What to take for sinusitis

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Medicine for sinusitis

Treatment of a runny nose is often taken lightly, considering it a symptom of a cold. Meanwhile, if the process is started, the consequences can be very serious. Diseases occur that are accompanied by headaches, difficulty breathing, and fever.

Table of contents:

These include sinusitis and sinusitis. At the first signs, you should immediately consult a doctor. Only he will correctly prescribe medicine for sinusitis. Sometimes, in order for improvement to occur, complex treatment according to a specific regimen is required.

What is sinusitis and how to treat it

With sinusitis, the sinuses, which are located to the right and left of the bridge of the nose, become inflamed. The hole that connects them to the nose is blocked. Mucus and germs remain in the sinuses. Inflammation can have different causes and differ in the nature of its course. Whether the disease is viral, bacterial or fungal, in each case the doctor prescribes his own medicine for sinusitis.

The disease is severe when both sinuses become inflamed. Sometimes left-sided or right-sided sinusitis occurs. At the same time, the headache becomes unbearable when tilting and turning the head. In addition, there is a list of characteristic symptoms:

  • nasal congestion;
  • temperature increase;
  • purulent discharge;
  • distension in the nasal area.

At the initial stage, agents are used that relieve swelling and make breathing easier. Most often these are vasoconstrictor drops. If the disease is accompanied by some kind of infection, the doctor prescribes antibiotic therapy. Physiotherapy, which improves blood circulation in the sinuses, gives good results. For these procedures, laser, electromagnetic field, and electrophoresis are used.

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With chronic sinusitis, depressions appear in the mucous membrane in which pus accumulates. This sharply worsens all symptoms. To alleviate the patient's condition, they resort to puncturing a hole through which the pus is sucked out. However, modern medications make it possible to treat sinusitis without a puncture. These include anti-inflammatory antibiotics.

What happens if sinusitis is not treated? The chronic form of the disease causes serious complications that are poorly treated. Inflammation of bone tissue is possible, blood poisoning, eye and throat diseases are possible. The maxillary sinuses are located near the brain. There is a possibility that inflammation of its membrane will occur - meningitis and even death.

Home treatment methods for adults

How to cure sinusitis forever? To do this, it is important to take medications for sinusitis, folk remedies, and perform physical therapy. Prevention of sinusitis plays an important role. Popular medications include:

  • Rinofluimucil in the form of a spray to relieve swelling.
  • Naphthyzin nasal drops to ease breathing.
  • The hormonal agent Polydex in the form of a spray improves the outflow of pus.
  • Sinupret is taken in tablet form - it is a good antiviral agent.

Drops in the nose

If you have sinusitis, you should not self-medicate. Even drops should be used as prescribed by a doctor. There are medications that make breathing easier - these are vasoconstrictors Naphthyzin and Galazolin. In the acute form, Polydex, a medicine with antibacterial properties, helps. It constricts blood vessels and reduces inflammation, suppresses microbial activity. Drops in the nose with an antibiotic - Neolicin - quickly relieve swelling.

Complex nasal drops - Sinuforte - give effective results. The drug acts instantly. Swelling decreases and pus thins. The patient immediately feels better. Sinuforte are drops for sinusitis based on cyclamen. Due to the fact that natural raw materials are used, they have a high price. Cheaper analogs are also used in treatment - Gaymorin, Salkhino.

Antibiotics

What antibiotics to take for sinusitis? These medications are prescribed for severe inflammation, high fever, and purulent discharge. Antibiotics are taken in the form of tablets, suspensions, and injections. They not only fight diseases, but also prevent complications. One of the most effective of them is Amoxicillin. For children, a local antibiotic, Bioparox, has a good effect.

Antibiotics help treat sinusitis caused by germs. It is not prescribed if the cause of the disease is allergies or fungal infections. You should carefully consider the prescription of drugs, because the use of antibiotics has contraindications:

  • pregnancy;
  • liver and kidney diseases;
  • breastfeeding;
  • allergy to the components of the drug.

Nasal sprays

Nasal sprays should only be taken as a treatment for sinusitis if prescribed by a doctor. These products are addictive, so they are not used for more than two weeks. The drug is injected into each nostril, while the other is pinched. Based on their effect on the body, sprays are divided into 5 groups:

Vasoconstrictor medications relieve swelling and restore drainage from the sinuses. These include: Rinofloimucil, Ximelin. Saline nasal sprays are used to rinse the nose and reduce swelling. The sinuses are cleared of bacteria. This group includes the drugs Aquamaris and Aqualor. Sprays containing corticosteroids reduce swelling and improve sinus ventilation. These include Aldecin, Nazarel.

Hormonal sprays improve the outflow of pus and reduce swelling. They act locally, so they are allowed to be used even when treating a child. These are the drugs Avamis, Nazanex. Sinuforte is considered a drug with complex effects. When using it, the sinuses are quickly cleared, and the patient feels better. The complex product IRS-18 improves immunity.

Other medications

Severe headaches with sinusitis are relieved by paracetamol and ibuprofen. With allergic sinusitis, it is often difficult to determine the cause, so medications are taken to boost immunity. Washing is indispensable in the treatment of sinusitis. It removes mucus from the sinuses. How to rinse your nose with sinusitis? Furacilin solution and herbal infusions give excellent results.

Homeopathic remedies

An effective method for treating sinusitis is the use of homeopathic medicines. These medications are popular because they have no side effects. They have a very small concentration of active ingredients, so they require a long time to use. The use of these medications for sinusitis is more effective in the chronic form of the disease.

