Antibiotic spray for nose and throat

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Antibiotic sprays for nose and throat

Various infectious diseases are often accompanied by a sore throat and painful sore throat. An antibiotic throat spray is one of the safest and most effective solutions to combat these unpleasant symptoms.

Table of contents:

Before starting therapy, it is necessary to find out what caused the infection, because inflammatory processes in the throat are not always treated with antibacterial drugs.

Causes of sore throat

  • Pharyngitis. Inflammation of the pharynx, usually caused by a viral infection. Patients complain of a slight increase in body temperature, pain and discomfort in the throat when swallowing. It is important to remember that antibiotics are powerless in the fight against the virus; in this case, a sore throat should be eliminated with the help of antiseptics.
  • Laryngitis. An inflammatory process in the larynx; its symptoms are similar to pharyngitis. Laryngitis occurs against the background of colds. It usually does not cause a significant deterioration in health and proceeds without complications.
  • Sore throat or tonsillitis. Inflammation of the palatine tonsils, accompanied by acute pain, a sharp deterioration of the condition and a strong increase in temperature. The disease is associated with a bacterial or fungal infection. With purulent sore throat, white spots appear on the tonsils.
  • Peritonsillar abscess. In addition to the tonsils, inflammation also spreads to the tissues adjacent to them, occurs against the background of untreated sore throat, and is characterized by a significant deterioration in well-being and high fever.

Almost all diseases of the mouth and throat require local treatment

In addition to sprays, it is quite acceptable to use tablets and lozenges for resorption, treating the pharynx with special means and rinsing with various solutions. However, sprays have a number of advantages over other medications.

  • the drug in the can is under pressure, when you press the nozzle, the active substance goes directly to the source of infection and immediately begins to work, and this is important for severe sore throat;
  • the penetration of the antibiotic into the bloodstream is minimal, due to which aerosols have much fewer contraindications and can be used to treat children;
  • in addition to eliminating the symptoms themselves, these drugs also affect the cause of their occurrence;
  • A small bottle is convenient to take with you on the road or to work.

Sprays are sometimes used as independent therapy, but in case of protracted or severe disease they are only an addition to complex treatment.

Depending on what effect the drug has on the mucous membrane and what components are included in its composition, the following types of sprays can be distinguished:

  • With an antibiotic (Bioparox, Hexoral, Stopangin). They are used for bacterial infections, as they are able to destroy microbes on the surface of the tonsils and mucous membrane of the pharynx. These remedies are recommended for sore throat and exacerbation of chronic tonsillitis. Sprays with sulfonamides (Ingalipt) are similar in action to them, but over the course of long-term use, microorganisms have managed to develop resistance to them.
  • With antiseptic. Antiseptic substances (chlorhexedine, phenol, iodine) are included in many sprays; they are effective against bacteria and viruses and are used for all kinds of infectious processes in the throat. An example of a medicine based on an antiseptic is the sprays Anti-angin, Yox, Orasept.
  • With an anesthetic component. Preparations with lidocaine and benzocaine (Strepsils Plus, Septolete Plus, Theraflu Lar) very quickly relieve painful sensations in the throat. Excellent for reducing unpleasant symptoms of sore throat.
  • With anti-inflammatory substance (Tantum Verde). They not only reduce the activity of viruses and pathogenic bacteria, but also inhibit the production of inflammatory mediators, thereby reducing swelling, redness and other signs of the inflammatory reaction.
  • Based on sea water (Aqualor, Aqua Maris). They cleanse and moisturize the mucous membrane, protecting it from dryness, and are often used for hygienic purposes in chronic diseases of the pharynx and larynx.

Review of antibiotic sprays

Bioparox

A widely known drug that contains the potent antibiotic fusafungin. It kills pathogenic bacteria and prevents their further reproduction. Bioparox has a pronounced antifungal effect, its effectiveness is observed against yeast-like fungi, streptococci and staphylococci. In addition, it eliminates swelling of the mucous membrane and stops the inflammatory process in the tissues, due to which the burning sensation in the throat stops. Plant extracts in the spray relieve the feeling of dryness and prevent the occurrence of dry cough.

The use of Bioparox is most justified at the initial stage of tonsillitis in the phase of catarrhal inflammation, as well as in the treatment of chronic tonsillitis. The package contains a special nozzle for the nose, since the product is also used to treat sinusitis and acute infections of the nasopharynx. Allowed for children from 2.5 years old. After inhalation, you should observe the child for a couple of hours to exclude the possible development of allergies.

Hexoral

The active substance is the antibiotic hexetedine. Hexoral has proven itself as an effective remedy in the fight against bacterial and fungal infections; it is used for such severe inflammatory diseases of the oral cavity and pharynx as: sore throat, pharyngitis, common and candidal stomatitis. The drug has an analgesic effect, envelops the mucous membrane and remains on it for about ten hours in a row; if used correctly, only 1-2 irrigations per day are sufficient. The spray is not dosed and will spray as long as you press the nozzle; you need to spray it for a couple of seconds. A cheaper analogue of Hexoral is Maxicold. After consultation with a pediatrician, it can be given to children from 3 years of age. For children over 6 years of age, the spray is dosed in the same way as for adults.

