Antibiotic nasal spray for sinusitis

Posted on by admin

Treatment of sinusitis with sprays: the most effective drugs

Sinusitis is an inflammatory process that occurs in the maxillary sinuses. Visually, their location can be determined as follows: on both sides of the “wings” of the nose.

Table of contents:

It is these sinuses that are filled with purulent contents and disrupt the usual rhythm of life, bringing great discomfort. Sinusitis is considered one of the most dangerous diseases in the field of otolaryngology, because the purulent contents of the maxillary sinuses can spread to other cavities of the skull and even negatively affect the brain.

Symptoms and signs

Headaches in the forehead and complete nasal congestion are the main signs of any type of sinusitis

Firstly, you should remember that sinusitis never occurs “suddenly, unexpectedly, by itself.” This disease is always a consequence of an untreated common runny nose (rhinitis). Secondly, the symptoms of the inflammatory process in question are variable and depend on the form in which the disease occurs - acute or chronic. But both one and the second form will have the following symptoms and signs of sinusitis:

  • complete nasal congestion;
  • changes in olfactory reflexes - the patient will complain of a constant stench;
  • headaches in the forehead;
  • feeling of heaviness in the maxillary sinuses;
  • profuse lacrimation.

Speaking more specifically, it is worth considering that the acute form of sinusitis is characterized by:

  • paroxysmal headache;
  • spontaneous increase in temperature to high levels;
  • inability to breathe fully.

But with the chronic development of the inflammatory process in the maxillary sinuses, the symptoms will be somewhat different:

  • periodic headaches in the forehead - they are more often present when performing physical exercises, bending the body down/forward;
  • a feeling of heaviness in the area of ​​the maxillary sinuses - especially evident when bending down;
  • The patient's breathing through the nose is impaired, but present.

Treatment with sprays

The spray is the most effective drug that quickly relieves symptoms and has a therapeutic effect

Sinusitis should be treated only under the supervision of a doctor - the risk of developing serious complications is too high. But this does not at all mean the need for immediate and unconditional hospitalization. Firstly, such a need is determined by the doctor after examining the patient. And secondly, people with chronic sinusitis can completely cope with treatment on their own.

How to treat sinusitis with medications? In case of exacerbations or an acute form of the disease, you will need to prescribe a regimen of antibacterial drugs (modern antibiotics for sinusitis), rinsing with antiseptic solutions, and physiotherapy.

The spray is the most effective drug that quickly relieves symptoms and has a therapeutic effect. This medicine, which has a local effect, is sold in plastic bottles with a dispenser and is easy to use.

How inhalations are done through a nebulizer for a runny nose is indicated in the article.

The most popular sprays for sinusitis

There are several categories of this type of medicine:

  1. Vasoconstrictors. They act directly on the mucous membrane of the nasal passages, relieve swelling, and facilitate the patient’s breathing. Sprays with a vasoconstrictor effect can be used by children from the age of 6 years, are strictly prohibited for pregnant and lactating women, should be used for no more than 5 days in a row - a longer period of use leads to persistent addiction. To obtain the maximum effect, one injection every 6 hours is enough. Vasoconstrictor sprays include: Sanorin, nasal drops Tizini Vibrocil.
  2. Moisturizing. They do not have a therapeutic effect, but they alleviate the patient’s condition as much as possible - they moisturize dry mucous membranes and have a mild washing effect. This type of spray for sinusitis can be prescribed to absolutely all patients, including pregnant women, lactating women, and children under 6 years of age - they are absolutely safe. Moisturizing sprays used for sinusitis include: Morenazole, Aqua-Maris, Salin.
  3. Mucolytic. This type of drug in question actively dilutes accumulated mucus, thereby facilitating its removal both from the nasal passages and directly from the maxillary sinuses. Such sprays can be used when treating patients over 12 years of age; they are strictly prohibited for pregnant and lactating women; they can cause allergic reactions and side effects (hyperemia of the mucous membranes, even greater swelling, an itchy rash throughout the body, angioedema and anaphylactic shock). But the drugs described have both anti-inflammatory and antioxidant effects. Mucolytic sprays include: Rinofluimucil spray and Sinuforte.
  4. Corticosteroids. Prescribed exclusively by the attending physician, can be used for a short time (no more than 3 days in a row), perfectly relieves swelling, allowing the patient to breathe through the nose. It is strictly prohibited for use in children under 10 years of age; it is prescribed with extreme caution to pregnant and lactating women; it may cause the development of side effects - heavy bleeding from the nose, burning in the nasal passages. Corticosteroid sprays include: Beconase and Nasonex.
  5. Antibacterial. This group includes antibiotic sprays, which are considered the best alternative to taking oral tablets. Antibiotic sprays can be prescribed to patients from the age of 2.5 years, there are no categorical contraindications for use by pregnant and lactating women, the duration of the course should not exceed 5 days, there should be no more than 3 injections per day. Antibacterial sprays include Isofra and Bioparox.

Indications/contraindications for the use of sprays

In each specific case, the prescription of sprays of any type of action should be carried out by a doctor

Prescribing medications for the treatment of sinusitis is the prerogative of doctors. It is advisable to prescribe sprays in the following cases:

  • the inflammatory process in the maxillary sinuses is at an early stage of development;
  • the patient has no signs of intoxication of the body with purulent contents of the maxillary sinuses;
  • sinusitis occurs in an acute form, diagnosed for the first time;
  • exacerbation of the chronic form of the disease in question occurs no more often than once every 3 months.

Sprays of any type may seem like absolutely harmless medicines, but they also have contraindications for use. In medicine, it is customary to consider two types of such contraindications:

  1. Categorical. These include previously diagnosed allergic reactions to the components of the sprays, early childhood (up to 2 years), polyps and other neoplasms in the nasal passages.
  2. Conditional. Pregnancy, lactation, unstable hypertension (increased blood pressure), and renal/liver failure can be considered as such.

Important: in each specific case, the prescription of sprays of any type of action should be carried out by a doctor. Only he, based on the results of the patient’s examination, will determine the advisability of carrying out a course of treatment with exactly these medications.

Rules of application

Sprays should not be used for more than 5 days in a row, otherwise it can cause persistent addiction and even some kind of dependence. The dosage should be 1 injection into each nostril, but 2-3 times a day.