The doctor selects the active ingredient of the drug depending on the symptoms:

  • Arsenicum (arsenic) is prescribed for burning pain, nausea and vomiting.
  • Belladonna (belladonna) is used for pain in the eye sockets and eyebrows, which worsens when bending over.
  • Potassium bichromate - for purulent discharge.
  • Mercury relieves headaches and sensitivity to touch.

Folk remedies

In addition to conservative treatment methods with medications that are sold in pharmacies, there are folk remedies. These include:

  • Rinsing the nose with solutions of soda and propolis.
  • Warming up with hard-boiled eggs.
  • Inhalation using a nebulizer with medications or herbal infusions.
  • Compresses made from bay leaf infusion.
  • Instillation of menthol oil.

Video: treatment of sinusitis in children

Treatment of sinusitis in a child should be taken seriously. Why does it occur in children, and is it necessary to give injections? Do I need to go to the hospital or will treatment at home help? Why there is no point in doing an x-ray during diagnosis. Does a puncture help in treatment? What to pay attention to when a child has a prolonged runny nose. Watch the video and a lot will become clear to you.

Reviews of products for sinusitis

Yana, 25 years old: I got sinusitis when I was 3 months pregnant. I was afraid that the medications could harm the child. The gynecologist recommended rinsing with sea salt. At first I was afraid to do the procedure. But I was very surprised when I saw how much mucus was washed out. After 5 days, my nose began to breathe well, my head stopped hurting. I advise mothers to use it.

Anna, 30 years old: My daughter fell ill, the doctor diagnosed sinusitis and prescribed antibiotic treatment. I remembered my grandmother's remedy. I boiled 2 eggs and applied them hot through a napkin to my nose. After warming up, the child began to breathe more freely. Improved mucus separation. I advise you to undergo comprehensive treatment, and use traditional methods in addition to medications.

Olga, 45 years old: I have chronic sinusitis. I suffered from headaches that worsened when bending over. The smell of pus haunted me. They did a painful puncture, the doctor prescribed antibiotics. After a course of injections I felt much better. I do not advise anyone to self-medicate sinusitis. It’s better to go to the doctor, he will tell you how to treat correctly.

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/4069-lekarstvo-ot-gaimorita.html

What medications should be used to treat sinusitis?

The main purpose of using drugs for sinusitis is to suppress the development of the infectious process and inflammation in the paranasal sinuses, relieve swelling of the mucous membrane, relieve pain and intoxication and prevent scarring of the tissues of the nasal sinuses.

For complex therapy of this disease, you may need such effective drugs as: sinupret, sinuforte, antibiotics, vasoconstrictor drops or spray, as well as immunomodulators. These are the best medicines for quick treatment of sinusitis.

However, such drugs can only be prescribed by a specialist, because with independent or improper treatment, inflammation can become chronic or the patient risks getting one of the many complications of this disease.

Which medications for sinusitis help best?

To effectively treat sinusitis, it is necessary to use complex therapy. For this purpose, certain groups of drugs are prescribed:

  • antibacterial drugs – destruction of infection;
  • analgesics – pain reduction;
  • decongestants – removing swelling from the nasal mucosa;
  • corticosteroids – reducing inflammation in the nasal cavity;
  • mucolytics - thinning mucus and facilitating its exit from the sinuses.

The main areas of treatment include:

  • removal of inflammatory secretions and reduction of swelling in the maxillary sinuses;
  • reduction of pain and pressure;
  • destruction of infection;
  • preventing the formation of scar tissue.

Properly selected medications can quickly cure mild to moderate sinusitis, which in turn will help avoid puncture of the maxillary sinus.

Antibiotics

For mild cases of acute sinusitis, only symptomatic medications are usually prescribed. If signs of illness persist for more than five days or the person's condition worsens, then systemic antibiotic therapy will be required.

The following antibiotics are commonly used:

  1. Amoxicillin;
  2. Macrolides (azithromycin, clarithromycin, macropen);
  3. Fluoroquinolones (levofloxacin, sparfloxacin);
  4. Topical (local) antibiotics (for example, Bioparox) are prescribed for mild sinusitis as the main drug.

When choosing a drug, the sensitivity to it of microorganisms that most often cause sinusitis should be taken into account.

Vasoconstrictor drugs

They relieve swelling, thereby facilitating nasal breathing and the outflow of exudate. These drops act on the vessels located in the nasal mucosa and, by causing them to narrow, reduce the formation of mucus and tissue swelling, freeing up the nasal passages for breathing.

The best drops for the treatment of sinusitis can be considered:

  1. Preparations based on xylometazoline - galazolin, otrivin, dlyanos, tizin xylo and so on;
  2. Phenylephrine – vibrocil, adrianol;
  3. Naphazoline – sanorin;
  4. Oxymetazoline - nazole and others.

Do not forget that vasoconstrictor drops greatly dry out the nasal mucosa and can be used for no more than 5 days in a row, and they are also addictive.

Nasal rinsing

For washing, ready-made solutions are used, such as Salin, Aqua Maris, Humer, which are not drugs.

The composition of the Aqua Maris and Humer preparations includes sterile sea water, and when performing the rinsing procedure, the nasal passages are not only cleansed, but also local immunity is strengthened due to the microelements contained.

You can also rinse your nose with ordinary slightly salted water at home; this option can be used as an alternative to the above medications.