Stopangin

The main substance in Stopangin is also hexetidine. The presence of essential oils of anise, mint, eucalyptus and orange in the spray in combination with glycerol promotes the formation of an enveloping film on the mucous membrane, which prevents contact of microbes with the surface of the throat. The drug contains levomenthol, which has a mild analgesic effect. Stopangin is effective for any diseases of the upper respiratory tract in children and adults, with the exception of viral infections.

Polydexa

The drug is available as a phenylephrine nasal spray and ear drops. It destroys pathogenic microorganisms using two antibiotics - polymyxin and neomycin.

Isofra

A nasal spray based on the antibiotic framycetin. Polydexa and Isofra, according to the doctor’s decision, can be used in the complex treatment of ENT diseases; self-medication with these drugs is not allowed.

Only a doctor can choose the right antibiotic aerosol. Ideally, it is necessary to conduct a laboratory analysis of the smear to determine which bacteria are the culprits of the disease. Based on the results, preference is given to a drug with an antibiotic to which microorganisms have not yet developed resistance.

Antiseptic sprays

Miramistin

Thanks to its unique composition, Miramistin destroys most pathogenic microorganisms, while remaining absolutely safe for humans. It meets the highest requirements for effectiveness against viruses, fungi, bacteria and protozoa. There is no resistance to it. Miramistin is indicated for use in acute and chronic tonsillitis, pharyngitis and laryngitis. In addition, its ability to increase local immunity and accelerate tissue healing has been clinically proven. For acute pharyngitis and chronic tonsillitis, the drug can be used as the main treatment in children over the age of 3 years.

Chlorophyllipt

A spray based on eucalyptus leaf extract is one of the best in the treatment of streptococcal sore throat. Even in the absence of effect from other antibacterial drugs, Chlorophyllipt is able to cope with this infection, since not a single microorganism from the group of streptococci has managed to develop resistance to it.

Tantum Verde

The active component of Tantum Verde spray, benzydamine hydrochloride, has an anti-inflammatory and analgesic effect, thanks to which it copes with sore throats of various origins. Instantly penetrating bacterial cells, benzydamine has an antibacterial and antimicrobial effect. Adults are prescribed 4 injections 4-6 times a day; it is approved for use by three-year-old children.

Orasept

The powerful antimicrobial effect of Orasept is associated with the presence of phenol in its composition, and a slight softening and analgesic effect is achieved due to glycerin. The cherry-flavored drug is used to treat children over 2 years old; it is safe even if the child accidentally swallows it. As an antiseptic, Orasept is used for sore throat, pharyngitis and various dental diseases. Adults are prescribed 3-5 sprays every 3-4 hours.

Theraflu Lar

In ENT practice, Theraflu Lar is prescribed for infectious and inflammatory diseases of the mouth and throat. The main component of the spray, benzoxonium chloride, in addition to its antibacterial effect, also has pronounced antiviral activity, including against the influenza virus and herpes. Due to the presence of lidocaine, it relieves pain and burning in the throat when swallowing. The spray is dosed, adults are prescribed 4 sprays several times a day, children over 4 years old are prescribed 2 sprays no more than six times a day.

Ambassador

The drug is exclusively domestic production. It is made from beekeeping products that have an antimicrobial effect, relieve inflammation and heal damaged areas of the mucous membrane. It is not a drug of choice due to frequent allergic reactions and a strong burning sensation after spraying.

The action of Lugol, Yox and Iodinol sprays is based on the disinfecting and antiseptic properties of iodine. Methods of treating sore throat and other inflammatory diseases of the pharynx with iodine-containing agents are considered the oldest.

Features of application

Before spraying the aerosol, it is recommended to rinse your mouth with warm water to clear your throat of mucus and bacteria. In some sprays, before the first use, you need to press the nozzle several times so that the drug enters the spray bottle. Next, holding your breath while inhaling, insert the nebulizer as far as possible and make exactly as many presses as indicated in the instructions.

During pregnancy and lactation, it is still not advisable to use antibiotic sprays, despite their minimal entry into the general bloodstream. Penetrating through the placenta, antibacterial agents can cause fetal malformations. If treatment is necessary while breastfeeding, breastfeeding should be stopped while using the medicine and for several days after it.

Children use throat sprays with extreme caution and strictly according to the instructions. If the baby does not yet know how to control breathing, the required amount of spray is sprayed on the inside of the cheek or on the nipple.

The course of treatment with an antibiotic spray should not exceed seven days, during which time all symptoms usually disappear. If this does not happen, you need to consult a doctor as soon as possible.

Contraindications to the use of antibiotic sprays

  1. Allergic reaction to the components of the drug. The antibiotic itself is often an allergen; in addition, a reaction can occur to excipients. If you have already been allergic to any medications, you must first familiarize yourself with the composition of the drug.
  2. The presence of serious liver and kidney diseases. People with similar problems need to be careful when choosing a throat spray.
  3. Dysbacteriosis. All antibiotics destroy not only pathogens, but also beneficial microflora that contribute to normal food digestion. To prevent this side effect, capsules containing lacto and bifidobacteria (Linex, Acipol, Bifiform) are prescribed in parallel with antibiotics.
  4. The spray as a dosage form is not used to treat children under three years of age. Contact with a powerful jet of spray on the mucous membrane of the upper respiratory tract can provoke laryngospasm in a small child - a condition in which a spasmodic larynx prevents air from entering the lungs.

