Vasoconstrictor drops for otitis media

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Dr. Komarovsky about otitis media

Children and their parents encounter such a disease as otitis media quite often. Medical statistics say that every child has suffered from ear inflammation at least once in their life, and before the age of three, more than 80% of children have already suffered from this disease.

Table of contents:

In every eighth child, otitis media is chronic. The famous children's doctor Evgeniy Komarovsky talks about why children's ears become inflamed and how to treat this condition.

About the disease

Otitis media in children can be of three types. Depending on the location of the inflammatory process, the disease can be external, middle or internal. The inflammatory process can be concentrated or diffuse, affecting the eardrum and other structures of the ear. Based on the duration of the disease, otitis is divided into acute and chronic. And the presence or absence of pus divides otitis into two types - catarrhal (without pus) and exudative (with pus).

Inflammation can be caused by bacteria, viruses and allergens. They enter the auditory tube through improper nose blowing, sneezing, and sniffing, which accompany any respiratory infection.

Therefore, it is obvious that otitis media itself is rare; much more often it is a complication of a viral infection. External most often manifests itself as boils in the area of ​​the auricle; this is a completely independent disease that is caused by microbes. Allergic otitis is a type of reaction of the child's body to a protein antigen; it is extremely rarely purulent, but is accompanied by severe swelling. If the inflammation is localized only in the auditory tube, it is called tubootitis.

Some children get otitis rarely, others often. This, according to Evgeny Komarovsky, depends not only on the immunity of this particular child, but also on the anatomical features of the structure of this particular ear.

In children with a short auditory tube, otitis occurs more often. With age, the tube “catches up” in length and diameter to normal, takes on a more horizontal position, and frequent otitis media becomes rare or disappears altogether.

Symptoms

Otitis externa is difficult to miss - the auricle turns red, sometimes visually without special medical instruments (otoscope and mirror) you can see a boil or abscess, the child experiences throbbing pain, characteristic of all abscesses. Hearing may deteriorate somewhat only at the moment when the abscess ruptures and pus enters the auditory tube.

Otitis media manifests itself as “shooting” in the ear, the pain intensifies and then subsides for a short time. There may be a slight decrease in hearing, headache, lack of appetite, dizziness, disorders of the vestibular system, and increased body temperature. A child who, due to his age, can already speak, is quite capable of telling what worries him. A baby who has not yet learned to speak will often touch his ear, rub it, and cry.

The most difficult thing to diagnose at home is otitis media in an infant. But there are signs that will help parents figure out what exactly is bothering the baby:

  • During sucking, the baby's anxiety increases.
  • If you press on the tragus (the protruding cartilage near the ear canal), the pain will intensify and the baby will cry more.
  • If you hold the baby close to you while feeding the sore ear, it will feel a little easier.

If there is any suspicion of otitis media in an infant, even if the illness is not accompanied by fever or fluid discharge from the ears, you should definitely show the baby to a doctor.

In the vast majority of cases, internal otitis is also not an independent disease, but occurs in the case of improper treatment of otitis media, an advanced form of this disease, and also as a complication of meningitis. It can manifest itself a couple of weeks after suffering a viral illness with severe sudden dizziness. There is often noise in the affected ear and hearing loss. For diagnosis, you definitely need a doctor who will prescribe an MRI of the brain and pure-tone audiometry.

Treatment according to Komarovsky

Evgeniy Komarovsky warns mothers and fathers that otitis media for a child cannot be treated using folk remedies and alternative medicine, because the complications of the disease can be very severe - from the transition of an acute form to a chronic one, and then the child will be plagued by frequent otitis media, until the onset of deafness, facial paresis nerve, meningitis, etc. Therefore, instilling heated oil with aloe or walnut juice is a real parental crime.

With purulent otitis media, you should absolutely not warm anything up, make warming or alcohol compresses, or instill warm oil, as caring grandmothers and traditional healers may advise. Such heat will only worsen the inflammatory exudative purulent process.

For treatment of acute (suddenly occurring) otitis in a child, Evgeniy Komarovsky recommends starting treatment by instilling vasoconstrictor drops into the nose. They not only reduce the lumen of blood vessels in the nasal mucosa, but also relieve swelling in the area of ​​the auditory tube. “Nazivin”, “Nazivin Sensitive” (if the baby is an infant), “Nazol baby” are suitable for this.

The main thing to remember is that these drops are not used for more than five days, since they cause persistent drug addiction, and you need to choose children’s drops at the pharmacy, the dosage of the active substance in which is lower than in similar adult preparations.

Vasoconstrictor drops are relevant only at the very initial stage of acute otitis, when there is a chance to prevent its further development. If the chance remains unrealized or the attempt was unsuccessful, you should immediately contact an otolaryngologist, who will determine the type of disease and, upon examination, find out whether the eardrum is damaged. If it is intact, you can use ear drops; if it is damaged, which happens quite often, then nothing should be dripped into the ear.

If pus is flowing from the ear, then Komarovsky urges you to abandon self-medication and not drip anything before going to the doctor.

Suppuration most likely indicates a perforation (breakthrough) of the eardrum, through which pus enters the outer ear. If there is perforation, do not drip near the ear so that the medicine does not get on the auditory nerve, auditory ossicles and cause deafness.

If otitis media is accompanied by an increase in temperature, then it is reasonable to use antipyretic drugs and painkillers. To reduce high fever, it is advisable to give Paracetamol or Ibuprofen to children. Both of these medications provide a moderate analgesic effect. Doctors often prescribe a drug such as Erespal. It can be taken by children over two years of age in syrup form. This medicine is not given to children in tablet form.

Are antibiotics needed?

