Complex ear drops for otitis media

Posted on by admin

Drops in the ears: review of drugs for various cases, application

Comprehensive treatment of an inflamed ear includes the use of systemic antibacterial agents, physiotherapeutic procedures and ear drops that relieve pain, dilute discharge in the ear cavity and cleanse the mucous membrane of pus.

Table of contents:

Ear drops are an effective remedy designed to combat otitis of any origin and other diseases of the auditory analyzer.

Throbbing pain in the ear, hearing loss, discomfort are all well-known symptoms of ear pathology. To eliminate them, various types of drops are used - antibacterial, anti-inflammatory, hormonal. The choice of drug is determined by etiological factors, localization of the inflammatory process, stage of pathology, age of the patient, and general condition of the patients. The choice of ear drops requires a special approach. It is simply impossible to figure this out on your own. The ENT doctor, having examined and examined the patient, will select the correct medications to treat the disease. Ear drops have local anti-inflammatory, antimicrobial and anesthetic effects. Experts include them in the general treatment regimen as additional drugs that are effective only in combination with systemic antibacterial agents and other medications.

Ear drops are very popular among patients with hearing pathologies, since this dosage form is easy to use and has few side effects.

Types of ear drops

According to the mechanism of action, drops are divided into:

These medications have proven themselves to be effective in the fight against ear pathology and have helped to cope with ear pain quickly and effectively.

Antimicrobial ear drops

"Tsipromed" - antimicrobial drops successfully used in ophthalmology and otorhinolaryngology. The active ingredient is ciprofloxacin, an antibiotic from the fluoroquinolone series that destroys bacteria in an active and passive state. “Tsipromed” is instilled 5 drops into the sore ear three times a day and the ear canal is closed with a cotton swab. This is necessary to prevent the medicine from leaking out. A side effect of using the drug is itching, which goes away after the end of therapy.

"Otofa" is a drug containing rifampicin, a powerful antimicrobial agent effective against coccal microflora: streptococcal and staphylococcal infections. Rifampicin is effective where antibiotics of other groups fail. The medicine can be instilled or poured into the ear, and after a couple of minutes it can be removed with a cotton swab. Some patients are advised to rinse the tympanic cavity with this remedy. "Otofa" is a drug whose effectiveness has been proven and confirmed by numerous positive reviews.

"Tsipromed" and "Otofa" are approved for the treatment of patients with a damaged eardrum. They do not have a negative effect on the auditory nerve, but, penetrating to the source of inflammation, speed up the healing process.

"Normax" - ear and eye drops with an antibiotic that have a detrimental effect on the infectious factor of otitis media. They are used to treat infectious and inflammatory diseases of the eyes and ears: conjunctivitis, keratitis, blepharitis, otitis, eustachitis. For preventive purposes, Normax drops are used after operations, injuries, and removal of foreign bodies from the eyes and ears. This medication is intended for topical use only. In order for the therapy to give the most positive result, the combined use of Normax and systemic antibiotics is necessary. The drug acts quickly enough, is well tolerated by patients and is affordable. It is suitable for the treatment of otitis media exclusively in adults.

Anti-inflammatory ear drops

Anti-inflammatory drugs are non-steroidal and steroidal. The former inhibit the release of inflammatory mediators, reduce swelling and pain, and improve the rheological properties of blood. Steroids have an antiallergic and antishock effect, eliminate swelling, pain, itching and burning.

Otipax is a drug from the group of non-steroidal anti-inflammatory drugs that has anti-edematous and local antipyretic effects. "Otipax" is used for otitis media and myringitis, as well as to eliminate postoperative complications. The therapeutic effect occurs 5 minutes after instillation: pain and other symptoms of inflammation are reduced. Otipax ear drops are approved for the treatment of otitis in newborns, since they do not have a systemic effect and are not absorbed into the blood, lymph and cerebrospinal fluid. Before starting treatment with Otipax, you should make sure that there is no perforation of the eardrum. If there is damage, hearing loss may occur as a result of the medication getting into the structures of the middle ear. Otipax is a reliable remedy that eliminates ear pain and suppresses inflammation in the initial stages of the disease.

"Otinum" - ear drops from the NSAID group. This medicine eliminates pain, reduces inflammation, and has an antiseptic effect. “Otinum” is used to get rid of traffic jams: drops are used to soften sulfur masses before removing them. Treatment with Otinum ear drops is carried out after the patient has undergone otoscopy to determine the integrity of the eardrum. The salicylates contained in Otinum, once in the middle ear, can cause complete or partial hearing loss. The drug is contraindicated in pregnant women, children, the elderly, and persons with membrane perforation.

Combination ear drops

"Sofradex" is an antimicrobial and anti-inflammatory agent used in ophthalmology and otorhinolaryngology. The bacteriostatic effect of the drug is aimed at most pathogenic bacteria that can cause inflammation of the ear and eyes. The glucocorticosteroid reduces signs of inflammation - swelling, hyperemia, pain, and also has a desensitizing effect by inhibiting inflammatory mediators. Using the medicine for a long time can lead to the formation of stable ear microflora and the development of superinfections. Intensive local use of Sofradex often results in the appearance of systemic effects. Persons suffering from chronic liver or kidney pathology should take these drops with extreme caution.

"Anauran" - drops for pain and congestion in the ears with a pronounced antimicrobial effect. They contain 2 antibiotics and an anesthetic, which inhibit the growth and development of most bacteria and have an analgesic effect. The drug is effective against bacterial infections of the hearing organ.

“Candibiotic” is a combination drug containing antifungal, anti-inflammatory, and antimicrobial components. "Candibiotic" replaces a number of drugs intended for the treatment of diffuse otitis media, otomycosis, and allergic ear diseases. Patients are advised to administer the drug three times a day to the affected ear for 7 days. Drops are contraindicated during pregnancy and lactation, children under six years of age, and persons with damage to the eardrum.

