Fluimucil for children: instructions for use

In the treatment of diseases of the respiratory system, drugs from the group of mucolytics are especially in demand, one of which is Fluimucil. Is it prescribed to children, in which pathologies and in what doses?

Fluimucil is a product of the Italian pharmaceutical company Zambon and Available in several forms:

1. Solution to be taken by mouth.. It is a colorless liquid that smells of raspberry (in lower dosage) or strawberries and pomegranate (in higher dosage). The liquid is usually clear and may have a faint smell of sulfur. Such a solution is poured into glass bottles of 100, 150 or 200 ml each and supplemented with a measuring cap made of translucent plastic.
2. Solution for injectionWhich is also used for inhalation. It is poured into dark glass ampoules. In one box they sell 5 ampoules, inside of which there are 3 ml of colorless transparent liquid with a slight sulfuric smell. If you leave the opened ampoule in the air, over time, the solution may become pink-purple.
3. Granules from which make the solution taken orally. They are sold packaged in multilayer bags, and one pack holds 20, 30 or 60 such portion bags. The granules themselves are white and yellow, smell like orange and a little gray, and after stirring in water, a yellowish orange drink is obtained from them.
4. Effervescent tablets. They are produced in packs of 10-20 pieces, but because of the high dosage, this form of Fluimucil is not prescribed to children.

All variants of Fluimucil contain a substance called acetylcysteine ​​as the main ingredient. Its quantity in different preparations is as follows:

• in the finished solution, which give children to drink - 20 mg or 40 mg in 1 ml;
• in one packet of granules - 100 mg or 200 mg;
• in solution for injections and inhalation use - 100 mg in 1 milliliter (300 mg in the ampoule).

Additionally, the ingested solution "Fluimucil" contains sodium saccharinate, flavor, sodium hydroxide, sodium benzoate and some other substances. Sorbitol, flavor, beta-carotene and aspartame are added to acetylcysteine ​​in the granules. The solution, which is used for injections or inhalations, additionally includes sterile water, edetate disodium and sodium hydroxide.

By its action, “Fluimucil” refers to mucolytics, because its active ingredient affects the sputum produced in the airways, as a result of which it is eliminated from the bronchi more actively and the child recovers faster. The sulfhydryl groups present in acetylcysteine ​​help break bonds in mucopolysaccharides that exist in sputum. Because of this interaction, the viscosity of the bronchial secretion decreases.

Drug activity is not reduced if pus is present in the sputum. The drug also activates the synthesis of glutathione and has antioxidant properties, thanks to which harmful substances (toxins, free radicals) are eliminated from the body more actively.In addition, research has shown that the use of Fluimucil reduces the severity and frequency of exacerbations in cystic fibrosis and chronic bronchitis.

The drug is prescribed for various diseases of the respiratory system in situations where the patient is too viscous sputum and this makes it difficult to cough. Fluimucil is in demand with:

• laryngitis;
• acute bronchitis;
• tracheitis;
• pneumonia;
• laryngotracheitis;
• flu;
• bronchiectasis;

• chronic bronchitis;
• lung abscess;
• bronchiolitis;
• bronchial asthma;
• emphysema;
• atelectasis of the lung due to mucous plugs;
• cystic fibrosis (as one of the means of complex treatment).

In addition, the drug is prescribed after injury or surgery, so that viscous bronchial secretions are more easily excreted from the respiratory tract. The medicament is also used before various diagnostic procedures, for example, when the patient is to undergo bronchoscopy.

“Fluimucil” in the form of granules and a prepared solution can be used from birth, but for children under two years old, this remedy is given solely as prescribed by the doctor, who calculates the desired dose of the active ingredient by patient weight. It is contraindicated to give the drug to a newborn or an infant without a medical prescription.

Fluimucil is not used in case of hypersensitivity to any of the components in the composition of the solution or granules. In addition, the drug in any form can not be used in children with acute exacerbation of the gastrointestinal ulcer. If a child has been diagnosed with kidney, adrenal, or liver disease, the use of a medication requires the supervision of a physician. Granules are contraindicated in patients with phenylketonuria. For patients with bronchial obstruction or asthma, the medication is prescribed on condition of sufficient drainage of the secret.

The drug in ampoules occasionally provokes local reactions, for example, during inhalation cough, stomatitis or rhinitis may appear, and when injected into a muscle or vein, there is a slight burning sensation at the injection site. In addition, in some children, treatment with any form of Fluimucil occurs:

• skin rash;
• heartburn;
• pruritus;
• bleeding from the nose;
• nausea;
• bronchospasm;
• noise in ears;
• diarrhea;
• stomatitis;
• hives;
• vomiting.

The contents of the bag must be poured into a third glass of water, and then give the child a drink. Stir the powder only in a glass container. If this form of "Fluimucil" is assigned to a baby of the first year of life, the prepared solution is given from a bottle or from a spoon. The dosage for infants up to one year is determined by the doctor individually. Each kilogram of body weight of such small patients requires 10 mg of acetylcysteine.

For babies 1-2 years of age at one time, one packet is diluted with 100 mg of the active ingredient. At this single dose, the medication is given twice a day. Patients 2-6 years "Fluimucil" can also be given in the same dosage, but the reception will be threefold. Also, children aged 2 to 6 years can be given a double dose of "Fluimucil" in a single dose of 200 mg.

