Fluditeite possesses, but the cost of these drugs is significantly higher (about 400 rubles). With their help, it is possible to sneak the sputum and make it easier to eliminate its further elimination.
If the cough is dry, then the means that oppress the cough center in the brain are appointed. Among such drugs:
- Broncholitin (120 rubles);
- Stropotissin (160 rubles);
- Synecode (250 rubles).
To eliminate the spasmodic cough, resort to use, the cost of which is about 250 rubles.
The structural substitutes for the preparation used in pediatrics are John and Kashnol.
Erispal or Ascoril: What is better
Both drugs pursue one goal - eliminate cough and inflammation, bring wet. The paths of execution of this task are different from them.
Erispal is able to effectively eliminate inflammation, remove the swelling and slow down the exudation. ASSKoril action is aimed at eliminating sputum, cleaning of bronchi and elimination of obstruction.
The composition of these medicines is different. Ascoril is a combined drug, and only one active substance is only a fengiride hydrochloride.
In addition, a list of side effects to ascoril is significantly more.
Erispal is recommended to be used with a long cough, accompanied by viscous sputum. Ascoril is more suitable if you have a suffocation when coughing appears. Its composition has a bronchikolikolik, capable of relaxing the muscles of respiratory organs.
Apply Ascoril in the process of treating one year old children. The espersal is allowed to be used only to achieve a child of the two-year-old age. To enhance the effect of therapy, these funds are allowed to be taken in the complex.
More recently, the price of Erispal was higher than Ascoril, now the situation has changed. The cost of analogue is only 240 rubles, and the original is at least 350.
Among the advantages of the erections, the following can be distinguished:
- affordable price;
- minimum number of contraindications;
- anti-inflammatory effect;
- pleasant taste.
The disadvantages of this fund are:
- weak efficiency in the case of the therapy of the fog-like cough;
- the duration of therapy is at least one and a half weeks.
Ascoril or Lazolyvan: What is better
Lazolyvan, as well as ascoril, can be used in the process of therapy of one-year-old children. The active component is an ambroxol hydrochloride, which has an expectorant effect, capable of igniting the sputum and derive its respiratory system organs.
The drug is produced in several forms:
- syrup;
- pills;
- solution.
Due to this, it is possible to choose the most comfortable option of therapy in each case.
To the appointment of Lazolyvan, they are resorted to such situations:
- bronchitis;
- asthma, accompanied by the difficulties of wetting
- pneumonia;
- respiratory distress syndrome in babies born ahead of time.
With increased sensitivity to substances belonging to the Lazolyvan, the development of an allergic reaction is not excluded. Disorders of digestion are possible.
This drug is able to quickly remove the sputum and is less than the original.
Ascoril or Ambroben
Activity of ambroben, as well as the Lazolyvan, acts ambroxol hydrochloride. Accordingly, this drug is significantly different from Ascoril, and this replacement is allowed only after agreement with the attending physician.
Ascoril has a comprehensive effect and for this reason he has a wider range of applications than in the case of amboben.
The original is able to coagulate bronchodular spasms, sharpening at night. With it, the lung capacity increases and due to this breathing is facilitated, and the viscous secret is displayed.
With the help of amboben, it is possible to stimulate the production of serous cells, and this leads to an increase in the volume of sputum, its dilution and rapid removal.
Among the main advantages of this analogue, low prices and the minimum number of side effects are distinguished, as well as contraindications.
The main disadvantage of this means is the bronchhaltic effect of it. In addition, the list of testimony to use Ambroben is significantly less, and its effectiveness is not so high.
Ascoril or Fluditec - what to choose
Despite the fact that the composition of the fluidka is significantly different from Ascoril, it is this analogue that is considered one of the most suitable as a substitution.
The current component in it is carbocysteine, capable of activating the sial transferase and have a comprehensive effect:
- mock the sputum;
- increase the number of sialomotsins, and due to this to suppress the activity of viruses;
- restore the mucous membranes and improve their structure;
- lower the level of glassoid cells and thus stop the operational of the secret.
Like the original, Fluditek is often prescribed with ORVI and bronchitis at the initial stage of development of pathology. This medicine is used in inflammation of light, bronchiectatic disease and dryness, when a productive cough is observed, accompanied by difficulties in the process of sputum.
With the help of fluid, it is also possible to lose the contents of the sinuses in the nose area. It is for this reason that it is resorted to its use in the process of therapy of sinusitis and hymorites.
The list of side effects in the analogue is much less than ascohlor. This syrup is allowed to apply for a long time (about a month). Ascoril in case of continuous use is able to cause such unwanted symptoms as dizziness, vomiting and nausea. The therapeutic course should not be longer than one week. This tool is customary to be appointed in order to relieve clinical manifestations that are caused by the formation of a viscous secret and its stag.