Please note: in case of acute disease, the number of procedures per day can be increased by 1-2 positions, but no more.

The drug should not be too cold (it should absolutely not be used straight from the refrigerator). The tip of the “injector pipette” must be inserted into the nasal passage and pressed on the bottle itself. At the moment of injection, you need to take a deep breath - this will help the smallest particles of the drug spread over a wider area.

Possible complications

In the absence of any treatment or ignoring the prescriptions/recommendations of the attending physician, the following complications may develop:

  • transition from an acute form of inflammation of the maxillary sinuses to a chronic form;
  • development of pathological processes in other cavities of the ENT organs;
  • otitis - inflammation of the middle ear;
  • bronchitis and pneumonia.

Sinusitis is dangerous because it can “go beyond” the ENT organs, and in this case, the development of more serious and even life-threatening conditions is possible:

  • meningitis and/or encephalitis - inflammatory processes in the meninges;
  • damage to the heart, disruption of its functioning - myocarditis;
  • development of pathological processes in joints - arthritis, rheumatism;
  • kidney damage - in particular, against the background of advanced sinusitis, nephritis can develop;
  • sepsis is a general blood infection.

Video

You will learn more about the treatment and prevention of sinusitis in adults from this video:

Sinusitis is an inflammatory process in the maxillary sinuses, characterized by the formation of purulent contents and severe consequences in the absence of professional therapy. Treatment of sinusitis with sprays is not always justified, so consultation with a specialist is necessary. Otherwise, the pathological process will continue to actively develop.

It's just a disaster!

In addition to the ability to constantly catch colds, I also have a deviated nasal septum, which further complicates the treatment process. Moreover, in the early stages it is completely unclear what to treat, what to take, what pills to take. I came up with a formula for myself: rinsing with sea water and a vasoconstrictor spray, for the first few days, if nothing happens, I feel like I can’t do without sinusitis. I haven't found a better solution yet.

Source: http://prolor.ru/n/lechenie-n/lechenie-gajmorita-spreyami.html

The best sprays for sinusitis

Spray for sinusitis, unlike tablets, acts locally and is practically not absorbed into the blood, which avoids the effect of the drug on the liver, kidneys, heart and intestines. Thanks to the convenient dispenser, its active components are evenly distributed throughout the mucous membrane, penetrating into the most remote corners and sinuses of the nose.

Review

Sprays for sinusitis come in several types: some are designed to relieve symptoms, others can prevent and treat the disease. There are also combination drugs that relieve symptoms and treat at the same time.

Sinuforte

The drug is based on an extract of the poisonous plant cyclamen, which is considered very effective in combating inflammatory processes of the sinuses. Upon contact with the mucous membrane, Sinuforte immediately begins to liquefy thick sputum with vigorous secretion of liquid mucus.

The drug naturally improves the functioning of sinus anastomosis. As a result, phlegm and pus easily leave the sinuses. By acting on the secretory glands, the spray relieves swelling of the nasal mucosa. The effect is noticeable after the first injection.

Sinuforte is allowed from 12 years of age; it should be sprayed into the nose 2 times a day. Duration of use - 8 times, headache goes away after 3-4 injections. Sinuforte is contraindicated for pregnant and lactating women. Allergy sufferers, hypertensive patients, and people with polyps and cysts in the paranasal sinuses should not be treated with them.

Bilitong

Chinese herbal medicine. Indicated in the early stages of the disease. Relieves inflammation, improves cell renewal, constricts blood vessels and fights bacterial infection.

Contraindicated in case of intolerance and in children under 5 years of age.

Nasonex

A strong anti-inflammatory and antiallergic agent containing the hormone mometasone. It perfectly relieves inflammation, stops the proliferation of viruses and bacteria, and copes with the allergic cause of the disease. The effect of the drug is noticeable at the end of the first day of use.

The course of treatment is up to 12 days. Contraindicated for nasal injuries, fungal infections of the nasal cavity, before the 12th week of pregnancy and during lactation. Safety of use in children under 6 years of age has not been proven.

Baconase

Also a hormonal drug containing the hormone Beclamethasone. It has a powerful anti-inflammatory effect, but it cannot be treated for long. The drug quickly relieves swelling, improves communication between the sinuses and the nasal passages, which prevents the accumulation of pus in them, increased pressure, and pain. It perfectly relieves allergy symptoms and is more intended for the treatment of allergic sinusitis and runny nose.

Beconase helps from the first day of use. Prescribed for sinusitis in adults and children over 6 years of age. The drug may cause a sneezing attack. It is not recommended to use it during pregnancy - it partially penetrates into the blood.

Bioparox

Spray based on the antibiotic fusangin, extracts of cumin, cloves, coriander, mint, orange and pepper. The antibiotic fusangin is effective against most bacteria that can cause sinusitis, and also has the ability to relieve inflammation. Can be successfully used to treat sore throat, bronchitis, tracheitis and runny nose.

The medicine is approved for adults and children over 12 years of age. During pregnancy it is safer than taking an antibiotic orally. The course of treatment is up to 10 days, the drug must be sprayed every 6 hours (can be in the nose and mouth). The manufacturer does not recommend the use of Bioparox sinusitis spray for people prone to allergies and bronchospasm.

Isofra

Nasal spray based on the antibiotic framycetin. Isofra is an analogue of Bioparox. Once in the nasal cavity, the antibiotic immediately begins to fight the cause of the disease. The effect occurs when bacterial growth is inhibited and inflammation subsides, and lasts for a very long time.

The drug has proven itself well in clinical trials in the treatment of prolonged and chronic runny nose and sinusitis. As part of complex treatment, it cures well and perfectly prevents relapse of the disease.

The drug is approved after 1 year of life. Isofra is not recommended for use during pregnancy and lactation, but still, a nasal antibiotic taken by the mother is less dangerous for the fetus than a tablet one.

Polydexa

A combination drug of two antibiotics: polymyxin B and neomycin, the hormone dexamethasone and the vasoconstrictor phenylephrine. Polydexa is a unique drug that contains all the necessary components for the treatment of sinusitis and runny nose.

