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The drug Eufillin has a bronchodilating, tocolytic, antispasmodic, and diuretic effect. This is why it is popular among patients.
Eufillin according to the instructions is produced in tablets of 150 mg, in ampoules in the form of 2.4% and 24% solution.
Euphyllin belongs to the group of xanthines. It contains the main active ingredient - theophylline. The drug has a dilating effect on the bronchi, relaxing their smooth muscles and eliminating spasms. In addition, it improves the functioning of epithelial cilia respiratory tract, improves contractions of the diaphragmatic, intercostal and other respiratory muscles. Eufillin stimulates the respiratory center in the medulla oblongata, improves pulmonary ventilation, oxygen saturation of the blood and reduces the carbon dioxide content in it, that is, normalizes respiratory function.
The mechanism of action of Eufillin is the inhibition of the phosphodiesterase enzyme, due to which cAMP accumulates in the tissues, the flow of calcium ions into the cells, which are responsible for muscle contraction, is reduced, and this relaxes the bronchial muscles.
According to the instructions, aminophylline stimulates cardiac activity, increasing the frequency and force of myocardial contraction. It can reduce tone blood vessels, mainly skin, kidneys and brain. By having a relaxing effect on the venous walls in the pulmonary circulation, the drug reduces pressure in it.
The use of Eufillin improves blood supply to the kidneys, thereby increasing the formation and excretion of urine.
The drug slows down platelet aggregation and makes red blood cells more resistant to damage, that is, it improves the rheological properties of blood.
Eufillin is known to have a tocolytic effect on the uterus; it also increases acidity gastric juice.
The product is well absorbed from digestive tract, its bioavailability reaches 100%. At simultaneous administration With food, absorption slows down somewhat. He penetrates breast milk and through the placenta. Euphyllin metabolism occurs in the liver, and it is excreted from the body in the urine.
The drug is used to relieve seizures bronchial asthma, for heart failure, angina pectoris, pulmonary edema and other conditions associated with congestion. According to reviews, Eufillin effectively reduces blood pressure during hypertensive crises. It is used in complex therapy stroke and other ischemic conditions of the brain, in the treatment of neonatal apnea.
According to reviews, Eufillin is capable of causing such unwanted effects such as insomnia, dizziness, agitation, headaches, tremors, increased heart rate, arrhythmias, heart pain, decreased blood pressure, abdominal pain, nausea, heartburn, vomiting, diarrhea, allergic reactions, increased sweating, decreased blood glucose, changes in urine tests.
For elderly patients, caution should be exercised when treating with the drug. According to reviews, Eufillin enhances the side effects of glucocorticoids, mineralocorticoids and adrenergic stimulants. Do not use this product simultaneously with other xanthine derivatives.
The use of Eufillin is contraindicated in case of intolerance to it, in acute period myocardial infarction, with collapse, paroxysmal tachycardia, extrasystoles, epilepsy, hyperthyroidism, peptic ulcer, disorders of the liver and kidneys, with adenoma prostate gland, diarrhea. The use of the drug is not recommended for people under 6 years of age.
In the form of a solution, the drug is administered intravenously and intramuscularly; parenteral use is justified in the treatment of emergency conditions. In this case, the dosage is calculated individually, depending on the severity of the condition and the patient’s weight.
For adults in emergency situations, the dose of Eufillin according to the instructions is selected at the rate of 6 mg/kg, it is diluted in 20 ml saline solution sodium chloride and administered intravenously slowly over at least 5 minutes.
Asthmatic status requires infusion administration of the drug in the amount of 720 - 750 mg. Parenteral administration of Eufillin is not recommended for longer than 14 days.
To alleviate the condition of chronic obstructive pulmonary diseases in the acute phase, start with a dose of 5–6 mg/kg of the drug. If necessary, it should be increased very carefully, under control of its content in the blood.
In Eufillin tablets (which brings relief), take 0.15 g 1 to 3 times a day, after meals. The course of treatment can last from several days to several months.
For apnea of newborns, when breathing stops last from 15 seconds with a simultaneous decrease in heartbeat, the initial dose this tool for newborns is 5 mg/kg/day in 2 divided doses. The drug is administered through a nasogastric tube. When the condition stabilizes, switch to a maintenance dose of 2 mg/kg/day in 2 divided doses. The duration of use can range from several weeks to several months.
Depending on the severity of the condition and indications for Eufillin in children daily dose varies from 6 to 15 mg/kg.
10 pcs in blister; There are 3 blisters in a cardboard pack.
Inside, 1 tablet 3-4 times a day.
Keep out of the reach of children.
Do not use after the expiration date stated on the package.
