The drug "Berodual" refers to a group of bronchodilators with an inhaled type of action. Its active ingredients expand spasmodic bronchi during exhalation. The drug "Berodual" during pregnancy is sometimes simply vital, since intense attacks of bronchospasm can have a negative effect on the body of a woman and a child. During the gestation of the baby, this tool is best used in the form of an aerosol, which is allowed from the 12th week of conception.
Features of the drug
A feature of pregnancy is that during this period hormonal changes can occur that provoke a decrease in immunity. This is a completely natural reaction of the body, which allows you to save the fetus. That is why at this time the chronic infectious and inflammatory processes that the woman suffered even before pregnancy so often escalate. Such diseases include bronchitis and obstructive pulmonary disease.
During pregnancy, the number of bronchospasms may increase. Respiratory failure adversely affects the body of the mother and child. The lack of oxygen in the mother’s body is especially dangerous for the normal development of the fetal brain. That is why frequent attacks of bronchospasm must be removed.
Often prescribed the drug "Berodual" during pregnancy, as this is a combined bronchodilator, which includes two active substances. They contribute to the expansion of the bronchi, but at the same time act differently, enhancing the therapeutic effect of each other. This makes it possible to use small dosages of the drug. This has a powerful therapeutic effect and minimizes the likelihood of side effects.
If you use "Berodual" during pregnancy in a strictly prescribed dosage and as prescribed by a doctor, then it usually does not have a negative effect on the woman and the fetus. This is mainly a local action, so it enters the blood in small quantities.
Answering the question whether inhalation with Berodual is possible during pregnancy, it must be said that in this form the medicine is allowed only from the second trimester, since the constituents can suppress the contractility of the uterus, which can lead to disturbances during childbirth.
Composition and form of release
The drug "Berodual" - a comprehensive tool that has two main components. These components have different therapeutic effects. Among the main effects of the use of the drug, it is necessary to highlight such as:
- antispasmodic;
- anti-inflammatory;
- improves bronchial drainage;
- normalizes the functioning of the respiratory system.
After the use of Berodual during pregnancy for the treatment of colds, patients generally notice such improvements as:
- breathing relief
- cough reduction;
- the disappearance of wheezing.
The big advantage of this drug is that it does not contain hormonal components, so it can not affect the hormonal balance of the body. The drug "Berodual" is available in two dosage forms. The first is vials intended for inhalers. Typically, one package of the drug has a volume of 2 ml, which corresponds to 40 drops of the drug. In 1 ml of solution contains 500 mg of fenoterol and 250 mg of ipratropium. In addition, the composition of the drug contains:
- sodium chloride;
- benzalkonium chloride;
- disodium edetate dihydrate.
Disposable inhalers with the drug "Berodual" are also produced. The capacity of the drug reservoir is 20 ml, which equals 200 doses for injections. This form is very convenient for use by patients with asthma, since the inhaler can be very convenient to carry. The solution for the inhaler includes tetrafluoroethane. Also included are components such as citric acid and ethanol.
The active substance is fenoterol. This component helps to eliminate spasms of the bronchi and small vessels. It also inhibits the activity of histamines, as well as other inflammatory provocateurs. This medicine can be used together with other agents that contribute to a more rapid treatment of bronchial diseases, in particular, such as Lazolvan, Bromhexine, Theophylline. In this case, the therapeutic effect of fenoterol only increases.
Ipratropium bromide helps to reduce the muscle tone of the bronchi and eliminate their spasm. This substance prevents the narrowing of the bronchi, helps to improve the functioning of the bronchial glands, and also increases the heart rate.
The main effect of the drug
Active inhalation of the Berodual solution normalizes the functioning of the respiratory organs almost immediately, even if approximately 10-39% of the total inhaled mass settles in the tissues. Everything else settles on the walls of the inhaler, as well as in the oral cavity.
The main active substance has a pronounced therapeutic effect within 15 minutes after application of the drug. It consists in forcing expiration per second, which is considered a very significant parameter for assessing the functioning of the respiratory system, as well as achieving a peak rate of expiration of air. The maximum effect of the active component is observed 1-2 hours after using the drug. It is worth noting that the therapeutic effect remains within 6 hours.
Indications for use
The drug "Berodual" during pregnancy is used to treat and prevent the occurrence of chronic obstructive respiratory diseases. This drug is prescribed for:
- asthma
- bronchitis;
- severe lingering cough.
In addition, according to the instructions, the drug is used in the preparation of the respiratory tract for the subsequent use of various mucolytic agents, corticosteroids or antibiotics in an aerosol manner.