Mucolytics

Mucolytic agents (Mucodin, Fluimucil, Fluditec) actively act on mucus, reduce its viscosity, and facilitate the evacuation of secretions from the maxillary sinuses. Mucolytics are usually used in combination with antibacterial drugs and physiotherapy. Typically, these products are produced in the form of drops and syrups.

If the instructions and dosage are followed, mucolytic medications for sinusitis and sinusitis are safe and promote faster recovery.

Glucocorticoids

Can be used in the treatment of both viral and bacterial sinusitis, alone or in combination with tableted antibiotics.

Most often, these drugs are prescribed in the following cases:

  • lack of effectiveness of treatment by other methods;
  • the presence of severe swelling and inflammation;
  • the presence of polyps in the nose.

A pronounced anti-edematous and anti-inflammatory effect is especially important in patients with concomitant allergic rhinitis.

Sinuforte for sinusitis

Sinuforte is rightfully considered perhaps the most effective medicine for sinusitis presented on the modern pharmaceutical market.

The drug, made from cyclamen extract, has pronounced anti-edematous and mucolytic properties. The use of Sinuforte significantly simplifies the process of evacuating sinus secretions into the nasopharynx. Price around rub.

Sinupret

The main advantage of this drug, undoubtedly, is that it consists of herbal ingredients: elderberry flowers, gentian root, sorrel herb, verbena herb, primrose flowers. Thanks to this unique composition, Sinupret causes an antimicrobial, antiviral, and immunostimulating effect in the treatment of sinusitis.

The price of Sinupret is only 355 rubles, and the quality of the drug speaks for itself. Therefore, it has recently become the most prescribed drug for sinusitis.

Polydexa

Polydexa with phenylephrine is a spray for sinusitis, which has a pronounced antibacterial, vasoconstrictor and anti-inflammatory effect.

The therapeutic effect of the constituent components of this drug is based on their ability to block the process of protein synthesis in the cells of harmful microorganisms, thus disrupting the permeability of their cell membranes. Price 270 rub.

Other medicines

These are antipyretic and anti-inflammatory drugs (Nurofen, Ibuprofen, Paracetamol), as well as antiallergic drugs of the 2nd and 3rd generations that reduce swelling of the sinus and nasal mucosa (Loratadine, Desloratadine, Cetrin, Zinnerit, Claritin, Clarisens).

Thus, treatment of sinusitis with antibiotics is not a prerequisite for successful conservative therapy. It is much more important that the swelling is eliminated, the outflow of sinus contents is established, and local sanitation of the source of inflammation is carried out.

Good to know:

We recommend reading:

Antibiotics for sinusitis: TOP effective and inexpensive

Frontitis - symptoms and treatment at home

Sinusitis in adults - symptoms and treatment

How to carry out inhalations for sinusitis with a nebulizer

Comprehensive treatment of sinusitis without puncture at home

How to rinse your nose with sinusitis at home?

Chronic sinusitis - symptoms and treatment in adults

Symptoms of sinusitis and treatment in adults at home

15 comments

I never thought that antibiotics would help so quickly. I caught a cold over the weekend, the cold went away, but the runny nose remained. Completely tormented me. I went to the doctor. He said it was sinusitis, prescribed procedures and prescribed Azitral. I asked if it was necessary to take antibiotics because they harm the stomach. The doctor replied that Azitral has few side effects. I took capsules once a day after lunch. The sinusitis is gone. The stomach is working normally. In general, I recommend Azitral, it helped quickly, there were no side effects.

I never thought that antibiotics would help so quickly. I caught a cold over the weekend, the cold went away, but the runny nose remained. Completely tormented me. I went to the doctor. He said it was sinusitis, prescribed procedures and prescribed Azitral. I asked if it was necessary to take antibiotics because they harm the stomach. The doctor replied that Azitral has few side effects. I took capsules once a day after lunch. The sinusitis is gone. The stomach is working normally. In general, I recommend Azitral, it helped quickly, there were no side effects.

Just don’t talk nonsense about Sinupret - this drug is not a medicine at all - it’s not even INCLUDED IN THE REGISTER OF MEDICINES! This is fucking bullshit, better than Kagocel, Anaferon and other crap.

Azitral made in India, the active ingredient is azithromycin, an analogue of azithromycin made in Russia and is cheaper, I took it, it helps well, 6 capsules in total, 1 capsule per day, it’s God’s will, whoever wants to overpay for God’s sake, take foreign medicines.

HOW TO REMOVE ACUTE BRONCHITIS IN A COUPLE OF DAYS? Let me share my experience: antibiotics are needed. Forget about all sorts of herbs, chamomile infusions, bringing down the temperature with paracetamol, etc. Only antibiotics really help, of which it is best to choose AZITRAL, it “specializes” in ENT diseases. Take AZITRAL, take it according to the instructions, and after two days you are not dying, but a full-fledged member of society. Just don’t stop taking the pills as soon as you feel better – you definitely need to complete the course.

I want to tell you how I am the grandmother of two wonderful grandchildren. They are often brought to visit me on weekends. And it happened several times that I started to get sick during the week. But you can’t, what about your grandchildren? So, as soon as I start to get sick, I immediately take Azitral. Three days and there is no trace of illness - you can babysit your grandchildren. It helps from the first tablet, so even if I got sick on Friday, on Saturday I could already spoil the children. And most importantly, there are no side effects.

