Chlorhexidine for a runny nose: can it be used to rinse the nose?
Chlorhexidine is a special antiseptic drug that is used to treat processes that are purulent-septic in nature. It is also used to disinfect small burns and scratches.
Table of contents:
- Chlorhexidine for a runny nose: can it be used to rinse the nose?
- Indications for use
- Is it possible to rinse your nose with Chlorhexidine if you have a runny nose?
- How to properly dilute the drug for rinsing the nose with a runny nose
- Nasal rinsing with chlorhexidine
- How does an antiseptic work?
- Contraindications
- Nasal rinsing
- Burying
- Chlorhexidine for sinusitis - an antiseptic that works
- History of the antiseptic Chlorgesidine
- What is Chlorhexidine and how does it work?
- Variety of release forms
- Rinsing the nasal cavity with Chlorhexidine: instructions for use
- Nasal drops?
- Inhalations with Chlorhexidine
- Antiseptic in dentistry
- Side effects: is the treatment safe?
- Hypersensitivity to Chlorhexidine
- Can Chlorhexidine be used during pregnancy?
- Chlorhexidine analogs
- Indications for rinsing the nose with Chlorhexidine for a runny nose and sinusitis
- Medicinal properties of the drug
- Indications for use
- How to use the medicinal solution correctly
- Features of treatment in children
- Contraindications to rinsing, side effects
- In what proportions should chlorhexidine be diluted?
- Is it possible to rinse your nose with Chlorhexidine: what is important to know?
- Description of the drug Chlorhexidine
- Indications for use of the drug
- Is the nose rinsed with Chlorhexidine?
- How to dilute the drug for rinsing the nose?
- Nasal rinsing procedure
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- When and how to rinse the nose with Chlorhexidine
- Why is chlorhexidine effective?
- Medicines containing chlorhexidine
- How to rinse your nose with chlorhexidine
- Contraindications to the use of chlorhexidine
But in fact, the range of uses of Chlorhexidine is much wider. For example, it is often prescribed by doctors to treat mucous membranes in order to avoid the appearance of various types of sexually transmitted diseases. It is also customary for them to disinfect post-operative wounds to prevent infection.
Indications for use
Chlorhexidine can only be used externally. When treating a wound, you should first lubricate the area of skin near it, after which you can apply a napkin soaked in the preparation directly to the wound itself. It is very remarkable that even if the wound bleeds or festers, Chlorhexidine still does not completely lose its effectiveness.
Overall, this is a fairly versatile drug. So, for example, in case of unprotected sexual intercourse, you can use Chlorhexidine to avoid infection. To do this, the genitals, as well as the thighs and pubis, must be treated with this drug. It is also injected directly into the genital organs. But this procedure can be carried out only after consultation with a doctor.
The fact is that, as a rule, Chlorhexidine is tolerated quite well by patients. However, individual intolerance to the drug is occasionally observed, which is expressed in redness and itching.
Among other things, this medicine is usually prescribed with great caution to women during pregnancy and lactation. In the same way, it should be recommended to children with caution.
Is it possible to rinse your nose with Chlorhexidine if you have a runny nose?
Considering all of the above, we can come to the conclusion that this drug is an antiseptic that kills not only bacteria, but also viruses. In this regard, the question of whether it is possible to rinse the nose with Chlorhexidine during a runny nose arises in itself. But if you take into account the fact that the nasal mucosa is very delicate and vulnerable, it is quite difficult to answer this question.
Nevertheless, doctors say that rinsing your nose with this drug is not only possible, but also necessary, especially when you have a runny nose. In this case, a 0.05% solution is used, which is also recommended for gargling.
Before starting the procedure, it is necessary to clean the mucous membranes with warm water. The entire process of rinsing your nose or gargling should take about 30 seconds. For an hour after the end of the procedure, you should not drink water, eat food, or use any other medications, such as nasal drops. How many times a day Chlorhexidine can be used for a runny nose is determined only by the attending physician.
How to properly dilute the drug for rinsing the nose with a runny nose
To begin with, let us explain that when treating any disease, the dosage of the drug may differ. This fact is influenced by a huge number of parameters, ranging from the severity of the disease itself to the age of the patient.
The instructions for Chlorhexidine do not indicate how it should be diluted to cure nasal diseases. Nevertheless, doctors recommend using the 0.05% solution, which is sold in every pharmacy.
Nasal rinsing with Chlorhexidine is recommended for the following diseases:
The temperature of the solution that will be used to rinse the nose must match the patient’s body temperature. However, rinsing should be done with extreme caution, since the medication solution can get into the inner ear or into the lining of the brain.
Attention! Under no circumstances should you swallow the medicine, as this process can lead to intoxication. It is also prohibited to take medications containing iodine.
Most often, doctors recommend diluting Chlorhexidine with water for rinsing the nose. But if you managed to purchase 0.05% or 0.1% Chlorhexidine at the pharmacy, you do not need to dilute it first.
To make the procedure as comfortable as possible, you can use a pipette or syringe. Note that one drop of the drug contains approximately 0.04 ml. It is very noteworthy that in the above dosage, you can rinse your nose with Chlorhexidine for a runny nose even at home. But if the doctor has prescribed a higher dosage, then treatment should be carried out exclusively under the supervision of a specialist.
Let us remind you that when rinsing the nose with Chlorhexidine, do not allow it to enter the respiratory tract or stomach. The end of the device chosen for this procedure is inserted into one of the nostrils. Next, the solution is slowly instilled into the nasal cavity. During this procedure, the patient must stand, preferably leaning over the sink.
