Which nasal spray is best for congestion?

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Sprays for runny nose and nasal congestion

It is very difficult to feel comfortable when your nose is stuffy and has a runny nose. As such, these ailments are not terrible, but they greatly complicate life: the sense of smell and appetite disappears, lack of oxygen torments, headaches and a dry throat.

Table of contents:

A nasal decongestion spray will help cope with these unpleasant symptoms. This is the most modern and easy-to-use drug.

Today, pharmaceuticals can offer a huge number of such products. How can you avoid making a mistake with your choice and purchase the most effective one? The information below about the most popular aerosols will help you do this.

Benefits of the spray

Aerosols are very convenient to use. Unlike nasal drops, they are a fine suspension of a medicinal substance, which, when pressed on the dispenser, is sprayed into the nasal cavity.

The spray has a number of advantages compared to conventional drops:

  • The patient does not have to throw back his head or take a horizontal position when administering the medicine, which allows him to use the drug anywhere: at home, at work or in the car.
  • A fine suspension is capable of penetrating into the most remote corners of the nasal cavity.
  • Thanks to its small size, the can is convenient to take with you, putting it in your purse or pocket.
  • The aerosol allows you to accurately dose the drug. During instillation, you can make a mistake with the number of drops and accidentally introduce a large amount of the drug into the nasal cavity.

The drug in the form of a spray is able to penetrate into the most inaccessible corners of the nasopharynx

Complete sealing of aerosols ensures long-term storage and protection from the introduction of microbes. In addition, when applied topically, the spray is practically not absorbed into the blood, so there is no need to worry about overdose and adverse reactions.

Mechanism of action

What is the secret of the effectiveness of sprays? The medicinal substance under pressure is evenly distributed throughout the entire nasal cavity and reaches the maxillary sinuses. At the same time, the coverage area is much wider than when using liquid nasal products.

Drops often simply flow from the nasal cavity into the pharynx without having any therapeutic effect. The spray penetrates into the most inaccessible places, quickly relieves swelling and restores breathing.

Nasal aerosols and their types

The pharmacy chain offers a large number of all kinds of nasal preparations, which differ from each other in composition and effect on the mucous membrane.

Only an otolaryngologist, after a diagnostic examination, can determine the root cause of nasal congestion and recommend a suitable spray.

Aerosols are conventionally divided into several groups, focusing on the causes of nasal congestion:
  • decongestants and vasoconstrictors;
  • anti-inflammatory medications containing antibiotics;
  • moisturizing aerosols and nasal solutions for rinsing the nose;
  • homeopathic medicines;
  • allergy medications;
  • group of combined agents.

To choose the right nasal spray, you need to determine the causes of congestion. There can be many of them - acute respiratory infections, ARVI, allergic rhinitis, dry or dusty air, bacterial infection.

Therefore, to make a correct diagnosis, you should contact an otolaryngologist and only after that start choosing a suitable aerosol.

Nasal decongestants

This is the widest and most popular group of nasal medications. A vasoconstrictor spray provides quick relief, relieving the symptoms of the disease, but does not eliminate the cause of the illness.

All products in this series are addictive, so they should be used with caution. It is necessary to follow the dosage indicated in the annotation and not to use the medicine for longer than the prescribed time.

Lazolvan Rino

The drug is based on tramazolin and is characterized by fast and powerful action. The effect lasts for 9–10 hours.

Lazolvan Rino eliminates congestion, refreshes and moisturizes

The spray has a gentle effect on the nasal mucosa, since its composition, in addition to the main active substance, includes eucalyptol, camphor and the menthol isomer. In pediatrics, Lazolvan Rino is used from 6 years of age. Caution is required for pregnant women and consultation with a doctor is necessary.

Afrin

The classic Canadian aerosol for nasal congestion contains oxymetazoline, which eliminates swelling of the mucous membrane within 15 minutes. The drug is quite expensive, but it works for a long time. Prohibited for children under six years of age.

Afrin Extro spray is considered more effective. It contains menthol and camphor, which enhance the healing properties of the product.

Afrin Moisturizing contains glycerin and macrogol. Additional components help retain moisture in the nasal mucosa, which helps protect it from dryness and irritation.

All three Afrin sprays can be addictive, so using them for more than 3 days is not advisable. If after this period the need for their use still remains, it is necessary to consult with an otolaryngologist.

Otrivin

Swiss spray based on xylometazoline. The drug is not cheap, but effective. Available in different concentrations, so it can be used for both adults (1 mg per milliliter) and children (0.5 mg per milliliter).

Otrivin is produced in different concentrations, so it is suitable for children and adults

The use of the drug strictly according to the instructions does not cause overflow of blood vessels and irritation of the mucous membrane. The action of Otrivin begins 6–7 minutes after irrigation and lasts at least 11–12 hours.

Rhinonorm

Budget spray based on xylometazoline hydrochloride. In addition to the active component, it contains glycerol and citric acid.

Depending on the purpose, 10 mg Rinonorm may contain:

  • 5 mg of active substance in a spray for children;
  • 10 mg xylometazoline in a product for adults.

The aerosol begins to act from the first seconds of spraying and remains effective for 4–5 hours. Strictly contraindicated for children under 2 years of age.