It quickly relieves swelling, improving the patency of anastomoses, eliminates nasal congestion, and promotes the release of mucopurulent contents from the sinuses. It affects the cause of the disease with two antibiotics simultaneously, leaving no chance of saving any bacteria.

Polydexa is approved for adults and children over 2.5 years old. Treatment can be continued for no more than 10 days. Contraindicated for herpes and chickenpox of the nasopharynx, pregnancy, glaucoma and renal failure.

Symptomatic sprays

The best among symptomatic drugs are the following:

  1. Isotonic solutions: Quix, Aquamaris, Humer. They moisturize the nose, wash out toxins and allergens, can relieve swelling and increase local immunity. The drugs have a long-term positive effect when used daily for a long time. Allowed from birth.
  2. Mucolytic or sputum thinner - Rinofluimucil. Nasal preparation based on acetylcysteine. Used as an additional treatment. In addition to its thinning effect, it relieves swelling and inflammation.
  3. Vasoconstrictors: Otrivin, Galazolin, Xymelin. Perfectly relieves swelling after the first use, instantly eliminates congestion. Among the vasoconstrictor sprays during pregnancy, Indanazoline and Naphazoline are allowed. Vasoconstrictors can be used no more than every 6 hours and no more than 4 times a day. The duration of treatment should not exceed 5–7 days. Each drug in this group has an individual age limit for children.

The listed medications can be successfully combined and alternated. Spray for sinusitis is a good and convenient remedy, but even it should be prescribed by a doctor and should not be the only drug for treatment. Sinusitis is not such a simple disease that could be cured with one miracle spray.

  • Sinusitis (32)
  • Nasal congestion (18)
  • Medicines (32)
  • Treatment (9)
  • Folk remedies (13)
  • Runny nose (41)
  • Other (18)
  • Rhinosinusitis (2)
  • Sinusitis (11)
  • Snot (26)
  • Frontit (4)

Copyright © 2015 | AntiGaymorit.ru |When copying materials from the site, an active back link is required.

Source: http://antigaimorit.ru/gaimorit/sprei-ot-gajmorita.html

Nasal spray for sinusitis, list of medications

There are a wide variety of nasal sprays that are used to treat sinusitis. The main advantages of using medications in the form of a spray are:

Drops into the nose should be instilled in a lying position; the spray can be used in any place and position.

Due to uniform spraying, medicinal substances penetrate the blood vessels faster and exert their effect.

Less chance of overdose.

A convenient spray dispenser allows you to accurately administer the required amount of the drug. To treat sinusitis, several types of sprays have been developed, which differ in their action and have the following effects:

  • Vasoconstrictor;
  • Antibacterial;
  • Antiallergic.
  • Anti-inflammatory;
  • Mucolytic;
  • Moisturizing.

Combination sprays contain several active ingredients and combine various properties.

Vasoconstrictors

They do not have a therapeutic effect, but they are quite effective in eliminating manifestations of sinusitis, such as nasal congestion. They help remove mucus accumulated in the sinuses. They are used for no more than 10 days, as they cause an addictive effect. The effectiveness of the drug gradually decreases over time.

Common side effects include: nosebleeds, allergic reactions, increased blood pressure. Contraindicated for use in pregnant and lactating women, children under one year old, and people with arterial hypertension.

Depending on the active substance, several groups are distinguished:

Short-acting sprays (based on naphazoline).

They work for up to 4 hours, are effective, but cause severe dryness of the mucous membrane and are quickly addictive. Preparations:

  • Naphazoline;
  • Naphthyzin;
  • Sanorin.

Medium action sprays (based on xylometazoline).

Valid for 5–6 hours. They work more gently than the previous group of drugs. Representatives:

  • Otrivin;
  • Rinomaris;
  • Xymelin.

Long-acting sprays (based on oxymetazoline).

They work up to 12 hours. Preparations:

They act for about 4 hours, have a mild effect and are approved for use in children. Representatives: nazol-kids, vibrocil.

Products with a moisturizing effect

Solutions based on sea salt cleanse the mucous membrane, moisturize it and partially reduce swelling of the nasal cavity during sinusitis. They have no side effects or contraindications other than individual intolerance. Can be used in pregnant women and children up to one year old for a long time.

Moisturizing sprays contain purified sea water with varying concentrations of salts or regular saline solution. Representatives:

  • Humer;
  • Salin;
  • Aquamaris.

Interesting! Some sprays have the ability to open the bottle of solution. Therefore, after using the spray, you can pour saline solution or a self-prepared sea salt solution into the bottle and use it to further moisturize your nose.

Sprays affecting viscosity and mucus removal

Mucolytic sprays help to liquefy and remove viscous secretions from the sinuses during sinusitis. Main representative:

Sinuforte is a herbal preparation based on cyclamen extract and juice. When used, it significantly increases the secretion of mucus, which dilutes stagnant mucus and removes it from the sinuses.

Having a harsh effect, it often causes lacrimation, pain in the eyes and redness of the face. Contraindicated for use in children under 12 years of age, pregnant and lactating women, as well as patients with a tendency to allergic reactions.

Apply one injection into each nostril once a day or every other day. For sinusitis, the course of treatment is about two weeks.

Antibiotic sprays

Sprays that contain local antibacterial drugs are used in the treatment of mild forms of sinusitis or as part of complex therapy for the disease. Representatives:

Bioparox is a drug based on the antibiotic fusafungine. For sinusitis, use a nasal tip. Apply one inhalation into each nostril every 4–6 hours (depending on age). Approved for use in children over 2.5 years of age and pregnant women.

Isofra – contains the bactericidal antibiotic framycetin. Use for 10 days, several injections into each nostril daily. Approved for use in children from one year of age.

Sprays based on glucocorticosteroids

These drugs have a pronounced anti-inflammatory effect, but show their effect several days after the first use of the drug. They are used to treat allergic and polypous forms of sinusitis. Use it for a month, then take a break of several months, and then return to using the spray again. Representatives:

The main side effect is dryness of the mucous membrane and increased fragility of blood vessels in the nose, which increases the risk of developing nosebleeds.

For prevention, it is recommended to regularly moisturize the nasal mucosa with saline solutions, or drip a few drops of vegetable oil (olive, sea buckthorn, etc.) into the nose.

