Gerbion cough syrup with ivy: basic information about the drug

The Slovenian company KRKA produces many medicines. Their cough medicines based on natural extracts have earned the honor and respect of doctors and patients.

They are positioned by the manufacturer as safe herbal medicines for adults and children. Gerbion syrup with ivy is especially often prescribed. Products with climbing plant extract are perceived as universal (for both types of cough).

In fact, the medication has a narrower spectrum of action, which means it is used according to special rules.

Compound

Gerbion syrups are herbal medicines. The active substance is a dry extract from the leaves of common ivy. This plant is used in folk and official medicine to treat infectious and inflammatory lesions of the mucous membranes (including the bronchi and upper respiratory tract).

Ivy contains saponins - hederacoside C and alpha-hederin, as well as organic acids and bitterness, which are converted into extracts from its green parts. Herbion uses a dry alcohol-containing extract from the plant. 1 ml of product contains about 7 mg of ivy extract. This equates to 0.6 mg of saponins.

To ensure the stability of the dosage form and preserve its organoleptic and pharmacological properties, ivy syrup contains auxiliary components:

• non-crystallizing sorbitol solution;
• citric acid monohydrate;
• glycerol;
• sodium benzoate.

In order to impart a pleasant taste (reminiscent of lemon balm), an aromatic mixture of alcohol, propylene glycol, water, exotic verbena extract and oils (citronella, lemon, coriander) was introduced into Gerbion.

Release form

All products in the Gerbion line are syrups, viscous substances of yellow-brown color, slightly opalescent in the light, with a specific smell and taste. Available in 150 ml bottles made of dark brown glass to protect from sunlight. Each bottle is equipped with a screw cap, as well as a first-opening control.

1 bottle of Gerbion ivy is equipped with a 5 ml measuring spoon with marks (2.5 ml increments), as well as an insert sheet with instructions for use in Russian and the state language. The syrups are placed in a cardboard box.

pharmachologic effect

Herbion with ivy extract has combined properties. They are due to the content of saponins in the extract. These substances stimulate the activity of bronchial mucosal epithelial cells and also increase the sensitivity of receptors.

As a result, the pharmacological actions of the drug appear:

• mucolytic - the amount of bronchial mucus increases, and sputum becomes more liquid;
• expectorant - membrane receptors react to the accumulation of secretions and actively remove them through the cough reflex;
• bronchospasmolytic - spasm of smooth muscles is relieved, the lumen of sections of the bronchial tree increases, and mucus is easily removed even from its small and distant parts.

Herbion provides dilution of viscous sputum, helps eliminate it, and relieves cough due to its bronchodilator effect. The product eliminates the accumulation of mucus and reduces the risk of developing bacterial complications of the underlying disease.

Indications for use

The mixture with ivy is intended for the complex treatment of respiratory tract pathologies, which are accompanied by difficult sputum discharge and an obsessive cough. The drug is prescribed for acute and chronic lesions of the bronchi and lungs in parallel with etiotropic therapy (taking into account the reasons).

For infectious diseases, the use of antibacterial, antiviral or immunomodulatory drugs together with the syrup is required.

Ivy extract does not have antimicrobial properties and is not able to eliminate infection from the lungs.

It is not advisable to prescribe Gerbion for dry cough or in combination with antitussive drugs. This will most likely lead to the accumulation of an impressive volume of secretion in the lungs, which is fraught with complications.

Contraindications

Gerbion syrup is not recommended for children under 2 years of age. This is due to the lack of clinical trials among this population and adequate evidence of safety. Due to natural imperfections in the functioning of the respiratory system in children during the first 2 years of life, while taking the drug, the symptoms of the disease may worsen.

Herbion is contraindicated for persons with individual sensitivity to ivy and other representatives of the Araliaceae family. The product is not prescribed to persons with fructose intolerance. With caution, syrup is recommended for people with severe diseases of the gastrointestinal tract (ulcers, gastritis).

This is due to the simultaneous effect of saponins on the receptors of the lungs and stomach with a possible increase in the secretion of digestive juices.

During pregnancy and breastfeeding

Expectant and nursing mothers can take Gerbion with the addition of ivy if the drug is prescribed to them by a doctor. However, no trials have been conducted with pregnant women, and therefore there is no evidence of the safety of the drug for the fetus.

There is no precise data on the pharmacokinetic properties of the product and the ability of its ingredients to pass into breast milk. Therefore, it is undesirable to be treated with medication during lactation.

Directions for use and doses

Ivy syrup is taken in an age-specific dosage 3 times a day, regardless of meals. It is advisable to take the medicine with a sufficient amount of warm tea or water, and also drink plenty of fluids throughout the day. Compliance with the drinking regime improves the ability of ivy extract to dilute and remove phlegm, and therefore accelerates the onset of the positive effect of therapy.

