What to do in case of Berodual poisoning in children and adults?

Aerosol for inhalation

Berodual helps people who suffer from asthma and respiratory diseases. Ipratropium bromide opens the airways of the lungs. The medicine does not contain hormonal substances and begins to act 15–30 minutes after administration. The effect lasts from three to five hours. Negative consequences include dry mouth and inflammation of the respiratory tract. The medicine can be taken during pregnancy and breastfeeding.

Characteristics of the drug

Berodual is a combination drug whose therapeutic effect is provided by 2 active ingredients: fenoterol hydrobromide and ipratropium bromide. The first belongs to β-agonists, the second belongs to atropine-like drugs.

With the use of the medication, the bronchi expand. After inhalation of Berodual, pulmonary function improves in patients with bronchospasm within a quarter of an hour. The most powerful effect of the drug is observed after 1-2 hours and lasts up to 6 hours after it enters the body.

The medication does not have a negative effect on the formation of mucus, the exchange of oxygen and carbon dioxide.

In case of acute narrowing of the bronchi, the action of Berodual begins quickly, due to which it is possible to relieve bronchospasm.

The drug is marketed in the form of an aerosol and solution for inhalation.

Methods of application

Sometimes, when prescribed, patients learn from doctors other methods of use and look for which one will be most convenient. If there is an opportunity to choose, a specialist can provide it. Usually the aerosol is used by adults and children, only over 6 years old. Injections occur several times a day (the dosage is different for each case).

In order for the aerosol to bring more benefits, it is important to carefully follow the instructions for use. Shake the can before use, and when starting a new one, test the dispenser with a few test presses in the air. Then, having removed the upper protective cap, exhale completely, take the mouthpiece with your mouth, and turn the can upside down. Then take a sharp and as deep breath as possible while simultaneously pressing the dispenser.

Hold your breath, then exhale slowly. It won’t be possible to inhale and press at the same time right away, but you’ll soon get the hang of it. Rinse your mouthpiece thoroughly at all times, after each injection. Remember, the bottle contains 200 measured doses, monitor the amount of medicine and do not delay replacement.

New drugs may contain freon, which changes the usual taste of injections and some patients notice this. Such changes usually do not affect its medicinal effect.

Always check the expiration date of the medicine. Of course, Berodual, like many drugs, lasts longer than food, but many do not check their first aid kit for years. The validity period with the production date is indicated directly on the box with the drug.

Contraindications

Berodual should not be used if:

• intolerance to the composition of the medication and other atropine-like drugs;
• atrial or ventricular fibrillation;
• hypertrophic cardiomyopathy with obstruction.

The aerosol is contraindicated in children under 6 years of age and in the first 3 months of pregnancy. The solution for the treatment of these categories of patients can only be used as prescribed by a doctor. Berodual should be used with caution if the patient has:

• high blood pressure;
• angle-closure glaucoma;
• increased thyroid function;
• lactation period;
• decompensated diabetes mellitus;
• severe cardiovascular pathologies;
• pheochromocytoma;
• BPH;
• blockage of the urinary system;
• cystic fibrosis;
• recent heart attack.

Precautionary measures

When the patient has chronic asthma or severe, long-term obstructive pulmonary disease, it is better to replace continuous use with symptomatic one. That is, take Berodual when suffocation occurs, otherwise the medicine may not bring much effect;

Patients with a steroid-dependent form of various chronic diseases in the respiratory tract must undergo anti-inflammatory therapy (methods and medications for it are written by the doctor).

Carefully monitor the dosage each time! Berodual is considered a serious medicine that affects a number of systems in the human body, and if you notice that the usual dose has lost the necessary effectiveness, contact a specialist. You cannot increase the dosage on your own.

Check with specialists immediately to see how the nebulizer can be combined with various other drugs. After all, if it is prescribed for long-term use, there is a possibility of other diseases that will require other medications. For example, the patient will catch a cold. Which medicinal herbs and antibiotics are possible and which ones cannot be specified, even prescribed for yourself.

