The best medicine for sinusitis

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What medications should be used to treat sinusitis?

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

Table of contents:

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

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

Which medications for sinusitis help best?

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

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

The main areas of treatment include:

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

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

Antibiotics

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

The following antibiotics are commonly used:

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

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

Vasoconstrictor drugs

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

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

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

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

Nasal rinsing

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

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

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

Mucolytics

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

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

Glucocorticoids

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

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

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

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

Sinuforte for sinusitis

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

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

Sinupret

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

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

Polydexa

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

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

Other medicines

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

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

Good to know:

We recommend reading:

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Symptoms of sinusitis and treatment in adults at home

15 comments

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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What drug is most effective for sinusitis?

Sinusitis is an inflammation of the paranasal sinuses, which is accompanied by unpleasant symptoms such as impaired nasal breathing, nasal congestion, headaches and facial pain, and a feeling of tension in the forehead and temples. But it’s not the symptoms that make the disease scary. The danger is posed by complications that can develop if it is treated incorrectly.

If you suspect sinusitis, you should not delay visiting your doctor. He will give directions for the necessary tests, determine the cause and type of the disease, and also prescribe a set of drugs for treatment.

How to determine the most effective remedy?

Effective treatment of sinusitis is impossible without identifying its cause. After all, it depends on her which drug will take a central place in the treatment of the disease. So, if the cause of sinusitis is a bacterial infection, then the most effective medicine for it is an antibiotic. An antihistamine is the best way to treat allergic sinusitis.

However, there are a number of remedies that are used for any type of disease. These medications are designed to eliminate the symptoms of the disease:

  • pain;
  • nasal congestion;
  • violation of nasal breathing;
  • formation of scar tissue.
For these purposes, the complex treatment of sinusitis includes painkillers, non-steroidal anti-inflammatory drugs, vasoconstrictors, mucolytics, and corticosteroids.

The best drugs from the group of antibiotics

To determine the most effective remedy for sinusitis from this group, you will need to conduct a bacteriological analysis to determine the susceptibility of the pathogens. A drug that has the properties to kill pathological bacteria that cause diseases will be optimal.

  • First of all, penicillin antibiotics are prescribed. Among them, Augmentin should be noted. He is perhaps the most frequently appointed spokesman for the group. The drug contains amoxicillin enhanced with clavulanic acid.
  • Cephalosporins are on a par with penicillins. One of the most effective drugs in the group is Cefixime.
  • If the pathogenic flora is not sensitive to penicillins and cephalosporins, then macrolides are prescribed. These antibiotics have a wider spectrum of action. The most famous representative of macrolides is Azithromycin. In addition to its high effectiveness, the drug has a convenient dosage regimen - 3 tablets, taken one per day, are usually sufficient for a course of treatment.
  • When macrolides are not able to cope with sinusitis, drugs from the group of fluoroquinolones are prescribed. Among them, Lomeflox and Levofloxacin are the most effective.
  • Sprays containing antibiotics (Isofra and Polydexa) are also effective medications for sinusitis. Isofra contains framycetrin, which exhibits bactericidal activity against most microbes that cause diseases of the upper respiratory tract.

Polydexa is a complex drug containing simultaneously 2 antibiotics, a vasoconstrictor and a hormonal component. This ensures its high antibacterial activity, as well as the rapid elimination of swelling and restoration of nasal breathing.

The best mucolytics in the treatment of sinusitis

The task of mucolytics is to thin and facilitate the passage of mucus from the sinuses.

  • The herbal preparation Sinupret copes well with it. In addition to the mucolytic effect, it also has decongestant, antiviral, anti-inflammatory and immunostimulating effects.
  • A good remedy for sinusitis is another herbal preparation, only for topical use - Sinuforte. Due to its ability to thin mucus and promote its removal due to local irritation of mucosal receptors, it is also classified as a mucolytic agent.