If there is no obstruction of the nasal passages, the solution injected into one nostril calmly flows out of the other or enters the mouth. There's nothing wrong with that. The main thing is not to swallow it. When rinsing the nose, it is important to ensure that Chlorhexidine gets into the nasal sinus first, and only then into the nasopharynx.
Source: http://prostudnet.ru/nasmork/xlorgeksidin-pri-nasmorke-mozhno-li-im-promyvat-nos.html
Nasal rinsing with chlorhexidine
Chlorhexidine is an effective antiseptic with antibacterial, antiviral, and antifungal activity. The effect on a number of respiratory viruses allows the use of chlorhexidine for nasal rinsing for inflammatory diseases of the nasopharynx.
How does an antiseptic work?
With a runny nose or sinusitis, a focus of inflammation is constantly maintained in the nasal cavity. It exists due to the presence on the mucosa of complex conglomerates of microorganisms consisting of bacteria, viruses, and fungi.
Such formations form a thin biofilm on the surface of the mucous membrane lining the nasal cavity. Chlorhexidine affects the ability of the biofilm to attach to the inner lining of the nasal cavity, making it permeable to drugs used to treat rhinitis and sinusitis.
Nasal rinsing with chlorhexidine is recommended for severe forms of bacterial infection, for example, hemolytic Staphylococcus aureus. Treatment with the drug has a bactericidal, fungicidal, virucidal (causing the death of viruses) effect.
Contraindications
Children under 7 years of age should not have their nose washed with chlorhexidine. Even with strong dilution, the medicinal solution can damage the delicate mucous membrane and negatively affect the olfactory cells.
A contraindication for the use of chlorhexidine for a runny nose is an allergy to the drug, as well as high sensitivity of the mucous membrane to this drug.
Nasal rinsing
The drug is used to treat all types of sinusitis due to the antiseptic activity against almost all types of infection.
This antiseptic can be used from the first days of development of acute sinusitis caused by viruses against which antibiotics are powerless.
Rinsing the nose and maxillary cavities with chlorhexidine for a long time (up to 24 hours) disinfects the inner lining of the nasal cavity. For adults, a ready-made 0.05% solution is used, available in pharmacies under the trade name Hexicon, which is diluted to the required concentration of 0.02%.
To obtain a solution with a percentage of the substance of 0.02%, you need to dilute the original solution with 0.05% Hexicon by 2.5 times. To do this, add 1.5 tablespoons of boiled or distilled water to a spoon of 0.05% Hexicon.
For children, this drug is prescribed only by a doctor, who also recommends whether it is possible to rinse the nose with 0.02% chlorhexidine or whether the concentration should be reduced. Otherwise, the drug may cause irritation of the nasopharynx, accompanied by bouts of sneezing and watery discharge.
Burying
The antiseptic solution is not used in its pure form for instillation into the nose due to the unproven effectiveness of the product, and also because part of the drug will definitely get into the throat and be swallowed.
The medicine is slightly toxic to humans, but can cause a rapid allergic reaction - anaphylactic shock. This phenomenon is observed extremely rarely.
But, nevertheless, the danger of swelling of the upper airways caused by an allergic reaction of the nasopharyngeal mucosa exists and cannot be ignored.
The drug does not reduce activity in the presence of pus, this allows it to be used in severe cases of chronic rhinitis and purulent sinusitis.
But dripping chlorhexidine into the nose, especially in concentrations exceeding 0.02%, is not recommended due to its irritating effect on the mucous membrane and insignificant effectiveness for a runny nose.
For instillation in children with a runny nose, Hexicon is used after 7 years and diluted 3 times. Drip no more than 2 times a day, placing 2 drops in each nostril.
As an excipient, chlorhexidine is contained in the nasal vasoconstrictor Vicks Active Sinex. The vasoconstrictor effect is provided by the active component oxymetazoline.
The drug is approved for instillation for a runny nose and sinusitis in children over 6 years of age; the course of treatment should not exceed 7 days. Longer therapy may cause dry mucous membranes, decreased sense of smell, and an unpleasant bitter taste in the mouth.
The use of chlorhexidine for rinsing and instillation of the nose is resorted to only on the recommendation of a doctor, if it is impossible to use a more effective drug, for example, Miramistin.
In addition, chlorhexidine is effectively used:
Runny nose in a nursing mother, treatment with drops and folk remedies
Signs and treatment of sinusitis in adults
Inexpensive drops for runny nose
Treatment of laryngitis in adults at home
How and with what to treat a sore throat in a 2-year-old child
By self-medicating, you can waste time and harm your health!
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Source: http://loramed.ru/preparat/hlorgeksidin/h-promyivanie-nosa.html
Chlorhexidine for sinusitis - an antiseptic that works
Among several popular antiseptics used for rinsing the nasal cavity and maxillary sinuses for sinusitis, Chlorhexidine solution occupies a special place. A very affordable, effective and at the same time safe antiseptic that can be used for a wide variety of infectious processes, over the years of its existence it has acquired a lot of loyal fans. Why it is so good and how to properly use it for inflammation of the maxillary sinuses will be discussed in our article.
>> The site presents an extensive selection of medications for the treatment of sinusitis and other nasal diseases. Enjoy it for your health! <
History of the antiseptic Chlorgesidine
Chlorhexidine was discovered at the dawn of pharmacology. The antiseptic was identified by English scientists who in 1950 tried to synthesize antimalarial drugs. History has not preserved information about whether pharmacists managed to find worthy competitors for quinine, one of the few drugs that helped against malaria. But the fact of the discovery of Chlorhexidine was included in pharmacology textbooks.
Four years later, the new drug Chlorhexidine bigluconate was officially registered in the United Kingdom as a local antiseptic and disinfectant agent.