All these sprays are used in the same way: two sprays into each nostril once a day in adults and one spray once a day in children under 12 years of age.

Nasonex for sinusitis

Nasonex is a spray that is produced by Belgian manufacturers in special bottles. The drug contains the active substance mometasone, which is a synthetic glucocorticoid, and can have a strong anti-inflammatory effect. For ease of use, the package with the drug contains a dispenser.

The mechanism of action of the drug is to prevent the release of inflammatory mediators and inhibit an immediate allergic reaction.

Nasonex is used in adult patients and children over 2 years of age for seasonal and chronic allergic rhinitis. It also helps in adults (over 18 years old) with nasal polyps and impaired smell function.

Nazonenex for sinusitis and rhinosinusitis is used in acute processes or exacerbations of chronic ones as an additional treatment. Sinusitis is treated with this auxiliary remedy twice a day, 3 doses at a time. For a child from 2 years to 12 years old, the nasal cavity should be irrigated three times a day, one measured dose at a time.

Herbal remedies

They are less effective, but are approved for use in pregnant women with sinusitis. Representative: pinosol (spray based on pine, eucalyptus and mint oils).

Combination drugs

To treat and eliminate the symptoms of sinusitis, sprays are widely used that combine the effects of several active components at once. Popular representatives:

A combination of acetylcysteine ​​(mucolytic) and a vasoconstrictor component (tuaminoheptane sulfate). Effectively reduces swelling in the nose, dilutes viscous secretions and promotes its removal from the sinuses. The course of treatment takes a week. Adults are recommended 2 doses 2-3 times a day, children 1 dose respectively.

Polydex with phenylephrine.

A combination of a local hormone (dexamethasone) and two antibiotics (neomycin and polymyxin B).

Spray with vasoconstrictor and antiallergic effects.

On a note. Any liquid preparation for topical treatment of sinusitis can be converted into a spray using a compression or ultrasonic nebulizer.

What operations are there for sinusitis?

Antibiotics as a treatment for sinusitis

How to avoid a puncture if you are very scared?

Technique for performing acupressure massage for sinusitis

How to treat sinusitis for pregnant women?

Traditional recipes for the treatment of sinusitis

How is sinusitis pierced, and what is the danger?

Drops and sprays effective for sinusitis and runny nose

Source: http://gaimoritus.ru/lekarstva-i-proceduri/sprej-ot-gajmorita-dlya-lecheniya.html

Sprays for sinusitis

Sinusitis is one of the types of sinusitis, which manifests itself in the form of inflammation of the maxillary sinuses (in an x-ray photo the disease looks like darkening). A good way to combat the disease are sprays for sinusitis in bottles with special sprayers. Preparations in this form of release are considered more effective than drops or solutions. What are their benefits and which nasal spray is best to use for sinusitis?

The benefits of medicines in the form of a spray

Treatment of sinusitis at home is not complete without pharmaceuticals. This disease is of infectious or (less commonly) allergic origin. It is accompanied by severe swelling, severe difficulty breathing and thick discharge. It must be treated with drugs that provide antibacterial or antiallergic effects, relieve swelling of the nasal mucosa, dilute secretions and facilitate breathing. Sprays for sinusitis cope perfectly with these tasks.

They are more convenient to use than drops, since the required amount of the drug is injected with one click. The active substance is evenly distributed in the nasal cavity, delivered even to its most remote areas and quickly absorbed. The main advantage of this remedy for sinusitis is the precise dosage of the drug, which ensures a minimal risk of overdose.

Types of nasal sprays for the treatment of sinusitis

You need to choose a suitable nasal spray for a runny nose and sinusitis, taking into account the existing symptoms. When a patient has thick mucous discharge that is difficult to clear and he is faced with the task of how to thin the snot in the nose, it is necessary to use mucolytic drugs, in case of severe swelling - vasoconstrictors, and in the presence of pus - drugs with an antibacterial effect.

All medications in the form of sprays used in the treatment of inflammatory diseases of the nasopharynx are conventionally divided into vasoconstrictors, mucolytic, hormonal, antibacterial, moisturizing, which serve to rinse and cleanse the nose. However, many drugs have a complex effect, that is, they have several pharmacological effects at once.

Vasoconstrictors

Attention! Sovets.net readers recommend:

- Bad breath is caused by parasites! Find out how to get rid of it >>>

- Nail fungus will no longer bother you! Elena Malysheva tells how to defeat fungus.

— Losing weight quickly is now available to every girl, Polina Gagarina talks about it >>>

— Elena Malysheva: Tells you how to lose weight without doing anything! Find out how >>>

Such sprays for sinusitis are indispensable for severe congestion, which makes it impossible to breathe normally. They constrict blood vessels, thereby eliminating swelling of the mucous membrane and making breathing easier. However, vasoconstrictor drugs for the nose are only symptomatic: they can only temporarily eliminate swelling, but do not in any way affect the healing process itself. In addition, these medications can be addictive, so they are used with a time limit.

Moisturizing

This type of medication allows you to minimize dryness, irritation and burning that occurs with long-term use of specific medications. Moisturizing spray for sinusitis is used in complex treatment. It may not contain components with a pronounced pharmacological effect. These medications include sprays based on saline solution and sea water.

Corticosteroids

This category of drugs belongs to potent hormonal drugs. They are prescribed for severe inflammatory processes and allergies that cannot be treated with sinusitis medicine with a more gentle effect. Hormonal sprays help with severe forms of the disease, but due to the possibility of developing serious side effects, they should be used under the supervision of a doctor.

Mucolytic

With sinusitis, nasal discharge is often too thick, and therefore difficult to blow your nose naturally. To improve the discharge of secretions from the nasal sinuses, a mucolytic spray for sinusitis is prescribed, which can dilute the stagnant mucous secretion, making it less viscous, thereby reducing swelling and normalizing the general condition of the nasopharynx.

Antibiotics

Antibacterial sprays for sinusitis contain an antibacterial substance. They must be used for such forms of inflammatory diseases complicated by bacterial infection. It is highly not recommended to use antibiotics on your own in the treatment of sinusitis, since the optimal type of active ingredient and the exact dosage must be selected by a doctor.

