Is it possible to drip chloramphenicol into the nose of children?

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Is it possible to drop Levomycetin into the nose of children?

The modern pharmacological market cannot offer a wide variety of nasal antibacterial agents for inflammation of the upper respiratory tract.

Table of contents:

This explains the fact that doctors prescribe drugs of a different nature to accelerate the regression of pathology.

"Levomycetin" is used in ophthalmological practice for infectious lesions of the organs of vision. The antiseptic is found in pediatrics to relieve symptoms of ENT diseases. Is it possible to drop Levomycetin into the nose of children with a runny nose, for what etiology of rhinitis will it be effective, what are the dangers of using it?

Eye drops "Levomycetin" in the nose: all the pros and cons

The drug is presented on the market as a 25% aqueous solution of the antibiotic, the main composition of which is chloramphenicol and chloramphenicol. The active ingredients are active against gram-positive and gram-negative bacteria.

The bacteriostatic effect is manifested through the ability of the components to inhibit the synthesis of proteins of pathogenic microflora.

According to the instructions for use, the suspension is used to relieve inflammatory processes of the eye membranes in the absence of positive dynamics of other pharmaceuticals. “Levomycetin” has become widespread in ENT practice due to its complex action: anti-inflammatory and antibacterial.

Treatment of upper respiratory tract diseases with eye drops is justified only for bacterial rhinitis.

When to use

Indications for prescribing the medication are the following manifestation factors:

  • increased body temperature to levels above 38⁰C;
  • nasal congestion;
  • production of thick muconasal secretion of a yellow-green color, with admixtures of exudate and an unpleasant odor;
  • pain in the projection of the accessory sinuses;
  • headache;
  • signs of intoxication.

This choice is confirmed by the bactericidal activity of the drug against pathogenic microflora and the ability to adversely affect the vital activity of infectious agents.

The development of resistance of the causative agents of the common cold of bacterial etiology to the components of the ophthalmic product occurs slowly, which allows it to be used repeatedly.

What happens if you drop Levomycetin into your nose? When administered intranasally, the pharmaceutical drug is well tolerated by patients. It is absorbed into the blood circulation in a minimal concentration, therefore it does not exhibit a systemic effect on the body. The metabolic process is active, breakdown products are excreted along with bile and urine.

With systematic use, the patient's condition normalizes within 3-4 days. The child becomes active, pain decreases, body temperature normalizes, drainage function is restored, and the outflow of mucus and exudate improves.

Important! "Levomycetin" is prescribed with caution to children with increased hypersensitivity to individual components, prone to porphyria, diseases of kidney and liver failure, and skin pathologies.

What is the danger

Treatment of other forms of rhinitis with an aqueous antibiotic solution poses a danger to the child’s life. When irrigating the accessory sinuses, the active components are not able to affect the entire projection of the mucosa.

The ineffectiveness of the drug in relieving inflammation of the ENT organs is explained by the fact that unharmed bacteria develop resistance to the main substances. Pseudomonas aeruginosa, unicellular organisms and clostridia are insensitive to the action of the components.

When constant pathogenic microflora is activated, there is a high probability of infection of healthy paranasal sinuses and nasopharynx. Intranasal use can provoke side effects in the form of impaired hematopoietic functions and allergic reactions.

Ophthalmic products that are used to treat the upper respiratory tract include Albucid drops.

A runny nose in children most often occurs in mild to moderate severity and does not require antibiotics. Inappropriate use of antibiotics can lead to a decrease in the protective properties of the immune system. The development of resistance of infectious agents to the constituent components makes it impossible to further use the product for its intended purpose.

The best option for treating rhinitis in young patients is to take Levomycetin in the form of tablets or injections. The course, dosage and daily frequency of use of the medicine is determined by the doctor based on the medical history and physiological characteristics of the patient, the etiology of the lesion.

How to properly drip "Levomycetin" into the nose of children

To increase the absorption of the drug suspension, the air cavities are first cleared of mucus. Nasal irrigation is carried out with saline or antiseptic solution. Liquid is carefully injected into each channel using a medical syringe. The remaining mucus is removed by sharp exhalation through the nose.

Nasal lavage in infants requires the use of moisturizing preparations: Aquamaris, Humera, Aqualora. 1-2 drops of nasal agent are instilled into each hole, after 5 minutes the adnexal projections are cleaned with a cotton tourniquet.

Advice! If there is excessive mucus formation, the sputum is removed using an aspirator or syringe.

Sequencing

To enhance the therapeutic effect, parents should adhere to the following sequence of actions:

  1. Prepare an aqueous solution to body temperature 35-37⁰С.
  2. Position the baby correctly. To distribute the medicine evenly over the side surface, the head should be turned towards the irrigated nostril.
  3. Using a special dosing device or a sterile pipette, inject Levomycetin into the nasal opening. For children over 2 years old, the single dose is 1-2 drops in each nostril 3 times a day. The number of daily procedures for patients over 12 years old is 3 sessions, 3-4 drops for each dose.
  4. Using your index finger, press the wing of the nose to the side surface of the nasal septum.
  5. After 1-2 minutes, change the position of the head, repeat similar actions with the second nostril.

A slight burning sensation and itching after irrigation is a natural reaction of the body to boric acid. Increased intensity and duration of the adverse reaction requires discontinuation of the drug and seeking medical help.

The effect of "Levomycetin" is inhibited by the parallel use of pharmaceutical products of the cephalosporin or penicillin series.

Reviews

Alina. The doctor prescribed Levomycetin into the child’s nose for a runny nose caused by a bacterial infection. I was alarmed by the fact that in the manufacturer's instructions, among the contraindications is the use of the drug to treat inflammatory processes in the respiratory system. However, after listening to the therapist’s recommendations, comprehensive treatment began. On the third day, the child’s condition improved noticeably: breathing was restored, the son became active, and the pain disappeared.