No matter how convenient and safe an antibiotic throat spray may seem, its use is not always justified. In addition, long-term use of such drugs without a doctor’s prescription can provoke the disease to become chronic.

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ATTENTION! All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view. Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!

Source: http://superlor.ru/medicamenty/sprei-antibiotikom-nosa-gorla

Features of an antibiotic throat spray

Antibacterial therapy for sore throat can be carried out using different drugs. Sprays are considered one of the most effective and safe forms of medicines. They differ in composition and may contain different active and auxiliary substances. To choose the most appropriate therapy, you need to find out what triggered the disorder.

Why does a sore throat appear?

  • A throat spray with an antibiotic should not only eliminate unpleasant symptoms, but also affect the cause of the disorder. There are various diseases caused by the negative impact of pathogenic microflora on the mucous membrane of the upper respiratory tract. Let's look at them in more detail.
  • Pharyngitis is an inflammation of the pharynx, which is most often caused by viral infections. It manifests itself as a slight increase in body temperature, sore throat and pain when swallowing, and symptoms such as cough and runny nose may also be observed. With this disease, it is inappropriate to take antibiotics, since they cannot have an effect on the virus. The best choice would be drugs with antiseptic and analgesic properties.
  • Laryngitis is an inflammatory process that occurs in the larynx. Most often it is a manifestation of a cold and has symptoms similar to pharyngitis. It occurs mostly without complications and does not cause significant deterioration of the condition. A spray to treat this disease should relieve pain and eliminate germs.
  • Sore throat (tonsillitis) – inflammation of the tonsils and throat. It can be caused by a bacterial or fungal infection, manifested by a severe sore throat and a significant increase in body temperature. In the purulent form, you can see a white or yellowish coating on the tonsils or “islands” of purulent masses. The spray for the treatment of this disorder is selected taking into account the specifics of pathogenic organisms that multiply on mucous membranes. The medicine must fight pathogenic microflora, disinfect, anesthetize and soften.
  • Peritonsillar abscess is a disease in which the inflammatory process occurs not only in the palatine tonsils, but also in the tissues adjacent to them. Most often it occurs against the background of improperly treated sore throat. A characteristic sign of the disorder is periodic pain, which can be described as “shooting”; it occurs mainly on one side. Body temperature also increases greatly. Combined action sprays will help alleviate the condition.

Modern sprays are multicomponent; they have a combined effect on the mucous membranes, and therefore help achieve high results from treatment.

They are used as a replacement for tablets, intravenous, intramuscular and rectal antibiotics. However, in severe cases of the disease, the aerosol is only an addition to systemic therapy.

Features of choice

Only a doctor can choose the right antibiotic spray. Since the composition of the drugs is different, the wrong choice may not only not give the desired result, but also aggravate the disease. It is possible to find out which microorganisms caused the disorder only after laboratory tests. Studying a smear helps to make the correct diagnosis and choose an antibiotic to which pathogenic microorganisms have not developed resistance (resistance).

If using the spray for a week does not produce any results, then replace the drug or completely revise the treatment regimen. It is also necessary to find out whether the patient has any concomitant diseases that may negatively affect therapy.

When choosing an aerosol, the doctor takes into account not only the type of disease and its history, but also the compatibility of all medications that the patient will take. Some drugs may reduce the effectiveness of the antibiotic or distort its action.

The benefits of aerosols

Antibiotic sprays have now begun to actively replace other means. It is the aerosol that has a targeted effect; a large number of active components penetrate into the oropharynx through the atomizer, they act specifically at the site of infection. The medicine begins to work immediately after use; it does not require time for its absorption by the body, which is especially beneficial for severe sore throats.

The spray also compares favorably with other forms of drugs in that it is a local medicine. This means that the active substances act only on the mucous membrane, their penetration into the bloodstream is minimal.

This feature allows the use of aerosols for the treatment of pregnant women and children. The drugs also have the following advantages:

  • high efficiency;
  • wide choose;
  • convenient way to use;
  • automatic dosage of the product;
  • A compact bottle that you can carry with you.

How to use

The spray is very easy to use; it only takes a few seconds to complete the treatment. Before spraying the medicine, it is recommended to gargle with warm water or medicine to clean the mucous membrane and maximize the effect of the antibiotic. Next, you need to shake the can, remove the protective cap from the sprayer, if any, and spray once into the air. This is necessary so that the drug enters the tube and you receive the required dose of the drug.

When directly treating the throat, you need to hold your breath and press the balloon as many times as written in the instructions. Try to spray the product on the left and right sides.

After using the spray, you need to treat the sprayer with alcohol or an antiseptic solution and close the cap. This is necessary to prevent bacteria from accumulating on the product.

It is not recommended to drink or eat after irrigation for half an hour so that the medicine can have maximum effect on the mucous membranes.

Types of funds

An antibiotic spray can be selected to treat various diseases. Pharmaceutical companies produce drugs on a natural and synthetic basis, with additional plant components that have different properties.

The range includes aerosols that can be used by children and pregnant women, but there are also those that have many contraindications and side effects. Let's get acquainted in more detail with the drugs of this group and their features.