List of the best nasal sprays for sinusitis

It is recommended to consult a doctor about which sinusitis drug is best to use. When choosing over-the-counter medications yourself, you need to carefully follow the instructions and monitor the symptoms of the disease. If after several days of using the drug there is no improvement, you need to consult a specialist.

Ingredients: active ingredient xylometazoline, additional substances.

Action: the product has a pronounced vasoconstrictor effect, which eliminates swelling and facilitates breathing. The drug does not interfere with the natural waste of secretions. Otrivin contains hypromellose and sorbitol, which reduce the severity of side effects observed with its long-term use.

Application: adults and children over 6 years old – one injection) 3-4 times a day. A child under 6 years of age is prescribed a dosage form of the drug with a reduced concentration of the active substance, which is used 1-2 times, but not more than 3 times a day. This sinusitis spray should not be used for more than 10 days in a row.

Cost: from 150 rubles.

Ingredients: active ingredient naphazoline, auxiliary components.

Action: the spray reduces swelling of the mucous membrane, restoring the patency of the nasal passages, facilitating breathing and improving the patency of the Eustachian tubes. With prolonged use, the effect of the drug gradually decreases, therefore, when treating sinusitis, it is recommended to use it intermittently every 5 days.

Application: the product is injected 1-3 3-4 times a day. The duration of therapy with this drug for children is no more than 3 days, for adults – no longer than a week.

Cost: from 170 rubles.

Ingredients: active substances phenylephrine and dimethindene, additional components.

Action: the product has a vasoconstrictor and antihistamine effect.

Application: the drug is prescribed to children over 6 years of age and adults at a dose of 1-2 injections 3-4 times a day. It should not be used for more than 7 days, unless a different period of treatment is agreed with the doctor. With long-term (more than 2 weeks) use or exceeding the recommended dose, it can cause the development of drug-induced rhinitis.

Cost: from 250 rubles.

Ingredients: sterilized sea and purified water.

Action: this nasal spray with sea water thins mucus, normalizes its production and effectively washes away impurities, dust, and allergens from the mucous membrane, reducing its inflammation.

Application: adults are prescribed 2-3 doses from 4 to 8 times a day, children from 7 to 16 years old - 2 injections 4-6 times, from one year to 7 - the same number of applications, but no more than 4 times a day. For sinusitis, the treatment period can be from 2 to 4 weeks or longer.

Cost: from 200 rubles.

Ingredients: sea water.

Action: the spray relieves inflammation from the nasal mucosa, ensures its effective cleansing and strengthens local immunity, increasing resistance to pathogens.

Application: in the treatment of sinusitis, the drug is prescribed in a dose of 2–4 injections. The drug can be used for a long time, up to several months.

Cost: from 300 rubles.

Ingredients: active substance sodium chloride, additional ingredients.

Action: this spray for sinusitis has an anti-edematous effect, cleanses the nasal passages, moisturizes the nasal mucosa, and promotes better mucus separation. In the treatment of sinusitis, the drug is used as an adjuvant. It has no contraindications and does not lead to the development of undesirable effects, therefore it is prescribed even during pregnancy or the treatment of infants.

Application: recommended dose for adults – 2 sprays 6-8 times a day. Children are prescribed one injection up to 6 times a day.

Cost: from 170 rubles.

Ingredients: active substance mometasone, additional components.

Action: the spray is a glucocorticosteroid with anti-inflammatory and anti-allergic effects, which relieve swelling and restore normal breathing.

Application: Nasonex is prescribed in a dose of 2 injections 2 to 4 times a day. The duration of treatment must be agreed with the doctor.

Cost: from 450 rubles.

Ingredients: active ingredient fluticasone, excipients.

Action: the drug is a corticosteroid that has anti-inflammatory, anti-edematous and anti-allergic effects. The spray reduces nasal congestion, relieves itching, discomfort in the paranasal sinuses, a feeling of pressure around the eyes and nose, and helps get rid of headaches that often accompany acute sinusitis.

Application: adults and children over 12 years old – 2 times a day. After the acute symptoms pass, the dose is reduced by half. Children from 4 to 12 years old – 1 injection per day.

Cost: from 750 rubles.

Ingredients: active substances acetylcysteine ​​and tuaminoheptane, auxiliary ingredients.

Action: according to the description given in the instructions, the drug has a vasoconstrictor, anti-inflammatory and mucolytic effect. The spray promotes thinning and better discharge of secretions, relieving swelling and inflammation of the nasal mucosa.

Application: adults are recommended 2 injections 3-4 times a day, children – 1 dose the same number of times. The product should not be used for more than 7 days.

Cost: from 240 rubles.

Ingredients: active ingredients: cyclamen juice extract and lyophilisate and solvent (distilled water).

Action: the spray is a herbal preparation that effectively relieves inflammation, stimulates the production of mucus and improves the process of its removal. The product is the most expensive in the drug rating, but few other drugs provide the same pronounced effect: increased mucus production begins almost immediately after spraying the aerosol and continues, depending on the amount of secretion, from half an hour to two.

Application: spray the product once at a time. When used daily, the course of treatment lasts 6–8 days, when administered every other day – no more than 12–16.

Cost: from 2000 rubles.

A more affordable herbal preparation called Sinupret has a similar mucolytic effect, but it is not produced in the form of a spray, but in drops and tablets.

Ingredients: active substance fusafungin, additional components.

Action: the spray is an antibiotic with anti-inflammatory activity.

Application: the drug is injected into the mouth and nose. Adults are recommended 4 injections into the throat and 2 into the nose up to 4 times a day. Children from 2.5 years old - 2-4 sprays of aerosol in the mouth and 1-2 in the nose with the same number of daily doses.

Cost: from 500 rubles.

Ingredients: active ingredients neomycin, polymyxin B, dexamethasone, phenylephrine, auxiliary ingredients.

Action: this spray for sinusitis has an antibacterial, anti-inflammatory and vasoconstrictor effect.

Application: adults are recommended 1 injection up to 3-5 times a day, children from 2.5 to 15 years old - a similar dose up to 3 times a day. The duration of treatment with the drug is 5–10 days.

Cost: from 270 rubles.

Composition: active substance framycetin, auxiliary components.

Action: the spray has an antibacterial effect and is prescribed for severe infectious and inflammatory processes.

