Remebrox
Remebrox: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. Use in childhood
- 11. In case of impaired renal function
- 12. For violations of liver function
- 13. Drug interactions
- 14. Analogs
- 15. Terms and conditions of storage
- 16. Terms of dispensing from pharmacies
- 17. Reviews
- 18. Price in pharmacies
Latin name: Remebrox
ATX code: R05CB06
Active ingredient: ambroxol (Ambroxol)
Manufacturer: Group Pharmaceuticals Ltd. (Group Pharmaceuticals Ltd.) (India)
Description and photo update: 2019-05-12
Prices in pharmacies: from 235 rubles.
Buy
Remebrox is a mucolytic drug with an expectorant effect.
Release form and composition
The drug is available in the form of a syrup: pink liquid, transparent, has a sweet taste and fruity smell (100 or 200 ml in brown glass bottles, in a cardboard box 1 bottle and instructions for use of Remebrox).
5 ml of syrup contains:
- active substance: ambroxol hydrochloride - 30 mg;
- auxiliary components: propylene glycol, propyl parahydroxybenzoate, methyl parahydroxybenzoate, disodium edetate, menthol, citric acid monohydrate, crimson dye (Ponso 4R), sorbitol, blackcurrant flavor, purified water.
Pharmacological properties
Pharmacodynamics
Remebrox is a mucolytic drug with an expectorant effect. Its active ingredient, ambroxol, is an active metabolite of bromhexine and has a secretolytic, secretomotor and expectorant effect. It potentiates the activity of serous cells of the glands and bronchial mucosa. In the alveoli and bronchi, it increases the content of mucous secretions and the release of surfactant (surfactant). Promotes restoration of the disturbed ratio of serous and mucous components of sputum. As a result of the activation of hydrolyzing enzymes and an increase in the release of lysosomes from Clarke cells, the viscosity of the sputum decreases. The motor function of the cilia of the ciliated epithelium increases, the mucociliary transport of sputum increases.
After taking the syrup inside, the therapeutic effect is observed after 0.5 hours. Depending on the size of the dose taken, it can persist from 6 to 12 hours.
Pharmacokinetics
After oral administration, Ambroxol is absorbed from the gastrointestinal tract (GIT) almost completely. Bioavailability is 70-80%. The maximum concentration in blood plasma is reached after 2 hours.
Plasma protein binding - 80%.
It overcomes the blood-brain and placental barriers, penetrates into breast milk.
Ambroxol is metabolized in the liver to form dibromantranilic acid and glucuronic conjugates.
T 1/2 (half-life) is 7-12 hours. In severe chronic renal failure, T 1/2 increases, with impaired liver function - remains unchanged.
The drug is excreted mainly through the kidneys: 90% - in the form of water-soluble metabolites, 5% - in unchanged form.
Indications for use
The use of Remebrox is indicated in the treatment of the following respiratory diseases, accompanied by the production of viscous sputum:
- acute or chronic bronchitis;
- pneumonia;
- bronchial asthma with difficult sputum discharge;
- chronic obstructive pulmonary disease;
- bronchiectasis.
Contraindications
Absolute:
- fructose intolerance, sucrose or isomaltase deficiency, glucose or galactose malabsorption syndrome;
- I trimester of pregnancy;
- breast-feeding;
- age up to 6 years;
- hypersensitivity to the components of the drug.
Care should be taken to take Remebrox syrup for cough in renal and / or hepatic failure, gastric ulcer and duodenal ulcer, in the II and III trimesters of pregnancy.
Remebrox, instructions for use: method and dosage
The syrup is taken orally after a meal with plenty of liquid to enhance the mucolytic effect of the drug.
Recommended dosage:
- adults, children over 12 years old: 5 ml (1 teaspoon) 2-3 times a day;
- children aged 6 to 12 years: 2.5 ml (½ teaspoon) 3 times a day.
The duration of the course of treatment depends on the clinical indications and the course of the disease.
If it is necessary to use the drug for more than 5 days, medical supervision is required.
Side effects
- from the immune system: allergic reactions (including skin rash, urticaria, angioedema); very rarely - contact allergic dermatitis, anaphylactic shock;
- others: rarely - dryness of the mucous membrane of the mouth and respiratory tract, weakness, increased salivation, headache, rhinorrhea, exanthema, impaired urination (dysuria), constipation; with prolonged use of high doses - nausea, vomiting, gastralgia.
Overdose
Symptoms: dyspepsia, nausea, vomiting, diarrhea.
Treatment: during the first two hours after an overdose, immediate gastric lavage or provocation of artificial vomiting is indicated, in the future - the appointment of symptomatic therapy. It is advisable to use fatty foods.
special instructions
During the period of Remebrox's use, patients are not recommended to engage in breathing exercises.
Patients with diabetes mellitus should take into account that in 5 ml of syrup, the amount of sorbitol is equivalent to 0.2 XE (bread unit).
In severe cases of the disease, it is necessary to perform aspiration of liquefied sputum.
With bronchial asthma, taking syrup can intensify the cough.
Do not take the drug just before bedtime.
Application during pregnancy and lactation
The use of Remebrox is contraindicated during the first trimester of pregnancy.
In the II and III trimesters of pregnancy, the drug can be taken only as directed by a doctor in cases where the expected clinical effect for the mother outweighs the potential risk to the fetus.
If it is necessary to take ambroxol during lactation, breastfeeding for the period of treatment of the mother should be stopped.
Pediatric use
The use of Remebrox syrup for the treatment of children under the age of 6 is contraindicated.
The recommended dosage for children aged 6 to 12 years is 2.5 ml (½ teaspoon) 3 times a day, over 12 years old - 5 ml (1 teaspoon) 2-3 times a day.
With impaired renal function
Caution should be taken when taking Remebrox for cough in patients with renal impairment.
For violations of liver function
Remebrox should be used with caution in patients with hepatic impairment.
Drug interactions
- antitussives: it should be borne in mind that a decrease in cough while taking antitussive drugs contributes to the difficulty of sputum discharge. In this regard, it is not recommended to use such combinations;
- amoxicillin, erythromycin, cefuroxime, doxycycline: the concentration in the lung tissue of each of these antibiotics increases.
Analogs
Remebrox analogs are Ambroxol, Ambroxol Velpharm, Ambroxol STADA, Ambroxol-Akrikhin, Ambroxol-VERTEX, Ambroxol-Richter, Ambrobene, Ambrohexal, Ambrolor, Ambrosan, Bronchoxol, Bronhorus, Vixolava Active Ambromedox, Lazlava Forkslava and Formedtex, Lazlava dr.
Terms and conditions of storage
Keep out of the reach of children.
Store at temperatures up to 25 ° C in a place protected from moisture and light, do not freeze.
The shelf life is 3 years.
Terms of dispensing from pharmacies
Available without a prescription.
Reviews about Remebrox
There are currently no reviews of Remebrox from patients or specialists.
The price of Remebrox in pharmacies
The price of Remebrox for a package containing 1 bottle (100 ml) of syrup can range from 189 to 268 rubles.
Remebrox: prices in online pharmacies
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Drug name Price Pharmacy |
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Remebrox 30 mg / 5 ml syrup 100 ml 1 pc. 235 RUB Buy |
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Remebrox syrup 30mg / 5ml 100ml 237 r Buy |
Maria Kulkes Medical journalist About the author
Education: First Moscow State Medical University named after I. M. Sechenov, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