Today, good old Chlorhexidine is used in almost all branches of medicine. Externally, locally, rectally - all possible routes of administration are equally effective and safe. What kind of substance is this and how does it manage to fight bacteria?
What is Chlorhexidine and how does it work?
So, Chlorhexidine bigluconate - and this is what pharmacists call the antiseptic - is a synthetic substance with antibacterial properties. It has very high activity against gram-positive bacteria, including staphylococci and streptococci. The drug has a less pronounced effect on gram-negative flora and fungi. This point must be taken into account when prescribing nasal rinsing with Chlorhexidine for sinusitis associated with infection with Haemophilus influenzae, Moraxella and other gram-negative microorganisms.
The activity of Chlorhexidine is not limited to its action against bacteria. The drug has been proven effective against viral infections, including herpes simplex virus, HIV, cytomegalovirus infection, influenza, and respiratory syncytial infection.
Rotaviruses, adenoviruses and enteroviruses are also subject to the antimicrobial power of the popular antiseptic, but to a lesser extent. The antiviral effect of Chlorhexidine bigluconate allows this remedy to be used for viral sinusitis. Let us remember that in the vast majority of cases, inflammatory diseases of the maxillary sinuses are of viral origin. In such cases, rinsing the nasal cavity and paranasal sinuses with Chlorhexidine is quite effective - after all, most antiseptics work against bacteria.
In addition, the drug is able to prevent the adhesion (“sticking”) of microorganisms to the surface of the mucous membrane. Thus, the antiseptic prevents the growth and development of the so-called biofilm - one of the most dangerous aggregations of microorganisms. At the same time, the antimicrobial activity of Chlorhexidine does not depend at all on whether organic material, for example, blood, is present in the area of action of the drug.
The antiseptic molecule has a positive charge and binds to negatively charged areas of the microbial cell wall. Absorption of the drug occurs very quickly, usually within the first 20 seconds. The drug violates the integrity of the cell wall of a bacterium, virus or fungus, and in high concentrations provokes the solidification of the cytoplasm - the internal environment of the cell.
Along with all its benefits, Chlorhexidine has significant residual activity - it binds to proteins present in the mucous membranes and is slowly released from there. Thanks to this ability, the antiseptic acts for a very long time.
Variety of release forms
Chlorhexidine is one of the drugs that has an abundance of release forms. It has found application in surgery, otorhinolaryngology, obstetrics and gynecology, surgery, urology, cosmetology and dentistry. Let's try to list the most popular drugs containing an antiseptic:
- Chlorhexidine creams, which are used to prevent infection from spreading to the surface of the skin;
- fabrics (clothing) impregnated with 2% Chlorhexidine bigluconate, which are used in surgery to reduce the risk of postoperative infections;
- scrub and shower gel with Chlorhexidine, used for preoperative skin preparation;
- mouth rinses with Chlorhexidine.
These drugs are called the “gold standard” in the treatment and prevention of plaque, gingivitis and periodontal disease. Antiseptic pastes, aerosols, and gels for gums are also used in dentistry. The drug binds to the mucous membrane of the oral cavity and dental surfaces and maintains a bacteriostatic effect for several hours;
This form of release is used in urology for washing catheters, as well as in hospitals for hand hygiene. External solution of Chlorhexidine is also used for rinsing the nasal cavity and paranasal sinuses for sinusitis (including sinusitis), rhinosinusitis and rhinitis, as well as for inhalation of the respiratory tract and nasopharynx;
Vascular catheters are also treated with an antiseptic, and this reduces catheter-associated infection by 99.99%;
This form is used in gynecology to treat various infectious diseases, including sexually transmitted diseases.
Rinsing the nasal cavity with Chlorhexidine: instructions for use
Nasal rinsing with antiseptic solutions is one of the most effective and vital procedures for acute bacterial sinusitis. Chlorhexidine’s ability to have an antiviral effect allows it to be used for viral inflammation of the maxillary sinuses. How to use the drug correctly?
To rinse the nasal cavity, Chlorhexidine does not need to be diluted: the usual 0.05% solution, which is sold in every pharmacy, is excellent for these purposes. We discussed detailed rules for rinsing the nasal cavity in an article devoted to this method of treatment. Here we will go through the main stages of the procedure:
- restore nasal breathing, if it is blocked, using vasoconstrictor drops in the nose;
- heat the Chlorhexidine solution to a temperature of 37°C;
- pour the medicine into a device for rinsing the nasal cavity (neti pot, syringe, syringe without a needle);
- start the procedure according to the instructions.
To rinse one sinus, 10–20 ml of a 0.05% solution is enough. The procedures can be repeated 1–2 times a day, the duration of treatment is 7–10 days.
Nasal drops?
Many patients, having seen the results of rinsing the nose with Chlorhexidine, believe that the drug is also suitable as nasal drops. However, nasal drops are not able to penetrate the paranasal sinuses. Rhinitis - inflammatory diseases of the nasal cavity - develops in the vast majority as a result of a viral infection. But practice shows that antiviral drugs for rhinitis work very poorly, and more often they do not work at all.
It follows from this that the use of Chlorhexidine as nasal drops for sinusitis, rhinitis and rhinosinusitis is a fool’s errand. This is not to say that using the medicine for this purpose is strictly contraindicated - there will simply be little benefit from such treatment.
Inhalations with Chlorhexidine
Along with rinsing, the drug can also be used for inhalation treatment of sinusitis, rhinitis and rhinosinusitis. A compressor nebulizer with the ability to set the particle size is best suited for these purposes. Popular ultrasonic inhalers, of course, work much quieter, but they also spray particles of much smaller sizes than compressor ones. But in order to “settle” in the nasal cavity and maxillary sinuses, Chlorhexidine digluconate must be broken into particles measuring at least 10 microns.