Eufillin
Instructions for medical use- RU No. LSR-000883/09
date last change: 24.05.2016
Solution for intravenous administration.
Aminophylline (aminophylline) (calculated on dry matter) – 24.0 mg
Excipients:
Water for injection – up to 1 ml.
Transparent, colorless or yellowish liquid.
Bronchodilator.
The drug inhibits phosphodiesterase, increases the accumulation of cyclic adenosine monophosphate in tissues, and blocks adenosine (purine) receptors; reduces the entry of Ca2+ through the channels of cell membranes, reduces contractile activity smooth muscles. Relaxes the bronchial muscles, relieves bronchospasm, increases mucociliary clearance, stimulates contraction of the diaphragm, improves the function of the respiratory and intercostal muscles, stimulates the respiratory center, increases its sensitivity to carbon dioxide and improves alveolar ventilation, which ultimately leads to a decrease in the severity and frequency of apnea episodes. By normalizing respiratory function, it helps saturate the blood with oxygen and reduce the concentration of carbon dioxide. Strengthens ventilation of the lungs in conditions of hypokalemia.
It has a stimulating effect on the activity of the heart, increases strength and heart rate, increases coronary blood flow and myocardial oxygen demand. Reduces the tone of blood vessels (mainly those of the brain, skin and kidneys). Has a peripheral venodilating effect, reduces pulmonary vascular resistance, lowers pressure in the pulmonary circulation. Increases renal blood flow, has a moderate diuretic effect. Expands extrahepatic biliary tract.
Stabilizes membranes mast cells, inhibits the release of mediators of allergic reactions.
Inhibits platelet aggregation (suppresses platelet activating factor and prostaglandin E2, increases the resistance of red blood cells to deformation (improves the rheological properties of blood), reduces thrombus formation and normalizes microcirculation.
It has a tocolytic effect, increases the acidity of gastric juice. When used in large doses has an epileptogenic effect.
Bioavailability for liquid dosage forms– 90-100%. TCmax with intravenous administration of 0.3 g – 15 min, Cmax value – 7 µg/ml. The volume of distribution is in the range of 0.3-0.7 l/kg (30-70% of “ideal” body weight), with an average of 0.45 l/kg. Communication with plasma proteins in adults – 60%, in newborns – 36%, in patients with liver cirrhosis – 36%. Penetrates into breast milk (10% of the dose taken), through the placental barrier (the concentration in the fetal blood serum is slightly higher than in the maternal serum).
Aminophylline exhibits bronchodilating properties in concentrations of 10-20 mcg/ml. Concentrations above 20 mg/ml are toxic. The stimulating effect on the respiratory center is realized at a lower content of the drug in the blood - 5-10 mcg/ml.
Metabolized at physiological values pH with the release of free theophylline, which is further metabolized in the liver with the participation of several cytochrome P450 isoenzymes. As a result, 1,3-dimethyluric acid (45-55%) is formed, which has pharmacological activity, but is 1-5 times inferior to theophylline. Caffeine is an active metabolite and is formed in small quantities, with the exception of premature newborns and children under 6 months, in whom, due to an extremely long half-life of caffeine, its significant accumulation in the body occurs (up to 30% of that for aminophylline).
In children over 3 years of age and in adults, the phenomenon of caffeine accumulation is absent.
T1/2 in newborns and children under 6 months – more than 24 hours; in children over 6 months – 3.7 hours; in adults – 8.7 hours; for “smokers” (20-40 cigarettes per day) – 4-5 hours (after quitting smoking, pharmacokinetics normalize after 3-4 months); in adults with COPD, pulmonary heart disease and pulmonary heart failure - over 24 hours. Excreted by the kidneys. In newborns, about 50% of theophylline is excreted unchanged in the urine versus 10% in adults, which is associated with insufficient activity liver enzymes.
Asthmatic status ( additional therapy), apnea of newborns, disorder cerebral circulation by ischemic type (in the composition combination therapy), left ventricular failure with bronchospasm and respiratory failure of the Cheyne-Stokes type, edematous syndrome of renal origin (as part of complex therapy).
Hypersensitivity to the drug, as well as to other xanthine derivatives: caffeine, pentoxifylline, theobromine. Expressed arterial hypotension or hypertension, paroxysmal tachycardia, extrasystole, myocardial infarction with disturbances heart rate, epilepsy, increased convulsive readiness, hypertrophic obstructive cardiomyopathy, thyrotoxicosis, pulmonary edema, severe coronary insufficiency, hepatic or renal failure, hemorrhagic stroke, retinal hemorrhages, recent history of bleeding, lactation period.
