Inhalation for hoarseness of voice in a child

One of the popular and at the same time effective methods of treating wheezing and hoarseness in the voice is inhalation. Procedures with a nebulizer are allowed for patients from one year of age.

Inhalations have a complex effect on the body:

• Relieves coughing fits.
• They help to thin and remove phlegm.
• They relieve swelling and inflammation.
• Reduces pain and hoarseness.

Herbal decoctions and infusions, saline solution, mineral waters, and medications prescribed by a doctor are used as inhalation medications for hoarseness in children.

1. Furacillin

Antiseptic and disinfectant. Shows pronounced activity against staphylococci, streptococci and other pathogenic microorganisms. Stimulates wound healing and granulation processes.

• Indications for use: diseases of the larynx and oral cavity, pleural empyema, anaerobic infections, chronic purulent otitis, burns.
• Method of administration and dosage: externally in the form of an aqueous 0.02% solution. To prepare the medicine, dissolve 1 tablet in 100 ml of isotonic sodium chloride solution or warm purified water. Cool the prepared liquid to room temperature and use for rinsing, washing, inhalation. The frequency of procedures and the duration of treatment depend on the causes and severity of the disease.
• Contraindications: hypersensitivity to the components of the drug, allergic dermatoses.
• Side effects: irritation of the oral mucosa, dermatitis, allergic reactions. For treatment, discontinuation of the drug is indicated. Overdose is manifested by increased side effects, treatment is symptomatic.

Release form: 10 tablets in a blister.

2. Euphyllin

A medicinal product with the active component - theophylline. It has antispasmodic properties. Relaxes the muscles of the bronchi, reduces the resistance of blood vessels, dilates the coronary vessels, lowers the pressure in the pulmonary artery system. The drug also has diuretic properties, inhibits platelet aggregation.

• Indications for use: bronchial asthma, bronchospasms (sharp narrowing of the bronchial lumen), hypertension in the pulmonary circulation, cardiac asthma, Cheyne-Stokes type respiratory disorders.
• Method of administration: orally, intravenously, subcutaneously, by inhalation, rectally. The dosage and duration of therapy is determined by the attending physician, individually for each patient.
• Side effects: digestive disorders, dizziness, decreased blood pressure, headaches, increased heart rate, convulsions.
• Contraindications: individual intolerance to the components of the drug, low blood pressure, epilepsy, heart failure, heart rhythm disturbances, coronary insufficiency.

Release form: powder for solution preparation, tablets of 0.15 g, 30 pieces per package, ampoules of 10 ml of 2.4% solution and 1 ml of 24% solution in packages of 10 pieces.

3. Saline solution

Sodium chloride solution 0.9% normalizes the water-salt balance in the body. It is used to prepare solutions of drugs for external and parenteral use, for washing wounds, eyes, mucous membranes.

The drug is used intravenously, subcutaneously, intramuscularly, and by inhalation. There are no side effects, and cases of overdose are unlikely. Saline solution is contraindicated for use in case of incompatibility of the main drug and solvent. Available in 1 ml, 2 ml, 5 ml ampoules No. 10

4. Mineral waters (Borjomi, Luzhanskaya, Polyana Kvasova, Narzan, Essentuki No. 4 and No. 17.

Inhalations with mineral waters stimulate the removal of sputum much better than expectorant tablets and syrups. This method of treatment moisturizes the mucous membranes, stimulates the cleansing of the mucous membrane from pathogenic mucus and pathogenic microorganisms.

To achieve a positive result, 3-4 inhalations are performed per day. The duration of the procedure is from 5 to 15 minutes. At the same time, it is not recommended to drink liquid 30 minutes before it.

Inhalations for hoarseness in a child with a nebulizer

Inhalations have proven themselves to be an effective means of combating sore throats and voice disorders. To facilitate the procedure, a special device is used - a nebulizer. The device turns a liquid preparation into a medicinal aerosol. There are several types of nebulizers:

1. Compressor – allows the use of almost all medications. By compressing air in a special chamber, they transform a liquid drug into an aerosol. They have the widest application, but are bulky and make a lot of noise during operation.
2. Ultrasonic – the transformation of the medicine into an aerosol occurs through the action of ultrasound. But in the process of converting a liquid solution, ultrasound destroys part of the medicine. Such nebulizers are used in hospitals, physiotherapy departments.
3. Mesh inhalers – inhale all liquid preparations, but do not destroy them. Combine the advantages of ultrasonic and compressor devices.

When using a nebulizer, the drug enters the larynx, so it is not absorbed into the systemic bloodstream and is not destroyed in the liver. The bioavailability of the drug is 100%, and the risk of side effects is minimal.