Let us remind you that inhalations must be carried out with completely free nasal breathing. The volume of the drug for nebulizer treatment is 10–15 ml, the duration of the procedure is 10–15 minutes, the frequency is 2–3 times a day. Do not forget that when treating sinusitis, both inhalation and exhalation should be done through the nose.
Nebulizer therapy with an aqueous solution of 0.05% Chlorhexidine is also indicated for diseases of the upper respiratory tract. Considering its activity against some viruses and the most common causative agents of bacterial respiratory infections, the antiseptic easily “hits the target.” Therefore, if you have pharyngitis, laryngitis, tonsillitis, bronchitis or even pneumonia, do not hesitate: inhalations with Chlorhexidine will help you cope with the disease faster.
Antiseptic in dentistry
Along with its use in otorhinolaryngological practice, the drug is widely used in dentistry. It is mouth rinsing with Chlorhexidine solution that is considered the “gold standard” in the treatment of inflammatory diseases of the oral cavity.
Thanks to its ability to suppress the development and proliferation of biofilm, which is one of the most important causes of gum inflammation, the antiseptic effectively counteracts the development of gingivitis and periodontal disease.
Another positive aspect of the drug is the possibility of long-term action. According to some reports, it can be effective within 24 hours of use. Such long-lasting activity in combination with a wide spectrum of action makes Chlorhexidine a leader among mouth rinses.
Let us add that antiseptic solutions are also used for inflammatory diseases of the oral mucosa - stomatitis, including severe, aphthous forms. The origin of stomatitis is still controversial: versions of bacterial, viral (herpes simplex virus) and fungal etiology of the disease are being considered. Chlorhexidine is effective in all three cases, so regardless of the type of pathogen, the drug will work.
Side effects: is the treatment safe?
Adverse events, as a rule, develop only with topical use of Chlorhexidine solution - this is proven by both clinical studies and patient reviews. External use of an antiseptic is usually not accompanied by unpleasant consequences.
We list the main side effects that were recorded during clinical trials and in marketing studies:
When rinsing your mouth, it is likely that your teeth will be stained dark brown to black. According to statistics, the risk of such trouble is about 50%. Stains are removed using professional dental cleaning techniques. To prevent such developments, many manufacturers have begun to produce mouthwashes that contain chelated zinc. It effectively counteracts tooth staining;
When used as a nasal rinse, Chlorhexidine may cause minor burning or discomfort. Unpleasant sensations go away on their own and have no consequences;
This symptom requires correction. Dryness of the nasal mucosa during sinusitis contributes to deterioration of drainage as a result of increased viscosity of the secretion. Therefore, if symptoms of dry mucous membranes appear after rinsing with Chlorhexidine, you should additionally use intranasal sprays or nasal drops based on saline or sea water. The frequency of use of these funds can be determined independently, depending on the sensations.
When rinsing the mouth with Chlorhexidine solutions, a temporary and transient increase in gum bleeding is also possible, especially after massage.
Hypersensitivity to Chlorhexidine
In some patients prone to allergic reactions, the antiseptic may cause allergies. Among the registered side effects we note:
- allergic contact dermatitis, manifested by the appearance of itchy reddish elements on the skin in areas of contact with the drug;
- itching;
- hives;
- shortness of breath;
- anaphylactic shock.
Allergic reactions have been reported after the use of products containing chlorhexidine digluconate as a preservative, as well as antiseptic preparations.
Patch testing of a wide range of patients revealed that individual sensitivity to the drug develops in more than 2% of people. Among patients with eczema, this figure is even higher - up to 5%.
Can Chlorhexidine be used during pregnancy?
Chlorhexidine, in terms of its effect on the fetus, belongs to category B. This means that in a study on animals the drug did not show a teratogenic, that is, damaging to the fetus, effect. However, we must not forget that experiments on pregnant women with category B drugs were not conducted. Pharmacologists warn: animal studies cannot confirm or refute the safety of drugs used to treat humans. Therefore, Chlorhexidine during pregnancy is used only in cases of extreme necessity.
Also, it remains unknown whether the antiseptic passes into breast milk. Taking this into account, women who are breastfeeding should also choose a safer medicine for the treatment of sinusitis.
Chlorhexidine has not been studied in pediatrics, so the drug is not recommended for use in children under 18 years of age.
Chlorhexidine analogs
Most domestic enterprises produce an antiseptic under the familiar name Chlorhexidine, but there is also an analogue with a less well-known name. This is Hexicon, which is produced by the Nizhpharm corporation. This is where the variety of generics of one of the most popular domestic antiseptics ends.
When buying Chlorhexidine or its analogue, know: you are not just purchasing a remedy for the treatment of sinusitis, but a medicine for all occasions. Give it a place of honor in your home medicine cabinet, and it will prove its effectiveness more than once.
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Good articles to follow:
Nasal drops are ineffective, but how effective will an aqueous solution of chlorhexidine 0.05% in the form of a SPRAY be in the treatment of rhinitis and sinusitis? (the nebulizer can be used for other medications)
If it is effective, what is the dosage and duration of treatment?
I poured Angylex chlorhexidine into the spray bottle. When pharyngitis worsens, throat irrigation helps a lot. Just don't swallow the solution, it's toxic. Now I'll try to rinse my nose. and it all started a year ago with ARVI, how fragile a person is.
Source: http://gaimoriti.ru/medicamenty/xlorgeksidin.html
Indications for rinsing the nose with Chlorhexidine for a runny nose and sinusitis
Chlorhexidine is an antiseptic that stops rotting and decomposition processes on wound surfaces and mucous membranes. In otolaryngology, the solution is actively used for infectious and inflammatory diseases of the upper respiratory tract. Chlorhexidine in the nose is prescribed as part of complex therapy for rhinitis and sinusitis of various etiologies.