Irina. I used Levomycetin in the nose for my daughter’s runny nose according to the doctor’s recommendations. The use of the drug did not bring positive dynamics of recovery, but only time was lost. The pathology began to progress; a necessary measure was the use of an azithromycin-based antibiotic for a ten-day course. In addition, side effects appeared: dry mucous membranes, small rashes on the skin, and unpleasant sensations in the nose.

Conclusion

The duration of use of the aqueous suspension is determined by the doctor. On average, the recovery course varies from 7 to 10 days, but no more than two weeks. Unsystematic use is dangerous due to a decrease in the concentration of hemoglobin in the blood, suppression of immune defense, and the development of a fungal infection.

Directory of main ENT diseases and their treatment

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

Source: http://gorlonos.com/kapli/mozhno-li-levomitsetin-kapat-detyam.html

Levomycetin in the nose: when the use of eye drops is effective

Why do you put eye drops in your nose?

According to doctors, the modern market of pharmacological agents can provide only a few drugs with antibacterial properties for instillation into the nose. Bioparox, Isofra, Polydexa have a bactericidal effect.

Bioparox has recently been banned for sale, so now it cannot be found in pharmacies. Polydexa contains phenylephrine, which in some cases is unsafe, and its use for rhinitis is not always justified. Isofra is an expensive medicine, so Levomycetin may be prescribed instead. Read more about the use of Isofra for sinusitis →

This drug can be dripped into the nose for a bacterial infection. You can suspect it if mucus is released from the nasal passages for more than a week. In addition, if it has acquired a yellowish-green color, then this also indicates a bacterial infection. Before prescribing eye drops with an antiseptic effect into the nose, it is necessary to do a culture to test the sensitivity of bacteria to antibiotics.

Indications and contraindications

Levomycetin nasal drops are indicated for a combination of the following symptoms:

  • the presence of signs of intoxication, an increase in body temperature above 38 ° C;
  • nasal congestion;
  • thick yellowish-green mucus with an unpleasant odor;
  • headache;
  • pain in the paranasal sinuses.

The instructions for use do not say anything about contraindications when instilling the medicine into the nasal cavity, since this method of use is not provided. Therefore, information about this should be clarified by your doctor.

  • intolerance to the components of the drug;
  • pregnancy and lactation;
  • newborn;
  • blood pathologies (porphyria);
  • skin diseases;
  • insufficiency of liver and kidney function.

Instructions

Before instilling the drug, it is necessary to clear the nose of mucus. This can be done by rinsing the nasal cavity with saline or antiseptic using a syringe. Then the mucus is removed by sharp exhalation through the nose. Only after this can Levomycetin drops be used. It is recommended to instill Levomycetin into the nasal passages 2-4 times a day, 2 drops. The course of treatment is selected individually, but it should not last less than 5 days. It is more effective to use the drug using turundas or by spraying.

Efficiency

You need to understand that using Levomycetin drops in the nose may not have any effect. You should not rely only on the bacteriostatic activity of the drug. The medicine can only enhance the effect of other drugs or dry out the nasal mucosa.

Levomycetin drops introduced into the nasal cavity will affect only a small part of the mucous membrane. The unaffected mucous membrane will be contaminated with bacteria, which will continue to multiply.

Since the ocular microflora differs from that in the nasal cavity, eye drops may be useless when used intranasally.

If a clear secretion flows from the nose, then this is most likely a consequence of a viral infection or an allergic reaction. The use of Levomycetin in this case will aggravate the situation by drying out the mucous membrane.

  • the flow of yellowish-green mucus from the nose continues for more than a week;
  • the bacteria that caused the disease are sensitive to Levomycetin. This is established after performing a bacterial culture from the nasal cavity;
  • the product should not be used dropwise. It can be administered by turunda or by nebulization;
  • Levomycetin cannot be used as the main drug for the treatment of rhinitis. Together with it, antibiotics in tablets and rinsing of the nasal sinuses should be prescribed.

What is the danger

Since Levomycetin acts only on part of the mucous membrane, untreated areas with infectious agents remain in the nasal cavity. The remaining bacteria continue to multiply and develop resistance to the antibacterial agent used. When these bacteria are activated, there is a danger of infection of the nasopharynx and healthy sinuses. Further use of this antibiotic for the treatment of rhinitis in this case does not make sense.

Levomycetin nasal drops can be used if the causative agent of the disease is bacteria. But only a doctor can determine the indications for prescribing this remedy. Otherwise, not only will the disease not be cured, but the pathogens will also develop resistance to the antibiotic, which threatens the further spread of the disease and its chronic course. In addition, medicine does not always help cope with pathology. A positive result can only be achieved with the correct use of drops.

Author: Vladislava Spiridonova, specialist,

Source: http://moylor.ru/lekarstva/levomicetin-v-nos/

Whose pediatrician prescribed chloramphenicol drops for a simple runny nose?

After visiting the clinic, we went to get weighed and see a neurologist, and after a couple of days the snot started again.

There, in front of me, a sick mother with a sick child stood, what the hell brought her there on the day of a healthy child ((. She also spoke to someone on her cell phone and complained about how their whole family was very sick.