A nasal spray containing xylometazoline hydrochloride and sea water makes breathing easier within 3 minutes of use. The drug continues to act for 5–6 hours.

Snoop is sold in soft 15 ml bottles equipped with a dispenser. Each container contains 150 doses of the medicinal substance. Children's spray is available in containers of the same volume, but with a lower concentration - 0.05%.

Snoop is contraindicated in young children under 2 years of age.

Despite its gentle composition and excellent moisturizing properties, the aerosol has a number of contraindications:

  • early childhood (up to 2 years);
  • atherosclerosis;
  • increased blood pressure;
  • chronic rhinitis;
  • first trimester of pregnancy.

Snoop should not be used for more than a week. Once opened, it can be stored for no more than 3 months.

Xylene

Vasoconstrictor spray is available in standard bottles of 10 and 15 ml. The substance facilitates breathing, reduces swelling and blood filling of the mucous membrane during a runny nose for 11–12 hours.

Xylen is not recommended for children under 2 years of age and pregnant women. During lactation it should be used with caution and only after consulting a doctor. In addition, the aerosol tends to increase blood pressure.

Rinofluimucil

This is a dosed spray of Italian origin based on acetylcysteine ​​(1 gram) and thauminoheptane sulfate (0.5 grams)

Rinofluimucil has a vasoconstrictor effect and thins mucus

Helps with all types of runny nose, even chronic and persistent ones. Like other drugs of the vasoconstrictor group, with prolonged use it is addictive. The drug is not recommended for children under 3 years of age and pregnant women. The effect of Rinofluimicil begins immediately after application and lasts 7–8 hours.

Aerosols for allergies

In the treatment of simple and rapid allergic reactions of a seasonal nature, vasoconstrictors are usually used. But more serious disorders in the body force one to resort to medications with pronounced antihistamine and anti-inflammatory effects.

Aerosols based on glucocorticosteroids have an intense antiallergic effect. They can be used all year round. The drugs perfectly eliminate symptoms such as runny nose, congestion, swelling and itching in the nose, and redness of the eyes.

When using nasal aerosols for allergies, no matter how well they help, you should remember that these drugs do not treat the immunopathological process, but only eliminate the symptoms and make life easier for a while.

Avamis

The British aerosol based on fluticasone quickly penetrates the nasal mucosa and reaches certain receptors. By interacting with them, the spray eliminates swelling and itching, reduces mucus secretion and reduces the feeling of nasal congestion.

Avamis quickly and effectively relieves allergy symptoms

Avamis is used to relieve signs of seasonal and year-round runny nose in both adults and children. It is effective only against allergic rhinitis. For a runny nose caused by viruses or bacteria, Avamis will not have any therapeutic effect, but will only worsen the problem.

The spray begins to act immediately after injection and continues to work for at least 8 hours. However, complete disappearance of allergy symptoms occurs only 2–3 days after the start of therapy. The product should not be used more than once a day. Avamis is prohibited for children under 6 years of age.

Vibrocil

Another popular drug from a famous Swiss company. The spray contains active ingredients:

  • phenylephrine;
  • dimethindene maleate;
  • lavender oil and other ingredients.

Vibrocil has vasoconstrictor and antihistamine properties

Vibrocil has a combined effect on the mucous membrane - vasoconstrictor and antiallergic. It has a minimum of side effects and is suitable for use by children and pregnant women.

Aflubin Naze

The homeopathic medicine has a gentle effect on the nasal mucosa, without drying or irritating it, and is not addictive.

The spray contains:

  • milkweed juice;
  • meadow lumbago;
  • black mustard;
  • luffa and other excipients.

Aflubin Naze can be sprayed onto the nasal mucosa 7–8 times a day.

Aerosols for sinusitis

In case of inflammation of the paranasal sinuses, you cannot do without the use of products containing antibacterial additives. In this case, finely dispersed topical medications are very important. Due to their properties, aerosols are able to penetrate directly to the source of inflammation.

Miramistin

The original Russian-made drug has an antiseptic and antibacterial effect. It has virtually no contraindications. We can say that this is the best choice for eliminating the symptoms of sinusitis in children and pregnant women.

Miramistin is safe for children and pregnant women

Miramistin is effective both at the onset of the disease and during the chronic development of the pathology. The course of treatment is 7–12 days.

Sinuforte

The Spanish-made spray activates local immunity, thins mucus in the sinuses and promotes its removal.

Sinuforte is especially effective in the postoperative period. The drug eliminates swelling and improves drainage of the maxillary sinuses. This allows you to avoid relapses of the disease. The use of Sinuforte is possible only after consultation with an otolaryngologist.

Despite its natural composition, the spray has some contraindications:

  • sensitivity to the components of the drug;
  • period of pregnancy and lactation;
  • increased blood pressure;
  • children's preschool age.

Isofra

The product is based on framycetin, an antibiotic from the aminoglycoside group for topical use. The course of therapy should not last more than a week, otherwise the likelihood of microflora imbalance increases.

Isofra spray is one of the best remedies for sinusitis

Isofra is not a vasoconstrictor, so it is used in combination with medications that relieve swelling and nasal congestion. In general, the drug is well tolerated by patients and has no contraindications. The only point is that the spray is prohibited for children under one year old.

