How often can Nasonex be used for children?

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Is it worth using Nasonex for enlarged adenoids?

Adenoids (as well as adenoid growths or adenoid vegetations) are called enlargements of the tonsil located in the nasopharynx.

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This pathology is often diagnosed in children 3-7 years old and is caused by an increase in the amount of lymphoid tissue. With such an increase, breathing through the nose becomes difficult, hearing may decrease, the child snores or sniffles through his nose at night, and often suffers from viral infections. One of the solutions is to remove the tonsil, but often parents want to avoid surgery and turn to ENT doctors for conservative therapy.

In the drug treatment of adenoids, various local remedies are used, among which is Nasonex. This hormonal medicine has proven itself in the treatment of runny noses and sinusitis of various natures (especially allergic). But is it worth using it in children with adenoids and how to instill this medication correctly?

Release form and composition

The medicine is released in the form of a white suspension placed in small plastic bottles that have a protective cap and a dispensing spray device. The drug does not have such forms as tablets, dragees, drops, syrup, capsules or injections.

The active compound in Nasonex is called mometasone furoate and is contained in an amount of 50 mcg in each spray dose. Inside one bottle there can be 60 doses of this substance (then the weight of the bottle with the medicine is 10 g) or 120 doses (such a bottle weighs 18 g), and one box can contain from 1 to 3 bottles. Additionally, the medication contains substances due to which the drug does not deteriorate and remains liquid. These are glycerol, polysorbate 80, benzalkonium chloride, dispersed cellulose and other compounds.

How does it work?

Since mometasone is a glucocorticoid hormone, this provides Nasonex with anti-inflammatory and antiallergic properties. If you use the spray in the dosage indicated in the annotation, the product acts only locally and is absorbed in an amount of less than 1%. Once on the mucous membrane, mometasone prevents the release of inflammatory mediators and affects the metabolic transformations of arachidonic acid, which leads to a decrease in inflammatory activity. In addition, this hormone prevents neutrophils from accumulating, which eliminates exudation and infiltration of the inflamed area.

The composition of the drug includes glycerol, so the mucous membrane does not dry out during treatment. On the contrary, injections help moisturize the nasal cavity, which has a positive effect on the epithelium and its regeneration.

When is it used?

In pediatric practice, Nasonex is most often prescribed for allergic rhinitis, which can be both seasonal (occurs during the flowering period of plants) and year-round. For adolescents, the drug is also prescribed for sinusitis and rhinosinusitis. For such pathologies, the spray is used together with other medications, for example, antibiotics. In addition, in adolescence, the drug can be used prophylactically, and for adults, Nasonex is recommended for nasal polyposis.

Is it prescribed for adenoids?

Although the list of indications indicated in the annotation for the spray does not include adenoid growths or adenoiditis, however, Nasonex and other local hormonal medications are quite often prescribed for such pathologies for children over two years of age. At the same time, it is impossible to use the medicine in a child without a preliminary examination by an ENT doctor.

You can suspect adenoids in a baby based on the following symptoms:

  • The baby has difficulty breathing through his nose during the day, and during sleep his mouth is often open.
  • The baby's nose is systematically blocked and mucus is secreted.
  • The child's sleep is disturbed, it is superficial and with frequent awakenings.
  • The timbre of the baby's voice changed and a nasal sound appeared.
  • The child has enlarged lymph nodes and complains of weakness.
  • A young patient often has a dry cough or a slightly elevated temperature.

If the baby has at least several of the indicated manifestations of adenoids, a consultation with an ENT specialist is recommended, who will determine whether the little patient needs Nasonex.

Contraindications

The spray should not be used in children under 2 years of age, and for sinusitis, the product is not prescribed until the age of 12.

In addition, Nasonex is contraindicated:

  • If you are intolerant to any component of the suspension.
  • If you have recently suffered trauma or surgery in the nasopharynx, since the effect of mometasone will interfere with normal healing.

If the patient has tuberculosis or another active infectious process (both viral, fungal or bacterial), the use of Nasonex requires medical supervision.

Can it harm the child?

Due to low absorption and only local action, Nasonex does not impair the functioning of the adrenal glands, does not provoke growth retardation, fungal infection and other systemic side effects of glucocorticoids. Theoretically, such problems are possible with very long-term treatment, but studies have not identified them.

Occasionally during therapy, the child may experience sneezing, headache, or nosebleeds. In addition, the medication can provoke allergies and irritation of the mucous membrane, but such a reaction occurs in isolated cases.

When the dose is exceeded once, no negative effects are usually noted, since mometasone has a fairly low bioavailability. Only long-term use in very high dosages can adversely affect the patient’s health.

Instructions for use

Before using the spray, press the spray nozzle several times until it sprays. The same is done after a long break in using the product (2 weeks or more). In addition, before inhalation, the bottle with the suspension should be shaken, and if the duration of treatment is long, it is important to periodically rinse the nozzle and cap with warm water.

To spray Nasonex into the nasal passages, the little patient's head should be tilted slightly to the side. The medicine is first injected into one nostril and then injected into the other nasal passage in the following dosage:

  • At the age of 2-11 years – 1 injection (50 mcg each). According to the scheme, the medicine is used once a day, that is, the daily dosage is 100 mcg.
  • At the age of 12 years and older - 2 injections at once (100 mcg each). The product is also often prescribed once a day, then the daily dose will be 200 mcg, but sometimes the spray can be prescribed twice at a daily dose of 400 mcg. In addition, if there is no effect, the doctor can further increase the dosage to 200 mcg per dose (4 inhalations), which corresponds to a daily dose of kg. As soon as the specialist notices a sufficient therapeutic effect, the dosage is reduced.

