Spray for runny nose during pregnancy

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Choosing a spray for a runny nose for a pregnant woman

A spray for a runny nose during pregnancy is either a regular vasoconstrictor that has a mild effect and has little effect on the fetus, or a drug for rinsing the nose, or a remedy for relieving allergic rhinitis.

Table of contents:

In any case, a spray for a runny nose for pregnant women, with rare exceptions, does not get rid of the very causes of a runny nose and cannot be considered a medicine. This is a symptomatic treatment designed to support the pregnant woman until she, with the help of a doctor, special procedures and, possibly, other pharmaceuticals, eliminates the causes of the runny nose.

A runny nose in pregnant women occurs in different ways, sometimes resulting only in nasal congestion and difficulty breathing, and sometimes accompanied by copious discharge of sputum and mucus. There can be many reasons for this disease, and depending on them, a spray is selected that will help reduce its effect on the condition of the nasal mucosa. In most cases, only a doctor can reliably determine such causes. In this case, the treatment will be targeted and more effective.

When a runny nose spray is used in conjunction with other remedies and procedures, it always gives a more pronounced effect.

Benefits of nasal sprays in treating runny nose in pregnant women

The main advantages of a runny nose spray for pregnant women compared to other products are its effect directly on swollen tissues and ease of use.

After spraying, the spray reaches almost all areas of the nasal mucosa

Sprays often have the same composition as nasal drops. But still, this form has a number of advantages:

  • precise dosage, thus eliminating excess consumption of the drug;
  • ease of use;
  • spraying into all areas of the nasal cavity.

In addition, sprays are consumed more slowly than drops, which is also very much appreciated by thrifty mothers.

Sprays are available in different types of bottles. Glass bottles usually have a small pump in the sprayer area, while plastic bottles require pressure on the walls of the bottle.

Nasal spray bottles with different types of pumps

Types of sprays for runny nose

Depending on the effect, composition and mode of action, sprays for runny nose during pregnancy are divided into the following groups:

  • Solutions of salt and mineral components, often based on sea water, allow you to cleanse the nasal passages and relieve some swelling. Used for mild forms of runny nose;
  • Sprays for isolating the nasal mucosa from allergens - effective for allergic rhinitis;
  • Some hormonal sprays, which, when used intranasally, do not have systemic use and help relieve inflammation;
  • Homeopathic medicines, which do not give any results at all, but allow the pregnant woman to believe that she has really done something for her runny nose. The runny nose will go away, but the pregnant woman will remain proud of herself;
  • Vasoconstrictor sprays - used only in severe or complicated cases;
  • Products for isolating mucous membranes from allergens.

Nazaval forms a thin film on the surface of the nasal mucosa, which prevents allergens from penetrating into it

Vasoconstrictor sprays are potentially dangerous and should only be prescribed by a doctor. In any case, to treat a runny nose, you should consult an ENT specialist - sometimes homeopathic remedies may be contraindicated for a particular pregnant woman.

When a doctor makes a prescription, a number of factors are taken into account:

  • gestational age;
  • diagnosis;
  • degree of nasal congestion and the presence of complications;
  • individual tolerance of the constituent elements;
  • danger of the drug for fetal development;
  • lack of effect from the use of other measures and means - inhalations, rinsing with saline solutions, normalization of the microclimate.

For allergic rhinitis, it makes no sense to use antibacterial or vasoconstrictor sprays

As a rule, the sprays chosen by the doctor are prescribed for use as part of a complex of products. Using a spray alone is usually ineffective.

Nasal sprays based on sea water for pregnant women

The safest spray for a runny nose during pregnancy is one that consists of purified sea water or is made from plain water and salt. It does not contain dangerous components, antihistamines and antibiotics; substances from such a spray are not absorbed into the blood and do not penetrate the fetus’ body. Accordingly, products of this type do not have any effect on the body of the unborn baby.

The clinical effectiveness and safety of the following drugs has been proven:

…and others. The composition of all the listed drugs is approximately the same - it is an isotonic solution of sea water. The only difference is the place where the sea water is taken from (Atlantic, Adriatic), but this does not matter significantly when used.

Such sprays do not cause allergies and during gestation can even be used to prevent a runny nose and to maintain the nasal cavity in a comfortable condition.

A solution of salt, you can simply use table salt in boiled water, it is useful to rinse your nose even in the absence of a runny nose. This will keep your nasal passages clean at all times and may prevent bacterial or viral infections.

Although sea water itself does not heal, such a spray for a runny nose for pregnant women allows you to thoroughly clean the passages, reduce mucus production, reduce swelling and irritability of the mucous membrane, and speed up its regeneration after inflammation or drying. In addition, their use normalizes the functioning of the ciliated epithelium and increases the effectiveness of other procedures.

“I’m generally terrified of any chemicals, and I didn’t even take any Vibrocils off the shelf during pregnancy. In the sixth month I had a runny nose, maybe a week, I was treated with Aqualor. Not a bad thing if you use it constantly and often. I rinsed my nose with it five times a day. The main thing is to rinse it before going to bed, then it won’t swell so much at night. I also did inhalations with star, mint and eucalyptus, and overall it was tolerable.”

Homeopathic sprays for runny nose

Homeopathic sprays contain trace (tiny) quantities of natural plant components and minerals that exhibit biological activity. They do not have any effect on a runny nose, other than moisturizing the nose and calming the pregnant woman. The most popular in this group during pregnancy are Delufen and Euphorbium.

Delufen consists of 5 homeopathic components of plant origin and an isotonic sodium chloride solution. The drug moisturizes the nasal mucosa and is safe for mother and child. In rare cases, individual intolerance is observed.

Delufen spray relieves swelling and constricts blood vessels, moisturizes the mucous membrane, relieves irritation and discomfort. Healing processes go faster while using the drug.

Euphorbium Compositum is a spray containing microscopic quantities of lumbago and luffa extracts, calcium sulfur liver, and silver and mercury compounds. It has no effectiveness; it can be used instead of plain water to moisturize the nasal mucosa.

“I used Euphorbium Compositum for two weeks around the seventh or eighth month. Well, this remedy clears the nose a little, but the runny nose does not go away completely. And at night in general, what with him, what without him. It’s good to use it when you walk a lot on the street - your nose will generally breathe easily.”

Sprays with a barrier principle of action

The most famous drugs from this group are Nazaval and Nazaval Plus. Both of these products contain fine cellulose powder as an active ingredient, which settles on the surface of the nasal mucosa and creates a protective film on it, preventing contact with allergens passing through the nasal passages.

Nazaval Plus additionally contains wild garlic extract to protect against bacteria, viruses and fungi (garlic is known for its phytoncidal and antibacterial properties).

Due to the fact that none of Nazaval's components enters the bloodstream and, therefore, cannot harm the fetus, the drug is allowed to be used at any stage of pregnancy. When using it, many women note a weakening of their sense of smell.

“I’ve been only Nazavalem for three years now and I’ve been saving myself in August, when the ragweed blooms. But when I became pregnant, I was afraid that the gynecologist would forbid me. But Nazaval is not contraindicated during pregnancy, I was allowed to use it, I was just in my fourth month, I constantly carried it in my pocket. In general, the runny nose didn’t bother me...”

Vasoconstrictor sprays

Most sprays based on decongestants are dangerous due to the possibility of teratogenic effects on the fetus in early pregnancy, or poisoning of the fetus and termination of pregnancy at the end of gestation. If their use is due to urgent need, then pregnant women are prescribed reduced dosages and use of the products for no more than 3-4 days. They can only be prescribed by a doctor if, due to the inability to breathe normally, severe complications of the pregnant woman’s condition are possible (for example, with bronchitis or asthma).

The drugs of choice in this category are Nazivin, Tizin, Nazol and some others.

On the recommendation of a doctor, Nazivin is allowed during pregnancy

Hormonal sprays

Most of these drugs use synthetic corticosteroid hormones as active ingredients. Such drugs include Alcedin, Beconase, Flixonase and others. They have a pronounced and long-lasting anti-inflammatory effect, and are considered quite safe due to the fact that their active components do not penetrate into the blood and do not affect the fetus. However, you cannot choose and use such sprays yourself, since any of them have side effects that the doctor must take into account when prescribing.

Antibacterial nasal sprays

All antibacterial sprays are prescribed under the personal responsibility of the doctor. Their effectiveness in treating the common cold has not been proven, and their use can be very dangerous. They are harmful to the fetus and cause side effects in the mother herself, so they should be used only as directed and under the supervision of a doctor strictly within the prescribed time frame.

The products of choice from this category are Isofra and Bioparox. Isofra should not be taken together with other sprays, and Bioparox should be used very carefully due to possible irritation of the mucous membranes, tearing and sneezing.

All sprays for a runny nose during pregnancy, except antibacterial ones, are additional means of symptomatic treatment and can give the desired result as part of a therapeutic complex. The effect of their isolated use will be minimal, but only an ENT specialist can correctly compose the entire complex based on the causes of the runny nose. Therefore, before using sprays, you should consult a doctor, if necessary, take the necessary tests and tests, and then strictly follow the instructions of the ENT specialist.

Video: How to rinse your nose correctly

In the first trimester of pregnancy, you can use the following drops for a runny nose: Drops based on saline solutions (including prepared ones).

In the third trimester, pregnant women can use the following drops for a runny nose: Hormonal drops and sprays based on mometasone, fluticasone, beclome.

Below are the main and most commonly used sprays for the common cold today. The list is divided into several blocks, each of which contains an alphabet.