Polydexa with phenylephrine

Combined drug preparation for local irrigation of the mucous membrane. It has a pronounced anti-inflammatory, vasoconstrictor and antibacterial effect.

The medication should be used as prescribed by a doctor and for no longer than 10 days. In pediatrics, Polydexa is used only from 12 years of age. Therapy for young children is possible only under the strict supervision of an otolaryngologist.

Treatment of polyps

Nasal aerosols give good results in the early stages of polyposis. The drugs are most often part of complex therapy and quickly relieve the symptoms of the disease. To combat pathological growth of the mucous membrane, antihistamines are used.

Nazarel

Since polyposis is often caused by allergic rhinitis, Nazarel is most often used to eliminate the symptoms of illness. After just 1.5 hours, the drug noticeably reduces itching and discharge from the nasal cavity, redness of the eyes and face.

Antihistamine spray Nazarel is used to treat polyps

Suitable for therapy of children over 4 years of age and adults. Contraindicated during pregnancy and breastfeeding.

Nasonex

For nasal polyposis, Nasonex can be prescribed to patients over 18 years of age. For pregnant women, the use of the spray is permissible only if the expected result is higher than the possible risk.

Possible adverse reactions:

  • the appearance of nosebleeds;
  • irritation of the mucous membrane, burning sensation and dryness;
  • pharyngitis;
  • headache.

Due to the low absorption of the drug, an overdose is unlikely.

Aerosols for moisturizing mucous membranes

This is a very large group of nasal products based on sea water. Drugs in this series will be especially useful in cases where nasal congestion is caused by dry or dusty air.

In addition, they are often used to prevent rhinitis and hygiene of the nasal mucosa. Moisturizing aerosols are effective and safe, so they can be used daily.

Moisturizing sprays effectively cleanse the mucous membranes, relieve congestion and speed up recovery.

Well suited for treating babies from the first days of birth.

The list of nasal moisturizers is endless, so here are the most famous ones:

  • Aqualor. There are several types of spray: Aqua Norm, Aqua Forte, Aqua Extra and Aqualor Baby, Aqualor with aloe and chamomile;
  • Marimer;
  • Vivasan;
  • Morenasal;
  • Quicks;
  • Humer;
  • Physiometer;
  • Aqua Maris Series;
  • AquaMaster and others.

Adriatic salts reduce the risk of complications (otitis, sinusitis) and speed up recovery.

Seawater aerosols are often prescribed after removal of polyps and adenoids. The drugs improve local blood circulation, increase immunity, eliminate swelling of the mucous membrane and make breathing easier.

Aerosols for nasal congestion in pediatrics

In children's practice, only those aerosols that are created specifically for children are used. Drugs for adults can cause serious complications, and some of them have an extremely negative impact on the physical development of the baby.

In pediatrics, only special children's sprays are used

In general, vasoconstrictor aerosols containing oxymetazoline, xylometazoline or phenylephrine can be used to relieve nasal congestion in childhood:

They all have different durations of action, but aerosols are more effective, which relieve nasal congestion for at least 12 hours. They should be used at night.

For daytime, moisturizing aerosols such as Aqualor, AquaMaris or Marimer are recommended.

For the treatment of allergic rhinitis in a child, Vibrocil or Rinofluimucil are suitable. Antihistamines based on hormones (Nasonex, Beconase) can only be used from 6 years of age.

If a child over 6 years of age has an allergic runny nose, Nasonex can be used.

If rhinitis is bacterial in nature, the baby is prescribed Framycetin or Bioparox, but only after 3 years. And for the treatment of infectious rhinitis, Polydex is usually prescribed.

As you can see, the choice of drugs for nasal congestion in childhood is quite wide. All of them make breathing easier in a short time and have a minimum of contraindications, but they are recommended to be used only as prescribed by a pediatrician.

For children under the age of one year, the use of the spray is prohibited. In this case, doctors recommend using nasal drops.

Reviews

A runny nose and nasal congestion can occur for various reasons. Therefore, when reading reviews, you should not take them as a guide to action. Often the same spray helps one person very well, but turns out to be completely useless for another. Before starting treatment, you should consult your doctor.

Not long ago I caught a cold somewhere. I started to have a runny nose and my nose was stuffy. I bought Rinonorm at the pharmacy. The spray is inexpensive. I began to feel good the very next day. It’s just not advisable to use it for a long time; it can become addictive. Overall, I am satisfied with Rinonorm. The product is inexpensive and helps quickly.

My son suffered from ARVI in the fall. After the infection, his nose was constantly stuffy and snot was running. It was very difficult to sleep, eat, and play. All the vasoconstrictor solutions helped us for two hours, and then the agony returned. At the appointment I was immediately told that it was allergic rhinitis and was prescribed Vibrocil. The spray just saved us. The nose began to breathe immediately, and on the second day the runny nose decreased. I don’t remember how much it costs, but the drug is good.

I got acquainted with a spray for a runny nose this winter. I’m an accountant, the end of the annual report, so there was no way to take sick leave. But I can’t bear to work: my nose can’t breathe, my head can’t think. The drops didn't help much. Something had to be done. The pharmacy recommended Otrivin. The effect came instantly. My nose could breathe all day and my runny nose didn’t bother me so much. Therefore, I consider Otrivin one of the best drugs. However, you shouldn’t get carried away with it. You can get used to it and it will stop helping.