Features of purchase and storage

To buy Nasonex at a pharmacy, you first need to get a prescription from a pediatrician, ENT specialist or other doctor. On average, for a bottle containing 60 doses you need to pay 450 rubles, and the price of a bottle with 18 g of the drug is rubles.

It is recommended to store the spray at home at temperatures below +25 degrees, but the medicine should not be frozen. To store the bottle, it is advisable to find a place where the drug will be inaccessible to children. The shelf life of the suspension is 2 years. If the date indicated on the box has expired, the medication must be thrown away.

Reviews from doctors

Experts speak differently about the treatment of adenoids in children with Nasonex. If the effectiveness of the medicine against allergic rhinitis and sinusitis is recognized by all doctors, then there is debate about the advisability of treating adenoids with a spray. Some doctors note that the use of the medicine had a positive effect on the clinical picture. In their patients, they noted improved nasal breathing, less frequent acute respiratory infections, a decrease in mucus secretion and the disappearance of snoring.

However, other doctors are confident that Nasonex is ineffective for adenoids and can only help eliminate adenoiditis, if such patients have it. Among the number of specialists who doubt the need for the spray is the popular pediatrician Komarovsky. In his opinion, in the treatment of adenoids it is worth either using a wait-and-see approach or performing surgery when the degree of enlargement of the tonsil is already significant and this interferes with the child.

The famous children's doctor E.O. will tell you in what cases it is worth removing adenoids. Komarovsky.

There are many ENT doctors who prescribe Nasonex, but do not claim that it is a panacea for adenoids. They emphasize that the use of Nasonex and its analogues is unable to help children who already require adenotomy (with an increase of more than 2 degrees). However, such specialists often prescribe a spray when diagnosing adenoids, and after several months of treatment they evaluate the result. If any significant effect is not achieved, the child is referred for surgery.

Reviews from parents

In many young patients, according to their mothers, after Nasonex injections, the runny nose went away, breathing through the nose became easier, snoring at night disappeared, and acute respiratory infections occurred less frequently. Tolerability of the drug is considered good by most parents, and side effects occur in very rare cases.

Among the disadvantages, the most often noted is the high cost of the spray, but they are not in a hurry to buy other hormonal products cheaper, because Nasonex is not only better than its analogs, but also more studied. However, there are also negative reviews in which mothers complain about the lack of effect for adenoids. They say that even after a long course of treatment, the tonsil remained enlarged and they had to undergo surgery.

Analogs

Nasonex can be replaced by other mometasone preparations (Desrinit, Nosephrine) or other local hormonal medications (Avamys, Flixonase, Nasobek, Nazarel). They have an anti-inflammatory effect and very effectively treat allergic adenoiditis. In addition, children with enlarged adenoids are often prescribed Euphorbium compositum, Thuja oil, Lymphomyosot, IRS19, Job baby and other remedies. Most of them relate to homeopathy, so the opinion of doctors regarding their use differs (some recommend such remedies, while others call them ineffective).

In any case, treatment should be selected together with a specialist, and if medications, breathing exercises, herbal teas, nasal rinses and other measures do not help, it is necessary to discuss the issue of surgery, since in case of significant growths, adenotomy is considered by ENT doctors to be the most effective help.

For more information about adenoids, see the next episode of Dr. E.O. Komarovsky.

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Nasonex for the effective treatment of runny nose in children

If a child often suffers from a runny nose, infectious diseases of the respiratory tract and adenoids, the doctor may recommend a remedy such as Nasonex ®. It belongs to local glucocorticosteroid hormonal medications and has anti-inflammatory and antihistamine effects. Treatment with the original Belgian drug will help avoid surgical intervention and prevent serious complications: oxygen deprivation, shortness of breath, otitis media and night snoring.

The principle of action of the drug

Nasonex is prescribed to children for rhinitis of various natures, chronic inflammation of the nasal cavity, sinusitis, sinusitis and adenoiditis. Like any hormonal drug, it must be used extremely carefully, only as prescribed by a doctor. The common cold is not an indication for the use of this medication.

The active substance of the pharmaceutical drug is an artificial corticosteroid - mometasone furoate. It is a substitute for human adrenal hormone.

It also contains an antiseptic - benzalkonium chloride, and a decongestant - glycerol. The triple effect gives a pronounced therapeutic result: blood supply is normalized, swelling disappears, and mucus formation is reduced. The antihistamine effect lasts a day after taking a dose of Nasonex.

Release form: spray for injection into the nose. A single press on the plastic bottle dispenser releases 50 mcg of the active ingredient. Vials are usually designed for 60 or 120 doses. It is incorrect to call the product the term “drops”, because simple instillation without spraying is prohibited. It is injection that ensures uniform dispersion of the hormonal medication, which allows you to achieve maximum effectiveness and avoid overdose.

When used correctly, the drug is safe: the corticosteroid does not penetrate into the blood and will only affect the affected areas of the nasopharynx.

Use of medication depending on the disease

The pharmaceutical preparation can be used for children from two years of age. How to choose a pediatric dosage for various respiratory ailments:

For a runny nose of an allergic or infectious nature, the use of Nasonex ® is recommended only if the disease cannot be treated with conventional vasoconstrictors, antiviral drugs, antihistamines and antibiotics.

The maximum duration of treatment should not be more than 10 consecutive days. The dosage is reduced gradually as the symptoms subside, since abrupt withdrawal can worsen the health condition.