Thank you!! I didn’t find reviews about Morenazal, I switched to it, or rather to Morenazal immuno, maybe because it’s a new drug. I also like sea water, which is better for the nose and maintains and strengthens the immune system in the nose. I use it for myself and my child, it’s small in size, unlike the huge aerosols.

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Source: http://antiangina.ru/nasmork/pri-beremennosti/vybiraem-sprej-ot-nasmorka-dlya-beremennoj.html

What nasal sprays can be used by pregnant women?

A runny nose (rhinitis) has no age preference; it appears in both children and the elderly. During a cold or allergic reaction, the immune system reacts to viruses, bacteria or foreign agents and thereby stimulates the mucous membrane of the sinuses to intensively produce secretions.

About rhinitis

The secreted mucus contains components that have antiviral and antibacterial effects. Ridding the body of infection, it loses its bactericidal properties, so it must be constantly renewed.

The remains of the used secretion exit the nasal passages, washing away viruses and bacteria. Hence the appearance of a runny nose, which causes a lot of inconvenience in the form of irritation of the skin near the sinuses and difficulty breathing.

Treatment of a runny nose depends on the nature of its origin and the age of the patient. For treatment, nasal sprays, rinses, and inhalations are used. If rhinitis is of allergic origin, it is enough to eliminate the allergen, and the runny nose will stop. As for women during pregnancy, not all nasal sprays are suitable for treating their runny nose. This depends on the composition of the drug and its side effects.

Causes

The pregnancy period for a woman is complicated by the fact that colds cannot be ignored, since pathogenic microflora has a detrimental effect on the development of the fetus. And medications for the common cold should be used with caution, so that the constituent substances do not harm the development of the child. There are several causes of rhinitis during pregnancy:

  1. One of the main etiological factors is bacterial and viral infection. It can affect the development of the fetus and therefore requires therapeutic treatment.
  2. A sharp change in temperature downwards leads to hypothermia and a runny nose. In this case, heat and warming tea will be enough.
  3. Vasomotor runny nose occurs against the background of hormonal imbalance, manifests itself in the form of light mucus and nasal congestion. Here it is necessary to eliminate the cause, regulate hormonal levels and the runny nose will go away.
  4. Hypersensitivity of the body to the antigen will cause an allergic rhinitis. In this case, it is necessary to identify the allergen and exclude it from the products or environment of the pregnant woman.

Important. Whatever the origin of rhinitis, only a doctor can identify it and determine which nasal sprays can be used for pregnant women in each individual case.

Nasal sprays approved for pregnant women

Basic requirements for drugs, nasal sprays during pregnancy must consist of natural ingredients, the components of the sprays must be aimed at destroying the infection. Nasal medications for rhinitis can be divided into several groups:

  • sprays based on extracts from medicinal plants;
  • vasoconstrictor drugs;
  • antihistamines;
  • based on saline solutions.

Attention. When prescribing drops and sprays, the duration of pregnancy and the individual tolerance of the components in their composition are taken into account.

Preparations based on saline solutions

In the first trimester, the embryo develops the main organs of the future organism, including the nervous system. And nasal medications must be selected taking this factor into account.

In this case, sprays and drops for nasal congestion for pregnant women based on saline solutions are allowed:

They consist entirely of seawater or ionized salt solution. The sprays contain a sufficient amount of minerals and are completely harmless to the unborn child. The drugs eliminate swelling of the nasopharyngeal mucosa, which normalizes the function of the respiratory tract.

At the initial stage of pregnancy, it is possible to use Pinosol. It is based on essential oils of natural origin. The spray has antibacterial and antiseptic properties.

In the second and third trimester, the range of sprays used increases. These periods are less dangerous for the fetus, since the anatomical and physiological characteristics of the future organism have already been formed.

Homeopathic medicines

Sprays and drops are made from extracts of medicinal plants or based on minerals. They not only eliminate the cause of rhinitis, but also restore the immune system's ability to fight infection. The most widely used drugs include:

  • EDAS-131. It contains an extract of medicinal herbs, a saline solution with silver ions, which has antiseptic bactericidal properties and is harmless to the mother and fetus;
  • Euphorbium nazentropfen spray. Consists of medicinal and mineral (mercury diiodide, silver nitrate) components, eliminates swelling and a feeling of dry mucosa. Has disinfecting properties;
  • Delufen acts quickly due to its ability to completely cover the surface of the sinus mucosa. Eliminates swelling, prevents the formation of pus.

Eucasept is widely used to treat runny nose in pregnant women; it contains eucalyptus oil with an antiseptic effect, peppermint oil and fir oil, which have antimicrobial and anti-inflammatory effects.

Antibacterial sprays and drops

Antibacterial drugs based on antibiotics are prescribed when the pathological secretion from the nasal sinuses is yellow-green. It has a specific smell, thick consistency with purulent discharge. The use of antibiotic-based sprays is contraindicated in pregnant women due to the risk of pathological effects of the drug on the child.

But if there is a bacterial infection that can only be eliminated with antibacterial agents, use:

  1. Polydexa . It reduces the inflammatory process in the nasopharynx and serves as a vasoconstrictor with an antimicrobial effect. Peculiarity. The drug consists of dexamethasone, neomycin, polymyxin, so it should only be taken under the supervision of a doctor.
  2. Bioparox. The drug contains fusafungin, a local antibiotic. When taking the drug, it is necessary to take into account that bronchial spasm is possible, so the course of treatment does not exceed seven days. Although Biaporox is not absorbed into the lymph, there is a risk of addiction.

The use of antibacterial sprays for the common cold, such as Isofra, Funentin, is strictly contraindicated during pregnancy. If a runny nose does not go away for a long time, self-medication is not recommended. Therapy with antibiotics is prescribed only by a doctor.

Vasoconstrictor drugs

Vasoconstrictor sprays during pregnancy, like drops, are prescribed in extreme cases when purulent discharge appears from the nasal passages. Treatment is carried out under the supervision of a doctor. When exposed to sprays, not only the vessels of the nasal passages narrow, but also the capillaries located in the placenta. The fetus does not receive enough oxygen, and there is a risk of developing hypoxia.

When treating a prolonged runny nose, vasoconstrictor drugs such as Nazivin, Fazin, Ephedrine and their analogues are prohibited. They negatively affect blood circulation in the placenta.

Of the existing nasal sprays and drops used in medical practice to treat runny nose in pregnant women, the following can be prescribed:

The dosage during pregnancy is prescribed in smaller quantities than prescribed in the annotation.

Vibrocil can be used only under the supervision of a doctor, in the second and third trimester, if the need for it outweighs the risk of pathological effects on the fetus.

Antihistamines

During pregnancy, a woman’s body works at an increased rate, which cannot but affect the immune system. The immune system reacts to external irritants with an allergic runny nose. This is due to hormonal instability and a weakened protective reaction.

A runny nose of an allergic nature can be caused by irritants to which the body did not respond before pregnancy. Pet hair, dust particles, components in cosmetics and household chemicals. This is a serious reason to contact an allergist; only a specialist will be able to identify the allergen that caused the reaction and prescribe adequate treatment.

To treat rhinitis in pregnant women, antihistamines are used, such as:

  1. Nazaval. The main active component of the antihistamine is cellulose. It completely covers the mucous membrane of the nasopharynx, blocking the path of the antigen and relieving swelling in the nasal sinuses.
  2. Cromohexal. The antihistamine spray contains the chemical sodium cromoglycate. Thanks to it, the symptoms of allergic rhinitis are relieved. The drug does not pose a threat to the unborn child, and is also used as a prophylactic agent.
  3. Vibrocil. The main components of the drug are phenylephrine and dimentidene. The drug has not only an antihistamine property, but also a vasoconstrictor, which makes it undesirable for the treatment of runny nose in pregnant women.

In the case of allergic rhinitis, if measures are taken to identify the allergen, problems do not arise. It goes away immediately after the stimulus is removed.

As an alternative to traditional therapy, traditional methods of treating runny nose in pregnant women are used. They do not act as quickly as sprays, but are completely harmless to the mother and unborn child. Compliance with preventive measures during a viral epidemic by the expectant mother will reduce the risk of rhinitis.

Directory of main ENT diseases and their treatment

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

Source: http://gorlonos.com/preparaty/sprei-dlya-nosa-beremennym.html

Nasal spray for pregnant women: review of drugs

Runny nose and nasal congestion are symptoms of a cold, for which pregnant women often consult a doctor. To ease breathing, most medications in the nose are contraindicated, but there are a number of medications that can be used by pregnant women for a runny nose.

Runny nose in pregnant women: causes and signs

A runny nose can be a symptom of a number of diseases.

During the autumn-winter period, a pregnant woman's defenses decrease, and no one is immune from colds. A runny nose is one of the symptoms of a developing cold that requires treatment.

While carrying a child, a woman’s body undergoes restructuring and hormone levels change. A runny nose may also occur during this period. In medical practice, this phenomenon is called “vasomotor rhinitis.” This non-infectious phenomenon often occurs in the 2nd and 3rd trimester and disappears after childbirth. Treatment in this case is not required, but drops should be used to alleviate the condition of the pregnant woman.

If the runny nose is allergic in nature, then this symptom is accompanied by lacrimation, sneezing and copious mucous discharge from the nose. Allergic rhinitis appears in the spring or summer when plants are flowering, but can occur when particles of dust, animal hair, etc. get on the mucous membrane. A pregnant woman should definitely consult an allergist.