In short, the little one has snot again, the pediatrician prescribed 2 drops of chloramphenicol, in addition to vibrocil, nasal rinsing and suction with an aspirator, 3 times a day, and this is a broad-spectrum antibiotic. I’m sitting here and thinking, since when do we use antibiotics for a simple runny nose? Has anyone given it to children?

the first time I've heard

Damn, this is the second time they have prescribed it to us, but the first time we were cured by simply washing and sucking out the snot, I was afraid to drip it, and without chloramphenicol everything went away, and now they are discharging it again(

+1 and we have never been assigned

the doctor said eye drops chloramphenicol drop into the nose

Yes, this also confused me very much, the snot is white, there is no pace, and then there is an antibiotic. The instructions for vibrocil say that it is given to children up to one year old

I always just washed it and sucked it off, after 5-7 days it goes away on its own

We were treated like this for the first time last month, but the snot lasted for two weeks

oh, now I understand our mother - we didn’t get out of her illnesses, as she put it yesterday - my father and I worked only at the pharmacy (. But we were seriously and complexly ill, always with a high temperature, I really hope that we will succeed in this to avoid it, it’s better to make do with snot.

In general, good health to all children.

If there is no temperature, then walk more, you will recover faster)))) but about health, yes, it’s hard when children get sick ((

son will wake up and let's go outside, we have amazing weather today)

That’s right, air is very important for a child))) the more you walk, the child is healthier))) I walked with the girls for 2 hours at minus 30, so they are not sick at all)))

sun, air and water are our best friends

I’m somehow also afraid of the child

oh, thanks for the feedback!

And also, instead of vibrocil, try a child’s “for the nose”, a runny nose is very good and the snot goes away from it.

And also give some vitamins as a complex! I gave multitabs to baby, they almost didn’t get sick when they drank them (they are sweet drops.

And on the advice of a doctor, I also bought “Anaferon” for children, where you can take it from 1 month! it is for the prevention of influenza and cold viruses, and even when, God forbid, he gets sick, it also helps the immune system cope! (the doctor just said that now the epidemic is starting to be severe for influenza and colds, and the most severe peak will be in January, so it’s better now to strengthen the health of the little ones.)

don't get sick, get well soon.

thanks for the advice!

We were prescribed Albucid for our nose and also eye drops.

I haven't heard of this one, thanks!

I'll keep it on mind

Having read the comments above, I’d rather remain silent.

Olya, don’t worry, she’s kind of bad, she’s also called a doctor

yeah, I know about the physiological runny nose, but it was just an acute respiratory infection, the neck was slightly red, and we also always just washed it

I don't know (I don't know)

They are very good for helping with a runny nose. and about the antibiotic. But what about complex drops for the common cold, which contain dioxidine, which is also an antibiotic; moreover, it is prohibited for children under 18 years of age, and drops with its composition are prescribed to children from 1 month

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In what cases is the use of chloramphenicol in the form of nasal drops effective?

Levomycetin eye drops, which belong to the budget group of medical products, are a popular antibiotic used to stop the development of colonies of pathogens of infectious and inflammatory diseases.

According to the annotation, the drug should be used in the fight against ophthalmic diseases. A non-standard form of using the drug is the use of the medication Levomycetin for the common cold. How justified is such a decision by the attending physician, and whether it is worth listening to the recommendations of a specialist - more on this in the material below.

Points for and against

The choice of the antibiotic in question for the treatment of rhinitis is due to the wide spectrum of activity of Levomycetin. Many strains of bacteria are not resistant to the drug (including pathogens resistant to antimicrobial agents from the group of penicillins, sulfonamides, tetracyclines). But the presence in the instructions for use of a direct indication of the prohibition of the use of drops in the practice of otolaryngology leads the patient to think about the incompetence of the doctor who prescribed the medication intranasally.

Today, expert opinions are divided: a number of doctors, citing examples from many years of personal experience, continue to use Levomycetin in the treatment of the common cold, while others call for abandoning therapeutic regimens that are not based on many years of research.

Rationale for intranasal use of eye drops

The main condition for using the drug to suppress the symptoms of upper respiratory tract diseases is to identify the disease of bacterial etiology. The sensitivity of the flora to the components of the product is determined by carrying out a special diagnosis - bacterial culture.

The use of Levomycetin gives better results if:

  • the product is administered not by the drip method, but by using spray systems or turundas;
  • the antibiotic is used as part of complex therapy, in parallel with oral antimicrobial medications and nasal rinses.

Most often, the medical product in question becomes the drug of choice in pediatrics. The reason for this is a relatively small list of contraindications, as well as the ability of the drug to slightly dry out the mucous membranes and reduce the amount of muconasal secretion produced. Since a small child does not have the skill of blowing out accumulated snot, the use of Levomycetin becomes a good way to reduce the volume of secretions and alleviate the baby’s condition.

Additional arguments in favor of intranasal administration of drops include the slow development of resistance of pathogenic agents to the antibiotic and the possibility of repeated use of the latter (both for the treatment of children and in the treatment of adult patients).

Dangers of use

Among the arguments indicating the impossibility of using eye drops to treat rhinitis, experts note the following points:

  1. A number of pathogens (among them clostridia and Pseudomonas aeruginosa) are immune to the influence of Levomycetin.
  2. Active reproduction and growth of colonies of resistant microorganisms can lead to infection of the nasopharynx and paranasal sinuses, which were not previously affected by the disease.
  3. Intranasal use may aggravate the pattern of side effects identified with the classical use of the drug.
  4. Like any other antibiotic, Levomycetin drops can cause a secondary fungal infection and gastrointestinal disorders (nausea, vomiting, diarrhea).

In addition, the drug is prohibited from dripping into the nose of patients with individual intolerance to the main component of the medical product - the active substance Chloramphenicol. According to the annotation, Levomycetin is not used in patients with a history of acute renal, liver failure, or disturbances in the functioning of the hematopoietic system.

Briefly about the drug

Levomycetin eye drops (0.25%) is a clear, colorless liquid.

The components of the drug are the antimicrobial agent Chloramphenicol and excipients (water, boric acid).