Carefully:
Pregnancy, neonatal period, elderly age(over 55 years), uncontrolled hypothyroidism (possibility of cumulation), widespread vascular atherosclerosis, sepsis, prolonged hyperthermia, prostate adenoma. The drug is not recommended for intravenous administration to children under 14 years of age (due to possible side effects).
In emergency situations, adults are administered intravenously slowly (over 4-6 minutes) 5-10 ml of the drug (0.12-0.24 g), which is pre-diluted in 10-20 ml of 0.9% sodium chloride solution.
For status asthmaticus, intravenous drip administration is indicated - 720-750 mg.
Higher doses for adults intravenously - single 0.25 g, daily 0.5 g.
Higher doses for children intravenously - single 3 mg/kg, daily - up to 3 months - 0.03-0.06 g, from 4 to 12 months - 0.06-0.9 g, from 2 to 3 years 0 .09-0.12 g from 4 to 7 years – 0.12-0.24 g, from 8 to 18 years – 0.25-0.5 g.
From the central nervous system: dizziness, headache, insomnia, agitation, anxiety, irritability, tremor.
From the heart side vascular system: palpitations, tachycardia (including in the fetus when taken by a pregnant woman in the third trimester), arrhythmias, decreased blood pressure, cardialgia, increased frequency of angina attacks.
Allergic reactions: skin rash, itchy skin, fever.
Others: chest pain, tachypnea, flushing, albuminuria, hematuria, hypoglycemia, increased diuresis, increased sweating.
Side effects decrease with decreasing dosage of the drug.
Local reactions: y density, hyperemia, pain at the injection site.
Symptoms: loss of appetite, gastralgia, diarrhea, nausea, vomiting (including blood), gastrointestinal bleeding, tachypnea, facial skin flushing, tachycardia, ventricular arrhythmias, insomnia, motor agitation, anxiety, photophobia, tremor, convulsions. In case of severe poisoning, they may develop epileptoid seizures(especially in children without any warning signs), hypoxia, metabolic acidosis, hyperglycemia, hypokalemia, decreased blood pressure, necrosis skeletal muscles, confusion, renal failure with myoglobinuria.
Treatment: drug withdrawal, forced diuresis, hemosorption, plasma sorption, hemodialysis (low effectiveness), symptomatic therapy (including metoclopramide and ondansetron - for vomiting). If convulsions occur, maintain airway patency and administer oxygen therapy. To stop a seizure - intravenous diazepam 0.1-0.3 mg/kg (but not more than 10 mg). Barbiturates should not be used. At severe nausea and vomiting - hemodialysis is recommended.
Pharmaceutically incompatible with acid solutions. Increases the likelihood of developing side effects GCS, MCS (hypernatremia), means for general anesthesia(increases the risk of ventricular arrhythmias), drugs that excite the central nervous system (increases neurotoxicity). Rifampicin, phenobarbital, phenytoin, isoniazid, carbamazepine, sulfinpyrazone, aminoglutethimide, oral estrogen-containing contraceptives and moracizine, being inducers of microsomal oxidation, increase the clearance of aminophylline, which may require an increase in its dose. When used simultaneously with macrolide antibiotics, lincomycin, allopurinol, cimetidine, isoprenaline, enoxacin, small doses of ethanol, disulfiram, fluoroquinolones, recombinant interferon alpha, methotrexate, mexiletine, propafenone, thiabendazole, ticlopidine, verapamil and with influenza vaccination, the intensity of action of aminophylline may increase, which may require a reduction in its dose. Enhances the effect of beta-adrenergic stimulants and diuretics (including by increasing glomerular filtration), reduces the effectiveness of Li+ drugs and beta-blockers.
Compatible with antispasmodics, do not use in combination with other xanthine derivatives. Prescribe with caution simultaneously with anticoagulants.
Use caution when consuming large amounts of caffeine-containing foods or drinks during treatment. Before administration, the solution must be warmed to body temperature. Elderly patients are recommended to reduce the dose of the drug due to its slow elimination from the body. Smoking patients are advised to increase the dose due to the accelerated elimination of the drug from the body.
Solution for intravenous administration 24 mg/ml.
Ampoules of 5 ml and 10 ml. 10 ampoules per cardboard pack along with instructions for use. 5 ampoules per blister pack. 1 or 2 blister packs per cardboard pack along with instructions for use. An ampoule knife or scarifier is inserted into each pack. When packaging ampoules with a break point or ring, do not insert an ampoule knife or scarifier.
In a dry place, protected from light, at a temperature not exceeding 30°C.
Keep out of the reach of children.
3 years. Do not use after the expiration date stated on the packaging.
Dispensed by prescription.