There are other causes of a runny nose:

  • Adenoiditis
  • Chronic sinusitis
  • Deviation of the nasal septum
  • Neoplasms
  • Low air humidity
  • Foreign body in the nose

If a woman has a runny nose, she should definitely consult a doctor, who, after determining the cause of this symptom, will prescribe the necessary treatment and medications.

Self-medication, as well as the use of certain medications for a runny nose, is strictly prohibited.

When choosing a drug, the doctor takes into account the causes of a runny nose, the duration and course of pregnancy, the tolerability of individual components, as well as the advisability of drug therapy. Taking into account these factors, medications are prescribed. When treating a runny nose and nasal congestion during pregnancy, the choice of medications is limited, due to the ability of the active substances to penetrate through the placenta to the fetus.

Vasoconstrictor sprays

Vasoconstrictor sprays increase the tone of blood vessels, so they must be used carefully

For a runny nose, nasal drops are usually used. Vasoconstrictor drugs for the treatment of runny nose and nasal congestion during pregnancy are strictly contraindicated, since vasoconstriction occurs not only in the mucous membrane, but also in the capillaries of the placenta. Insufficient oxygen reaches the fetus, which can lead to hypoxia.

To treat a runny nose, it is strictly forbidden to use Naphazolin, Nazivin, Ephedrine, Fazin, etc. The active ingredients included in these drugs negatively affect the blood circulation of the placenta. Drugs with a vasoconstrictor effect should only be prescribed by a doctor.

The choice of vasoconstrictor sprays that pregnant women are allowed to use is small: Tizin, Xymelin, Vibrocil. One of the drugs should be used only as directed by a doctor and in a smaller dosage than indicated in the instructions. Nasal drops for a runny nose, which are intended for newborns, are approved for use. They should be used once a day for no more than 3 days.

Moisturizing sprays

The drugs can be used not only for therapeutic but also for preventive purposes

The nasal mucus secreted out has bactericidal properties. To maintain normal nasal secretion production and consistency, it is recommended to use moisturizing drops. They can be used for any type of runny nose.

Moisturizing sprays or drops are harmless and effective for a runny nose and nasal congestion. The following drugs have a moisturizing effect:

They contain sea water or ionized saline solution, which contains essential minerals and trace elements. Thanks to this composition, microcracks in the epithelial tissue heal, which stimulates the mucous membrane to recover.

Such drugs only moisturize the mucous membrane and remove secretions saturated with pathogenic microorganisms. It is important to remember that seawater-based sprays do not help with nasal congestion, especially with diseases of viral or bacterial etiology.

Useful video - How to treat vasomotor rhinitis during pregnancy:

Aqua Maris and Aqualor have not only a softening, but also an antiseptic effect on the mucous membrane. Salin helps normalize secretion and quickly moisturize the inner surface of the nose.

Homeopathic medicines

Typically, homeopathic sprays for the common cold are used as an addition to other medications.

If a runny nose appears due to a cold, then it is possible to use homeopathic medicines:

  • Delufen. Homeopathic remedy in spray form. It has anti-allergic, anti-inflammatory, protective and restorative effects. The composition of the drug includes the following components: black mustard, meadow lumbago, euphorbia resiniferous, loofah and mercury iodide. When using Delufen, the sensitivity of the mucous membrane to pathogenic microflora and allergens is reduced.
  • Euphorbium compositum. It is used to treat runny nose of various etiologies. It is available in various forms and has anti-inflammatory and anti-allergic effects, thanks to several active components included in its composition. The homeopathic medicine normalizes metabolic processes, eliminates swelling and dryness in the nose, and also normalizes breathing.
  • EDAS-131. Prescribed for the treatment of sinusitis, allergic rhinitis, chronic runny nose. The effectiveness of the product will be observed when the first symptoms of a runny nose appear.

In homeopathic preparations, the concentration of active substances is minimal and they do not have a therapeutic effect. Homeopathy moisturizes the nasal passages, which prevents a runny nose from developing due to crusts. In addition, there are no contraindications or addiction to such drugs, unlike vasoconstrictors.

Antibacterial drugs: can they be used?

Drops or sprays into the nose with an antibacterial effect are prescribed for thick and purulent discharge. They have a bactericidal effect and help remove pathological secretions from the sinuses.

Many antibacterial nasal drops are strictly contraindicated for use during pregnancy. However, if the mucous discharge turns yellow-green, this indicates a bacterial infection and the use of antibiotics cannot be avoided.

Of the drugs with antibacterial action during pregnancy, it is allowed to use, but only under the supervision of a doctor:

  • Polydexa. This is a combined drug that has anti-inflammatory, vasoconstrictor and antimicrobial effects. The spray contains components such as neomycin, dexamethasone, polymyxin. Since the drug has a complex composition, when treating, especially during pregnancy, it is necessary to take into account the dosage and general course of treatment.
  • Bioparox. The active ingredient is fusafungin, which is also a local antibiotic. Can only be used in the second and third trimester of pregnancy. You should be aware that when injecting the drug, there is a possibility of developing bronchospasm. It is not advisable to use it for more than 7 days, as it will become addictive to the drug.

Unlike systemic antibiotics, these drugs act locally and are not absorbed into the blood. Drugs such as Isofra, Funentin and their analogues are contraindicated for use. Only a doctor should treat a prolonged bacterial rhinitis, so a pregnant woman should follow all his recommendations.

Nasal sprays for allergic rhinitis

An allergic runny nose is a symptom that occurs as a result of the body's reaction to an allergen.

While carrying a child, a woman quite often develops an allergic runny nose in response to irritants. Changes in hormonal levels affect the immune system, whose defenses are reduced.

Against this background, a woman’s body is sensitive to the effects of various irritants: dust, wool, pollen, cosmetics and chemicals, etc.

The following medications can be used to eliminate an allergic reaction:

  • Cromohexal. An antihistamine that, when used, reduces the symptoms of an allergic reaction. The product is based on sodium cromoglycate. The drug is more effective as a prophylactic agent.
  • Nazaval. A drug with an antihistamine effect that protects the nasal mucosa from various irritants. The main active ingredient is cellulose. When sprayed, a gel-like layer is formed on the mucous membrane, which prevents allergens from entering.
  • Vibrocil. This drug has a vasoconstrictor and antihistamine effect, thanks to the two substances included in the drug - phenylephrine and dimentidene. Since the product constricts blood vessels, its use is not recommended. But use is possible only in the second and third trimester, if the health of the expectant mother is higher than the development of the fetus.

In any case, treatment and elimination of symptoms of allergic rhinitis should be carried out under the supervision of a doctor.

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Comments (1)

Irina Nesterovich

07/26/2017 at 19:32 | #

During pregnancy, I suffered from a runny nose and nothing from the drops prescribed by the doctor helped me, then I found out about morenasal at the pharmacy and took it, especially since the price was cheap. It suited me, cleared my nose of snot one hundred percent and perfectly moisturizes the mucous membrane

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Effective nasal medications for pregnant women

During pregnancy, women often experience rhinitis. There are many reasons for the appearance of a runny nose, especially since the body is weakened at this time. They can be viral or bacterial infections, hypothermia, hormonal imbalance or an allergic reaction. Only a doctor can identify the nature of the resulting rhinitis and select a spray for a runny nose. During pregnancy, you are allowed to use sea water-based products on your own.

Drugs for rhinitis during pregnancy are divided into several groups:

  • saline solutions;
  • vasoconstrictor sprays;
  • sprays with antihistamine effect;
  • herbal medicines;
  • homeopathic sprays.

When choosing an aerosol, you need to focus on the following factors:

  1. 1. Pregnancy period. In the first 12 weeks, the use of drugs with potent components is undesirable, because it is at this time that the formation and formation of all the child’s organs occurs, and therefore the risk of complications is quite high. Improper use of sprays with antibiotics or vasoconstrictor components can lead to serious abnormalities.
  2. 2. Composition of the drug. Some medicinal components are able to penetrate the placenta and affect the fetus. Sprays allowed during this period are those whose active substances are not able to penetrate the systemic bloodstream.
  3. 3. Individual intolerance to components. During pregnancy, the immune system works differently, so sensitivity to certain substances occurs quite often. Drugs should be used with caution and only as prescribed by a specialist.

The use of sprays during pregnancy is necessary only in case of nasal breathing problems.

These preparations consist entirely of sea water or ionized salt solution. These are the safest sprays. Expectant mothers are allowed to use them from the first days of pregnancy. These drugs are used to treat various types of runny nose - viral, bacterial, allergic. The saline solution thins mucus, moisturizes the nasal passages, and has an antiseptic effect.

Sprays containing sea water are presented in the table:

Sprays can also be used to rinse the nasopharynx. To do this, a sprayer is inserted into the nostril, after which you need to press the dispenser. The liquefied mucus must be blown out through the nose. The second nasal passage is cleaned in the same way.

After washing with saline solution in the cold season, it is not advisable to go outside for a few minutes. This can lead to local hypothermia and the development of inflammation of the nasal mucosa.

They are also safe drugs, but their positive effects have not been confirmed by clinical trials. Homeopathic sprays contain minerals, vitamins and herbal ingredients. They do not have a quick effect, but promote the regeneration of the mucous membrane, increasing local immunity and making breathing easier.

The most effective drugs are presented in the table:

The herbal components of sprays against runny nose during pregnancy are safe. The anti-inflammatory effect is only on the nasal mucosa; the incoming components do not enter the general bloodstream. The therapeutic effect does not appear immediately, but lasts a long time.