The course of treatment is 7–10 days. For chronic pathologies or complications, the doctor can extend it to 3 weeks. It is advisable to continue taking Gerbion for 2-3 days after the symptoms of the disease have completely disappeared in order to consolidate the effect and reduce the risk of relapse. Dosages for children and adults are prescribed below.

Patient age (years)	Single dose (ml)
More than 10	5‒7,5
6‒10	5
2‒6	2,5

Side effect

The ivy mixture is well tolerated. Undesirable effects are possible in case of individual sensitivity. An allergy to the drug is manifested by skin rash and itching, hives, and digestive disorders. In severe cases, swelling of the mucous membranes is possible. If one or more symptoms of intolerance occur, stop taking the drug and consult a doctor.

• As a side effect, it is possible to increase intestinal motility and loosen stools, which does not require stopping the drug or taking any medications.
• In case of overdose, negative effects include dyspeptic disorders:

• feeling of heaviness in the stomach;
• nausea;
• vomit;
• diarrhea.

Any of the symptoms requires discontinuation of Gerbion and consultation with a doctor. For ivy poisoning, treatment with antidotes is not indicated. The patient will be prescribed symptomatic therapy.

If the patient does not take the medicine on time, there is no point in taking a double dosage later. You should take the medication according to the standard plan without missing a dose.

Interaction with other drugs

Herbal medicine usually works well with other types of drug treatments. Taking Gerbion does not require discontinuation of any vital medications. The syrup cannot interfere with the absorption of medications, affect the rate of development of effects or change them.

Caution should only be exercised when using drugs with antagonistic effects. Ivy should not be combined with codeine-containing medications or medications containing dextromethorphan.

These drugs suppress cough reflexes at the level of the corresponding center in the brain. With an increase in the amount of mucus produced and disturbances in its evacuation, the risk of developing pneumonia and “flooded lung syndrome” increases.

Features of application

Herbion is sold from pharmacies without a prescription. It is possible to use the drug independently in the absence of signs of complications (sharp deterioration of condition, increased body temperature, breathing problems).

In the following cases, a preliminary consultation with a doctor is required:

• a child 2–4 years old is sick;
• severe hyperthermia (38° or higher);
• purulent sputum (yellow, greenish);
• blood in the discharge (brown color, red streaks);
• labored breathing;
• dyspnea;
• pain in the lungs;
• manifestation of side effects.

You should consult a doctor if one of the listed symptoms appears while taking ivy, or the therapy does not produce an effect after 5 days of regular use of the medication.

The drug contains a small amount of ethanol (less than 100 mg per dose). It cannot affect blood alcohol levels. Gerbion does not change the speed of psychomotor reactions. It is allowed for drivers and people working with potentially dangerous mechanisms.

Storage conditions

The syrup can be stored in its original packaging for up to 2 years from the date of production at room temperature. In this case, slight clouding or sedimentation at the bottom of the bottle is allowed. This does not affect the quality of the drug or its effectiveness. It is advisable to shake the bottle of syrup before ingestion.

After the first opening, the shelf life of Gerbion is reduced to 3 months. It is better to immediately mark the date until which the product can be taken with a pen on the label. Using expired medicine will not bring the expected effect.

The optimal temperature for the medication is 18‒25 °C. There is no need to put the syrup in the refrigerator. This does not affect the shelf life, but may reduce the effectiveness of the drug. It is enough to place the bottle with the mixture in the closet - away from children and direct sunlight.

Analogs

Ivy is actively used in official medicine. Many pharmaceutical companies produce cough medicines based on it. All of them have the same indications and contraindications. The differences lie in the list of excipients and taste.

The most famous analogue syrups of Gerbion containing ivy extract:

• Gedelix. A product with a specific anise aroma, suitable for children over 2 years old (340‒410 rubles).
• Gederin. A mixture with blackcurrant flavor, also used from 2 years of age.
• Prospan syrup. The drug for cough treatment, approved from infancy, has a cherry flavor (380‒460 rubles).

As you can see, Herbion’s substitutes cannot be called more affordable (the drug itself costs 330–440 rubles).

If the patient is intolerant to ivy or related plants, you can ask the doctor to prescribe a chemical-based medicine. Combined action products include Ascoril and Bro-Zedex syrups. They contain mucolytic and bronchodilator components. The drugs can also be used for coughs with difficulty clearing sputum.

Reviews

Most patients are satisfied with herbion on ivy. By analyzing reviews, as well as subjective impressions, we can draw a conclusion about the effectiveness and pleasant taste of the product.

Among the advantages, consumers note:

• natural composition;
• rapid development of the effect;
• complete elimination of wet cough after completion of the course;
• good tolerance;
• a minimum list of restrictions on use;
• Can be used for the whole family (children and adults).

Negative impressions generated by allergies or lack of treatment results arise exceptionally.

Most patients complain about the limited shelf life after opening the package or the overly sweet taste.

Considering the natural ingredients, the minimal amount of preservatives, as well as the specific dosage form (syrup), such claims can be considered unfounded.