Although most parents believe that antibiotics are necessary in the treatment of otitis media, this is not always the case, says Evgeniy Komarovsky. For asymptomatic otitis media caused by fluid accumulation in the middle ear, antibiotics will have no effect on the healing process. Typically, such otitis media goes away on its own as the child recovers from the underlying viral disease - ARVI or influenza.

Otitis media, accompanied by pain and “shooting” in the ear, can be caused by both bacteria (against which antibiotics are effective) and viruses (against which antibacterial drugs are completely ineffective).

Evgeniy Komarovsky advises waiting about 2 days before starting active treatment. If there is no improvement on day 2-3, this is a signal to prescribe antibiotics to the child.

It is allowed not to wait two days if the child’s otitis media is severe, with high fever, very severe pain, and if the child is not yet 2 years old, the doctor will most likely prescribe antibiotics right away. For children under two years of age, it is very important whether they have otitis media - one-sided or two-sided.

When treating external otitis, antibiotics are rarely required; treatment with antiseptics is usually sufficient. Internal otitis requires symptomatic treatment; antibiotics for labyrinthitis are also prescribed extremely rarely.

In any case, a doctor should decide to prescribe antibiotics for inflammation of the hearing organs after conducting appropriate studies, including bacterial culture from the ear to determine the type of pathogen. If such a culture shows the presence of certain bacteria, the doctor will prescribe the antibiotic that is most effective against specific microbes.

The method of using antibiotics for ear inflammation, according to Evgeniy Komarovsky, is prescribed individually. If the eardrum is intact, the doctor may recommend drops with antibiotics, but most often they prescribe antimicrobial drugs in tablets, and this is quite enough. There is no need to inject medications into your child.

For treatment to be effective, it is important that the drug accumulates in the problematic sore spot, and therefore for otitis media, antibiotics are taken for a long time and in increased doses. The minimum course is 10 days. If the child is under two years old and if he attends kindergarten, the course is not reduced. If the baby is over 2 years old and does not go to kindergarten, then the doctor may prescribe antibiotics for only 5-7 days. It is very important to follow the timing and dosage to reduce the risk of recurrent otitis.

Otitis media and deafness

In almost all types of otitis, hearing is reduced to one degree or another. Evgeny Komarovsky advises to treat this as an inevitable situation. Otitis media can lead to deafness or persistent hearing loss only if the inflammation was treated incorrectly and the auditory ossicles or auditory nerve are damaged.

Children who have undergone successful treatment for otitis media continue to have reduced hearing for some time. It recovers on its own within 1-3 months from the end of treatment.

Surgery

Typically, surgery is not required for otitis media. The exception is when a child with severe and prolonged pain and suppuration in the ear cavity does not rupture the eardrum. Its strength is individual for each child; in some, otitis flows from the ear already in the initial stage, in others, perforation does not occur. Then there is a risk of purulent masses breaking out anywhere, including the brain. If there is such a threat, doctors make a small incision on the eardrum to ensure the drainage of pus.

Evgeniy Komarovsky reassures that a ruptured eardrum and its incision are not dangerous for a child. Usually it recovers quickly, leaving only a small scar, which in no way subsequently affects a person’s hearing.

Compress for otitis media

The compress should be dry; there is no need to moisten it with anything. To prepare it, just cotton wool and a small piece of polyethylene are enough. Cotton wool is applied to the child's sore ear, covered with polyethylene on top and tied with a scarf or put on a hat. The ear is thus somewhat “isolated” from the environment and is less damaged, including by loud sounds. In addition, a cotton compress is very useful for the mother of a sick person, she feels calmer this way. Traditional medicine no longer sees any benefits from the compress, since it does not affect either the risk of complications or the duration of the inflammatory process.

Prevention

Mothers should teach their child how to blow his nose correctly. Most often, they simply pinch the child’s nose and demand to blow. The child blows, but with the mother’s nose pressed into a handkerchief, the snot does not end up where the mother wants it, but into the auditory tube, disrupts air exchange, accumulates, and inflammation begins. Mothers need to know that a child’s auditory tube is much narrower than an adult’s, and, therefore, the likelihood of its blockage is higher.

You cannot give your child water or formula from a bottle while lying down, as there is a high risk of liquid getting into the auditory tube.

Otitis most often accompanies children during the cold season and during periods of mass incidence of viral respiratory infections. At this time, it is better to prevent the child from being in places where large numbers of people gather; walks in the fresh air away from crowds, shopping centers and enclosed spaces are encouraged.

Too dry air in the apartment is one of the likely causes of frequent otitis in a child. Maintain optimal temperature (18-20 degrees) and air humidity (50-70%), do wet cleaning more often, avoid situations in which your child becomes a passive smoker and is forced to breathe tobacco smoke. Send all smoking family members outside, do not smoke in the car in which you carry your baby, this will significantly reduce the likelihood of such an unpleasant illness as allergic otitis media.

Get all your child's age-appropriate vaccinations. A common causative agent of otitis is Haemophilus influenzae. They are now vaccinating against it. Another “culprit” of inflammatory processes in the ear cavity is pneumococcus. There is also a vaccination against pneumococcal infection. And if mothers and fathers do not refuse vaccination, the risk of developing severe otitis media can be significantly reduced.

For more information about otitis, see Dr. Komarovsky’s program.

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Source: http://www.o-krohe.ru/komarovskij/otit/

What types of vasoconstrictor ear drops are there?

In case of pain, congestion, strong shooting sensations and in the event of the formation of extraneous noises, squeaks or crackles, specialists prescribe vasoconstrictor drops in the ear. Ear drops differ from other medications in that they act locally. Thus, vasoconstrictor drugs in the ears for ear congestion have a powerful effect, relieve pain and congestion, and also eliminate symptoms such as noise, squeaking or gurgling.