The most popular medications are presented in the table:

Antibacterial sprays are prescribed for bacterial rhinitis, when the mucus has a thick consistency and purulent contents, as well as for the development of various complications (gasopharyngitis, sphenoiditis).

Aerosols are allowed to be used only from the second month of pregnancy. It should be remembered that they only affect the nasal mucosa. For severe diseases, it is necessary to use systemic drugs. They are used in a strict dosage (most often it is for children). Increased doses cause harm to the developing fetus and cause side effects in the expectant mother.

The approved drugs are listed in the table:

Vasoconstrictor drugs are prescribed very rarely during pregnancy - only in the presence of purulent discharge. Under the influence of these drugs, not only the vessels in the nasal passages narrow, but also the capillaries of the placenta, as a result of which hypoxia may occur in the fetus. The following drugs are prohibited during pregnancy:

  • Otrivin, Dlynos, Galazolin;
  • Nazivin;
  • Fasin;
  • Xymelin;
  • Ephedrine.

The permitted funds are indicated in the table:

Allergic rhinitis is a disease accompanied by severe swelling of the mucous membrane with simultaneous breathing problems. The danger of this condition is that the swelling leads to blockage of the air channels connecting the cavity and the paranasal sinuses. Stagnation of mucus can lead to sinusitis.

Antiallergic sprays have an anti-edematous and anti-inflammatory effect on the tissue of the nasal passages. Antihistamines come in several types:

  1. 1. Mast membrane stabilizers - protect the membranes in mast cells, so that cells that cause inflammation do not penetrate the tissue. Vividrin and Cromolyn are allowed during pregnancy.
  2. 2. Sprays with hormones - inhibit the process of synthesis of prostaglandins, which cause inflammation. These include Beconase and Aldecin. Abuse of these drugs leads to a negative effect on the nasal mucosa, impaired renal function and nosebleeds.
  3. 3. Barrier aerosols (Prevalin and Nazaval) - form a film on the mucous membrane of the nasal passages that prevents allergens from reaching the mucous membrane.

Descriptions of the drugs are presented in the table:

It is advisable to identify the allergen and, if possible, get rid of it.

There are quite a few sprays used to treat rhinitis. Before using these drugs, every pregnant woman should consult with her doctor in order to avoid negative effects on the fetus.

All information on the site is provided for informational purposes. Before using any recommendations, be sure to consult your doctor.

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Source: http://lecheniegorla.ru/sprej-ot-nasmorka-pri-beremennosti/

Drops and sprays for runny nose during pregnancy

Rhinitis becomes a serious problem for the expectant mother during the pregnancy stage. Hypoxia has an adverse effect on the well-being and development of the baby. What can be used during pregnancy to alleviate the condition? It is important to choose a safe, effective remedy. The specialist will recommend suitable medications and treatment methods. Examination of the patient reveals the cause of rhinitis. The doctor prescribes drops for a runny nose for a pregnant woman, which do not have embryotoxic or pathological effects on the development of the fetus.

Are nasal drops safe during pregnancy?

Is it possible to use drops for a runny nose during pregnancy? There is a classification of rhinitis. Each type requires special treatment and an integrated approach. The reasons during the period of bearing a child are:

  • Viral diseases requiring immediate medical intervention. The risk of infection entering the baby’s body and amniotic fluid increases. The consequences of the pathology will be unfavorable.
  • Hormonal imbalances cause vasomotor rhinitis. The cause is increased secretion of progesterone and estrogen, which provokes an imbalance of hormones, leading to a weakening of the body's defenses, thinning of the mucous membrane, swelling and hyperemia. The woman’s immune system ceases to resist pathogenic microflora. Its task is the physiologically correct formation of embryonic tissues and organs of the baby. Vasomotor (hormonal) rhinitis lasts several months. Hypoxia caused by its presence leads to a slowdown in fetal development and the formation of embryonic anomalies.
  • Allergic manifestations with nasal discharge and swelling pose a serious problem for the immune system of the woman and the fetus. An allergist will identify the irritating factor after conducting a series of tests. Will select an effective nasal drug approved for use by the expectant mother.

Diagnosed rhinitis in combination with adverse consequences for the woman’s condition lead to the development of complications. Specialists offer comprehensive treatment using safe drugs.

With caution, doctors prescribe medications to women who have a tendency to increase blood pressure. The use of vasoconstrictor compounds leads to the development of a hypertensive crisis, which adversely affects the baby’s health. Correctly selected nasal drops relieve symptoms and hypoxia. The treatment is effective and the risk of adverse effects is minimal.

What medications are safe and can help with a runny nose?

The prescription of nasal medications is carried out taking into account the risk of severe heart defects and damage to the pancreas in the newborn. An otolaryngologist, when choosing nasal products for pregnant women, gives preference to:

  • Using a spray for runny nose during pregnancy, which contains sea water. It thins and facilitates the removal of muconasal secretions, does not cause dryness of the mucous membrane, protects against the penetration of pathogenic microflora, and relieves swelling. Drops based on sea water are also effective. These are Salin, Aqualor, Aquamaris, Marimer, Humer, Dolphin, Physiomer and others.
  • Using saline solutions to rinse the nose. You can prepare them yourself from sea salt or choose regular table salt for dilution.
  • Preparations developed on the basis of oil extracts from medicinal plants. For example, Pinosol. It is allowed to be used by pregnant women at any stage. You can drip no more than 3-4 times a day. Contraindication is hypersensitivity to the components of the nasal product.
  • Homeopathic drops have an anti-inflammatory effect, relieve swelling, and reduce the amount of muconasal secretion. A distinctive feature is the slow result. The therapeutic effect occurs after a few hours. Their use is safe in the early stages. The otolaryngologist prescribes Euphorbium or a drug with a similar mechanism of action, EDAS-131.

What drops for a runny nose should not be taken during pregnancy?

Experts remind that there are medications the use of which is undesirable throughout the entire period of pregnancy. Prohibited use:

  • Vasoconstrictor drops. They bring relief after 5–7 minutes, but cause a narrowing of the lumen of blood vessels. Created on the basis of adrenaline or norepinephrine. Vasoconstrictor drops prescribed in adult dosages cause spasm of placental vessels and are a predisposing factor to the development of a pathological process in the baby, called hypoxia. Once in the fetal circulatory system, they disrupt physiologically correct blood flow and cause a number of serious consequences. An alternative is to prescribe the pediatric dosage for a short period of time. Among them, experts include Galazolin, DlyaNos, Xymelin, Naphthyzin, Sanorin, Farmazolin, Otrivin, and so on.

Three days after the start of treatment, the likelihood of addiction increases. The woman increases the dosage to relieve swelling and eliminate hypoxia. The risk of negative effects on the baby’s body increases several times.

  • Medicines that contain antibiotics. Their use may cause adverse consequences for the fetus and mother. They provoke disturbances in the process of laying organs and tissues, up to and including spontaneous abortion. They become the cause of thrush, intestinal dysbiosis, and weakening of the mother’s immune system. The prescription of antibiotics as part of complex therapy for the treatment of the nose is justified if the patient has rhinitis of bacterial origin and there is a risk of complications (sinusitis, sinusitis). For example, this is Polydex with phenylephrine.

The use of medications to eliminate the cause and symptoms of the inflammatory process of the nasal cavity during pregnancy should be accompanied by careful monitoring of the patient’s condition. If signs of general malaise or changes in fetal activity appear, you should immediately seek qualified help. The otolaryngologist will review the prescribed course of treatment.

There is no need to purchase your own anti-runny nose spray for pregnant women. Consultation with a specialist will reveal the cause of the pathological process in the nasal cavity. The doctor will select a mild, effective and safe remedy.

Source: http://nasmorka.ru/simptomy-lechenie/kapli-i-sprei-ot-nasmorka-pri-beremennosti

Spray for runny nose for pregnant women

A runny nose (rhinitis) has no age preference; it appears in both children and the elderly. During a cold or allergic reaction, the immune system reacts to viruses, bacteria or foreign agents and thereby stimulates the mucous membrane of the sinuses to intensively produce secretions.

About rhinitis

The secreted mucus contains components that have antiviral and antibacterial effects. Ridding the body of infection, it loses its bactericidal properties, so it must be constantly renewed.

The remains of the used secretion exit the nasal passages, washing away viruses and bacteria. Hence the appearance of a runny nose, which causes a lot of inconvenience in the form of irritation of the skin near the sinuses and difficulty breathing.

Treatment of a runny nose depends on the nature of its origin and the age of the patient. For treatment, nasal sprays, rinses, and inhalations are used. If rhinitis is of allergic origin, it is enough to eliminate the allergen, and the runny nose will stop. As for women during pregnancy, not all nasal sprays are suitable for treating their runny nose. This depends on the composition of the drug and its side effects.

Causes

The pregnancy period for a woman is complicated by the fact that colds cannot be ignored, since pathogenic microflora has a detrimental effect on the development of the fetus. And medications for the common cold should be used with caution, so that the constituent substances do not harm the development of the child. There are several causes of rhinitis during pregnancy:

One of the main etiological factors is bacterial and viral infection. It can affect the development of the fetus and therefore requires therapeutic treatment. A sharp change in temperature downwards leads to hypothermia and a runny nose. In this case, heat and warming tea will be enough. Vasomotor runny nose occurs against the background of hormonal imbalance and manifests itself in the form of light mucus and nasal congestion. Here it is necessary to eliminate the cause, regulate hormonal levels and the runny nose will go away. Hypersensitivity of the body to the antigen will cause an allergic rhinitis. In this case, it is necessary to identify the allergen and exclude it from the products or environment of the pregnant woman.