Correct injection of the drug:

  1. Before first use, calibrate the nozzle by pressing the dispenser several times until the medicine flows.
  2. Free each nasal passage from mucus by rinsing with sea water or saline.
  3. Tilt the child's head towards the nostril being treated and inject the medication into the nose in the required dosage.
  4. After three days of use, remove the nozzle and rinse with warm water. After drying, put it back on and continue using the product.

If after two days the child’s condition has not improved, you should discard Nasonex ® and select analogues.

Treatment of adenoids with Nasonex ®

Nasonex ® is often prescribed for adenoids in children. This medicine reduces the secretion of mucous secretions, removes swelling, and reduces the size of growths. Typically, the pharmaceutical drug is used in the second and third stages of adenoiditis, because in the first stage the disease is practically not noticeable. It can also be recommended in preparation for surgery to stop the growth of tumors.

Healing adenoids in children requires a long course of pharmaceuticals: from three to twelve months. However, correct use of the medication already after 3-4 weeks leads to a noticeable increase in the quality of life of the young patient:

  • Breathing through the nose resumes;
  • Snoring disappears;
  • The throat stops hurting;
  • The flow of oxygen to the brain increases, which leads to improved performance and concentration.

Parents note not only the cure of adenoiditis, but also a decrease in the incidence of colds.

Contraindications and side effects of Nasonex

This drug is not addictive, and unpleasant consequences occur extremely rarely, most often when the rules of use are violated. If the young patient is already two years old, he will tolerate therapy well.

Nasonex ® can be used if the following contraindications are absent:

  • allergy to the components of the drug in the person taking the drug;
  • acute course of tuberculosis and herpes;
  • fungal infections of the nasopharynx.
  • side effects are mainly related to the effect on the walls of small blood vessels. With prolonged use, they become fragile, and mild nosebleeds are possible. Very rarely there are individual reactions: headache, sneezing, itching in the nasal cavities.

If the instructions for use are not followed, the hormonal balance may be disrupted.

The drug is not recommended for use immediately after surgery in the nasopharynx or nasal injuries, since its components interfere with the rapid healing of wounds. But after healing, Nasonex is safe in doses prescribed by the doctor.

Let's combine the pharmaceutical drug with Loratadine and sea water-based products. But herbal medicines (Tonsilgon, Sinupret and their analogues) are not combined with it.

Nasonex's analogs

The price of the drug is quite high due to expensive raw materials and the complexity of its purification. Depending on the dosage and place of purchase, it can be different: from 760 to 1000 rubles. But this cost is affordable for many, in addition, the medicine replaces several different drugs at once.

You can purchase the medicine in regular and online pharmacies. When ordering through the website, pay attention to the price list or catalog. The price and expiration date should be indicated there.

If the price of a medicine seems too high, you can look for a cheaper option with a similar effect and choose which is better.

What analogues can replace the drug?

All of these drugs, except Flixonase and Nasobek, are approved for use from 2 years of age, but sinusitis can be treated with Dezrinitis only for adolescents from 12 years of age. Contraindications are generally similar to Nasonex.

If we look at pharmaceutical analogues more specifically, it can be noted that one of the most popular is the inexpensive Nasobek spray, produced in the Czech Republic. It has a different active substance, but the medication works similarly. But it is approved for use only from the age of six. In addition, it is not used as a prophylactic agent.

The second popular and cheaper pharmaceutical with a similar effect is the English Avamys. Parents often have a question: which is better – Avamis or Nasonex ®? It all depends on individual tolerance. In general, the effects of the drugs are similar, but Avamis cannot be used as a prophylactic agent.

Nasonex ® is widely used in otolaryngological practice due to the possibility of its use in bacterial and viral infections. To avoid possible side effects when treating children, constant medical supervision is required. It is advisable to consult not only a pediatrician, but also a pediatric allergist-immunologist.

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Remember that only a doctor can make a correct diagnosis; do not self-medicate without consultation and diagnosis by a qualified doctor. Be healthy!

Source: http://lechenie-baby.ru/aptechka/nazoneks-dlya-detej.html

Treatment with Nasonex for adenoids, rhinitis and sinusitis

Among the medications used for the treatment of rhinitis and diseases of the nasal cavity, the group of glucocorticosteroid hormonal drugs stands out. They should be used with extreme caution, since after such an effect it will not be easy to relieve nasal congestion with vasoconstrictor compounds. But in some cases, treatment with Nasonex is simply necessary in the complex treatment of adenoids and chronic rhinitis, sinusitis and polyps.

Let's take a closer look at these drops and how to use them in children and pregnancy. The article presents the composition and effect of the medicine, possible side effects and contraindications.

Pharmacological action of Nasonex and recommended doses

The drug is available in the form of a spray for nasal use. The main active ingredient is the corticosteroid mometasone furoate with a concentration of 50 mcg per dose. Vials containing 60 or 120 single doses are available.

The pharmacological effect of Nasonex occurs exclusively in the deep layers of the mucous membrane. Absorption of the active substance into the blood and its circulation in the body is not observed if the recommended dosage is observed. This circumstance makes the use safe for a wide range of patients.

The therapeutic effect is in two directions: the anti-inflammatory effect is gradually supplemented by a long-acting antihistamine. Immediately after introduction into the cells of the mucous membrane, it prevents the release of mediators of the inflammatory reaction from mast cells. These substances attract leukocytes and macrophages, which increases local blood flow and causes tissue swelling. In addition, the production of inhibitors from the phospholipase group is simultaneously increased, which reduces the amount of prostaglandins present at the site of inflammation.

