The choice of the best of the two presented bronchodilator drugs is determined by several factors.
- The severity of the diagnosed disease.
- General condition and characteristics of the patient.
- Accompanying illnesses.
If asthma attacks are short-lived, and the form of the disease is mild, then Berotek is prescribed. It is more suitable for patients with prostatic hypertrophy, since Berodual is contraindicated in this case. Berotek is preferred for cystic fibrosis and glaucoma.
Berodual acts for a long time, its active components have an increased effect on problem areas. Therefore, it is prescribed for frequent and prolonged spasms in the bronchi, asthma attacks. Berodual is preferable for the elderly, as it contains a reduced dose of phenoterol, does not have a cardiotoxic effect.
Doctors choose bronchodilator drugs for the initial stages of therapy for bronchial asthma and other respiratory diseases and allergies. This is done so that subsequent treatment is more effective.
Medicines with a bronchodilator effect help improve life for people with respiratory and bronchial diseases, severe allergies. Drugs relieve spasm, stop attacks of suffocation. These include Berotek and Berodual.
The drug Berotek enters the Russian pharmaceutical market from a European manufacturer. It belongs to the group of drugs that stimulate beta-adrenergic receptors. The drug relates to emergency use. He does not cure the disease, prepares the patient’s body for the effects of the main medicine.
The composition of Berotek includes the main active substance – fenoterol hydrobromide, auxiliary components. A drug is produced in the form of a 0.1% solution of fenoterol for inhalation using a nebulizer. It is sold in 20 ml bottles, in a cardboard box, with attached instructions. When diluted to the required dose, physiological saline is used, not distilled water.
The drug is produced in the form of a metered-dose aerosol inhaler. It is a canister containing 200 doses (10 ml), 100 μg / dose of phenoterol, other auxiliary components. The inhaler is convenient when you need to quickly remove the spasm. With one click, the drug dose is delivered to the receptors, relieves choking.
Prescription medicine. Shelf life: aerosol up to 3 years, solution for inhalation up to 5 years. Inhaler price: from 410 rubles, solution for inhalation from 290 rubles.
Berodual is a combined bronchodilator used for local anticholinergic action. Berodual is included in the list of vital medicines (Vital and Essential Drugs), comes from manufacturers from Europe. The active components of the drug are: m-anticholinergic – ipratropium bromide and beta2-adrenergic agonist – phenoterol hydrobromide.
A drug is produced for the consumer in the form of a metered-dose aerosol inhaler with 200 doses (10 ml), 20 μg + 50 μg / dose of the active ingredients ipratropium bromide + phenoterol, excipients. The medicinal aerosol is under pressure in a can with a dispenser and a mouthpiece, is packed in a cardboard box, with instructions attached.
For inhalation, when using a nebulizer, the medicine is issued in the form of a solution for inhalation with a concentration of ipratropium bromide + phenoterol: 0.25 mg + 0.5 mg / ml. A 20 ml bottle is placed in a cardboard box.
Berodual is a prescription. Shelf life: aerosol – 3 years. solution for inhalation – 5 years. Aerosol price (10 ml): from 400 rubles, solution for inhalation from 280 rubles.
What is common in bronchodilators
Berotek and Berodual are bronchodilators. Both are used as necessary for bronchial asthma, diseases of the upper respiratory tract, allergies, COPD. The task of these drugs is to alleviate the condition of the patient: relieve spasm, get rid of shortness of breath, and reduce swelling.
The release forms are the same: aerosol for inhalation, solution for inhalation. An aerosol can is used as a means for emergency with the dose set at the time of release. When prescribing inhalation using a nebulizer, the doctor can increase or decrease the dose of the drug. This is determined by the condition of the patient, his age, concomitant diseases.
At a price of drugs are almost no different. Both are prescription-based.
Differences between Berotek and Berodual
Differences in the use and purpose of drugs are due to their composition. The composition of Berotek includes only 1 active substance – fenoterol. Berodual is a combined remedy consisting of two active components:
- Fenoterol in a dose reduced by half compared with the concentration of Berotek.
- Ipratropium bromide, which blocks other receptors, prolongs the beneficial local effect of the drug.
Berotek acts on the receptors faster, after 5 minutes the patient begins to feel relief, and after an hour the condition normalizes. The duration of the effect is about 4 hours. Berodual acts more slowly, relief is provided in 15 minutes. Two hours are needed to achieve the maximum effect, which lasts up to 6 hours.
Age restrictions for drugs are also different. Berotek is prescribed for children from 6 years old, and Berodual from 4 years. There are more contraindications for use in Berotek, since an increased concentration of fenoterol often leads to increased heart rate and heart rate. Therefore, serious diseases of the heart and blood vessels are in the first lines of contraindications.
Before using both drugs, the patient should be checked for individual intolerance to the components. The prohibition of the use of drugs leads to concomitant diseases: hyperthyroidism, diabetes mellitus, hypokalemia, tachyarrhythmia. During lactation, it is undesirable for a woman to use the bronchodilator drugs in question.
Pregnancy is not the reason for drug withdrawal, since there are no direct contraindications. But the threat of provoking a decrease in uterine tone associated with the presence of phenoterol in the composition of the drugs exists. Therefore, the decision on the need to use bronchodilators, especially in the first trimester, is made by the doctor.