"Garazon" - drops used in otorhinolaryngology and ophthalmology. They contain the antibiotic gentamicin and the glucocorticoid betamethasone, which makes it much more effective than other anti-inflammatory drugs. This medicine fights microbes at the site of infection, eliminates local signs of inflammation - hyperemia and swelling of tissues, reduces allergic reactions, and normalizes capillary permeability. In pediatrics, the drug is used limitedly: it is prohibited for children under 8 years of age. Before using Garazon drops, you must clean the external auditory canal and warm the medicine in your hands. Instill 2-3 drops of the drug into the inflamed ear three times a day.

"Polidexa" is a combination drug containing antimicrobial and hormonal components. The antibiotics neomycin and polymyxin have a bactericidal effect against Staphylococcus aureus, Klebsiella, Pseudomonas aeruginosa and Haemophilus influenzae, and some enterobacteria. Dexamethasone is a powerful glucocorticoid that effectively eliminates all signs of inflammation. The drug is prescribed in the same dose for adults and children - 2 drops twice a day for 10 days. If there is damage to the eardrum, the use of Polydex drops is prohibited, since they have a toxic effect on the structures of the middle ear. Contraindications to their use are: intolerance to the components of the drug, glaucoma, pregnancy, lactation, herpetic or smallpox infection, liver and kidney diseases, tachycardia. "Polydex" is widely used in pediatrics. Starting from 2.5 years, children are allowed to put drops in their ears when symptoms of otitis media appear. Experts say that the active substances of the drug quickly and effectively eliminate signs of inflammatory pathology even in children whose immune system is not yet fully formed.

"Combinil-Duo" - ear and eye drops, the active ingredients of which are an antibiotic and a glucocorticosteroid. The bactericidal effect of drops applies to most opportunistic and pathogenic bacteria - rods, cocci, atypical microbes. The anti-inflammatory component reduces capillary permeability, suppresses exudation, inhibits the formation of scar tissue and eliminates all symptoms of inflammation. The drug is well tolerated by patients. Immediately after instillation of the ears, they may feel stuffy and uncomfortable.

It is not always possible to cure otitis media using only ear drops. Often the infection enters the ear cavity from the nasopharynx. To get rid of the pathology, it is necessary to free the nose from mucous discharge, using vasoconstrictor drops or agents that suppress secretion. Usually prescribed are "Rinonorm", "Tizin", "Xymelin" or a 5% solution of sodium sulfacyl.

For the treatment of otitis in children, it is preferable to use ear drops, since they have a local effect, do not penetrate the systemic bloodstream, and have no side effects. Children are allowed ear drops "Otipax", "Otinum", "Sofradex" in the same dosages as adults. The otorhinolaryngologist prescribes ear drops for children, selects the dosage and monitors the entire treatment process.

Rules for using ear drops

In order for the treatment of ear diseases to be effective and fast, it is necessary not only to choose the right ear drops, but also to apply them correctly. Before instillation, it is necessary to clean the ear of wax and warm the medicine by holding it in the palms of your hands or in warm water.

The patient is asked to lie on his side on the side of the healthy ear. The earlobe is pulled back and down, the end of the pipette is placed in the ear and the required number of drops is instilled. Using a cotton swab, massage the tragus.

If there is a perforation of the eardrum, drops are instilled into the ears not directly, but through a cotton pad. The medicine is heated and dripped onto the turunda, one end of which is inserted into the ear with rotational movements, and the other is left outside. Every 3 hours, medicine is dripped onto the turunda. Direct instillation may lead to hearing loss over time.

Currently, the pharmacy chain offers a wide range of different medications. In order not to make a mistake with their choice and not to aggravate the course of the disease, you should consult with an ENT doctor who will conduct a detailed examination of the hearing organ, prescribe a suitable drug and help you quickly cope with the disease.

Video: how to properly instill drops for otitis media

Yes, if you have drops at hand, this is a salvation. And if they are not there, I just take the turunda, lightly moisten it with vodka, cologne or even perfume and insert it into the child’s ear. From above you need to wrap your head with a warm scarf or bandage for a couple of hours. The pain usually goes away within 5-15 minutes. Solutions must be warm, because there are a lot of nerve endings in the eardrum and cold drops or turunda can even increase the pain

Source: http://uhonos.ru/uho/lechenie-uha/ushnye-kapli/

Difficult choice: which drops for otitis media to choose?

Otitis is a disease that almost every person has suffered from at least once in their life. This inflammatory disease of the ears often occurs against the background of a cold, sinusitis, prolonged runny nose and other infections of the nasopharynx. Quite often, antibiotics form the basis of treatment for otitis media. To speed up recovery, complex therapy also includes drops for otitis media in adults and children.

Benefits of ear drops

Ear drops are a very convenient form of medicine for the treatment of otitis media. They have many advantages:

  • act directly in the area of ​​inflammation;
  • have virtually no systemic effect on the body;
  • quickly remove the symptoms of the disease or reduce its severity;
  • most drops can be used in the treatment of children, pregnant and lactating women, patients with liver and kidney disorders;
  • minimum contraindications and side effects;
  • ease of use at home;
  • affordable price;
  • most drugs can be purchased without a prescription from a doctor;
  • economical use.

Types of ear drops

There is a wide variety of ear drops available on the pharmaceutical market. However, if you experience pain or discomfort in your ears, you should not go to the pharmacy for a bottle of ear drops, but rather contact an otolaryngologist to get qualified help. Self-medication of otitis media and other ear diseases can have very negative consequences. This includes the transition of the disease to a chronic form, the development of complications of the disease, and even hearing loss.

Depending on the effect exhibited by the active substances of the drug, drops for otitis media in adults and children are conventionally divided into several groups:

  • drugs containing antibiotics;
  • anti-inflammatory medications for the ears;
  • combination products containing glucocorticosteroids;
  • antiseptics;
  • drops with antifungal effect.