Important. Whatever the origin of rhinitis, only a doctor can identify it and determine which nasal sprays can be used for pregnant women in each individual case.

Nasal sprays approved for pregnant women

Basic requirements for drugs, nasal sprays during pregnancy must consist of natural ingredients, the components of the sprays must be aimed at destroying the infection. Nasal medications for rhinitis can be divided into several groups:

sprays based on extracts from medicinal plants; vasoconstrictor drugs; antihistamines; based on saline solutions.

Attention. When prescribing drops and sprays, the duration of pregnancy and the individual tolerance of the components in their composition are taken into account.

Preparations based on saline solutions

In the first trimester, the embryo develops the main organs of the future organism, including the nervous system. And nasal medications must be selected taking this factor into account.

In this case, sprays and drops for nasal congestion for pregnant women based on saline solutions are allowed:

Aqua Maris; Salin; Humer; Physiometer; Aqualor; Marimer; Alergol.

They consist entirely of seawater or ionized salt solution. The sprays contain a sufficient amount of minerals and are completely harmless to the unborn child. The drugs eliminate swelling of the nasopharyngeal mucosa, which normalizes the function of the respiratory tract.

At the initial stage of pregnancy, it is possible to use Pinosol. It is based on essential oils of natural origin. The spray has antibacterial and antiseptic properties.

In the second and third trimester, the range of sprays used increases. These periods are less dangerous for the fetus, since the anatomical and physiological characteristics of the future organism have already been formed.

Homeopathic medicines

Sprays and drops are made from extracts of medicinal plants or based on minerals. They not only eliminate the cause of rhinitis, but also restore the immune system's ability to fight infection. The most widely used drugs include:

EDAS-131. It contains an extract of medicinal herbs, a saline solution with silver ions, which has antiseptic bactericidal properties and is harmless to the mother and fetus; Euphorbium nazentropfen spray. Consists of medicinal and mineral (mercury diiodide, silver nitrate) components, eliminates swelling and a feeling of dry mucosa. Has disinfecting properties; Delufen acts quickly due to its ability to completely cover the surface of the sinus mucosa. Eliminates swelling, prevents the formation of pus.

Eucasept is widely used to treat runny nose in pregnant women; it contains eucalyptus oil with an antiseptic effect, peppermint oil and fir oil, which have antimicrobial and anti-inflammatory effects.

Antibacterial sprays and drops

Antibacterial drugs based on antibiotics are prescribed when the pathological secretion from the nasal sinuses is yellow-green. It has a specific smell, thick consistency with purulent discharge. The use of antibiotic-based sprays is contraindicated in pregnant women due to the risk of pathological effects of the drug on the child.

But if there is a bacterial infection that can only be eliminated with antibacterial agents, use:

Polydexa . It reduces the inflammatory process in the nasopharynx and serves as a vasoconstrictor with an antimicrobial effect. Peculiarity. The drug consists of dexamethasone, neomycin, polymyxin, so it should only be taken under the supervision of a doctor. Bioparox. The drug contains fusafungin, a local antibiotic. When taking the drug, it is necessary to take into account that bronchial spasm is possible, so the course of treatment does not exceed seven days. Although Biaporox is not absorbed into the lymph, there is a risk of addiction.

The use of antibacterial sprays for the common cold, such as Isofra, Funentin, is strictly contraindicated during pregnancy. If a runny nose does not go away for a long time, self-medication is not recommended. Therapy with antibiotics is prescribed only by a doctor.

Vasoconstrictor drugs

Vasoconstrictor sprays during pregnancy, like drops, are prescribed in extreme cases when purulent discharge appears from the nasal passages. Treatment is carried out under the supervision of a doctor. When exposed to sprays, not only the vessels of the nasal passages narrow, but also the capillaries located in the placenta. The fetus does not receive enough oxygen, and there is a risk of developing hypoxia.

When treating a prolonged runny nose, vasoconstrictor drugs such as Nazivin, Fazin, Ephedrine and their analogues are prohibited. They negatively affect blood circulation in the placenta.

Of the existing nasal sprays and drops used in medical practice to treat runny nose in pregnant women, the following can be prescribed:

Tizin; Xymelin; Vibrocil.

The dosage during pregnancy is prescribed in smaller quantities than prescribed in the annotation.

Vibrocil can be used only under the supervision of a doctor, in the second and third trimester, if the need for it outweighs the risk of pathological effects on the fetus.

Antihistamines

During pregnancy, a woman’s body works at an increased rate, which cannot but affect the immune system. The immune system reacts to external irritants with an allergic runny nose. This is due to hormonal instability and a weakened protective reaction.

A runny nose of an allergic nature can be caused by irritants to which the body did not respond before pregnancy. Pet hair, dust particles, components in cosmetics and household chemicals. This is a serious reason to contact an allergist; only a specialist will be able to identify the allergen that caused the reaction and prescribe adequate treatment.

To treat rhinitis in pregnant women, antihistamines are used, such as:

Nazaval. The main active component of the antihistamine is cellulose. It completely covers the mucous membrane of the nasopharynx, blocking the path of the antigen and relieving swelling in the nasal sinuses. Cromohexal. The antihistamine spray contains the chemical sodium cromoglycate. Thanks to it, the symptoms of allergic rhinitis are relieved. The drug does not pose a threat to the unborn child, and is also used as a prophylactic agent. Vibrocil. The main components of the drug are phenylephrine and dimentidene. The drug has not only an antihistamine property, but also a vasoconstrictor, which makes it undesirable for the treatment of runny nose in pregnant women.

In the case of allergic rhinitis, if measures are taken to identify the allergen, problems do not arise. It goes away immediately after the stimulus is removed.

As an alternative to traditional therapy, traditional methods of treating runny nose in pregnant women are used. They do not act as quickly as sprays, but are completely harmless to the mother and unborn child. Compliance with preventive measures during a viral epidemic by the expectant mother will reduce the risk of rhinitis.

Remedy for runny nose during pregnancy

Rinsing and regularly moisturizing the mucous membranes help relieve a runny nose and nasal congestion. For moisturizing, baby cream, Vaseline, and vegetable oil are used. Safe for pregnant women and at the same time very effective are modern sprays with a moisturizing effect, made on the basis of healing sea water: Aquamaris, Aqualori Ave. If there is no humidifier in the house, small containers of water that need to be placed around the room are suitable instead. in different places.

Sleeping on a high pillow can make breathing easier at night. This body position can reduce nasal congestion and reduce swelling of the nasal mucosa. Consequently, a pregnant woman will be able to rest normally.

A runny nose during pregnancy should not go unnoticed, and if, after carrying out various procedures at home, the pregnant woman’s condition does not improve, but only worsens, an urgent visit to the doctor is the only right way out. It is necessary to always remember that the expectant mother is responsible, first of all, for the little life under her heart.

A runny nose during pregnancy always gives expectant mothers a lot of inconvenience and discomfort. In addition, this symptom indicates health problems, so it should be taken seriously, without delaying the process or postponing a visit to the doctor. A severe runny nose can cause the development of a viral disease, especially if it is accompanied by other unpleasant symptoms, such as cough, pain and sore throat, fever, etc. It should be noted that with the onset of the cold season, most pregnant women are at risk of acute respiratory diseases against the background of decreased immunity. Alarming symptoms of flu or a cold most often begin with a runny nose. The risk group consists of women who have often been exposed to colds even before pregnancy.

Remedy for a runny nose during pregnancy No. 1 is vasoconstrictor drops. It is to them that expectant mothers resort first when they discover they have a runny nose. However, it is worth remembering that many vasoconstrictors are contraindicated during pregnancy, and their use by pregnant women is strictly prohibited due to possible risks and complications for the baby. Treatment of a runny nose in a woman carrying a child must fully comply with the doctor’s instructions, who, taking into account all possible risks, will choose a drug that best meets the criteria of effectiveness and safety. As for vasoconstrictor medications, expectant mothers are usually prescribed drops and sprays based on sterile sea water, which cleanses the nasal passages well. It is better to give preference to homeopathic remedies that have a natural base, for example, such as Pinosol, Evamenol, Euphorbium compositum.

Essential oil is a good way to relieve nasal congestion and runny nose. You can carry out inhalations with the addition of essential oils (menthol, eucalyptus, mint). Special solutions made from medicinal herbs (chamomile, calendula, sage, plantain), which are used to rinse the nasal sinuses, also have an excellent effect.

It is difficult to immediately answer the question of which remedy for a runny nose during pregnancy is the best. It all depends on the specific case, as well as the main reasons for the development of rhinitis in a pregnant woman. Based on this, treatment should be prescribed by a doctor after a thorough examination of the patient and an accurate diagnosis of the disease.

Drops for runny nose during pregnancy

A runny nose during pregnancy can have different origins. Only a doctor can determine the main reasons for its development. However, many women, in an effort to alleviate the condition, resort to such a common and familiar remedy for the runny nose as drops.

In principle, drops for a runny nose can be used during pregnancy, but not all. For example, vasoconstrictor drops can cause harm, because... their effect can extend to vessels not only in the nose, but also in other organs, including the capillaries of the placenta. The result of this process can be oxygen starvation of the fetus, which, in turn, will affect its further formation. Vasoconstrictor drops are strictly contraindicated for expectant mothers who experience regular increases in blood pressure. Only in extreme cases, with very severe nasal congestion, is it permissible to use nasal drops, but preferably those that are approved for children, and preferably once before bedtime: Nazik-spray, Rinazolin, Vibrocil, Nazivin, etc. The use of such drops is permissible only in the prescribed manner doctor dosages and no more than 3-4 days in a row, since such drugs are often addictive.