How not to harm yourself

You cannot choose an antibiotic spray on your own. Drugs in this group have serious contraindications. And even with their minimal systemic effect on the body, they can be hazardous to health. Carefully study the composition of the products, some of them contain alcohol, therefore they are absolutely not suitable for people who have damaged mucous membranes, have problems with the liver and kidneys, or other diseases.

Additional components of aerosols are sometimes plant extracts. They can not only enhance the effect of active substances, but also cause severe allergic reactions. Personal intolerance to bee products, which may be included in the preparations, is also common.

To avoid negative consequences and complications, before starting therapy you need to be completely sure that there are no contraindications to the use of the spray.

In conclusion

Antibiotic sore throat sprays are used widely and successfully throughout the world. They have a number of advantages over other medicinal forms of drugs, they allow you to quickly get rid of unpleasant symptoms and fight pathogens. You can even buy aerosols that are approved for use by children and pregnant women.

However, these drugs also have certain contraindications that should definitely be taken into account before starting treatment. Only a doctor can prescribe the most effective and safe therapy for health.

Author: Dasha Pashchenko

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    Bioparox: a universal spray for the treatment of diseases of the throat and nose

    Colds are usually not limited to just a runny nose or solely a sore throat. According to the unwritten law, the disease comes “in a complex”. Fever and body aches are not enough here: various respiratory viruses cause a runny nose, sore throat, and cough at the same time. But the troubles that ARVI is fraught with do not end there. A few days after the onset of a cold, bacteria often join viruses. And then Bioparox enters the battle - a universal spray with an antibiotic for the throat and nose. Enter - and win!

    >> The site presents an extensive selection of medications for the treatment of sinusitis and other nasal diseases. Enjoy it for your health! <

    Composition and release form

    So, what is this medicine for all colds? This is a spray for the nose and throat of the French company Laboratory Servier Bioparox. It is popular all over the world - the drug is sold in 58 countries, including Russia. The drug contains the natural antibiotic fusafungin, which was isolated from the fungus Fusarium lateritium. Fusafungin differs from other antibiotics in that it has a dual effect: both anti-inflammatory and antibacterial.

    Fusafungine solution is a yellow liquid.

    The distinctive quality of Bioparox is its specific, rather pleasant smell. It is provided by a whole dozen aromatic extracts: caraway, clove, coriander, wormwood, mint, orange, orange, rosemary. This riot is crowned with anise oil.

    One dose of aerosol contains 0.125 mg of the active substance fusafungine. The Bioparox spray package is equipped with two separate nozzles for the throat and nose.

    Pharmacological action, or How Bioparox works

    The action of Bioparox is due to the pharmacological properties of its active substance - fusafungin. It is active against a wide range of bacteria, namely:

    • streptococci, including the causative agents of pneumonia, pneumoniae streptococci;
    • staphylococci;
    • Moraxell;
    • hemophilus influenzae;
    • legionella;
    • mycoplasmas and some others.

    It is worth noting that staphylococci, moraxella and hemophilus influenzae are among the most common pathogens of sinusitis. In addition, the drug Bioparox is effective against fungal infections caused by candida, in particular, the common causative agent of thrush Candida albicans.

    The undoubtedly positive properties of the spray include the lack of habituation of microorganisms to it. Neither cross-resistance nor acquired resistance to fusafungine has been reported during all years of use of the drug.

    Bioparox also has a local anti-inflammatory effect. It not only fights bacteria and fungi, but also reduces swelling of the mucous membrane, improves nasal breathing and reduces the intensity of the inflammatory process. The anti-inflammatory properties of fusafungin are based on a decrease in the concentration of inflammatory mediators, as well as an antioxidant effect.

    Travel in the body

    When sprayed, fusafungin is evenly distributed on the surface of the mucous membrane of the nose or pharynx. However, it is not absorbed into the blood at all. Evidence of the absence of a systemic effect is the fact that not a single laboratory study, including those using ultra-sensitive techniques, could detect fusafungin in plasma after treatment with Bioparox. This property of the drug guarantees its high safety and excellent tolerability.

    Note that the Bioparox stream after spraying in the nasal cavity contains such small suspended particles that they can reach the maxillary sinuses. Thanks to this remarkable ability, the drug can be successfully used to treat sinusitis of bacterial origin. If you use Bioparox to treat a throat, for example, with a sore throat, the molecules of the active substance penetrate into the branches of the bronchi - bronchioles! Therefore, Bioparox is sometimes used for coughs.

    Indications for use of Bioparox

    The drug is prescribed for a wide range of diseases of the upper respiratory tract and nasopharynx in adults and children over 12 years of age. Among the indications of Bioparox listed in the official instructions for use:

    • rhinitis - inflammation of the nasal mucosa;
    • pharyngitis - inflammation of the pharyngeal mucosa;
    • rhinopharyngitis - a complex disease that covers the entire nasopharynx, most often develops with ARVI;
    • laryngitis - inflammation of the vocal cords;
    • tonsillitis - inflammation of the tonsils (tonsillitis);
    • sinusitis, including sinusitis.

    The spray is also indispensable after tonsil removal - it effectively prevents postoperative complications.