Recently my sinusitis worsened again. Probably caught a cold. My nose can’t breathe, the bridge of my nose is aching, my head is pounding - I’m completely exhausted. The doctor recommended Isofra spray. I didn't have much hope for him. And in vain. The drug simply saved me, otherwise I couldn’t avoid surgery. True, together with Isofra I used Rinofluimucil to prevent my nose from getting stuffy. Also a great tool. I recommend.

As you can see, the spray is in many cases more effective than drops. Today in the pharmacy chain you can find aerosols of various price categories and directions: anti-allergy, moisturizing and vasoconstrictive, for the prevention and treatment of sinusitis and polyps. Therefore, choosing the right medicine will not be difficult. And if you use the spray as a preventive measure at the first signs of a cold, then the disease will proceed more easily and without complications.

Comments

I like dosed Morenasal sprays. It is inexpensive and very effective. It lasts for a long time. Just in case in my home medicine cabinet.

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When your nose is stuffy: the best sprays for a runny nose

Anti-runny nose remedies are used by many patients so often that they have become addictive and therefore lost their effectiveness. To avoid repeating this common mistake, you need to take a responsible approach to choosing a spray for the common cold. Your doctor will tell you which ones are best for you. However, you can also study all the existing types of sprays on your own.

Today, in the assortment of pharmacy products you can find a wide range of aerosols against the common cold, but each drug performs a specific task:

  • Vasoconstrictor drugs are considered the best sprays for the common cold, which is why they are so popular and in demand. However, they are used exclusively for symptomatic therapy, as they are not able to treat the disease. Such drugs relieve symptoms by constricting blood vessels and eliminating swelling. But the effect is not long-term.
  • Allergic rhinitis sprays are used by patients to eliminate the symptoms of an allergic reaction, as well as to prevent its manifestation.
  • Immunomodulatory drops are aimed at stimulating the production of substances that slow down the progression of the infectious disease.
  • Antiviral agents are effective sprays and drops for the common cold that prevent the virus from spreading throughout the body.
  • Antibacterial drops and sprays actively fight pathogenic bacteria.
  • Hormonal drops and sprays stop a runny nose, eliminate inflammation, but are not able to treat the disease itself.
  • Moisturizing solutions that support the immunity of the nasal mucosa relieve congestion.

The effectiveness of a particular spray or saline solution is individual. Therefore, it is important to use the spray in accordance with the indications and the disease itself. Often, medications may not give the desired result.

Most often, this is due to its inappropriate use: for example, self-medicating and trusting only their intuition, many patients buy an antiviral spray at the pharmacy to eliminate allergy symptoms.

When choosing the best spray for a runny nose, you should consult a doctor so that he can help establish an accurate diagnosis and recommend the “correct” spray.

Choosing a spray for a runny nose: which ones best alleviate the condition?

A short review of the most popular remedies against a severe runny nose will help you better understand the “pharmacy” range.

  1. Grippferon - dosed nasal spray contains Interferon, which fights the spread of viruses, freeing the nasal mucosa from them. The drug is also sold in the form of drops. Price – about 150 rubles.
  2. Otrivin is a sympathomimetic agent based on xylometazoline, which causes constriction of blood vessels in the nasal cavity and, thus, temporarily eliminates the symptoms of a runny nose: swelling and inflammation of the mucous membrane, improving breathing. Cost - about 150 rubles.

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Nasal sprays for runny nose and congestion. Which ones are better?

Nasal spray is a relatively modern form of medicine, since previously most solutions were produced in the form of drops.

Get rid of dryness, eliminate nasal congestion, defeat infection without the use of systemic antibiotics - local remedies can easily cope with all this.

Let's consider what options modern pharmacology offers and when it is better to use one or another drug.

Nasal spray for a runny nose: which is better?

There is no such thing as the best medicine, since each of them has its own effect and is used in a specific situation.

If a patient wants to quickly get rid of nasal congestion, then his choice should fall on an effective and efficient vasoconstrictor.

To eliminate swelling caused by causally significant allergens, a completely different one based on glucocorticosteroid hormones will be suitable, and for a cold, the doctor will select a third option against snot.

Types of nasal sprays

The pharmaceutical market offers many options for these medications, which differ in composition and effect. The following groups are distinguished:

  1. Vasoconstrictors.
  2. Hormonal.
  3. Antihistamines.
  4. Based on herbal ingredients (homeopathic).
  5. Antibacterial.
  6. Antiseptic.
  7. Moisturizing.
  8. Combined

Each class has its own advantages and disadvantages and is used for different symptoms and conditions. Let's take a closer look and analyze the main representatives and their features.

Vasoconstrictor drugs

These are some of the most recognizable remedies that every adult has tried at least once in their life. Their effect on the vessels leads to a narrowing of the latter, due to which congestion disappears and normal breathing is restored.

This effect in medicine is called symptomatic, since they do not treat the pathology, but only temporarily relieve its symptoms.