Adverse reactions

Berodual, even without an overdose, can cause a number of undesirable reactions:

• anaphylaxis, Quincke's edema, urticaria;
• decreased potassium levels in the blood;
• trembling of individual parts of the body, headaches, nervousness, dizziness, impaired intellectual development;
• increased intraocular pressure, accommodation disorder, dilated pupils, swelling of the cornea, redness of the conjunctiva, pain in the eyes;
• itching, increased sweating;
• urinary disturbance;
• muscle spasm, muscle pain and weakness;
• tachycardia, hypertension, cardiac arrhythmia, cardiac muscle ischemia, atrial fibrillation;
• cough, inflammation of the mucous membrane of the oral cavity and pharynx, hoarseness and hoarseness of voice, narrowing of the bronchi, dry mouth, swelling of the pharynx, contraction of the muscles of the larynx;
• vomiting, nausea, impaired motility of the digestive tract, diarrhea, stool retention, inflammation of the tongue.

User comments

We are 2.7. The same problem! Until I was 2 years old, when I went to kindergarten, I wasn’t sick at all! I went to the garden in 2.1 and it started! After ARVI, the cough does not go away. Inhalations with saline do not help. I maintain humidity, drink too... Percussion massage. As a result, Berodual with pulmicort was prescribed. We breathed - no use. And then another doctor comes at me - where were you looking, mom, you have bronchitis! I told her - how did I know? These expensive berodual with pulmicort were prescribed to us for bronchospasm! So I treated it as prescribed. Because nothing helps anymore. As a result, I had to give injections. After them, it just went away. I went to the garden for 2 months, now it’s started again! And I have to go to work in August, the 3-year maternity leave will end... Well, who will sit at home with him for months if he has this nasty cough again? The husband is at work, the grannies who were yelling and asking for their grandson the most are at work. Meanwhile, our cough hasn’t gone away for a month. And also two doctors prescribe the same thing and “how doesn’t this help you?!”

It will definitely turn into asthma. Because my husband’s family, as it turns out, are all asthmatics and allergy sufferers.

And by the way, yes. We also cough to the point of vomiting and endless laundry, sometimes three times a night, I change the entire bed

Then the same allergist said to do inhalations with pulmicort for a week - the result was 0. We went to another allergist, she said that we are at risk for bronchial asthma, but our cough is not allergic, because 2-3 inhalations with Pulmicort immediately relieve this cough, she said that we would go to an ENT specialist. We ran to an ENT specialist, who diagnosed us with grade 4 hypertrophy of the tonsils and adenoids. He gave me directions to go to the portal for surgery. When my son caught a cold, his temperature was 40 at the moment, the ambulance gave lytic injections, because... There was nothing they could do to bring down the temperature. Before the New Year, my son again developed a cough to the point of vomiting. We lived like hell for 2 weeks. Did I wash all my bedding every day? They couldn’t stand it and had a paid operation. It took a week to recover from the operation. I sighed, the child slept all night without coughing or snoring. I went to kindergarten for a week and the cough started again? especially when he runs and coughs again at night. The pediatrician again prescribed Berodual + Pulmicort + saline inhalations, Montiget at night. But. Nothing helps us. Neither flexotide. I've had parsley like this for a month now. Tomorrow I will make an appointment with another pediatrician, allergist and ENT specialist. And by the way, we also did x-rays - everything was clean. Hands are already giving up. I don’t sleep at night, during the day my youngest is on my chest, he is 10 months old. You spent so much money, should you even go and sell your kidney? in 9 months we spent 1,700,000 tenge on his treatment. They also found a small umbilical hernia on him, and they said it needed to be removed. When asked where it came from, they said it must have been coughing?

source

Treatment regimen

The dosage regimen is selected by the doctor individually.
To relieve attacks of bronchial asthma, Berodual in the form of an aerosol is prescribed 2 inhalation doses. If there is no effect after 5 minutes, the medicine can be sprayed again, in the same doses. If after 4 inhalation doses breathing does not normalize, you should immediately go to the hospital. When the aerosol needs to be used for a long time, a single dose is 1-2 inhalations. Up to 8 inhalations are allowed per day.

Berodual in solution is recommended to be used under medical supervision. It can only be used at home if for some reason you cannot use an aerosol or if higher doses of medication are required.

The treatment regimen for the solution is selected depending on the age and weight of the patient. Children under 6 years of age weighing up to 22 kg are prescribed 2 drops per kg of body weight, but not more than 10 drops. Patients 6-12 years old are prescribed 10-40 drops, patients over 12 years old - 20-80 drops.