    Bioparox and vocal cords

    Laryngitis - inflammation of the vocal cords - is a disease that often develops against the background of respiratory infections. It is not easy to treat. Conventional local antiseptics, which are widely used as part of complex therapy for inflammation of the oral cavity and pharynx, physically cannot penetrate the vocal cords - they are located too deep in the larynx.

    Therefore, there are practically no drugs for the treatment of laryngitis. Those who are hoarse and hoarse can only do inhalations with essential oils and use Isla tablets with Icelandic moss, which, according to the manufacturer, still manage to penetrate the ligaments. Against the background of this meager number of offers, the drug Bioparox looks very solid. Fusafungine molecules penetrate even into the bronchioles, so it is not difficult to “get” the folds of the laryngeal mucosa, thanks to which we speak out loud, scream and sing.

    In most cases, the initial viral infection that triggers the episode of laryngitis quickly becomes complicated by a bacterial infection. And if ARVI is a self-limiting disease that ends on its own, then bacterial inflammation requires antibiotic therapy. Bioparox can quickly and effectively relieve inflammation in the vocal cords, prevent bacterial infection or stop it in time.

    Contraindications to Bioparox: interpret the instructions for use

    We have already said that Bioparox is one of the drugs that are not absorbed into the blood, and therefore are especially safe. However, contraindications to its use still exist. And first of all, this is, of course, individual sensitivity to fusafungin or the auxiliary components of the drug. And, as we have already seen, there are a lot of them - just a complex aromatic composition is worth it.

    The second serious contraindication to the use of Bioparox is a predisposition to bronchospasm. After all, we must not forget that the medicine is an aerosol that enters the nasal cavity or pharynx in a powerful jet. If you have severe allergies or bronchial asthma, you will have to avoid Bioparox. In such cases, it is unsafe and can lead to an asthma attack.

    And the third point concerns children. The safety of Bioparox for the treatment of children under 12 years of age has not been tested, therefore the instructions for use clearly indicate that it is contraindicated for the treatment of this category of patients. However, in practice, pediatricians often neglect this instruction and prescribe the drug as part of the complex treatment of ARVI, sinusitis and other diseases. So is it possible or not to use Bioparox for children, and at what age is the medicine safe enough? This question should rather be asked to practicing pediatricians than to pharmacologists, especially since the latter have already answered it.

    Treatment of pregnant and lactating women

    As with children under 12 years of age, pregnant women were not included in clinical safety studies. And therefore, the instructions for use of Bioparox about the possibilities of using the drug during pregnancy speak rather vaguely about prescribing with caution.

    The reasoning for the dual position is also given in the instructions: Bioparox was studied in long-term experiments on pregnant laboratory animals. The results of these studies indicated that the drug does not have a teratogenic effect and does not affect the course of pregnancy. Is it possible to take Bioparox during pregnancy or is it still not worth it?

    And here I would like to note that fusafungin, which is part of Bioparox, is an antibiotic, albeit a natural one. And good tolerability of the drug by animals does not guarantee the same effect on the human body. Therefore, it is better to take Bioparox during pregnancy only when it is impossible to cope with the disease without it, and especially in the 1st, most critical trimester.

    Servier has not provided data on whether Bioparox is absorbed into breast milk; therefore, it is not recommended for use by nursing women.

    How to take Bioparox: dosage and course of treatment

    Standard dosages of Bioparox are:

    • for the treatment of respiratory tract diseases, including tonsillitis - 4 injections into the oral cavity;
    • for the treatment of diseases of the nasopharynx, 2 injections into the nasal passage.

    In case of severe infection, it is possible to use Bioparox inhalations in combination with systemic antibiotics (in the form of tablets or injections).

    Let us pay special attention to how many days treatment with Bioparox should last: the course of therapy is exactly seven days. By reducing the treatment time, the effectiveness is significantly reduced. Remember that the course of antibiotic treatment should not be interrupted or shortened, otherwise there is a possibility of the development of resistant strains of bacteria that cannot be treated with antibacterial drugs.

    Attention: be careful!

    And let us immediately note one more feature of fusafungin. If treatment with this antibiotic lasts longer than a week, there is a potential for superinfection. Doctors understand by this term a new infection that follows immediately after the previous one has been cured. For example, if the course of sinusitis was supported by Haemophilus influenzae, then after a 10-12 day course of Bioparox, Staphylococcus aureus may take its place. Moreover, it will already be completely resistant to fusafungin and, quite possibly, to other broad-spectrum antibiotics.

    To prevent the growth of strains of resistant bacteria, you need to take the warning included in the instructions for Bioparox extremely seriously: do not exceed the course of treatment for more than 7 days.

    How to spray Bioparox?

    Before using Bioparox for the first time, it is necessary to calibrate the aerosol. Only then can you be sure that one spray will contain a strictly defined dose of fusafungine. Calibration is very simple: you need to press the base of the cylinder four times. In this case, there is no need to put the nozzle on the bottle.

    After calibration, you can begin treatment.

    Treatment of nasopharyngeal diseases

    Before using Bioparox, it is important to make sure that nasal breathing is free. If this is not the case, instill vasoconstrictor medications, such as xylometazoline (Galazolin) or oxymetazoline (Nasivin) nasal drops. You can rinse your nose with saline solution (Humer, AquaMaris). Let's get to the fun part: how to spray Bioparox in the nose?