R N002436/01 dated 2008-07-17
Eufillin - instructions for medical use - RU No. LP-003432 dated 2016-02-02
Eufillin - instructions for medical use - RU No. LSR-004120/09 dated 2013-08-15
Eufillin - instructions for medical use - RU No. LSR-005887/08 dated 2008-07-23
Eufillin - instructions for medical use - RU No. LS-000590 dated 2017-11-10
Eufillin - instructions for medical use - RU No. LSR-003895/07 dated 2007-11-19
Eufillin - instructions for medical use - RU No. LSR-002209/07 dated 2007-08-15
Eufillin - instructions for medical use - RU No. LS-000371 dated 2011-10-13
Eufillin - instructions for medical use - RU No. LS-001569 dated 2011-03-18
Eufillin - instructions for medical use - RU No. LS-002028 dated 2011-10-14
Eufillin - instructions for medical use - RU No. LS-000371 dated 2005-06-10
Eufillin - instructions for medical use - RU No. LSR-000883/09 dated 2016-05-24
Eufillin - instructions for medical use - RU No. LS-001731 dated 2017-11-29
Category ICD-10 | Synonyms of diseases according to ICD-10 |
---|---|
G46 Vascular brain syndromes for cerebrovascular diseases | Postapoplectic state |
Chronic cerebrovascular insufficiency | |
G93.6 Cerebral edema | Intraoperative cerebral edema |
Brain swelling | |
Brain swelling due to poisoning | |
Cerebral edema associated with radiation therapy | |
Brain swelling associated with head trauma | |
Post-traumatic cerebral edema | |
Post-traumatic cerebral edema | |
I27 Other forms of pulmonary heart failure | Secondary pulmonary hypertension |
Hypertension of the pulmonary circulation | |
Pulmonary hypertension | |
Pulmonary heart failure | |
Pulmonary heart | |
Cardiopulmonary failure | |
Chronic pulmonary heart failure | |
Chronic cor pulmonale | |
Eisenmenger syndrome | |
I50.1 Left ventricular failure | Asthma cardiac |
Asymptomatic left ventricular dysfunction | |
Asymptomatic left ventricular heart failure | |
Left ventricular diastolic dysfunction | |
Left ventricular dysfunction | |
Changes in the left ventricle during myocardial infarction | |
Changes in the lungs with left ventricular failure | |
Left ventricular heart failure | |
Left ventricular dysfunction | |
Left ventricular failure | |
Acute left ventricular failure | |
Acute cardiac left ventricular failure | |
Precordial pathological pulsation | |
Cardiac asthma | |
Left ventricular heart failure | |
J42 Chronical bronchitis unspecified | Allergic bronchitis |
Asthmoid bronchitis | |
Allergic bronchitis | |
Asthmatic bronchitis | |
Chronic bronchitis | |
Inflammatory disease of the respiratory tract | |
Bronchial disease | |
Qatar smoker | |
Cough when inflammatory diseases lungs and bronchi | |
Exacerbation of chronic bronchitis | |
Recurrent bronchitis | |
Chronic bronchitis | |
Chronical bronchitis | |
Chronic bronchitis of smokers | |
Chronic spastic bronchitis | |
J43 Emphysema | Interstitial emphysema |
Obstructive pulmonary emphysema | |
Chronic obstructive pulmonary emphysema | |
Chronic emphysema | |
Chronic lung diseases | |
Chronic obstructive pulmonary diseases | |
Emphysema | |
J45 Asthma | Exercise asthma |
Asthmatic conditions | |
Bronchial asthma | |
Bronchial lung asthma currents | |
Bronchial asthma with difficulty in sputum discharge | |
Severe bronchial asthma | |
Bronchial asthma of physical exertion | |
Hypersecretory asthma | |
Hormone-dependent form of bronchial asthma | |
Cough with bronchial asthma | |
Relief of asthma attacks in bronchial asthma | |
Non-allergic bronchial asthma | |
Nocturnal asthma | |
Nocturnal asthma attacks | |
Exacerbation of bronchial asthma | |
Attack of bronchial asthma | |
Endogenous forms of asthma | |
J98.8.0* Bronchospasm | Bronchospasm in bronchial asthma |
Bronchospasm when exposed to an allergen | |
Bronchospastic reactions | |
Bronchospastic conditions | |
Bronchospastic syndrome | |
Diseases accompanied by bronchospastic syndrome | |
Reversible bronchospasm | |
Spasmodic cough | |
N28.9 Disease of the kidney and ureter, unspecified | Autoimmune kidney damage |
Kidney diseases | |
Megaloureter | |
Impaired renal blood flow | |
Ureteral dysfunction | |
Renal dysfunction | |
Renal dysfunction | |
Nondiabetic nephropathy | |
Insufficiency of renal excretory function | |
Nephrogenic osteopathy | |
Nephropathic syndrome | |
Minimal change nephropathy | |
Maintaining kidney function | |
Chronic kidney disease | |
R60 Edema, not elsewhere classified | Painful swelling after injury or surgery |
Painful swelling after surgery | |
Dropsy | |
Dystrophic nutritional edema | |
Lymphostasis and swelling after breast cancer therapy | |
Swelling due to sprains and bruises | |
Edema due to the constitution | |
Edema of renal origin | |
Peripheral edema | |
Edema-ascitic syndrome in liver cirrhosis | |
Edema syndrome | |
Edema syndrome intoxication | |