Application: adults - 1 spray of aerosol up to 4-6 times a day, children - the same dose, but the daily number of injections should not be more than 3. Treatment lasts a week.

Cost: from 260 rubles.

What sprays can be used for children

It is not recommended to use a children's runny nose spray when treating children under one year of age due to the high risk of reflex spasm of the larynx, which can cause serious breathing problems. Nasal spray for older children is chosen based on age among special children's forms of drugs that have a reduced concentration of active ingredients.

For sinusitis in children, some experts recommend using homeopathic remedies, which have fewer side effects than traditional drugs. Most experts are skeptical about these medications, but there are patients who report noticeable improvements after such therapy.

Feedback on results after treatment

Maria, 28 years old: I have been treating sinusitis for many years. Once I was recommended the herbal remedy “Sinuforte”. The spray helped, but due to the high price of Sinufort, analogues and substitutes for which, as I was told, could not be found in Russia, I switched to Polydex during the next exacerbations. After about 3-4 days I am treated exactly according to the instructions and my breathing is restored.

Sergey, 34 years old: Sinusitis was in a very advanced stage. I tried to treat with traditional methods - washing with decoctions, inhalations with honey, alcohol compresses, warming up. There was temporary relief, but in a good clinic in St. Petersburg I was still advised to get a puncture due to the high risk of complications. After the puncture, they prescribed some kind of cheap antibiotic spray. It's been over a year and so far everything is fine.

Svetlana, 25 years old: When sinusitis developed that could not be treated, I was afraid that it would come to surgery and was treated with everything that was prescribed. They prescribed me drops, bactericidal sprays and warming procedures, I conscientiously underwent several courses of treatment and managed to cope with the disease. To prevent a relapse, I am now trying to properly treat my runny nose.

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/3989-sprei-ot-gaimorita.html

Sprays and drops in the nose for sinusitis. Complex treatment

Severe swelling of the nasal mucosa, which leads to blockage of the outlets for clearing the sinuses of mucus accumulated there, which is accompanied by inflammation of the mucous membranes, is called sinusitis. During the course of the disease, bacteria begin to multiply, which leads to a deterioration in the person’s general condition. Nasal congestion intensifies, headaches appear in the area of ​​the bridge of the nose, tearing, painful perception of light, as well as increased temperature.

Treatment of sinusitis

Treatment of sinusitis is complex, aimed at thinning and removing mucus from the sinuses, preventing the proliferation of bacteria, relieving inflammation and swelling. Depending on the patient's condition, several medications may be prescribed at the same time, such as tablets and nasal drops. For sinusitis accompanied by bacterial infections, antibiotic therapy is prescribed. Fungal infections that result from advanced disease are treated with antifungals, steroids, and surgery.

Taking antibiotics for sinusitis

Amoxicillin is a substance that effectively fights bacteria that cause sinusitis. Antibiotics that contain it effectively fight infections and treat acute forms of the disease. Along with antibiotics, topical medications, such as nasal drops, are prescribed. For sinusitis, the most effective antibiotics are Amoxil, Ospakoms, Solutab, and Flemoxin.

Antibiotic sprays

Antibiotic-based sprays have a number of qualities that set them apart from systemic drugs. Firstly, they do not affect the intestinal microflora, since they do not enter the bloodstream. Secondly, they act directly on the source of inflammation. This type of drug is prescribed in combination with others and only for acute or chronic sinusitis. The most prominent representatives of this group of medications are Polydex, Phenylephrine, Isofra, Bioparox. These sprays eliminate the source of inflammation even in the most remote areas of the nasal cavity, thin the mucus, and relieve swelling. Drugs in this group effectively fight fungus and bacteria, cope with the causes of the disease, and not with its symptoms.

Use of decongestants

Decongestants (as is obvious from the name) reduce or completely remove swelling of the mucous membrane, releasing accumulated mucus and phlegm. This effect occurs thanks to oxamethasone, which is included in drops such as Leconil, Nazivin, Fazin, Oxymetazoline, Nazol, and their analogues, which are prescribed based on age and degree of advanced disease. Decongestants are nasal sprays or drops. For sinusitis, they are prescribed along with other drugs. Not long ago, the low effectiveness of Naphthyzin and Galazolin drops was noted, although for a long time they were used quite often for the common cold and sinusitis. Against the backdrop of innovative drugs with a wider spectrum of action, these medications have lost their positions. And this is justified by the fact that addiction to these means is many times higher than to others. Accordingly, by the end of the course of treatment they no longer have the desired effect. Also, these drops do not affect bacteria in the sinuses. The drugs “Naphthyzin” and “Galazolin” are prescribed for acute inflammatory processes, but for chronic sinusitis they are not effective.

The role of analgesics in the treatment of sinusitis

Sinusitis is often accompanied by pain syndromes. These are headaches or pain in the bridge of the nose. Analgesics are prescribed to combat this symptom. The best proven drugs are Aspirin, Ibuprofen and Acetaminophen. The daily dosage of medications is determined by the doctor based on the intensity of the pain.

Corticosteroids

Corticosteroid-based nasal spray for sinusitis is used as one of the components of complex therapy. Its main task is to relieve inflammation and swelling of the nasal mucosa by selectively affecting the cells of the immune system. Such drugs are prescribed when polyps are detected, when there is severe swelling, or when other previously prescribed drugs are ineffective. The list of the most effective medications includes such as “Beklofort”, “Nasobek”, “Beconase”, “Nozonex”. Nasal spray for sinusitis is not used as an independent remedy, since it tends to relieve the symptom of the disease, rather than treat it.

The role of mucolytics in the treatment of sinusitis

Mucolytic sprays have a narrow specialization: their effect is limited to liquefying mucus and pus. They are an addition to the main treatment. When using mucolytics, the drainage of the maxillary sinuses improves, the outflow of mucus increases, and oxygen access is restored. The most commonly prescribed mucolytics are the drugs Fluditec, Mucodin and Fluimucil. They are prescribed along with antibiotics and are often practiced in the home treatment of sinusitis. But among mucolytics there are also leaders: as practice shows, the most effective sprays are Rinofluimucil and Sinuforte. These drugs are quite expensive, but their effect occurs much faster compared to other medications. What is their feature? The drug "Rinoflimucil" has anti-edematous, anti-inflammatory, mucolytic and vasoconstrictor properties, so its use brings quick relief and improves the general condition of the patient. Perhaps the only drawback of the product is the short-term redness of the face after use. Sinuforte spray is an expensive but very effective drug prescribed by doctors in most cases of sinusitis. This is justified by its complex but mild effect on the source of inflammation. Its main effect is drainage of the sinuses. When using the drug, it does not enter the bloodstream and does not affect the mucosal epithelium.

