Pain relief throat spray

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Anesthetics for the throat

Currently, there are many different sprays, lozenges and lozenges designed to suit every taste and financial capabilities. Most of them have a complex composition and are often supplemented with essential oils, deodorants and local anesthetics that help eliminate discomfort in the throat.

Table of contents:

For colds, these drugs become the first aid for treating a sore throat. At the same time, we must not forget that their effect is superficial, and diseases such as, for example, sore throat, require serious therapy, including the use of antibiotics. Therefore, the effect of such drugs may be weak and short-lived.

Dosage forms to relieve sore throat:

  • Sprays.
  • Rinse solutions.
  • Tablets and lozenges for resorption.
  • Lollipops.

A little theory

Antiseptics are drugs that, when used externally, kill pathogenic microorganisms on the surface of the mucous membranes, and also inhibit their growth and further reproduction. Antiseptics are quite effective in the initial stages of the disease.

Anesthetics are substances that block the transmission of pain impulses to the brain. Thus, anesthetics have a local anesthetic effect, but they do not affect the cause of inflammation. When their effect wears off, the pain may return.

Sprays with lidocaine

Theraflu Lar

A Swiss drug whose active ingredients are the antiseptic benzoxonium chloride and the anesthetic lidocaine hydrochloride. Theraflu Lar is one of the best sprays with a local anesthetic effect for the treatment of pharyngitis and sore throat. Thanks to peppermint oil and menthol, it has a pleasant refreshing taste, and the presence of glycerin in the composition, known for its softening and enveloping properties, allows you to prolong the effect of the active substances.

Most anesthetic sprays are not suitable for treating children, with the exception of Theraflu Lar, which is approved for use from the age of 4

Strepsils Plus

Another combination spray that combines the disinfectants amylmetacresol and dichlorobenzyl alcohol with the anesthetic component lidocaine. The main auxiliary components are peppermint and anise seed oil, sorbitol and saccharin. Country of origin: Great Britain.

Strepsils Plus is prescribed as a primary or additional treatment for diseases such as:

  • Angina, including exacerbation of a chronic process.
  • Pharyngitis.
  • Fungal infection of the oral cavity.
  • Stomatitis and aphthous ulcers.

After surgery in the oral cavity or after tooth extraction, Strepsils Plus can be prescribed as a prophylactic agent to prevent possible complications.

The spray is dosed, adults require two doses for one irrigation (two presses on the spray head), depending on the severity of the condition and the characteristics of the body, the procedure is repeated up to 6 times a day

Strepsil Plus is contraindicated for children under 12 years of age, pregnant and lactating women. The drug is well tolerated. Side effects include rare allergic reactions and temporary numbness of the tongue, which disappears after discontinuation of the drug.

Benzocaine sprays

Septolete plus

A combined drug that has an antiseptic and local anesthetic effect. The main component is cetylpyridinium chloride, which has antimicrobial, antifungal and antiviral activity. Pain when swallowing is relieved by the local anesthetic benzocaine. Additionally, the composition includes peppermint leaf oil, glycerol, sodium saccharinate and 96% alcohol.

Septolete Plus is indicated for all kinds of infectious and inflammatory diseases of the pharynx and oral cavity. Persons over 18 years of age and adults require 2 metered sprays per treatment. Irrigation can be repeated every 2-3 hours, but no more than 8 times a day. A new bottle of medication or a spray that has not been used for a long time must be pressed on the head several times until a uniform spray appears.

Due to the lack of clinical data on safety, Septolete Plus is contraindicated in children under 18 years of age and pregnant women. Prescribed with caution for diseases of the liver and respiratory system, the presence of open wounds in the oral cavity, smokers and elderly patients.

Sprays with non-steroidal anti-inflammatory component

Tantum Verde

An Italian drug based on benzydamine not only relieves a sore throat, but also has an antibacterial and antifungal effect. Tantum Verde is available in the following dosage forms: dosed spray, rinse solution and lozenges; it is indicated for sore throat of various origins in adults and children, starting from 3 years of age. All dosage forms are approved for use by nursing and pregnant women.

Penetrating into inflamed tissues, benzydamine disrupts metabolic processes inside microbial cells, causing their death, relieves swelling of the larynx and stimulates tissue healing

  • Children from 3 to 6 years old – 1 dose per 4 kg of body weight, 2-6 times a day;
  • From 6 to 12 years – 4 doses at the same interval;
  • Adults – from 4 to 8 doses.

Tantum verde forte

Compared to the previous drug, it has an increased concentration of benzydamine - 0.51 mg in one dose, instead of the usual 0.255 mg in a regular spray. This remedy is recommended for patients with severe inflammation, as well as people for whom its analogue was not effective enough.

Despite the fact that the volume of the bottle is half the size (only 15 ml), it is enough for 88 sprays, which is quite enough for a course of treatment. Due to the higher concentration of the active substance, the drug is used less frequently - from 2 to 6 times a day, while doing 2-4 sprays at a time. Tantum verde forte should not be used by persons under 18 years of age.

Oralcept

Spray produced by the Macedonian company REPLEK PHARM. In terms of its composition, properties and indications, Oralcept is identical to the drug Tantum Verde and is its complete analogue with a slightly lower cost.