After about 5 minutes, a sharp decrease in the number of neutrophilic leukocytes is determined, which prevents the influx of new macrophages. Blood supply is normalized, swelling is eliminated and the process of formation of mucous secretion stops.

The antihistamine effect develops in the second phase of pharmacological action. With a decrease in the function of releasing inflammatory mediators from mast cells, the synthesis of chemotaxis decreases. Due to this, the cells of the mucous membrane completely lose susceptibility to various types of allergic triggers.

Normal levels of histamine and neutrophil response are maintained for 24 hours after using 1 dose of the drug.

The table below shows the doses of Nasonex for children and adults for various pathologies of the upper respiratory tract:

Dosage of the drug "Nasonex"

Allergic forms of rhinitis (including hay fever)

Adults and adolescents over 12 years of age - 2 doses in each nostril 1 time per day, children from 2 years of age - 1 dose 1 time per day

Infectious viral and bacterial rhinitis

Adult dosage: 2 doses 2 times a day. Children's dosage - 1 dose 2 times a day

Polyps and adenoiditis

2 doses 2 times a day for adults and 1 dose 2 times a day for children

Sinusitis in acute and chronic stages

As an adjuvant, 3 doses 2 times a day for an adult and 1 dose 3 times a day for a child over 2 years of age

The maximum period of treatment cannot be more than 10 days in a row.

When prescribing large dosages, they should be gradually reduced as the condition improves. Abrupt withdrawal of the drug may worsen the patient's condition.

How to use Nasonex correctly and spray it in the nose?

Before using Nasonex, you must visit a doctor and exclude all possible contraindications for such treatment. It is not recommended to use this product on your own without a doctor’s recommendation. Also, if the condition does not improve after 48 hours from the start of therapy, it is necessary to replace the drug with another one.

Now let’s figure out how to properly spray Nasonex into the nose of children and adults with various pathologies. For ease of administration, each bottle is equipped by the manufacturer with a convenient dispenser. The nozzle calibrates itself before first use. To do this, it is recommended to press the spray bottle vigorously with your thumb until the injection is made.

Before the treatment procedure, it is necessary to free the nasal passages from excess mucus and rinse them with clean running water. Then the head is tilted to the side of the nostril being treated and the drug is injected in the dosage recommended by the doctor. One press of the dispenser dispenses one dose. If the drug is used for more than 3 days, it is necessary to carry out preventive cleaning of the dispenser. To do this, the nozzle is removed from the bottle and washed under warm running water. You can continue to use it after the nozzle has completely dried.

Is Nasonex possible for children with adenoids: use of the drug

The active substance included in the drug quickly eliminates swelling of the membranes and relieves the severity of the inflammatory process without a pathological effect on the function of cell reproduction. “Nasonex” for adenoids allows you to quickly normalize the process of physiological nasal breathing and eliminate the prerequisites for the formation of the adenoid type of the child’s face. Prescribed in courses that are usually timed to coincide with periods of exacerbation of the chronic inflammatory process. Constant medical monitoring is required throughout treatment.

“Nasonex” for adenoids in children has an exclusively local effect, suppressing inflammatory factors and allowing the creation of conditions for accelerated regeneration of damaged tissues. With proper therapy, the size of the nasopharyngeal tonsil decreases, air conductivity improves, and relapses of inflammation are reduced.

Parents are also concerned about the question of whether Nasonex can be used for children for other diseases accompanied by copious mucous secretions from the nasal passages. Experts believe that it is optimal to prescribe hormonal drugs only when there are serious indications. Such use is permissible only if allergic and infectious rhinitis in a baby cannot be eliminated using traditional vasoconstrictors, antihistamines, antiviral and antibacterial therapy.

The use of Nasonex for adenoids and other nasal diseases in children should be accompanied by compliance with a number of doctor’s recommendations:

  1. Self-prescription of such drugs is not allowed;
  2. before starting a course of therapy, it is necessary to exclude all possible contraindications and drug interactions;
  3. you should not combine the use of this drug with other types of nasal drops, the effect of this can be very unpredictable;
  4. when the first signs of side effects appear, the drug should be discontinued and replaced with a more suitable one;
  5. If there is no visible improvement in the child’s condition within 48 hours, the treatment and dosage regimen must be reconsidered.

Discontinuation of the drug after achieving a therapeutic effect is carried out gradually, by reducing the single and daily dosage.

How much and how can Nasonex be used for children and during pregnancy?

"Nasonex" during pregnancy can be used only in extreme cases, when there are no other methods for restoring normal breathing in a woman. This may be a severe form of allergic rhinitis, adenoiditis, chronic sinusitis and vasomotor dysfunction of the secretion of mucous substance in the nasal cavity. Over the entire period of use of this pharmacological agent, clinical trials have been carried out many times, which have shown that the active substance is not detected in the blood of a pregnant woman if the recommended dosage regimen is observed. This suggests that the drug is not capable of harming the unborn child and the mother herself. However, experts tend to recommend, whenever possible, to refrain from treatment with such drugs during pregnancy. Similar recommendations are given for the period of breastfeeding.

If treatment was carried out during pregnancy, it is necessary to conduct a thorough examination of the function of the adrenal cortex in the first months of the newborn’s life. Most often, it is these organs of the endocrine system that suffer from the effects of hormonal therapy.

The drug "Nasonex" belongs to the category of drugs that can form an addictive effect. This is due to the fact that the corticosteroids included in its composition replace the production of natural hormones in the human body. It takes time to restore the previous volume of suppressed production. Therefore, before using Nasonex, consult with your doctor and carefully follow the dosages recommended by him, including those prescribed for the period of gradual withdrawal.