Ear drops should only be prescribed by the attending physician, since the choice of drug depends on the form of inflammation and its nature. If inflammation or pain occurs in the ears, an otolaryngologist will conduct an examination and, if necessary, prescribe examinations of the ear organ. Only after completing these procedures does the specialist prescribe drops.

Is it possible to put vasoconstrictor drops in the ear?

If you notice the first factors of the inflammatory process in the ears, you should immediately consult a doctor to diagnose the type of disease. Without consulting a doctor, instilling vasoconstrictor drugs into the ears can be dangerous, since before administering any medication it is necessary to ensure the integrity of the eardrum.

Only after an external examination and, if required, a more serious examination, for example, tomography and audiometry, an accurate diagnosis is made.

Based on the data obtained, the doctor determines the necessary course of treatment:

  • in case of acute illness, antibiotics may be prescribed;
  • in case of fungal infection, medications are prescribed against white plaque;
  • in case of otitis, use vasoconstrictor drops.
Regardless of the type of inflammation, self-treatment can be dangerous. You can not only provoke more serious inflammation, but also lead the disease to a chronic form, as well as provoke the appearance of hearing loss or complete deafness. Therefore, before purchasing drops or ointments, you should consult your doctor.

In the case of prescribing vasoconstrictor drops, it is necessary to make the right choice, since these drops are primarily aimed at increasing the tone of blood vessels. Thus, the drops reduce their clearance.

There are two types of drops:

  • centrally acting vasoconstrictors;
  • drops aimed at peripheral effects.

In the first case, in addition to the main action, stimulation of the nervous system occurs.

In the case of using peripherally acting medications, it is necessary to purchase drugs with adrenomimetic properties.

You should be aware that when the eardrum is perforated or vasoconstrictor drops penetrate, a change in blood pressure occurs.

These drops should be used in the following cases:

  1. With severe vascular insufficiency.
  2. In case of chronic inflammation of the ears.
  3. For infectious inflammation of the middle ear.
  4. In case of severe pain in the ears.
  5. For Eustachian tube dysfunction.

All drugs containing a vasoconstrictor effect have an anti-inflammatory effect, and the use of these drops together with local anesthetic drugs has a positive effect. In addition, the drugs reduce bleeding, so the use of vasoconstrictor drops for the ears is allowed in case of injury or insect bites.

Do not use these drugs if you have high blood pressure or severe atherosclerosis.

For ear infections, vasoconstrictor drops come in handy more than ever.

They effectively relieve swelling and alleviate the patient’s general condition.

However, for acute pain, drops should be administered into the nose and not into the ears.

These drops can be divided into several groups:

  1. In case of otitis media, these medications have an irreplaceable effect.
  2. In addition, drops to constrict blood vessels are taken for pain caused by injury, bite or mechanical damage.
  3. To reduce swelling of the mucous membranes in the nose or ears.
  4. In case of allergic reactions.

In other cases, the use of vasoconstrictor drops is undesirable, and the independent use of these drops is strictly prohibited.

The course of treatment with this medication should not exceed five days. Otherwise, the patient may develop a serious addiction or a disease such as drug-induced rhinitis.

List of drops

Below are effective medications for acute pain or congestion. However, independent use of drops is strictly prohibited. Therefore, before purchasing a medication, you must consult your doctor.

Naphthyzin

It happens that otolaryngologists prescribe Naphthyzin vasoconstrictor drops.

They contain an active component from the naphazoline group, as well as boric acid and purified water.

They have a quick effect and have the ability to narrow passages. Thus, Naphthyzin can be used for inflammation of the Eustachian tube and other inflammations.

Do not use the drug if you are particularly sensitive to the components contained in the drug, as well as if:

  • high blood pressure;
  • in case of atherosclerosis;
  • painfully rapid heartbeat;
  • in case of antibiotic use.

This drug is strictly contraindicated in the treatment of children.

Before administering the medicine, check the side effects. Most often, Naphthyzin causes severe irritation of the mucous membranes, and in case of prolonged use it provokes the appearance of swelling of the mucous membrane, as well as atrophic rhinitis. In some cases, nausea and vomiting, dizziness and pain in the head or ears are noted.

In rare cases, tachycardia is observed.

It is important to know that the course of treatment with this drug should not exceed ten days. Otherwise, the effect of the drug is reduced.

The drug must be stored out of the reach of children, where the temperature does not exceed 25 degrees Celsius.

Sanorin

The next vasoconstrictor drops that gained worldwide fame were Sanorin.

Thanks to the active component - naphazoline nitrate, as well as boric acid, pure water, and ethylenediamine, the product has a pronounced effect.

The drug differs from others in its rapid effect, as well as its pronounced vasoconstrictor effect.

The medication has the ability to eliminate swelling and improve the function of the Eustachian tube. The effect of administering the drops occurs after five minutes, and the effect of the drug lasts up to six hours.

The use of Sanorin is permitted in case of dysfunction of the Eustachian tube, as well as in acute otitis media.

Pay attention to contraindications before administering the medicine. The drug should not be used in case of special sensitivity to any component, as well as:

  • in case of chronic manifestations of rhinitis;
  • severe eye diseases;
  • when blood pressure changes;
  • if the integrity of the eardrum is damaged;
  • in case of tachycardia;
  • with severe atherosclerosis.

In addition, the drug cannot be used for diabetes mellitus, as well as in case of simultaneous use with antibiotics.

The drug is prohibited for the treatment of children under two years of age.

If you are pregnant or breastfeeding, Sanorin should be instilled with extreme caution. Before use, you should consult your doctor.

Vibrocil

Many Russian specialists in the field of otolaryngology trust drops called Vibrocil.

