PHARMACOTHERAPEUTIC CATEGORY Expectorants, excluding associations with antitussives.
ACTIVE PRINCIPLES Ambroxol hydrochloride.
EXCIPIENTS Monobasic sodium phosphate, dibasic sodium phosphate, water for injections.
INDICATIONS Treatment of disorders of the secretion of the respiratory system.
CONTRAINDICATIONS / SECONDARY EFFECT The drug is contraindicated in children younger than 2 years (for oral use); hypersensitivity to the active substance or to any of the excipients; severe hepatic and / or renal disorders.
DOSAGE >> Administration by inhalation. 15 mg vials: the contents of one vial are diluted with the same amount of water (2 ml) in the dispensing device. Adults: 2-3 ampoules per day. Children over 5 years: 2-3 ampoules per day. Children up to 5 years: 1-2 ampoules once a day. For maintenance therapy, to be established 8/10 days from the start of treatment, use the lowest recommended dosages.
STORAGE None.
WARNINGS In patients with peptic ulcer the drug should be administered with caution. Ampoules: in cases of bronchial asthma, resort to a spasmolytic before inhalation. There have been reports of severe skin reactions such as erythema multiforme, Stevens-Johnson syndrome (SJS) / toxic epidermal necrolysis (TEN) and acute generalized exanthematous pustulosis (AGEP) associated with drug administration. If symptoms or signs of progressive skin rash (sometimes associated with blistering or mucosal lesions) are present, treatment with the drug should be stopped immediately.
INTERACTIONS Ambroxol does not interfere with other drugs such as cardioglycosides, corticosteroids, bronchodilators, antibiotics, drugs that have frequent concomitant use in lung diseases. It is not incompatible with anticoagulants or antidiabetics.
SIDE EFFECTS At the recommended doses the drug is normally well tolerated. Rarely observed nausea, headache, gastrointestinal disturbances. Not known: bronchial obstruction. Disorders of the immune system. Rare: hypersensitivity reactions; not known: anaphylactic reactions, including anaphylactic shock, angioedema and pruritus. Skin and subcutaneous tissue disorders. Rare: rash, hives; not known: severe cutaneous adverse reactions (including erythema multiforme, Stevens-Johnson syndrome / toxic epidermal necrolysis and acute generalized exanthematous pustulosis) The reporting of suspected adverse reactions occurring after authorization of the medicinal product is important, as allows continuous monitoring of the benefit / risk ratio of the drug.
PREGNANCY AND BREASTFEEDING Studies of teratogenesis and fetal toxicity on animals have not shown any harmful effects of the drug, even at high doses. However, as with all recently created drugs, it is not advisable to use it during the first three months of pregnancy; in the further period it will be administered only in case of actual need.
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