Source: https://prikashel.ru/preparaty/gerbion-sirop-pljushha.html

Using ivy-based Herbion syrup for coughs

There are now many drugs on the pharmacological market aimed at helping with diseases accompanied by cough. Some of them are reliable, while others cope with the disease to a lesser extent. Thus, Gerbion cough syrup with ivy is one of the effective drugs to combat an unpleasant symptom, which alleviates and completely eliminates it.

Gerbion syrup is effective for wet coughs

What is the remedy

Gerbion Ivy is a relatively new drug that complements the Herbion series of cough remedies based on plantain and primrose. Previous versions have repeatedly confirmed their effectiveness in combating the disease in adults and the younger generation. The novelty is characterized by mucolytic and bronchospasmodic effects. Products are manufactured from the following components:

• lemon oil;
• ivy concentrate;
• coriander oil;
• sorbitol and additional substances.

It is noteworthy that the product does not contain sugar. Therefore, unlike analogues and other options in the Herbion line, it can be used for coughs by people suffering from diabetes.

Ivy-based syrup can be used for acute respiratory infections, bronchitis, and even pneumonia. But, basically, it has found wide use for wet coughs in patients.

In this case, the symptom may have a different etiology.

The drug contains ivy extract

For which cough should I use Gerbion with ivy?

First, it’s worth understanding the characteristics of each type of cough. Dry is just a manifestation of the protective mechanisms of the human body. It occurs as a reaction to a pathogen, and therefore in itself is not considered a disease. The reasons for its appearance are different: from viruses and pathogens to microparticles of dust that enter the respiratory tract.

Features of dry cough

Getting rid of the symptom is quite simple, but it is worth understanding that treatment should be carried out comprehensively and be aimed at eliminating the very cause of its appearance. In another situation, you can only worsen the situation of the person suffering from the disease. So, in very advanced cases, this can lead not only to a worsening of the patient’s condition, but also to chronic diseases.

The dry type differs from the wet type in the following ways:

• abrupt, “dry” sound;
• the occurrence of shortness of breath;
• increased frequency at night;
• Patients experience difficulty breathing.

Dry cough may get worse at night

In addition to the above, this variant of symptoms is not accompanied by sputum production. Therefore, such a reaction of the body does not bring anything useful, but only exhausts the human body and may be a factor in the development of insomnia. All this only aggravates the underlying disease.

Features of wet cough and its nature

The wet type of cough is always accompanied by mucus. It may contain foreign bodies (dust particles), toxins, smoke or pathogenic bacteria. With such a symptom, mucolytic drugs should be used.

For a wet cough, thinners and soothing agents are excellent. One of these is Herbion, based on ivy. But the dry version must be treated with medications containing sage and plantain. The nature of this symptom should be determined by the nature of the mucus. It can be:

• Excessive expectoration is characteristic of bronchitis or tracheitis.
• Mucus with pus. Has a foul odor. This is observed in patients with bronchiectasis or during a lung abscess.

Gerbion can be taken for bronchiectasis

• Watery mucus. It is observed with inflammation of the respiratory tract.
• Rusty sputum. Symbolizes pneumonia in humans.
• Glassy viscous mucus when coughing indicates the presence of bronchial asthma.
• Blood in mucus. They may be a symptom of tuberculosis or heart failure.

In any case, you should not delay treatment - you should consult a doctor for advice as soon as possible.

What group of drugs does the drug in question belong to and what is it for? Gerbion positions itself as a syrup for wet coughs with ivy. This means that it effectively fights this disease, and its use in other cases is not recommended.

Remember that the doctor must prescribe the medicine, taking into account all the features and type of cough

Instructions for using Herbion with ivy

The drug should be used depending on the age group as follows:

1. For children 2-5 years old. Children should be given 2.5 ml of the product twice a day. This volume is designed for half of the dosing container that comes with the kit.
2. Children of the junior school group (from 6 to 12 years old). Full dosing spoon (5 ml) twice a day.
3. Teenagers and adults. The older generation should take 1-1.5 dosing spoons twice a day.

Note! The drug should not be used to treat children under 2 years of age.

The medication is taken regardless of the time of meal. In this case, it is advisable to adhere to the dosage schedule, without deviating from the same time of use of Herbion. The duration of the entire course does not exceed one week. Doctors recommend using the syrup for another 2-3 days after the symptom disappears. You can take the medication with warm tea or plain water.

Herbion with ivy is not suitable for children under 2 years of age

Contraindications

It also happens that a week after the start of therapy, the patient’s condition does not improve. In such cases, you need to consult your doctor as soon as possible. The doctor will tell you how to overcome the unpleasant moments that arise. This may be a chronic cough, the appearance of shortness of breath, purulent sputum and other symptoms.

Side effects may include:

• nausea, attacks of vomiting and diarrhea - high frequency (one person in 10-100 patients);
• allergies, urticaria, rosacea or slightly difficulty breathing are rare phenomena that may occur in one patient out of 1000.

