Bronchial thinner: syrup, sachet, indications, risks

Bronchial thinner: syrup, sachet, indications, risks

Fluimucil, Bronchokod… In order to help evacuate secretions that clog the airways, it is possible to use bronchial thinners.

The wet cough is a productive cough that is accompanied by phlegm or phlegm, sometimes evacuated by sputum. In the majority of cases, wet cough is caused by viral or bacterial infections such as nasopharyngitis, laryngitis, bronchitis or even pneumonia. In order to help evacuate secretions that clog the airways, it is possible to use bronchial thinners. What are bronchial thinners used for? When to use them? In what forms can these drugs be found? What are their dangers? Are there natural bronchial thinners? All the answers in this article.

What is a bronchial thinner?

A bronchial thinner (mucolytic) is a medicine intended to help the evacuation of mucus through sputum during an infection such as a cold or bronchitisby thinning the secretions that clog the lungs. They reduce the viscosity of secretions and promote their elimination by coughing or the digestive tract. Indeed, a bacterial or viral infection can generate the production of mucus in the bronchi, the role of which is to protect the lungs. When bronchial secretions are present, hinder breathing and cause coughing, we speak of a wet cough or a productive cough, to be distinguished from a dry cough which is an irritating cough. Cough helps the lungs to bring up these secretions and avoid bronchial congestion. In the case of a significant production of mucus or if this mucus is too thick and has difficulty in evacuating, its elimination can be aided by a bronchial thinner.

Indications: when to use a bronchial thinner?

A bronchial thinner is indicated in adjunctive treatment of bronchial secretion disorders. It is to be used only when a wet (or productive) cough. It is not indicated in dry coughs (or irritation). A bronchial thinner is taken during the day and should not be taken after 6 p.m. because because of its mode of action, it would interfere with sleep by provoking nocturnal coughs and would be less effective in expectorating, because of the lying position.

What are the bronchial thinners in syrup?

The bronchial thinners in syrup which are marketed are:

  • Based on acetylcysteine: Fluimucil®
  • Based on carbocisteine: Broncathiol®, Bronchokod®, Carbocisteine ​​Clarix®, Humex®, Mucoplexil® and generic carbocisteine ​​specialties,
  • Based on ambroxol: Muxol®, Surbronc® and the generic specialties ambroxol
  • The Fluisedal without promethazine®.
  • To manage wet cough, there are also syrups such as Prospan® and its genericsHerbion®, Pulmofluide® or Bronwel®, which are not bronchial thinners but expectorants.

What are the bronchial thinners in sachets?

Bronchial thinners in sachets are essentially based on acetylcysteine ​​such as Fluimucil®, Exomuc®, Mucomyst® and their generics, in the form of powder or granules for oral suspension.

What are the bronchial thinners in tablets?

The bronchial thinners available in tablets are the drugs based on acetylcysteine (Mucodrill® and its generics), bromhexine (Bisolvon®) and ambroxol (Surbronc® and its generics).

Bronchial thinners are not reimbursed

What are non-prescription bronchial thinners?

Bronchial thinners do not require a medical prescription to be delivered, whatever their brand or galenic form (syrup, sachet, tablet). They are not not reimbursed.

What are the side effects of bronchial thinners?

The most common side effects with bronchial thinners are nausea, taste changes and decreased sensitivity mouth or pharynx. More rarely, vomiting, heartburn, diarrhea, and abdominal pain can be observed. allergic reactions, skin rashes, hives, dry mouth, headaches and dizziness are possible although very rare.

Bronchial thinners are not to be taken in case of dry cough.

What are the contraindications of bronchial thinners?

The only contraindication for bronchial thinners is hypersensitivity to the active substance or to an excipient of the medicinal product. Some, intended for adults, are contraindicated in infants or children. Bronchial thinners are not to be taken in case of dry cough. Their use over a prolonged period is not recommended and if bronchial secretions are still present, it is necessary to consult your doctor. Indeed, persistent bronchial secretions could favor an infection of the bronchi or lead to pulmonary complications (bronchiolitis, pneumopathy, etc.). In asthmatics or in case of chronic lung disease, medical advice is required before resorting to a bronchial thinner. They should be avoided in people unable to expectorate (i.e. to cough and spit), because of the risk of bronchial congestion. Precautions should be taken in case of ulcer of the digestive tract.

What are natural bronchial thinners?

There are various natural products that can be used in case of a wet cough. Certain food supplements intended for the management of bronchial affections or oily cough are also marketed and often combine several plants or essential oils. These natural products have particular mucolytic, expectorant and anti-infectious properties, and help clear the bronchi and airways. The plants most used in case of wet cough are the climbing ivy, marshmallow, mallow, plantain, poppy, thyme, rosemary, eucalyptus, pine or even white broth. Essential oils with mucolytic properties are eucalyptus, rosemary (with camphor, cineone and verbenone), pine, lavender leaf sage, turpentine, saro, black pepper, oregano, niaouli, red myrtle, bay leaf noble, dill and cardamom. Other essential oils with antiseptic properties can be used in addition, such as cinnamon, peppermint, ravintsara, tea tree, etc propolis and honey are also recommended in case of wet cough because they are full of benefits and help to fight against infections, in addition to acting on the respiratory tract. Finally, in the event of bronchial secretions, it is essential to stay hydrated by drinking plenty of water (for example herbal teas) and by moistening the respiratory tract with inhalations (water vapor with or without essential oils) or air humidifiers, which will help to thin the secretions in order to better be able to evacuate them.


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