Antibiotic drops

The main components of these products are antibiotics, which destroy pathogenic microflora in the area of ​​the inflammatory process, which contributes to a speedy recovery. This group includes many drops: Norfloxacin, Ciprofloxacin, Anauran, Tsipromed, Otofa, Normax, Uniflox, etc.

Norfloxacin

These drops contain the antibiotic of the same name, norfloxacin, as the active ingredient. It is active against almost all representatives of pathogenic microflora that cause ear diseases. The product is used only for the treatment of adults. Norfloxacin should not be used if you are intolerant, pregnant, or during breastfeeding. Analogues:

Ciprofloxacin

The drug is also named after the active substance. The drops exhibit antibacterial activity against bacteria that cause otitis media. Ciprofloxacin is not used if there is hypersensitivity to it, under the age of 1 year, during pregnancy and breastfeeding. There are many ear medications with a similar active substance available:

Otofa

The basis of these drops is the antibiotic rifampicin sodium, which exhibits antimicrobial activity against most microbes that cause otitis media. This drug is used to treat purulent otitis media. Its advantage is the possibility of use in cases of violation of the integrity of the eardrum. The drug can also be used in children of any age, during pregnancy and breastfeeding.

Anauran

This drug contains 2 antibiotics (neomycin sulfate and polymyxin B) and a local anesthetic (lidocaine hydrochloride). This combination of active substances allows the drug to destroy a wider range of pathogenic microbes and at the same time exhibit an analgesic effect. Anauran is prescribed for external and otitis media, as well as in the postoperative period.

The drug is well tolerated, only local irritation reactions are possible. Used in adults and children from 1 year. Treatment of pregnant and lactating women is allowed after assessing the risks to the child.

Anti-inflammatory and analgesic drops

Drops with an anti-inflammatory effect are also very popular for otitis media. They help quickly eliminate the inflammatory process, and many of them additionally exhibit an analgesic effect. Representatives: Otipax, Droplex, Otirelax, Otinum, Otizol.

Otipax

This drug has anti-inflammatory and analgesic properties due to the presence of 2 active ingredients - phenazone and lidocaine. The use of drops can significantly reduce pain and prevent the spread of inflammation. The drug is approved for children from infancy, as well as for women during pregnancy. Contraindications to the use of the drug are hypersensitivity and perforation of the eardrum.

The following drugs have a similar composition and effect:

Otinum

The active component of the drug is choline salicylate, which exhibits an anti-inflammatory effect. In addition, the glycerin contained in the composition softens earwax and helps cleanse the ear canals.

Prescribed for otitis in adults and children over 1 year of age. The use of the product is not recommended for intolerance to the components, perforation of the membrane, during lactation and pregnancy.

Otizol

The medicine contains 3 active components (antipyrine, benzocaine and phenylephrine), due to which it exhibits anti-inflammatory, analgesic and vasoconstrictor effects. At the same time, pain is quickly relieved, swelling of the ear canal is eliminated and the severity of inflammation is reduced. Allowed for use by adults and children from 6 months of age. Do not use if the eardrum is damaged or if you are hypersensitive to the ingredients of the medicine.

Combinations with glucocorticoids

Drops containing hormonal substances are most often prescribed for otitis media, characterized by a severe course and acute inflammatory process. Representatives:

Polydexa

These drops contain 2 antibiotics (polymyxin B and neomycin) and a glucocorticosteroid (dexamethasone). The special composition provides pronounced antimicrobial, antibacterial and anti-inflammatory properties. Due to the presence of a hormonal component, the medicine has a greater number of contraindications, but at the same time it stands out for its effectiveness. Polydex is not prescribed for hypersensitivity to the components, viral infection of the ear canal, or damage to the eardrum. The drug has no age restrictions.

Sofradex

The drug also contains 2 antibiotics (gramicidin and framycetrin) and a glucocorticosteroid (dexamethasone). Shows antibacterial, anti-inflammatory, anti-edematous and antipruritic properties. The drops cope well with external otitis, but have a number of contraindications: hypersensitivity to the components, damage to the tympanic septum, childhood, pregnancy and breastfeeding.

Drops with antifungal effect

Drugs in this group contain an antifungal component and can be used to combat otitis media of a fungal nature.

Auridexan

The active ingredient of these drops is an antiseptic. Therefore, classifying the drug as an antifungal agent is very conditional. Auridexan is effective against most pathogenic microbes, fungi and viruses. It is due to the presence of an antifungal effect that the medicine is classified in this group, because very few drugs have such properties. The drug is prescribed for the treatment of otitis of a bacterial, viral and fungal nature only for adults and children over 12 years of age.

Candibiotic

The drops exhibit antifungal, antibacterial, anti-inflammatory, anesthetic and antiallergic properties due to the content of several active ingredients from different pharmaceutical groups. Compound:

  • chloramphenicol – antibiotic;
  • beclamethasone – glucocorticosteroid;
  • lidocaine – anesthetic;
  • Clotrimazole is an antimycotic agent.

Candibiotic is used for various otitis in adults and children from 6 years of age.

Antiseptics

These drugs are intended for washing the ear canals, as well as treating uncomplicated otitis media. Representatives: Auridexan, hydrogen peroxide solution, boric alcohol, Miramistin, etc.

Boric alcohol

This drug is prescribed less and less today, as there are more advanced and effective modern drugs. Boric alcohol has an antiseptic effect and helps speed up recovery. It can be used after reaching 1 year.

Miramistin

This drug is a very effective remedy for the treatment of otitis media of any nature. Miramistin exhibits antiseptic, antifungal and antiviral properties. It can be used from 3 years of age.

What are the best drops for otitis media?

This question cannot be answered unambiguously. After all, the effectiveness of a medicine primarily depends on the correct selection of the medicine, taking into account all the features of the course of the disease. An important factor is the correct use of drops, as well as following all the doctor’s recommendations.