Throat tablets with anesthetic

Hexoral Tabs

Chlorhexidine + Thymol + Benzocaine.

The antibacterial activity of the tablets is due to the presence of chlorhexidine; the anesthetic effect, which occurs literally half a minute after taking the drug, is provided by the local anesthetic benzocaine. The tablets contain mint oil, menthol and sweetener as a flavoring additive. Adults and children over 12 years of age are recommended to dissolve 1 lozenge every 2 hours, no more than 8 pieces per day.

Grammidin neo with anesthetic

Gramicidin C + cetylpyridinium chloride + oxybuprocaine hydrochloride.

Unlike similar resorption drugs, Grammidin not only eliminates symptoms, but also has a therapeutic effect. A pronounced antimicrobial effect, to which there is practically no addiction, is achieved thanks to gramicidin; Cetylpyridinium chloride inhibits the proliferation of infectious agents, and oxybuprocaine hydrochloride reduces sore throat. As the tablet gradually dissolves, salivation increases, which helps to naturally cleanse the mouth and throat of microorganisms.

According to the instructions, adults and children over 12 years of age are recommended to dissolve 1 tablet three to four times a day. Age group from 4 to 12 years – one tablet, no more than 2 times a day

Decathylene

Dequalinium chloride + dibucaine.

The spectrum of action of Decathylene tablets is quite wide, it includes: most bacteria, both gram-negative and gram-positive, cocci, spirochetes and fungi. The drug is used for mixed infections of the pharynx and oral cavity: tonsillitis, stomatitis, laryngitis and pharyngitis. Local anesthesia is provided by dibucaine hydrochloride.

Adults can dissolve one tablet at an interval of 2 hours, after reducing pain and inflammation at an interval of 4 hours. The maximum daily dosage is no more than 10 tablets in the acute period. Children from 3 to 12 years old are prescribed a tablet every three hours.

Anti-angina

Chlorhexidine + ascorbic acid + tetracaine.

The medicinal components of Anti-angin tablets have a complex effect on the inflammatory process, maximizing its completion. Due to the presence of tetracaine, they are indicated for the treatment of severe sore throat; they have age restrictions - the drug is not used for children under five years of age.

  • Strepsils plus (amylmetacresol + lidocaine).
  • Tantum verde (benzydamine).
  • Neo-angin (amylmetacresol + dichlorobenzyl alcohol + levomenthol).
  • Septolete plus lozenges (cetylpyridinium chloride + benzocaine).
  • Theraflu lar lozenges (benzoxonium chloride + lidocaine).

People suffering from diabetes must ensure that lozenges and lollipops do not contain sugar.

Signs of danger that require immediate medical attention:

  • difficulty breathing and impaired swallowing function;
  • bright redness of the throat;
  • enlarged lymph nodes and their pain;
  • increase in body temperature to 39;
  • skin rashes accompanying sore throat;
  • the appearance of plaque and ulcers on the tonsils.

All topical drugs are practically not absorbed in the gastrointestinal tract, so they have almost no side effects. But still, before starting treatment, it is necessary to assess the severity of the disease.

General recommendations for relieving sore throat

  • If you have a sore throat, drinking plenty of warm fluids is recommended.
  • It is not advisable to smoke and inhale tobacco smoke, eat too hot or cold food and alcohol.
  • Before using medications for the symptomatic treatment of a sore throat, it is recommended to gargle with warm water.
  • Lozenges, lozenges and lozenges should not be chewed; they must be kept in the mouth until completely dissolved.
  • After taking medications in the form of tablets and lozenges, you should refrain from consuming food and liquid for 1-2 hours, after aerosols - for minutes.

Any throat anesthetic can cause a feeling of numbness in the mouth, and in rare cases, an allergic reaction. And, of course, to prevent the infection from becoming chronic, start treatment at the first signs of the disease.

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ATTENTION! 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://superlor.ru/medicamenty/anestetiki-gorla

Pain relief throat sprays with lidocaine and benzocaine

A sore throat can cause unbearable suffering to a person when swallowing saliva and even passing air through the throat becomes difficult. In such cases, a visit to the doctor is required.

The causes of unbearable pain can be various pathologies of the throat - viral, fungal or bacterial infections, which only a specialist can understand. After the examination, the otolaryngologist will prescribe the necessary treatment and recommend using a throat spray with lidocaine or benzocaine to relieve pain.

Throat spray with lidocaine

A sore throat spray with lidocaine as an adjuvant is the best solution for complex throat therapy. Most sprays of this type contain not only an anesthetic (actually lidocaine), but also antiseptic active ingredients.

The use of an aerosol form of administering drugs to the source of infection greatly facilitates and speeds up the treatment of throat diseases. Which pain relief throat spray with lidocaine should you choose?

TeraFlu Lar

The best antiseptic for the throat with a local anesthetic effect is considered to be the Swiss-made TeraFlu Lar spray. The active ingredients of the drug are:

  • antiseptic benzoxonium chloride (0.2%);
  • anesthetic lidocaine hydrochloride (0.15%).

Thanks to auxiliary ingredients such as menthol and peppermint oil, the product has a pleasant and refreshing mint flavor. And the presence of glycerin in the composition of the drug, known for its enveloping and emollient properties, allows you to prolong the effect of its active substances. TheraFlu Lar is prescribed as a primary or adjuvant remedy for the following infectious and inflammatory diseases of the pharynx:

The use of the spray is also indicated for dental diseases.

