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What is Respiratory distress syndrome?

Neonatal respiratory distress syndrome (RDS) is a condition in which breathing becomes difficult and is mainly seen in pre-term babies and newborns. It is rarely seen in adults and presents as acute respiratory distress syndrome (ARDS), which occurs mainly within 24 to 48 hours of the original illness or injury.

What are its main signs and symptoms?

RDS symptoms are seen in the newborns sometimes within minutes of or several hours after birth, and may include:

  • Rapid and/or shallow breathing.
  • Shortness of breath or apnoea (brief stop in breathing).
  • Grunting sounds while breathing.
  • Unusual breathing movements.
  • Nasal flaring.
  • Decreased urine output.
  • Discolouration of the skin and mucous membranes which turn blue (cyanosis).

What are the main causes?

RDS develops in neonates with incompletely developed lungs and is mainly caused due to a deficient surfactant (a slippery substance present in mature and developed lungs), which prevents deflation of air sacs by helping lungs fill with air. Genetic defects during lung development can also lead to RDS. It is more common in preterm babies and uncommon in full-term babies. Meconium aspiration, i.e., accidental intake of baby poop while still in the womb too can lead to RDS.

How is it diagnosed and treated?

The physician carries out a complete examination and the following tests are advised further:

  • Blood tests to rule out infection.
  • Chest X-ray, to detect ground glass appearance of the lungs, which generally appears 6 to 12 hours after birth.
  • Blood gas analysis, to detect abnormal oxygen levels and acid levels in the body fluids.

Newborns suffering from this problem or at risk need critical care and should be monitored by a specialist. Babies need a calm setting along with gentle handling while keeping them at ideal body temperature. Their fluids and nutrition should be well managed and infections, if any, should be treated. The different management modalities include:

  • Providing warm, moist oxygen, to the newborns under careful supervision and continuous monitoring.
  • Administering extra or artificial surfactant, which is generally given directly through the baby's airway.
  • Use of ventilator is advised when:
    • Carbon dioxide level is high and oxygen level is low in the blood.
    • Low blood pH (acidity).
    • When there are frequent pauses in breathing. 
  • Continuous positive airway pressure (CPAP) is another mode of treatment given through ventilator or CPAP device, in which air is sent into the nose, which does not require assisted ventilation.
  1. Medicines for Respiratory Distress Syndrome