Vasoconstrictor local agents

Usually, treatment of sinusitis at home begins with the use of vasoconstrictor drops in the nose, believing that another runny nose has begun. The use of these medications allows you to quickly narrow blood vessels, normalize breathing through the nose and eliminate nasal congestion. When choosing drops, it is better to give preference to long-acting drugs:

It is impossible not to note the complex drug Vibrocil, which contains both vasoconstrictor and anti-allergenic active ingredients.

How to relieve pain?

To eliminate pain from sinusitis, the most helpful is Nurofen or our analogue Ibuprofen. These drugs not only eliminate pain, but also help reduce the inflammatory process, as well as normalize elevated body temperature.

Corticosteroids

These drugs are used for sinusitis that is viral, allergic or bacterial in nature in the absence of treatment results with other means. Preference is given to medications for topical use. They have powerful anti-inflammatory and decongestant effects, with virtually no systemic effect on the body. The most used representative of the group is Nasonex nasal spray.

Don't forget about rinsing and moisturizing

Treatment of sinusitis with medication necessarily includes drops and sprays to cleanse and moisturize the mucous membrane. They have no contraindications and can be used at any age. It is advisable to use such preparations several times a day, especially before using other topical nasal remedies. This application will increase the effectiveness of the latter. The most popular representatives of sea water-based products:

There is no perfect drug. The best cure for sinusitis will be different in each individual case. After all, it should not only effectively treat the disease, but also be well tolerated by the patient without causing side effects. Therefore, the selection of drugs for the treatment of this difficult disease is carried out on an individual basis.

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What is the most effective medicine for sinusitis?

What are the basic principles of treating sinusitis?

Sinusitis is an inflammatory process accompanied by the formation of purulent secretion in the maxillary sinuses. It does not occur by chance, but as a result of a recent ARVI or cold. Thus, this disease is a complication.

  1. poor drainage of the nasal passages and sinuses;

In the presence of these factors, the infection easily enters the accessory cavities, which leads to the occurrence of an inflammatory process. Then the situation gets worse, as favorable conditions allow bacteria to multiply unhindered.

Before you start self-medicating with folk remedies or drugs from the pharmacy, be sure to consult your doctor.

How to cure sinusitis without a puncture?

Sinusitis is not one of the diseases that you can simply brush aside like an annoying fly. Due to the fact that the disease is associated with the passage of an inflammatory process in the body, a person with it experiences extreme inconvenience: difficulty breathing, pain and an unpleasant odor. And some people choose to ignore these difficulties until the last moment, as a result of which they end up with a hole in the septum between the nasal cavity and sinus. And they will be very lucky if the disease does not become chronic. But this can be avoided by promptly contacting an otolaryngologist, who will select treatment.

  1. extraction of purulent formations from the maxillary sinuses;

Cure sinusitis is not as easy as it seems, and only a specialist will choose the right method of treatment. As a rule, the following types of drugs are prescribed for therapy:

All these drugs are taken comprehensively, since each of them works on its own front. Therapy lasts from 2-3 days to several weeks.

Depends on the stage of the disease and the patient’s diligence in treatment.

What tablets are there for sinusitis?

When drawing up a course of treatment for a patient, the main emphasis in the drugs used is on tablets. Their main task is to stop the spread and development of infection. As mentioned earlier, antibiotics are used to combat this problem. The most effective medications for sinusitis: Azithromycin, Augmentin, Cephalosporin and others. Strictly speaking, the last two drugs are available in powder form, but they can be prescribed instead of antibiotic tablets as independent remedies. The fact is that powder products are not inferior to tablets in effectiveness.

In addition, in the treatment of sinusitis, drugs such as Sinupret and Macropen are prescribed. They have a complex therapeutic effect. A distinctive feature of both products is that they can not only stop the growth of bacteria, but also destroy them. Many people believe that Sinupret is the best medicine for sinusitis.

When using complex-action drugs (Sinupret or Macropen), do not refuse antibiotic treatment. The effect can only be achieved with their simultaneous use.

What drops and sprays are there for sinusitis?