Among the components of Ascoril is a menthol that has a soothing, antiseptic and antispasmodic effect. It is used in the case of acute pathology.
Ascoril or ACC: What is better
The composition of these medicines is completely different. Acetylcysteine \u200b\u200bis active in the active component. The main purpose of the use of this agent is to reduce the viscosity of sputum, its dilution and output from the respiratory system.
The active ingredient has an antioxidant and pneumatic effect. It is also used as antidot in case of aldehydes poisoning.
Schal Manufacturer Ascoril - India. The ACC is manufactured in Germany and Slovenia. Unlike the original, the analogue is produced in a large number of different forms, due to which it can be used at the earliest age. Thus, the effervescent pills can be given to children at the age of only two weeks.
The cost of the syrups of the ACC and Ascoril is practically no different. For this reason, when choosing a drug, it is not necessary to navigate the price, but on the clinical manifestations of the disease.
It is impractical to expand the bronchi when they are not in the clamping condition. To eliminate viscous sputum, other drugs are suitable, among which the ACC.
There is a lot of analogues of Ascoril, but nevertheless, it will not be possible to pick up completely identical means. The composition of this medication is unique. No other medicine contains so many active ingredients. In the fight against the cough is allowed to use other, cheaper funds, but the course of therapy must be coordinated with the doctor. Only subject to this condition will be able to avoid unwanted complications.
The preparation from cough ACC finds its application in cases where the rapid and efficient sputtering is necessary. The main active substance is acetylcysteine. This drug quickly and safely translates the cough into the category of productive. It dilutes the sputum and provides its conclusion. This allows you to quickly free the bronchial and pulmonary paths from the causative agent of diseases and products of its livelihoods.
How to apply the ACC? What do you need to consider when it takes? Answers below
The preparation of the ACC 200 and 100 instruction and principle of operation
The preparation from cough ACC is produced in various dosage forms with a dosage of 200 and 100 milligrams. Also produced ACS Long, the action of which is prolonged for twelve hours. This dosage form can be taken only twice a day.
Usually in the pharmacy ACC is offered as:
- tablets;
- ready syrup;
- mixtures for inhalation;
- granules for the preparation of the solution;
- solution for intravenous and intramuscular administration.
The principle of action of the ACC is quite simple, but effective in any kinds of dry and wet cough. The active ingredient acts on the mucous membrane. This allows you to increase the productivity of sputum. In addition, the viscosity of sputum decreases and its speed of outlet of the lungs increases.
An important circumstance should be taken into account. When using this drug, sufficient fluid flow should be ensured. An adult person needs to drink at least two and a half liters of water in its pure form per day. Only in this case the therapeutic effect of the ACC will manifest itself in full force.
The use of the drug ACC should pass under strict control from the doctor. This material is introductory and can not be used to conduct independent treatments.
Ascoril
Structure
- purified water;
- sucrose;
- dye Sansset Yellow;
- funny black currant;
- fading pineapple;
- glycerol;
- sorbitol;
- sodium benzoate;
- propylene glycol;
- lemon acid monohydrate.
Structure medicines in tablets: One tablet contains 100 mg givephenesine . 8 mg bromgexin hydrochloride . 2 mg sulfat Salbutamola. .
Also in one tablet include such auxiliary substances:
- purified talc;
- corn starch;
- methyl apograproxybenzoate;
- colloidal silicon dioxide;
- propyl paragidroxybenzoate;
- magnesium stearate.
Form release
- Excommation. Flakes - 100 and 200 ml, in one pack one bottle.
- Pills. In packs in the amount of 10 and 20 pieces.
Pharmachologic effect:
It has bronchyolic, mercolytic, and expectorant effect.
Pharmacodynamics and pharmacokinetics
Since Ascoril is a medicine from cough . He contains the following properties:
- eliminates spasms in bronchikh ;
- increases lung capacity;
- significantly reduces the resistance of the respiratory tract;
- contributes to relief removal sputum ;
- arterial pressure It does not decrease.
Indications for Asscoril
To make the drug to have the right action, you need to know exactly what the data of the tablet or syrup and with what cough do they help. The medicine is accepted:
Contraindications
First of all, this drug is contraindicated to people with increased sensitivity to the components of the drug.
Also, contraindications for receiving this drug are the following diseases:
During pregnancy and breastfeeding, the drug is also contraindicated.