If any adverse symptoms described in the package insert occur, you should immediately stop using the medicine and consult a doctor. If any adverse reactions occur that are not mentioned in the supplement to the syrup, you must inform your doctor about them.

Nausea and vomiting may occur when taking the syrup.

It is noted that side effects can occur only in isolated cases, depending on the individual characteristics of the body. There is no interaction with other drugs, but pharmacologists recommend telling your doctor what medications you have used previously or are currently part of your treatment.

There are no fatal cases of overdose, but it is advised not to exceed the dose indicated in the package insert. When using the drug in large volumes, side effects may occur that occur with high frequency - vomiting, nausea, diarrhea. Sometimes the patient becomes agitated.

Advice. You should not consume double the amount of syrup if you have missed a dose of medication.

Several rules for using syrup

When using this drug, you should take care of some important points:

1. Constant ventilation of the room in which the person suffering from cough is located will be required.
   In addition, you will need to remove all strong-smelling substances away. Don't forget to drink more, this will help ease the discharge of phlegm.
2. The room should have slightly high humidity. When the air is dry, the body is not able to produce the required amount of protective substances.
3. It is recommended to drink plenty of fluids, this will reduce the viscosity of the mucus.
4. It is necessary to regularly walk in the fresh air. You will also need to always be on the move. A lying position will not allow the drug you are taking to effectively fight phlegm. Cleaning the human respiratory tract with Herbion on ivy with active movements will be easier and faster.

You will learn how and how to treat a cough from the following video:

Source: http://bolezni.com/stati-o-simptomax/kashel/gerbion-sirop-ot-kashlja-s-pljushhom.html

Gerbion ivy syrup: composition and instructions for use for children and pregnant women, extract analogues

Cough is one of the most unpleasant symptoms that a person has to face throughout his life.

Everyone strives to get rid of it within a minimum period of time and without causing harm to the body.

Despite the existence of many medicines, only some of them have proven themselves well, for example, Herbion ivy syrup. Many patients are satisfied with its use.

Most people are of the opinion that it is quite acceptable to use the medicine on their own, without first consulting a doctor. This approach is erroneous and in order to avoid adverse consequences, it is necessary to take into account the specifics of using the syrup.

It is recommended to take the medicine for the following diseases:

• tracheitis;
• bronchitis and tracheobronchitis;
• pneumonia.

The drug is used to treat a number of chronic pathologies of the bronchi and progressive whooping cough, with an ever-increasing cough.

In all other cases, it can be prescribed as an auxiliary agent.

Contraindications

Herbion with ivy for cough is not recommended for use in the following cases:

Gerbion is contraindicated for pregnant women

1. The period of pregnancy and breastfeeding.
2. The presence of fructose intolerance in a person (this disease is hereditary, therefore, if its symptoms are observed in close relatives, one must approach the use of syrup with extreme caution).
3. Sucrase-isomaltase deficiency (the disease is also hereditary).
4. Symptom of glucose-galactose malabsorption.
5. Child's age is up to 2 years.

Mechanism of action

The syrup contains dry extract from ivy leaves. This medicinal plant is characterized by the content of natural substances that promote expectorant and spasm-relieving effects in the respiratory tract. It is recommended to use cough syrup due to the presence of a whole range of functions, the main ones of which are:

• mucolytic – reducing the viscosity and dryness of mucus with its further removal;
• bronchodilator - relaxation of the muscles of the bronchial tree occurs, followed by an increase in its pathways;
• pain reliever;
• antispasmodic - the components of the drug ensure dilation of blood vessels by reducing their tone, reducing the likelihood of asthma attacks during coughing.

As a result, syrup is actively used for dry coughs, which are caused by infections and acute inflammatory processes in the respiratory system.

Rules of application

Instructions for use of the drug contain a detailed description of dosages based on the general condition and age of the patients. Ivy syrup should only be taken orally (internally).

The cough becomes wetter, if we are not talking about an advanced disease, after 3-4 doses. To avoid overdose, it is recommended to use a special plastic measuring spoon, which comes with the product itself. The use of the medicine does not depend on food intake. It is unacceptable to take a double dose to compensate for a missed dose.

The optimal duration of use of Gerbion ivy syrup is 7 days. If the severity of symptoms has decreased, and then they have completely disappeared, you should not stop using it before the specified period.

If you observe the opposite situation, it is also necessary to consult a doctor to adjust the course of treatment.

When a patient develops sputum with purulent and bloody impurities, respiratory distress and a sharp increase in temperature, it is advisable to immediately stop taking the drug.

Some doctors prescribe this medicine to children over 2 years of age.

It is advisable to ensure constant monitoring of the child’s general condition, and if inhalations and exhalations become more frequent, breathing becomes shallow and slows down, stop using the product and immediately contact a medical facility. There is no experimentally confirmed information on interactions with other drugs and foods.