Broad acting drops

Nasal drops for sinusitis with a wide spectrum of action, which have positive reviews from patients and are noted by otolaryngologists, are the medications “Sinuforte” and “Rinofluimucil”. Just like the sprays in this series, the products are not inexpensive, but they break all records in terms of effectiveness. Sinuforte drops are an exclusively natural product that gives results the first time. It does not enter the bloodstream, does not irritate the mucous membrane and acts simultaneously in several directions: constriction of blood vessels, relieving inflammation, suppressing bacteria. A less expensive analogue of these drops is the drug "Polidexa". It is successfully used to treat acute sinusitis, and due to its mild action it is also used in pediatric practice. The action of Rinofluimucil drops is aimed at constricting blood vessels, relieving swelling and inflammatory processes. Literally after 2-3 doses, the symptoms of sinusitis recede and relief sets in.

Sprays for sinusitis: pros and cons

It is difficult to call a spray a therapeutic agent: its use is aimed at eliminating symptoms (pain, congestion, swelling), which alleviates the patient’s condition and promotes effective treatment. Its main advantages are ease of use and quick effect due to local action. Well, the disadvantages include quick addiction to the drug, injury to the epithelium, burning, dry nose and bleeding. Side effects are extremely rare, but they do occur.

Doctors' advice regarding sprays

First of all, it is worth noting that the uncontrolled use of sprays, as well as other medications, can lead to negative consequences. At best, it leads to addiction, at worst, it leads to a worsening of the condition by causing allergies or swelling of the mucous membrane. When using sprays, you must adhere to several basic rules:

  • The use of sprays is often not recommended, only if you have difficulty breathing.
  • Sprays are addictive, therefore, the first aid kit should have an assortment of these drugs in the amount of 2-3 pieces.
  • Sprays with a duration of action of no more than 4 hours should be used during the day, but at night, drugs with an 8- and 12-hour effect are preferable.

Source: http://www.syl.ru/article/142687/mod_sprei-i-kapli-v-nos-pri-gaymorite-kompleksnoe-lechenie

The use of antibiotic aerosols in the treatment of sinusitis

An antibiotic spray for sinusitis is a medicine for topical use, the components of which do not penetrate the bloodstream and do not create excessive stress on the liver, kidneys, heart, etc. The nasal drug is equipped with a convenient dispenser that converts liquid into an aerosol. A dosed portion of the medicinal suspension easily penetrates the nasal canals and maxillary sinuses (sinuses). That is why it is advisable to use sprays rather than drops to treat sinusitis.

Nasal antibiotic medications are used to treat bacterial and purulent inflammation in the sinuses and nasal canals. The antimicrobial components of aerosols destroy pathogenic flora in the nasal cavity, thereby accelerating the healing process. Timely use of local antibiotics for maxillitis (sinusitis) prevents the occurrence of severe complications - hemisinusitis or pansinusitis.

About antibiotic sprays

In most cases, sinusitis is provoked by pathogenic bacteria - streptococci, meningococci, Pfeiffer's bacillus, staphylococci, etc. Medicines with bacteriostatic (stop the proliferation of pathogens) or bactericidal (destroy pathogens) actions can prevent their reproduction. In the absence of serious complications, sinusitis is treated with local antibiotics - drops or sprays.

Spray is the most successful dosage form of the drug, through which it is possible to evenly distribute the aerosol over the surface of the nasal passages and maxillary sinuses. Unlike systemic antibiotics, they rarely cause side effects and act directly on the sites of inflammation. The use of aerosols reduces the risk of allergic reactions and microbial resistance to the active components of the drug.

Irrational use of antimicrobial agents can lead to disruption of the microflora in the upper parts of the ENT organs.

Local antibiotics are prescribed only for prolonged rhinitis, maxillitis and bacterial nasopharyngitis. Systemic medications are included in the treatment regimen only in the presence of complications and ineffectiveness of local therapy.

The best drugs with antibiotics

To treat nasal sinusitis, medications with a low degree of allergenicity and toxicity are used. Their antimicrobial components act locally and do not penetrate into the blood, therefore they do not affect the functioning of the detoxification organs. Sprays may contain not only antibiotics, but also substances with vasoconstrictor or anti-inflammatory effects. Timely use of aerosols allows you to stop the manifestations of rhinorrhea and bacterial inflammation in the maxillary sinuses.

"Bioparox"

"Bioparox" is an aerosol drug intended for the treatment of infectious and inflammatory reactions in the ENT organs. It contains a peptide antibiotic (fusafungin), which has a fungistatic and bacteriostatic effect on pathogenic bacteria and fungi. It can be used if sinusitis was caused by the development of the following infectious agents:

Unlike many other local antibiotics, Bioparox has an anti-inflammatory effect on the mucous membrane of the maxillary sinuses. Thanks to this, the swelling in them decreases, as a result of which the outflow of purulent contents from the nasal cavity is normalized. The medicine does not dehydrate the mucous membrane, does not cause irritation and does not reduce the secretion of nasal mucus. That is why it is considered a first-line drug in the treatment of bacterial maxillitis.

You need to understand that premature refusal of an antibiotic can provoke a relapse of inflammation. In this case, bacteria may develop resistance to the action of fusafungine, so to re-treat the disease, another nasal spray with antimicrobial properties is selected.

"Framinazine"

The drug "Framinazin" is an analogue of the spray "Isofra", therefore it contains the same active substances. Antibacterial aerosol damages the cytoplasmic membrane of pathogens, which leads to their death. Due to its low systemic absorption, the antibiotic rarely causes allergic reactions in patients.