Exceeding these doses leads to overdose.

Release forms

Berodual is available in the form of a colorless, odorless solution for inhalation, placed in a dropper bottle (20 ml).

In addition, there is a metered aerosol (10 ml - 200 doses) in a special container with a mouthpiece.

Both dosage forms of Berodual are equally effective for tracheitis, but children prefer the inhalation solution used in nebulizers.

Overdose symptoms

Symptoms of Berodual intoxication are usually associated with fenoterol, which is part of the drug. Due to poisoning, the following symptoms may appear:

• disturbance (including increased heart rate);
• feeling of heartbeat;
• trembling of individual parts of the body;
• increase or decrease in blood pressure;
• increased pulse pressure;
• “tides”;
• decreased potassium levels in the blood;
• metabolic acidosis;
• angina pain.

Due to an overdose of ipratropium bromide, the following may appear:

• problems with accommodation;
• dry mouth.

Signs of an overdose of this substance are usually mild and pass quickly.

If Berodual gets into the eyes in large quantities, signs of acute angle-closure glaucoma may appear:

• pain and discomfort in the eyes;
• headaches from the affected eye;
• vision problems (appearance of spots and glare in front of the eyes, blurred objects);
• swelling of the cornea, hemorrhage into it;
• redness of the eyes;
• mydriasis (dilated pupils).

Are there people who are never helped by this Berodual and Pulmicort?

Or are we the only ones. Sometimes it seems to me that my son is not a human being at all, I don’t know, maybe an alien... I don’t think everyone here is the only one who is saved... well, that’s all. everyone except us. and we are exhausted. We are changing the 5th hospital, but everywhere the same prescription for coughing is berodul and pulmicort... it has never helped us according to the scheme and does not help... the doctors don’t believe it, and when they are convinced they shrug their shoulders... there is no strength... we’ve been sitting on this crap for several years now and I bully the child without any effect, I have to... for any cough they write me off, I say, it doesn’t help, the answer is it can’t be... well, if it would help, then we wouldn’t even know the grief. They didn’t hear wheezing before, now they hear it, they diagnose asthma... they added Symbicort to this pile (before that there was Seretil and Flexotite, which were of no use at all) and nothing. the cough lives its own life, then it turns out, then it just coughs... you can count the days without a cough on your fingers... and everything is the same purpose... tell me there are people like us, what if you are diagnosed with bronchitis or obst. These inhalations do not help you with bronchitis. The doctors are already quibbling about whether you need to breathe through a tube or through a mask... they say you’re breathing wrong, some are yelling through a mask, others through this tube... or something else... how can it be wrong. but even in the hospital they breathed under them, they make sure and still prescribe... there are people like us or not.

Treatment

If poisoning with Berodual is observed, sedatives and anxiolytics are used. In case of overdose, it is necessary to monitor the acid-base balance of the blood.

Beta-blockers can be taken as an antidote; it is better to give preference to selective β1-blockers. But we must remember that when using β-blockers, bronchial obstruction may increase. Therefore, it is necessary to carefully select the dosage for asthmatics and patients with COPD, since bronchospasm may develop, which will cause the death of the patient.

Severe overdose is treated in the intensive care unit. If breathing is impaired, oxygen inhalations are prescribed. If necessary, the patient is given artificial ventilation.

To eliminate an attack of angle-closure glaucoma, Diacarb is prescribed in tablets or injections, and Pilocarpine drops.

To lower blood pressure, Papaverine is injected.

If necessary, antiallergic drugs and hormonal drugs are prescribed.

In case of cardiac and respiratory arrest, a complex of resuscitation measures is carried out.

What does inhalation with Berodual look like?

The solution presented for subsequent inhalation is colorless, odorless, and individual particles are also not noticeable. It is used to quickly restore the balance of mucus contained in the bronchi, expands them, and also accelerates the formation of sputum. This makes breathing easier. Inhalations are prescribed by a doctor for patients with various respiratory diseases, also suffering from bronchitis or pneumonia.

With the dosage, the specialist prescribes the inhalation procedure and frequency. First, Berodual is diluted with water, the remainder is destroyed. A short break is required between inhalation sessions, usually 4-5 hours.