Medicinal properties of the drug
The solution belongs to the group of disinfectants. The main pharmacological action is disinfectant.
The substance is active against pathogenic microflora - gram-negative bacteria and protozoa. The antiseptic does not affect fungal and viral infections, with the exception of the herpes virus.
The mechanism of action on the microbial cell lies in the relationship with the bacterial membrane. The medicinal solution shifts the osmotic pressure, as a result of which the integrity of the microbial membrane is disrupted. This process is irreversible and leads to the death of the infectious agent.
When Chlorhexidine is applied to the mucous membrane, the bactericidal effect remains in the presence of purulent or mucous exudate, blood, and serous fluid.
The medicine is produced in the form of an aqueous solution. When applied topically, it is not absorbed into the systemic bloodstream and does not affect the functioning of internal organs and systems.
Indications for use
Chlorhexidine for the nose is used for therapeutic and prophylactic purposes. To treat mucous membranes, use a solution at a concentration of 0.05%.
According to the instructions for use, the drug is prescribed in the following cases:
- treatment of acute and chronic rhinitis complicated by bacterial infection;
- infectious local foci in the nose - boil;
- inflammation of the paranasal sinuses – sinusitis;
- preparation for endoscopic examination of the nasal passages;
- treatment of the mucous membrane before medical manipulations, operations in maxillofacial surgery;
- prevention of bacterial infection.
After using Chlorhexidine to rinse the nose, the production of purulent exudate is reduced and the proliferation of bacteria is stopped. The drug reduces the severity of inflammation. The inclusion of the solution in the complex treatment of the nose and sinuses reduces the risk of complications - eustachitis, otitis media.
The product is used to wash the mucous membrane if foreign bodies get into the nose. When a foreign object is in the nasal passage in children, microbes quickly attach and multiply. Timely use of an antiseptic excludes the prescription of antibacterial drugs.
Rinsing the nose with Chlorhexidine for sinusitis eliminates pathological mucus and frees the sinuses from pus and phlegm. After the procedure, sinus ventilation improves, which restores physiological processes and speeds up recovery.
How to use the medicinal solution correctly
To rinse the nasal passages, use a solution with a concentration of no more than 0.05%. At higher dosages, the medicine is diluted independently. If Chlorhexidine is 5%, to get 0.05%, take 2 ml of antiseptic and mix with 198 ml of boiled water (room temperature, not hot). The total volume of liquid is 200 ml.
Rules for rinsing the nose:
- Before the procedure, the nose is cleared of mucus, blood and serous crusts, and pus. To do this, use sea salt-based sprays or drops - Salin, Humer, No-Sol, Aqua Maris.
- If there is severe swelling in the nasal passages that makes breathing difficult, vasoconstrictor drugs are instilled a minute before rinsing.
- Chlorhexidine is warmed to body temperature (37°C) before use.
- The liquid is poured into the nose using available means - a teapot, a syringe without a needle, a syringe.
- The method of applying the solution is jet. The head is tilted to the side. Medicine is injected into the nostril located on top under pressure. When administered correctly, it flows out of the other nostril and does not go down the throat. The procedure is repeated with the second nasal passage.
- After the manipulation, you must remain in a horizontal position for minutes; you cannot immediately lie down vertically.
The volume of Chlorhexidine for one procedure is from 50 to 100 ml. 2-3 rinses are prescribed daily. The therapeutic course is 7 days. According to indications, it may be longer.
Features of treatment in children
Rinsing the nose with a solution is an unpleasant and slightly painful procedure. During its implementation, it is necessary to control the process so that the liquid does not enter the digestive tract or respiratory tract. Therefore, at home, children under 7 years old do not wash their nose.
For preschool children, the drug can be instilled. Chlorhexidine in the nose of a child is prescribed for a runny nose. A solution at a concentration of 0.05% is diluted with boiled water in a ratio of 1:3. Treatment regimen: 1-2 drops in each nasal passage in the morning and evening. The duration of treatment for a runny nose is 5-7 days. Chlorhexidine is dripped into the nose after preliminary cleansing of phlegm and mucus.
If the medication accidentally gets into your eyes, you must quickly rinse the conjunctiva under running water for 5-7 minutes and apply Albucid eye drops.
Contraindications to rinsing, side effects
The procedure is not prescribed to patients with increased individual sensitivity to the solution. Cleansing with liquid is not carried out for dermatitis and fungal pathology of the skin.
Rinsing your nose with Chlorhexidine during a runny nose is contraindicated if there is severe swelling of the mucous membranes of the respiratory tract. In this condition, the antiseptic may enter the middle ear.
The drug is prescribed with caution to patients with a history of allergies, regardless of its type and origin. Before treatment, a skin test is performed. If a person experiences a burning sensation after application, the solution should not be used.
The prohibition against rinsing is the anatomical curvature of the nasal septum.
With prolonged use, Chlorhexidine can cause local allergic reactions:
- itching, burning, hyperemia, dry skin;
- rashes, urticaria, dermatitis;
- swelling of the subcutaneous tissue.
When applied topically, the drug does not penetrate the placental barrier and does not have a teratogenic (toxic) effect on the fetus. Therefore, it is possible to rinse your nose during pregnancy. The procedure is safe for women during lactation.
Chlorhexidine should not be used simultaneously with drugs containing iodine and other antiseptics.
If the solution is accidentally ingested, it can cause symptoms of poisoning:
- nausea, vomiting;
- bowel disorders;
- increased body temperature;
- headaches, muscle pain.