Features of application

The aerosol bottle is equipped with a sprayer that allows you to inject a dosed amount of the active substance (about 0.5 ml). The number of procedures for adults ranges from 3 to 6 times a day, 4 injections. Children from 4 years of age - from 3 to 6 times a day, 2-3 sprays.

The list of contraindications, in addition to individual intolerance to the components of the drug, includes:

Restrictions were introduced due to insufficient clinical studies with these groups of patients.

You cannot eat or drink for 30 minutes after this.

Side effects

Side effects from the use of TheraFlu Lar spray are represented by isolated cases, however, it is worth warning about them:

  • occasionally - the occurrence of allergic reactions from the immune system (swelling of the larynx or face, urticaria);
  • sometimes there is local irritation of the mucous membranes of a temporary nature (disappears after discontinuation of the spray);
  • with long-term use of the throat spray with lidocaine TheraFlu Lar (more than 14 days), the teeth and tongue may turn brown, which is also a reversible phenomenon.

TheraFlu Lar spray should not be used after the expiration date (5 years).

Strepsils Plus

Another combined drug that combines disinfectant and analgesic substances is Strepsils Plus throat spray with lidocaine, produced in the UK. In addition to lidocaine, the main components of the drug are:

Among the excipients are citric acid, 70% sorbitol solution, anise seed and peppermint oils, as well as saccharin. Strepsils Plus spray is indicated for infectious and inflammatory diseases of the mouth, throat and larynx:

The components of the drug have both analgesic and antiseptic, and decongestant properties.

Recommendations for use

Treating the throat with Strepsils Plus spray should be done after eating and pre-rinsing the mouth with clean water. Dosage for adults and children over 12 years of age – 2 clicks on the bottle nozzle per irrigation procedure. For severe pain, it is permissible to use the drug every 3 hours, the maximum number of procedures is 6 times a day. The course of treatment should not exceed 5 days. If there is no therapeutic effect, you should consult a doctor to adjust the therapeutic regimen.

Side effects and contraindications

Strepsils Plus throat spray with lidocaine has almost no side effects. Its use may cause allergic reactions or loss of sensitivity of the tongue, which is restored after discontinuation of the drug. In general, this drug is well tolerated by patients who have no contraindications:

  • hypersensitivity to the composition of the drug;
  • pregnancy;
  • lactation.

Shelf life – 3 years. There is no information about the interaction of the drug with other drugs.

Benzocaine throat spray

In some painkiller sprays with an antiseptic effect, the role of anesthetic is performed by another painkiller - benzocaine.

Septolete Plus

A combined antiseptic and local anesthetic throat spray containing benzocaine, Septolete Plus is designed to deal a decisive blow to bacteria, viruses or fungi that cause throat disease. Active ingredients:

  • antiseptic cetylpyridinium chloride monohydrate;
  • anesthetic benzocaine.

Auxiliary components - glycerol, peppermint oil, sodium saccharinate and others. The spray is indicated for the treatment of all of the above pathologies of the throat and oral cavity, one of the few that also has antiviral properties.

Features of use

A single press on the bottle's sprayer injects approximately 0.15 ml of the drug, and to obtain a therapeutic effect, a spray of 0.3 ml of the substance is required. One irrigation procedure requires 2 clicks on the spray device. For severe pain, it is permissible to use every 2 hours, but no more than 8 times a day. Duration of therapy is no more than 1 week. A new or long-unused bottle of medicine should be shaken before use and a certain amount of contents should be sprayed into the air until a uniform spray is formed.

Cautions

Septolete Plus throat spray with benzocaine is not intended for the treatment of:

  • children under 18 years of age (there are no clinical data on studies of this group);
  • patients with alcohol dependence;
  • patients with hypersensitivity to the composition of the drug;
  • patients with methemoglobinemia.

The drug should be used with caution in people with the following diseases:

  • liver and biliary tract;
  • respiratory organs (COPD, asthma, etc.);
  • with pathologies of the cardiovascular system (heart and blood vessels);
  • brain;
  • To old people:
  • smokers;
  • pregnant and lactating women.

If any side effects occur, you should stop taking the drug and consult an otolaryngologist.

Throat spray with lidocaine or benzocaine for children

If there is no shortage of sore throat remedies for adults, then choosing a spray with lidocaine and benzocaine for the throat to treat a child is not so easy. Most products containing these anesthetics are not intended for use in children.

But usually, if the instructions indicate age, younger children can be prescribed treatment with the drug under the strict supervision of a doctor. We are, of course, not talking about infants who are unable to hold their breath or generally follow any instructions from adults.

Using lidocaine throat spray for children

How to use pain-relieving throat sprays for children?