The active substance included in the medicine is phenylephrine and dimethindene maleate.

Together with purified water, preservative chloride, citric acid and lavender extract, the drug has a powerful vasoconstrictor effect.

The medication eliminates swelling and improves the patient’s general well-being within five minutes after administration. In addition to vasoconstriction, the drug has a pronounced antiallergic effect.

Vibrocil should only be used topically, as the medicine may have side effects.

Do not use Vibrocil if you are particularly sensitive to the components included in the medicine, as well as with rhinitis or if you are taking inhibitors.

During pregnancy, Vibrocil should be used only with the permission of a doctor, as well as during lactation. If you have blood pressure or arrhythmia, this medicine should not be used.

Polydexa

In case of acute diseases of the middle part of the ear, antibiotics cannot be avoided.

Therefore, doctors advise using vasoconstrictor drops containing active ingredients in the form of an adrenergic agonist.

Polydexa is a combined drug that has anti-inflammatory and analgesic effects. It has a beneficial effect on mucous membranes and has an antibacterial effect.

This medication can be used for acute or chronic otitis media, as well as:

  • in case of inflammation of acute rhinitis;
  • disease of nasopharyngitis;
  • sinusitis.

Among the contraindications of the drug, the following points are noted:

  1. Viral otitis media.
  2. For glaucoma.
  3. In case of kidney disease.
  4. During pregnancy or lactation.
  5. In case of hypersensitivity to elements included in the medicine.
  6. Podlidex is prohibited for the treatment of children under three years of age.

It is important to know that this drug is not advisable to use for rinsing the sinuses or in case of kidney failure.

Attention to athletes: the drug contains components that can give a positive effect during doping control.

Otrivin

For severe swelling and inflammation of the mucous membranes, doctors may prescribe the local vasoconstrictor drug Otrivin. It is well known to many mothers, since this medication is approved for the treatment of children.

Otrivin has a strong anti-edema effect due to the narrowing of blood vessels. The medication not only eliminates swelling immediately after administration of the drug, but also causes hyperemia of the nasal mucosa. Therefore, the drops have a beneficial effect on the general condition of a person.

The medication can be used without fear of side effects, since the drug is easily tolerated even in cases of special sensitivity of the mucous membranes.

Due to the fact that the medicine contains menthol, the drops have a cooling effect. And the effect of the drug lasts up to twelve hours.

In addition to inflammatory processes in the nose, Otrivin has a positive effect in otitis media and in the case of inflammation of the Eustachian tube.

Among the contraindications, there is a separate ban on the use of drops in the case of blood pressure, as well as acute inflammation of the inner ear.

Conclusion

Remember that vasoconstrictor medications do not replace complex treatment. Therefore, it is necessary to use these drops only after contacting an ENT doctor.

Before using any described product, you must study the instructions for use and do not violate the dosage of the drug.

Directory of main ENT diseases and their treatment

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

Source: http://gorlonos.com/ushi/kakie-byvayut-sosudosuzhivayushhie-kapli.html

Ear drops for ear congestion

Very often a person is faced with a nuisance - a feeling of ear congestion. At such moments, pain may occur, hearing loss, headache, and a ringing sensation may begin to occur inside. There are several ways to relieve the disease: catheterization, massage, ointment or ear drops.

What ear drops are there for ear congestion?

Congestion, a feeling of pressure and partial deafness of the hearing organ can be caused by a number of reasons:

  • otitis;
  • colds;
  • changing the difference in pressure inside the ear and the environment;
  • sulfur plug;
  • ingestion of liquid or foreign object into an organ.

For tubo-otitis

Treatment of tubo-otitis involves fighting inflammation and pain. Can be used:

  • Otinum. The drug acts as a remedy against inflammation and pain. Suitable for topical use for acute otitis media, external otitis, myringitis. For tubo-otitis, you need to drip 3-4 drops three times a day. The course should not last more than 10 days.
  • Albucid. This drug is intended for the treatment of eye diseases, but is also used as part of complex therapy for otitis media. A 20% Albucid solution is used. The required dosage must be determined by a doctor. Before instillation, the bottle should be warmed with your hands so as not to cause ear pain. Do not use the medicine if the eardrum has ruptured or if there is pus discharge from the ear.

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For a runny nose or cold

A runny nose can cause organ congestion; nasal drops are suitable for its treatment:

  • Naphthyzin. Purpose: treatment of runny nose and tubo-otitis caused by colds, has a vasoconstrictor effect. The dosage is determined according to the severity of the ear disease and the age of the patient. It is not recommended to use it for more than 5 days - addiction may form.
  • Nazol. Contains oxymetazoline, used to treat runny nose (infections, rhinitis and sinusitis). How to use:
    1. Children 6-12 years old - 1 injection into each nostril twice a day.
    2. Adults need to do 2-3 presses into each nasal opening 2 times / day.
    3. During use, you do not need to tilt your head back and do not administer the product while lying down. Use is allowed for no more than 5 days, otherwise nasal congestion and runny nose may worsen.

For pressure in the ears

An unpleasant feeling of pressure occurs when flying on an airplane or taking the subway. To relieve symptoms, use medications:

  • Anauran. Application: external, otitis media, purulent formations after surgery. Use 4-5 drops three times a day for adults, 2-3 drops 3 times a day for children. Drip into the ear with a pipette and leave your head tilted for several minutes.
  • Droplex. Action: anti-inflammatory, analgesic. How to use: drip the liquid 3-4 drops three times a day, the course of treatment is 10 days. Do not use if you have a ruptured eardrum or are allergic to the drug.