The main advantages of using a nebulizer for inhalation in a child:

• The content of the drug in the respiratory tract is 2 times higher than with other methods of drug administration.
• The drug acts directly on the affected area.
• The procedure can be performed on patients of any age, including newborns.
• Non-invasive therapy.
• Possibility of performing the procedure at home.

Inhalation is performed no earlier than an hour after eating. During the procedure, talking is prohibited, the patient should breathe as usual. Very deep breaths are dangerous due to hyperventilation, the development of headaches and dizziness, coughing, nausea and vomiting.

If dysphonia is caused by inflammatory processes in the respiratory system, then inhalations are best done through facial oil. Breathing should be smooth, calm, through the mouth. After the procedure, rinse your mouth thoroughly with boiled water.

Medicines for inhalation are prescribed by a pediatrician. The following medications can be used for procedures with a nebulizer:

Mukolvan

A medicinal product with secretomotor and secretolytic properties. Contains the active substance ambroxol hydrochloride. Stimulates the cells of the bronchial mucosa, regulates the ratio of mucous and serous components of sputum, facilitating its removal.

• Indications for use: acute and chronic forms of respiratory diseases with the formation of thick and difficult to separate secretion. Acute and chronic bronchitis of various origins, pneumonia. Complex therapy of bronchiectasis, bronchial asthma, tracheitis, sinusitis, laryngitis. Respiratory failure syndrome, prevention of complications after surgical interventions on the lungs.
• Method of administration: parenteral, intramuscular, subcutaneous, intravenous, inhalation. The duration of treatment and the number of procedures are determined by the attending physician, individually for each patient.
• Side effects: nausea and vomiting, dyspeptic disorders, heartburn, hypersensitivity reactions. No cases of overdose have been recorded.
• Contraindications: individual intolerance to the components of the drug, ulcerative disease of the duodenum and stomach.

Release form: solution in 2 ml ampoules, 5 ampoules per package.

N-acetylcysteine

Mucolytic, liquefies phlegm and facilitates its removal from the body.

• Indications for use: bronchitis, pneumonia, bronchiectasis, cystic fibrosis and other respiratory diseases with increased viscosity of sputum and the addition of purulent infection.
• Method of administration: inhalation 2-5 ml of 20% solution 3-4 times a day (for 15-20 minutes); intratracheal 1 ml of 10% solution every hour. For bronchial lavage during therapeutic bronchoscopy, 5-10% solutions are used. The duration of treatment and frequency of procedures are determined by the attending physician.
• Side effects: nausea, bronchospasm, hypersensitivity reactions.
• Contraindications: intolerance to the components of the drug, bronchial asthma without thickening of sputum.

Release form: 20% inhalation solution in 5 and 10 ml ampoules; 10% injection solution in 2 ml ampoules, 5% solution in 10 ml ampoules.

Flixotide

A medicinal product for inhalation use. It has pronounced anti-inflammatory properties. Contains the active substance fluticasone propionate.

• Indications for use: bronchial asthma (severe and moderate), prevention of bronchial asthma attacks, chronic obstructive pulmonary diseases.
• Method of administration: the medicine is used by inhalation, the duration of therapy and dosage are determined by the attending physician, individually for each patient.
• Side effects: paradoxical bronchospasm, impaired bone mineralization, adrenal suppression, increased plasma glucose levels, increased excitability, sleep disturbances, allergic reactions, oral candidiasis.
• Contraindications: individual intolerance to the components of the drug, relief of asthma attacks. With special caution it is prescribed for the treatment of children, patients with diabetes mellitus, pulmonary tuberculosis.
• Overdose: acute intoxication with temporary suppression of the hypothalamic-pituitary-adrenal system. Symptomatic therapy is indicated for treatment. In case of chronic intoxication, treatment is carried out in a hospital setting.

Release form: powder for inhalation use in 60 doses per package, metered-dose aerosol for inhalation use in 60 and 120 doses in bottles, suspension for inhalation in 2 ml nebulas.

It is prohibited to use any essential oils for inhalations; it is better to use them for steam inhalations. Herbal decoctions and infusions are prohibited, since they contain heterogeneous particles that can cause allergic and other side effects. Infusions and decoctions are best used for rinsing.

Pulmicort for hoarseness in children

Pulmicort is a synthetic glucocorticosteroid for inhalation use. The drug is used in the treatment of bronchial asthma and affects all links of the pathological process. The active components of the drug affect glucocorticosteroid receptors, regulating the synthesis of various substances. The genes that code for the synthesis of anti-inflammatory substances and suppress the activity of pro-inflammatory factors are targeted.