  1. Throat sprays can be used only in those children who can understand the command “breathe - don’t breathe” in order to inject the medicine while holding their breath. Otherwise, the baby may experience laryngeal spasm.
  2. If in doubt, it is better to direct the spray not at the throat, but at the inner surface of the child’s cheek.
  3. Use lidocaine throat spray for children with extreme caution, avoiding overdose and exceeding the duration of treatment, since prolonged exposure to lidocaine can lead to anesthesia of the upper digestive tract.
  4. If possible, it is better to avoid throat sprays with strong anesthetics in favor of softer ones - Oralcept, Tantum Verde, which have a mild analgesic effect.

to contents ↑

Useful video

How to properly treat a sore throat? See the following video for advice from an otolaryngologist:

Conclusion

  1. Throat sprays with lidocaine and benzocaine for today are TheraFlu Lar, Strepsils Plus, Septolete Plus.
  2. For the treatment of children, it is preferable to use TeraFlu Lar spray from this group.
  3. Young children (under 2-4 years old) are not recommended to be treated with sprays with strong anesthetics.

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Source: http://www.pulmonologiya.com/preparaty/bol-v-gorle/sprei-s-lidokainom.html

List of sprays for treating the throat with an antibiotic, anesthetic, immunomodulatory and herbal based

Prey as a dosage form is a mixture of active and auxiliary substances in the form of a solution, emulsion, suspension, located in a sealed package with a valve-spray system (dosed or undosed).

Advantages and disadvantages of aerosols

The use of medications in spray form has more advantages than disadvantages.

Positive properties are:

  • rapid onset of therapeutic effect, which is comparable to intravenous administration of drugs;
  • due to dispersion, the pharmacological activity of the active substance increases, which is why treatment will require a smaller dose of the drug;
  • the small diameter of the particles contributes to better bioavailability of the drug;
  • local effect, due to which a higher dose of the drug is achieved directly at the site of inflammation;
  • low likelihood of side effects compared to medications for parenteral administration;
  • the sterility of the drug is maintained;
  • dosing valves ensure precise dosage of the active substance;
  • ease of use.

Throat sprays are contraindicated in children under 2 years of age, due to the high likelihood of developing laryngospasm and choking.

In addition, this dosage form is not used in the following cases:

  • for obstructive bronchopulmonary diseases;
  • hypersensitivity to the components of the drug;
  • pregnancy and lactation;
  • atrophic pharyngitis.

Effective anesthetic sprays

Anesthetic sprays, in addition to the main components in the form of antibiotics and antiseptics, contain substances that dull the sensitivity of receptors, thereby quickly eliminating pain in the throat.

Such drugs are prescribed for intense pain, due to which the patient may refuse to take water and food.

Sprays used for sore throat most often contain lidocaine and benzocaine as anesthetics.

TeraFlu Lar, 285 RUR

The main components of the dosed spray are benzoxonium chloride (antiseptic), lidocaine hydrochloride (anesthetic).

Among the auxiliary ingredients, peppermint oil and menthol (refreshing and distracting effect), glycerin (enveloping and softening effect, which prolongs the activity of the main components) should be highlighted.

The drug is used in the treatment of chronic tonsillitis, catarrhal tonsillitis, laryngitis and pharyngitis.

Adults are recommended to spray into the throat up to 6 times a day, 4 pumps each, children from 4 years old - 3 pumps.

The main contraindications are hypersensitivity to the components, children under 4 years of age, pregnancy and lactation.

Among the side effects, patients note the appearance of drug-induced urticaria, local swelling of soft tissues in the face, irritation of the mucous membranes, which disappears after discontinuation of the drug, teeth and tongue may become brown as a result of prolonged use of the spray for more than 2 weeks.

Strepsils Plus, 300 rub.

The best anesthetic spray for the throat is Strepsils Plus, which contains lidocaine hydrochloride (anesthetic), and two antiseptics: amylmetacresol and 2,4-dichlorobenzyl alcohol.

The drug is prescribed for the treatment of infectious and inflammatory diseases of the mouth, throat, larynx, including tonsillitis of any form, pharyngitis, laryngitis, hoarseness of various natures.

Adult patients and children over 12 years of age are recommended to irrigate the throat no more than 6 times a day, making 2 pumps per procedure. The duration of therapy should not be more than 5 days.

Side effects are extremely rare and are expressed in the form of impaired sensitivity of the tongue or allergy symptoms, which disappear on their own after stopping treatment.

Septolete Plus, 310 RUR

This combination drug contains benzocaine (an anesthetic with a good analgesic effect) and cetylpyridinium chloride (an antiseptic).

The second component exhibits increased activity against staphylococci, as well as other pathogenic microorganisms, fungi, and has an antiviral effect.

It is recommended that Syptolete be used by adult patients over 18 years of age up to 8 times a day, 2 presses, for no longer than a week.

The spray is contraindicated for children under 18 years of age, patients with alcohol/drug addiction, methemoglobinemia, hypersensitivity to components, and the presence of open wounds in the oral cavity.

Antibiotic throat sprays

Sprays for treating the throat with antibacterial components have a smaller list of contraindications and side effects than systemic antibiotics.

In view of this, they are widely used to treat diseases of the throat and nasopharynx of infectious, inflammatory, and bacterial etiology.

The cheapest and most effective aerosol of this group is Ingalipt (75 rubles).

As active ingredients, the spray contains streptocide, sodium sulfathiazole hexahydrate, thymol, eucalyptus and peppermint oils.

Streptocide is a local antibiotic for the throat, which belongs to the group of sulfonamides, active against most gram-positive and gram-negative microorganisms.

In addition, the product has an anti-inflammatory and cooling effect (due to this, swelling subsides).