  1. The antibacterial effect of a medical product is based on disruption of protein synthesis in pathogen cells.
  2. The drug is applied locally. Excretion is carried out by the kidneys.
  3. Pharmacy chains offer the medication in bottles with a rubber stopper and containers with droppers.

Instructions for use

When looking for an answer to the question of whether it is possible to use the antibiotic in question to treat a runny nose in young children and adult patients, you should listen only to the opinion of the attending physician.

Method of drug selection

If a child is admitted to a medical facility with classic signs of bacterial rhinitis - a temperature above 38ºC, symptoms of intoxication, headache and discomfort in the paranasal sinuses, complaints of copious discharge of yellow-green nasal mucus - then additional tests will be prescribed to confirm the initial diagnosis.

Only after receiving positive test results and re-evaluating the baby’s condition will the doctor prescribe Levomycetin for nasal instillation.

Dosing, methods of use

Correct use of the drug for the common cold in the treatment of children (adults) involves preliminary cleansing of the paranasal sinuses. Accumulated mucus is removed by injecting a small amount of antiseptic solution into the cavity with a medical syringe. The secretion is removed with a sharp exhalation.

Nasal irrigation in infants requires the mandatory use of moisturizers (for example, Aqualor). Copious discharge is sucked out with an aspirator, minor discharge is removed with a cotton tourniquet.

Further actions are carried out in the following order:

  1. Before instilling the drug into the nose, the child must be laid on a horizontal surface.
  2. The baby's head should be turned towards the nostril that is planned to be irrigated.
  3. Levomycetin drops are introduced into the nasal openings with a sterile pipette.
  4. After the manipulations, the cavity is carefully fixed by pressing the wing of the nose to the surface of its septum.
  5. After a short period of time, the position of the child’s head should be changed, and the procedure should be carried out on the other side.

The amount of the drug used varies depending on the age of the small patient. Children over two years of age are usually prescribed no more than 2 drops every 8 hours; for teenagers over 12 - up to 4, three times a day. The indicated dose is administered into each nostril.

The duration of treatment is at least 7 days. In difficult cases, the course may be extended to 2 weeks.

According to available observations, the use of Levomycetin for the common cold allows you to quickly relieve the symptoms of the disease. Noticeable improvements occur within 48 hours: the temperature drops to normal levels, the amount of muconasal secretion decreases. After a few more days, the discharge completely disappears, breathing and smell are restored.

The drug is not used in the treatment of newborns.

To summarize the above, it should be noted: there is no need to worry about prescribing eye drops to treat a runny nose. When prescribing a medication, the doctor first of all pays attention to the patient’s condition, takes into account test results and the presence of allergic reactions to drugs. It is prohibited to use Levomycetin to relieve symptoms of rhinitis without a doctor’s prescription - it is impossible to correctly assess the listed factors without special education.

Are Albucid and Levomycetin the same drug? . When is it better to use Albucid and when is it Levomycetin?

Levomycetin (or chloramphenicol) is an antibacterial agent that is widely used systemically or topically to treat infectious diseases.

Levomycetin acts on staphylococci, streptococci, Neisseria, Shigella, Klebsiella, Haemophilus influenzae, and Salmonella.

Pharmacological features of chloramphenicol. Levomycetin has a bacteriostatic effect.

Contents1 Pharmacological features of chloramphenicol3 Contraindications to the use of chloramphenicolLevomycetin is an antibacterial agent from the amphenicol group.

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Are Albucid and Levomycetin the same drug? . When is it better to use Albucid and when is it Levomycetin?

Levomycetin (or chloramphenicol) is an antibacterial agent that is widely used systemically or topically to treat infectious diseases.

Source: http://med-antibiotiki.ru/lechenie/v-kakix-sluchayax-effektivno-primenenie-levomicetina-v-vide-kapel-v-nos/

LEVOMYCETIN IN A CHILD'S NOSE

1. Rinse and thoroughly clear your nose of mucus or crusts. For this purpose, use salt solutions (aquamaris, aqualor, etc.), drip. wait 5-6 minutes. while you do some gymnastics or play with your baby.

then clean with cotton swabs (not swabs) moistened with solution. screw in 1.5-2 cm.

Next.2. drops are instilled according to the Nazivin type, good Vibrocil drops, 1 drop in each nostril (they are used 2-3 times a day). If the baby is good, his milk. but not all doctors agree with me on this issue. I tested it on my baby - it helps us.

then.3. if the snot is green, Protargol 2%, if it is light, Albucid (eye drops).

plus don’t forget about treating the underlying disease. A runny nose is a symptom of many diseases.

project manager Children's Doctor

Children's Doctor website.

The doctor was there, the throat was no longer red, the doctor didn’t know why the fever and cough were there - she said she wouldn’t come again, she thought the child was apparently healthy, but I didn’t know what to do.

Source: http://www.consmed.ru/pediator/view/399027/

Is it possible to put eye drops into the nose if you have a runny nose?

If you have a runny nose, you should not put eye drops into your nose. In particular, you cannot drip Levomycetin into your nose. This is dangerous and ineffective.

Eye drops with antibiotics when instilled into the nose are dangerous, with antiseptics they are practically useless, antiallergic ones can well be replaced with special nasal analogues.

In most cases, eye drops are prescribed for purulent bacterial rhinitis in the hope that the antiseptics and antibiotics they contain will help get rid of the infection. This calculation is incorrect: it is almost impossible to drop drops into the nose in such quantities that they completely treat the mucous membrane and destroy all microbes. At the same time, precisely with such “half-hearted” treatment, there is an extremely high risk of the bacteria themselves developing resistance to the antibiotic contained in the drops and transforming the disease into a form that is much more severe and difficult to treat.