Recently my wife came down with a sore throat. Naturally, I also got sick, both came down with a temperature of 39. I had an antibiotic - Azitral. And she was treated with all sorts of dietary supplements - she considers herself an advanced supporter of a healthy lifestyle. But when I was cured, after 2 days, and she became ill for the second week, she changed her mind and also took Azitral. Helped both of them out.

I have three children. I recently fell ill with some kind of acute respiratory infection. The temperature rose overnight and the cough was dry. But with children you can’t get sick, and you can get infected, and there’s no time for bed rest, because it’s always school, then kindergarten, then different clubs. I called my mother and she recommended Azitral and said she would treat herself with it. Well, without thinking twice, I bought and took the pill. By the time it was time to take care of the children, I seemed to have completely recovered. But I still finished the remaining pills. Maybe I didn’t have time to get scared, but I didn’t find any side effects.

Good day to all! I want to share my experience in treating bronchitis. I try not to joke with such things, so antibiotic therapy is my choice. Another thing is to choose the right antibiotic. My choice fell on Azitral - a cheaper analogue of Sumamed. Azitral helped perfectly - the bronchitis quickly and completely receded. Now it's your turn to share your experience!

A few years ago I went to the sea with my family. And it happened that I got sick. The pain in my throat was indescribable and my temperature rose. And I only had 10 days of vacation, and because of work I rarely saw my family, so I had no time to be sick at all. The pharmacy recommended Azitral. On the third day I was almost completely healthy and the rest was saved. Now we always carry a couple of boxes with us in case something happens.

I was sick non-stop for two months. In the mornings there was a wild pain in the throat, it was impossible to breathe, once a week I had a fever for a couple of days. I’ve even taken several courses of different antibiotics, and I’ve taken all kinds of drops and syrups, but to no avail. Either it started somewhere, or the infection is so strong. Azitral was recommended to me at the pharmacy. Believe it or not, on the fifth day, it was as if I wasn’t sick at all. No pain, no fever. I don’t use anything other than it for treatment – ​​it doesn’t let me down.

My son had bronchitis. He was treated with Azitral. The drug was given only on the 5th day. There were very strong wheezing in the lungs, the temperature was high. We did not expect that on the second day after taking Azitral the temperature did not increase. And when he drank the entire course, only minor wheezing remained. The total treatment was 3 tablets. There were no side effects, so my brother was very happy about his recovery.

I bought Azitral to treat bronchitis. I liked Azitral because it is a relatively inexpensive antibiotic. Its active ingredient is azithromycin, a broad-spectrum antibiotic. The antibiotic itself is not bad and I treat myself with it if necessary.

I have fun - I test different medications to understand which one suits me best. So I have already tried nasal drops, throat sprays, bruise ointment and a lot of other things. Of the antibiotics, for sore throat, sinusitis, bronchitis, and just a stabbing temperature, Azitral saves me, I tried so many others - there are a lot of side effects: either a headache, or aching bones, or nausea, but Azitral is a “pedantic doctor”, he cured everything, did the job functions and quietly left without a trace.

WHO IS ROLLING A CART HERE ABOUT AZITHRAL. IT'S SICK TO READ THIS IS A SIMPLE ANTIBIOTIC FROM THE GROUP OF MACROLIDES, OR MORE PRACTICALLY AZITHROMYCIN, SIMILAR TO ERYTHROMYCIN. IN ANY PHARMACY IN THE COUNTRY THEY CAN BE PURCHASED FOR A PENNY IN THE FORM OF TABLETS, SYRUPS, ETC., BOTH WITH A PRESCRIPTION OR WITHOUT (ESPECIALLY IN COMMERCIAL INDUSTRIES). ANTIBIOTICS FROM THE GROUP OF CEPHALOSPORINS OF BOTH I AND II-III GENERATIONS GIVE AN EVEN GOOD EFFECT IN ANY FORM AND ALSO FREE IN ANY PHARMACY AND FOR A PENNY. DO NOT GO FOR ADVERTISING OR A NICE NAME AND LABEL - YOU WILL JUST BE RICTED.

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Medicines for sinusitis: the most effective

Sinusitis is a common and completely unpleasant disease associated with the inflammatory process in the sinuses of the upper jaw (maxillary sinuses). Once it appears, the disease often remains chronic, especially with poor and outdated treatment.

Pathology begins with diseases due to which the nasal mucosa swells, grows in size and prevents the body from naturally getting rid of mucus. This can happen due to a cold, an untreated runny nose, or problems with the teeth of the upper jaw (their roots can extend into the maxillary sinuses). Hypothermia and allergies can also provoke it; a special case is sinusitis due to injury.

The accumulated substance is quickly populated by harmful microorganisms and begins to fester and grow in volume. In addition to constant inflammation and discharge, this leads to facial pain and migraines.

Medicines for sinusitis: the most effective

Sinusitis: identify to cure

Before looking for an effective cure for sinusitis, it must be identified. The symptoms of sinusitis are quite specific and it is not so difficult to do:

  • headache;
  • constant runny nose;
  • difficulty breathing;
  • temperature 38 degrees;
  • general weakness.

At a doctor’s appointment, sinusitis is checked this way: the patient slowly leans forward. A nagging pain to the right and left of the wings of the nose indicates sinusitis. For a reliable diagnosis, an x-ray is performed: accumulations of pus are visible in the image.