For ear plugs

To remove sulfur plugs, the following are prescribed:

  • Remo-Wax. The action of the product is aimed at softening and preventing the formation of wax plugs in the ear cavity. You need to drip the medication along the back wall of the ear canal in the amount of 20 drops. Leave the product in the ear cavity for a minute, then let it flow out for about 1 minute. Allowed during pregnancy.
  • A-Cerumen. The product breaks down the fats that make up the ear plug and is suitable for people who need to clean their hearing organs. For A-Cerumen to show effectiveness, you need to drop one ml into both ears twice a day, leave the drug inside for an hour and a half, then rinse the hearing organ with warm boiled water.

Which ear drops are suitable?

Each hearing disease has its own symptoms. Congestion can be accompanied by various manifestations. For example, with otitis media, acute pain often occurs; cerumen plugs provoke a sensation of fluid ingress and partial deafness. Ringing in the ears can be the result of a bacterial disease. You can select effective medications for treatment by consulting a doctor.

For ear congestion without pain

If the ear does not hear, but does not hurt, you can use vasoconstrictor drugs:

  • Galazolin. A topical vasoconstrictor medicine used for runny nose and severe ear congestion caused by a cold. You need to instill the product 2-3 drops no more than 3 times a day.
  • Vibrocil. The product is used topically for sinusitis, allergic, acute, vasomotor and chronic rhinitis, otitis media. Dosage:
    1. children under 1 year – 1 drop in each nostril three times a day;
    2. 1-6 years – 1-2 drops 3 times a day;
    3. adults – up to 16 drops in each nostril (divided into 3-4 applications).

Find out more about what to do if you have ear congestion without pain.

If your ears hurt

Ear drops for painful ear congestion should contain an anesthetic component:

  • Ototon. Action: reduction of pain in the ear, elimination of inflammatory processes. Usage: 4 drops 2-3 times a day into the external auditory canal. Before instillation, warm the bottle in your hand. Should not be used if the eardrum is ruptured or if you are allergic to substances in the medication.
  • Otipax. Ear drops act very gently, removing all symptoms of inflammatory processes and pain. The drug is considered safe and can even be used to treat newborns. How to use: adults and children instill 3-4 drops three times a day, course duration is 10 days.

If your ear is blocked and makes noise

Antibacterial agents will help stop ringing in the ear, as well as noise:

The medications have virtually no contraindications. The only reason for this, indicated in the instructions for use, is an allergic reaction to the components of the medication. However, before treating the ear with Otofa or analogues, it is necessary for the doctor to determine the cause of the congestion. If an unpleasant sensation is caused by a bacterial infection, adults need to drip 5 drops into the ear canal three times a day, children - 9 drops per day, dividing this dose into 3 doses.

If your ear feels like there is water in it

This sensation may appear if liquid gets inside the organ, for example, after a shower or a sulfur plug appears. If you squelch after swimming, do not resort to using medications. You just need to tilt your head or lie on your side to let the unwanted water drain out. To enhance the effect, you can take a few sips. In the second case, it is useful to use drugs for earwax: Remo-Vax or A-Cerumen.

Video: what to do if your ear is blocked

Reviews

Andrey, 42 years old: I was bothered by ringing in my ear and stuffiness when I caught a cold. I went to see an otolaryngologist, he said that this condition arose under the influence of a runny nose and needed to be treated. I used Vibrocil. A good remedy quickly relieved my nasal congestion and prevented me from going deaf.

Valentina, 20 years old: I used boric alcohol to treat otitis, but later I learned that this method was not suitable. The doctor recommended Otofa. Ear drops helped with ear congestion surprisingly quickly. Within a few days I stopped deafening, and the pain went away immediately thanks to the product.

Evgenia, 38 years old: Very often ear plugs form. Going to the otolaryngologist every time to wash them out is not very convenient. I bought drops for ear plugs called Remo-Vax. It takes a long time to keep the liquid inside, but I liked them. It’s very convenient, you can get rid of traffic jams at home, you don’t have to go anywhere.

The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on the individual characteristics of a particular patient.

Source: http://sovets.net/5920-ushnye-kapli-pri-zalozhennosti-ukha.html

How to choose ear drops for adults with otitis media

The pharmaceutical market offers a variety of ear drops for otitis. The specific drug should be selected by a specialist who conducted the examination and clearly established the nature and nature of the disease.

Understanding the doctor’s instructions and prescriptions will help the patient quickly cope with the disease and eliminate severe symptoms of the disease.

What kind of disease is this and principles of treatment

The human ear is conventionally divided into three sections: outer, middle and inner. Taking into account which of these departments affects the infectious-inflammatory process, the following are distinguished:

In practice, otitis media and external otitis are more common. In addition, the disease can be acute and chronic, which also matters when selecting drug therapy.

Uncomplicated and mild forms of pathology can be cured using only local remedies: ear drops, ointments and physiotherapeutic procedures. Most often, the disease is treated by prescribing systemic therapy, which includes antibiotics, anti-inflammatory and antipyretic drugs in combination with local drugs.

What types of ear drops are there?

For different forms of the disease, the specialist selects different drugs for the patient. They can be monocomponent or contain several active components. Taking into account the main active ingredient, all ear drops for otitis media can be divided into several groups:

  1. Antibacterial. These products contain one or more local broad-spectrum antibiotics. This means that drops in the ears for otitis with an antibiotic will be effective against most microbes that could cause the development of inflammatory changes.
  2. Preparations with local hormones. These agents suppress inflammation, reduce swelling and effectively eliminate the allergic component. They are prescribed to patients with a tendency to dermatitis and are not recommended for fungal forms of the disease.
  3. Antiseptic-based products. Antiseptics are substances that disinfect the affected area. In addition, they have a warming and anti-inflammatory effect. One of the most famous representatives of this group is boric alcohol.
  4. Drops and solutions with antifungal components. Otomycosis (fungus in the ear) cannot be overcome without a properly selected local drug that destroys the fungus.
  5. Anti-inflammatory and painkillers against otitis media. They contain painkillers that temporarily relieve intense pain and make the patient feel better.

