Atrovent and Berodual, drug choice

When comparing two drugs, despite the same indications, there are differences. Berodual contains an additional substance – phenoterol, which makes the drug relatively stronger, respectively, its therapeutic effect is more pronounced. As for contraindications, Berodual has significantly more of them. It is forbidden to pregnant women who are in the 1st and 3rd trimesters, Atrovent is better suited at these stages. Children’s age for taking Atrovent starts from 6 years old, the comparable analogue is allowed for children up to a year. Atrovent is taken with caution in the presence of eye problems, Berodual does not affect vision.

The therapeutic effect of Berodual is noticeable from the first minutes, the effect of Atrovent begins 10-15 minutes later. Medicines differ in cost: Berodual in both forms of release is more expensive.

The respiratory system is a complex mechanism of the human body that is often exposed to infectious diseases. Pathogens are caused by pathogens such as viruses, bacteria and protozoa. Most of them linger in the mucous membrane of the upper respiratory tract and are excreted by mucus. But some microorganisms penetrate deeper, affecting the lower respiratory departments, for example, the bronchi. The sympathetic and parasympathetic departments of the autonomic system are responsible for stabilizing the tone of the bronchi. The nerve endings that receive the vagus nerve signal are excited. In such cases, Atrovent or Berodual is prescribed.

Atrovent: drug description

This is an effective drug, has a bronchodilator effect. It blocks the muscarinic receptors of the acetylcholine of the bronchial tree. The active substance is ipratropium bromide monohydrate, which helps to normalize breathing in patients with bronchial asthma. Available in the form of an aerosol and a solution for inhalation.


Indications for use:

  • Preparation for receiving aerosols.
  • COPD (chronic obstructive pulmonary disease) with or without emphysema.
  • Bronchial asthma.
  • Bronchial asthma with complications (cardiovascular department).
  • Bronchospasms accompanying infections and other diseases.
  • Bronchospasms during surgical operations.
  • Diagnosis of reversibility of bronchial obstruction.

Reception in some patients causes side effects, such as:

  1. Dry mouth.
  2. Nausea.
  3. Atrial fibrillation.
  4. Laryngospasms.
  5. Anaphylaxis.
  6. Tachycardia.
  7. Condensation of sputum.
  8. Paradoxical bronchospasm.

The medicine is contraindicated in case of increased susceptibility to the constituent substances, as well as during pregnancy (1 trimester), bronchopulmonary pathology in children under 5 years of age. Use with caution in case of lactation, cystic fibrosis, prostatic hyperplasia, angle-closure glaucoma and urinary problems.

Berodual: description of the drug

Bronchodilator drug that widens the lumen in the bronchi. This therapeutic property is explained by the action of the components included in the composition – fenoterol and ipratropium bromide. An effective remedy for relieving seizures in bronchial asthma. Available in the form of a liquid for inhalation and in the form of an aerosol.


Indications for appointment:

  • Preventive and therapeutic measures for chronic obstructive respiratory pathologies with reversible obstruction.
  • Bronchial asthma.
  • Chronic obstructive pulmonary disease.
  • Chronic obstructive bronchitis with and without a paradigm.

Contraindications for administration: tyhiarrhythmia, pregnancy (1 and 3 trimesters), hypertrophic cardiomyopathy, hypersensitivity to the components that make up, such as: fenoterol and atropine-like substances. When taking the medicine, side effects are possible.

The most dangerous of them are:

  • Dry mouth.
  • Tremor of the limbs.
  • Heart rate increase.
  • Visual impairment.
  • Dizziness and headache.
  • High blood pressure.
  • Nausea.
  • Nervousness.
  • Arrhythmia, ischemia, tachycardia.
What is common between drugs

The manufacturer is the pharmaceutical company Beringer Inelheim, which means that the quality is on the same level. Dosage forms of release for both drugs – aerosol and solution for inhalation. The therapeutic effect of the two agents is also the same: they expand the bronchi, relieve seizures, facilitate secretion, stop the spasm of the bronchi and trachea. The effect lasts from 6 to 8 hours.

The composition of these drugs includes the active substance – ipratropium bromide. Indications for use in the drugs are the same. Both medicines have contraindications and side effects.

Which drug is better, when and for whom to use

To stop the attack and treat chronic forms of obstructive pulmonary disease, both Atrovent and Berodual are suitable. In order to make a choice, you need to study the instructions of both medicines. Both the first and second have a number of contraindications and side effects. They are distinguished by a strong therapeutic effect, but at the same time they are far unsafe.


Comparing the characteristics of the two drugs, Berodual is more effective. But there are conditions when its use is contraindicated. For example, you can not use the drug during pregnancy in the 1st and 3rd trimesters. And it is also forbidden to prescribe to people suffering from heart diseases, since the drug is cardiotoxic. For the treatment of children under 6 years of age, it can be used only in the form of a solution for inhalation through a nebulizer; taking the medicine in the form of an aerosol is contraindicated. The advantage of the drug is that in the form of a solution it is approved for use from infancy.


Of the two remedies, Atrovent is safer according to contraindications and side effects. But it is inferior to the analogue in efficiency and speed of action. And also the drug is prohibited for children under 6 years old, regardless of the form of administration. Pregnant women are prescribed the drug from the 2nd trimester. Compared with the analogue described above, Atrovent does not affect the functioning of the cardiovascular system.

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