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PULMOCLEAR Sterile Isotonic 0.9% Sodium Chloride - NaCl Inhalation Sterile Saline Solution for Airway Humification – 20 X 2.5 ml Unit Dose Vial, Pharmaceutical Grade

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PULMOCLEAR Inhalation Solution restores sufficient moisture to the mucous membranes of your respiratory passages, preventing the discomfort of them drying out. This supports the natural cleaning process of the respiratory tract, a noticeably positive contribution in cases of inflammation as well as in cases of increased exposure to dust and air pollution (e.g. caused by dust or tobacco smoke). Ans : Dizziness, drowsiness, chest tightness, cough, and epigastric tenderness, etc are common side effects. Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data. On the other hand, Pulmoclear Isotonic Saline Solution is a sterile Sodium Chloride 0.9% inhalation solution. This solution is specifically formulated for respiratory tract humidification, ensuring optimal moisture levels in the airways. It is suitable for individuals of all ages and can be used to alleviate symptoms of dryness, irritation, and discomfort caused by various respiratory conditions. The medications need to be administered orally post-meal. Do not overuse or eliminate the intake of medication immediately as it can cause several side effects and withdrawal symptoms. Consult your medical professional for the right dosage as per your age, gender and severity of the case.

The time duration for which this medicine remains effective in the body is subject to variations based on the form of medicine consumed. Ans : This medication contains salts which are suitable to store at room temperature as keeping the medication above or below can cause an inadequate effect. For nebulisation (unlicensed use, not recommended) - Use 1-5mL of 20% injection, diluted up to 5ml with normal saline, TDS. (Higher doses less tolerable). Precede with salbutamol as may cause bronchoconstriction. No conclusive proof of efficacy has yet been found. Assisted clearance of airway secretions in children and young people where this is complicated by high secretion viscosity.

Fact Box

Pulmoclear Tablet is probably safe to be used in patient with kidney disease. Available data suggests that adjustment of dose is not required. Kindly consult your doctor before taking it. Pulmoclear Hypertonic Sodium Chloride Solution is formulated in three different strengths: 3%, 6%, and 7%. This solution is specially designed to mobilize lower respiratory tract secretions, providing relief from congestion and facilitating easier breathing. By preventing the drying of bronchial mucous, it helps maintain a healthy respiratory system. Whether you’re suffering from a common cold, allergies, or chronic respiratory conditions, Pulmoclear Hypertonic Sodium Chloride Solution can be your go-to solution. The Pulmocare powder reduces the production of diet-induced carbon dioxide to improve breathing and fight breathlessness Also available at NUH for non-CF paediatric patients for short term in-patient use on consultantrecommendation only. Common side effects of the disease may include vomiting, nausea, abdominal pain, drowsiness, gastrointestinal discomfort and heartburn. Other symptoms that are rare in occurrence are shortness of breath, loss of appetite, esophageal obstruction, airway inflammation, increased white blood cell count, urticaria, rashes, itching, constipation and diarrhoea.

Ambroxol theophyllinacetate- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 09 May 2019]. Available from: Note that 750mg capsules are relatively expensive, it is more cost effective to use 2 x 375mg capsules. Introducing Pulmoclear Inhalation Solution – Saline Inhalation Solution, a reliable and effective solution for respiratory care. Pulmoclear is available in two variants, Pulmoclear Hypertonic Sodium Chloride Solution and Pulmoclear Isotonic Sodium Chloride Solution, catering to different respiratory needs.Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting. Pulmoclear Syrup may be taken with or without food. Take it regularly and at the same time each day to get the maximum benefits. Do not skip any doses and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to the doctor. You should avoid smoking and alcohol uptake while you are under treatment. As required, up to a maximum of 4 times daily. Place the contents of a ready-to-use ampoule in the electrically operated jet nebuliser or ultrasonic nebuliser according to manufacturer specifications. Patient must avoid consuming alcohol while taking Pulmoclear Tablet. It is unsafe to take both simultaneously. Kindly consult your doctor before taking it. Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised.

Both Pulmoclear Hypertonic and Pulmoclear Isotonic Inhalation Solutions are recommended to be used with a nebulizer. The nebulizer effectively converts the solution into a fine mist that can be inhaled, allowing for targeted delivery deep into the lungs. This delivery method ensures maximum efficacy and fast relief. Pulmoclear Inhation Solution available in different strengths: PULMOCLEAR Inhalation Solution is not subject to any age limit restrictions and may therefore also be administered to small children. Ans : The medicine is used for the treatment and prevention from conditions and symptoms of diseases like asthma, chronic obstructive pulmonary disease, mucus thinning, cough, bronchitis and difficulty in breathing. Sucrose, Skimmed Milk powder, Oleic Sunflower oil powder, Whole milk powder, Vegetable fat powder, Sodium Caseinate, Whey protein concentrate, FOS, Soy Protein Isolate, Maltodextrin, L-Glutamine, Minerals, L-Arginine, Strawberry flavour, Beetroot juice powder, Vitamins, Choline, N-acetylcysteine.No new patients to receive prescriptions in primary care. Patients already receiving Red Medicines in primary care should be handled on a case by case basis with the support of the Medicines Optimisation team. This medicine may make you dizzy or drowsy. You should not drive, use machinery, or do any activity that requires alertness until sure to perform such activities safely. Headache is another common side effect of this medicine. Drinking plenty of water and getting sufficient rest can reduce the side effects. If you experience any other symptoms on taking this medicine, you should let your doctor know. PULMOCLEAR Inhalation Solution is used for moistening the upper and lower respiratory passages by spraying with an electrically operated jet nebuliser or ultrasonic nebuliser; e.g. as a supplementary measure for the treatment of colds (e.g. cough or head cold), reduced humidity typical of spending long periods in air-condtioned or heated rooms. Nottingham and Nottinghamshire ICB, Greener Inhaler Alternatives Medicines Optimisation Toolkit for ADULTS NHS England: Clinical Commissioning Urgent Policy Statement ivacaftor for cystic fibrosis: “off-label” use in patients with named rarer mutations

In concentrations of 3-14%, hypertonic saline has been shown toimprove tracheobronchial clearance in patients with chronicbronchitis, CF, asthma and normal individuals.It was found that Hypertonic Saline inhaled twice per day reduced episodes of chest infection and was linked to lung function andquality of life improvement, and better attendance at school or work. Pulmoclear LS Syrup is a combination medicine used in the treatment of cough with mucus. It thins mucus in the nose, windpipe, and lungs, making it easier to cough out. It also provides relief from runny nose, sneezing, itching, and watery eyes. Ans : This medication should be consumed till complete eradication of disease, so it is advised to use till the time directed by your doctor. Acetylcysteine- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 09 May 2019]. Available from: For existing patients already receiving supplies from primary care. Repatriation of these patients is not expected.

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