Advantages of this group:

  • work almost immediately;
  • contraindications and negative manifestations of this class have been well studied, since they have been known for quite a long time;
  • Suitable for children and adults.
  • they do not treat the disease (cause), but only eliminate the symptoms for a while;
  • cause addiction and dependence;
  • have a wide list of contraindications, negative consequences and reactions.

You can use a substance from this group in an emergency situation, when you need to get rid of a cold in a short time. In this case, you need to take into account contraindications and not abuse them, so as not to cause addiction.

Representatives of this class differ in the duration of the effect:

Short-acting (Naphazoline, Phenylephrine). They work for only a few hours, but they have a pronounced effect and constrict blood vessels in just a few seconds. Severe adverse reactions are observed in the form of dry nasal mucosa, bleeding, burning, pressure changes, and tachycardia.

Contraindicated in patients with glaucoma and heart problems, as well as those suffering from high blood pressure (BP).

They are highly addictive, so should not be used for more than 4-5 days. This is a relatively inexpensive medicine, the average cost of which is within rubles, depending on the manufacturer.

The latest generation drug is Tramazolin, which is available only in spray form. Trade name Lazolvan Rino. It has the longest lasting effect of all the above medications.

Hormonal

This group of drugs has found wide application for the treatment of allergies and chronic polypous sinusitis. Medicines based on local hormones.

They have a long duration of action and are not absorbed into the systemic circulation. They have virtually no side effects, with the exception of the appearance of severe dryness when abused.

Representatives of this class:

Herbal products

Homeopathic medicines have a gentle effect on the body, are not addictive, and at the same time, they work somewhat weaker than their synthetic “brothers”.

They are used in the scheme of complex treatment of diseases and show themselves well in chronic processes.

For patients suffering from allergic rhinitis and a tendency to hypersensitivity reactions, the use of these herbal medications is contraindicated.

In pharmacies you can find the following options:

  • Sinuforte. The main substance is cyclamen root extract. It is chosen for acute and chronic sinusitis. The active element affects nerve endings and helps increase mucus production and its removal from the sinuses;
  • Delufen. Active ingredients: mustard, spurge, lumbago, luffa, etc. Shows anti-inflammatory and anti-edema activity.

A well-known herbal drop is Pinosol, but it is only available in drop form.

Antibiotic nasal spray

Due to the inclusion of an antibacterial component in the composition, such medications locally fight infection. They are used in the treatment of bacterial rhinitis, sinusitis in a complex therapy regimen or independently.

List of these funds:

Bioparox. A fairly popular aerosol that kills germs both in the nose and throat. The active substance is a local nasal antibiotic fusafungin. Has anti-inflammatory and antibacterial activity.

Not absorbed into the systemic circulation. The kit includes two attachments: one for the throat and the other for the nasal cavity.

Allowed for use by adults and children over 3 years old. The medicine is active against most microbes that cause colds and nasopharyngeal diseases.

Combined drugs

They contain several active components, thanks to which the medicine has a pronounced therapeutic effect. Here are their names:

Antiseptic

A representative of this group is Miramistin. This antiseptic for external use has a wide range of antimicrobial effects.

It exhibits a weak antifungal effect and is resistant to many bacteria. In addition, it is characterized by weak antiviral activity.

Does not irritate the skin and almost never causes allergic reactions. Used in the treatment of various diseases, including infections of this area. Cost, rub.

Nasal decongestion spray

You can quickly get rid of swelling if you know for sure what caused it.

Different diseases require different treatment approaches. Which drug is better to choose for bacterial rhinitis?

  • Vasoconstrictors can instantly and temporarily remove swelling. A list of them is presented above;
  • antibiotic aerosols are needed to eliminate the infection;
  • to restore the mucous membrane and moisturize it, you will need salt sprays and liquids;
  • in cases of viscous, difficult to remove mucus, Rinofluimucil and Sinuforte will work well.

What to do when swelling in the nose is caused by allergies? First of all, eliminate the causative allergen, and then fight the manifestations of the disease.

Hormonal agents are ideal for these purposes. The peculiarity is that they begin to act 2-3 days after application. In addition, their effect continues for another 7-10 days after their cancellation.

You can relieve swelling due to allergies before local hormones take effect using Vibrocil. It can be prescribed independently for seasonal allergies for several weeks without the risk of addiction.

Sprays for rinsing the nose with sea water

These are relatively cheap and well-known options based on sea water or sodium chloride solution. The pharmaceutical market offers many varieties of these medications. The difference may be the concentration that makes them hypotonic, isotonic or hypertonic.

This moisturizing drug is indispensable in the treatment of most pathological conditions. It is not addictive even when used for several years. It has no side effects, works very gently and does not injure the epithelium.

By moisturizing the mucous membrane, such physiological fluid helps restore natural functions and increases local immune defense. In addition, saline solutions wash away allergens, dust particles and bacteria. By washing away viruses, they prevent them from penetrating deeper and preventing the progression of the infectious process.