The three stages or forms of sinusitis vary in the severity of symptoms:

  1. Subacute lasts more than a month, similar to a cold.
  2. Acute lasts up to a month during the epidemic season, all symptoms are pronounced.
  3. Chronic is constantly present, either fading or exacerbating with a cycle of 6-8 months.

Different reasons can cause different types of sinusitis with differences in the color of the mucus and the necessary treatment:

Main causes of sinusitis

Treatment: each sinusitis has its own

Sinusitis is determined by the nature of the disease, and not by the pathogen, which makes it, like other sinusitis, a rather versatile disease, so there is no universal cure for sinusitis.

In a general sense, the treatment of sinusitis aims to restore drainage of the sinuses and suppress inflammation in them. At the same time, among the goals of treatment is to quickly relieve the patient of disturbing symptoms, especially breathing problems and pain.

In the treatment of sinusitis, surgical methods rarely play an important role, when the doctor manually makes changes to the inflamed mucosa. For the most part, the following types of medications are used:

  • antibiotics and antiseptics - kill the causative agent of infection;
  • decongestants – relieve swelling of the mucous membrane and reduce mucus production;
  • mucolytics - thin mucus for faster release;
  • analgesics – relieve inflammation and reduce pain;
  • corticosteroids - relieve the most complex inflammations.

Physiotherapy also helps in the treatment of sinusitis. Their task is to speed up the drainage of mucus and pus, “dry” the sinuses, sterilize them, and also deliver medications directly to the source of the disease.

Video - Treatment of sinusitis

Surgery and procedures for sinusitis

A conservative method of treating sinusitis involves punching the nasal septum (puncture) to pump out the pus, which gives the therapist direct access to the sinuses.

Time has shown the ineffectiveness of this method. Violations in the septum lead to the fact that sinusitis returns - already in a chronic form, the patient is advised not to dive when swimming, not to get hypothermic and take care of himself in the off-season, and so on for the rest of his life.

Modern clinics already offer vacuum methods for pumping out pus if the amount is large and one cannot rely on natural processes. At the same time, punching remains common. Restoring the septum is possible using rhinoplasty methods.

The process of pumping out pus for sinusitis

IMPORTANT! When restoring the septum, it is necessary to first treat and sanitize the sinuses so as not to provoke new sinusitis.

Another method of surgical intervention is also associated with sinusitis. Fungal sinusitis and some other problems can be complicated by the formation of a polyp - the growth of the mucous membrane. The polyp also blocks natural ducts, but unlike inflammation, it does not subside, being unhealthy tissue. They must be removed surgically, and the base must be burned out with a laser or chemically. This is included in the sinusitis treatment program.

Physiotherapy is an auxiliary method. Among them are:

Miramistin for nasal rinsing for sinusitis

For rinsing, Miramistin, Furacilin, hydrogen peroxide or just saline are used. Hardware inhalations allow you to inhale almost the entire list of drugs indicated for the patient.

Medicines for sinusitis: antiseptics

It is necessary to get rid of pathogenic life forms that provoke the disease first. But the simplest form of sinusitis to treat – viral – does not require the use of serious antiviral drugs: low efficiency and high price make them poor helpers for sinusitis. The main task here is to relieve swelling and prevent it from turning into a purulent (bacterial) form; for this, the nasal cavity (and better yet, the mouth) is sanitized and disinfected.

This is where antiseptics are in demand. There are four main means of this group:

  1. Dioxidine. A 1% solution of the substance kills bacteria and viruses, but it is highly toxic - you cannot swallow it, and Dioxidin is contraindicated for children and mothers.

The drug Dioxidin for the treatment of sinusitis

Protargol solution for instillation into the nose

ATTENTION! Frequent use of Protargol is dangerous due to the risk of silver accumulation. Pharmacies usually don’t warn you about this!

Washing is carried out for about a week - 10 days, no longer recommended. In addition to antiseptics, the nose for sinusitis can be washed with saline solution - table salt with a concentration of 0.9% in water. Under the brands Aqualor, Salin, Dolphin you can find a “modified” saline solution with the addition of other salts and plant components.

Nasal rinsing technique

ATTENTION! The “improved” saline solution is unreasonably expensive, and its additional effect is rather dubious.

What antibiotics treat sinusitis?

The appearance of pus in the mucus directly indicates the bacterial nature of sinusitis. Even if bacteria were not the cause of the disease, they need to be gotten rid of if infection cannot be avoided.

Treatment of sinusitis with antibiotics is the most common practice in clinics. Most often, Amoxiclav is prescribed - a mixture of the antibiotic amoxicillin and clavulanic acid, which prevents bacteria from destroying the drug.

Amoxicillin is a penicillin antibiotic (first generation) that is no longer effective against many new bacteria. Cephalosporins - II and III generations - are much more effective. In particular, cefixime: Suprax, Cemidexor, Pancef.

Antibiotics from the macloride group are no less popular in the treatment of sinusitis. Along with amoxicillin, doctors prescribe azithromycin (Sumamed, Azitral). This also includes josamycin and clarithromycin.

Sumamed tablets for the treatment of sinusitis

Many fluoroquinolones are effective against sinusitis. Taking into account their quantity, it is easier to get acquainted with the assortment in the table below.

IMPORTANT! Fluoroquinolones are powerful antibiotics; you cannot make a decision about purchasing them without a doctor.

Taking antibiotics entails inconvenience and hardship. In particular, you should not drink alcohol; in order to avoid fungal infections, it is not recommended to use yeast dough.