If you inject an aerosol into the nose for more than 10 days in a row, this will lead to dysbiosis and, accordingly, the development of pathogenic fungal flora in the nasopharynx. In addition, irrational use of a local drug with an antibiotic leads to the emergence of resistant strains of microbes and, accordingly, a decrease in the effectiveness of therapy.

"Isofra"

“Isofra” is an aminoglycoside spray with bactericidal action that causes the death of most strains of pathogenic bacteria. It contains framycetin, to which microbes rarely become resistant. Injecting an aerosol into the nose helps reduce the number of pathogens in the maxillary sinuses and swelling in the soft tissues. It can be used in combination with other local medications and systemic antibiotics.

To achieve the best therapeutic result, the spray should be used for 7 or 10 days at least 4-5 times a day.

A course of treatment with intranasal antibiotics prevents the progression of bacterial inflammation and the penetration of pathogens into the adjacent paranasal sinuses. Isofra is easily tolerated by patients and only in isolated cases causes allergic reactions. It is not recommended to rinse the nasopharynx with antimicrobial agents, as this can lead to irritation of the mucous membrane and, accordingly, swelling of the nasopharynx.

"Sofradex"

Sofradex spray has a pronounced antimicrobial, anti-inflammatory, antihistamine and antipruritic effect. The combined drug contains several active substances at once, namely:

  • dexamethasone is a synthetic glucocorticosteroid that has antiallergic and anti-inflammatory effects;
  • neomycin is a bactericidal antibiotic from the aminoglycoside group; destroys the cell walls of microbes, which leads to their death;
  • grammidin is an antibiotic with bacteriostatic and bactericidal action, active against gram-positive bacteria.

The nasal spray suppresses local immunity, so you should not use it if you develop mixed sinusitis caused by microbes and fungi. Moreover, drug abuse leads to thinning of the nasal mucosa, which can lead to nosebleeds.

"Polydex"

An effective drug for the treatment of bacterial maxillitis is Polydexa spray. It contains such active substances as neomycin, macrogol, polymyxin, thiomersal and dexamethasone, which provide the aerosol with a pronounced antimicrobial and antiphlogistic (anti-inflammatory) effect. Unlike other local antibiotics, Polydex spray can be injected not only into the nose, but also into the external auditory canal when bacterial otitis develops.

"Polydex" is used to treat otitis media exclusively in the absence of perforation in the eardrum.

The aerosol contains glucocorticosteroids (dexamethasone), which can affect the symptoms of the disease. If the reason for the development of sinusitis is unclear, then using the drug without a doctor’s prescription is not recommended.

Features of application

Nasal sprays are convenient and easy to use, but failure to follow certain rules can reduce the effectiveness of local therapy and cause complications. When spraying the drug, it is advisable to consider the following recommendations:

  1. You must first rinse the nasal cavity with saline or moisturizing drops with sea water to increase the absorption (absorption) of the drug into the mucous membrane;
  2. The aerosol bottle must be shaken before spraying;
  3. when injecting the medicinal suspension, the free nostril is pressed against the nasal septum;
  4. it is not advisable to insert the spray dispenser deep into the nose, as this will reduce the irrigated surface area;
  5. Immediately after spraying the aerosol, you need to take a shallow breath so that part of the drug penetrates the maxillary sinuses.

Penetration of the aerosol into the nasopharynx often causes sneezing in patients. To suppress the reflex, you need to take a deep breath or press your nostrils to the nasal septum. To minimize the likelihood of unwanted reactions, you should read the instructions before using the aerosol. The frequency and frequency of use of the spray depends on the concentration of active substances in it and the stage of development of maxillitis.

It is strictly forbidden to use sprays in the presence of chronic bronchitis, emphysema and asthma.

It should be noted that sudden inhalation of the aerosol can lead to spasm of the muscles of the bronchi and small bronchioles. Failure to follow the rules for using nasal sprays can cause a suffocating cough, shortness of breath and hypoxia (lack of oxygen). That is why aerosol preparations are contraindicated for people suffering from emphysema and bronchial asthma.

Contraindications

There are situations in which antibiotic nasal sprays cannot be used. The above medications are not recommended for use by persons with hypersensitivity to the active components of local antibiotics. Complex drugs have a fairly wide range of contraindications:

  • renal failure;
  • fungal inflammation in the nose;
  • adenoiditis;
  • bronchial asthma;
  • atrophic rhinitis;
  • glaucoma.

Local antibacterial therapy very rarely causes allergic reactions. However, irrational use of aerosols can lead to irritation and thinning of the mucous membrane, nosebleeds, mycoses, etc. Pathological symptoms most often indicate increased sensitivity to topical glucocorticosteroids and antimicrobial components.

Conclusion

Antibiotic nasal sprays are often used as part of topical therapy to treat bacterial sinusitis. The active substances of the drugs are practically not absorbed through soft tissues, and therefore do not create a toxic load on the liver or kidneys. The best aerosols with antimicrobial properties include: Polidexa, Framinazin, Bioparox and Sofradex.

Unlike drops, the aerosol easily penetrates the maxillary sinuses and therefore acts directly on the sites of inflammation. To increase the effectiveness of therapy, before spraying the medicine, you need to clear the nasopharynx of mucus with a saline solution. But before using local antibiotics, it is advisable to make sure that there are no contraindications or allergies to the active components of the sprays.

Author: Irada Huseynova

Comments and reviews

Antibiotic for sinusitis

  • Antibiotic throat and nose spray

  • Current prices and products

    A drug made according to an old folk recipe. Find out how it got on the coat of arms of the city of Shenkursk.

    Famous drops for preventing diseases and increasing immunity.

    Monastic tea for ENT diseases

    For the prevention and assistance in the treatment of diseases of the throat and nose according to the prescription of Schema-Archimandrite George (Sava).

    Any use of site materials is permitted only with the consent of the portal editors and by installing an active link to the source.

    The information published on the site is intended for informational purposes only and in no way calls for independent diagnosis and treatment. To make informed decisions about treatment and medications, consultation with a qualified physician is required. The information posted on the site is obtained from open sources. The portal's editors are not responsible for its accuracy.

    Higher medical education, anesthesiologist.

    Source: http://lorcabinet.com/lekarstva-nosa/aerozoli/sprej-ot-gajmorita-s-antibiotikom.html