The instructions for using Chlorhexidine for nasal rinsing indicate that the solution should only be prescribed by a doctor. Independent use can lead to such consequences as disruption of the physiological microflora of the mucous membrane, spread of infection through the Eustachian tube into the middle ear and nasopharynx. If the rules of the procedure are followed, the medicine is safe and does not aggravate the general condition of the patient. An antiseptic in complex treatment effectively resists infection and prevents its spread.
In what proportions should chlorhexidine be diluted?
Chlorhexidine is an antiseptic, that is, a drug that acts detrimentally against various types of pathogenic bacteria. It is released ready for consumption. For sixty years, this substance has been used in medical practice to destroy microbes that can cause serious damage to human health. English pharmacists first discovered this product in the 70s and confirmed its disinfecting abilities.
The composition of chlorhexidine has a detrimental effect on many bacteria, both gram-positive and gram-negative. It can be used to treat herpes. After rinsing the nose, the beneficial bactericidal property remains for some time. You can rinse the nasal cavity both for therapeutic purposes and for the prevention of such diseases:
If it’s cold outside and you feel discomfort in your nose, a runny nose, and itching, you should start preventive measures with chlorhexidine. But it is important to use it very carefully, avoiding contact with the eyes. It should be said that the use of such a solution for the nose must be used with extreme caution.
It is important to prevent harmful effects on the nasal mucosa. Usually no one specially dilutes such a drug to instill it into the nose. A ready-made solution is sold - 0.07%. However, a sufficient dose is 17 ml. Prevention or treatment should be carried out within a week. This procedure is repeated up to two times a day.
Rinsing the mouth with chlorhexidine solution guarantees the treatment of flu, colds and diseases such as:
It is important not to swallow the drug during treatment and prevention. It is not intended for oral administration. To rinse your mouth, you need to use a solution of 0.7 percent. It is important to know in what proportions to dilute chlorhexidine. To prepare a liter of a solution of this percentage, you need to take a 28 percent solution in the amount of 2.7 ml and dilute it with clean, distilled water. If a burning sensation is felt during the rinsing process, it means that the solution is very strong and needs to be diluted.
- Strong solutions - from 0.7 percent - are usually used to treat medical instruments. As for other methods of use, such as instillation into the nose, rinsing the mouth, the question of whether chlorhexidine needs to be diluted has one answer: yes, if it is not a ready-to-use solution.
- To prevent respiratory diseases, you can use solutions of 0.2% and 0.07%. They can be used to irrigate the oral cavity and rinse. With chlorhexidine of this percentage or 0.7%, applications can be applied. Twice or three times a day, such applications are applied to the affected area of skin for a few minutes.
- With the help of chlorhexidine, ENT diseases are not only treated, but also sexually transmitted diseases are prevented. To do this, approximately two milliliters of solution is injected into the urethra (both men and women) for several minutes.
- The genitals and thighs are treated within the first two hours after sexual intercourse. After this, urination is prohibited for two hours.
Chlorhexidine is a universal and very useful remedy that helps solve many health problems. But it is extremely important to follow the dosage and use it as directed.
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Is it possible to rinse your nose with Chlorhexidine: what is important to know?
Chlorhexidine bigluconate is an antiseptic drug that is used to treat processes of a purulent-septic nature, to disinfect minor scratches and burns. Chlorhexidine is used to treat mucous membranes to prevent sexually transmitted diseases. Chlorhexidine is used in medical institutions for the treatment of wounds, as well as before and after operations to prevent infection.
Description of the drug Chlorhexidine
Using a low concentration of the drug, the nose is washed with Chlorhexidine for the treatment and prevention of ENT and other viral diseases. This procedure is recommended to be done only in a hospital, otherwise there is a risk of the substance getting into the inner ear or onto the meninges, which is fraught with complications.
The drug Chlorhexidine is used only topically
Chlorhexidine is used externally, used only for topical use. The substance is active against some viruses, gram-positive and gram-negative bacteria, and yeast. The drug is not effective against bacterial spores and acid-fast bacteria. Lactobacilli are not affected.
After exposure to Chlorhexidine, the skin is completely cleansed, disinfected, the surface remains smooth, without mechanical damage.
Chlorhexidine bigluconate is used in the following cases:
- STD prevention
- treatment of colpitis
- vaginitis treatment
- prevention of complications in gynecology caused by infection (treatment before and after the procedure)
When using, you need to be careful so that the substance does not get into your eyes in its pure form. The substance is effective for some eye diseases, but there is a special dosage form for this.
Chlorhexidine is compatible with drugs that contain a cationic group. Not compatible with drugs containing anionic group and soap.
The spectrum of action of Chlorhexidine is quite wide; it can neutralize most dangerous microorganisms.
Indications for use of the drug
The drug is used externally only. First, the skin around the wound is treated, then a napkin soaked in Chlorhexidine is applied with further fixation. Chlorhexidine, even in the presence of blood and pus, retains partial activity.
The medicine is used to prevent sexually transmitted diseases
If the medicine is used as a prophylaxis for STIs, the procedure is as follows. During the first two hours after unprotected intercourse (no later), you need to go to the toilet and thoroughly wash your genitals with soap. You can treat the genitals straight from the bottle.
The genitals, pubis, and inner thighs are treated with a stream of solution. Next, the spout of the bottle is inserted into the opening of the urethra. Women need to squeeze out 1.5 ml of the substance, men up to 3 ml. Before the procedure, consultation with a doctor is required.
The solution should remain in the urethra for about 3 minutes. To prevent it from leaking out, the hole is compressed with your fingers. After this, you should not urinate for several hours so as not to wash out the solution.
Chlorhexidine is usually well tolerated, but individual intolerance to the substance and allergic reactions such as itching and redness are possible. It is not recommended to use the medicine in children. Prescribe with caution during pregnancy and lactation.