If the patient is already six years old, then he is prescribed sachets of 200 mg of the active ingredient. In this dose, the medication is taken 2 or 3 times a day.The duration of treatment is determined depending on the evidence - in the acute process, granules are prescribed for 5-10 days, and chronic pathology can be treated for several months.

At the age of 14, medication is often prescribed with a concentration of 20 mg / ml. It is given in 5 ml patients 2-5 years old 2-3 times, and children over 6 years old - 3-4 times a day. Six-year-olds and older may also be given a more concentrated solution — 4 ml twice a day. A teenager older than 14 years old, the drug 40 mg / ml is given once in an amount of 15 ml, which corresponds to 600 mg of the active substance.

When prescribing Fluimucil injections, a child under six years of age needs an individual dosage calculation. Such patients are prescribed 10 mg per kilogram of weight. If a child is from 6 to 14 years old, then he is given intravenous injections once or twice a day with 1.5 ml, which corresponds to 150 mg of acetylcysteine. Before the injection, the contents of the ampoule are diluted with 1 to 1 glucose solution or saline.

The drug can also be injected into the muscles using a long needle so that the solution penetrates deep into the muscle tissue. The duration of injection therapy "Fluimutsilom" set separately for each child, but it rarely exceeds 10 days.

For the procedures, only the solution in ampoules is used, using the contents of one ampoule for one inhalation (3 ml). Breathing "Fluimutsilom" recommend one or two times a day, but sometimes the doctor prescribes and three or four procedures per day. The duration of inhalation treatment is usually 5-10 days, but in some pathologies the medication can be used longer.

Even very high doses of Fluimucil do not have a harmful effect on the children's body, so there was no case of an overdose of any form of the drug.

The simultaneous use of Fluimucil and any drugs that suppress the cough reflex will worsen the patient's condition, as it will increase the stagnation of sputum in the respiratory tract. It is not recommended to give the child at the same time Fluimucil and preparations based on ampicillin, tetracycline or amphotericin B, since their activity will decrease. There must be a break of at least 2 hours between taking such drugs.

When used with paracetamol preparations, their toxic effect on the liver will decrease. If you give Fluimucil together with nitroglycerin-based drugs, the therapeutic effect of such agents will increase. When injecting, mix the solution in the same syringe with other drugs besides sodium chloride or dextrose solutions is prohibited.

To buy "Fluimucil" in ampoules requires a prescription from a doctor. Other forms of the drug are OTC. The average price of 20 bags of granules with an active substance content of 200 mg in one bag is 150-160 rubles. For 100 ml of a solution with a dosage of 20 mg / ml you need to pay about 200 rubles, and the package of “Fluimucil” for injections and inhalations costs about 220 rubles.

All types of Fluimucil should be stored at a temperature of + 10 + 25 degrees in a dry place. The drug should not be freely available so that children do not find it. The shelf life of the drug in granules is 3 years, and ampoules - 5 years. The opened ampoule can be stored for up to 24 hours in the refrigerator, but is only suitable for inhalation use (for injection, you need a sterile solution).

In most cases, Fluimucilom responds positively to treatment, calling such a drug highly effective and effective. Forms of drug release called convenient, and the taste of the liquid variants of the drug like most patients. Side effects when taking "Fluimutsila" are detected very rarely, and the price of medication is usually called acceptable.On the downside, many mothers carry a sulfur smell, and in some reviews complain about the lack of a therapeutic effect.

Such a drug is produced in the form of a lyophilisate, which can be injected (intramuscularly) or used for inhalation. In addition, this medication is sometimes prescribed endotracheally, dripping into the nose or into the ears.

The main component of the lyophilisate is an acetylcysteine ​​compound with the antibacterial substance thiamphenicol. One bottle contains 810 mg of this ingredient, supplemented with edetate disodium. One package contains 3 bottles of medication with a white or yellowish mass and 3 transparent ampoules with a solvent. Inside these ampoules contains 4 ml of sterile water, which must be diluted lyophilisate before use.

Once in the patient's body, the active compound of the drug is broken down to form acetylcysteine ​​(this component dilutes sputum) and thiamphenicol (this ingredient has an antibacterial effect). “Fluimucil-antibiotic IT” is required for prolonged pneumonia, bronchiolitis, whooping cough, bronchitis, lung abscess and other diseases. It is also used for sinusitis, laryngitis or otitis media.

The dosage of medicine for children is determined by the method of application, and the course of treatment does not exceed 10 days. Among the possible side effects of such a drug are allergies or local reactions, and contraindications to the use of a lyophilisate are not only hypersensitivity to its components, but also anemia, thrombocytopenia or leukopenia. You can buy the drug only by prescription., and its shelf life is 3 years.

The most well-known analogue of "Fluimucil" is a drug called "ACC". It is produced in effervescent tablets, granule bags, syrup and solution for inhalation and injections. This tool is used for the same indications in children older than 2 years. In addition, instead of “Fluimucil”, a child may be prescribed another drug with expectorant effects, for example, one of herbal medicines (“Herbion"," Bronchipret "," Prospan ", etc.) or ambroxol-based medicine (" Ambrobene ","Flamed"," Lasolvan ").

For instructions on how to use Fluimucil for inhalation, see the following video.