Inhalipt is prescribed for the treatment of tonsillitis, pharyngitis, aphthous stomatitis, and laryngitis. Used in pediatric practice from 3 years of age.

Contraindicated in pregnant and lactating women, with hypersensitivity to the components.

A very effective throat spray with the antibiotic Bioparox. However, in 2016 its production ceased, but you can always find an inexpensive analogue of Bioparox.

Antiseptic sprays

This group of aerosols is the most extensive. In addition, many antiseptics are approved for use in pediatric practice, pregnant women and women during lactation (except those containing iodine).

However, this group of patients should first consult a doctor and not self-medicate.

Antiseptic sprays are recommended for acute respiratory infections, which are accompanied by a sore throat, runny nose, aching muscles and joints, and the appearance of whitish plaques on the tonsils.

Also, local antiseptics are indispensable in the complex treatment of sore throats.

Hexoral aerosol for topical use 0.2%, RUB 315

The drug contains hexetidine. This is an antiseptic that has antimicrobial, antibacterial, antifungal effects and a weak anesthetic effect.

Indicated for use in the complex treatment of tonsillitis, pharyngitis, laryngitis, dental diseases, periodontopathy, fungal infections of the hypopharynx, after surgical interventions in the oral cavity and pharynx.

Hexoral is contraindicated for children under 3 years of age, pregnant and lactating women, due to the lack of clinical trial results.

The drug should be used twice a day, spraying with 1 press for 1-2 seconds.

Maxicold Lore spray (RUB 245)

It is a Russian analogue of Hexoral and also contains hexetidine, which belongs to the group of antiseptics. In view of this, the list of their indications and contraindications is the same.

The advantages of the analogue are:

  • high efficiency against most bacteria;
  • enveloping effect, due to which hexethidine remains on the mucous membrane for 3-4 hours;
  • affordable price.

Yox-Teva spray for topical use, 250 rub.

The spray for a sore throat contains povidone-iodine (an antiseptic), allantoin (an anti-inflammatory agent).

The drug is used in the treatment of various forms of angina, including catarrhal, follicular, lacunar, provoked by streptococci, acute and chronic tonsillitis, inflammation of the larynx, surface of the tongue, with the appearance of aphthae, the first manifestations of influenza and acute respiratory infections.

Yox is contraindicated in case of hypersensitivity to the active components, hyperthyroidism, heart failure, and children under 6 years of age.

Spray Lugol 100 rub.

The main active ingredients of Lugol's are glycerol and molecular iodine.

The first has a softening effect.

The second component is active against representatives of gram-positive and gram-negative microflora, fungi, and staphylococci.

Prescribed in the complex treatment of infectious and inflammatory diseases of the mucous membranes of the mouth and throat.

Cameton aerosol, 45 g, 110 rub.

This effective and inexpensive combination spray contains chlorobutanol hemihydrate, camphor, levomenthol, eucalyptus oil.

Chlorobutanol hemihydrate exhibits a mild anesthetic, anti-inflammatory, and antimicrobial effect.

Camphor provides a local irritant and additional antiseptic effect, increasing blood circulation in the area of ​​inflammation.

Levomenthol and eucalyptus oil have a local irritating and distracting effect.

An aerosol for the throat is used in the complex treatment of rhinitis, tonsillitis, and pharyngitis. Kameton is contraindicated if you are allergic to its components, or for children under 5 years of age.

Miramistin solution for topical use 0.01% bottle with spray, RUB 235

Miramistin is one of the most powerful and safe antiseptics, which are also active against hospital strains of microorganisms resistant to antibiotics.

The drug is effective against gram-positive and gram-negative, anaerobic and aerobic bacteria, fungi of the genus Penicillium, Aspergillus, yeast and yeast-like, dermatophytes, some viruses, including herpesvirus, HIV.

The range of application of the spray is very wide and is not limited to ENT diseases.

Miramistin is used in surgery, traumatology, obstetrics, gynecology, combustiology, dermatology, venereology, and urology.

In otolaryngology it is prescribed in the complex treatment of tonsillitis, laryngitis, pharyngitis. Approved for use by children over 3 years of age.

Novosept Forte spray, 350 rub.

The drug contains cetylpyridinium chloride (antiseptic), tetracaine hydrochloride (anesthetic).

The antiseptic component exhibits bactericidal activity against a wide range of pathogenic microorganisms, viruses and fungi.

The spray contains zinc, which is an oligoelement and exhibits an immunomodulatory effect.

Novosept is recommended for the treatment of inflammatory diseases of the oral cavity and pharynx, including stomatitis, gingivitis, tonsillitis, and pharyngitis.

Contraindications include age under 18 years, increased sensitivity to the components of the drug, the presence of wounds on the oral mucosa, acute renal and/or liver failure, pregnancy and breastfeeding.

Anti-Angin (280 RUR)

The drug is similar in composition to Novosept and contains chlorhexidine digluconate (antiseptic) and tetracaine hydrochloride (anesthetic).

The antiseptic exhibits bactericidal and bacteriostatic activity against most known strains of bacteria, fungi of the genus Candida, streptococci and staphylococci.

It is recommended by a specialist for the prevention and treatment of diseases of the oral cavity and pharynx of an infectious-inflammatory nature, provoked by bacteria sensitive to antiseptics, including tonsillitis, pharyngitis, initial manifestations of tonsillitis, periodontal disease, stomatitis, gingivitis.