Chlorhexidine can be applied to the skin and mucous membranes without fear.
Is the nose rinsed with Chlorhexidine?
Since Chlorhexidine is an antiseptic that kills viruses and bacteria, the question arises: is it possible to treat nasal diseases with its help? The nose has a delicate mucous membrane, so the use of Chlorhexidine remains controversial.
The medicinal solution is used to prevent the occurrence of infection, which can form due to skin damage, during surgery, or during injections.
Before use you need to check for allergies
Before use, you need to check for an allergic reaction. Apply a small amount of solution to the mucous membrane and wait a while.
If discomfort occurs, the area is washed with plenty of water. If the patient has allergic reactions to other medications and chemicals, then you need to be especially careful.
Chlorhexidine is used for ENT diseases; it is used to wash the nose and throat. For throat diseases, a 0.5% solution is used.
Before rinsing the nose or throat, the mucous membranes are first cleaned with warm water. Washing and rinsing takes about 30 seconds. For the next hour, you should not take food or other rinses or nasal drops. The number of repetitions per day can only be prescribed by a doctor.
Doctors do not recommend rinsing your nose without a preliminary examination, as unpleasant sensations in the form of tingling and tingling may occur.
Is it possible to rinse the nose with Chlorhexidine under the supervision of an experienced doctor? The answer is yes. In the hospital, the nose is washed using the “cuckoo” method. The patient lies on his back, an antiseptic solution is injected into one nostril, and it is simultaneously removed from the other with a special suction device. During the procedure, the patient says “ku-ku” so that the medicine does not enter the respiratory tract.
The medicine is effective for the treatment of ENT diseases, in particular problems with the nose.
How to dilute the drug for rinsing the nose?
Each individual disease requires a special dosage of the drug. The instructions for Chlorhexidine do not indicate what percentage of the solution is needed for rinsing the nose. In order not to burn the mucous membrane and at the same time destroy viruses, bacteria or fungi, a 0.05% solution is used. It is in this form that it can be purchased at the pharmacy.
It is recommended to rinse the nose in case of corresponding diseases.
It is recommended to rinse your nose for the following nasal diseases:
The temperature of the solution should match body temperature or be slightly warmer. The nose should be rinsed very carefully, because the medicine can get onto the lining of the brain or into the inner ear.
You should also not swallow the medicine, as this can lead to severe intoxication. At the same time, you should not take medications containing iodine.
An aqueous solution is most often used. The concentration can reach the following values: 0.05%, 0.1%, 0.2%, 0.5%, 1%. This concentration of the substance is safe for humans if used correctly.
0.5%-1% are stronger; such concentrations are used in medical institutions for processing instruments.
0.05% and 0.1% are not further diluted and are used in their original form. For dilutions of 5% and 20%, distilled or boiled water is used.
For convenience, a syringe or pipette is used. One drop is approximately equal to 0.04 ml of liquid.
Weak concentrations can be used independently at home. The drug is available without a prescription.
Nasal rinsing procedure
It is important that the rinsing solution does not enter the stomach
When rinsing the nose, the liquid should not enter the stomach or the inside of the head. The procedure is carried out using a syringe or syringe. The end of the selected device is inserted into one nostril, and the solution is slowly released. In this case, the patient should stand in a position bending over the sink.
If there is no obstruction of the respiratory tract, then the solution, having passed through the nasopharynx, should flow freely from the second nostril. It’s okay if some of the solution gets into the oral cavity, the main thing is not to swallow it.
To do the rinsing correctly, you need to control that the solution flows into the sinus and not directly into the nasopharynx.
You can make a “cuckoo” at home. An antiseptic is poured into one nostril while the patient lies down. During the procedure, the patient says “ku-ku” so that the liquid does not spill into the nasopharynx, but acts only in the nostrils.
A teapot with a spout is also used. The spout is inserted into the nostril and the medicinal solution is gradually poured out.
You can rinse your nose without any equipment. You will need to inhale Chlorhexidine through your own nose. One nostril is pinched with a finger, and the liquid is drawn in with the other.
Not everyone will be able to perform the procedure correctly, so it is better not to take risks and use proven methods or consult a doctor.
Learn about the treatment of sinusitis from the video provided.
Chlorhexidine is a popular antiseptic. It is used against most bacteria and viruses. The scope of application is also varied: gynecology, dentistry, traumatology. A 0.05% solution is used, this concentration allows you to destroy harmful microorganisms and at the same time not harm the mucous membranes. If a burning sensation occurs, you should stop using this medicine. Treatment should be carried out strictly under the supervision of a doctor.
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Comments (3) to the material “Is it possible to rinse the nose with Chlorhexidine: what is important to know?”
For me, Chlorhexidine dries out the nasal mucosa very much, but at the same time it works well against viruses. After rinsing, I lubricate my nose with cream or drop essential oils, it seems to me that it’s easier!
Attention, be careful. After washing with pharmaceutical Chlorhexidine at a concentration of 0.05%, a burn to the nasal mucosa occurred and the sense of smell completely disappeared. Don't take risks, it's not worth it! Or dilute 1:10, but certainly not as written in this article - do not rinse undiluted.
The congestion did not go away the whole day, the drops helped, but for a short time. I took a solution of chlorohexidine 0.05%, rinsed my nose and voila, I’m breathing 😉
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When and how to rinse the nose with Chlorhexidine
Nasal rinsing for sinusitis and rhinitis is a mandatory procedure. Various solutions are used for this. For purulent and bacterial diseases, antiseptics provide the greatest therapeutic effect. Most often, doctors recommend using chlorhexidine for sinusitis, especially if it is odontogenic. In this case, not only rinsing the nose will help, but also rinsing the mouth with preparations that contain this antiseptic.