The effect will depend entirely on the correctness of the session, compliance with the dosage and the characteristics of the body. Remember to shake the Berodual bottle thoroughly before opening for use. Use this way: remove the top protective cap, then place the container upright and take a deep breath, while injecting yourself with a portion of the drug.

How to use a ready-made inhaler. Then hold your breath for a couple of seconds and relax. Wipe the mouthpiece of the bottle, use the medicine only yourself, and maintain hygiene. Wash under warm water, rinse thoroughly if using soap or other detergent. Remember: it is better to clean the mouthpiece immediately after use.

Often the culprit of an overdose is fenoterol, the active substance of Berodual. Side effects manifest themselves as tachycardia, sometimes hypotension, possible arterial hypotension or angina pectoris, dryness, possible increase in normal pressure, arrhythmia, etc. It is difficult for ordinary people to diagnose most of the symptoms; by eye you cannot distinguish between hypotension or angina pectoris from arrhythmia, but such troubles are accompanied by pain or spasms, unpleasant sensations.

They are treated with sedatives (only by a doctor), various tranquilizers, and severe cases with intensive care. Therefore, if you notice something strange in your health - heavier breathing, weakness or pain, it is better to call a doctor. He himself will determine the type of symptom, and then prescribe treatment.

Usually, having prescribed a nebulizer, the doctor warns about possible symptoms of intolerance or overdose; do not be afraid to ask, clarify unclear points, especially if this happens for the first time.

Possible consequences

With a mild overdose of Berodual and timely treatment, signs of intoxication in most patients disappear within 24 hours without any consequences.

In severe cases, it can cause the following complications:

• pneumonia;
• acute cardiovascular pathologies (myocardial infarction, cerebral hemorrhage) against the background of a sharp rise in blood pressure;
• blindness caused by increased intraocular pressure.

Pulmicort

The drug in the form of a dosed suspension is a corticosteroid for local use.
The therapeutic effect is provided by the main component - budesonide. If the recommended treatment regimen is followed, it relieves the inflammatory process in the bronchi, which reduces the intensity of the symptoms of bronchial asthma and the frequency of its attacks. Reduces swelling of the bronchial mucous membranes, secretion, sputum formation and bronchial hyperreactivity. The substance is well accepted by most patients and can be used for a long time.

Composition of the medicine

The drug is available with budesonide contents of 100 and 250 mcg per 1 ml of liquid.

Auxiliary components of the medicinal suspension are sodium chloride, sodium citrate, disodium edetate, citric acid, polysorbate and water.

A thoughtful combination of drug components helps deliver the active substance to the site of inflammation in an unchanged form and thereby ensure the therapeutic effect of inhalation.

Indications for use

Pulmicort is prescribed for therapy:

• COPD
• Bronchial asthma, when there is a need to use GCS
• Stenosing laryngotracheitis.

For whom the medicine is not suitable

One of the reasons for the popularity of Pulmicort is due to the minimum of contraindications. It should not be used for inhalation only for very young children who have not yet turned 6 months old, and for individual hypersensitivity to the constituent substances of the drug.

The risk group consists of patients with various types of infectious diseases of the respiratory system (viral, microbial or fungal), as well as cirrhosis of the liver and open form of tuberculosis. If the patient has these pathologies, then treatment with Pulmicort is possible only in extreme cases, and the progress of treatment should be constantly monitored by a doctor.

The drug is allowed to be prescribed with caution to pregnant and nursing mothers.

Prevention

To prevent an overdose of Berodual, you must follow the following recommendations:

• keep the inhalation solution and aerosol out of the reach of children;
• do not exceed the dosage prescribed by the doctor;
• do not self-medicate.

The drug is available by prescription, so it should not be used without a doctor's prescription. The drug, even in therapeutic doses, can cause a number of undesirable reactions. Patients suffering from bronchial asthma should use the medication only when it is really necessary, since its uncontrolled use and constant increase in dosage can cause the progression of the pathology.

If obstruction increases, increasing the dose of the drug is not only unjustified, but also dangerous, as it will lead to an overdose. Therefore, if Berodual does not improve the patient’s well-being, then you need to consult a doctor so that he can reconsider the treatment regimen. For people with mild COPD, it is better to use the medicine continuously.