Choosing drops for a runny nose in pregnant women is a very responsible matter. For example, drops such as Galazolin and Naphthyzin can be prescribed by a doctor only in rare cases when a woman cannot breathe at all due to severe nasal congestion. The dosage of such drops should be strict: no more than 1-2 drops at a time. With prolonged use of vasoconstrictor drops, a pregnant woman may experience impaired blood supply and narrowing of the arteries of the placenta. In addition, such drops contribute to increased swelling of the mucous membrane.

Drops for runny nose during pregnancy are safer if they have a plant base, for example, Pinosol. This drug copes well with infectious runny nose, but is contraindicated in case of an allergic reaction to the essential oils it contains: mint, eucalyptus and mountain pine oil. Other homeopathic medicines that help quickly get rid of an annoying runny nose include Evamenol ointment and Euphorbium Compositum spray.

An effective way to quickly get rid of rhinitis is to frequently rinse your nose. For this purpose, a saline solution (saline solution) is used, which is best purchased at a pharmacy, as well as drops and sprays made from sea salt and sea water: Aquamaris, Dolphin, Humer, Salin, etc. Herbal decoctions can also be used to rinse the nose: sage, chamomile, calendula. Drops of freshly squeezed aloe or Kalanchoe juice are the most common folk method for treating a severe runny nose.

A runny nose during pregnancy is best treated using folk remedies and methods, and only if the desired effect is not achieved, medications should be used strictly as prescribed by the attending physician.

Spray for runny nose during pregnancy

A runny nose during pregnancy as a symptom of an emerging disease requires immediate treatment in order to avoid possible complications and negative consequences for the unborn child. Most often, a pregnant woman is recommended to start treating a runny nose with folk remedies that are as safe as possible for the health of the expectant mother and her baby. However, modern medicine offers unique preparations containing natural ingredients, which are in great demand among pregnant women and are effective in the treatment of colds and various forms of rhinitis.

A spray for a runny nose during pregnancy should be chosen by the attending physician depending on the type of runny nose and the causes of its occurrence, as well as taking into account the general condition of the pregnant woman. Today, preference is given to nasal sprays made from sea water. One of these modern drugs is a spray called Aqua Maris. It contains water from the Adriatic Sea, which has effective healing properties due to the content of microelements and a whole complex of natural minerals. The safety of this product lies in the fact that it does not contain any preservatives, chemicals or synthetic additives. This spray can be safely used even at the very beginning of pregnancy.

The natural ingredients contained in Aqua Maris spray help to gently thin nasal mucus and normalize the process of its production. Thanks to this drug, bioactive substances (immunoglobulins, interferons, lysozyme, etc.) are actively produced in the nasal mucosa, which effectively strengthen local immunity. Regular rinsing of the nasal passages with Aqua Maris spray protects the nose and nasopharynx from the penetration of germs, pathogenic bacteria, dangerous viruses, and also facilitates nasal breathing for a pregnant woman with a severe runny nose.

Popular and effective today is the Aqualor series of nasal products, which are absolutely safe in their composition for pregnant women. In addition to drops for the common cold, sprays are produced under the name “Aqualor” for the safe treatment of chronic, atrophic, allergic and other types of rhinitis. The preparations are made on the basis of healing sea water of the Atlantic Ocean and have several varieties depending on the situation:

Aqualor Norm - used in the treatment of allergies, diseases of the nasopharynx that are infectious and inflammatory in nature, recommended for daily irrigation of the nasal cavity for the purpose of cleansing and thoroughly moisturizing; Aqualor Forte - used for severe nasal congestion, acute and chronic rhinitis; Aqualor Soft - effective for nasal congestion and excessive dryness, allergic rhinitis, suitable for daily hygiene procedures related to cleansing the nose and oral cavity; Aqualor Extra is a spray with enhanced action.

The amazing properties of sea water help in removing swelling of the nasal mucosa, softening and painlessly removing crusts. Sea water washes out pathogenic germs and harmful microorganisms well from the nasal cavity.

It should be noted that sprays for the common cold are easy to use and remain sterile throughout the entire time of use. Spray cans are equipped with special nozzles, thanks to which the stream of medicine is directed strictly along the anatomical contours of the nasal passages.

A spray for a runny nose during pregnancy should, first of all, be safe and reliable. For example, the drug Aquamaris is recommended for pregnant women for colds, seasonal exacerbations of chronic rhinitis, as well as for allergic rhinitis. The spray contains purified sea water without any impurities or additives, which is very important when the drug is used by expectant mothers. Ease of use of the spray is achieved thanks to a special dispenser. Aquamaris copes well with nasal congestion, runny nose, dry mucous membranes, and gently removes crusts in the nose. Varieties of the drug Aquamaris are considered more effective in the treatment of runny nose in pregnant women - spray “Aquamaris Strong”, which contains a hypertonic solution of sea salt (with a high percentage of sodium chloride), and “Aquamaris for the throat”, which is effective for pharyngitis, exacerbation of chronic tonsillitis, as well as other diseases of the nose with severe catarrhal symptoms.

Other medications that are designed to effectively treat a runny nose and are safe for pregnant women include homeopathic sprays. Delufen spray, which contains extracts of medicinal herbs (black mustard, loofah, lumbago, milkweed), is considered one of the best in our time. The spray has a very pronounced anti-inflammatory and anti-allergic effect on the nasal mucosa: quickly eliminates itching, burning, swelling, relieves nasal congestion and reduces nasal sensitivity to various allergens and irritants. In addition, Delufen spray has protective properties. Having a beneficial effect on the mucous membrane, it eliminates the inflammatory process, clears the nasal passages of mucus and restores nasal breathing. Delufen spray also has an active antimicrobial effect, normalizes the biocenosis of the nasal mucosa and increases its immunity. The main indications for the use of Delufen are sinusitis of various etiologies and forms.

Before using Delufen spray, a pregnant woman should consult with her doctor, since information regarding possible risks as a result of taking this drug is not currently registered.

A runny nose during pregnancy can be well treated with the help of another drug from a German manufacturer - Euphorbium Compositum. Nasal spray is widely used for the treatment of both acute and chronic forms of rhinitis and sinusitis in pregnant women. It has a stimulating effect: it relieves the feeling of tension in the nasal area and eliminates dry mucous membranes. It should be noted that Euphorbium acts very slowly (the maximum manifestation of the therapeutic effect is observed on the third day of administration), however, the effect, compared to vasoconstrictor drops, is quite long-lasting. Euphorbium Compositum spray should be used by expectant mothers only as prescribed by the attending physician in the doses prescribed by him. Reviews about this drug, both from medical specialists and from pregnant women, are very positive.

Ointment for runny nose during pregnancy

A runny nose during pregnancy is one of the first symptoms indicating the possibility of a viral infection entering the body. Of course, there may be other causes of rhinitis, but most often this symptom is associated with seasonal epidemics of colds and flu. Pregnant women, who have a decrease in the body's immune strength, are especially susceptible to infection with ARVI. To treat a runny nose and the main cause of its development during pregnancy, it is necessary to choose only those drugs that will not have a negative effect on the formation of the fetus. Basically, expectant mothers are prescribed homeopathic nasal drops, sprays or ointments, which do not contain any components prohibited during pregnancy.

Ointment for a runny nose during pregnancy, most often used for viral and colds for both therapeutic and prophylactic purposes, is oxolinic. The mechanism of the main action of this drug involves oxolin, a substance that reduces the activity of influenza viruses, adenovirus, and herpes. Thanks to oxolin, the infection lingers in the upper respiratory tract and does not penetrate deeper into the body.

The procedure for using oxolinic ointment is quite simple: it is applied in a thin layer to the nasal mucosa. A pregnant woman should apply this ointment every time she leaves home in crowded areas where the risk of contracting the virus increases. During the cold season, for the purpose of prevention, it is enough to apply oxolinic ointment twice a day. To treat a runny nose of viral etiology, the drug should be used three times over several days.

In general, there are no contraindications to the use of oxolinic ointment by pregnant women. In case of sensitivity to oxoline, the active ingredient of the drug, a burning sensation in the nose may occur. However, due to the fact that medical studies have not been conducted on the presence or absence of negative consequences from this ointment in pregnant women, it is impossible to assert the absolute safety of the drug. In any case, a doctor should prescribe oxolinic ointment to a pregnant woman, taking into account all the benefits of using the drug, since the chances of contracting the virus in an organism weakened by pregnancy are too high.

Many medical experts advise using homeopathic ointment for a runny nose during pregnancy, which contains useful plant extracts. One of the most common ointments is Doctor Mom, a herbal preparation made from a complex combination of nutmeg, turpentine and eucalyptus oils, menthol, camphor, thymol and petroleum jelly. Penetrating deep into the skin, the active components of Doctor Mom ointment destroy microbes and harmful microorganisms, effectively relieve inflammation and help improve the general condition of a pregnant woman: restoring breathing, alleviating rhinitis, and getting rid of other cold symptoms.

Evamenol, an ointment with an anti-cold effect, has proven itself to be very effective in treating runny nose in pregnant women. The active components of the ointment (menthol extract and eucalyptus oil) have a complex effect on the infection, providing an analgesic, anti-inflammatory and antiseptic effect. Thanks to this effect, the state of health significantly improves with nasal congestion, colds, and sinusitis.