Edema syndrome due to secondary hyperaldosteronism | |
Edema syndrome of hepatic origin | |
Edema syndrome in heart diseases | |
Edema syndrome in congestive heart failure | |
Edema syndrome in heart failure | |
Edema syndrome in heart failure or cirrhosis of the liver | |
Pastosity | |
Peripheral congestive edema | |
Peripheral edema | |
Hepatic edema syndrome | |
Premenstrual edema | |
Cardiac edema syndrome | |
Iatrogenic edema |
Bronchopulmonary diseases are among the most common not only among the adult population of the planet, but also among children of almost any age. Treatment of respiratory diseases has already formed into an entire branch of medicine. One of the favorite drugs that has an invariable effect is “Euphyllin” (euphyllini). It has pronounced activity, helps fight pulmonary insufficiency, relieves cough. "Eufillin" is prescribed to children, observing some important precautions and restrictions.
The use of Eufillin has become widespread due to its pharmacokinetic properties. The active ingredient taken as a basis is theophylline. Internationally pharmaceutical market known as aminophylline. It has a pronounced bronchodilator effect. What does it mean?
The main effect of the drug is that, through complex chemical interactions, the drug reduces the motor and contractile activity of smooth muscles.
Of course, this applies not only to bronchi of different diameters, but also to blood vessels, the liver, the uterus, and the stomach. At the same time, aminophylline increases the amount of blood that passes through the kidneys, which contributes to an increase in diuresis.
The effect on the respiratory tract consists of the following steps:
A decrease in smooth muscle tone occurs due to a decrease in the supply of calcium ions through cell membranes due to blocking purine receptors. Relaxation of the bronchi is necessary for the free passage of mucus and improved respiratory activity.
The diaphragm begins to actively move, which is an auxiliary mechanism for ventilation of the respiratory system. At the same time, the contractile activity of the intercostal muscles increases. They contribute to the full opening of air flow paths.
Due to activation muscle fibers the corresponding center in the brain is indirectly stimulated - the respiratory rate increases.
"Eufillin" is as relevant for children as for adult patients, but its use is significantly limited due to some characteristics of childhood.
The use of the drug is not limited only to the treatment of diseases of the bronchi and lungs. "Eufillin" and its analogues are used in complex treatment due to the following properties:
It can be prescribed as a component of therapy for edema syndrome of renal origin.
A large number of medicines on the pharmaceutical market allows the patient and the doctor to choose exactly the drug that will provide the maximum, necessary action. At the same time, it will be available for purchase at a price, and it can be easily purchased in a specific locality. Many companies produce synthesized analogues of the original "Eufillin", which are based on contain the same active ingredients.
In the pharmacy you can find medicines with the active element “theophylline” as a base, but each has its own commercial name. For example, drugs produced in India, Slovenia, and Ukraine are widely represented: Teopek, Theotard, Theophylline, Neophylline, Unicontin. They are available in the form of tablets with different concentrations and dosages, and solutions for injection.
IN childhood There are a number of serious restrictions on the use of Eufillin precisely because of such a diverse spectrum of influence. Children under three months are not subject to therapeutic effects by this means. In the age interval between one and three years, it is preferable to use aminophylline treatment in the form of inhalations. Children under six years of age are prescribed electrophoresis with aminophylline; for older children, the drug is administered intravenously.
Any diseases respiratory system with a spastic component, cough, difficulty breathing are indications for prescribing aminophylline:
In addition to the above diagnoses, it is used as a palliative in the treatment of cerebrovascular insufficiency, diseases of cardio-vascular system, spastic conditions of smooth muscles of other internal organs.
A child under three months of age cannot be treated with Eufillin. And even at this age, the use is strictly limited, only in case of absolute ineffectiveness of other bronchodilators. If there is a threat of pulmonary edema for a child of several months, as well as bronchospasm, acute hypoxia, then the drug is prescribed. Its dose is selected very carefully, and the doctor monitors the body’s reaction and the result obtained around the clock.