Most people believe that treating otitis with drops is absolutely harmless and cannot harm health, but this is absolutely not the case. Each individual product has its own characteristic properties that must be taken into account when choosing it. For example, having purchased antibacterial drops, no improvement will be observed if the otitis media is of a fungal nature. So, to choose an effective treatment, you first need to determine the source of the pathology; signs of otitis will help differentiate its type.

Therefore, the best drops for otitis are those prescribed by the otolaryngologist. The doctor will be able to accurately determine the cause of the disease and the severity of its course. If necessary, not only ear drops will be prescribed, but also concomitant treatment that will enhance their effectiveness.

Cheap ear drops

Ear drops are presented on the pharmaceutical market in different price categories. Typically, drops from foreign or well-known manufacturers, as well as those that consist of many components, are much more expensive.

The cheapest solution for ear diseases is a solution of peroxide and boric acid. However, treatment with these drugs is not always possible.

Inexpensive ear drops include antibacterial and antiseptic drugs: Auridexan, Norfloxacin, Ciprofloxacin.

Also available to the general public are Sofradex, Otinum, Otirelax.

How to properly drip ears

In order for the drops to exert their maximum effect, you should adhere to the rules for their use. Below are general recommendations that apply to all ear drops. But any individual drug may have its own characteristics, so before starting treatment you should carefully read the instructions for it.

  • It is necessary to adhere to the doses and frequency of use of drops indicated by the attending physician.
  • To bury your ears, it is better to lie on your side so that the affected ear is on top.
  • Immediately before use, warm the drug in your hands until it reaches body temperature. This will avoid discomfort during the procedure.
  • It is advisable to clean the ear canals with a solution of hydrogen peroxide before instilling the drug.
  • During instillation, it is necessary to pull the earlobe slightly down and back, and then press on the tragus of the ear.
  • Some doctors recommend covering the ear canal with a cotton swab for best results.
  • After instillation, you need to continue to lie down for another 5 minutes. If necessary, instill in the second ear, after this time you need to turn to the other side and repeat the procedure.
  • If the eardrum is damaged, then drops are introduced into the ear through a cotton wool tube inserted into the ear canal.
  • During treatment and after its completion, you need to protect your ears from drafts and hypothermia.

The duration of treatment for otitis with ear drops is usually 3-7 days. In this case, the use of systemic drugs is often required.

Source: http://gaimorit-sl.ru/otit/kapli-ot-otita-u-vzroslyh.html

Effective ear drops for children and adults

A local remedy for relieving ear pain and congestion in adults or children is ear drops. They are indicated for acute or chronic otitis, but a doctor must still prescribe a specific remedy. Not every drop can be beneficial, although they are considered a safe medicine. They can also cure suppuration, infections, inflammations and even injuries. Depending on the problem, drops with a specific effect are selected. These may be drugs from the group of antibacterial, antifungal, anti-inflammatory, antiseptic or combination drugs.

What are ear drops

This is a means for local therapy by instilling a solution of the drug into the ear canal. They can be prescribed for otitis media, which is manifested by pain and congestion in the ears, itching, tissue inflammation, the appearance of pus, and sometimes an increase in body temperature. If these symptoms occur, you should contact an otolaryngologist, who will confirm the diagnosis and prescribe treatment.

Advantages

Drops are a very convenient form of release, especially for the treatment of otitis media in different parts of the ear cavity. The medicine has the following advantages:

  • does not have a systemic effect on the body;
  • act directly on the affected area of ​​the ear tissue;
  • quickly relieve inflammation and other unpleasant symptoms of the disease or at least reduce their severity;
  • have very few contraindications and do not cause side effects;
  • have an affordable price;
  • sold without a doctor's prescription;
  • economically used due to small dosages.

Classification is based on differences in composition, pharmacological action and indications. Based on the number of drugs in the composition, they are divided into combination and single drugs. The first contain several components. Monopreparations include only one drug substance. Regarding the principle of operation, the following main groups are distinguished:

  1. Anti-inflammatory, reducing the manifestations of inflammation and having analgesic and drying effects. This includes non-steroidal drugs and drugs containing the glucocorticoid hormone. It is prescribed with caution, because it is a powerful anti-inflammatory substance and is used strictly according to indications. Contraindicated for use for a long time.
  2. With antimicrobial action. They have an antibacterial effect.
  3. Antiseptic. Drugs with antimicrobial action, used in the presence of purulent inflammation. This includes hydrogen peroxide, drugs based on miramistin, boric and furatsilin alcohol.
  4. Antifungal. Helps with fungal and inflammatory infections.
  5. Vasoconstrictor drops. Prescribed for a feeling of congestion in the ears, but no pain.

Anti-inflammatory

Drops in the ear for inflammation are used in different cases. More often they are prescribed as part of complex therapy with other drugs for acute otitis media or edematous acute otitis. Inflammation that occurs as a result of a sharp increase or decrease in atmospheric pressure, which causes damage to the auditory canal, is also an indication. These ear drops are prescribed for ear pain to reduce it. These include:

In case of prolonged illness or complications, the doctor prescribes combined anti-inflammatory or non-steroidal drugs. The latter include lidocaine, which has an analgesic effect. Hormonal drugs include:

Antibacterial

Good antibiotic ear drops contain broad-spectrum antimicrobial substances, for example, chloramphenicol, erythromycin, rifampicin. Such drugs have an antibacterial effect, so they are indicated for diseases caused by bacteria entering the ear canal. This often happens with a cold, the complication of which is otitis media internal, media or external. The disease is an inflammation accompanied by the discharge of pus from the ear canal.