Medicines for Respiratory Distress Syndrome

Medicines listed below are available for Respiratory Distress Syndrome. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
ApnicafApnicaf Injection849.18
CafirateCafirate 20 Mg Injection346.0
CapneaCapnea 20 Mg Injection473.0
CurosurfCurosurf 120 Mg Injection9240.7
SurfactSurfact 108 Mg Injection5790.0
AchridAchrid 400 Mg/325 Mg/30 Mg Tablet8.25
Ibutran PlusIbutran Plus 400 Mg/500 Mg/25 Mg Tablet17.13
Imol PlusImol Plus Tablet11.2
IpeceeIpecee 400 Mg/500 Mg/65 Mg Tablet7.71
ActicratActicrat Tablet19.05
Allegone ColdAllegone Cold Tablet0.0
Cetriliv AcCetriliv Ac Tablet0.0
Lcz ColdLcz Cold Syrup62.7
VotcoldVotcold Tablet0.0
AkuminicAkuminic 5 Mg/2 Mg Syrup47.8
AncerAncer Tablet49.5
CoscoldCoscold Tablet65.5
Elfecol TabletElfecol Tablet46.11
Imol ColdImol Cold 325 Tablet54.5
L Dio PlusL Dio Plus Tablet27.47
NozexlNozexl Tablet54.0
NozukaNozuka Tablet37.5
Pa ColdPa Cold Tablet31.33
Respicure TabRespicure Tab Tablet40.0
Wikoryl LWikoryl L Tablet45.55
Zincold LpZincold Lp Tablet32.37
Aekil ColdAekil Cold Tablet15.37
LaryLary Tablet26.0
M Cold PlusM Cold Plus 125 Mg/12.5 Mg/1 G Syrup12.38
Toff PlusToff Plus Capsule69.95
ApihistApihist Tablet0.0
B HoldB Hold Tablet0.0
DeconginDecongin Tablet0.0
FluridFlurid Tablet0.0
RemcoldRemcold Tablet20.75
Rupar Cold TabletRupar Cold Tablet0.0
TerexTerex Tablet0.0
Alex ColdAlex Cold Tablet41.5
AlmoletAlmolet Tablet6.0
AnadeconAnadecon Tablet16.83
Anti CcAnti Cc 125 Mg/30 Mg/2 Mg Drop39.65
AzirestAzirest Tablet31.0
ColdarestColdarest Syrup26.1
Colgin PlusColgin Plus Tablet33.0
ColpepColpep Drop44.0
CozitusCozitus Tablet23.75
Cozy Plus TabletCozy Plus Tablet29.95
Cr ColdCr Cold Tablet46.71
Diominic DcaDiominic Dca Tablet26.56
FebrihistFebrihist Tablet14.15
HistarineHistarine 1 Mg/125 Mg/2.5 Mg Syrup49.95
Instaryl ColdInstaryl Cold Syrup26.92
Koltus P TabletKoltus P Tablet25.5
MaxacoldMaxacold Tablet13.32
NasorylNasoryl Tablet15.31
NesorylNesoryl Tablet17.5
NezaNeza Tablet21.1
Rinostat PlusRinostat Plus Tablet23.8
SinurhonSinurhon Tablet335.67
SnizofSnizof Tablet17.6
Wincold CzWincold Cz Tablet27.0
Xykaa PlusXykaa Plus Tablet25.0
YashcoldYashcold Tablet28.6
ZocoldZocold Suspension38.75
Correctal PlusCorrectal Plus Tablet0.0
Cz PlusCz Plus Tablet24.0
Laveta ColdLaveta Cold Tablet38.5
Dolopar PlusDolopar Plus Capsule26.66
Metacin ExsMetacin Exs Tablet17.28
Novalgin NuNovalgin Nu 50 Mg/650 Mg Tablet21.99
Pacimol ActivePacimol Active 50 Mg/650 Mg Tablet27.0
StopacheStopache Tablet11.0
ZimalginZimalgin 15 Mg/500 Mg Tablet21.9
Cafigesic TabletCafigesic Tablet14.43
Crocin Pain ReliefCrocin Pain Relief Tablet44.9
Combiflam PlusCombiflam Plus Tablet21.99
Carisoma CompoundCarisoma Compound Tablet23.45
Ctz PlusCtz Plus 10 Mg/10 Mg/20 Mg Tablet30.0
ColdarinColdarin Tablet16.25
AnacinAnacin 400 Mg/30 Mg Tablet447.32
MicropyrinMicropyrin Tablet3.13
D Cold TotalD Cold Total Tablet0.0
Lemolate (Morepen)Lemolate 325 Mg/32 Mg/10 Mg Tablet0.0
Crocin Cold &Amp; Flu MaxCrocin Cold &Amp; Flu Max Tablet45.32
Dolo ColdNew Dolo Cold Tablet29.5
Dolopar CcDolopar Cc Tablet20.17
Lemolate PlusLemolate Plus Tablet32.0
Parasuit Cnf TabletParasuit Cnf Tablet20.0
NutrolNutrol Syrup28.67
SneecureSneecure Tablet9.62
PanjonPanjon 250 Mg/250 Mg/5 Mg Tablet20.0
Quick Action (Kopran Ltd)Quick Action Tablet15.91
RhinoRhino Tablet38.65
TalicoldTalicold Tablet21.25
Sinarest LpSinarest Lp Tablet72.06
Lecet PlusLecet Plus Tablet22.5
PilcoldPilcold Tablet7.98
Sneecure ExtraSneecure Extra Tablet30.0
Skyryl PlusSkyryl Plus Tablet0.0
Maxtra ColdMaxtra Cold Tablet49.5
Nicip Cold &Amp; FluNicip Cold &Amp; Flu Tablet51.5
Nimupan Cold FluNimupan Cold Flu Tablet43.0
Sneezy Cold &Amp; FluNew Sneezy Cold &Amp; Flu Tablet21.0
VasograinVasograin Tablet72.5
Vicks ActionVicks Action Tablet28.75
Glycodin ActivGlycodin Activ Tablet70.0

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