There are many trade names for these medications. Here are some of the most popular:

  1. Aquamaris. It contains water from the Adriatic Sea with natural minerals. Cleanses the mucous membrane and eliminates inflammatory manifestations.
  2. Aqualor. Natural sea water. There are various forms of release and concentration for children and adults.
  3. Morenasal. It contains sea salt and has an anti-edematous, anti-allergic and moisturizing effect.
  4. Humer. There are several types of this drug.
  5. Dolphin. Contains mineral salts and components from medicinal plants. Iodine and magnesium promote the restoration and healing of microtraumas, and also have an antiseptic effect. Rose hips exhibit antibacterial properties, and licorice eliminates itching and symptoms of allergic inflammation. Used for inflammatory and allergic diseases of this area. The price includes the whole system, which includes an irrigator and bags of solution.
  6. Salin. The bottle allows you to use it both as drops and as a spray, just hold it in the desired position. A relatively inexpensive drug for children and adults.

Nasal spray for pregnant women

The period of pregnancy and breastfeeding is often complicated by a runny nose and congestion.

This situation can become a big problem, since most conventional medications are contraindicated for women during this period.

What can pregnant women in their situation do:

Vasoconstrictor drugs based on xylometazoline (Otrivin, Galazolin, Vibrocil). The instructions for use do not contain clear permission for their use by pregnant women. They are prescribed when the benefit to the expectant mother outweighs the potential risk to the fetus.

This means that if the patient is unable to breathe through her nose at all, then it is better to use these drops than to suffer and aggravate her further condition.

In this case, it is better to choose children's drops, in which the dosage of the active substance is significantly less. Drops based on oxymetazoline (Nazivin and others) are contraindicated for pregnant women.

The use of any drug during pregnancy must be agreed with the attending physician, who will conduct a detailed diagnosis and find out the cause of the problem.

Thus, a banal cold can actually turn out to be a serious sinusitis or frontal sinusitis, and habitual drops can cause complications that will overshadow this happy period.

The pharmaceutical market offers hundreds of different trade names of sprays. It can sometimes be difficult to figure them out on your own.

You need to understand that each individual situation requires its own approach to treatment and there is no best or universal medicine for all cases.

If in doubt, you can always visit a specialist and together choose an adequate and relatively inexpensive method of therapy.

Comparison of nasal sprays: video

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I came to the pharmacy to buy Aqualor, but there was no child's one, they offered AquaMaster as a replacement, a child can start from 1 year old, mine is just 2 years old, I decided to try it, but where to go? When using it, I liked it, a good spray, voluminous spray, quickly makes breathing easier.

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Specialty: Otorhinolaryngologist Work experience: 12 years

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Nasal sprays: types and purposes, names, application

Nasal spray is a topical preparation that is actively used for rhinitis and congestion of various origins. It delivers the medicinal component directly to the problem area, eliminating the harmful effects on the gastrointestinal tract. Drops enter the nose, usually through injection using a mini-hand pump. This function is performed by a pipette or specially designed packaging. Some liquid nasal medications come in the form of an oil emulsion and simply flow into the nasal passages, but they are also traditionally treated as a series of drops.

Classification of drops depending on purpose

Nasal sprays may be prescribed in the following cases:

  • Allergy. They may reduce secretion by constricting blood vessels, or contain antihistamines that prevent the development of the disease.
  • Colds. The drops help get rid of congestion, reduce the severity of inflammatory reactions, and help eliminate the pathogenic agent from the body.
  • Candidiasis. This is a fungal infection that sometimes affects the nose and mouth area. Sprays have a fungicidal effect on areas located deep in the nasal passages.
  • Nose injuries and previous surgeries. In such cases, the drops serve to cleanse the nose, help relieve swelling, and soften the resulting crusts of dried mucus.
  • Low immune status of the body, high risk of colds. Drops of this kind contain immunomodulators and immunostimulants, which are designed to prevent infection in the autumn-winter period.
  • Vaccinations. Some vaccine preparations are delivered to the body in the form of nasal drops.
  • Anesthesia. During operations in the nasal canals, the anesthetic agent is also administered locally in the form of a spray or aerosol.

Vasoconstrictor sprays and drops

Drugs of this kind act on the smooth muscles of the vessels that feed the mucous membrane of the nasal passages, as a result of which their lumen decreases. After a decrease in blood flow, swelling subsides, the separation of liquid secretions stops and breathing becomes much easier.

Important! Vasoconstrictor drops do not have a direct therapeutic effect; they serve only to relieve symptoms or carry out diagnostic procedures.

The use of vasoconstrictor drugs for more than 7-10 days is contraindicated. Otherwise, adaptation of the vessels occurs, and without medication they will be constantly in an expanded state, which will provoke swelling.

These medications are not recommended for use with drugs intended to be absorbed into the blood. Since, due to the narrowing of the lumen of the vessel, the rate of entry of any compounds into them decreases, the effectiveness decreases. However, in some cases, with complete nasal congestion, it is impossible to instill a drug with a therapeutic effect. In this situation, you need to try to find a “golden mean”, after using vasoconstrictors, wait until the moment when the nasal passage is not yet completely swollen, but breathing is already becoming difficult. A good solution would be to use drops after rinsing the nose, if such a procedure is included in the course of treatment.

To avoid overdose, it is better to give preference to medicines in the form of a spray. It allows you to achieve the desired effect with a smaller dosage of the drug; in addition, the number of injections is easier to control than the number of drops.