Who shouldn't

1. Those with hypersensitivity (then specialists replace the drug with another);
2. Suffering from cardiomyopathy or tachyarrhythmia;
3. Not for pregnant women, if they are in their 1st trimester, or nursing (they should take any medications only after the approval of the supervising doctor);
4. Also, everyone who, after examination, was prohibited from taking this drug by specialists for various reasons.

Berodual is considered a strong remedy, so its use should always be agreed with doctors. Only after examination and approval by a specialist. If you need such a drug, get a consultation.

Pulmicort or Berodual - which is better for bronchitis?

Obstructive bronchitis is an inflammatory process in the medium and small bronchi. Inflammation in this case causes spasm - contraction of the smooth muscles of the respiratory tract, which is manifested by difficult wheezing, coughing, and lack of air. Accordingly, for bronchitis, Berodual works better and faster, which contains two components that effectively eliminate spasm of the bronchial muscles.

Help

With a significant overdose of the drug, a coma may occur. Moreover, the active components of the drug that appear in the body in excess of the permissible amount require appropriate drug therapy, which is possible only in a hospital setting.

In any case, treatment with Berodual should be stopped immediately, and the first thing to do if you experience the slightest discomfort from using the drug is to contact a doctor, openly talking about your feelings and concerns.

incorrectly diluted berodual | Children | Children's health

• Hello, help me, what have I done?
• We did three inhalations, if necessary
• call an ambulance, they will advise you over the phone
• Absolutely no big deal! The main thing is that you poured 8 drops of berodual, not 3 ml. Saline solution is not dangerous in any way, in this case for sure. 3 ml is even a lot, 1.5-2 ml is enough.
• Nothing will be 3 ml too much, do it with 2 ml - otherwise the inhalation will take a very long time, and this is not useful
• The main thing is that it’s not the other way around))
• not the author, but then should the medicine be proportionally reduced too?
• I gave my son Borodual to drink when he was 3 years old, I had my first severe attack of BA, I was in shock, I prepared a nebulizer with pulmicrot, and poured Berodual into my mouth. Nothing terrible happened, and we were diagnosed with BA at the age of 10..... And don’t worry
• Thanks everyone, I’ve calmed down a little, although of course I’m a chicken
• Please tell me, who is in the know, how long does laryngitis last in acute form, something is better here, then today again I have a cough all night (though it’s just dry, sometimes barking) today is the fourth day, I’m doing inhalations, but somehow I don’t understand if there is plain (inhalations with Berodual and Pulmicort). + two with saline, plus Erespal
• Take care of your eyes when inhaling Berodual. Doctors don’t always warn about this. Nothing will happen because of one time
• Oh, why do you need berodual for laryngitis??? What kind of sputum is produced there?
• God, also pulmicort for laryngitis? What kind of doctor do you have?! Read the indications for taking Berodual and Pulmicort.
• Why 3 ml of saline then? A child less than 3 years old in the hospital was prescribed 10 drops of Berodual + 2 ml of saline. So nothing special happened to you.
• Berodual relieves bronchospasm, it is not a mucolytic. Pulmicort relieves swelling, what don’t you like? Standard prescriptions for laryngitis. We were treated this way in Morozovka too.
• This is a doctor’s prescription, I’ve been feeding him all these days, what else can I do to help him?
• Thank you for your answer, otherwise I’m already in a panic that I’m treating with the wrong thing, tell me how many days did your laryngitis last, I’m already in despair
• Pulmicort cannot be taken once, you need to complete the course. For laryngitis, Pulmicort is strong. How do I cope (6 years of experience). morning and evening playing f/r+berodual. During the day, every hour, inhalation of 5-10 ml of antihistamine is mandatory and that’s it! Up to 6 years, 2-3 days passed before improvement. after 6 the attacks were relieved within 24 hours, the next day I went to school
• Well, you can read the instructions for the drug before writing, right? Look at the pharmaceutical effect of the drug. Information is publicly available. The same applies to pulmicort. Antihistamine relieves swelling. It is completely unclear why the hormone is used during attack periods of asthma. Doctor overprescribing.
• Stop panicking! You'll break through. We also had lazolvan after the berodual, about 15 minutes later, if memory serves. As far as I remember, they are always prescribed together (expand and withdraw). I don’t remember how long it lasted, it was a long time ago.
• Berodual + lazolvan is a standard prescription for bronchitis, obstructive bronchitis, in extreme cases, tracheobronchitis, but not laryngitis as a disease of the upper respiratory tract.