Storage conditions

Herbion ivy syrup should be stored in a cool place and protected from direct sunlight. The shelf life of the drug is two years; after the first opening, the drug can be taken for no more than 2.5 months.

Adverse reactions

Herbion ivy syrup, like some of its analogues, can cause certain side effects. The reason for their occurrence is either an overdose of the drug, or individual intolerance to the components included in its composition. The following symptoms are observed from the gastrointestinal tract:

1. Nausea and profuse vomiting (sometimes with blood).
2. Diarrhea (the patient may experience the urge more than 10 times a day).
3. Severe pain in the pancreas and stomach.
4. Heartburn (comparatively rare).

Using Herbion with ivy for coughing can provoke the onset of skin reactions:

1. Redness and itching.
2. Rapid appearance of spider veins (mainly on the legs).
3. Swelling and slight redness of the mucous membranes.
4. The occurrence of urticaria.
5. Psychomotor agitation.

In rare cases, symptoms such as disruption of the respiratory rhythm and bronchospasm are observed. Adverse reactions may occur if patients are taking narcotic cough suppressants.

Such medications provoke a shutdown of the cough reflex, which disrupts the process of removing liquid sputum from the bronchi and the development of inflammatory reactions, accompanied by a sharp increase in temperature.

Source: https://pulmohealth.com/bolezni/kashel/sredstva/gerbion-sirop-plyushha/

Herbion ivy for what cough to take

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

What kind of drug is herbion?

Composition and beneficial properties of herbion

The composition of herbion can be different, but is mainly represented by three useful plants - plantain, ivy and primrose. There is also herbion syrup based on moss and preparations based on ginseng.

Plantain is the active ingredient in the syrup, which is intended to treat dry cough. Due to its composition, this medicinal plant has a pronounced antiseptic and expectorant effect.

Thus, plantain leaves and seeds contain mucus, bitterness, various enzymes, tannins and astringents, as well as the glycoside aucubin.

Thanks to such a rich and varied composition, plantain effectively relieves inflammation, heals wounds, thins sticky mucus, and also has an expectorant and blood purifying effect.

The main medicinal properties of plantain are:

• antimicrobial;
• anti-inflammatory;
• expectorant.

There is a very wide range of indications for plantain preparations. These are, first of all, diseases of the gastrointestinal tract, such as gastritis, colitis, enteritis, dysentery and constipation. Also, herbal preparations based on plantain are prescribed for pathologies of the urogenital tract - kidney diseases, urethritis, cystitis.

And, of course, having an expectorant and thinning effect, plantain is prescribed for diseases of the respiratory system - bronchitis, whooping cough and cough of unknown origin ( origin ).

Plantain-based syrups are prescribed in the complex treatment of inflammatory diseases of the upper respiratory tract, accompanied by both dry and wet cough.

Primrose ( also known as primrose ) is also a medicinal plant that is part of herbion or other preparations. It has a unique composition and contains high concentrations of vitamin C.

Widely used in herbal medicine, folk medicine and traditional medicine.

The chemical composition is represented by saponins, flavonoids, essential oils and many other biologically active substances.

The beneficial substances that make up primrose include:

• vitamins C and A;
• carotene;
• silicic acid;
• tannins;
• glycosides;
• alcohols;
• manganese salts.

Thanks to this composition, primrose has a pronounced expectorant, tonic and anti-inflammatory effect.

That is why the main purpose of using primrose for medicinal purposes is the treatment of respiratory diseases. In addition, primrose has a diaphoretic, sedative and diuretic effect.

Basically, the underground part of the primrose ( that is, the rhizome ) is used, in which more useful substances are concentrated than in the flowers.

The beneficial substances that make up ivy include:

• gum;
• carbohydrates – galactose, fructose, glucose;
• coumarins; saponins;
• essential oils;
• carotene;
• flavonoids;
• organic acids ( malic and formic );
• iodine;
• resins;
• pectins;
• tocopherol;
• tannins.

It is thanks to this rich chemical composition that official medicine has long confirmed the medicinal properties of ivy. Today on the pharmaceutical market there is a wide range of drugs based on this plant.

As a result of the combination of all components of the plant, it relieves inflammation and heals wounds. Vitamins and tocopherol normalize metabolic processes and help improve immunity.

Infusions based on ivy are recommended for chronic bronchitis, diseases of the liver, gall bladder, gout and rheumatism.

Icelandic moss is the name of a common lichen that belongs to the Parmeliaceae family. However, this plant is not without beneficial qualities. So it has a pronounced anti-inflammatory, antiseptic and calming effect. This is explained by the very diverse chemical composition of moss.

Thus, it contains more than 70 percent mucus and organic acids, which have an antibacterial effect on the body. In addition, due to the sodium content in this plant, moss can be used as a remedy for tubercle bacilli.

Icelandic moss is used as an immunomodulator ( immune booster ) due to the presence of many enzymes, iodine and various vitamins.