    Place a yellow nose tip on the bottle and insert it into the nasal passage. In this case, it is important to pinch the second nasal passage and close your mouth. During inhalation, do not inhale to avoid getting the medicine into the respiratory tract. Another condition for the correct use of Bioparox: the bottle of medicine must be kept strictly vertical.

    Treatment of respiratory tract diseases

    A white mouthpiece is placed on the bottle. It is inserted into the mouth and pressed tightly with the lips. The balloon is held vertically. Just as in the case of using Bioparox for the nose, you should not inhale while spraying the medicine.

    After administering the drug, the nozzles are disinfected by wiping it with a swab soaked in ethyl alcohol with a concentration of 90%.

    Undesirable effects

    The drug may cause side effects. Let us note the most common of them:

    • More than 10% of patients who take Bioparox develop swelling of the conjunctiva, taste disturbances and sneezing;
    • Dry nose or throat (depending on site of application), throat irritation, cough and nausea may occur in 1–10% of cases.

    All other adverse events when using Bioparox are rare. Thus, 0.01–0.1% of patients may develop allergies, shortness of breath, laryngeal edema, bronchospasm, rash, urticaria, Quincke's edema, and itching. By the way, if you have an allergic reaction to the components of Bioparox - no matter the active substance or the excipients - experts recommend stopping taking the medication and not resuming it. This is the only side effect that requires discontinuation of Bioparox.

    In all other cases, even if adverse events develop, treatment is continued until the end of the course. Of course, we are not talking about anaphylactic shock or life-threatening Quincke's edema. In such situations, adrenaline may be necessary. However, in order not to frighten readers, we emphasize that such extreme measures and such serious side effects occur in less than 0.01% of patients.

    Analogues of Bioparox

    Bioparox is a unique drug that has no cheaper analogues on the market. Some competition for Bioparox can come from the nasal spray with the antibiotic Isofra, which contains framycetin. Both drugs are prescribed for bacterial rhinitis, rhinosinusitis and sinusitis. However, there is a significant difference between them: if Bioparox is not prohibited for use during pregnancy, then Isofra, which contains an aminoglycoside antibiotic, is strictly contraindicated.

    Throat sprays with antibiotics - there are no potential rivals to Bioparox. And therefore, it’s not easy to make a mistake: whether you have a sore throat, a persistent runny nose, or suddenly have sinusitis, you can safely buy Bioparox and defeat the army of bacteria that threaten your health.

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    List of sprays for treating the throat with an antibiotic, anesthetic, immunomodulatory and herbal based

    Prey as a dosage form is a mixture of active and auxiliary substances in the form of a solution, emulsion, suspension, located in a sealed package with a valve-spray system (dosed or undosed).

    Advantages and disadvantages of aerosols

    The use of medications in spray form has more advantages than disadvantages.

    Positive properties are:

    • rapid onset of therapeutic effect, which is comparable to intravenous administration of drugs;
    • due to dispersion, the pharmacological activity of the active substance increases, which is why treatment will require a smaller dose of the drug;
    • the small diameter of the particles contributes to better bioavailability of the drug;
    • local effect, due to which a higher dose of the drug is achieved directly at the site of inflammation;
    • low likelihood of side effects compared to medications for parenteral administration;
    • the sterility of the drug is maintained;
    • dosing valves ensure precise dosage of the active substance;
    • ease of use.

    Throat sprays are contraindicated in children under 2 years of age, due to the high likelihood of developing laryngospasm and choking.

    In addition, this dosage form is not used in the following cases:

    • for obstructive bronchopulmonary diseases;
    • hypersensitivity to the components of the drug;
    • pregnancy and lactation;
    • atrophic pharyngitis.

    Effective anesthetic sprays

    Anesthetic sprays, in addition to the main components in the form of antibiotics and antiseptics, contain substances that dull the sensitivity of receptors, thereby quickly eliminating pain in the throat.

    Such drugs are prescribed for intense pain, due to which the patient may refuse to take water and food.

    Sprays used for sore throat most often contain lidocaine and benzocaine as anesthetics.

    TeraFlu Lar, 285 RUR

    The main components of the dosed spray are benzoxonium chloride (antiseptic), lidocaine hydrochloride (anesthetic).

    Among the auxiliary ingredients, peppermint oil and menthol (refreshing and distracting effect), glycerin (enveloping and softening effect, which prolongs the activity of the main components) should be highlighted.

    The drug is used in the treatment of chronic tonsillitis, catarrhal tonsillitis, laryngitis and pharyngitis.

    Adults are recommended to spray into the throat up to 6 times a day, 4 pumps each, children from 4 years old - 3 pumps.

    The main contraindications are hypersensitivity to the components, children under 4 years of age, pregnancy and lactation.

    Among the side effects, patients note the appearance of drug-induced urticaria, local swelling of soft tissues in the face, irritation of the mucous membranes, which disappears after discontinuation of the drug, teeth and tongue may become brown as a result of prolonged use of the spray for more than 2 weeks.

    Strepsils Plus, 300 rub.

    The best anesthetic spray for the throat is Strepsils Plus, which contains lidocaine hydrochloride (anesthetic), and two antiseptics: amylmetacresol and 2,4-dichlorobenzyl alcohol.