• Should I read, or should I read to the doctor, at the Morozov hospital? ))I know what bronchospasm is. And I also know how quickly laryngitis turns into bronchitis. And the fact that with croup, first of all, the ambulance does inhalation with pulmicort - probably, for sure, not in order to relieve swelling)) Pulmicort is 15 times stronger than prednisolone. Whether its purpose is justified in the author’s case, I cannot say.
• In very extreme cases, when it is urgent to relieve bronchospasm, Berodual is prescribed once without any saline solution at all. And the standard prescription is 1 ml of Berodual per 3 ml of saline solution.
• Will you tell me what diagnosis we had in the hospital? ))
• You don’t even remember exactly how much and what your child was prescribed (your message is above). I wouldn’t be surprised that you don’t remember what exactly the child had. And it turns out not to be laryngitis at all, but a good kind of bronchitis. Look at the map. Namely, the ambulance will give a maximum of a one-time injection in a critical situation, but the doctor will not prescribe it for permanent use. And what kind of croup did you mean?
• You don't seem to remember this yourself.
• Of course, of course, we will listen to you. You remember everything well, right? Well, that's great!
• Yes I remember. And asthma, bronchitis, and laryngitis in their children, including hospitalization. “My” topic, unfortunately. The author, I advise you to show the child to another doctor. And it’s better not from the same clinic.
• Pulmicort relieves swelling in laryngotracheitis.
• One-time. And the author’s child does not have laryngotracheitis.
• Remove either Erespal or Berodual, overdose on the bronchodilator.
• The barking cough that people ask about above is laryngotracheitis.
• And mine has laryngomalacia. Google it, and perhaps it will dawn on you whether I’m on the topic of laryngitis or not. I don’t know what kind of “injections” the ambulance gave you; when we suspected croup, they immediately pulled up the mask and started breathing with pulmicort. After breathing was more or less restored, they were taken to the hospital.
• The author writes about laryngitis as a diagnosis made by a doctor, we proceed from this. He also has a barking cough. There are other diseases in which it occurs.
• And what does this have to do with the author’s child with laryngitis and a berodual prescribed for him?
• Those. here you take into account what diagnosis the doctor made, and above you write about the same specialist, what kind of doctor was he who prescribed Berodual and Pulmicort? By the way, if the doctor prescribed Berodual and Pulmicort, it means that he saw symptoms of spasm during an in-person appointment.
• According to the author, we have: a diagnosis and prescribed treatment. If the diagnosis is correct, then the treatment for it is completely incomprehensible. If the diagnosis is incorrect, then there is nothing to discuss; the child may have a lot more than just laryngotracheitis. Although we can talk about all bronchospasm-pulmonary diseases, of course. AND ENT. And ARVI. Would you like it? In your opinion, any spasm can be relieved by berodual? What about stomach?
• Despite the fact that I know very well what laryngitis is and how it is treated. And even if I write something like “as far as I remember” or “if I remember correctly,” then this is in those cases where I’m 99% sure, and also so that my words are not perceived as a doctor’s prescription. People are different, some use other people’s experience to broaden their horizons, and others use it as a guide to action.
• In my opinion, in a dispute with you, the truth cannot be born
• Why are you arguing?
• Author, if I were you, I would still show the child to another doctor. At least to reassure yourself that you are doing everything right.
• At first they gave the impression of being a sane person. Then I realized that you were arguing for the sake of arguing. That's it, I'm merging
• Well, that's nice
• For general development, you experience laryngospasm, not bronchial spasm, manifested by a dry, hysterical cough, sometimes with whistling, Berodual + Pulmicort is prescribed
• !) You made a 3 times more concentrated solution and if the child exhaled everything, then there could be a temporary colossal load on the heart - tachycardia (described in the sidebar). If today the child is cheerful, it means “it’s gone” 2) berodual - a bronchodilator drug, trachea, where are the ligaments hard formation! Laryngitis is inflammation of the ligaments, but not a spasm. Frequent inhalations with mineral water solve problems. There are many ways to help a child with laryngitis besides “berodual” - including Bach essences, homeopathy, the main thing is not to create hysteria! The child's peace (speech, psychological) quickly solves problems.
• Good morning! How is the child feeling? Got better?
• Please tell me, we gave the child inhalations with pulmicort and beredoal together
• why is it dangerous for the eyes?
• what should I suggest? Well, they did it and did it, no big deal. Next just do Berodual first, then Pulmicort