Use of a can for inhalation
The drug "Berodual" during pregnancy in the 1st trimester can be used only in the form of an inhalation spray. To do this, remove the protective cap from the spray can. If the drug has not been used for more than 3 days, then you must definitely make sure that it works by making a test press on the spray can button. If an aerosol cloud appears at the same time, this means that the drug is ready for use.
When using Berodual for inhalation during pregnancy, you should first consult your doctor. How is the procedure carried out? You need to take the deepest possible breath, then grip the tip of the inhaler with your mouth so that its mouthpiece is located below. Exhale completely. Then gently press the bottom of the spray can, while taking a deep breath. After using the inhaler, you need to put on the protective cap again.
During pregnancy, Berodual can be used during an acute attack, but for this you need to take 2 breaths. If relief does not occur, then after 5 minutes the procedure can be repeated. If there is no result, you need to see a doctor, since such a condition can be very dangerous.
As a preventive measure, you can take 1-2 breaths during the day. However, the total number of breaths per day should not be more than eight.
Solution use
During pregnancy (2 trimester), Berodual can be used as a solution for inhalation using a nebulizer. This type of inhaler helps to turn the healing fluid into a fine cloud, which can even penetrate into inaccessible areas of the respiratory system.
To prepare the treatment fluid, you need to use saline. It is not recommended to use distilled water for this, since it can lead to an overdrying of the mucosa and an even greater intensification of cough. It is enough to dilute the required dosage of the drug with sodium chloride so that the total volume of the solution is 3-4 ml. In this case, all components for the preparation of the drug should be at room temperature.
After preparing the solution, you can use the drug "Berodual" for inhalation. During pregnancy, this procedure will be a salvation for many women. It is carried out until the nebulizer capacity is empty. Inhale the vapor through the mouth, and exhale through the nose. The pace should be as comfortable as possible. The duration of the procedure should be no more than 7 minutes. The remainder after dilution of the drug is not subject to further use.
Application of Berodual N
The use of this form of the drug is no different from the usual drug. The reinforced version is available as an aerosol in special bottles. It can also be diluted with saline and added to the inhaler. Is it possible to breathe "Berodual" during pregnancy - only the doctor decides after the examination. Self-treatment is unacceptable, as this can lead to a deterioration in well-being.
Does the fetus harm
Many people wonder if Berodual can be used during pregnancy and how safe this medicine is. It is worth noting that the drug can provoke side effects from the cardiovascular system, which manifests itself in the form of a violation of the heart rhythm, heart rate, as well as increased pressure.
Use "Berodual" for inhalation during pregnancy is possible only with the permission of the obstetrician-gynecologist or therapist in the antenatal clinic. If there are contraindications, in particular such as toxicosis or high blood pressure, it is better to replace it with another drug that has fewer side effects.
When answering the question whether Berodual can be used during pregnancy, it must be said that it is not recommended to use this medicine for women suffering from heart diseases with a violation of its rhythm, as well as with increased sensitivity of the body to the components of the drug. With caution, the drug is prescribed for increased intraocular, blood pressure, ischemia, angina pectoris, and diabetes mellitus. In addition, it is not recommended for use after a heart attack, with increased thyroid function, obstruction of the bladder, the formation of viscous mucus in the bronchi.
Berodual is prescribed with extreme caution for inhalation during pregnancy in the first trimester, as it can have a relaxing effect on the muscles of the uterus, which can lead to difficulty in the process of childbirth. In addition, this tool, like any other inhaled drug, can provoke an even greater increase in bronchospasm. In this case, it must be replaced under the supervision of a physician.
The regular use of high doses of the drug to relieve obstruction can provoke an uncontrolled deterioration in the course of the disease. In this case, to prevent the development of complications, you need to change the treatment plan. The drug "Berodual" when planning pregnancy and during gestation should be used only under the supervision of a doctor.
Contraindications
It is far from always possible to use Berodual during pregnancy, as there are certain contraindications for the use of this drug. It is worth remembering that this is a potent medicine, therefore it is not recommended to use it for some diseases.
First of all, this applies to people with diseases of the cardiovascular system, in particular such as cardiomyopathy. This is largely due to the fact that the active substance, which is part of the drug, has an effect on the vessels, causing their contraction. In addition, the medicine affects the heart rate. For this reason, you can not take "Berodual" for inhalation during pregnancy in the 3rd trimester of women suffering from tachycardia and arrhythmia.
With caution, it is prescribed for arterial hypertension. Contraindication is considered individual intolerance to the components of the drug. It is undesirable to use "Berodual" during pregnancy in the 3rd trimester. This is due to the fact that it can affect the muscle tone of the uterus, which can negatively affect the delivery process.
