Preparations for inhalation with a nebulizer for laryngitis

There are many reasons for the development of laryngitis. Predisposing factors include infectious pathogens, cold air, overstrain of the vocal cords, long loud conversation, allergic agents (wool, fluff), autoimmune processes, gastroesophageal disease. Help cope with inflammation of inhalation with laryngitis with a nebulizer.

Laryngitis can be suspected on the basis of voice changes, dry throat, cough, subfebrile hyperthermia, and malaise. In the case of a chronic course, the listed symptoms are not very pronounced, however, the period of exacerbation proceeds with a pronounced clinic. With allergic laryngitis, an attack of suffocation develops.

With the advent of nebulizers, the inhalation process has become much easier to achieve the desired therapeutic effect, it is necessary to observe the dosage of drugs and the duration of their use. Note also that not all drugs can be used in a nebulizer.

Bronchodilators

The first group of drugs is represented by bronchodilators, which are indicated for administration in broncho- / laryngospasm. Symptomatically, a spasm of the respiratory tract is manifested by difficulty breathing, sputum discharge and a feeling of lack of air. A severe form of spasm leads to severe shortness of breath, increased respiratory failure and acrocyanosis (the appearance of a blue tint to the nose, lips, ears, fingers).

• Berodual has a pronounced therapeutic effect with a minimum number of adverse reactions. From the age of 12, doses are 40 drops per session. The procedure is repeated 4 times a day. A child from 6 years old is allowed 20 drops, up to six years old - 10 drops. This volume is dissolved in 3 ml of saline. Inhalation is carried out three times a day.
• Berotec with a dose of 10 drops is used after six years. With a body weight of up to 20 kg, up to six years - 5 drops. The dose is dissolved in 3 ml of saline, the procedure is repeated three times a day.
• Ventolin is prescribed prophylactically to prevent laryngospasm. 2.5 ml of the drug is diluted with 3 ml of saline.
• Atrovent in a dose of 40 drops is prescribed for a patient over twelve years old. Starting from 6 years of age, the dose is 20 drops, up to six years - 8-15 drops. The recommended volume is diluted with saline (3 ml).

Mucolytic drugs

Inhalation with a nebulizer is carried out with mucolytic, expectorant drugs. Their action is aimed at reducing the viscosity of sputum, mucus, facilitating the process of its excretion.

• Fluimucil, ACC are indicated in a volume of 3 ml per session if therapy is carried out to patients over twelve years of age. From the age of 6, 2 ml is recommended, and from 2 years of age - 1 ml of the medicine. This volume of the drug should be diluted twice with saline. When the introduction of an antibacterial and mucolytic drug is proposed, it is worth noting that acetylcysteine ​​reduces the absorption of the antibiotic. If necessary, you can use another form of the drug - Fluimucil antibiotic or mucolytic Lasolvan.
• Ambrobene, Lazolvan in a volume of 3 ml are consumed for patients over six years old. From 2 years of age, 1 ml of the medication is required. The recommended dose should be diluted twice with saline. Ambroxol improves the absorption of antimicrobial substances.

Ambroxol-based medicines are contraindicated for use in parallel with antitussive drugs that inhibit the cough reflex (Sinekod, Codeine, Bronholitin).

• Alkaline mineral water after excretion of gases (Borjomi) is indicated for moisturizing the mucous membrane of the upper respiratory tract. For one session, 3 ml of water is enough.
• Gedelix belongs to phytopreparations, it is diluted with saline twice, if it is supposed to treat a patient over 10 years of age. At a young age, the drug is diluted three times. The resulting product in a volume of 3 ml is used for the procedure.
• Cough syrup (1 pack) in powder form is dissolved in 15 ml of saline. For the procedure, 3 ml of the diluted product is consumed.
• Mukaltin in tablet form after thorough grinding, dissolving 1 tablet in 85 ml of saline can be used for inhalation. During the session, 3 ml of the prepared product is used.
• Pertussin should be diluted twice with saline when treating patients over 12 years of age. If therapy concerns a child under twelve years of age, the medication is diluted three times. During the session, 3 ml of the prepared medication is consumed.

Vasopressor drugs

With an allergic form of laryngitis, vasoconstrictor drugs are used to relieve spasm, reduce swelling of the larynx:

• Epinephrine is prescribed once for a quick effect. For the treatment of children under two years of age, 0.25 ml of the drug is used, at an older age, 0.5 ml is indicated. This dose should be diluted to 3.5 ml with saline. Inhalation is carried out under medical supervision, since the drug has an effect on the cardiovascular system.

Antitussive drugs are used to suppress the cough reflex, reduce the reactivity of the bronchi:

• Tussamag with thyme is diluted twice with saline for the treatment of patients over 16 years of age. From the age of six, it is recommended to breed three times, from 1 year - four times. In one session, 3 ml of the prepared medicine is used.

