How to take "Erespal" - before meals or after?

In the work proposed for attention, the preparation "Erespal" will be discussed. Before meals or after taking it? What are the indications and contraindications? How to buy it at a pharmacy and what is the price? For all these questions, you can find the answer by reading this article.

To begin with, it can be noted that this drug is often used in the treatment of bronchial asthma. As you know, this disease must be treated with the help of an integrated approach, the drug "Erespal" is necessary to increase the activity of cilia of the bronchial epithelium. This drug normalizes the secretion of the bronchi.

It is not recommended to use Erespal for pregnant and lactating women. The drug can be given to children from two years old if the medicine is in the form of a syrup.

Composition of

Before answering the question about whether to take Erespal before or after meals, we will analyze the composition. This drug is available in two forms:

• tablets;
• syrup.

Their composition is slightly different. We represent each of them separately as a table. Tablets composition( left column - substance, right - quantity in milligrams):

Fenspiride hydrochloride	80
Calcium hydrogen phosphate	104,5
Hypromellose	100
Anhydrous colloidal silicon dioxide	0.5
Povidone-K30	12.8
Magnesium stearate	2,2

Here we immediately mention the shell. In tablets it consists of:

• titanium dioxide;
• macrohead 6000;
• of glycerol;
• magnesium stearate;
• hypromellose.

"Erespal" with a dry cough to children is recommended to give in the form of syrup. Its composition is given in the table below. The left column is the substance, the right column is the number in milligrams.

	fenspiride hydrochloride 200( 1 milliliter drugs have 2 milligrams substance)
Honey flavor of vanilla tincture	500
	400
Licorice root	200
Yellow dye	10
Methyl parahydroxybenzoate	90
Glycerol Sucrose	22,5
	60
Saccharin	45
Propyl	35
potassium sorbate	190
	Purified water to volumein 100 milliliters

Price and form of release

For the beginning it is important to mention that it is not recommended to take up to two years of "Erespal"( syrup for children).Instruction, price, testimonials, indications and contraindications - all this can be learned by reading the article until the end.

The syrup of this product is available in plastic containers that have a brown color. The bottle is packed in a cardboard box, where the instruction manual is additionally put. The volume can be:

• 150 milliliters;
• 250 milliliters.

The price of the syrup "Erespal" is approximately 250, 350 rubles.respectively.

The tablets of this drug are white. The form is biconvex. They are packed into fifteen blisters. Two plates are placed in a cardboard box at once. That is, after buying a drug for 300 rubles, you get just thirty tablets.

Pharmacology

The active substance of this drug is fenspiride. Due to this, the preparation "Erespal" has the following effects:

• anti-inflammatory;
• is anti-bronchoconstrictive.

The key biologically active substances play a key role in the development of the inflammatory reaction and bronchospasm. These include:

• cytokines;
• free radicals;
• metabolites of arachidonic acid.

Due to the active substance of the preparation "Erespal", the production of biologically active substances is reduced. In addition, histamine H1 receptors are blocked. This is necessary because they stimulate the chemical reaction leading to the inflammatory process.

The substance fenspiride reduces the production of other mediators of inflammation, these include:

• serotonin;
• bradykinin.

Blockade of alpha-adrenergic receptors occurs. This is necessary in connection with the fact that their activation increases the secretion of the bronchial glands.

Pharmacokinetics

Before we specify when to take the drug "Erespal", before meals or after, we suggest getting acquainted with the pharmacokinetics.

Here it should be clarified that the drug( regardless of its form) is very easily absorbed in the gastrointestinal tract. The maximum concentration of active substance in the human blood is detected six hours after taking the pill, and after two hours and thirty minutes - after taking the syrup.

The drug is withdrawn after twelve hours. Routes of excretion:

• urine - ninety percent;
• intestine - ten percent.

Indications

In this paper the preparation "Erespal" is discussed. How to take and what are the indications for its use? Now you can find the answer to these questions.

It has already been mentioned that this drug is used to treat diseases associated with the respiratory tract. But it was not said that this could include both the upper and lower divisions.

So, indications for the use of this drug are the following diseases:

• acute inflammation of the respiratory tract;
• influenza;
• measles;
• whooping cough;
• is an obstructive pulmonary disease;
• allergy;
• postoperative rehabilitation.

The last item is not a typo. This refers to surgery in the area of ​​the nose or throat. To quickly reduce the swelling, normalization of breathing after the operation, the drug "Erespal" is prescribed. Children under one year are prescribed other medicines.

Contraindications

The most commonly prescribed dosage of a drug such as Erespal is 80 milligrams. In this section you can learn about the contraindications to the drug. There are not many of them for this medicine. These include:

• allergic reaction;
• hypersensitivity to the drug or its components;
• age to the age of eighteen when taking tablets;
• age to two years when taking syrup for children.

It is also not recommended to take Erespal during pregnancy and lactation. This is due to the fact that there is very little data on research on these categories of individuals. However, if you take the drug is necessary during the bearing of the child, then the artificial termination of pregnancy is not mandatory.

Drug for Children

This section will discuss the nuances of children using Erespal. Dosage for children, restrictions and cautions - this can all be found in this section of the article.

It should be noted that children under 14 years of age are recommended to take the medicine exclusively in the form of a syrup. Up to two years the drug should not be taken in any form.

How to take Erespal before or after meals? It is drunk strictly before meals. It is worth to follow all the rules of taking the drug and dosage. Typically, the maximum daily dose is divided into three doses. The duration of the course of treatment is appointed by the attending physician.

Please note that the syrup contains a colorant. For this reason, it should be taken with caution to children suffering from intolerance to acetylsalicylic acid. Syrup "Erespal" in this case can cause a strong allergic reaction. With caution should take the drug in diabetes, as it contains sucrose.

Dosages

Now we turn to the question of dosage. How to take Erespal?

Adults and adolescents over eighteen years of age can take the drug in the form of tablets or syrup. If the syrup was at hand, the maximum daily intake is 90 milliliters, that is, six tablespoons. If you purchased Erespal tablets( 80 milligrams), then the maximum daily dose is 3 tablets. Usually take one tablet 2-3 times a day.

How do children take Erespal? Dosage for children is calculated as follows: 4 milligrams per kilogram of weight. Doctors recommend that children under 10 kilograms take no more than four teaspoons a day, and more than 10 kilograms - not more than 4 tablespoons.

Side effects of

The most commonly prescribed drug is "Erespal" with a dry cough. However, it is worth paying attention to side effects. These include:

• nausea;
• vomiting;
• diarrhea;
• tachycardia;
• drop in blood pressure;
• strong palpitation;
• drowsiness;
• dizziness;
• urticaria;
• edema;
• itching;
• increased fatigue.

If you notice any of the listed symptoms, be sure to tell your doctor. If this is possible, then you will be replaced by a drug for treatment.

Overdose and special instructions

If the amount of medication taken is more than two thousand milligrams, then it is worth to go to a medical institution. Symptoms of overdose include:

• nausea;
• vomiting;
• tachycardia.

Please note that the preparation "Erespal" is capable of causing an allergic reaction. It can appear immediately after taking or with a slight delay.

Special instructions:

• with caution to take with diabetes, adjust the diet( 1 teaspoon of the drug = 3 grams of sucrose, 1 tablespoon = 9 grams of sucrose);
• with care to take when driving a vehicle.

Analogues

The analogues of Erespal include the following medicines:

• Bronchicum;
• "Lazolvan";
• Ambrobene;
• "BronchoMax" and others.

These drugs are good and cheaper substitutes for Erespal. Before use, consult your doctor and read the instructions.