The tablets, being absorbed into the walls of the stomach and then reaching their destination, have an effect in the long term. To get immediate relief (reduced pain, improved breathing), you need to use drops or nasal sprays.

The doctor usually prescribes drugs such as Isofra (drops and spray), Bioparox (drops), Sinupret (which is available not only in tablet form, but also in spray form), and Dolphin (spray). “Isofra” acts as an antibiotic, “Bioparox” fights bacteria, “Dolphin” cleanses the nasal cavity of excess mucus, and “Sinupret” has a general therapeutic effect.

How to wash for sinusitis?

Both the wound on the body and the infected nose should be washed. This can be done using both pharmaceutical and folk remedies.

  1. split the tablet into two halves;

Also use weak decoctions of chamomile, string, eucalyptus leaves, St. John's wort, and oak bark as a solution. Otolaryngologists often prescribe saline rinsing. To do this, add a teaspoon of salt to a glass of warm water.

When rinsing the nasal cavity with salt, use sea salt rather than regular salt.

Will homeopathy help with sinusitis?

An otolaryngologist in a city clinic is unlikely to prescribe treatment with homeopathic medicines. But a homeopathic doctor in a private clinic can. It is worth noting that there are no homeopathic remedies for sinusitis. But there are remedies for runny nose and colds. The homeopath will prescribe them. It is important to note that medications for sinusitis in adults differ from those prescribed for a child with the same problem.

What folk remedies will help cure sinusitis?

Homemade remedies can be a supplement (but not a replacement!) for medications from the pharmacy. Especially often and successfully used:

*]inhaling the vapors of kombucha infusion.

Use traditional medicine only as an auxiliary measure. The main treatment should consist of medications prescribed by a doctor.

In fact, there is no specific answer to the question “what medicine should I use for sinusitis?” It cannot be, because only complex treatment can lead to a positive result. Sinusitis is a serious disease that can be treated. You need to notice the first signs of the disease in time and immediately make an appointment with a doctor. The best remedy for sinusitis is a timely visit to an otolaryngologist. Then surgery can be avoided.

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Drug treatment of sinusitis - effective drugs and preparations

Sinusitis is not a runny nose or a common cold, which can go away on their own after some time. Successful recovery from a disease in most cases depends on the timely and competent use of both medicinal tablets and all kinds of syrups, sprays, drops and injections. A properly selected effective medicine for sinusitis will help quickly eliminate symptoms and prevent the development of unpleasant consequences of the disease.

Approaches to the treatment of sinusitis and the main groups of drugs

Sinusitis should be treated comprehensively and in several directions:

  • Stop the growth of pathogens;
  • Eliminate the block of the excretory anastomosis, relieve swelling and help the pathological discharge to exit the sinus into the nasal cavity;
  • Relieve pain syndrome;
  • Relieve the symptoms of intoxication: reduce the temperature, relieve aches in the joints and muscles, etc.;
  • Suppress pronounced inflammatory process.

For this purpose, several groups of drugs are used that can not only effectively treat the disease, but also prevent the transition of sinusitis to the chronic stage:

  • Antibiotics;
  • Anti-inflammatory and decongestant drugs;
  • Mucolytics;
  • Painkillers and antipyretics;
  • Local nasal rinses;
  • Immunomodulators;
  • Combined means.

If you treat sinusitis comprehensively, using the above groups of medications, the disease quickly recedes and the patient begins to feel much better within 2–3 days.

Antibacterial drugs

This group of drugs is used for sinusitis caused by bacterial infection. Used to destroy and suppress the processes of growth and reproduction of bacteria.

Important! Treating sinusitis of a viral or fungal nature with these drugs is not only ineffective, but also dangerous, since the disease will progress further, and antibiotics can cause a variety of side effects.

  • Protected and unprotected penicillin antibiotics are used for treatment: amoxicillin, amoxiclav (amoxicillin + clavulanic acid), etc.;
  • Antibiotics from the cephalosporin group in tablets or injections: ceftriaxone, cephalexin, etc.;
  • If you are allergic to penicillins and cephalosporins, choose azalides: azithromycin, etc.;
  • In mild forms of sinusitis, the disease can be treated using a topical antibiotic - fusafungin (Bioparox) in the form of a nasal spray.