    The drug is prescribed for the treatment of infectious and inflammatory diseases of the mouth, throat, larynx, including tonsillitis of any form, pharyngitis, laryngitis, hoarseness of various natures.

    Adult patients and children over 12 years of age are recommended to irrigate the throat no more than 6 times a day, making 2 pumps per procedure. The duration of therapy should not be more than 5 days.

    Side effects are extremely rare and are expressed in the form of impaired sensitivity of the tongue or allergy symptoms, which disappear on their own after stopping treatment.

    Septolete Plus, 310 RUR

    This combination drug contains benzocaine (an anesthetic with a good analgesic effect) and cetylpyridinium chloride (an antiseptic).

    The second component exhibits increased activity against staphylococci, as well as other pathogenic microorganisms, fungi, and has an antiviral effect.

    It is recommended that Syptolete be used by adult patients over 18 years of age up to 8 times a day, 2 presses, for no longer than a week.

    The spray is contraindicated for children under 18 years of age, patients with alcohol/drug addiction, methemoglobinemia, hypersensitivity to components, and the presence of open wounds in the oral cavity.

    Antibiotic throat sprays

    Sprays for treating the throat with antibacterial components have a smaller list of contraindications and side effects than systemic antibiotics.

    In view of this, they are widely used to treat diseases of the throat and nasopharynx of infectious, inflammatory, and bacterial etiology.

    The cheapest and most effective aerosol of this group is Ingalipt (75 rubles).

    As active ingredients, the spray contains streptocide, sodium sulfathiazole hexahydrate, thymol, eucalyptus and peppermint oils.

    Streptocide is a local antibiotic for the throat, which belongs to the group of sulfonamides, active against most gram-positive and gram-negative microorganisms.

    In addition, the product has an anti-inflammatory and cooling effect (due to this, swelling subsides).

    Inhalipt is prescribed for the treatment of tonsillitis, pharyngitis, aphthous stomatitis, and laryngitis. Used in pediatric practice from 3 years of age.

    Contraindicated in pregnant and lactating women, with hypersensitivity to the components.

    A very effective throat spray with the antibiotic Bioparox. However, in 2016 its production ceased, but you can always find an inexpensive analogue of Bioparox.

    Antiseptic sprays

    This group of aerosols is the most extensive. In addition, many antiseptics are approved for use in pediatric practice, pregnant women and women during lactation (except those containing iodine).

    However, this group of patients should first consult a doctor and not self-medicate.

    Antiseptic sprays are recommended for acute respiratory infections, which are accompanied by a sore throat, runny nose, aching muscles and joints, and the appearance of whitish plaques on the tonsils.

    Also, local antiseptics are indispensable in the complex treatment of sore throats.

    Hexoral aerosol for topical use 0.2%, RUB 315

    The drug contains hexetidine. This is an antiseptic that has antimicrobial, antibacterial, antifungal effects and a weak anesthetic effect.

    Indicated for use in the complex treatment of tonsillitis, pharyngitis, laryngitis, dental diseases, periodontopathy, fungal infections of the hypopharynx, after surgical interventions in the oral cavity and pharynx.

    Hexoral is contraindicated for children under 3 years of age, pregnant and lactating women, due to the lack of clinical trial results.

    The drug should be used twice a day, spraying with 1 press for 1-2 seconds.

    Maxicold Lore spray (RUB 245)

    It is a Russian analogue of Hexoral and also contains hexetidine, which belongs to the group of antiseptics. In view of this, the list of their indications and contraindications is the same.

    The advantages of the analogue are:

    • high efficiency against most bacteria;
    • enveloping effect, due to which hexethidine remains on the mucous membrane for 3-4 hours;
    • affordable price.

    Yox-Teva spray for topical use, 250 rub.

    The spray for a sore throat contains povidone-iodine (an antiseptic), allantoin (an anti-inflammatory agent).

    The drug is used in the treatment of various forms of angina, including catarrhal, follicular, lacunar, provoked by streptococci, acute and chronic tonsillitis, inflammation of the larynx, surface of the tongue, with the appearance of aphthae, the first manifestations of influenza and acute respiratory infections.

    Yox is contraindicated in case of hypersensitivity to the active components, hyperthyroidism, heart failure, and children under 6 years of age.

    Spray Lugol 100 rub.

    The main active ingredients of Lugol's are glycerol and molecular iodine.

    The first has a softening effect.

    The second component is active against representatives of gram-positive and gram-negative microflora, fungi, and staphylococci.

    Prescribed in the complex treatment of infectious and inflammatory diseases of the mucous membranes of the mouth and throat.

    Cameton aerosol, 45 g, 110 rub.

    This effective and inexpensive combination spray contains chlorobutanol hemihydrate, camphor, levomenthol, eucalyptus oil.

    Chlorobutanol hemihydrate exhibits a mild anesthetic, anti-inflammatory, and antimicrobial effect.

    Camphor provides a local irritant and additional antiseptic effect, increasing blood circulation in the area of ​​inflammation.

    Levomenthol and eucalyptus oil have a local irritating and distracting effect.

    An aerosol for the throat is used in the complex treatment of rhinitis, tonsillitis, and pharyngitis. Kameton is contraindicated if you are allergic to its components, or for children under 5 years of age.