Drops for otitis in adults usually combine several active ingredients at once, so they act and work on all parts of the pathological process: they relieve pain, destroy bacteria, relieve inflammation and reduce swelling. Let's look at each group of ear drops separately and take a closer look at the best and most popular options.

Antibiotic drops

Purulent processes in the ears require the selection of an antibacterial agent. The topical antibiotic should be effective against the bacteria that caused the otitis media.

List of the most effective antibacterial drops for otitis media:

  1. Otofa. The active ingredient is the antibiotic rifampicin. This is a broad-spectrum agent that works against most pathogenic microbes. It is chosen for the treatment of otitis media in adults. In addition, it is actively prescribed for chronic problems, as well as to prevent the development of complications after operations in this area. These ear drops for otitis media in adults have little activity against Pseudomonas aeruginosa, and are also contraindicated in case of allergies and personal intolerance. The disadvantage is the lack of an anesthetic component, so in case of a severe pain attack you will have to take additional painkillers. How to use this remedy: 3-4 drops into the sore ear 3 times a day. You can drip into the ear for 10 days or longer. The average cost of a medicine is 200 rubles.
  2. Normax. These drops contain an antibiotic - norfloxacin from the fluoroquinolone group. The drug is active against many pathogenic microorganisms. It is used as a means of local therapy for otitis media and external forms, as well as for eye diseases caused by bacteria sensitive to it. Prescribe Normax 3-4 drops several times a day for two weeks. Estimated cost – 150 rubles.
  3. Tsipromed. The active substance is the antibiotic ciprofloxacin. These are eye and ear drops that are used to treat otitis media of various forms in adults. The drug is well tolerated, but in rare cases it can cause an allergic reaction, itching and redness of the skin of the ear canal.

For otitis media, which is accompanied by a perforation (hole) of the eardrum, only those drops that do not contain ototoxic antibiotics, such as aminoglycosides, etc. are allowed for use. For perforated otitis, Normax or Otofa are used.

Combined products

These are the best drops for otitis media, which combine several active ingredients, so they quickly relieve inflammation and pain. List of the most famous among them:

  1. Sofradex. These drops for otitis contain 2 antibiotics: gramicidin and framycetin. It also contains the hormone dexamethasone, which has anti-edematous and anti-inflammatory effects. These drops can be used for external and otitis media, which are not accompanied by perforation in the eardrum. The medicine is dripped or placed on the turunda in the sore ear 3 times a day for a week. Average price – 340 rubles.
  2. Garazon. This product contains the topical antibiotic gentamicin in combination with the topical hormone betamethasone. The medicine is not prescribed for holes in the eardrum, as well as for patients with allergies to the components of the drops. The complex composition of these drops allows them to be used to treat not only diseases of the ears, but also the eyes.
  3. Polydexa. The medicine contains two antibiotics: neomycin and polymyxin B, which, in addition to the antibacterial effect, have a weak antifungal effect. They contain the local hormone dexamethasone, which helps eliminate the inflammatory reaction and relieve swelling. Estimated cost – 320 rubles.
  4. Anauran. They include two antibiotics: polymyxin B and neomycin, as well as an anesthetic - lidocaine. The anesthetic content in the drops allows them to be used for the treatment of otitis media with severe pain.

Medicines with anti-inflammatory properties

  1. Otipax. Phenazone contains an anti-inflammatory substance and the anesthetic lidocaine. They are used in adults and children for ear diseases. Effective for the treatment of otitis with barotrauma, as well as with occupational forms of the disease, which often occur in pilots or divers. The course of treatment is 10 days. Ear pain due to illness is dulled within a couple of minutes after using the drug. Average cost – 240 rubles.
  2. Otinum. They include choline salicylate, an anti-inflammatory substance derived from acetylsalicylic acid, which reduces swelling and reduces the severity of the inflammatory reaction. After instillation into the external auditory canal, it begins to exhibit an analgesic effect from the first minutes. Drops are prescribed for otitis externa and otitis media without pathology of the eardrum.
  3. Otirelax. Consists of phenazone and lidocaine. Phenazone has an anti-inflammatory and analgesic effect, and lidocaine further enhances its effect.

Remedies for otomycosis

Fungal infections of the ear are often observed in older people and patients with reduced immunity. This problem often affects people whose work takes place in conditions of high humidity, as well as patients who regularly visit the pool and neglect ear hygiene.

The key to successful treatment of the pathology is careful toileting of the affected ear and competent selection of local therapy. What drops can be used for fungal infections:

  1. Candibiotic. The combination of chloramphenicol, an antibiotic, and clotrimazole (an antifungal substance) allows it to be used for infectious fungal infections of the ear. Additionally, these drops contain a local hormone and an anesthetic, which relieve pain and reduce the severity of the inflammatory reaction. Instill these drops 3-4 times a day, 4-5 drops throughout the day.
  2. Exoderil (solution). Antifungal solution for external use. Suitable for the treatment of fungal external and otitis media that are not accompanied by damage to the eardrum. Cost 540 rub.

In addition to drops, various ointments (terbenafine, clotrimazole, etc.) are widely used to treat fungal infections of the ears.

What else is prescribed for local treatment of otitis?

In parallel with drops in the ear for otitis, the doctor can select vasoconstrictor drops in the patient’s nose, even if there are no problems with breathing. What is it for?