Drops in the ears for otitis media are almost always prescribed. They help stop infection, prevent pus from forming and possible damage to the eardrum. The list of the most effective drops with strong antibiotics includes:

Single drugs

These are special products with one active ingredient in their composition. They are indicated to eliminate the source of infection. Along with this, they have complex analgesic and anti-inflammatory effects, but they cannot be used for perforation of the eardrum. Among these, the drugs Otinum and Otipax stand out. They are able to reduce the synthesis of prostaglandins that accompany the pathogenic process. For this reason, Otipax or Otinum are the first to be used. In addition, they have a gentle effect, so they are prescribed to pregnant and lactating women.

Combined

Drops from this category have a wide antibacterial spectrum of action. Although they are not prescribed for every disease, they provide good pain relief and help destroy viral infections. For catarrhal otitis media or inflammation of the external ear, the drug Anauran is popular. Although suspicion of perforation of the eardrum may be an indication for discontinuation of such a drug. Other prominent representatives of this group are Sofradex and Garazon drops.

With antiseptics

In the treatment and prevention of purulent otitis, antiseptic drops are prescribed. They are often used before and after ear surgery. A prominent representative of this group is Miramistin, which belongs to the group of cations. This drug has an anti-inflammatory and antimicrobial effect. The following antiseptics are similar in principle of action:

  • Okomistin;
  • alcohol solution of boric or furacylic acid;
  • Sangviritrin;
  • Candibiotic.

Antifungal

In the antiseptic group, there are several drugs with an antifungal component in their composition. Such remedies cope with the treatment of fungal and inflammatory diseases. These include:

Drops for children

In childhood, only a few of each group of drugs listed can be used. Drops for ear pain from infancy - Otipax. Otinum can only be used for children over one year of age. To rid a child of ear plugs, it is recommended to use Aqua-Maris Oto (from 1 year) and A-cerumen (from 2.5 years). Already from birth it is allowed to instill Remo-vax in infants. In the treatment of otitis, the following medications are also used from a certain age:

  • contain antibiotics - Tsipromed (from 15), Nomrax (from 12), Otofa (from 5);
  • anti-inflammatory – Sofradex (with 7), Garazon and Anauran (with 6), Polydex (with 5);
  • antiseptic - furacilin alcohol (with 6), Okomistin (with 1).

Drops for ear pain during pregnancy

Medicines should be especially safe during pregnancy. Otitis media during this period can be caused by hormonal imbalance and reduced immunity. It must be treated with medications with minimal risk to the child. The following are considered dangerous during pregnancy:

Sofradex contains a hormonal substance, so it is also not safe. If the ears hurt, and otitis media is not complicated by perforation of the eardrum, then Otipax drops are used for treatment. This is one of the few products that is considered safe for pregnant women. In case of purulent form of otitis, Otipax should not be used under any circumstances. In case of perforation of the membrane, antibacterial therapy with Biseptol and Amoxicillin drops is prescribed. Otitis externa is treated with drugs containing hydrocortisone, which is not toxic to the fetus.

Effective drugs for treating inflammation

For ear inflammation of any nature, local remedies are more effective. Moreover, they are easy to use. Among antiseptic, anti-inflammatory and antibacterial drugs, several of the most effective ones can be identified. These are the following means:

Orlavax

Today it is very difficult to buy this product in an online store or order it in a regular pharmacy. Orlavax is considered an analogue of Otipax, so it has almost the same indications. The dosage is also the same. The medicine itself belongs to the combination category and is based on lidocaine and phenazone. The medicine has several actions:

  • local anesthetic;
  • anti-inflammatory;
  • antiseptic;
  • disinfectant.

Flavaco

Ear drops for colds or otitis from the combined group. The drug contains antibiotics that complement each other, a local anesthetic and a steroid substance. The latter has anti-inflammatory and antiallergic effects. Along with them, the anesthetic helps reduce pain. You need to drip 4-5 drops into each ear up to 3 times throughout the day. Repeat the procedure throughout the week. Indications for use of Flavaco are:

  • rehabilitation after middle ear surgery;
  • acute or chronic external otitis media;
  • Otitis media without perforation of the tympanic membrane.

Panotile

This is another analogue of Otipax. Panotile is the trade name of this drug in pharmacy catalogs abroad. It is popular not only in Europe, but throughout the world. The difference between the medicine is the absence of age restrictions. Panotile is allowed even for the youngest patients. Mild inflammation is treated by instilling 2 drops into each ear. For adults, the dosage should not exceed 4. Indications for the use of Panotile are rehabilitation after surgery and the prevention of inflammatory diseases.

Otinum

The main active ingredient of Otinum is choline salicylate. The drug belongs to the group of non-steroidal anti-inflammatory drugs. It has analgesic and inflammation-reducing effects. Indications for use are:

  • softening the wax in the ear canal before washing or cleaning;
  • acute non-perforative otitis media;
  • myringitis;
  • otitis externa

To treat inflammatory processes in the middle or outer ear, adults need to instill 3-4 drops up to 4 times daily. The course of treatment is about 2 weeks. A burning sensation may be felt upon injection. Otinum should not be used for perforated otitis media. In the future, this can lead to hearing loss. Children are not recommended to use Otinum, as there is no data on the effect of the drug on them.

Otipax

The active components of Otipax are the anesthetic lidocaine and the anti-inflammatory substance phenazone. Due to its safety, this drug is approved for children from the first day of life and pregnant women. Contraindication is traumatic or infectious damage to the eardrum or an allergy to the components in the composition. Indications are barotraumatic, moderate or complicated after influenza otitis. The drug is instilled 3-4 drops up to 3 times a day.

How to put drops in your ears

When using ear drops for otitis or other inflammation, you must first warm them in a water bath or hold them in a clasped hand for a couple of minutes. This is necessary to warm the drug to body temperature, which will help avoid vestibular reactions. You need to drip the medicine according to the following instructions:

  • lie on your side with your affected ear facing up;
  • pull up, out and back the upper pole of the auricle;
  • instill the medicine in the amount indicated in the instructions; it is better to administer it with a pipette;
  • press on the tragus, massage so that the substance can be evenly distributed;
  • lie down for 10 minutes, plug the ear canal with a cotton swab, which will absorb the remaining liquid.