However, many doctors prescribe eye drops for a runny nose. Although this is not the norm, and such recommendations cannot be found in medical instructions, this practice is very common. Doctors often prescribe drops such as Albucid and Okomistin for runny noses in children, and what’s most interesting is that treatment with them sometimes gives results!

Infections in the eyes can sometimes be caused by the same bacteria found in the nose. Accordingly, eye drops for a runny nose can help.

In fact, there is nothing surprising about this: for certain types of runny nose, eye drops really help. However, such cases do not occur often, and only a doctor can often diagnose the indications for using eye drops in the nose. It is important for you and me to make sure that if a doctor has prescribed nasal drips of medicine, but on the bottle itself it is written that it is an ophthalmic drug, this is not a mistake. Let's make sure...

Why do eye drops help a runny nose?

Let’s clarify right away: not all eye drops and not for every runny nose will be effective.

Eye drops with antibiotics or antiseptics are usually used for instillation into the nose. This is done due to the fact that there are very few similar drops with antibiotics for the nose, and those that are commercially available work poorly. The reason for this situation is that antibiotics cannot be dripped into the nose - this is a violation of the rules for using antibiotics and a serious health risk. It is clear that manufacturers do not want to produce products with antibiotics for the nose - such drugs will not be able to go on sale. And those that somehow leak through, such as Isofra or Bioparox, turn out to be ineffective.

Some parents and doctors, trying to reinvent the wheel, in violation of medical rules, decide to poison the bacteria in the nose with antibiotics. There are no special drops on sale, and therefore you have to use those that are produced for the treatment of eye diseases.

The result of using these remedies for a runny nose will be observed only under a combination of two circumstances:

  1. A runny nose is caused or complicated by a bacterial infection;
  2. The drops contain an antiseptic.

Escherichia coli bacteria, colored according to strain

Sometimes eye drops of a different type are used to treat a runny nose, for example, antiallergic Cromoglin. But this is done only out of ignorance, since similar nasal sprays are quite available.

Question: Why do some doctors prescribe nasal eye drops rather than special antibiotic nasal sprays?

Answer: Because there are very few antibiotic-based nasal products, and bacteria have already developed resistance to many of them. The range of eye drops is much wider, and after taking tests, knowing the sensitivity of bacteria to certain agents, the doctor can select a product that, purely theoretically, can fight this infection. However, in practice, even in these cases, the antibiotic turns out to be ineffective.

Especially often, eye drops are prescribed for runny noses in young children. The reason here is that they have few contraindications and slightly dry out the mucous membrane, inhibiting the endless flow of liquid snot. Since children under one and a half to two years old do not know how to blow their nose on their own, such a large amount of snot with bacteria can get into various sinuses and cause complications of a simple runny nose - sinusitis, sinusitis. When the mucous membrane is dried with drops, the risk of such a complication is reduced.

“I heard that Okomistin is used for runny noses in children, but I started taking it myself only after ENT advised me. Well what can I say? It works every other time, just as the doctor said: if Okomistin is effective against bacteria this time, then the runny nose goes away quickly. Another time, other bacteria appear, and if Okomistin is ineffective against them, then it will be of no use. Here, before the appointment, children definitely need to be taken to a doctor and shown. And a good ENT specialist will choose a remedy.”

How effective are eye drops for a runny nose?

You should not place too high expectations on eye drops: they will not be able to immediately stop a runny nose and alleviate the condition. All they will do is enhance the effect of other remedies or help the body itself in the fight against infection. But usually there is no special meaning in taking them:

  1. A bacterial runny nose usually occurs as a consequence of a viral infection and goes away on its own in 2-3 days. At this stage, there is no point in putting anything into your nose—the body can handle everything on its own. It is worth starting to treat it if it drags on for more than a week.
  2. The drops treat individual areas of the mucosa, often not the most contaminated ones, and the bulk of the bacteria remains untouched.
  3. Modern medical science convincingly shows that the local use of antibacterial agents does not fight bacterial infections.

Moreover, antiseptics in eye drops are often ineffective against bacterial infections in the nose. Still, the microflora of the nasal passages and the microflora in the eye fluid are seriously different, intersecting only in some types or strains of bacteria. And in a specific individual case, a runny nose can be caused by bacteria that are resistant to a certain set of drugs, both nasal and ophthalmic.

Prescribing eye drops into your child's or yourself's nose on your own is often pointless or even harmful. This should be done by a doctor. Moreover, the doctor does not do this “out of the blue” after a visual examination, but only under certain conditions.

Before prescribing treatment, the doctor must see a complete picture of the condition of the nasal mucosa

Bacterial runny nose is much less common than viral runny nose. And there are very few cases when it is definitely necessary to use eye drops against it.

When and how are eye drops prescribed for a runny nose?

The first sign that shows that perhaps eye drops for a runny nose will be useful is the appearance of pus in the snot and the snot itself acquiring a rich yellow or green color. These are signs of the presence of bacteria and their metabolic products in the mucus. In other words, green snot means there will be something to deal with with eye drops.

If the snot is clear and clear, there is no point in putting eye drops into your nose. This type of mucus means that there is either a viral infection or an allergic runny nose. Antibiotics do not work against viruses, nor do they work against allergic rhinitis, and drying out the mucous membrane itself from eye drops will only aggravate the severity of allergic rhinitis.

A simple clear runny nose in a child means a viral or allergic, but not a bacterial, runny nose.

But then green snot appeared. First of all, it is necessary to ensure that in the room where the patient lives, the temperature is constantly maintained within a degree and the humidity is 65-75%. Then you need to make sure that the patient’s mucous membrane is constantly moistened, or moisturize it with saline solution. And only if, under such conditions, the green snot does not go away within 6-7 days, you can think about drops.