The middle ear cavity is connected to the nasal cavity using the auditory tube. When this auditory tube swells and becomes blocked, the pressure in the ear begins to change due to a lack of air supply and symptoms such as ear congestion, heaviness, and autophony develop (the person feels like “in a barrel”). The doctor diagnoses tubo-otitis and prescribes nasal drops for otitis media and self-blowing of the auditory tubes.

Various vasoconstrictor drops (Nazivin, Otrivin, Nazol, etc.) are suitable for these purposes. For persistent and prolonged swelling, local hormonal drops (Avamys, Nazonex) may be needed. They contain local hormones that gently but effectively relieve swelling and the allergic component of the disease.

If otitis media is combined with a runny nose, then the treatment regimen includes washing and irrigating the nose with saline solutions. For these purposes, we can recommend Quix, Rinolux, Aqualor and other similar drugs.

Some points when using ear drops

There is nothing easier than putting drops in your ears, but sometimes this simple manipulation is performed incorrectly, which reduces the entire effect of the treatment to zero. Things to remember:
  1. Checking the expiration date of the drops that the patient plans to use for treatment. An open bottle can be stored for no longer than a month, after which it is no longer suitable for use.
  2. In order to put drops in the ear of an adult, you need to pull the auricle back and up. In this form, the drops will reach the eardrum and show their effect.
  3. The medicine should be at room temperature, so it must be warmed before use. Putting cold drops into the ear may cause discomfort, slight dizziness, and nystagmus (involuntary movement of the eyeballs) due to irritation of the sensory nerves in the area.
  4. For purulent and fungal otitis, the ear must first be cleared of pus and fungal deposits. If this is not done, the drops will not fall into the affected area.
  5. After the patient has applied drops to the ear, you need to lie on your side for a few minutes so that the medicine has time to take effect.
  6. In case of purulent and fungal processes, you should avoid getting water into the ear. To do this, before taking a shower, you need to cover your ears with earplugs or cotton wool moistened with vegetable oil.

Competent local therapy helps to cope with otitis media and alleviate the painful symptoms of the disease. Each of the remedies has a number of limitations and contraindications, so the prescription and selection of drops should be carried out only after consultation with an otolaryngologist.

Source: http://lor-expert.ru/ears/otitis/ushnye-kapli-pri-otite.html

Vasoconstrictor drops for otitis media

In what cases should vasoconstrictor drops be used for otitis media? After all, they eliminate pain, congestion in the ears, noise and squeaking goes away. We can say for sure that they should be taken only as prescribed by the attending physician.

When are vasoconstrictor drops used for otitis media?

Vasoconstrictor drops for otitis media are used if:

You should not choose medications on your own because you do not know which one will be most effective in your case. Only after a thorough examination does the otolaryngologist prescribe medications in the form of drops. The danger of self-medication can affect the integrity of the eardrum. An accurate diagnosis will be made only after examination and tomography and audiometry.

Types of drops for otitis media

The doctor prescribes treatment based on the situation:

  1. Acute illness is treated with antibiotics;
The purpose of the drugs is to increase the activity of blood vessels and reduce their lumen. Vasoconstrictor drops can be:
  • Centrally acting vasoconstrictors that stimulate the nervous system;

We list the most popular drops for otitis media:

Whatever inflammation you have, do not try to cope with it alone, consult a specialist. Remember, your hearing is at stake. Improper use of medications, at best, will lead to hearing loss, and at worst, to complete deafness.

How do vasoconstrictor drops work?

You must always keep in mind that vasoconstrictor drops for otitis media change blood pressure, as well as perforation of the eardrum. They are used when:

  • Chronic inflammation of the ears;

The drops have an anti-inflammatory effect, stop bleeding, remove swelling, and improve the patient's condition. These drops are also divided into groups when the patient has:

In these cases, it is acceptable to use vasoconstrictor drops, but in others it is undesirable. Treatment for otitis media with drops alone will not be entirely correct; it is necessary to undergo comprehensive rehabilitation under the supervision of the attending physician. Stick to the recommended dosage.

Video: “Vasoconstrictor drops - School of Dr. Komarovsky”

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Drops for otitis media

Drops for otitis are prescribed to achieve maximum results in the treatment of the disease. Otitis is a process of inflammation of one of the parts of the ear, which often occurs as a result of an infection of the nasopharynx. When pain occurs in the ear, or in nearby areas, this is the first sign that it is necessary to consult an otolaryngologist as soon as possible for the purpose of examination and diagnosis. This will make it possible to start treatment in a timely manner and the opportunity to avoid serious consequences if the patient’s condition is advanced.

The inflammatory process can begin in the ear after a severe cold, due to viral infections of the upper respiratory tract. Otitis externa can be caused by psoriasis and eczema. Unsuccessful hygienic cleaning of the ears can lead to inflammation.

Most doctors prescribe drops in the ears to treat otitis media. These drugs contain effective anti-inflammatory components, as well as antibiotics. Together they help fight otitis media.

Otipax

Ear drops with phenazone and lidocaine, which have analgesic and anti-inflammatory effects. Prescribed for local therapy and pain relief for otitis media.

Contraindications for use: individual sensitivity to the constituent substances, infectious or traumatic damage to the integrity of the eardrum.

After preliminary consultation with an otolaryngologist and only in case of urgent need, Otipax can be used by pregnant women and during breastfeeding. Can also be used for children during breastfeeding.

Directions for use and dosage: for children of any age, as well as for adults, instill 4 drops into the sore ear up to three times a day. The course of therapy should last no more than 10 days, after which it is necessary to reconsider the method of therapy.

Side effects may include local allergic reactions, itching and redness of the skin.

Guaranteed shelf life is 3 years and a month after opening the bottle. Store drops at temperatures up to 25 degrees in a dark place.