Why is chlorhexidine effective?
Chlorhexidine is an antiseptic; it is prescribed for external use to treat wounds, gargle, rinse the mouth, and rinse the nose. It is also used to treat sexually transmitted diseases. He is capable of:
- penetrate the bacterial cell membrane;
- change the function of the cell membrane;
- disrupt oxygen consumption inside the bacterial cell;
- reduce ATP levels;
- disrupt DNA synthesis in microorganisms.
It affects various groups of microorganisms. And its effectiveness is due to the ability of the product:
- have a depressing effect on the proliferation of microorganisms;
- promotes better penetration of antibiotics through the membrane;
- causes the death of pathogenic microflora.
The drug is effective for 6 hours after use. It is recommended to rinse the nose with chlorhexidine for rhinitis and sinusitis. To carry out the procedure, use solutions for rinsing the mouth and throat (you can find out for what purpose the medicine is intended in the instructions for the drug). But if this is not available in the pharmacy, you will need to prepare a rinse by diluting a more concentrated product with water for injection or boiled water to 0.02%.
It is recommended for various infectious diseases, as it affects:
- bacteria (gram-positive and gram-negative);
- viruses (lipophilic);
- mushrooms (yeast);
- protozoa.
It can also have an effect on bacterial spores, but only if the body temperature is significantly increased. Since chlorhexidine has a long-lasting antimicrobial effect, it is widely used to treat infectious diseases, for disinfection and sterilization. In pharmacies you can buy chlorhexidine in concentrations from 0.02 to 5%, in the form of solutions and gels.
For rinsing the nose and performing aerosol therapy, the doctor may prescribe complex medications that include chlorhexidine.
Medicines containing chlorhexidine
Chlorhexidine is included in many complex drugs. It is recommended to rinse the nose with the same means that are recommended for rinsing the mouth and throat. These medications contain the most effective concentration of active ingredients that destroy microbes, but do not irritate the inflamed, swollen mucous membrane. When treating infectious diseases of the nose and paranasal sinuses, it is recommended:
- Dexpanthenol. The medicine additionally contains pantothenic acid, which has an anti-inflammatory effect and promotes rapid regeneration of damaged mucous membranes.
- Anti-Angin Formula. It contains ascorbic acid and tetracaine. The drug is an antiseptic and pain reliever.
- Baktosin. The drug contains chlorhexidine and cetrimide, which are strong antiseptics that affect various groups of microorganisms.
For the treatment of odontogenic sinusitis, in addition to rinsing the nose, Metrogyl Denta gel may be recommended. Before using it, first brush your teeth. Then a small amount of gel is added to the toothpaste. Apply the medicine to the toothbrush and brush your teeth again.
Chlorhexidine is very effective for treating infectious sinusitis, but it will only help if it is used correctly.
How to rinse your nose with chlorhexidine
The procedure is carried out in the clinic and at home. Where exactly to rinse the nose depends on the severity of the disease and the thickness of the exudate.
If the sinus is blocked or the purulent discharge is too thick and viscous, the nose is washed in the hospital using the Proetz method. Using a special apparatus, chlorhexidine is poured through one nostril, and the purulent contents along with the rinsing liquid are sucked out through the other.
At home, wash your nose if there are no contraindications. For this:
- Select the most convenient device. The procedure can be carried out using a special teapot, a plastic bottle with a dispenser, a syringe, or a syringe.
- Before use, the drug is heated to 38–40 0 C. The warmer it is, the more effective, but the main thing here is not to overdo it, otherwise, instead of a positive effect, you can burn the mucous membrane. The medicine cannot be boiled; chlorhexidine disintegrates at C.
- Bend over the sink so that the nostril into which the solution will be poured is higher. Under no circumstances should the medicine flow into the ear. If the solution gets into your eyes, you must stop the manipulation and rinse your eyes with cold running water.
- The procedure must be carried out every 6 hours. This is how long the drug is active.
This procedure not only helps remove thick exudate from the nose. Due to the fact that chlorhexidine is an antiseptic, some microorganisms are destroyed during manipulation. Also, such washing helps to enhance the effect of using antibiotics.
In addition to rinsing, drugs containing chlorhexidine are prescribed for inhalation therapy. Aerosols are used to irrigate the nasal cavity. Chlorquesidine can be administered using a nebulizer. The main thing is that the device is set to particles with a size of 5–10 microns. Smaller ones will not end up in the nasal cavity and sinuses, but in the lower respiratory tract.
Whether it is possible to rinse the nose with chlorhexidine, only a doctor can tell you in each specific case, since the drug is contraindicated in some cases.
Contraindications to the use of chlorhexidine
Before rinsing your nose, be sure to test for allergies to the medicine. If hypersensitivity to the drug is detected, it should not be used.
It is not recommended to rinse your nose with this medicine:
Chlorhexidine can cause allergies when rinsing the mouth:
- tooth enamel becomes discolored;
- Tartar is deposited;
- taste is impaired.
It is not compatible with iodine preparations, soap, anionic substances (saponins, sodium lauryl sulfate).
An alcohol solution will be more effective, since ethanol enhances the effect of the drug, but there is a risk of a chemical burn to the mucous membrane.
Although the drug is not absorbed from the gastrointestinal tract, if it is accidentally swallowed (while gargling and gargling), it is necessary to rinse the stomach using:
Medicines containing chlorhexidine should be used with caution, as they can cause various adverse reactions. Therefore, you should definitely consult a doctor before using them.
Source: http://gaimorit-sl.ru/promyvanie/kogda-promyvat-nos-hlorgeksidinom.html