The drug is contraindicated in cases of confirmed allergy to the components of the product, damage to the mucous membrane, phenylketonuria, and children under 10 years of age.

Exclusively as prescribed by a doctor for pregnant women and women during lactation, with diabetes mellitus, hemochromatosis, thalassemia, oxalosis.

Tantum Verde spray (285 RUR)

Contains benzydamine, which belongs to the group of non-steroidal anti-inflammatory drugs.

The spray has a strong local anesthetic, antiseptic and antifungal effect against Candida albicans. It is successfully used in the treatment of inflammatory diseases of the oral cavity and pharynx.

The drug is contraindicated in children under 3 years of age, pregnant women and women during lactation, with bronchial asthma and hypersensitivity to other NSAIDs.

Immunomodulatory aerosols

Throat sprays with immunomodulators are aimed at stimulating local humoral and cellular immunity.

They should be used when the first symptoms appear, which will help avoid possible complications. However, a relative disadvantage of drugs in this group is their high cost.

Derinat spray, 10 ml (370 RUR)

The drug contains sodium deoxyribonucleate. The spray stimulates the body's protective functions, improves the immune response to viral, bacterial, and fungal antigens.

Derinat also has anti-inflammatory, antitumor, antihistamine, and antioxidant effects.

During the first day, you should irrigate your throat every hour, after which the frequency of procedures can be reduced to 4 during the day.

The drug is approved for use by children over 1 year of age (due to the form of release), pregnant women and women during lactation.

Derinat can be used for prophylactic purposes during epidemics of acute respiratory infections.

Throat sprays with herbal ingredients

The content of plant extracts in the composition of medicines allows you to avoid the development of side effects characteristic of synthetic medicines.

Also, such drugs have a much smaller list of contraindications.

However, one should take into account the high likelihood of developing allergic reactions when using plant-based throat sprays.

Chlorophyllipt (180 RUR)

Prescribed by ENT doctors most often. The active component of the drug is eucalyptus leaf extract - a strong natural antiseptic.

The substance has pronounced bactericidal activity against gram-positive and gram-negative microorganisms, including antibiotic-resistant strains of staphylococci, fungi, protozoa, and has an anesthetic, immunomodulatory, and antiviral effect.

Nettle extract promotes the healing of small wounds and minor erosions in the oral cavity, and St. John's wort extract has an additional anti-inflammatory effect.

Precautionary measures

For the use of a medicinal spray to be as effective as possible, it must be used correctly:

  • immediately before irrigating your throat, you need to drink some water;
  • the bottle must be held vertically;
  • if the spray is dosed, you need to press the release nozzle once, with a dosed supply of the medicinal substance - a few seconds;
  • Before irrigation, the throat and mouth should be rinsed with water to remove possible
  • plaque and food debris;
  • After treating the mucous membrane, it is recommended to refrain from eating and drinking.

Throat sprays are a local dosage form and therefore do not have a systemic effect on the body.

However, despite this, the attending physician must select the drug based on the results of the examination, including bacterial culture from the oral mucosa to determine the type of causative agent of the disease.

Related materials:

Yulia Astafieva

Head of the otolaryngology department, candidate of medical sciences, ENT doctor of the highest category.

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Throat sprays: a review of effective remedies for children and adults

Throat sprays are perhaps one of the best local remedies used for emergency relief for inflammation of the oropharynx. The pharmacological industry now offers more than three dozen sprays that quickly eliminate the symptoms of many forms of sore throat.

Throat sprays

Sprays are produced in aerosol cans, in which the liquid medicinal substance is under pressure.

It is sprayed directly onto the inflamed areas of the mucous membranes and tonsils.

Rapid contact of active substances with the focal zone of inflammation provides an almost instantaneous therapeutic effect.

Sprays are also good because during their use, the tonsils accumulate the active components of the drug.

From the oral cavity, the medicine practically does not enter the general bloodstream, acting only at the local level.

Action of drugs:

  • Moisturizing (optimize the water balance of mucous membranes, reduce the intensity of irritation, prevent drying out).
  • Anti-inflammatory (slow down the growth of bacteria and viruses, reduce swelling).
  • Cleansing (helps maintain oral hygiene, washes away pathogenic microflora).
  • Symptomatic (eliminate discomfort, soreness).

Review of popular throat sprays in our video:

Indications for use

  • Stomatitis.
  • Tracheitis (inflammation of the trachea).
  • Tonsillitis (bacterial tonsillitis).
  • Inflammation of the gums (gingivitis).
  • Inflammation of lymphoid tissues (pharyngitis).
  • Viral sore throat.
  • Cold (laryngitis).

Fund rating

Among the most popular throat remedies are Lugol with iodine, Chlorophyllipt, Chlorhexidine, which have an antimicrobial effect. Miramistin - successfully fights fungal infections. Aquamaris, Ingalipt, Panavir, Bioparox, Tantum Verde - reduce pain and help remove mucus.