Mucous substances, which are contained in large quantities in the plant, have an anti-inflammatory effect. They eliminate inflammation in the mucous membranes of the pharynx, nose and mouth, stomach and intestines.

Bitterness, which is the active substance of the plant, also improves digestion and helps increase appetite.

Herbion syrup

There are several varieties of herbion syrup. The difference between them is the main active ingredient and, as a result, the indications.

Types of herbion syrup include:

• herbion syrup based on plantain extract;
• herbion syrup based on ivy leaves;
• herbion syrup based on primrose;
• herbion syrup based on Icelandic moss.

Syrup with the active substance, which is plantain, is prescribed for dry cough, while syrup based on ivy and primrose is recommended for productive ( wet ) cough.

Herbion syrup for dry cough

So, for a dry cough, syrup based on plantain extract is prescribed. It effectively eliminates irritation and inflammation of the mucous membrane, which is observed with this type of cough, and also has an antiseptic effect.

A dry or nonproductive cough is a type of cough in which the characteristic mucus does not form in the respiratory tract. This type of cough is also called irritating cough because it often occurs due to irritation of the upper respiratory tract. The medicine that is recommended for this disease should, first of all, eliminate the irritation.

For a wet cough, the medicinal substance should dilute the mucus and promote its discharge. The mechanism of development of dry cough is associated with damage to specific cells of the mucous membrane. Normally, they produce a special tracheobronchial secretion ( mucus ), which is necessary to moisturize and protect the mucosa.

However, against the background of inflammation, additional connections are formed between the molecules of this mucus. This causes the mucus to become more viscous and difficult to remove. In other words, it is poorly separated and begins to accumulate in the respiratory tract. Due to the fact that viscous mucus accumulates in the respiratory tract and is not eliminated, irritation of the receptors embedded in the bronchial mucosa occurs.

Due to irritation of the respiratory tract receptors by thick secretions ( mucus ), a non-productive dry cough occurs.

As a rule, a dry and exhausting cough develops in the initial stages of most colds. However, as the disease progresses, it may change to wet. Often a similar situation is observed in acute bronchitis.

A dry cough is also a characteristic sign of bronchial asthma, allergic reactions, and laryngotracheitis. Tracheitis is a disease in which inflammation affects only the mucous membrane of the trachea ( the lower part of the respiratory tract ).

While with laryngitis, the inflammatory process is localized only at the level of the mucous membrane of the larynx ( upper part of the respiratory tract ).

Diseases that are accompanied by a dry cough are:

• acute bronchitis;
• laryngitis;
• tracheitis;
• laryngotracheitis;
• bronchial asthma;
• whooping cough.

A separate variant of dry cough is cough due to whooping cough ( a childhood viral disease ).

With this dangerous disease, a debilitating dry, so-called spasmodic cough develops in the form of prolonged attacks.

Spasms ( coughing attacks ) develop as a result of strong contractions of the diaphragm and the muscular walls of the bronchi. This type of cough is very difficult to confuse with another disease.

Types of dry cough

In addition, a dry cough may not be caused by a respiratory problem. Thus, a common cause of an irritating cough may be gastroesophageal reflux disease ( GERD ). Unfortunately, this cough does not respond to standard antitussive treatment. It can last for months and years, worsening with frequent infectious diseases.

Source: https://lkray-promo.ru/kashel/gerbion-plyuscha-pri-kakom-kashle-prinimat/

Instructions for use Gerbion® ivy syrup | Gerbion®

• MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
• Registration number: Trade name: Gerbion® ivy syrup International nonproprietary or generic name: ivy leaf extract Dosage form: syrup
• Composition 1 ml of syrup contains:
• Active ingredient:
• Excipients: liquid sorbitol (E420), glycerol (E422), sodium benzoate (E211), citric acid monohydrate (E330), aromatic balm**, purified water
• **Aromatic balm contains propylene glycol (E1520), ethanol (E1510), citronella oil, citral from Litsea cubeba, lemon oil, coriander oil.

Ivy leaf extract dry (5-7.5 : 1)* 7.00 mg *Ivy leaf extract dry (5-7.5 : 1) prepared from: Ivy leaf (Hedera helix L., Araliaceae family, folium ) and ethanol 30% (extractant).

Description The syrup is yellowish-brown in color with a characteristic odor. Opalescence is acceptable.

Pharmacotherapeutic group: expectorant of plant origin ATC code: R05CA

Pharmacological properties Pharmacodynamics Herbal cough medicine; has an expectorant, mucolytic and bronchospasmolytic effect. Reduces the viscosity of sputum and promotes its removal.