Another important question is how much Nasonex can be used without interruption, and how long the therapeutic course of treatment should take. It is worth saying here that there are diseases in which a pharmacological agent can be used almost without interruption as maintenance or compensatory therapy. Such cases may include atopic and allergic rhinitis that cannot be relieved with antihistamines, polyps in the nasal cavity, adenoiditis and recurrent sinusitis. Although in most situations, experts try to use hormonal substances exclusively to eliminate the symptoms of exacerbation of the inflammatory or allergic process. Then the standard treatment regimen is used.

In general, the duration of treatment may depend on a number of factors:

  • general condition of the patient;
  • severity of symptoms of pathology;
  • the presence or absence of positive dynamics during the pathology;
  • no adverse reactions.

For children, Nasonex can only be used for short-term treatment after they reach the age of 2 years. If the course of therapy lasts more than 10 days, there is a high probability of accumulation of the active substance. This can be fraught with delayed physical and mental development.

Nasonex nasal drops: treatment for rhinitis, sinusitis and polyps

In modern otolaryngology, Nasonex nasal drops are often used as an alternative to vasoconstrictor drugs in cases where the latter do not have a positive therapeutic effect. Treatment with Nasonex begins with the minimum possible dosage; if there is no effect, the daily dose is increased and then adjusted if long-term maintenance is necessary. To relieve symptoms of exacerbation, a course of use for 5-10 days is sufficient, after which vasoconstrictors can be prescribed. For allergic reactions, additional therapy with antihistamines and vascular wall-strengthening components is required.

"Nasonex" for rhinitis can be used in several cases:

  1. autumn fever and seasonal allergic rhinitis without the possibility of eliminating the effect of the allergen;
  2. chronic runny nose of unspecified etiology, including vasomotor disturbances in the production of mucous secretions;
  3. complications of chronic sinusitis with severe swelling of the nasal mucous membranes.

For bacterial and viral infections, it does not replace therapy with etiotropic drugs (antivirals and antibiotics).

Nasonex is often used for chronic sinusitis with frequent relapses of the pathology and in the presence of prerequisites for the development of a maxillary cyst. It is recommended for use when severe symptoms of exacerbation appear, the duration of the course is until the patient regains normal well-being. Typically, mucous membranes are treated 1-2 times a day. It is only part of a comprehensive treatment and in no way can replace other types of therapy for this disease. It is worth paying close attention to this, since in the practice of an otolaryngologist there are often situations when, when symptoms of acute sinusitis appear, the patient, frightened of a sinus puncture, begins to use a hormonal drug on his own. Without concomitant antibacterial treatment, this quickly transforms the pathology into the category of chronic recurrent infections of the paranasal sinuses.

It is also important to understand that Nasonex does not treat or eliminate polyps; it can only temporarily alleviate the symptoms of this disease. To radically solve the problem, it is necessary to carry out surgical intervention to remove polyps.

Contraindications for Nasonex and side effects

Like any other potent drug, the drug may be contraindicated for various concomitant pathologies.

Contraindications for Nasonex include the following factors:

  1. early childhood up to 2 years of age (with polyposis of the nasal and accessory cavities, it cannot be used until the age of 18);
  2. severe acute stage of tuberculosis and herpetic infections;
  3. fungal infections of the mucous membranes of the nose and mouth;
  4. individual intolerance and hypersensitivity to individual components of the pharmacological agent;
  5. conditions after surgery in the nasal cavity until complete scarring of the applied sutures.

Side effects of Nasonex are mainly associated with increased fragility of small blood vessels. Therefore, with long-term use, periodic minor nosebleeds may occur. In the long term, if long-term maintenance treatment is necessary, there is a risk of decreased production of hormones by the adrenal glands.

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Using Nasonex spray to treat adenoids in children

There are many prejudices regarding treatment with hormonal drugs. There is still an opinion that taking them is necessarily accompanied by strong and rapid weight gain, not to mention organ dysfunction. Therefore, parents are often horrified when doctors prescribe drugs of this class. Nasonex is a steroid medicine. Prescribed to children for the treatment of adenoids or sinusitis.

What is Nasonex spray

Nasonex is a hormonal drug that is used in the treatment of diseases of the upper respiratory tract of an allergic nature, for example, sinusitis, adenoiditis, and allergic rhinitis. Has anti-inflammatory and anti-allergic effects.

The main active ingredient is mometasone furoate.

Mometasone furoate is a potent synthetic steroid hormone. It is usually produced in the human body by the adrenal cortex. Added to various products as an anti-inflammatory substance. Once in the body, it breaks down to mometasone. However, in the form of furoate it is not absorbed into the blood and has no effect.

  • slows down the release of special substances (histamine, serotonin), which ensure the development of inflammatory processes;
  • promotes the production of one of the proteins of a special class - lipomodulin, due to which the products of arachidonic acid synthesis are inhibited (in the human body it is responsible for processes leading to an increase in muscle mass and volume);
  • prevents the accumulation of leukocytes (neutrophils), which reduces the production of fluids released in the body tissues during inflammation;
  • inhibits allergic reactions.

The drug is poorly absorbed from the gastrointestinal tract and is excreted in urine or bile.

The drug is available in the form of a spray in a plastic bottle with a dosing valve (60 or 120 doses), which greatly facilitates the administration of active substances into the nasal cavity. Average price: from 469 rubles, depending on the volume of the medicine.

In what cases can a doctor prescribe Nasonex to a child?