    Miramistin solution for topical use 0.01% bottle with spray, RUB 235

    Miramistin is one of the most powerful and safe antiseptics, which are also active against hospital strains of microorganisms resistant to antibiotics.

    The drug is effective against gram-positive and gram-negative, anaerobic and aerobic bacteria, fungi of the genus Penicillium, Aspergillus, yeast and yeast-like, dermatophytes, some viruses, including herpesvirus, HIV.

    The range of application of the spray is very wide and is not limited to ENT diseases.

    Miramistin is used in surgery, traumatology, obstetrics, gynecology, combustiology, dermatology, venereology, and urology.

    In otolaryngology it is prescribed in the complex treatment of tonsillitis, laryngitis, pharyngitis. Approved for use by children over 3 years of age.

    Novosept Forte spray, 350 rub.

    The drug contains cetylpyridinium chloride (antiseptic), tetracaine hydrochloride (anesthetic).

    The antiseptic component exhibits bactericidal activity against a wide range of pathogenic microorganisms, viruses and fungi.

    The spray contains zinc, which is an oligoelement and exhibits an immunomodulatory effect.

    Novosept is recommended for the treatment of inflammatory diseases of the oral cavity and pharynx, including stomatitis, gingivitis, tonsillitis, and pharyngitis.

    Contraindications include age under 18 years, increased sensitivity to the components of the drug, the presence of wounds on the oral mucosa, acute renal and/or liver failure, pregnancy and breastfeeding.

    Anti-Angin (280 RUR)

    The drug is similar in composition to Novosept and contains chlorhexidine digluconate (antiseptic) and tetracaine hydrochloride (anesthetic).

    The antiseptic exhibits bactericidal and bacteriostatic activity against most known strains of bacteria, fungi of the genus Candida, streptococci and staphylococci.

    It is recommended by a specialist for the prevention and treatment of diseases of the oral cavity and pharynx of an infectious-inflammatory nature, provoked by bacteria sensitive to antiseptics, including tonsillitis, pharyngitis, initial manifestations of tonsillitis, periodontal disease, stomatitis, gingivitis.

    The drug is contraindicated in cases of confirmed allergy to the components of the product, damage to the mucous membrane, phenylketonuria, and children under 10 years of age.

    Exclusively as prescribed by a doctor for pregnant women and women during lactation, with diabetes mellitus, hemochromatosis, thalassemia, oxalosis.

    Tantum Verde spray (285 RUR)

    Contains benzydamine, which belongs to the group of non-steroidal anti-inflammatory drugs.

    The spray has a strong local anesthetic, antiseptic and antifungal effect against Candida albicans. It is successfully used in the treatment of inflammatory diseases of the oral cavity and pharynx.

    The drug is contraindicated in children under 3 years of age, pregnant women and women during lactation, with bronchial asthma and hypersensitivity to other NSAIDs.

    Immunomodulatory aerosols

    Throat sprays with immunomodulators are aimed at stimulating local humoral and cellular immunity.

    They should be used when the first symptoms appear, which will help avoid possible complications. However, a relative disadvantage of drugs in this group is their high cost.

    Derinat spray, 10 ml (370 RUR)

    The drug contains sodium deoxyribonucleate. The spray stimulates the body's protective functions, improves the immune response to viral, bacterial, and fungal antigens.

    Derinat also has anti-inflammatory, antitumor, antihistamine, and antioxidant effects.

    During the first day, you should irrigate your throat every hour, after which the frequency of procedures can be reduced to 4 during the day.

    The drug is approved for use by children over 1 year of age (due to the form of release), pregnant women and women during lactation.

    Derinat can be used for prophylactic purposes during epidemics of acute respiratory infections.

    Throat sprays with herbal ingredients

    The content of plant extracts in the composition of medicines allows you to avoid the development of side effects characteristic of synthetic medicines.

    Also, such drugs have a much smaller list of contraindications.

    However, one should take into account the high likelihood of developing allergic reactions when using plant-based throat sprays.

    Chlorophyllipt (180 RUR)

    Prescribed by ENT doctors most often. The active component of the drug is eucalyptus leaf extract - a strong natural antiseptic.

    The substance has pronounced bactericidal activity against gram-positive and gram-negative microorganisms, including antibiotic-resistant strains of staphylococci, fungi, protozoa, and has an anesthetic, immunomodulatory, and antiviral effect.

    Nettle extract promotes the healing of small wounds and minor erosions in the oral cavity, and St. John's wort extract has an additional anti-inflammatory effect.

    Precautionary measures

    For the use of a medicinal spray to be as effective as possible, it must be used correctly:

    • immediately before irrigating your throat, you need to drink some water;
    • the bottle must be held vertically;
    • if the spray is dosed, you need to press the release nozzle once, with a dosed supply of the medicinal substance - a few seconds;
    • Before irrigation, the throat and mouth should be rinsed with water to remove possible
    • plaque and food debris;
    • After treating the mucous membrane, it is recommended to refrain from eating and drinking.

    Throat sprays are a local dosage form and therefore do not have a systemic effect on the body.

    However, despite this, the attending physician must select the drug based on the results of the examination, including bacterial culture from the oral mucosa to determine the type of causative agent of the disease.

    Related materials:

    Yulia Astafieva

    Head of the otolaryngology department, candidate of medical sciences, ENT doctor of the highest category.

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