Bioparox has an antibacterial effect against most bacteria and an anti-inflammatory effect, but does not have a systemic effect on the body. For sinusitis of moderate and severe severity, it is used only in combination with systemic antibiotics.

Anti-inflammatory and decongestant drugs

Nasal drops

Medicines for sinusitis in the form of drops are used to eliminate swelling of the nasal mucosa, moisturize and locally destroy the infection.

Eliminate swelling in the nose. They vary in duration.

  • Short-acting (up to 4 hours) – based on naphazoline: naphthyzin, sanorin;
  • Medium action (up to 5–6 hours) – based on xylometazoline: galazolin;
  • Long-acting (up to 12 hours) - based on oxymetazoline: nazivin, nazol, etc.

Moisturizing drops.

They are used to eliminate dryness and irritation of the nasal mucosa, partially eliminate swelling and reduce inflammatory manifestations. Preparations:

They contain a combination of a vasoconstrictor with an antiallergic agent (Vibrocil) or a combination of a local antibiotic and a vasoconstrictor (Polydex, Isofra).

Nasal sprays based on local glucocorticosteroids.

To choose from, the most effective remedy for the treatment of sinusitis of allergic origin.

  • Flixonase;
  • Avamis;
  • Nasonex.

Plant-based nasal drops.

Pinosol is less effective in combating swelling of the mucous membrane, but it is approved for use in pregnant and lactating women.

Antihistamines

This group of drugs not only eliminates the allergic component of the disease, but also has an anti-edematous and anti-inflammatory effect. For the treatment of sinusitis, second-generation antihistamines (loratadine, kestin, etc.) are chosen because they have a pronounced sedative effect.

Mucolytics

Medicines in this group affect the viscosity of sinus secretions and facilitate their exit from the sinuses into the nasal cavity. The most popular means:

A plant-based drug with a mucolytic effect is sinupret (a complex of a mixture of medicinal plants). Separately, sinuforte is isolated - this product contains juice and extract of the roots of the cyclamen flower. It stimulates the production of secretion from the maxillary sinus and promotes its cleansing.

Painkillers and antipyretics

The following will help eliminate pain of any localization, relieve fever and reduce inflammatory manifestations:

In case of severe attacks of pain, additional use of an analgesic (analgin or citramon) is possible.

Local nasal rinses

Pharmacy or self-prepared solutions for rinsing the nose help clear the sinuses of pathological secretions and relieve nasal congestion.

Use saline solution, antiseptics (miramistin, furatsilin, etc.), decoctions of chamomile, calendula or herbal infusions, as well as solutions of sea or table salt.

Immunomodulators

Treating sinusitis with medications that normalize the function of the immune system (interferon, thymus preparations, echinacea, ginseng, etc.) should be done very carefully, since you can get the opposite effect in the form of a sharp decrease in immunity.

Combination drugs

They have a complex effect and have various properties:

Cinnabsin is a herbal homeopathic medicine that has anti-inflammatory and immunostimulating effects. Contains echinacea, goldenseal, cinnabar and other substances.

Ibuklin is a combination of paracetamol and ibuprofen. This remedy exhibits a pronounced analgesic, anti-inflammatory and antipyretic effect.

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Review of remedies for the treatment of sinusitis

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

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

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

Groups of drugs for the treatment of sinusitis

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

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

Antibiotics

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

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

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

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

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

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

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

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

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

Isofra

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

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

Adrenergic agonists

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

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

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

Sanorin

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

Main contraindications of adrenergic agonists:

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

Medicinal solutions for rinsing the nasal cavity

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

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

The following drugs can be used to perform them:

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

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

Corticosteroids

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

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

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

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

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

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

Analgesics

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

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

Mucolytics

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

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

Antihistamines

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

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

Herbal preparations

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

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

Which doctor should I contact?