The use of Evamenol ointment is carried out by applying it in small quantities to the nasal mucosa several times a day for a week. Thanks to the local effect of this drug, the risk of its effect on fetal development is significantly reduced.

Chronic runny nose during pregnancy is effectively treated with homeopathic Thuja ointment, containing Thuja shoots, propolis, flaxseed, palm and eucalyptus oils, as well as chamomile extract. Apply the ointment to the nostrils twice a day for several weeks.

To treat various rhinitis in pregnant women, Fleming's ointment is used, which contains microelements such as glycosides, carotenoids, anethole, alphalinene, cineole, menthol, and has an antibacterial effect. Using a cotton swab, lubricate the inside of each nostril with ointment twice a day. Fleming's ointment increases local immunity and improves microcirculation.

Asterisk for runny nose during pregnancy

A runny nose during pregnancy is a symptom that can be caused by a number of reasons: allergies, hormonal changes in the female body, colds. For a runny nose caused by a cold or a virus, many people use an effective remedy known since Soviet times - the Vietnamese Zvezdochka balm. In addition to its pronounced anti-cold effect, the ointment has other properties: it relieves itching and inflammation from insect bites, eliminates headaches, and treats skin rashes.

Asterisk for a runny nose during pregnancy is a safe remedy that is used to relieve unpleasant cold symptoms and ease breathing with a stuffy nose. With regular use, the ointment can quickly relieve rhinitis. The procedure for using “Star” is as follows: a small amount of ointment must be applied to the skin around the nose (the outer side of the wings of the nose) and rubbed in thoroughly.

The miraculous composition of “Zvezdochka” includes essential oils (eucalyptus, clove, mint, cinnamon) and petroleum jelly. Thanks to the irritating effect of the balm, itching is reduced, blood flow at the site of application is increased, and pain symptoms are relieved. Before using “Zvezdochka”, a pregnant woman should consult a doctor, since some people have individual contraindications to the balm. To determine the presence or absence of an allergic reaction to the components of this drug, you should apply a small amount of balm to the skin, for example, on the wrist, and observe the reaction. If allergies in the form of redness and itching do not manifest themselves, the balm is absolutely safe for use. When applying the balm to the nose area, you must be careful not to get it into your eyes, and also not to lubricate the mucous membranes with ointment to avoid burns.

Asterisk for a runny nose during pregnancy is one of the most proven methods of treating rhinitis and quickly eliminating cold symptoms, therefore, if necessary, the ointment can be used by expectant mothers, but only after an allergy test and consultation with a doctor.

Bioparox for runny nose during pregnancy

A runny nose during pregnancy should be treated only with those methods and medications that will not cause trouble and will not cause negative consequences for either the pregnant woman or her baby. Indeed, in many cases, medications are strictly contraindicated during the period of bearing a child, therefore, if any symptoms of a cold or allergic disease occur, accompanied by a severe runny nose, the expectant mother should immediately consult a doctor who will prescribe the optimal treatment depending on the causes of the development of a particular disease.

Bioparox for a runny nose during pregnancy is one of the most effective drugs used to treat various infectious and inflammatory diseases (acute rhinitis, sinusitis, tracheitis, pharyngitis, bronchitis, tonsillitis, etc.), as well as fungal infections of the upper respiratory tract. Bioparox is a local antibacterial drug with pronounced anti-inflammatory activity. A beneficial advantage of its use during pregnancy is that the active substance of the antibiotic is not absorbed into the bloodstream, since it does not have a systemic effect on the body. However, scientific clinical studies regarding the possible risks of taking this drug for pregnant women and intrauterine fetal formation have not been conducted, therefore Bioparox cannot be considered an absolutely safe drug. Whether to take the drug or not is the decision of the woman herself, but she should also listen to the opinion of a medical specialist who will realistically assess the situation and draw a conclusion regarding the need or undesirability of taking Bioparox in a particular case.

Bioparox for a runny nose during pregnancy works as follows. The drug is taken in the form of inhalation through the nasal passages or mouth, depending on the goals of treatment. The local effect of the antibacterial drug is that it is localized on the mucous membrane of the respiratory tract and does not reach the bloodstream. A positive factor in the use of this product is that the active substance of Bioparox, fusafungin, is concentrated only in places of inflammation and has the ability to penetrate even the most inaccessible areas - sinuses, as well as small bronchi. The antibacterial effect helps reduce swelling of the nasal mucosa, eliminate signs of acute respiratory infections and colds (nasal congestion, rhinitis, sore throat, dry cough). The duration of treatment with Bioparox is determined by the attending physician, however, according to the instructions, the drug must be taken for at least 7 days for optimal treatment results. But you shouldn’t take the antibiotic for longer, otherwise microorganisms may develop adaptation to it, which will result in a superinfection.

Side effects from taking Bioparox are extremely rare. Typically, such symptoms include a tingling sensation, burning sensation, dryness in the nose and mouth, sneezing attacks, irritation of the nasopharynx, as well as allergic reactions. As for the method of using the antibiotic for a runny nose, Bioparox is prescribed to adults, 2 inhalations into each nostril 3-4 times a day. It is recommended to pre-clean the nasal passages. You need to remember about disinfection and after each use of the drug, wipe the can and nozzles with an alcohol swab.

Of course, if you act strictly according to the instructions of this drug and do not exceed its dosage, side effects as such should not occur. If a pregnant woman has a tendency to allergies or asthmatic attacks, it is better not to take risks and not use Bioparox to treat a runny nose.

Inhalations during pregnancy for a runny nose

It is recommended to treat a runny nose during pregnancy using the safest methods, in particular, those that are effective and at the same time will not have a negative impact on the body of the expectant mother and her baby. For a runny nose caused by colds and viral infectious diseases, inhalations are used, the effect of which is aimed at improving the discharge of mucus from the nasal passages, clearing the nasal sinuses of mucus, and restoring nasal breathing.

Inhalations during pregnancy for a runny nose can be done only if the woman does not have a rise in temperature, since thermal procedures of any kind at elevated temperatures can provoke an even greater rise in temperature, and this is very dangerous for both the health of the expectant mother and her baby . Unfortunately, hyperthermia (temperature rise above 38°C) can cause miscarriage. You should not resort to treatment with inhalations if the expectant mother has heart problems.

For inhalations for the common cold, infusions of medicinal plants (chamomile flowers, calendula, linden, eucalyptus leaves, plantain, coltsfoot herb, thyme, St. John's wort) are usually used. To carry out the procedure, 1-2 tbsp. spoons of raw materials must be poured with a glass of boiling water. Using a special device - an inhaler, or a shallow container, the inhalation procedure is carried out. You need to bend over the hot infusion and inhale the vapor deeply. You can cover your head with a towel for an even better effect. If you have nasal congestion and a severe runny nose, you need to make sure that you inhale through your nose. Inhalation should last 4-10 minutes, after which the pregnant woman is not recommended to go outside or into a cool room; it is better to stay warm for a while. This is due to the fact that as a result of inhalation, the vessels of the respiratory tract expand, and exposing them to sudden temperature changes is dangerous.

Of course, it is better to do inhalations using special devices - nebulizers (inhalers), since breathing vapor over a pan of boiling water can put a lot of stress on the heart and also increases the risk of burns. The advantages of the inhalation system are that during evaporation the water remains cold, i.e. It is almost impossible to get burned in this case. An inhaler can be purchased at a pharmacy, and there are several types of such devices:

steam (operate by heating water); compressor (steam is created under the influence of air flow); ultrasonic (water evaporation is carried out using ultrasound).

Before starting the inhalation procedure, you must ensure that the prepared water is at the correct temperature. It should be within °C, but no more.

One of the effective folk methods is inhalation of steam from boiling potatoes in their jackets. It is believed that whole potato peels contain beneficial substances that have a detrimental effect on microbes. It is recommended to repeat inhalation up to 6 times a day, depending on the condition of the pregnant woman.

Inhalations for a runny nose using mineral water are very effective. For this purpose, it is recommended to choose Borjomi or other slightly alkaline water. The bottle must first be opened in order to release the gases. Another ingredient suitable for inhalation for a runny nose is baking soda. For the procedure 2-3 tbsp. spoons of soda should be diluted in a liter of boiling water, and then use the solution prepared in this way for inhalation.

Inhalations during pregnancy for a runny nose can also be carried out using onions and garlic. To prepare the raw materials, pour finely chopped onion and garlic into one glass of boiling water, and then slowly breathe in the released vapors containing active substances - phytoncides. Essential oils (mint, eucalyptus, menthol, tea tree oil), as well as herbal infusions, are excellent for inhalation for a runny nose. However, special care should also be taken when using essential oils because... Pregnant women often experience atypical, enhanced reactions to various substances. Since essential oils have a certain irritant effect, they can cause swelling of the mucous membrane and even spasms.

If there are no contraindications to the use of this method of treating a runny nose in a pregnant woman, then we can confidently say that inhalation is an effective and absolutely safe way to treat a cold during pregnancy! Of course, before starting to use inhalations, it is best to first consult with your doctor, who will confirm the correctness of this choice in the treatment of the runny nose.

The question “How to treat a runny nose during pregnancy?”, first of all, requires consultation with a doctor who will determine more gentle and at the same time effective methods of treatment, taking into account the causes of rhinitis in the expectant mother. For example, if a runny nose in a pregnant woman is accompanied by an increase in temperature, warming procedures are not recommended. You should also be careful when using “folk” nasal drops based on natural products, because some of them can provoke an allergic reaction.