How to choose

The medicine is selected depending on the characteristics of the treatment and the cause of the disease. An equally important factor here is how the patient will use the drug and how correctly he will do it. It is necessary to select drops according to their indications and the cause of inflammation. If it is caused by a bacterial infection, then a drug with antibiotics is required, and if it is caused by a fungus, then antifungals. You should not prescribe your own medicine. It is better to leave this to the doctor, who, depending on the symptoms, will be able to prescribe the correct medications.

The cost of drugs is determined by the manufacturer, pharmacological action and place of purchase. The cheapest include boric acid and hydrogen peroxide solution. Inexpensive drugs are Ciprofloxacin, Auridexan, Norfloxacin. Sofradex, Othiorelax, Otinum drops are available to the general population. Their cost is slightly higher compared to others. You can find out more about the prices of different ear drops from the table.

Note!

- The fungus won't bother you anymore! Elena Malysheva tells in detail.

- Elena Malysheva - How to lose weight without doing anything!

Video

The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on the individual characteristics of a particular patient.

Source: http://sovets.net/13121-kapli-dlya-ushej.html

Which ear drops are suitable for otitis media?

Otitis is an inflammatory disease of one of the parts of the ear, for the treatment of which special drops are used. Incorrect exposure to pathology can result in irreversible hearing loss or complete loss, so at the first signs of ear inflammation it is better to consult an otolaryngologist.

Types of treatments

The composition of different medications can vary greatly. Which ear drops for otitis media work better and lead to recovery faster? Depending on the available set of components, drops for the treatment of otitis are divided into several types.

  1. Combined products containing an antibiotic and a glucocorticosteroid hormone (Sofradex, Dexon).
  2. Preparations with NSAIDs (Otinum, Otipax).
  3. Medicines with antibiotics (“Tsipromed”, “Normax”, “Anauran”).

The choice of treatment regimen and drug in the form of drops depends on the severity of the disease, the presence of damage to the eardrum and other factors.

Complex drugs "Sofradex" and "Candibiotic"

Medicines are used in the treatment of acute and chronic inflammation of the external ear. Sofradex ear drops for otitis contain the following components.

  1. Glucocorticoid dexamethasone, which fights itching, allergies and inflammation.
  2. Broad-spectrum antibiotic "Neomycin".
  3. Antibiotic "Gramicidin", which prevents the proliferation of bacteria and destroys gram-positive microorganisms.

Please note that Sofradex cannot be used for fungal and viral infections of the hearing organs, tuberculosis and rupture of the eardrum. Inject 2-3 drops into the sore ear three times a day. The duration of treatment does not exceed a week.

Complex drops for otitis "Candibiotic" relieve pain and inflammation. This medicine also inhibits the activity of fungi and bacteria. The drug "Candibiotic" contains the following components.

  1. Chloramphenicol is a broad-spectrum antibacterial agent with a bacteriostatic effect.
  2. Clotrimazole is an antimycotic that fights fungi of the genus Candida, etc.
  3. Beclomethasone dipropionate is a glucocorticosteroid that relieves allergies and inflammation.
  4. Lidocaine is a pain reliever.

The drug "Candibiotic" is recommended for the relief of chronic otitis media, acute and diffuse inflammation of the external ear, acute otitis media, and postoperative complications in the ear. The medicine may cause a negative reaction if it enters the middle ear through the hole in the eardrum.

Candibiotic is contraindicated for children under 6 years of age.

Medicines with NSAIDs "Otinum" and "Otipax"

Otinum ear drops have a moderate anesthetic and obvious anti-inflammatory effect due to choline salicylate, a non-steroidal anti-inflammatory drug. In addition, this medicine has antimicrobial and antimycotic effects. The drug "Otinum" is prescribed to adults in case of acute external and otitis media, exudative otitis, pre-treatment of the ear canal to soften sulfur clots.

These ear drops for otitis media have a number of contraindications:

  • pregnancy and breastfeeding;
  • childhood;
  • perforation of the eardrum;
  • intolerance to acetylsalicylic acid.

Softening of sulfur plugs is carried out over four days, introducing 3-4 drops into the ears in the morning and evening. Otitis media is treated by instilling a slightly warmed Otinum solution. For 7-8 days, 3-4 drops are injected into the ear every 3 hours.

The drug "Otipax" is relatively cheap compared to others. It reduces inflammation and pain associated with otitis media. It contains phenazone, a non-steroidal anti-inflammatory drug, and lidocaine, an anesthetic. Otipax drops are prescribed to infants, pregnant women and adults for:

  • edematous viral otitis;
  • inflammation of the middle ear, not accompanied by a through defect of the membrane;
  • external and acute otitis media;
  • otitis after barotrauma.

The medicine "Otipax" is administered three times a day, 2-4 drops, for no more than 10 days.

Medicinal products “Normax”, “Anauran”, “Otofa”

The active component of the drug “Normax” is norfloxacin, a fluoroquinolone antibiotic. It is recommended for the treatment of external and internal otitis, infectious inflammation of the Eustachian tube, as well as acute and chronic inflammation of the middle ear. The medicine is used as a prophylactic before and after surgery, as well as for ear injuries.

In order for the medicine to work well, the ear canal is sanitized before using it. "Normax" is instilled warm, 1-2 drops 4 times a day until complete recovery and then for another 2 days, but not more than 10 days. The product can be used after 18 years of age. It is not suitable for treating children, pregnant and lactating women.

Drops in the ears for otitis "Anauran" have an antibacterial and local anesthetic effect. They contain such substances.

  1. Polymyxin B is a polypeptide antibiotic.
  2. Neomycin sulfate is an antibiotic from the aminoglycoside series.
  3. Lidocaine is a pain reliever.