We treat sinusitis - relieve swelling

Decongestants or vasoconstrictors help by reducing blood flow to the inflamed mucosa. It loses volume, begins to produce less mucus, that is, it tends to a normal state.

The drugs are produced in the form of nasal sprays and drops, which act quite quickly. Options for delivering the substance are also inhalation, as well as the administration method through a nebulizer.

Line of Tizin products for relieving swelling of the mucous membrane during sinusitis

The most popular and effective are four vasoconstrictor substances, on which various drugs are based:

Sanorin vasoconstrictor nasal drops for the treatment of sinusitis

CAREFULLY! An overdose of any vasoconstrictor provokes headaches, weakens blood vessels and harms the mucous membrane.

All vasoconstrictors are contraindicated for people with heart and vascular problems. In addition, they are given to children with caution; children tolerate phenylephrine best.

Mucolytics: for the outflow of mucus and pus

At the same time, in order to reduce mucus production, it is necessary to ensure its outflow from the sinuses. This is partly facilitated by rinsing, but very thick mucus (sputum) needs to be softened - a task for special drugs, mucolytics.

The mucus in the maxillary sinuses is similar to the phlegm in the bronchi and generally responds to the same drugs. In particular, it is recommended to use ACC (acetylcysteine) and Mucaltin (Althea plant extract). They recommend Sinupret, Sinuforte, Fluimucil, Mucodin, Fluditec. The relatively new drug haufenizin (Robitussin, Mucinex) has proven itself well.

Sinupret for the complex treatment of sinusitis

Mucolytics are usually available in the form of tablets and syrups, less often in powder form. Many of them are based on medicinal herbs, rather than on synthesized substances, are better suited for children, and the cost of mucolytics is low.

IMPORTANT! Mucolytics significantly relieve sinuses, especially in advanced cases of sinusitis. But without parallel treatment, they provide only a temporary effect.

Relieve pain and inflammation from sinusitis

The group of analgesic substances has at least two properties at the same time: they relieve pain and relieve inflammation, and with it fever. With sinusitis, the body temperature is a couple of degrees higher than normal, so both remedies are relevant.

Most often, this function in the treatment of sinusitis is performed by Aspirin, Paracetamol, Naproxen or Ibuprofen. The first is contraindicated for children under 12, but there are no restrictions in this area for adults.

Ibuprofen to relieve pain and fever from sinusitis

The use of analgesics is primarily intended to relieve the headache and weakness that accompany the acute phase of sinusitis.

ATTENTION! Analgesics for sinusitis are only symptomatic treatment, and not a cure for the disease. Don't ignore antibiotics and procedures!

If the use of conventional painkillers does not help at all, doctors suggest hormonal analogues - corticosteroids. These substances suppress inflammatory processes without affecting the level of pain. A large list of side effects discourages drugs such as Nasobek, but they turn to it in cases where previous methods have no longer helped. In particular, this extreme measure is used in the formation of nasopharyngeal polyps.

Traumatic sinusitis: always surgery

The described treatment methods are mainly suitable for sinusitis caused by the activity of microorganisms. However, there is another type of disease - hemosinus, when not mucus, but blood, accumulates in the sinus and rots.

Visual representation of the puncture procedure

The drainage system of the maxillary sinuses is not designed to drain blood clots, so the main indication in this situation is puncture and removal of all contamination from the sinus. Less often you can do without piercing the septum.

Surgery is usually required to remove scars and polyps. Traumatic sinusitis is accompanied by death of the mucous membrane; dead tissue must be completely removed. Next comes the restoration of the septum and nose using plastic surgery methods.

Medication support for this form of sinusitis is similar to the viral (not purulent) form. The main goal is to “dry”, sanitize the cavities and prevent the development of bacteria and fungi in the disease area, which is facilitated by washing with antiseptics. On the recommendation of a doctor, it is also possible to use antibacterial drugs if there is a suspicion of infection of the mucous membrane.

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Source: http://med-explorer.ru/otolaringologiya/medicinskie-preparaty/lekarstva-ot-gajmorita-samoe-effektivnoe.html

Review of remedies for the treatment of sinusitis

The treatment of sinusitis must be approached seriously and individually, because with inadequate therapy, this disease can become chronic or cause the development of severe complications: loss of vision, meningitis or sepsis. Today, the pharmacological market offers many highly effective drugs that can help the patient quickly cope with the disease and get rid of the symptoms that bother him: headache, high fever and constant nasal congestion.

The action of drugs for sinusitis is aimed at eliminating the causes and symptoms of the disease:

  • destruction of the pathogenic microorganism that caused inflammation of the maxillary sinuses;
  • elimination of swelling and drainage of purulent contents from the sinuses;
  • elimination of inflammation;
  • anesthesia;
  • prevention of the formation of scars or scars on the mucous membrane.

Groups of drugs for the treatment of sinusitis

Treatment of sinusitis is always complex, and the group of medications needed by the patient is selected individually, depending on the severity of the symptoms. The drug therapy regimen may include the following groups of drugs:

  1. Antibiotics – to fight infection.
  2. Adrenergic agonists - to eliminate swelling of the nasal mucosa and drainage of purulent contents.
  3. Medicinal solutions for rinsing the nasal cavity.
  4. Corticosteroids - to eliminate inflammatory foci.
  5. Analgesics – for pain relief.
  6. Mucolytics - for better drainage of purulent contents from the sinuses.
  7. Antihistamines - to reduce swelling of the mucous membrane.
  8. Herbal preparations (Sinuforte, Cinnabsin, Sinupret).