Side effects
Rarely (usually overdose) such symptoms may occur:
Instructions for use (method and dosage)
Instructions for the use of syrup ascoril
Preparation Erispal. Analogs
November 14, 2012
The drug "Erispal" is sold in Russia for more than 10 years. It is very effective in the treatment of broncho-pulmonary diseases. The swelling of bronchi, resulting from exudative phenomena, makes it difficult to extend sputum, and it becomes viscous. This causes difficulties in evacuation of the bronchial secret. The Medicinal "Erispal" effectively copes with bronchial obstruction. It normalizes the detection of sputum, restores gas exchange in the lungs, increases their life capacity.
The drug "Erispal" has antibronchoconstrictor and anti-inflammatory activity. Fenspirid, an active substance of medication, contributes to an increase in the secretion of pro-inflammatory factors, the obstruction of the bronchi. It has an antispasmodic effect.
The auxiliary substances contained in the Medicine "Erispal" are:
Licorice root extract;
The medicine is produced in the form of a tablet and in the form of a syrup.
The drug "Erispal" is perfectly absorbed from the gastrointestinal tract. This pharmaceutical agent is excreted by 90% with urine and 10% via the intestine.
The use of the drug may cause nausea, moderate tachycardia, epigastric pain, urticule, erythoma, gastrointestinal disorders, angioedema swelling, drowsiness, rash.
In the syrup "Erispal" contains a yellow dye, which can cause allergic reactions. People with high sensitivity to aspirin may also arise allergic to Fenspirid.
Preparation "Erispal". Analogs
In the treatment of bronchitis, many are wondering - how can I replace "Erispal"? Does he have analogues?
Excellent remedy that can be replaced by this medicine - the syrup "bronchikum". This preparation has antimicrobial, anti-inflammatory, expectorant effect. The pharmaceutical means "bronchikum" contributes to the discharge of sputum and its early evacuation. However, when used, care should be taken, since the patient may have allergic reactions, such as urticaria, rash on the skin, swelling of quinque.
Cough Syrup Ascoril
Ascoril is attending the preparation of bronchological, expectorant action, which includes Givephenesin, Bromgexin and Salbutamol. Salbutamol has a stimulating effect on receptors, which are in bronchi, in vessels and uterus. Due to such receptors, the vital capacity of the lungs is established and normal dilatation of heartfood is occurring. Bromgexin is responsible for the liquefaction of the pulmonary liquid and speeds up the process of its removal. Givephenesin is a mucolytic, contributes to an increase in sputum in the lungs, and also activates the work of the bronchi's wildlife epithelium, due to which the sputum departs in a timely manner.
With what cough can ascoril?
This pharmacological group can be used both during dry and wet cough. It is worth noting that most often this drug is prescribed for the treatment of dry cough, as it contains geinesein, which contributes to the increase and removal of lung sputum. Cough syrup Ascoril is well suited for the treatment of sharp and chronic diseases of the respiratory organs, which are accompanied by a strong cough. These are diseases such as bronchitis, pneumonia, lung tuberculosis, bronchial asthma, cough and others.
Ascoril with dry cough - a way to use
On average, the therapeutic dosage for reception is only 10 ml of syrup three times a day. Depending on the disease, the dose may be increased, since the minimum amount of 30 ml reception per day to an adult person. For the treatment of cough in children under 12 years old, the average dosage is 15-20 ml in the knocks. That is, take no more than 7 ml three times a day. Before the start of admission, you should seek advice from a doctor, since this drug may be inappropriate in the treatment of a particular disease. The recommended dose of application can be adjusted by the attending physician throughout the course of treatment.
Side effects of the drug
"Erispal" - syrup for children and adults
The drug "Erispal, syrup for children", which is discharged by both adult patients, is recommended for admission for diseases of the respiratory tract and ENT organs, both sharp and chronic. It is a transparent orange fluid. The active ingredient of Erespal - Fenspirid, an effective antibronkonstrictor. This means that it has a property to shoot bronchospasm - a state associated with the reflex narrowing of the bronchi and manifested in most cases by the attacks of choking. Based on this, Erispal - syrup for children, adolescents and adults - prescribe patients with obstructive diseases of the respiratory system.
In the list of indications for the reception of this drug, in addition to the above, there are sinusitis, rhinitis and rinofaringite, because Erispal has anti-inflammatory properties. It makes less pronounced respiratory manifestations during measles and influenza. With the symptomatic treatment of cough medicine "Erispal, syrup for children" (the reviews on the Internet are talking about this) is able to significantly alleviate the condition of the patient of the child, having a bronchoeseer action. It is shown in allergies manifested by rhinitis. At the same time, it can and himself cause an allergic reaction, which warns the instructions. So, allergies can cause dyes in particular to the syrup. Erispal is contraindicated in individual intolerance to any of its ingredients.
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