The most common throat sprays

Instructions for use

  1. With antibiotics: Hexoral, Maxicold Lor, Stopangin, Cameton. Used for purulent sore throats.
  2. With lidocaine: TeraFlu Lar, Strepsils Plus, Octenisept. They have a strong analgesic effect for any type of infection.
  3. With propolis: Proposol, Lariofit. They enhance regeneration processes, eliminate pain, kill germs, and quickly relieve inflammation.
  4. Before using the spray, be sure to take a few sips of clean water to clear your throat.
  5. Next, the bottle should be shaken well and turned upside down.
  6. The instructions for the drug must indicate the dosage for any age group and the recommended amount of medicine for various diseases. Press the spray cap as many times as written in these instructions.
  7. The stream of medicine should be directed specifically to the site of inflammation.
  8. You should not drink or eat food for an hour after treatment.

How to use Inhalipt in the treatment of throat diseases:

Recommendations

Although sprays have only a local effect, they should be chosen with caution. Children, allergy sufferers and pregnant women should be especially careful when choosing.

  • For viral tonsillitis, all other categories of citizens can use most sprays without a doctor’s prescription. It is enough to familiarize yourself with the contraindications to the chosen drug.
  • For bacterial diseases, the use of sprays is only part of complex therapy. Sprays alone cannot completely eliminate a bacterial infection. In this case, consultation with a doctor is mandatory.
  • When fungi multiply in the oral cavity, it is important to first find out the type of fungal infection using laboratory tests and only then, with the help of a doctor, select an effective spray.

Are there any contraindications

Sprays have a number of contraindications. Each medicine has its own.

But, as a rule, local remedies have few contraindications. You should familiarize yourself with them before use.

  • Many sprays are contraindicated for children and pregnant women.
  • Allergies may occur to sprays with propolis components.
  • Burning in the nose and irritation of the mucous membranes rarely occurs with large overdoses or with a tendency to allergies.

Feedback on effectiveness

Sprays for sore throat have long won the trust of patients. If you choose the right product, its effectiveness is guaranteed, even if the price remains quite cheap.

  • Quick effect.
  • Ease of use.
  • Minimum contraindications.
  • Used only as part of complex therapy. They cannot completely destroy the infection and remove all the dangerous symptoms of the disease.

Reviews on the use of Inhalipt in the treatment of ENT diseases:

See also:

3 Comments

Excellent article, I picked up a lot of useful information for myself. Even before it helped me when my throat hurts, eating lemon, but now I can’t - my teeth are very sensitive, so I’m looking for a new way.

I didn’t understand from the article why you need to use different sprays for a sore throat. I use grammidin spray and one is enough for me.

Anastasia, the doctor can prescribe several different sprays if necessary: ​​for example, gargling plus an antiseptic spray plus an antibiotic spray for sore throat with the presence of purulent plugs in the lacunae.

However, the article clearly states. that you don’t need to do this yourself.

Source: http://gidmed.com/otorinolarintologija/lekarstva-lor/sprei-dlya-gorla.html

Pain-relieving throat sprays with lidocaine

The causes of pain in the throat can be various diseases of the throat - fungal, bacterial or viral infections, which only a specialist can understand; and after an examination, the otolaryngologist will determine a course of treatment, which will include a lidocaine throat spray to relieve pain.

What are Lidocaine Pain Relief Sprays?

Sore throat sprays with lidocaine are the best solution when choosing a high-quality adjunct to complex therapy.

Most anesthetic sprays of this type contain not only an anesthetic agent (directly, lidocaine), but also antiseptic substances.

The use of an anesthetic in aerosol form for injection into the source of infection significantly speeds up and facilitates the treatment of throat pathologies.

Selection of pain relief sprays with lidocaine

Today, pharmacology offers a wide selection of lidocaine sprays for sore throat. Which one is better to use?

TeraFlu Lar

The best antiseptic for sore throats that have a local anesthetic effect is the Swiss lidocaine spray TeraFlu Lar.

Its active ingredients are:

  • Anesthetic lidocaine hydrochloride (content – ​​0.15%);
  • Antiseptic benzoxonium chloride (content – ​​0.2%).

Ingredients such as peppermint oil and menthol provide a refreshing and pleasant mint flavor.

And glycerin, known for its softening effect and enveloping properties, prolongs the action of the active components.

TheraFlu Lar is prescribed as a primary or auxiliary remedy for the following infectious and inflammatory diseases of the throat:

Also, the use of an anesthetic spray with lidocaine is indicated for dental pathologies.

Features of application

The preferred form of release of drugs for sore throat is an aerosol with an anesthetic, rather than tablets.

The bottle is equipped with a sprayer that allows you to inject a strictly dosed amount of the substance (approximately 0.5 ml).

For adults, the number of procedures of 4 injections ranges from 3-6 times a day. Children from 4 years old – 2-3 sprays 3-6 times a day.

The list of contraindications, in addition to individual intolerance to individual components of the anesthetic, includes:

  • Pregnancy;
  • Breastfeeding period;
  • Age up to 4 years.

The restrictions were introduced as a result of insufficient clinical studies.

During therapy, you should not drink alcohol, nor use anionic active substances, which are contained, for example, in toothpaste - the spraying procedure should be carried out only after rinsing your throat and mouth after eating.

You can neither eat nor drink for half an hour after this.

Side effects

Side effects from the use of anesthetic spray are represented by isolated cases:

  • Occasionally - the appearance of allergic reactions from the immune system (urticaria, swelling of the face or larynx);
  • Sometimes temporary local irritation of the mucous membranes occurs (disappears after stopping the spray);
  • With prolonged use of lidocaine spray (more than 2 weeks), reversible brown staining of the tongue and teeth is possible.