Anauran drops and their analogues are indicated for the development of postoperative complications and for various types of pathology: acute and chronic inflammation of the external ear, otitis media with perforation and chronic non-purulent serous otitis. From 2 to 4 times a day, a few drops of the drug are injected into the ear canal of adults with a pipette. The use of anauran in children under one year of age should be under the supervision of a physician. From 2 years old, drop 3-4 times a day. Treatment should not be delayed for more than a week.

The drug "Otofa" is a solution of rifampicin, an effective broad-spectrum antibiotic. It is used in children and adults for therapy:

  • external and otitis media of acute and chronic course;
  • violation of the integrity of the eardrum;
  • patients who have undergone surgery on the middle ear to prevent purulent inflammation.

Before use, the drops are warmed in your hands. Children are instilled several times a day; adults need to administer the medicine more often. The advisability of using Otofa in pregnant women is considered by a doctor.

Among others, the antimicrobial drug Miramidez has proven itself well. Miramistin, its main active ingredient, has a pronounced anti-inflammatory effect, enhances regeneration processes, and activates immune defense.

A very common complication after colds and flu is otitis media, which can delay a person’s full recovery. In order not to worsen your condition and not lose your hearing, it is imperative to treat the disease under the supervision of an otolaryngologist.

Directory of diseases and medications

Source: http://gluhihnet.ru/medicamenty/ushnye-kapli-pri-otitah.html

Drops in the ear for otitis media in adults

Inflammatory processes in the ear (otitis media) can cause partial or complete hearing loss. The clinical picture of the disease is characterized by the appearance of headaches (sometimes very severe), disturbances in general well-being and hearing.

The temperature may rise slightly, purulent fluids are sometimes released from the auricle, and an unpleasant odor appears. The presence of such signs should be a reason to contact the clinic. Depending on the stage and cause of the disease, various treatment regimens are developed. In the initial stages and in the absence of complications, drops are quite effective.

Otitis is treated with special drops

Types of ear drops

The list of medications is selected after examining the patient and establishing a diagnosis of the disease. Based on the composition of the active medical substance, the drops are divided into several groups:

  • anti-inflammatory drugs. Eliminate inflammatory processes in the ear and localize the disease. The most commonly used are Otipax and Otinum;
  • antibacterial drugs. Destroy pathogenic bacteria that cause otitis media. This group includes Normax, Otofa;
  • combination drugs. Prescribed to eliminate inflammatory processes and pathogenic bacteria. Garazon, Folicap, Anauran.

Drugs for the treatment of otitis media

Drops are ineffective during the treatment of internal otitis and eustachitis due to the distance of the source of the disease from the external passage. When the disease passes into the perforated stage with a rupture of the eardrum, drops are used extremely rarely and only under the constant supervision of the attending physician.

Anti-inflammatory ear drops

Prescribed during the treatment of inflammatory processes to relieve pain and eliminate infection. The treatment regimen should take into account the stage of the disease (catarrhal or purulent). Anti-inflammatory monodrugs have a local anesthetic effect, relieve swelling and reduce pain. But they do not affect purulent processes.

Antibacterial ear drops

Depending on the specific types of bacteria, the active substance is selected. Eliminate the causes of inflammatory processes, dosage and use are strictly limited. Self-treatment can cause various complications.

Combination drugs

The most frequently used, they have a complex effect on the course of the disease. Correct use allows you to quickly cure the patient and prevent the development of complications.

Drops in the ears for otitis media

List of the most commonly used drops

The active ingredient used is choline salicylate; one gram contains 0.2 g of choline salicylate, a clear, light yellow liquid. Prescribed for external, purulent and unspecified otitis media. Ethanol, glycerol and chlorobutanol are additional auxiliary medications. The weight of the bottle is 10 g, there is a dosing device.

Relieves inflammation, has an analgesic effect, relieves pain, inhibits the synthesis of prostaglandins. Prescribed for catarrhal inflammation of the external meatus, effective for complications caused by infections. The middle ear and membrane are treated, sometimes used as a prophylactic before washing the ear canal.

Ear drops Otinum photo

The drug is prohibited for use if the integrity of the membrane is damaged or the body is hypersensitive. Breastfeeding and pregnant women cannot use these drops. It can cause allergic reactions and temporary hearing loss in patients. The dose for adults is 3-4 drops three times a day; during instillation, the patient is recommended to lie on his side; after the procedure, he should not move for several minutes.

One bottle contains 16 g of medication, the active ingredients phenazone and lidocaine hydrochloride, accompanying substances sodium thiosulfate, glycerin and medical alcohol. The active medicine inhibits the biosynthesis of prostaglandins and interferes with the transmission of nerve pain signals. It is prescribed for various types of otitis, including biotraumatic and post-influenza.

Otipax ear drops

Use is limited in the presence of mechanical damage to the eardrum and hypersensitivity. May cause allergic reactions. Dripping for no more than 10 days, 4 drops three times a day.

Belongs to the group of fluoroquinolones, the drops are transparent and colorless. The active substance is norfloxacin. Benzalkonium chloride, disodium edetate and acetic acid are auxiliary. Packaged in dark glass bottles with a capacity of 50 ml, there are special droppers.

The drug is antibacterial, enhances the production of the enzyme DNA gyrase, which blocks the processes of protein synthesis of pathogenic microorganisms. It has increased activity and low systemic absorption. On the first day, the maximum dose of 2 drops every two hours is prescribed, then 2-4 times a day, two drops, is sufficient. The treatment period is limited to two months. Before burial, the passage must be sanitized.

Normax – antibacterial eye/ear drops

Avoid overdose; it is not recommended to prescribe during pregnancy or lactation. The drug can sometimes cause anorexia, diarrhea, nausea and heartburn. Long-term overdose may disturb sleep and cause headaches. Allergic reactions in the form of itching and skin rash are possible.