The use of the drug is recommended by doctors for the treatment of:

  • seasonal and year-round rhinitis (inflammation syndrome of the nasal mucosa) of an allergic nature. The product is also suitable for the prevention of seasonal allergic rhinitis. Doctors advise starting to use the drug 2–4 weeks before the expected period of exacerbation;
  • acute sinusitis (infectious and inflammatory disease of the paranasal sinuses and nasal passages) or exacerbation of its chronic form in children over 12 years of age;
  • adenoiditis in children over 2 years of age.

Expert opinions on the treatment of adenoids with hormonal drugs

Treatment with steroid drugs is considered dangerous by many, as there are still many myths regarding their side effects. Therefore, the opinion of specialists about this kind of medicine is interesting.

Otolaryngologist Ivan Vasilyevich Leskov describes in detail the principle of action of the drug and talks about the side effects:

Nasonex suppresses lymphoid tissue, which actually leads to a reduction in adenoids. It usually has to be used for a long time - in case of severe inflammation, Nasonex is not very effective. As a hormonal drug, it additionally suppresses local immunity, so when it is discontinued, inflammation in the adenoids resumes.

Moreover, he urges careful use of Nasonex:

Nasonex is not contraindicated in children under 18 years of age - this drug is absolutely not absorbed into the blood, however, its use for the treatment of adenoids, and especially sinusitis, does not stand up to criticism - if sinusitis and enlarged adenoids are of an inflammatory nature, Nasonex is simply ineffective.

But otolaryngologist Evgenia Vladimirovna Filatova has the opposite point of view and advises using a steroid medication:

Nasonex is a hormonal drug, but the hormone in a special form for local use does not have a general effect on the body (since it is almost not absorbed from the nasal mucosa). Don't be afraid to use it.

Doctor of the highest category, Evgeny Olegovich Komarovsky, that the use of any drugs for adenoiditis is useless:

Everyone thinks that there are some magic pills, some drops that can be given to a child, and he will not have adenoids, or they will go away. <…> In fact, if adenoiditis is of allergic origin, then, naturally, the active use of antiallergic drugs can reduce allergic swelling of the adenoid tissue. But if a child often suffers from viral infections, then there are no pills that can affect the adenoids.

Video: Doctor Komarovsky about adenoiditis

Contraindications and side effects from using the spray

Steroid drugs, unfortunately, have many contraindications, including:

  • hypersensitivity or allergic reaction to the components of the drug. If any symptoms of intolerance appear - increased swelling, rash and itching - you should immediately stop using the product and contact either your doctor or an allergist;
  • the presence in the tissues and mucous membrane of the nasopharynx of any untreated local infection. The product is not an antibiotic, therefore it does not have antibacterial or antiviral effects;
  • recent surgery in the upper and lower respiratory tract, the presence of open or unhealed wounds. It is necessary to wait until the damage is completely healed;
  • the presence or suspicion of the presence of tuberculosis infection in the respiratory tract, fungal, bacterial, viral infection, including infection caused by herpes, with the appearance of lesions in the eye area. When taking hormonal drugs, the process of immunity formation (immunogenesis) is disrupted, which leads to an increase in the activity of harmful microorganisms;
  • age restrictions: for allergic rhinitis, the drug is approved from two years of age, for exacerbation of sinusitis and for the prevention of seasonal allergic rhinitis - from 12 years of age.

The following side effects may occur in children:

  • nosebleeds;
  • inflammation of the mucous membrane and lymphoid tissue of the pharynx - pharyngitis;
  • feeling of irritation or burning in the sinuses;
  • headache;
  • sneezing;
  • bronchospasm, shortness of breath;
  • disturbance of taste and smell.

In extremely rare cases, the following may occur:

  • anaphylactic shock;
  • increased intraocular pressure;
  • angioedema – enlargement of the face or part of it.

It should be noted that the likelihood of occurrence of most of the above symptoms is comparable to the frequency of their occurrence from taking a placebo.

Features and treatment regimen for adenoiditis with Nasonex

Doctors resort to conservative methods of treating inflamed adenoids only in the first and second degrees (very rarely in the third). This is due to the fact that at these stages serious complications have not yet appeared that require immediate surgical intervention: hearing impairment, complete closure of the nasal sinuses, deformation of the facial part of the skull.

The drug can be used if the proliferation of lymphoid tissue begins to occur due to frequent exacerbations of allergies. Adenoiditis caused by infectious diseases cannot be treated with antiallergenic drugs.

The use of Nasonex is allowed for children from two years of age.

Standard dosage regimen: injection of one dose into each nasal passage once a day. It is necessary to strictly follow the recommendations given in the instructions for the drug, and only a doctor can give other advice on use and changing the dosage.

If you use Nasonex in large doses for a long time, it is possible to inhibit the functioning of the hypothalamic-pituitary-adrenal system (performs the endocrine function of producing hormones).

Combination with other drugs

Very often, the spray is used as part of complex therapy in the treatment of adenoids and sinusitis. However, there are several features that parents need to be aware of:

  • It is not recommended to use Nasonex together with vasoconstrictor drugs, as it acts as an alternative to them. Moreover, after using the drug, you should take a course of means to strengthen the walls of blood vessels to avoid nosebleeds;

Sometimes Nasonex is prescribed to patients who want to get rid of naphthyzine addiction. It relieves nasal congestion, but is not addictive.

  • Nasonex goes well with other antihistamines, such as Loratadine;
  • When using the spray, it is recommended to rinse the nose and gargle with various solutions. This will help free the organs from mucus and other impurities. It will also contribute to better absorption of the drug. However, it must be borne in mind that it is better to change all solutions once every two months.