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

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

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The most effective remedies in the treatment of sinusitis

Sinusitis is one of the most common diseases that can occur when a bacterial infection enters the paranasal sinuses. And then the active development of this infection occurs.

But in the modern world, a diagnosis of sinusitis is not a death sentence. It responds successfully to treatment. A modern remedy for sinusitis can be highly effective in curing such a difficult disease.

Timely and correct treatment of sinusitis will avoid a painful procedure - puncture. The main condition for cure is the correct choice of drugs, which must be taken according to a certain schedule.

And most importantly, medications should be prescribed only by a qualified specialist - an otolaryngologist.

Treatment of sinusitis

Sinusitis is a complex disease, and it must be treated comprehensively. The main areas of treatment include:

  • in the maxillary sinuses to reduce swelling;
  • evacuate purulent secretions from the inflamed maxillary sinuses;
  • reduce blood pressure and pain;
  • destroy bacterial infection;
  • prevent the formation of scar tissue.

Treatment of the disease can last from a couple of days to several weeks. As a rule, this depends on the course of the disease and the general condition of the patient. Basically, doctors prescribe several types of drugs at the same time:

  • to suppress infection - antibiotics;
  • to reduce swelling of the mucous membrane - decongestants;
  • to reduce pain - analgesics;
  • to reduce mucus - mucolytics;
  • to reduce the inflammatory process - corticosteroids.

This complex of drugs will completely cure such a complex disease as sinusitis. Many different works have been devoted to the problem of treating sinusitis. In this article, we invite you to get acquainted with the best means to combat the disease that you can buy at the pharmacy.

The best remedies for sinusitis

Sinupret

Perhaps the best and most effective remedy for sinusitis is Sinupret. You can easily buy it at a pharmacy and even without a prescription. The main advantage of this drug, undoubtedly, is that it consists of herbal ingredients: elderberry flowers, gentian root, sorrel herb, verbena herb, primrose flowers.

Thanks to this unique composition, Sinupret causes an antimicrobial, antiviral, and immunostimulating effect in the treatment of sinusitis. The maximum effect of treatment can be achieved if this drug is used from the first days of the disease.

The advantages of the drug include the fact that it can also be used in the treatment of sinusitis in young children.

The duration of treatment can be from 1 to 2 weeks; the exact time of use of the drug can only be determined by the attending physician. Even better results can be achieved if you take Sinupret along with antibiotics.

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

Macropen

Macropen can be used even by those patients who are allergic to penicillin antibiotics; it can also be used by pregnant women. If you start treating sinusitis from the first days, you can achieve a complete cure - in acute sinusitis, and in chronic sinusitis - achieve stable remission.

But do not forget that Macropen is an antibiotic, which means it has a number of contraindications, and even more so there are side effects. The use of this drug is advisable only after consultation with a specialist.

Isofra

A modern antibiotic that belongs to the group of aminoglycosides is Isofra. A drug that gives excellent results in curing sinusitis. Because the pathogens are extremely sensitive to framecin, the active ingredient of the antibiotic Isofra.

The drug is available in the form of nasal drops and spray. First, the nasal cavity must be drained with vasoconstrictor drops, and then Isofra must be applied.

The drug can also be used for children, only over 1 year. But no more than three injections per day, for an adult the dosage is six injections. At the initial stage of sinusitis, the effect occurs quite quickly.

In most cases, this treatment will be sufficient. But just remember that Isofra cannot be used for more than 10 days. Otherwise, fungal inflammation may develop due to decreased immunity.

Bioparox

The most effective drug for the treatment of purulent sinusitis is Bioparox. Bioparox has a powerful bacteriostatic effect, and is used through the nose in the form of inhalations.

Before using the drug, the nasal cavity must be rinsed and instilled with vasoconstrictor drops.

Bioparox can be injected into children over 2.5 years old, 1 dose up to 4 times a day. Patients over 12 years of age: two doses in each nasal passage. It is worth remembering that the drug should not be used for more than a week. Pregnancy and lactation are contraindications for the use of Bioparox.