Antibiotics

Antibacterial agents are used to treat sinusitis, which was caused by bacterial pathogenic flora (staphylococci, fusobacteria, streptococci, corynebacteria, etc.). When selecting a drug, the doctor takes into account the type of bacteria that led to the development of the inflammatory process and the standards of treatment protocols. Depending on the active substance, the patient may be prescribed antibacterial drugs from the following groups:

  • macrolides: Azithromycin, Macropen, Midecamycin, Erythromycin, Klacid, Clarithromycin;
  • cephalosporins: Cefodox, Cefazolin, Ceftriaxone, Cefataxime;
  • fluoroquinolones: Ofloxacin, Levofloxacin, Moxifloxacin;
  • penicillins: Amoxicillin, beta-lactams with clavulanic acid (Amoxiclav, Flemoclav, Solutab, Augmentin), Ampicillin, etc.

In some cases, patients with sinusitis are prescribed antibiotics from the groups of levomycins, aminoglycosides or tetracyclines.

In case of severe sinusitis, the patient may be prescribed antibiotics for intramuscular or intravenous administration (Meropenem, Tobramycin, Ceftriaxone, etc.), and in milder forms - capsules, tablets or syrups.

Antibacterial drugs for the treatment of sinusitis are divided into three lines:

  • I – have maximum effectiveness and are used primarily, these include: Azithromycin, Amoxicillin;
  • II - used to treat patients who live in areas with a high level of resistance of microorganisms, or in the absence of effect from the use of drugs from the first line, these include: Amoxicillin with clavulanic acid, fluorocholines and cephalosporins of II and III generations;
  • III – used for inhalation treatment of the maxillary sinuses in patients after surgical treatment of sinusitis and in patients for whom the use of first and second line antibiotics is undesirable or contraindicated, these include: Fluimicil-antibiotic IT, Thiamphenicol glycinate acetylcysteinate.

After starting the use of antibiotics, relief of the patient's condition occurs in the first days of treatment. The duration of taking drugs for the systemic treatment of sinusitis in its acute course is about 5-7 days, in chronic cases - 2-3 weeks.

Also, drops and sprays containing antibiotics can be prescribed for antibacterial treatment of sinusitis. In some cases, their use can relieve the patient from taking systemic antibiotics. Most often, patients with sinusitis are prescribed the following antimicrobial drops:

  • Polydexa - this complex drug has antimicrobial, anti-inflammatory and vasoconstrictor effects, can be used alone or as part of complex therapy, is used to treat children starting from 2.5 years old, the drug contains: neomycin sulfate, phenylephrine, polymyxin B sulfate and dexamethasone;
  • Bioparox (Fuzofungin) - the active component of the drug is fusafungin, which has antibacterial and anti-inflammatory activity and can be prescribed to children over 2.5 years of age;
  • Isofra, the active component of the drug framycetin, has a pronounced antimicrobial effect, can be used as part of complex therapy for sinusitis and can be used to treat children over one year old.

Isofra

Antibiotics for the treatment of sinusitis may not be used in the following cases:

  1. For mild sinusitis.
  2. With the development of inflammation of the maxillary sinuses due to an allergic reaction.
  3. In case of chronic sinusitis and the presence of a concomitant fungal infection.

Adrenergic agonists

Adrenergic agonists are used to relieve nasal congestion, facilitate the release of purulent contents from the maxillary sinuses and reduce swelling of the nasal mucosa. To treat sinusitis, they are used in combination with antibacterial, anti-inflammatory and other agents.

The most popular drugs from this group are the following drugs:

  • Oxymetazoline (Nazivin, Nazol, Nazol Advance) - the active component of this drug is oxymetazoline hydrochloride, its effect begins to appear minutes after use and continues for 12 hours, can be used to treat children over 6 years of age;
  • Galazolin (drops, gel) - the active component of this drug is the alpha-adrenergic agonist xylometazoline hydrochloride, its action begins 5-10 minutes after administration and continues when using drops for 5 hours, gel - about 10 hours, the drug in the form of 0.05 % drops can be prescribed to children over 2 years old, 0.1% - over 6 years old, 0.05% gel - over 3 years old, 0.1% gel - over 12 years old;
  • Sanorin - the active component of this drug is the alpha-adrenergic agonist naphazoline nitrate, can be used for the treatment of sinusitis in the form of a 0.05% solution in children over 2 years old, in the form of a 0.1% solution in children over 15 years old.

Sanorin

After using these drops, gels or sprays, it is recommended to instill drops with antibiotics within minutes - this way, a better effect of the drugs is achieved and the effectiveness of the use of antibacterial external agents is not reduced.

Main contraindications of adrenergic agonists:
  • individual intolerance to the components of the drug;
  • erosive and ulcerative diseases of the gastrointestinal tract;
  • diseases of the cardiovascular system;
  • diabetes;
  • pregnancy and lactation;
  • age restrictions.

Medicinal solutions for rinsing the nasal cavity

To treat sinusitis, various hypertonic, isotonic, hypotonic and antiseptic solutions are often used, which are used in the form of irrigation and rinsing. Such procedures help:

  • reducing swelling of the nasal mucosa;
  • mechanical cleansing of clots of purulent secretion;
  • moisturizing the nasal mucosa;
  • improving the functioning of the cilia of the mucociliary apparatus;
  • elimination of inflammatory foci.