Which drops to choose?

The main rule: you can only use drops containing an antiseptic (Okomistin, for example).

The use of drops with systemic antibiotics for instillation into the nose is prohibited: this can lead to the development of bacteria resistance to the antibiotic itself, the appearance of superinfection, allergization of the body and the inability to cure the disease in the future.

And then everything is simple:

  1. The patient comes to the clinic;
  2. He takes a bacterial culture from his nose - a small amount of mucus is removed from his nose with a clean cotton swab;

Taking a sample of mucus from a child's nose

Sometimes, for children with a runny nose and cough, inhalations are prescribed. Without a cough, these procedures are practically useless.

But violating this order is unacceptable: if the doctor does not know which microorganisms cause the infection and which antibiotics a specific population of bacteria is sensitive to, prescribing eye drops to a patient is like poking a finger in the sky. I'll guess - I won't guess. Only in some cases can a very experienced doctor assume with high probability that a powerful and fairly universal antibiotic will help in this case. But you shouldn’t rely on such a possibility.

When is it better not to put eye drops into your nose?

We draw conclusions - eye drops should not be used for a runny nose:

  1. In the absence of green purulent snot, and therefore bacteria, which the drops must fight;
  2. If the doctor prescribes them for everyone and for any runny nose;
  3. In the absence of bacterial culture;
  4. When procedures were not carried out to normalize the microclimate in the room and the patient’s nose was not moistened;
  5. When the drops contain a systemic antibiotic, antibiotics approved in ophthalmology are prohibited to combat the runny nose.

Treatment of a runny nose without drops, although somewhat more complicated, is much safer

And in general, remember: with the general normal condition of the body, even after suffering from an acute respiratory viral infection, a bacterial runny nose usually lasts no more than 3-4 days. Using even the most effective drops means a day or two less. Everyone decides for themselves whether the hassle with eye drops is worth it.

Typically, eye drops into the nose are contraindicated for pregnant women, nursing mothers and infants. This rule applies solely due to the lack of information about the effect of individual antibiotics on the fetus and the body of the newborn child. Therefore, the doctor can make exceptions and advise the use of these remedies. Any drops are definitely contraindicated if the patient is known to be sensitive to them.

And most importantly: under no circumstances should you put antibiotic drops into your nose. This can lead to very serious and dangerous consequences. Significantly more severe and dangerous than the runny nose itself.

And now a little more about each drop.

Levomycetin

If the drug is available in tablet form, it means that the antibiotic in its composition has a systemic effect and should not be dripped into the nose

Levomycetin drops into the nose for a runny nose are strictly prohibited. Its active ingredient is the antibiotic Chloramphenicol, and the product can only be used internally only in the form of tablets or injections. When you have a runny nose, putting it in your nose is fraught with the development of resistance in bacteria and the transition of bacterial rhinitis to a chronic form with complications in the form of sinusitis, otitis, meningitis and other diseases.

The only option for using Levomycetin for a runny nose is taking tablets.

If a doctor prescribes you or your child Levomycetin drops for a runny nose to be instilled into the nose, immediately change the doctor!

Likewise, you should not put Floxal or Tobrex into your child’s nose.

Albucid

Albucid is an antibacterial drug effective against various cocci, including pneumococcus, a common causative agent of bacterial rhinitis. Not an antibiotic. It is not as effective against bacteria in the nose as against microorganisms in the eye ducts.

Albucid is used for a runny nose, 1 drop in each nostril 2-3 times a day.

Okomistin and Oftamirin

These are two types of eye drops, the active ingredient in which is miramistin, a known antiseptic, but not an antibiotic. This substance is widely known for being effective against a very large number of different bacteria, fungi and viruses, including their associations and strains that are resistant to other antibiotics.

For use in otorhinolaryngology, special Miramistin nasal drops are used, and Okomistin and Oftamirin are prescribed for instillation into the nose only if it is impossible to buy Miramistin itself. Drops are used in the same way as Albucid.

“We have such a doctor at the clinic that she almost indiscriminately prescribes Okomistin for runny noses to all children. I was still surprised when she prescribed it to our Katya. I ask: isn’t it easier to put Miramistin itself in your nose? She looked at me as if I were a traitor to the motherland, and didn’t even say anything. Other mothers say that she prescribed the same thing to them. And it helps some!”

Two more types of antibiotic-based eye drops - Garazon and Sofradex - in some cases, the doctor may also prescribe for the treatment of a runny nose. This is dangerous and, as practice shows, extremely ineffective.

And let us remind you once again: you cannot prescribe eye drops into your nose. In most cases, this approach will not produce results, and the number of risks associated with it significantly exceeds the dangers of the runny nose itself. Be sure to consult your doctor before starting to use the drops!

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Video: Pediatrician talks about the dangers of putting antibiotics in the nose

You should not drip Albucid into the nose if your baby has a runny nose. Albucid is an antibacterial drug, sodium sulfacyl solution for local approx.

Levomycetin should not be dripped into the nose for a runny nose. Instilling Levomycetin into the nose is a violation of the principles of using systemic antibiotics. Use.

For a purulent runny nose, you need to instill in the nose products aimed primarily at destroying bacterial microflora. Essentially, pus is and.

Hello. A child of 2.8 has a runny nose for the 4th month, the ENT doctor prescribed Tobradex drops, how safe and effective is it?

In my practice, there have been no cases where instillation of Tobradex or other antibiotics into the nose was effective in treating a persistent runny nose. Nowhere in the literature or in the practice of other doctors have I come across a situation where they would cure chronic runny noses by dripping antibiotics into a child’s nose. This is definitely not safe, since it can lead to the development of resistance in pathogenic microflora, after which the child will have to be treated with antibiotics that not everyone has enough money for, and other diseases of the respiratory tract can be more dangerous. From the standpoint of civilized medicine, instilling Tobradex into the nose is dangerous and ineffective.