Newborn babies cannot take electrophoresis, tablets are effective for obvious reasons. All medications are administered to them intravenously, through droppers. The calculation of the amount to relieve an acute condition is based on six milligrams per 1 kilogram of the baby’s body weight. After the threat of hypoxia disappears, the doctor can adjust the dose:
The frequency of injections in the first half of life is up to three times a day. Children aged six months and older, if necessary, are allowed to administer Eufillin no more than four times a day.
Young patients are very sensitive to drugs of this type. A reaction to treatment may include convulsions and respiratory arrest, so the doctor monitors the condition of such patients especially carefully.
In the second year of life children's body It’s already stronger, but you shouldn’t lose your vigilance. The method for selecting the correct, optimal dose remains in force and cannot be deviated from. It is preferable to choose the route of entry of “Eufillin” into the body by injection, drip. This allows you to protect against unwanted side effects of rapid administration.
The instructions for calculating doses take into account not only the patient’s age, but also the degree of development of the process: acute or chronic. So, for children from one to three years old, the amount of the drug per kilogram of body weight at acute illness should not exceed 5 mg and taken orally up to 4 times a day. Children with chronic forms pulmonary pathologies, it is recommended to prescribe a dose of no more than 4 mg per kilogram with the same frequency of administration. Children from three to five years old can receive the medicine in an amount of 4 to three milligrams, depending on the severity of the disease, with a frequency of administration up to four times a day.
The maximum daily amount is limited to 7 mg per kilogram of body weight for a single dose and no more than fifteen milligrams per kilogram per day. These doses can be administered through a therapeutic enema, which is less traumatic for children and adult patients and reduces the possibility of an adverse reaction.
Self-treatment of small children with Eufillin is unacceptable!
One of the valuable qualities of the drug is the ability to provide the necessary effect when different forms receipts, which makes it possible to use "Eufillin" for children, selecting the dosage and method of administration. The most convenient and effective way introductions for children over three years of age are inhalation and iontophoresis, which can be carried out even at home using an Elfor electrophoresis and galvanization apparatus.
The inhalation effect of inhaling “Eufillin” in a vapor state occurs quickly. The medicine acts directly in the target organ, which increases the effectiveness of treatment. Modern inhalers allow you to carry out procedures as compactly as possible, with the necessary frequency and efficiency.
For example, an inhalation “Nebulizer” can be portable, which makes it possible to inhale a therapeutic mixture with “Eufillin” directly in a hospital ward or at home. One of the recipes for preparing a solution with “Eufillin” for inhalation is as follows:
After inhalation medicinal mixture, the child should spend at least 30 minutes in a calm state. We remind you once again that self-prescription of Eufillin is unacceptable!
Any solutions for parenteral, rectal or inhalation administration are indicated for acute conditions, For quick relief life-threatening attack or consequences. Also, drugs in ampoules are preferable if there are violations from gastrointestinal tract, the patient is in unclear consciousness, inadequate. Another indication for use injection forms serves the elderly, children's age.
Conscious age of seven years and older allows taking tablet forms. Instructions for the use of tablets for children have been developed for aminophylline. Here, too, the doctor adheres to a strict prescribing regimen, which contains the following instructions:
The tablets should be taken with plenty of liquid, preferably plain water, to prevent kidney complications.
There are recommendations to put it on the back small child a compress containing a solution of Eufillin, dimexide, and no-shpa to relieve a strained cough. There is no reliable information about its effectiveness, but you can get an allergic reaction. It is best to consult a doctor to avoid undesirable consequences such treatment.
There is a list absolute contraindications to prescribe treatment with Eufillin not only for children, but also for adults:
The following pathologies are relative limitations:
In addition to restrictions on use and contraindications, there is a list of possible side effects:
Children are susceptible to adverse reactions from the nervous system. They may be agitated, have trouble sleeping, be capricious, and react to the drug with seizures.
Antimicrobial agents potentiate the effect of Eufillin; this must be taken into account when calculating the dose. Antidiarrheal drugs reduce the absorption of the drug and its effectiveness.
Steroid drugs greatly increase the possibility of adverse reactions with simultaneous use of a bronchodilator. That is why only a doctor decides the issue of treatment with Eufillin, its dose and frequency of administration, especially for children.
Symptoms of drug poisoning, convulsions, respiratory arrest, hypercapnia are emergency, which requires urgently stopping Eufillin, rinsing the stomach, and administering antidotes.