Pulmicort is similar in its mechanism of action to glucocorticoid receptors, has low lipophilicity, which allows it to easily penetrate the layer of mucous secretion in the bronchi. The active substances penetrate into tissues, but their metabolites are not detected in plasma, which indicates high selectivity of the drug.

Pulmicort also has antianaphylactic properties and reduces bronchial obstruction in early and late allergic reactions.

• Indications for use: chronic obstructive pulmonary disease, bronchial asthma (prevention of exacerbations).
• Method of administration: if the drug is used through a nebulizer, the daily dose should not exceed 1000 mcg. The drug is taken once, taking the entire dose at once. If necessary, the dosage can be divided into several doses. The initial dose for children from 6 months is 250-500 mcg per day, the maintenance dose is 250-2000 mcg per day.
• Side effects: irritation of the mucous membranes of the respiratory tract, candidal lesions of the oropharynx, cough and dry mouth. Increased excitability and nervousness, depression, clouding of consciousness. Signs of systemic action of glucocorticosteroids, hypofunction of the adrenal cortex, allergic reactions.
• Contraindications: hypersensitivity to the components of the drug, patients under 6 months of age. It is prescribed with caution in case of pulmonary tuberculosis (active, inactive form), liver cirrhosis, viral, bacterial or fungal diseases of the respiratory system.
• Overdose: Acute overdose does not cause clinical symptoms. Chronic overdose is manifested by hypercorticism reactions, suppression of adrenal function, weight gain, muscle weakness, arterial hypertension and other symptoms. Treatment is carried out by gradually reducing the dosage.

Release form: suspension for inhalation through a nebulizer, 2 ml, 20 pcs. per package. Powder for inhalation in a metered-dose inhaler for 100/200 doses.

Berodual for hoarseness in children

A drug with a pronounced bronchodilator effect. The expansion of the bronchial lumen is due to the active components of Berodual - ipratropium bromide and fenoterol. The drug is effective in complex bronchodilator therapy for various diseases with increased bronchial muscle tone.

• Indications for use: respiratory failure in obstructive bronchitis, emphysematous bronchitis, bronchopulmonary diseases with bronchospasms. Prescribed for acute attacks of bronchial asthma and for preparing the respiratory tract for aerosol administration of drugs.
• Method of application: for children over 3 years old and adults, 1-2 doses of aerosol are prescribed 2-3 times a day. If there is a risk of respiratory failure, then 2 doses of aerosol are used and after 5 minutes, 2 more doses. The inhalation solution is used 2-8 drops 3-6 times a day. The duration of therapy is determined by the attending physician.
• Side effects: visual impairment, tremors of the extremities, dry mouth, increased intraocular pressure, increased irregular heartbeats.
• Contraindications: patients under 3 years of age, first trimester of pregnancy. Not used simultaneously with non-cardioselective beta-blockers and xanthine derivatives.

Release form: metered-dose aerosol for inhalation and solution for inhalation in 20 ml bottles.

Erespal for hoarseness in children

A medicinal product with anti-inflammatory properties. Inhibits exudation and prevents bronchoconstriction. The anti-inflammatory activity of the active substance fenspiride is due to inhibition of arachidonic acid metabolism. The antibronchoconstrictor effect is due to inhibition of arachidonic acid. The drug Erespal blocks α-adrenoreceptors, since their stimulation causes an increase in the production of bronchial secretions

• Indications for use: bronchial asthma, chronic bronchitis with bronchial obstruction. Rhinitis, otitis, sinusitis, nasopharyngitis and other diseases of the ENT organs. The drug is prescribed to reduce respiratory syndromes in acute respiratory diseases, whooping cough, measles. It is also prescribed for rhinitis of allergic origin.
• Directions for use: Children under 14 years of age are prescribed only syrup, which is taken before meals. The dosage depends on the age and body weight of the baby. For children under 1 year and weighing up to 10 kg - 1-2 teaspoons of syrup 2 times a day. For children over 1 year or weighing more than 10 kg - 1-2 tablespoons 2 times a day.
• Side effects: pain in the epigastric region, nausea, vomiting, various allergic reactions, increased drowsiness, tachycardia. To alleviate the painful condition, a reduction in the dosage of the drug is indicated.
• Contraindications: individual intolerance to the components of the drug, pregnancy and lactation.
• Overdose: nausea, vomiting, increased drowsiness, tachycardia, agitation. There is no antidote, so gastric lavage and further symptomatic therapy are indicated for treatment.

Release form: tablets 80 mg fenspiride hydrochloride, 30 pieces per package; syrup 150 ml, 200 mg/100 ml per bottle per package.