On the modern Russian market, the most popular medications of this kind are the following:

Naphthyzin

For a long time, this medicine cost only a few rubles, but in 2014 its price increased sharply. Today its price is rubles. Doctor Andrei Bogdanov described it this way: “Naphthyzin is the strongest and simplest drug in this group.” Side effects of the drops are rare and boil down to dizziness, tachycardia, swelling of the mucous membrane after prolonged use.

Xylene

Analogues containing the same active substance may be called xylometazoline, xymelin, galazolin. The price of the drug is slightly higher - rubles. Its effectiveness is lower than that of naphthyzin, but, according to the instructions, it can be used for up to 2 weeks without the risk of addiction. Side effects are mainly local: dry nasal mucosa, burning, sneezing, and rarely allergic reactions.

Nazivin

The cost of nasal drops is rubles. Their big advantage is that they can be used by children from birth. For patients under 1 year of age, the dosage should be 0.01% of the active substance, from one year to 6 years – 0.025%, for children over 6 years of age and adults – 0.05%. The drug causes reactions from the mucous membrane - dryness and burning, and in rare cases, congestion after the end of the course of treatment.

Tizin Xylo

The active substance of the spray acts within a few minutes after application. Contraindicated in children under 2 years of age. A bottle of 10 ml (calculated for 100 doses) costs rubles. If you are hypersensitive to the components of the drug, dryness, itching in the nasal cavity, and crust formation may occur. Headache and insomnia are rarely observed. In isolated cases, reactions from the cardiovascular system are possible: tachycardia, high blood pressure, etc.

Anti-inflammatory agents

Such drugs are aimed directly at combating the mechanism of the disease. They usually contain natural ingredients that ease the course of colds and speed up recovery.

These nasal drops and sprays include:

Aquamaris

The drug is sterilized sea water, which, in addition to regular salt, contains a number of microelements. They have a positive effect on the ciliated epithelium of the nasal mucosa, promoting the removal of liquid secretions. Salt has a powerful antiseptic effect, slowing down the growth of pathogenic bacteria. The drug is useful for both colds and allergies.

Aquamaris baby is used from birth. It is recommended for instillation in children under one year of age for hygienic purposes and for moisturizing the epithelium of the nasal passages. This spray for a runny nose helps to dilute the secretion secreted by the mucous membrane and promote its removal. It is one of the safest products in the group; the manufacturer noted only allergic reactions among the side effects. The cost of the drug is quite high - a 30 ml bottle costs from 200 rubles and more, depending on the region.

Aqualor

The composition and characteristics are similar to the previous drug. There is also a “baby” line for children up to one year old. Aqualor is slightly cheaper in price; a 50 ml bottle will cost rubles. The drug has no restrictions on its use; it is recommended for use in rhinitis of various etiologies, for hygienic purposes, and to increase the effectiveness of medications taken intranasally.

Kameton

This inexpensive product is an aerosol, available in 30 and 45 ml cylinders. The price is 50 and 70 rubles respectively. The drug contains chlorobutanol hydrate and auxiliary components (camphor, eucalyptus oil, menthol). This compound has an antiseptic, analgesic and sedative effect. Other components help restore the mucous membrane and reduce the severity of cold symptoms.

Important! Cametone is contraindicated for newborns; it can cause allergies, dry nasal mucosa, and sneezing.

Mentoclar

It is a nasal drop containing only products of natural origin. The preparation contains essential oils of mint, eucalyptus, thyme, and cedar. Mentoclar drops have an antiseptic, anti-inflammatory effect, soothe irritated mucous membranes. The drug may cause a burning sensation. Its cost starts from 75 rubles, but, unfortunately, the medicine is quite difficult to find on the open market; it is found mainly in online pharmacies.

Pinosol

It is an oil essence. Pharmacological action – anti-inflammatory, reducing the viscosity of mucosal secretions. The composition includes essential oils of medicinal plants, as well as isolated and purified chemical compounds of natural origin - tocopherol acetate, etc. 10 ml of the drug costs 130 rubles. Pinosol can be used from one year of age. Allergic reactions to the components of the drug are possible.

Sprays and nasal drops with antiallergic activity

Such drugs are used mainly to reduce the severity of local symptoms - sneezing, rhinitis, dryness and irritation of the nasal mucosa, swelling.

Nasal sprays act quickly, eliminating unpleasant symptoms, however, it is worth remembering that they do not cure allergies. Such drugs will be useless for rhinitis of other origins, so you should consult your doctor before using them.

Depending on the severity of the allergy, the patient may be recommended a drug from one of the following groups:

  • Medicines based on sodium cromoglycate or cromoglycic acid. Such drugs are intended for long-term use (2-4 months). They stabilize the membranes of mast cells - the initiators of the development of an allergic reaction. Manufacturers inform that these medications are not suitable for relieving acute attacks of the disease. The names of drugs usually contain the prefix “cromo” - cromosol, cromoglin, cromohexal. When released in the form of a spray or drops, the price is usually low - rubles. The inhalation solution will cost much more - up to 500 rubles.
  • Drugs that create a protective layer on the epithelium. This group includes the remedy called. The microcellulose included in its composition, when applied to the nasal mucosa, creates a protective film that prevents allergens from reaching the epithelium. The most effective use is before the onset of symptoms of the disease. Since these drugs have virtually no side effects, they can be taken to prevent seasonal allergies. When starting treatment with an already developed set of symptoms, additional use of steroids may be necessary. 500 mg of the drug (200 doses) has a price of 350 to 400 rubles. The big advantage of nazoval is the safety of its use during pregnancy, lactation, and also in childhood.
  • H-1 histamine receptor blockers. Such drugs prevent histamine (the main compound responsible for allergic reactions) from binding to smooth muscle and epithelial receptors. This prevents the development of edema and rhinitis. These products include Zyrtec drops. They contain cetirizine. Although there are many analogues of this drug, most of them are not suitable for intranasal use. A 20 ml bottle will cost 300–350 rubles. Another active substance that is included in nasal and eye drops is levocabastine. It is contained in drops of histimet, tizin alert, and vizine. Their price usually ranges from 200 to 350 rubles. Important! Levocabastine should be taken with caution by persons suffering from kidney disease.
  • Corticosteroids. These drugs are recommended for use in cases of severe allergy symptoms or when drugs from other groups are ineffective. The reason is their systemic effect on a number of organs, as well as the high risk of adverse reactions. Drugs containing corticosteroids act on the cell nucleus, preventing the development of inflammation and allergies at the very beginning of the disease. Such drugs include Aldecin, Baconase, Nasobek, Avamys, Nasonex. Their price can range from 200 to 800 rubles.

Important! Patients taking hormonal medications with corticosteroids for a long time should be advised of the increased risk of colds due to a reduced immune status. Also, when taken for several months, they should be examined to identify changes in the mucous membrane and nasal septum.

Immunostimulants with antiviral activity and vaccines for nasal administration

These drugs, unlike most nasal sprays, act not only locally, they affect the entire immune system.

The intranasal route of administration is an excellent alternative to the oral route, since it does not have a negative effect on the gastrointestinal tract. At the moment, you can use the following drugs with similar effects:

Grippferon

The medication contains the compound interferon, the main regulator of antiviral activity in the human body. It allows you to strengthen the immune response against the pathogen and increase the body's resistance during the peak period of colds. The drug is suitable for pregnant women and newborns. Grippferon has a large number of analogues, which may differ in the type of interferon used and excipients. They usually end in "pheron". The price of such drugs ranges from 250 to 400 rubles. Interferon-containing drugs are safe to use and have virtually no side effects. They are not recommended for use in case of severe allergies.

IRS-19

The drug contains remnants of the cell walls of bacteria - the most common causative agents of colds. They activate the body's defense mechanisms and increase the production of antibodies against pathogens. This vaccine can be used starting from three months of age, but it is contraindicated for use during pregnancy. It can be used both for the prevention and treatment of colds. At the beginning of the course, side effects such as sneezing and runny nose are possible. The price of the vaccine starts from 420 rubles.

Derinat

The drug contains sodium deoxyribonucleate. This compound has the ability to activate cells of the immune system and trigger a cascade of reactions aimed at removing the pathogen from the body. However, when used intranasally, as studies have shown, its effectiveness is minimal. The cost of nasal drops is about 300 rubles.

This is what T.S. Polyakova and L.A. Luchikhin write. from the ENT Department of the Faculty of Medicine of the Russian State Medical University in Moscow regarding his research in 2004:

“In clinical practice, Derinat has been successfully used by us in the form of intramuscular injections in the treatment of patients with nasal boils, with persistent purulent-inflammatory diseases of the pharynx, ear, paranasal sinuses, with sub- and atrophic processes, and also for prevention, the drug was used topically (drops in nose or aerosol)."

Antibiotic nasal sprays

There are still few drugs with similar effects, but numerous studies have demonstrated their effectiveness and safety. In fact, these are the only topical medications that are quite effective in helping to fight infection.

Similar drugs include:

Isofra

The spray contains an antibiotic of the aminoglycoside group - framycetin. It affects the membranes of bacteria, disrupts their metabolism, which leads to their rapid death. A significant disadvantage of the drug is the suppression of the growth and reproduction of representatives of the natural microflora of the nasal sinuses, especially with long-term (more than 10 days) use. The cost of a 15 ml bottle is rubles.

Bioporax

It is an aerosol consisting of tiny particles of a substance intended for irrigation of the mouth and nose. The antibiotic fusafungin, which is part of it, has a wide spectrum of bacteriostatic action and limited antifungal activity. This means that it is able to stop the growth and reproduction of pathogens, but not cause their death. Bioporax is almost completely safe to use; the only possible side effect is allergic reactions. Its price is quite high - 450 rubles per 10 ml of the drug.

Polydexa with phenylephrine

The drug contains several compounds that provide a complex effect: anti-inflammatory, vasoconstrictor and antibacterial. The drug is active against a wide group of gram-negative and gram-positive microorganisms, but its use is contraindicated in kidney disease, pregnancy and lactation. The average cost of the drug is 300 rubles.

The choice of nasal drops should be based on the severity of the disease and its symptoms. There is no point in using expensive and potent drugs for a mild cold, since they most often have serious side effects. For long-term diseases, it is necessary to consult a specialist who will help you plan a treatment program correctly.

Source: http://uhonos.ru/nos/lechenie-nosa/sprei/