Photo of the drug
Latin name: Euphyllin
ATX code: R03DA05
Active substance: INN: Aminophylline
Manufacturer: OJSC “Borisov Plant” medical supplies”, Republic of Belarus OJSC “Biosintez”, OJSC “Pharmstandard-Leksredstva”, OJSC “Organika”, Russia LLC “Niko”, LLC “Pharmaceutical Company “Zdorovye””, PJSC “Pharmaceutical Firm “Darnitsa”, Ukraine
Description update: 09.10.17
Eufillin is a bronchodilator that also has antispasmodic and vasodilating effects. This drug stimulates the vasomotor and respiratory centers and improves blood circulation. In addition, it improves hemodynamics and has a relaxing effect on the smooth muscles of the bronchi, gastrointestinal tract and biliary tract.
Aminophylline.
Eufillin is available in tablet form. The drug is sold in blister packs (10 tablets each) or polymer jars (30 pcs.).
Eufillin is indicated for use as a means to relieve an attack of bronchial asthma, as well as for heart failure and angina pectoris. The drug is also prescribed for pulmonary edema and similar conditions associated with congestion.
Eufillin can be used to reduce blood pressure during hypertensive crises. It is also indicated as part of complex therapy for strokes and other ischemic conditions of the brain, and in the treatment of neonatal apnea.
A contraindication to the use of Eufillin is intolerance to any of its components. Also, its use is contraindicated in the acute period of a heart attack, with paroxysmal tachycardia, collapse, epilepsy, extrasystole, peptic ulcer, hyperthyroidism, prostate adenoma, diarrhea. This medicine should not be used by those who have been diagnosed with liver or kidney problems. The use of the medicine in tablet form is contraindicated in children under 6 years of age.
Eufillin in the form of a solution is administered intramuscularly and intravenously. Parenteral use is justified in emergency situations. The dosage in such cases is calculated individually, based on the severity of the patient’s condition and his weight.
Eufillin tablets are usually taken 1-3 times a day after meals in an amount of 0.15 g. The duration of the course of treatment is selected individually and can last from several days to a couple of months.
For apnea treatment newborns, if breathing pauses last more than 15 seconds with slow heart rate, initial dose medicine will be 5 mg/kg/day in 2 divided doses. The drug is usually administered using a nasogastric tube. After stabilization of the condition, a maintenance dose of 2 mg/kg/day is prescribed in 2 divided doses. Depending on the condition of the child, his age and weight, the optimal dose of the drug may vary greatly, so only the attending physician can prescribe it.
Eufillin is well tolerated, but sometimes causes the following side effects: insomnia, dizziness, agitation, tremors, headaches, increased heart rate, arrhythmia, heart pain, abdominal pain, decreased blood pressure, nausea, heartburn, vomiting, diarrhea, increased sweating, allergic reactions, decreased blood glucose, and also changes in urine tests.
Symptoms of overdose: insomnia, loss of appetite, diarrhea, gastralgia, nausea, vomiting, gastrointestinal bleeding, tachycardia, tachypnea, photophobia, facial flushing, motor agitation, ventricular arrhythmias, anxiety, tremor, convulsions.
In severe poisoning, epileptoid seizures, hypoxia, metabolic acidosis, decreased blood pressure, hyperglycemia, skeletal muscle necrosis, hypokalemia, renal failure with myoglobinuria, and confusion may develop.
Analogs by ATC code: Aminophylline, Eufillin Avexima, Eufillin solution for injection.
Do not decide to change the drug on your own; consult your doctor.
Eufillin relaxes the smooth muscles of the bronchi and eliminates spasms, thus exerting an expanding effect on them. In addition, it improves the functioning of the cilia of the respiratory tract epithelium, improves the contraction of many muscles, including the intercostal and diaphragmatic muscles.
Eufillin is able to stimulate the respiratory center located in the medulla oblongata and improve pulmonary ventilation, helping to saturate the blood with oxygen and reduce the amount of carbon dioxide in it.
The mechanism of action of Euphyllin on the human body is the inhibition of one of the enzymes - phosphodiesterase. This helps reduce the flow of calcium ions into the cells, which are responsible for muscle contraction, and relax the bronchial muscles. Eufillin also reduces the tone of blood vessels, mainly those located in the skin, kidneys and brain. This helps to relax the venous walls in the pulmonary circulation, reducing the pressure in it.
The use of Eufillin makes it possible to improve the blood supply to the kidneys, which leads to an increase in the amount of urine and acceleration of its excretion. The drug also improves the rheological properties of blood, slowing down platelet aggregation, which makes red blood cells more resistant to damage. The use of Eufillin can lead to a tocolytic effect on the uterus, as well as increase the acidity of gastric juice.
Use caution when consuming large amounts of caffeine-containing foods or drinks during treatment.
It is necessary to refrain from driving vehicles and engaging in other potentially dangerous species activities that require increased concentration and speed of psychomotor reactions.
Eufillin is able to penetrate the placenta and into breast milk, so its use during pregnancy and lactation is limited.