Side effects and overdose
The negative consequences of the use of the drug are associated with a high level of activity of the main components, if used for inhalation. In addition, the drug may cause local irritation. This side effect is characteristic of all types of inhalation therapy. Among them, it is necessary to highlight such as:
- headache;
- dry mouth
- dizziness;
- cough;
- pharyngitis;
- tachycardia;
- nausea and vomiting;
- nervousness.
In addition, when using the drug during pregnancy, other side effects can be observed. From the cardiovascular system, it can be atrial fibrillation, arrhythmia, ischemia, increased pressure. In the respiratory tract may be pharyngeal irritation, swelling, bronchospasm.
When using the drug, there may be an increase in intraocular pressure, the development of glaucoma, blurred vision, bifurcation of objects, swelling of the cornea. Immunity can respond to the drug by increased sensitivity or anaphylactic manifestations.
On the part of the nervous system, disorders such as excessive overexcitation, trembling of the limbs, and nervousness can be observed. This is especially evident when performing small movements. In the metabolic system, a medicine can cause a decrease in potassium levels in the blood.
The drug can provoke the development of stomatitis, worsening intestinal motility, constipation or diarrhea, as well as swelling in the oral cavity. Rashes, itching, or local swelling may appear on the skin. The drug may affect the urinary system. This manifests itself in the form of a delay in the process of urination.
The most likely signs of an overdose are considered such as:
- increase in the difference between diastolic and systolic pressure;
- angina pectoris;
- a feeling of heat and hyperemia of the skin;
- increased bronchial obstruction;
- tachycardia;
- metabolic acidosis.
Overdose due to excessive intake of the active substance. In this case, dry mouth or impaired functioning of the organs of vision may be observed.
Treatment for overdose is symptomatic, and it includes the use of sedatives, as well as tranquilizers. With severe intoxication of the body, intensive care measures are required.
special instructions
Treatment must be carried out under constant medical supervision. It is recommended to do this in a hospital setting. Organization of treatment at home is possible only after consultation with a doctor. A solution for inhalation is prescribed only if you can not use an aerosol or if you want to use the drug in higher dosages.
The dose of the drug is selected strictly individually, and it depends on how severely the seizures occur. Basically, therapy begins with the minimum acceptable dosage and stops only after a noticeable decrease in symptoms has been achieved.
Berodual should be used during pregnancy in the 2nd trimester very carefully so as not to provoke the occurrence of side effects. The patient must be informed of an unexpected, rapid increase in shortness of breath. In this case, be sure to consult a doctor.
It is worth remembering that women with asthma need to use the drug only as needed. In case of mild chronic obstruction of the lungs, symptomatic therapy can be much more effective than regular use of Berodual. Additionally, anti-inflammatory therapy may be required.
Proper use of the medicine is required. To prevent the solution from getting into the eyes, when using a nebulizer, inhale it through the mouthpiece. In its absence, a mask should be used that fits tightly to the face. Patients with a predisposition to the development of glaucoma should be especially careful about protecting the eyes of the patient.
With extreme caution, you need to use the medicine during breastfeeding, as it penetrates into milk.
The drug should be stored in a place protected from the sun and out of reach of children at room temperature. Shelf life of the drug is 5 years. You do not need to apply it after the expiration date indicated on the package.
Drug interaction
Since the active component of Berodual is a combination of beta-adrenergic agonist and m-anticholinergic, when combined with other drugs, a bronchodilator effect may be reduced.
With simultaneous use with glucocorticosteroids, there may be an increase in the effectiveness of therapy. In the case of combination with anticholinergic drugs, an increase in side effects is possible, as well as a more pronounced effect of Berodual.
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In the case of respiratory diseases, Berodual is often prescribed during pregnancy. The doctors' comments about this remedy are mostly positive, as it helps to prevent the occurrence of repeated attacks with bronchitis and bronchial asthma. In addition, this drug is considered one of the most affordable.
It can be safely used for treatment while bearing a child in the second trimester. The first and last weeks are considered an absolute contraindication, since active substances affect the development of the fetus and the delivery process.
However, if the disease is very difficult, the doctor may prescribe Berodual in this period, as it will help prevent the occurrence of complications that pose a great danger to women and children. Many pregnant women who used this drug respond only positively about it. They say that its active components do not affect the development and health of the fetus.
According to the instructions for use, Berodual has many limitations and side effects. However, most contraindications are relative, so you can use the drug, but care must be taken. It is necessary to adhere to all the recommendations of the doctor in order to avoid various side effects and complications. Before using the medicine directly, you should consult your doctor.