Anti-inflammatory drugs

With an anti-inflammatory purpose, to reduce swelling and pain, the treatment of laryngitis involves the appointment of:

• Rotokan, thanks to chamomile, yarrow, calendula, has a mild healing effect. For inhalation, dilution with saline solution 1:40 is required. One session consumes 3 ml of diluted medicine.
• Sinupret is used for decongestant, anti-inflammatory purposes, as well as to stimulate regeneration and healing. Starting from the age of 16, the medicine is diluted with saline twice, from six years - three times, from two years - 4 times. The resulting solution in a volume of 4 ml is sufficient for one inhalation.
• Propolis in tincture form is recommended in the evening. The medicine is diluted 1:20 with saline. During the session, 3 ml of the diluted drug is used. Such inhalations are not recommended in the presence of an allergic reaction to bee products.
• Eucalyptus tincture requires dilution of 10 drops in 190 ml of saline. One procedure consumes 3 ml of the prepared product. Eucalyptus is contraindicated in bronchospasm (asthma, obstructive bronchitis).
• Malavit includes minerals, plants. The dilution is carried out at 1:30. For one session, 3 ml of the prepared medicine is consumed.
• Tonsilogon N belongs to phytopreparations. For the treatment of patients over 7 years of age, dilution is required twice, from a year - the drug is diluted three times. In some cases, the drug is used for up to a year, in a 4-fold dilution. 3 ml is enough for one procedure.
• The infusion of calendula should be diluted 1:40, after which 3 ml is consumed for the session.

Medicines, especially those based on herbs, are used for inhalation only after confirmation of the absence of an allergic reaction to them.

Hormonal agents

She is also a group of medicines - these are glucocorticosteroids (hormonal drugs). They have a powerful anti-inflammatory, anti-edema effect. Indicated for severe laryngitis, especially of allergic origin:

1. Pulmicort is produced in the form for children and adults. The medication is inhaled in pure form. If the volume is less than 2 ml, saline is added until 2 ml is reached.Starting from the age of 12, 1 mg is used, in half a year 0.25 mg is shown per session. The drug is not used for ultrasonic nebulizers.
2. Dexamethasone 0.4% is diluted with saline to obtain a total volume of 3 ml. For one inhalation, 0.5 ml is enough.

Antimicrobial agents

After the end of the acute bacterial stage, the use of antiseptics is shown.

1. Furacilin has antimicrobial effect and is used for therapeutic / prophylactic purposes. You can use a ready-made solution, which can be purchased at the pharmacy or you can prepare it yourself. To do this, thoroughly grind and dissolve the drug tablet in 100 ml of saline. For a session, 4 ml of solution is enough.
2. Dioxidine has broad antiseptic properties. If a 0.5% drug is used, it requires a threefold dilution with saline. When treatment is assumed with 1% drug, the dilution is 5 times.
3. Chlorophyllipt is especially effective against staphylococci. It is diluted with saline solution 1:10, after which 3 ml is consumed for one inhalation.
4. Miramistin 0.01% has a broad antimicrobial effect. It is recommended to use it in its pure form, 3 ml is enough for one session. if the treatment is carried out before the age of 12, then a threefold dilution with saline is required.

Immunomodulators

This group of drugs has an immunostimulating effect. Drugs are prescribed to increase the protective properties of the immune system, accelerate recovery.

1. Interferon in powder form is indicated for prophylactic and therapeutic purposes.
2. Derinat 0.25%. The medicine is diluted with saline.

Contraindications to inhalation

To prevent the occurrence of complications, inhalation procedures are prohibited when:

1. the presence of a tendency to bleeding;
2. pulmonary, nosebleeds, including hemoptysis;
3. pneumothorax;
4. violation of the conduction of an electrical impulse through the myocardium with the development of arrhythmia;
5. severe pathology of the cardiovascular system;
6. severe respiratory failure.

Therapeutic Effects of Nebulizer Therapy

Nebulizer therapy is indicated at home / hospital. The effect of inhalation is:

• reducing the viscosity of mucus, sputum, accelerating its excretion;
• reducing the swelling of the larynx;
• prevention of laryngo / bronchospasm;
• reducing the prevalence of inflammation;
• improving local blood circulation;
• activation of regeneration, acceleration of healing;
• analgesic action;
• reducing irritation of the mucous membranes.

Features of using the nebulizer

To achieve a therapeutic effect, it is necessary to follow some recommendations for inhalation:

1. inhalations are not carried out with hyperthermia above 37.5 degrees.
2. the procedure is performed 30 minutes after exercise, 90 minutes after eating.
3. after inhalation, it is forbidden to drink, smoke, go out into the cold.
4. The nebulizer requires careful maintenance to prevent the device from accumulating infection.
5. oil solutions are prohibited for the nebulizer.

Inhalation is contraindicated in case of purulent inflammation, for example, lacunar tonsillitis or abscess, as there is an increased multiplication of bacteria.

A nebulizer for laryngitis is very effective, but you should first consult your doctor before using it. Examination by a specialist will allow you to establish the severity of the disease, select the necessary medications, their dosage, and in case of a high risk of complications, the doctor will offer hospitalization.