Do not take lidocaine numbing spray after the expiration date.

Strepsils Plus drug

This is a combined drug that is a good anesthetic and antiseptic. The anesthetic also has an anti-edematous effect.

Strepsils Plus is prescribed for:

  • Laryngitis, pharyngitis of various etiologies;
  • Acute catarrhal form of tonsillitis and in the treatment of purulent types;
  • Other diseases of the mouth and throat, accompanied by painful sensations.

Compound

The drug solution is a combination solution and contains 3 active ingredients:

  1. Amylmetacresol is a disinfectant and mild analgesic. Amylmetacresol inhibits the formation of pathogenic microorganisms and eliminates inflammation at the local level. The ingredient is included in other anesthetics used in otolaryngology. These are Neo-angin, Rinza lorcept anesthetics, Gorpils, Terasil. Amylmethacreazole inhibits protein synthesis produced by pathogens and also reduces irritation of the epithelium.
  2. Lidocaine. A local anesthetic that has a minimal number of contraindications. By blocking the conduction of nerve channels, it interferes with the development of pain impulses. By dilating blood vessels, it improves tissue nutrition.
  3. 2,4-dichlorobenzyl alcohol in combination with other components enhances the effects of essential oils and amyl methacresol. Belongs to the group of disinfectants and antiseptics.

Essential oils have a softening effect: peppermint and anise. Extracts help relieve pain and relieve swelling faster.

Recommendations for use

The use of Strepsils Plus anesthetic spray with lidocaine should occur after eating and rinsing the mouth with water.

Dosage for adolescents aged 12 years and for adults – 2 presses on the nozzle per procedure. In case of severe pain, it is possible to use an anesthetic every 3 hours with a maximum number of procedures per day – 6 times.

The course of treatment should be no more than 5 days. If there is no therapeutic effect, you should contact your doctor to adjust the treatment regimen.

Contraindications and side effects

Lidocaine sore throat spray has almost no side effects. Its use may cause tongue loss or allergic reactions.

In general, this anesthetic is well tolerated by patients who do not have the following contraindications:

  • Pregnancy;
  • Breast-feeding;
  • High sensitivity to individual components of the anesthetic;

The use of this pain reliever is not allowed for children under 12 years of age; during pregnancy and lactation, use is possible only under the supervision of a physician.

Benzocaine pain relief spray

Painkiller sprays are sometimes used in which the antiseptic effect is not performed by lidocaine, but by another substance - benzocaine. Such an anesthetic could be Septolete Plus.

This is a combination local anesthetic and antiseptic throat spray with benzocaine.

Septolete Plus is used to attack viruses, fungi or bacteria that cause throat disease.

  • Anesthetic benzocaine;
  • Antiseptic cetylpyridinium chloride monohydrate.

Auxiliary components – sodium saccharinate, peppermint oil, glycerol and others.

The spray is used in the treatment of all of the above pathologies of the mouth and throat, and it is one of the few sprays that has antiviral properties.

Contraindications

Septolete Plus throat anesthetic spray is not used to treat:

  • Children under 18 years of age;
  • Patients with alcohol addiction;
  • Patients with sensitivity to the components of the anesthetic;
  • Patients with methemoglobinemia.

The anesthetic should be used with caution in patients with diseases:

  • Respiratory organs (asthma, COPD, etc.);
  • Biliary tract and liver;
  • With pathologies of the cardiovascular system (cardiovascular system);
  • Brain;
  • Smokers;
  • Pregnant women;
  • Nursing women;
  • To old people.

Also, due to the slowdown in wound healing when treating cetylpyridinium chloride, it is prohibited to use the anesthetic Septolete Plus if there are open wounds in the oral cavity.

If any side effects occur, stop taking the pain medication immediately and consult a doctor.

Sprays with lidocaine for children

While there is no shortage of painkillers for adults, it is far from easy to find a throat spray with lidocaine to treat a child.

Usually, if the instructions contain instructions regarding the permissible age of admission, such a remedy can be prescribed to younger children under the strict supervision of the attending physician.

Using lidocaine throat sprays for children

How to take painkiller sprays for children?

You need to follow these recommendations:

  1. This anesthetic spray should only be used by children of an age when they can understand the command “breathe - don’t breathe”, since the medicine must be injected while holding their breath. If this condition is not met, the child faces the risk of laryngeal spasm.
  2. It is necessary to use an anesthetic spray with lidocaine with extreme caution; in no case should the duration of treatment or overdose be exceeded, since excessive action of lidocaine can cause anesthesia of the upper gastrointestinal tract.
  3. If in doubt, it is better to point the sprayer at the inside of your cheek rather than at your throat.
  4. If possible, it is recommended not to take pain-relieving sprays with strong anesthetics; it is better to use milder agents - Tantum Verde, Oralcept, which have a mild analgesic effect.

In conclusion, it is worth noting that the best anesthetic sprays for the throat are Strepsils Plus, TeraFlu Lar, Septolete Plus.

It is recommended to treat children over 4 years of age using products from the TeraFlu Lar group, and it is not recommended to treat younger children with throat sprays with strong anesthetics.

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