The drug is contraindicated in children (up to 3 years, for prolonged oral forms - up to 12 years). Do not use rectally in children.
Particular caution must be observed when prescribing Eufillin to elderly patients, since their risk of side effects is significantly higher.
The drug is contraindicated in severe renal impairment. Prescribed with caution in case of renal failure.
The drug is contraindicated in severe liver dysfunction. Prescribed with caution in case of liver failure.
Eufillin is medicinal product, which has bronchodilator properties. Available in the form of tablets and solution for injection.
In accordance with the instructions for Eufillin, active active ingredient The drug in all forms of release is theophylline. The excipients included in the tablets are potato starch and calcium stearate. Additional components of the solution are sodium hydroxide, sodium acetate trihydrate, water for injection.
Euphyllin is a xanthine derivative. The drug inhibits phosphodiesterase, increases the accumulation of cyclic adenosine monophosphate in tissues, and inhibits adenosine receptors. When using Eufillin, the bronchial muscles relax and mucociliary clearance increases, which leads to contraction of the diaphragm and improved contraction of the intercostal and respiratory muscles. The drug activates the work respiratory center, increases its sensitivity to carbon dioxide and increases alveolar ventilation, thereby reducing the frequency and severity of apnea episodes.
Eufillin normalizes respiratory function, helps reduce carbon dioxide concentrations and saturate the blood with oxygen.
When used, Eufillin stimulates the activity of the heart, strengthens and increases the number of heart contractions, increases the myocardial oxygen demand and coronary blood flow. The medicine reduces the tone of the blood vessels of the kidneys, skin and brain. The drug has a tocolytic effect, which increases the acidity of gastric juice. In high concentrations it has an enileptogenic effect.
Theophylline, the active ingredient of Euphyllin, is well and quickly absorbed from the gastrointestinal tract. Has high bioavailability. Penetrates through the placental barrier into breast milk. Metabolized in the liver and excreted through the kidneys.
Indications for Eufillin are:
For strokes and acute attacks bronchial asthma Eufillin according to the instructions is administered slowly in a stream over 4-6 minutes at a dosage of 0.12-0.24 g (5-10 ml of 2.4% product must first be diluted in 10-20 ml of sodium chloride solution). If dizziness, palpitations or nausea develop, slow down the administration or switch to drip administration. To do this, 10-20 ml of Euphyllin are diluted in 100-150 ml of sodium chloride solution and administered 30-50 drops per minute. A single dose of medication for children over 14 years of age is 2-3 mg/kg.
The drug is administered intravenously under the control of heart rate, respiration and blood pressure.
For rectal use Eufillin in microenemas, 10-20 ml of the substance is diluted with 20-25 ml of warm water.
Maximum single dosage solution at intravenous administration for adults should not exceed 0.25 g, and the daily dose should not exceed 0.5 g. In intensive care conditions with severe cases it is possible to increase the single dose of Eufillin according to indications.
Maximum single dose drug for children rectally and intramuscularly – 7 mg/kg, intravenously – 3 mg/kg.
A single dose of Eufillin tablets for adults is 150 mg, the frequency of administration is 1-3 times a day. Children are prescribed 7-10 mg/kg per day in 4 divided doses.
The duration of treatment is from several days to several months, depending on the tolerability of the drug and the course of the disease.
Reviews of Eufillin report that the drug can cause adverse reactions from the body:
The following are not indications for Eufillin:
With caution, Eufillin, according to reviews and instructions, is prescribed to people with severe coronary insufficiency, widespread vascular atherosclerosis, frequent ventricular extrasystole, hypertrophic obstructive cardiomyopathy, renal or liver failure, increased convulsive readiness, prolonged hyperthermia, prostatic hyperplasia, gastroesophageal reflux, as well as women during pregnancy and lactation.
Reviews of Eufillin note that in case of an overdose of the drug, generalized convulsions, photophobia, insomnia, ventricular arrhythmias, tachycardia, facial hyperemia, tachypnea, nausea, vomiting, diarrhea, and anorexia are observed. During development listed symptoms it is necessary to discontinue the drug and actively stimulate its elimination from the body.
By therapeutic properties And active substance analogues of Eufillin are Aminocardol, Diafillin, Novofillin, Sintofillin, etc.
Eufillin is not combined with acid solutions, glucose, indirect coagulants, calcium chloride, dibazole and alkaloid salts.
The drug is compatible with antispasmodics. It potentiates the effect of diuretics.
The instructions for Eufillin indicate that the tablets and solution should be stored in a dark, dry, cool place out of reach of children.
Dispensed from pharmacies with a doctor's prescription.
The shelf life of Eufillin is 36 months.