But do not forget that only a specialist can prescribe adequate and competent treatment. Despite such a remarkable track record of Bioparox, only in rare cases can you get by with only one in the treatment of sinusitis.

The maximum effectiveness of the drug can be achieved only at the initial stage of the disease. For chronic sinusitis, Bioparox must be taken in combination with other medications, which will significantly reduce the time until complete recovery.

Dolphin

The mineral-herbal complex used for nasal rinsing is Dolphin. Perhaps this is the most effective drug for irrigation in the treatment of sinusitis, that is, for cleansing the mucous membrane of the nasal passages.

This process helps remove pathological secretions along with viruses, bacterial cells, and allergens. As a result of the procedure, inflammation and swelling of the mucous membrane are reduced.

The nasal rinsing procedure is an effective treatment for sinusitis, and Dolphin is recognized as the best drug for such a procedure.

After all, the complex includes:

  1. antiseptics – iodine and sodium chloride;
  2. a complex of microelements that improve the process of mucus production;
  3. selenium and zinc, which help stimulate local immunity;
  4. rosehip, which has antibacterial properties and contains a huge amount of vitamins;
  5. licorice, which regulates electrolyte balance and has an antiallergic effect.

Dolphin is a powder that must be dissolved in water. Washing with Dolphin can replace the “cuckoo”. Therefore, it is the most popular drug for rinsing the nasal cavity in cases of sinusitis.

Sinuforte

Perhaps it is worth noting the popular drug Sinuforte. It is famous for its naturalness, although it is quite expensive. There are legends about its effectiveness among the people.

The main component of the drug is an extract from cyclamen tubers. Sinuforte acts on receptors that are located deep in the maxillary sinuses. As a result, the inflammatory secretion accumulated in the sinuses is rarefied, and therefore contributes to its removal.

Sinuforte is offered as an alternative to unpleasant procedures. Even though the drug is of plant origin, you still shouldn’t use it thoughtlessly. It is advisable to consult a specialist.

Other effective medications

There are a huge number of effective drugs against sinusitis that have proven themselves to be very good in life. These include: amoxil, flemoxin solutab, ospamox, oxymetazoline, leconil, nazole, naproxen, ibuprofen, fluimucil, fluditec, mucodin, etc.

Let's sum it up

Cure sinusitis will not be a huge task. Just remember that it is easier to treat any disease at an early stage. Therefore, do not put off visiting a doctor if you notice the first signs of the disease. After all, they are quite specific. Don't ignore them.

But it’s even better to follow preventive measures and then the disease will bypass you.

Don't miss the video

A short video that describes in detail about sinusitis and modern methods of treating it:

This is useful to know:

Thank you for the useful information. I am of the clear opinion that in any case you should not self-medicate, and do all medical procedures only as prescribed by your doctor. I recently developed terrible sinusitis. And by the way, it was with the help of inhalation that I was cured. I breathed the antibiotic fluimucil IT, and the sinusitis went away in a few days.

I'm drunk, send me some medicine

I went through a course of antibiotic treatment and a puncture, but still, in the summer after allergies, already in the fall, sinusitis begins, but for myself I found a folk recipe, and I am saved only by it, the treatment does not take time, the treatment fits into my schedule, it is convenient and painless, write, I will help!

My son went without a hat in September. I caught a cold and got a bad runny nose. They couldn't cure it for a long time. We went to the doctor and was diagnosed with sinus inflammation. The doctor prescribed treatment and prescribed Azitral. Thanks to the doctor, the antibiotic turned out to be inexpensive and effective. My son took 1 capsule a day after lunch. Three days later, my son felt a significant improvement. I want to say, don’t be afraid to take antibiotics.

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

Are sinusitis and vasomotor rhinitis treated the same way?

Source: http://nekogdaboleti.ru/bolezni-nosa/gajmorit/luchshee-effektivnoe-sredstvo-lecheniya.html