Source: https://eva.ru/kids/messages-3384248.htm

Analogs

If there are contraindications to the use of Berodual for inhalation during pregnancy in the 2nd trimester, you should consult a doctor who will select analogues of the drug. There are several medications that have similar therapeutic effects. These should include the following:

• "Berotek";
• "Duolin";
• "Ventolin";
• "Pulmicort".

Since “Berodual” has a strong effect on the functioning of the cardiovascular system, if you have heart disease, it is advisable to replace it with “Pulmicort”. This medicine is a hormonal drug and contains a steroid component. When using the medicine, the effect is on the adrenal glands. The drug affects cellular structures and helps normalize metabolic processes.

The effectiveness of Pulmicort is several times higher. However, it has no effect on the heart muscle. The process of preparing the solution is exactly the same as that of Berodual. It is also diluted with saline solution. The number of treatment procedures should be no more than 2 per day. The duration of treatment is also reduced due to its high effectiveness.

Reviews

Nastya (daughter Zhanna, 3 years old):

“We are familiar with obstructive bronchitis firsthand: almost every cold ends with the baby suffocating and coughing heavily. We first encountered this disease when our daughter was one and a half years old. Then I got terribly scared, called an ambulance, and we were taken to the hospital. In addition to taking antibiotics and expectorant medications, we received inhalations with Berodual and saline solution through a nebulizer 3 times a day, which quickly relieved shortness of breath, and Zhanna felt much better.

The doctor advised me to buy this drug and use it as a first aid remedy. Now, when I see that my daughter has a severe cough and difficulty breathing, I immediately start inhalations so as not to start the disease.”

Irina (son Sasha, 9 years old):

“My son was diagnosed with bronchial asthma when he just started first grade. Since then, the inhaler has taken pride of place in his bag, and Sasha knows not to forget it at home. The spray can is convenient to use; you don’t need to put in a lot of effort to get the medicine to spray.

Of course, like any mother, I am concerned about the influence of Berodual on the heart. I’m also worried that the medicine won’t become addictive, and we won’t have to switch to more “serious” hormonal drugs.”

Side effects

The child’s body may react to the use of Berodual:

• Tremor of the limbs.
• Nervousness.
• Increased heart rate.
• Headache.
• Cough.
• Nausea.
• Allergic rash.
• Weakness.
• Muscle pain.
• Quincke's edema.
• Vomiting.
• Increased sweating.

In rare cases, treatment with Berodual provokes convulsions, bronchospasm, arrhythmia, changes in mental status, urinary retention or changes in blood pressure. The drug can also cause the appearance of angle-closure glaucoma.

Will it harm the fetus?

Many people are interested in whether 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 heart rhythm disturbances, rapid heartbeat, and increased blood pressure.

Berodual can be used for inhalation during pregnancy only with the permission of an obstetrician-gynecologist or a therapist in a 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 drug for women suffering from heart disease with disturbances in its rhythm, as well as for those with increased sensitivity of the body to the components of the drug. The drug is prescribed with caution for increased intraocular and blood pressure, ischemia, angina pectoris, and diabetes mellitus. In addition, it is not recommended for use after a heart attack, with increased thyroid function, bladder obstruction, or the formation of viscous mucus in the bronchi.

"Berodual" is prescribed for inhalation with extreme caution during pregnancy in the 1st trimester, as it can have a relaxing effect on the muscles of the uterus, which can lead to difficulties during childbirth. In addition, this drug, 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 doctor.

Regular use of high dosages of the drug to relieve obstruction can provoke an uncontrolled worsening of the disease. In this case, to prevent the development of complications, you need to change the treatment plan. When planning pregnancy and while carrying a baby, the drug "Berodual" should be used only under the supervision of a doctor.