Reviews from parents about spray treatment

Nasonex did not suit my daughter; on the contrary, the swelling began even worse. ENT called the representatives of this medicine, they said - remove it. Sometimes it happens. Now we take Flixonase and there is an improvement.

It really helps us, but we have grade 1 adenoids - they have hardly shrunk, but the runny nose went away already on the 2nd day. His daughter is 2 months old. prescribed 1 spray per day.

After the acute phase, one ENT specialist prescribed 1 injection of Nasonex for 2 weeks. The other one is for a month, and it is better to spray it twice, morning and evening. Now we seem to be holding on, going to kindergarten, but I’m afraid that we’ll cancel it, whether everything will start all over again. The adenoids have grown to grade 2-3. Snoring doesn't bother me. I would like to take my child to the pool again, but I’m also afraid.

A year ago, my daughter was diagnosed with stage 2 adenoids. They prescribed Nasonex and had been sick very often before it. After the course (10 days) everything was fine, my nose didn’t bother me even with a cold, there were no complications to my nose. Six months later, the adenoids reminded themselves, and again 10 days of Nasonex. We took it to the south in the summer, everything was fine. Homeopathy was used for prevention. Now my nose is stuffy again and it’s running down the back wall. The doctor started talking about Nasonex again...

What can replace Nasonex?

Nasonex is not the only steroid drug that can be used in the treatment of inflamed adenoids. There are other hormonal analogue drugs. They differ not only in the active substance, but also in price. Despite the similar action, their age restrictions are different. However, this is explained by the fact that the company producing the product has not conducted studies on the effects of the product on children of a certain age.

Medicinal analogues of the drug

Drugs that can replace Nasonex, pictured

Homeopathy and physiotherapy

Therapy with homeopathic remedies and physiotherapy are alternative options for treating adenoids.

The most popular drugs in homeopathy to solve this problem are:

  • diluted thuja oil;
  • Job the Kid;
  • Phthision;
  • Lymphomyosot;
  • Euphorbium compositum;
  • Calcarea carbonica 6.

They are prescribed by doctors either as independent remedies or as components of complex therapy. Their main disadvantage is that they are designed for long-term use (from six months or more), and traditional medicine completely denies any proven effectiveness of drugs.

Physiotherapy is rarely prescribed in the treatment of adenoids without concomitant medication, but has proven itself to be a fairly effective way to combat adenoiditis.

  • electrotherapy: electrophoresis, magnetic therapy, EHF therapy (extreme high frequency therapy). After exposure, swelling of lymphoid tissue decreases;
  • inhalation. Made with the addition of mineral water, diphenhydramine, calcium chloride. Hot inhalations for adenoiditis are contraindicated, as they contribute to even greater tissue swelling;
  • nebulizer treatment. Used as a replacement for conventional inhalations. The principle of operation is fine cold spraying of medicinal substances onto growing tissues;
  • cryotherapy. The adenoids are exposed to liquid nitrogen, which stops the growth of tissue.

Photo gallery: Physiotherapy prescribed for the treatment of adenoiditis

Nasonex spray has proven itself to be an effective remedy in the treatment of adenoids of allergic origin. It acts quickly, the result is visible within a few days. A big plus is that it can be used for young children for a long time without fear of serious consequences. However, it should be noted that this is a hormonal medicine, so the decision to prescribe it can only be made by a doctor. He also sets the duration of treatment and dosage.

Source: http://babyzzz.ru/0-1/health/11831.html

Nasonex for the treatment of adenoids in children - safe or not?

Does your child breathe through his mouth, snore at night, and often suffer from respiratory tract infections and ear infections? This means that you are familiar with the diagnosis of “adenoids”, which is given to millions of children every year. The list of drugs used for therapy includes topical hormonal drugs, including Nasonex.

More about Nasonex

Nasonex is a drug with anti-inflammatory and antiallergic effects. The range of use of the medication is wide: allergic, vasomotor and medicinal rhinitis, chronic inflammatory diseases of the nasal cavity and pharynx, sinusitis and adenoids.

The dosed spray contains mometasone furoate, a synthesized copy of the human adrenal hormone. It affects only the area of ​​application, the nasal cavity, and not the body as a whole. Hormones suppress the immune system when used over a long period of time, and the adenoids (enlarged pharyngeal tonsil) are an organ of the immune system that are reduced under the influence of this drug.

The spray also contains an antiseptic - benzalkonium chloride, and a decongestant - glycerol. The triple action of Nasonex provides a pronounced therapeutic effect in the treatment of adenoid growths.

The drug has only one release form - a spray in a plastic bottle; a single press releases 50 mcg of mometasone furoate. There are 60 or 120 doses in a bottle.

Efficiency in the treatment of adenoids

The doctor prescribes Nasonex for the child to reduce the formation of mucus in the nose and nasopharynx, reduce swelling and inhibit allergic processes, reduce the size of the adenoids, but only in the stage of inflammation subsiding. It should be remembered that this remedy is effective only if the adenoids arose due to frequent exacerbations of allergies; in case of infectious inflammation of the nasal cavity, Nasonex cannot be used - it stops the body’s fight against infection and turns an acute process into a chronic one.

It is advisable to use the drug in cases of second or third degree enlargement of adenoids. In the first degree, treatment is not prescribed, because there are no clinical manifestations of the disease. If a doctor is preparing a child for surgery, then in this case, too, local hormones cannot be used - they prevent further growth of the adenoids. Proper use of the spray within a month leads to a noticeable improvement in second-degree adenoids.

The effect of Nasonex does not appear instantly, like with vasoconstrictor drops, but after at least one week.