Hello! A 4.5 year old child has liquid green snot, i.e. does not stagnate, blows his nose and continues to breathe, does not snore, coughs, has no fever, but this situation has already lasted longer than 3 months and is repeated every year in the off-season. Treatment was with rhinofloimucil, sialor, sinupret. Does not help. Periodically it goes away for 3 days at all. I do not know what to do. I tried to instill levomethicin once, and the next day it became less, but knowing the side effects, I did not dare to use it further. Lor says that this is how the body fights microbes in the off-season.

Perhaps the ENT is right. In some seasons, children can actually snot for a long time and often. More often this occurs after acute respiratory viral infection, but it can also be an independent syndrome. My attitude to such symptoms is this: if the child feels normal, nothing hurts, there are no signs of pathology, it is not rational to use medications. You can and should rinse your nose, you need to harden the child and take him out into the fresh air as often as possible. But you definitely don’t need to put antibiotics in your nose (especially since even with an obvious infection this is useless and dangerous). If the child’s body works normally, if the child feels normal, then snot and similar manifestations are consequences of the child’s NORMAL state. If you suppress them, you can do harm - his body does what it needs to do. It is even more dangerous to drip antibiotics into the nose. If the ENT specialist does not see a serious pathology, there is a high probability that it really does not exist and treatment is not necessary in your case. Trust your doctor or find one you trust. He must decide whether to treat the child or not.

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The use of chloramphenicol nasal drops

But often a runny nose in children does not go away for a long time due to the addition of bacterial microflora. Nasal discharge becomes purulent in nature, and symptoms of intoxication persist for a long time (fever, lethargy, refusal to eat). In such situations, the immune system needs to be helped with topical antibiotics.

The need to use drops with chloramphenicol in children

Many pediatricians and ENT doctors prescribe Levomycetin eye drops into the nose for children. This is justified only when there is a clinical picture of a runny nose of bacterial origin and there is a threat of complications.

The duration of rhinitis for more than 7 days, the presence of copious snot of a mucopurulent or purulent nature, subfebrile (up to 38 degrees) or febrile (above 38 degrees) body temperature, the appearance of pain in the paranasal sinuses - all these are indications for the prescription of nasal drops that have antibacterial orientation.

Of these, Levomycetin most often becomes the drug of choice. This is due to the fact that it is a broad-spectrum antibiotic. The positive effect of its use in bacterial infections is associated with the bactericidal properties of the drug, that is, the ability to destroy the membranes of cells of foreign microflora, disrupt their vital functions and lead to death.

Levomycetin drops are highly effective for runny nose caused by gram-negative and gram-positive pathogens, as well as strains resistant to sulfonamides and penicillins. Research has revealed that the bacterial flora very slowly develops resistance (resistance) to chloramphenicol. Therefore, it can be used repeatedly in children and adults when the necessary indications arise.

According to the instructions for use, Levomycetin eye drops, when used topically, are partially absorbed by the mucous membrane and enter the bloodstream through capillaries. But due to the very low concentration, the drug does not have a significant systemic effect. It is quickly metabolized and excreted from the body in urine and bile.

When prescribing chloramphenicol drops into the nose in children, the condition significantly improves on days 2-3. Body temperature decreases, appetite appears, the child becomes more active and lively. Purulent nasal discharge becomes less abundant and gradually stops altogether. Breathing through the nose and sense of smell are completely restored.

Antibacterial nasal drops are prescribed to children only in extreme cases, when there are undeniable indications. Only a doctor can correctly determine them based on the patient’s complaints, the nature of the course of the disease and its clinical picture, and also regularly monitor the results of the intake. If chloramphenicol drops are ineffective or if side effects occur, the drug should be discontinued.

Composition and release form of Levomycetin

According to the instructions for use, Levomycetin eye drops are available in the form of a 25% solution. The active ingredient, chloramphenicol or chloramphenicol, makes up 1/4 of the mass. The remaining 75% is boric acid and distilled water. Bottles of solution of 5 ml and 10 ml with and without a dispenser are available for sale.

The product is produced not only in the form of eye drops. It is widely used for oral use (tablets, capsules), for external use as liniment (ointment). It is highly effective in the treatment of inflammatory processes in all organs caused by bacterial microflora, except tuberculosis and Pseudomonas aeruginosa, fungi, protozoa, and staphylococci.

How to use Levomycetin drops

To properly use nasal drops for a bacterial runny nose, you must first clear your nasal passages. This can be done by gently blowing your nose or rinsing with saline solutions. For small children, the nose is cleaned using aspirators or cotton swabs.

You can use a bottle with a dispenser, or you can remove the cap and dose the medicine using a pipette. Children from 2 years of age are prescribed 1-2 drops in the nose 3 times a day, the course of treatment is determined by the doctor. It usually lasts from 7 to 10 days, as with other antibiotics. In adults and children over 12 years of age, Levomycetin is used 3-4 drops 3 times a day.

Contraindications and side effects

According to the instructions for use, Levomycetin is not used in patients who are intolerant to the components of the drug. In addition, due to the entry of a small amount of the drug into the blood through the mucous membranes, it is not recommended to use it in case of liver and kidney failure and in cases of hematopoiesis (blood formation) disorders.

Levomycetin drops are prescribed very carefully during pregnancy and nursing mothers, newborn babies and children under 2 years of age. The presence of skin pathology (psoriasis, eczema) is a strict contraindication.