Antibacterial drug, red-yellow solution in a 10 ml package. Active ingredient: rifamycin sodium, auxiliary ingredients: disodium edetate, macrogol, lithium hydroxide and potassium disulfite. The kit includes a dosing pipette. A topical medicine that prevents the proliferation of pathogenic bacteria and actively inhibits most microorganisms. May be prescribed after surgery. Sometimes it turns the eardrum pink.

Otofa ear drops

For adults, 5 drops are prescribed three times a day, the course of treatment is no more than seven days. For the treatment of inflammation of the middle and outer ear. Overdose is unlikely; clinical safety studies have not been conducted in pregnant women. Sometimes it can cause allergic reactions in the form of a rash on the skin.

4-5 drops should be injected into the ear canal three times a day for no more than seven days. Admission to pregnant and nursing mothers is determined individually, taking into account the state of the body and the course of the disease. In case of overdose, a burning sensation may rarely occur at the site of direct contact of the drug with the skin.

For local use during therapeutic conservative treatment of ENT diseases. Antifungal medicine, has a wide spectrum of action. The active substance disrupts the synthesis of ergosterol in the fungal cell membrane, which causes cell lysis. The active substance chloramphenicol belongs to the group of bacteriostatic antibiotics and has antiallergic and anti-inflammatory effects.

Otirelax ear drops

Has an anesthetic effect, eliminates inflammatory processes, for local use. It is made on the basis of phenazone and lidocaine, glycerol, sodium thiosulfate pentahydra and medical alcohol are used as auxiliaries. A complex action drug, a combination of various active ingredients speeds up treatment, relieves pain symptoms and minimizes the occurrence of complications.

Otirelax ear drops photo

The medicine is not absorbed into the circulatory system, which eliminates the occurrence of adverse reactions. The dosage of use is 3 drops three times a day; the solution must be warmed before use. The course of treatment cannot exceed ten days. The drug is prescribed to pregnant and nursing mothers only in cases where the expected therapeutic effect significantly outweighs the possible negative consequences.

Polydexa ear drops

Complex action, medicinal substances: polymyxin B sulfate, neomycin sulfate and sodium metasulfobenzoate. It is produced in dark glass bottles, there is a dosage pipette. It has anti-inflammatory and antibacterial effects and can be used in combination with other antibiotics, which can significantly expand the spectrum of action. Actively inhibits anaerobic bacteria. If the integrity of the eardrum is damaged, the systemic effect is neutralized.

Polydex ear drops - composition

Used for no more than six days, 5 drops twice a day, overdose is unlikely. No clinical safety studies have been conducted in pregnant and breastfeeding women. Sometimes allergic reactions may occur in the form of a skin rash.

A combined drug that has an anesthetic and antibacterial effect. Made from polymyxin sulfate, neomycin sulfate and lidocaine. One bottle contains 25 ml of medicine, with a dropper-shaped cap. Broad spectrum of action, inhibits the proliferation of microorganisms.

Anauran ear drops

For adults, 5 drops three times a day are recommended; taking into account the course of the disease, the dose can be adjusted. The drug is incompatible with amikacin and monomycin and may cause local allergic reactions. Systemic deviations due to slow absorption of the drug into the circulatory system rarely occur. Pregnant women are prescribed only when absolutely necessary. For persistent infections, treatment must be supplemented with various antibiotics.

Active ingredients: gentamicin and betamethasone, 5 ml in one bottle. A broad-spectrum drug used as an antibacterial and analgesic. Suppresses the increased permeability of affected capillaries, which inhibits the proliferation of pathogenic microorganisms.

The initial dose is 1-2 drops three times a day, then the course of the disease is taken into account and the amount and frequency of instillation changes depending on the clinic. In cases of complications of the disease, it is allowed to insert a cotton swab soaked in medicine into the ear canal. If the treatment is very long, then minor disturbances in the functioning of the adrenal glands are possible. Should not be used during lactation and pregnancy.

It is prescribed to eliminate acute medial, paratraumatic and post-influenza otitis media; use is not allowed for mechanical damage to the integrity of the membrane. May cause minor local allergic reactions.

The dosage is two drops in the ear three times a day; during treatment, constant monitoring of the patient’s condition is necessary. Depending on the clinic, dose adjustment is possible. In case of hypersensitivity, the drug is not prescribed.

Ottoslavin - ear drops

The active ingredients procaine and boric acid relieve pain. It has an antiseptic effect, adults are prescribed 2-3 drops three times a day, tampons soaked in the drug can be inserted into the ear.

In case of overdose or kidney problems, adverse reactions may occur in the form of nausea, vomiting, and diarrhea. Sometimes there is confusion of speech and headache.

How to instill drugs

Before instillation, you need to carefully clean the ear canal. In this case, it is strictly forbidden to use cotton swabs. Before use, the preparations should be heated; this can be done in a bath of warm water or held in your hand for a while.

  1. Wash your hands thoroughly with soap and warm running water.
  2. Clean the ear canal with a soft damp cloth, do not insert any objects into the ear canal. In medical institutions, the ear canals are cleaned only by rinsing with a special syringe.
  3. Heat the drops by any means to a temperature of ≈ +37°C.
  4. If the drug is made in the form of a suspension, then the bottle must be shaken until a completely homogeneous liquid is obtained.
  5. Check the integrity of the dropper tip and rinse or wipe it. The dropper must be intact; chips or other mechanical damage are strictly prohibited.

Instillation of the drug into the ear

It is advisable that the drops be instilled by a doctor or any assistant, and the patient should be in a supine position.

Video - Symptoms and treatment of otitis media

Did you like the article? Save so you don't lose!

Source: http://med-explorer.ru/otolaringologiya/medicinskie-preparaty/kapli-v-uxo-pri-otite-u-vzroslyx.html