1. Pharmacokinetics
2. Indications for use As an expectorant in the complex treatment of acute and chronic inflammatory diseases of the respiratory tract, accompanied by a cough with difficult to separate sputum.
3. Contraindications Hypersensitivity to the components of the drug, pregnancy, breastfeeding, sucrase/isomaltase deficiency, fructose intolerance, glucose-galactose malabsorption syndrome, children under 2 years of age.
4. Use during pregnancy and breastfeeding Due to insufficient data on the safety of the use of dry ivy leaf extract in pregnant women and during breastfeeding, therefore, the drug Gerbion® ivy syrup is not recommended for use in this group of patients.
5. Directions for use and dosage : Orally, after meals.

The drug is a dry extract of ivy leaves and contains a complex of biologically active substances (triterpene saponins), and therefore pharmacokinetic studies are not possible.

Children from 2 to 5 years old	2.5 ml of syrup (½ dosing spoon) 2 times a day
Children from 6 to 12 years old	5 ml of syrup (1 dosing spoon) 2 times a day
Adults and children over 12 years old	5-7.5 ml of syrup (1-1.5 dosing spoons) 2 times a day

The drug is dosed using a plastic dosing spoon. During treatment with Gerbion® ivy syrup, it is recommended to consume a sufficient amount of warm liquid (water, tea, etc.). Duration of treatment – ​​7 days. A repeat course is possible on the recommendation of a doctor.

Side effects Allergic reactions are possible. Very rarely, a laxative effect can be observed, because the drug contains sorbitol.

• In a comparative study of the effectiveness and safety of the drug Gerbion® ivy syrup (the drug Gerbion® ivy syrup was taken by 63 patients), 1 case was recorded: skin rash, skin itching and nausea.
• Overdose When taking large doses (three times the recommended daily dose), nausea, vomiting and diarrhea may develop.
• Treatment: drug withdrawal, symptomatic therapy.

Interaction with other drugs There are no reports of drug interactions between the drug Gerbion® ivy syrup and other drugs. The drug should not be used simultaneously with antitussive drugs that reduce sputum formation, because this makes it difficult to clear liquefied sputum.

Special instructions You should not take the drug in doses exceeding those recommended in the instructions. If you have respiratory diseases accompanied by difficulty breathing, fever, prolonged cough or bloody sputum, you should immediately consult a doctor. If there is no effect during treatment with the drug and the condition worsens, you should consult a doctor.

The drug Gerbion® ivy syrup contains ethyl alcohol (0.01 mg/ml) and sorbitol (E420).

The maximum single dose (2.5 ml) for children (from 2 to 5 years old) contains 0.00025 g of absolute ethyl alcohol; the maximum single dose (5 ml) for children (from 6 to 12 years old) contains 0.0005 g of absolute ethyl alcohol; the maximum single dose (from 5 ml to 7.5 ml) for adults and children over 12 years old contains 0.0005 g - 0.00075 g of absolute ethyl alcohol.

Patients with diabetes should take into account that 5 ml of syrup contains 2.5 g of sorbitol, which corresponds to 0.21 carbohydrate (bread) units (CA). If there is no effect during treatment with the drug for 7 days or the condition worsens, you should consult a doctor.

1. Effect on the ability to drive vehicles and machinery There is no data on the effect of the drug Gerbion® ivy syrup on the ability to drive vehicles and work with technical devices that require increased concentration and speed of psychomotor reactions.
2. Release form : Syrup.

150 ml of syrup in a dark glass bottle (type III), sealed with a plastic stopper with a liquid divider and a plastic cap with first opening control. Each bottle is placed in a cardboard box along with a plastic dosing spoon and instructions for use.

Storage conditions At a temperature not exceeding 25 ºC, in the original packaging. Do not store in the refrigerator.

Keep out of the reach of children.

Shelf life: 2 years. The syrup must be used within 3 months after opening the bottle.

• Do not use the drug after the expiration date.
• Conditions of release Dispensed without a prescription.

Name of the legal entity in whose name the registration certificate was issued, address JSC "KRKA, d.d., Novo mesto", Šmarješka cesta 6, 8501 Novo mesto, Slovenia

Manufacturer JSC "KRKA, d.d., Novo mesto", Povhova street 5, 8501 Novo mesto, Slovenia

Packer (primary packaging) JSC "KRKA, d.d., Novo mesto", Povhova street 5, 8501 Novo mesto, Slovenia

Packer (secondary (consumer) packaging) JSC "KRKA, d.d., Novo mesto", Povhova street 5, 8501 Novo mesto, Slovenia

Release quality control JSC "Krka d.d., Novo mesto", Šmarješka cesta 6, 8501 Novo mesto, Slovenia

1. Name and address of the organization receiving consumer complaints LLC "KRKA-RUS", 125212, Moscow, Golovinskoe highway, building 5, building 1
2. Tel.: (495) 981-10-95, fax: (495) 981-10-91
3. Company representative

Tamkovich T.V.

Source: https://www.gerbion.com.ru/ru/lecenie-kaslia-s-gerbion/leceniie-vlaznogo-kaslia-s-gerbion/gerbion-sirop-pliusca/instrukciia/

Herbion ivy syrup

The syrup contains dry ethanol ivy leaf extract.