Very rarely, some patients may experience burning or itching when using chloramphenicol drops in the nose. With unreasonably long-term use of the drug (more than 2-3 weeks), hematopoietic disorders have been reported (suppression of the formation of red blood cells, leukocytes, platelets). This can cause anemia, decreased immunity and the addition of a fungal infection.

Nasal drops with Levomycetin for rhinitis are a very effective remedy. But you cannot prescribe them to your child yourself. Medical consultation and monitoring are required.

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Treatment of a runny nose with Levomycetin drops

Little children who start attending kindergarten always get very sick at first. This occurs due to weak immunity, which is simply not able to cope with a large influx of viruses and bacteria. There is nothing wrong with childhood respiratory diseases if they are treated promptly and proceed without complications. Due to this, antibodies are produced in the body, and it becomes more resistant to various pathogens. Very often, children develop a runny nose, which indicates a bacterial infection. To quickly get rid of it, you can instill Levomycetin drops into your nose.

General description of the drug

Levomycetin eye drops are an antimicrobial drug that is prescribed for various eye diseases of a bacterial nature. The active substance is Chloramphenicol. In addition, the composition contains boric acid and purified water. The peculiarity of this drug is that it has a wide spectrum of action, and resistance to it is developed only in exceptional cases.

Most often, the drug is prescribed for conjunctivitis and barley. This medicine can be used even in young children with dacryocystitis, which is often accompanied by conjunctivitis. In this case, ophthalmologists recommend dripping into the baby’s eyes and at the same time massaging the lacrimal gland.

Despite the fact that the instructions clearly state that this is an eye drug, some doctors prescribe Levomycetin for a runny nose. This drug is considered a local antibiotic, so it can really be used for a bacterial runny nose.

You can talk about a bacterial rhinitis based on specific symptoms. These include high fever, lethargy, purulent nasal discharge and poor appetite.

When can a runny nose be treated with Levomycetin?

Sometimes doctors prescribe Levomycetin into the child’s nose. This is only necessary if the rhinitis is bacterial in nature or there is a high risk of complications of the disease. The main indications for the use of Levomycytin nasal drops are:

  • Long-lasting runny nose, with the release of purulent masses.
  • Heat.
  • Pain in the nasal area.
  • General disturbance of health.

In this case, the doctor may resort to nasal drops called Levomycetin. Experts resort to such off-label use of the drug, since Levomycetin is a good broad-spectrum antibiotic that can destroy the cell membrane of pathogenic bacteria, which leads to disruption of their vital functions and further death.

Drops can be used for a runny nose caused by gram-positive and gram-negative bacteria, as well as microorganisms that are resistant to antibacterial drugs of the penicillin and sulfonamide groups. Studies have been conducted that have shown that microbes rarely develop resistance to such a drug, so it can be used often if indicated.

Levomycetin eye drops can be used to treat a runny nose only in exceptional cases when there are truly indications for this.

Mechanism of action

According to the instructions for use, the drug Levomycetin is absorbed in limited quantities by the mucous membrane and penetrates the bloodstream. The concentration of the drug in the blood is very low, so it does not have a significant effect on the body. This drug is processed fairly quickly and then eliminated from the body by the kidneys and intestines.

When such drops are prescribed for the treatment of bacterial rhinitis in children, the condition of patients improves very quickly. Already on the second day, the temperature normalizes, the appetite improves, the baby becomes active and cheerful. The discharge of pus from the nose is greatly reduced or disappears altogether. Thanks to this treatment, nasal breathing and sense of smell are completely restored.

Antibacterial nasal drops for children can only be prescribed by a practicing doctor. Before prescribing such a drug, a nasal swab may be prescribed to determine the type of pathogen. The doctor must constantly monitor the treatment process; for this, the child needs to be seen by a specialist a couple of times a week.

If Levomycetin drops do not give an effect, then they are canceled. You should not continue treatment with this drug if any side effects occur.

How to drip your nose

Before instilling any drops into your nose, you need to thoroughly clean it of mucus and crusts. To do this, you can ask the child to blow his nose or rinse the nasal passages with a weak saline solution. For very tiny children, the nose is cleaned using a special aspirator and cotton wool pads soaked in Vaseline oil.

Levomycetin is dripped into the nose of children from a bottle with a dispenser or using a regular pipette. Dosage depends on age:

  • Children from two years of age are prescribed 1-2 drops of the drug, 3 times a day.
  • Children from 7 years of age are prescribed 2 drops of the drug 3 times a day.
  • Adolescents from 12 years of age and adults need to drip 3 drops, up to 4 times a day.

It is necessary to drip the nose with the patient lying down. The head should be slightly tilted back. After instillation, it is recommended to lie down for another 5-10 minutes.

Do not exceed the dosage of the drug, as you may get poisoned.

Contraindications

Before using Levomycetin drops, you must carefully read the instructions, since there are a number of contraindications for this drug. Levomycetin should not be used to treat a runny nose in the following cases:

  • In case of individual intolerance to individual components contained in the composition.
  • For severe diseases of the liver and kidneys, which are accompanied by failure of these organs.
  • For diseases that are accompanied by hematopoietic disorders.
  • For skin pathologies such as psoriasis and eczema.

Levomycetin is prescribed with great caution to pregnant and nursing mothers, as well as to children under 2 years of age.

In special cases, when the drug is instilled into the nose, a strong burning sensation is observed. With prolonged use of the drug, more than two weeks, hematopoietic function may be impaired. This can lead to anemia, severely weakened immunity and fungal infections.

Levomycetin drops are an excellent remedy for rhinitis, which is caused by pathogenic bacteria. But you can start using this drug only if you know for sure that the disease was caused by bacteria. During treatment, you must strictly follow all the doctor’s recommendations and periodically see a specialist. If side effects occur, treatment is stopped immediately.

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