During gestation (gestation of the fetus), hormonal changes occur in the female body, which affects the functioning of the immune system. Due to a decrease in general immunity, approximately 1/3 of expectant mothers experience inflammation of the nasopharynx of infectious or allergic origin. A nasal spray for a runny nose for pregnant women can eliminate local manifestations of the disease and speed up recovery. It should be remembered that almost all local drugs have only a symptomatic effect.

Rhinorrhea (excessive mucus production), nasal congestion and sneezing are symptoms that accompany the development of many respiratory diseases. You can eliminate unpleasant manifestations using aerosol preparations. But when choosing a nasal spray for pregnant women, you need to take into account several nuances: the composition of the drug, the gestational period and the presence of individual intolerance. Ignoring the basic criteria for choosing medications can lead to disturbances in the intrauterine development of the fetus, deterioration of well-being and complications.

How to choose a spray?

The use of sprays during pregnancy will be justified only if the benefits of their use outweigh the potential harm that the active components of the drugs can cause to the intrauterine development of the fetus. Unfortunately, modern pharmaceuticals are not able to offer special nasal products for pregnant women, but among the existing drugs there are still those that can be classified as safe.

When purchasing an aerosol, you should be guided not by personal preferences or recommendations of friends, but by the basic criteria for choosing effective and safe sprays. To prevent disturbances in the intrauterine development of a child, it is advisable to take into account the following factors:

Gestational period. Strong medications cannot be used in the first trimester of pregnancy, since the risk of complications in the fetus during this period is the highest. In the first months of intrauterine development, vital organs are formed. Irrational use of aerosols with synthetic substances and antibiotics can lead to developmental disorders and congenital diseases; Composition of the medicine. Antibacterial, hormonal and vasoconstrictor substances contained in sprays can cross the placental barrier and, accordingly, affect the development of the fetus. Approved local preparations include sprays, the active components of which practically do not penetrate into the bloodstream; The presence of individual intolerance. During pregnancy, the immune system malfunctions, so it is during this period that the female body becomes hypersensitive to medications and foods with a high degree of allergenicity. Synthetic steroid hormones, which are contained in glucocorticosteroid sprays, can provoke unwanted allergic reactions. Therefore, during gestation they should be used with caution and only as prescribed by a doctor.

The use of nasal sprays is justified only for persistent nasal breathing problems, allergic, viral or bacterial rhinitis.

If a cold occurs without pronounced symptoms, it is recommended to remain in bed for 3-4 days. To reduce the viscosity of mucus in the nasal cavity and facilitate its secretion, you should ventilate the room at least 2 times a day and humidify the air with sprayers. It is a good idea to rinse your nose with salt water or saline.

List of approved drugs

Spray for a runny nose during pregnancy is used as a symptomatic drug. You need to understand that any means for intranasal use act locally and do not destroy the infection throughout the body. However, aerosols are most often used to relieve the symptoms of rhinorrhea. During the injection of the medicine, a fine liquid penetrates into the paranasal sinuses, which prevents the development of severe complications - sphenoiditis, maxillitis, etc.

Moisturizers

What aerosols can be used in the first weeks of pregnancy? The first three months of gestation are considered the most unfavorable for the use of medications. Overdose of drugs and allergic reactions can aggravate the health condition, which will negatively affect the intrauterine development of the child.

Moisturizing sprays with sea water are the safest drugs with anti-edematous, mucolytic and anti-inflammatory effects. Unlike other nasal products, they contain only sea or ocean water, trace elements and plant components. A moisturizing spray can be used to treat runny noses of any nature - viral, microbial, fungal, allergic, etc.

The most effective aerosols for pregnant women include:

"Physiomer"; "Quix"; "No-Sol"; "Otrivin Sea"; "Aqua Maris"; "Morenasal."

Pregnant women can also use a moisturizing nasal spray as a drug for rinsing the nasopharynx. To clear the airways of mucus, you need to insert the spray nozzle into the nostril and press the dispenser. After this, the liquefied mucus is blown out through the nose and the second nostril is cleaned in the same way.

After washing, it is not advisable to go outside for a few minutes, as this can lead to local hypothermia and the development of sinusitis.

Homeopathic medicines

Homeopathic aerosol is the best remedy for colds, having immunostimulating and regenerating properties. The composition of nasal preparations includes mainly minerals, herbal ingredients and vitamins. It is immediately worth noting that they do not have an immediate effect, since they do not contain vasoconstrictor substances.

The therapeutic effect of homeopathic medicines has not been confirmed by clinical trials. But in practice, it is this category of local drugs that promotes tissue regeneration in the nasopharynx, increases local immunity and alleviates the symptoms of rhinorrhea. The following will help eliminate rhinitis during pregnancy:

"Delufen spray"; "Asinis"; "Euphorbium Compositum"; "Rinitol"; "Edas-117".

According to experts, homeopathic medicines work in placebo mode. However, their use stimulates the immune system to fight the viral infection.

Decongestants

Vasoconstrictor sprays for the common cold are among the potentially dangerous drugs, since in case of overdose they have a systemic effect on the body.

They contain adrenergic receptor stimulants, which are located in the vessels of the nasopharynx. The use of decongestants promotes the narrowing of blood capillaries and the outflow of intercellular fluid from the affected tissues. Due to this, the patency of the nasal passages is restored, and nasal congestion goes away.

Vasoconstrictor sprays are recommended for use only in the second trimester of pregnancy. Approved drugs include:

"Rinotaiss 0.1%"; "Tizin Xylo"; "Sanorin"; "Naphthyzin."

During pregnancy, you cannot use drugs that contain oxymetazoline (Fazin, Dlyanos, Xymelin).

Some adrenoreceptor stimulants (oxymetazoline, phenylephrine) are absorbed through the nasal mucosa into the blood and cause vasospasm of the placenta. Subsequent disruption of uteroplacental blood flow can lead to oxygen starvation of the fetus and, as a result, brain damage.

Allergy medications

Rhinoconjunctivitis and allergic rhinitis are autoimmune diseases that are accompanied by severe swelling of the nasopharynx and impaired nasal breathing. The danger of allergies lies in the fact that swelling of the mucous membrane leads to blockage of the air passages that connect the nasal cavity with the paranasal sinuses. Stagnation of mucus in the maxillary sinuses can cause the development of maxillitis (sinusitis).

Antiallergic spray for runny nose for pregnant women has an anti-edematous, wound-healing and anti-inflammatory effect on tissue. To stop the manifestations of the disease, the following types of antiallergic aerosols are usually used:

mast membrane stabilizers (Vividrin, Cromolyn) - prevent the destruction of cytoplasmic membranes in mast cells, so that inflammatory mediators do not penetrate the tissues and do not cause inflammation; hormonal aerosols (“Beconase”, “Aldecin”) - inhibit the production of prostaglandins, which cause inflammatory reactions in the nasopharynx; barrier aerosols (Prevalin, Nazaval) - form a protective film on the surface of the mucous membrane that is impermeable to irritating substances.

Abuse of hormonal drugs negatively affects the structure of the mucous membranes, so they are used only as prescribed by a doctor. An overdose of glucocorticosteroids is fraught with disturbances in the functioning of the kidneys, nosebleeds and atrophy of the nasal mucosa.

Antibacterial drugs

Absolutely all types of antibiotic sprays are prescribed exclusively under the personal responsibility of the specialist. The therapeutic effect of their use often does not exceed the potential harm that they can cause to the fetus. Antibiotics in the nose are prescribed for the development of serious bacterial complications - sphenoiditis, nasopharyngitis, maxillitis, etc.

Antimicrobial aerosols are used within strictly established periods in a minimum dosage. Irrational use of drugs harms the intrauterine development of the fetus and causes adverse reactions in the expectant mother. Conditionally approved drugs include:

"Isofra"; "Fusafyungin"; "Polydex".

Antibacterial aerosols can only be used from the second trimester of pregnancy.

It should be understood that all nasal sprays are symptomatic medications. In this regard, they are used only as part of a general complex of therapeutic measures.

Rules of application

The therapeutic effect of nasal sprays largely depends on the correct use of them. Failure to comply with the rules for irrigating the nasopharynx with aerosols reduces the effectiveness of treatment and creates conditions for the development of complications. When using local medications, it is advisable to follow the following recommendations:

Clear the nasal passages of accumulated mucus using a saline solution or moisturizing spray; shake the aerosol bottle and insert the spray into the nostril so that it remains in an upright position; press the free nostril to the nasal septum and press the dispenser the recommended number of times; after injecting the medicinal suspension, take a slow breath; perform similar actions with the second nostril.

It is advisable to use decongestants as rarely as possible, since they are addictive and dehydrate the mucous membrane. To minimize the occurrence of adverse reactions, it is recommended to rinse the nasal cavity at least 3 times a day with saline solutions.

Conclusion

During pregnancy, it is not recommended to use medications, as many of them can harm the health of the unborn child. However, approximately 35% of expectant mothers develop allergic rhinitis or a cold during pregnancy. Local medications in the form of sprays, which irrigate more than 70% of the nasopharynx and maxillary sinuses, help to stop the manifestations of the disease.

Strong medications should not be used in the first trimester of pregnancy. To alleviate the course of the disease, homeopathic, moisturizing and oil sprays are used - “Pinosol”, “Edas-131”, “Physiomer”. In the second trimester, some decongestants and glucocorticosteroids are included in the treatment regimen. It should be understood that irrational use of drugs can cause complications and defects in the development of the fetus.

Source: http://net-prostuda.ru/2017/11/08/sprey-ot-nasmorka-beremennym/