The drug improves the quality of life of a small patient: he breathes through his nose, stops nasally and snoring, and sleeps normally. Concentration and academic performance improve because the child no longer suffers from a lack of oxygen. The throat does not hurt or dry out, because air exchange in the ENT organs has been restored and they are functioning normally. Over time, parents notice that the child begins to get sick less often.

Adenoids in children - video by pediatrician of the highest category E. O. Komarovsky

Contraindications and side effects

Contraindications for the use of Nasonex are:

  • allergy to any of the components of the drug;
  • acute infection of the nasal mucosa;
  • recent surgery or trauma to the nose (before the wound heals);
  • tuberculosis, fungal, bacterial, viral, including herpetic, infection with eye damage;
  • age up to two years.

Possible side effects:

  • nose bleed;
  • headache;
  • feeling of irritation in the nose;
  • sneezing;
  • perforation of the nasal septum (very rare);
  • increased intraocular pressure (very rare).

The reported side effects of the spray turned out to be equal to the frequency when using a placebo (pacifier). At the same time, nosebleeds occurred in 5% of those observed, and with the use of placebo - in 4%. These data confirm the safety of the drug.

Precautionary measures

Overdose

0.1% of the drug dose is absorbed into the blood. Such a small amount of the hormone does not cause negative consequences for the body.

In case of a single overdose of the spray, the patient must be monitored. If no alarming symptoms occur, you can continue to use the drug in the prescribed doses. If you combine the use of different hormonal drugs, as well as use Nasonex in ultra-high doses for a long time, the body’s hormonal system is suppressed: the adrenal glands, the pituitary gland and the hypothalamus.

Complex treatment

Of the drugs compatible with the drug, only Loratadine is listed in the official instructions.

Antibiotics, antiallergic and homeopathic remedies can be taken orally during treatment with Nasonex. Sea water preparations are also compatible. It is not recommended to use the product simultaneously with herbal medicines, for example, Tonsilgon, Imupret, Sinupret, as well as vasoconstrictors and other drops.

Instructions for use

The drug is prescribed from the age of two. As a rule, children with adenoids are prescribed the following treatment regimen: 1 dose in each nasal passage, 1 time per day. The drug can be used for a year without fear of the risk of atrophy of the nasal mucosa.

Nasonex should not be used immediately after nasal surgery because hormones inhibit wound healing. However, in the late postoperative period, use is possible.

What can replace the product?

The pharmaceutical market offers a budget analogue of Nazonex - Dezrinit (made in the Czech Republic). And in case of intolerance to the drug, it can be replaced with hormonal agents of similar action.

Drug analogues - table

  • Recent surgery or trauma to the nose;
  • individual intolerance to the components of the drug.
  • Allergic rhinitis;
  • vasomotor rhinitis.
  • Allergy to the components of the drug;
  • poor blood clotting;
  • frequent nosebleeds;
  • tuberculosis of the respiratory system.
  • Allergic rhinitis;
  • vasomotor rhinitis;
  • nasal polyposis (as part of combination therapy).
  • Allergy to the components of the drug;
  • respiratory tuberculosis;
  • infections (bacterial, fungal, viral, including herpes);
  • recent surgery or trauma to the nose;
  • poor blood clotting;
  • frequent nosebleeds.

Medications in the photo

Reviews from specialists and parents

Nasonex is not contraindicated in children under 18 years of age - this drug is absolutely not absorbed into the blood, but its use for the treatment of adenoids does not stand up to criticism - if sinusitis and enlarged adenoids are of an inflammatory nature, Nasonex is simply ineffective.

otolaryngologist Leskov Ivan Vasilievich

Nasonex is a hormonal drug, but the hormone in a special form for local use does not have a general effect on the body (since it is almost not absorbed from the nasal mucosa). Don't be afraid to use it.

ENT doctor Evgenia Vladimirovna Filatova

It can be given to children from the age of two. Of the corticosteroid drugs (Flixonase, Beconase), it is currently considered the safest, because Only 4% of hormones are absorbed into the blood. At first, drip it intensively, but then it accumulates, and you can drip it only a few times a week. He helps well. But even adults should not use it for more than a year.

The adenoids were grade 2, Nasonex was prescribed, after a month they were gone altogether) I stopped snoring. The child is 8 years old.

Nasonex quickly helped us relieve nasal congestion due to adenoids! One of the reasons for frequent diseases was second-degree adenoids, which were diagnosed by a good ENT doctor. The first remedy he prescribed for us was Nasonex spray. About 10 days after this treatment, I noticed that the nasal congestion had gone away, and the child was breathing freely in the morning, which had not happened before. From personal experience, I will say that Nasonex spray is an excellent remedy for adenoids in children; in combination with other drugs, it helps alleviate the child’s condition and relieve nasal congestion, which is present in this state of affairs. I recommend it, but only after a doctor’s prescription!

The youngest snored heavily. Well, very much. And there was nothing we could do to cure him. The child was literally suffocating in his sleep. The doctor prescribed Nasonex. The swelling subsided. Now my daughter, even when snot appears, does not snore (she does not snore at all). We were pleased with our use.

Nasonex is a local hormonal drug with anti-inflammatory and antiallergic activity for the treatment of diseases of the nasal cavity and nasopharynx, including adenoids. Timely initiation of treatment avoids surgery and prevents complications, including oxygen deprivation, night snoring and respiratory arrest, frequent respiratory tract infections and inflammation of the middle ear. Nasonex significantly improves the child’s quality of life, helping him to live without this insidious disease.

Source: http://pediatriya.info/?p=9162