The following drugs can be used to perform them:

  • antiseptics: solutions of Miramistin, Furacillin, Chlorhexidine, Dioxidine;
  • Dolphin powder (for preparing the solution);
  • nasal sprays based on sea salt for irrigating the nose: Marimer, AquaMaris, Salin, Humer, Aqualor, etc.;
  • hypo-, iso- and hypertonic solutions with the addition of propolis tincture, calendula, etc.

The effectiveness of nasal lavages for the treatment of sinusitis and other sinusitis is recommended by the world's leading otolaryngologists and is actively used to treat adults and children of any age.

Corticosteroids

Drugs from the group of corticosteroids can significantly alleviate the condition of patients with viral, bacterial or allergic sinusitis. They have a pronounced anti-inflammatory effect and help restore the body's immune forces. The main indications for prescribing corticosteroids are:

  • pronounced inflammatory focus and swelling of the nasal mucosa;
  • lack of effect from the use of other medications;
  • the presence of polyps in the nasal cavity.

The most popular corticosteroid drugs for the treatment of sinusitis are:

  • Nasonex - the active component of the drug is mometasone furoate, which has a pronounced anti-inflammatory and antiallergic effect, when applied topically does not have a systemic effect on the body, Fluticasone

can be used to treat children over 2 years of age;

The dosage of corticosteroids and the duration of their use can only be determined by a qualified ENT doctor, who can take into account the severity of sinusitis and the characteristics of the patient’s health condition.

Analgesics

The use of analgesics for sinusitis helps improve the general condition of the patient and eliminate headaches and fever. For this purpose, non-narcotic analgesics can be used, which also have a pronounced anti-inflammatory effect on the nasal mucosa. Most often prescribed for these purposes:

The duration of taking these medications should not last more than 7 days, and before using them, you should consult your doctor about the safety of their use. Analgesics are prescribed with caution to patients with gastrointestinal ulcers, allergic reactions and asthma.

Mucolytics

The prolonged course of the inflammatory process in the maxillary sinuses leads to an increase in the viscosity of nasal secretions. To liquefy it, it is extremely important to use mucolytic agents that help liquefy thick pus and mucous secretions:

  • Fluimucil (tablets, solution) - the active component of the drug is acetylcysteine, which promotes the rupture of intra- and intermolecular disulfide bonds of mucopolysaccharides of sputum and leads to a decrease in the viscosity of sputum, the drug is also capable of providing antioxidant and anti-inflammatory effects, can be used to treat children of any age category (for children under 6 years of age are recommended to use only the tablet form, and the solution can only be used in a hospital setting);
  • Rinofluimucil (spray) - the drug is a combination drug, its active ingredients are acetylcysteine ​​and tuaminoheptane sulfate, which have mucolytic, vasoconstrictor and antioxidant effects, the drug can be used for children of any age, but children under 3 years of age are prescribed with caution.
  • Fluditec (Mukosol, Fluifort, Mucodin) - the active component of the drug is carbocysteine, which helps to liquefy sputum and purulent contents of the nasal sinuses, restores the secretion of immunoglobulin IgA, the drug is available in the form of syrup and can be used to treat children over 2 years of age.

Antihistamines

For sinusitis, antihistamines are used to reduce swelling of the nasal mucosa. For this, the patient is prescribed drugs of group II or III, which have a less depressing effect on the central nervous system:

  • Loratadine (Lorano, Claritin, Lorfast, etc.);
  • Sequifenadine;
  • Fenistil;
  • Fenkarol;
  • Cetrin (Aleron, Cetirizine, Zodak, Zirtec, etc.);
  • Desloratadine (Eden, Erius, Fribris);
  • Fexofenadine (Telfast, Tigofast, Allergo, Altiva);
  • Levocetirizine (Aleron, L-Cet, Xyzal).

Herbal preparations

For the treatment of acute and chronic sinusitis, combination drugs based on natural components that can affect the symptoms of the disease are successfully used. The most famous among them:

  • Cinnabsin (tablets) is a homeopathic drug that helps eliminate headaches, swelling of the mucous membrane, difficulty in nasal breathing, inflammatory foci and trigeminal neuralgia, the components included in the drug reduce the viscosity of secretions and have an immunomodulatory effect on the body, can be used to treat children;
  • Sinuforte (nasal aerosol) - a drug based on lyophilized juice and extract of European cyclamen tubers is able to act on the receptors of the trigeminal nerve and cause in minutes a reflex increase in secretion in the mucous membrane, hypersecretion leads to dilution and an increase in the volume of inflammatory exudate, which facilitate the evacuation of secretions from the maxillary cavities, also the drug has anti-inflammatory and vasoconstrictor effects and can be used to treat children over 5 years of age;
  • Sinupret (dragées, drops for oral administration) - the composition of this plant-based drug includes powders of primrose, elderberry, gentian, sorrel and verbena, thanks to their properties it is able to have a mucolytic, secretomotor, anti-inflammatory, decongestant and immunomodulatory effect, can be used in the form tablets for the treatment of children over 2 years old, in the form of drops – over 6 years old.

Which doctor should I contact?

If you have sinusitis, you need to seek help from a therapist or ENT doctor. If necessary, a consultation with an allergist and physiotherapist will be scheduled. In severe cases of sinusitis, treatment by an oral and maxillofacial surgeon may be necessary.

Dr. Komarovsky talks about the treatment of sinusitis in children:

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