Additional ingredients: sorbitol , glycerin, sodium benzoate, citric acid monohydrate, flavoring, purified water.

Release form

Herbion ivy is produced in the form of syrup, packaged in 150 ml bottles, placed in a pack along with a dosing spoon.

pharmachologic effect

The syrup is characterized by mucolytic, bronchodilator and antispasmodic effects.

Pharmacodynamics and pharmacokinetics

Ivy leaf extract contains many beneficial components, which determine its effect. The most significant of them are triterpene saponins, for example, hederacoside C and alpha-hederin.

As is known, alpha-hederin inhibits the endocytosis of beta2-adrenergic receptors, which increases the activity of beta2-adrenergic cells on the mucous membranes of the bronchi, as well as the epithelial layer of the lungs.

In this case, the level of calcium ions in the cells of the bronchial mucosa decreases, promoting bronchodilation. As a result of stimulation of beta2-adrenergic receptors, there is an increase in the production of surfactant by type 2 alveolar epithelial cells.

Therefore, the viscosity of mucus decreases and its removal from the respiratory system is facilitated.

Indications for use

This syrup is prescribed for the treatment of:

• acute inflammation of the respiratory tract, accompanied by a severe cough;
• chronic forms of inflammatory diseases of the bronchi.

Contraindications for use

It is not recommended to take the drug if:

Side effects

As a rule, patients tolerate Gerbion ivy syrup quite well. However, it is possible that undesirable symptoms affecting the gastrointestinal tract may occur, for example: bowel dysfunction, nausea, vomiting . Allergic reactions may develop in the form of skin itching, rash, bronchospasm, urticaria, swelling of the mucous membranes, and so on.

The manifestation of any negative reactions requires stopping taking the syrup and consulting a doctor.

Gerbion ivy syrup, instructions for use (Method and dosage)

This syrup is taken orally, measuring the dose using a special spoon. The effect of the drug is not affected by eating, so you can take it at any time. At the same time, during the treatment period it is recommended to drink as much liquid as possible: fruit drinks, tea, decoctions, and so on.

The dosage of the drug and the scheme of its use are established by the doctor, taking into account the characteristics of the patient, his age and the complexity of the disease. For adult patients, the average daily dosage is 5-7.5 ml for 3 doses.

• For children 6-10 years old, the syrup dosage is set to 5 ml.
• Young patients 1-6 years old are prescribed no more than 2.5 ml of the drug to be taken 3 times a day.
• For children under one year of age, it is recommended to take 2.5 ml of the medicine twice a day.

The duration of treatment is 7 days. As a rule, after the disappearance of unwanted symptoms of the disease, the syrup is taken for another 2-3 days. When symptoms of the disease do not disappear during 7 days of therapy or the condition worsens further, you must consult a doctor to prescribe appropriate treatment.

Patients suffering from diabetes , during treatment with Gerbion ivy syrup, must remember that 2.5 ml of this medicine contains 0.875 g of sorbitol or 0.073 bread units, and so on.

Overdose

Taking Gerbion ivy syrup in high dosages can lead to the development of diarrhea, nausea and vomiting.

In such cases, symptomatic therapy is carried out.

Interaction

It is not recommended to take this syrup with various drugs with an antitussive effect. The fact is that such a combination can reduce the production of sputum, which makes it much more difficult to cough up.

Terms of sale

Over the counter.

Storage conditions

The syrup should be stored in a fairly dark place, out of reach of children, at temperatures up to 25 degrees.

Best before date

2 years.

Analogs

Level 4 ATX code matches:

Prospan, Pectolvan ivy, Ascoril, Pectolvan C, Licorice root and have a similar effect .

Reviews of Herbion ivy syrup

It should be noted that such drugs are in great demand among patients due to their naturalness. In general, many people prefer to be treated with herbal remedies, which, in their opinion, will not cause additional harm to the body. At the same time, reviews of Herbion ivy syrup regarding its effectiveness are very varied.

Some patients report that after taking this syrup, they noticed that the cough quickly became “softer”, sputum discharge improved, and soon all unwanted symptoms disappeared altogether. Usually in discussions, users indicate that it took them 3-4 days to fully recover.

However, there are reports in which patients say that taking this drug only made their cough worse, so they started using other medications, but there was no relief.

As a result, when visiting a doctor, they were prescribed antibiotics, inhalations with Ambrobene and a number of other procedures, which helped improve their health within a week.

As experts note, such situations usually arise when several cough medications are taken at the same time. This leads to worsening sputum discharge, and sometimes to the development of a bacterial infection.

Therefore, during treatment, it is necessary to follow the doctor’s instructions, and if undesirable symptoms develop, immediately report it, and not engage in independent selection of treatment. Only in this case can you expect a quick recovery.

Price of Herbion ivy syrup, where to buy

The price of Gerbion ivy syrup varies between 220-270 rubles.

Source: https://medside.ru/gerbion-sirop-plyushha