Otofa

An antimicrobial drug whose active element is rifamycin.

Pharmacodynamics: rifamycin has antimicrobial activity against most microorganisms that contribute to the development of infectious and inflammatory diseases of the middle ear. Rifamycin has no effect on Pseudomonas aeruginosa (Pseudomonas aeruginosa).

The drug is used in the treatment of acute purulent discharge from the ear after surgery, exacerbation of chronic otitis, isolated purulent damage to the eardrum.

Drops are used topically, instilled into the external auditory canal of the affected ear twice a day. For adults it is recommended to instill 5 drops, for children – 3 drops, without any age restrictions.

Otofa is contraindicated in case of allergic reactions to the constituent components of the medication.

During breastfeeding and pregnancy, you can use the drug after consulting your doctor.

Since the medication has low absorption, an overdose is unlikely.

Adverse reactions include allergic rashes, bronchospasm, and eczema.

Store at a temperature not exceeding 25 °C. After completion of treatment, do not save the opened bottle until re-use in the future.

Dancil

Antimicrobial agent with a broad spectrum of action. The active component of Dancil is ofloxacin. Recommended for the treatment of acute inflammatory processes in the ear.

Pharmacokinetics: after use, the components of the drop are easily and quickly absorbed. To a large extent it is excreted in its original form with urine, a small part is excreted in its original form with feces within 6-13 hours.

Do not use Dancil for lactating and pregnant women, as well as for children under 18 years of age if they are individually sensitive to ofloxacin.

The recommended dose of drops for external otitis is 10 drops per day. Treatment lasts about 10 days.

If chronic otitis media - 10 drops twice a day for about 2 weeks.

For inflammation of the middle ear, the recommended treatment with Dancil in a dose of 5 drops three times a day should not last more than 10 days.

Possible side effects include: nausea, diarrhea, dizziness, insomnia, urticaria, itching.

Recommended storage conditions: dark place, temperature up to 25 degrees.

The shelf life of the drug is 2 years, after opening the bottle - one month.

Oil drops

The basis of such drops are natural extracts or oils that have antimicrobial, anti-inflammatory, analgesic and itching effects.

The use of such a drug is prohibited for those who have individual sensitivity to the components, with damage to the skin.

Oil drops are used in the form of moistened turundas, which are placed in the ear canal 3-4 times a day.

During breastfeeding, as well as during pregnancy, use the medicine only after prior consultation with a doctor.

Side effects include itching, an allergic reaction to the skin, and rarely contact dermatitis.

Anauran

Antimicrobial drops, the main components of which are polymyxin B sulfate, lidocaine and neomycin sulfate.

The use of this drug is indicated for chronic and acute forms of external otitis, acute otitis media, purulent inflammatory complications after radical mastoidectomy in the postoperative period, tympanoplasty.

Do not use Anauran in case of individual hypersensitivity to the active components of the drug.

For treatment, 4-5 drops are prescribed into the sore ear, 2 to 4 times a day for adults. Children who have reached 6 years of age - 2-3 drops up to 4 times a day, depending on the severity of the disease.

Undesirable side reactions of the body include local allergic rashes on the skin and peeling of the skin in the area of ​​the external auditory canal.

It is forbidden to use the drug for pregnant and lactating women, as well as for children under 6 years of age.

The shelf life of the drug is 3 years; an open bottle of the drug should not be used for more than 3 months.

Drops for purulent otitis media

Purulent otitis - melting of the eardrum and release of purulent discharge. This form of otitis occurs in 1/3 of cases of otitis media.

In case of purulent otitis media, it is imperative to treat the ear canal with a solution of hydrogen peroxide or another agent with an antiseptic effect. For treatment, you can also use drops for purulent otitis: Otofa, Normax and Tsipromed.

Otofa, the active ingredient of which is rifamycin, has antimicrobial activity against most microorganisms that provoke the development of purulent otitis. It is recommended for adults to use 5 drops three times a day, for children, without age restrictions - 3 drops in the morning and evening.

The active component of Normax drops is the fluoroquinolone antibiotic norfloxacin. The drug is prescribed 2-3 drops 4 to 6 times a day, but when the case is more severe, it is recommended to drop it into the sore ear every three hours. Normax is not used during pregnancy and for children under 12 years of age.

Tsipromed drops contain ciprofloxacin, which helps actively fight infection. The dose of medication for adults is 5 drops into the sore ear canal three times a day. Treatment lasts from 3 to 5 days. Drops should not be used by children under 15 years of age, as well as during pregnancy and lactation.

Drops for otitis media

Otitis media is an inflammatory process in the middle ear, often occurring in childhood as a consequence of colds, acute inflammatory pathologies of the ENT organs of various etiologies.

For the treatment of otitis media, you can use Sofradex and Otipax drops.

Sofradex is the active substance framycetin sulfate, which has a bactericidal effect on microorganisms that cause middle ear disease. Drop 2-3 drops into the sore ear 3-4 times a day for adults and children over 7 years old. Therapy should not last more than a week.

The active component of Otipax phenazone has analgesic, anti-inflammatory and analgesic properties. The daily dose of Otipax is 4 drops, 2-3 times. Treatment with the drug for up to 10 days.

Drops for catarrhal otitis

Catarrhal otitis is an acute catarrhal inflammation of the mucous membrane of the middle ear (tympanic cavity, mastoid process, Eustachian tube), accompanied by acute pain, which intensifies with coughing, sneezing, and swallowing. If you do not pay attention to these signs, then there is a possibility of developing acute purulent otitis media.

For treatment, drops are used for catarrhal otitis Anauran, Otinum.

Anauran is a broad-spectrum aminoglycoside antibiotic. It has a bactericidal effect on gram-positive and gram-negative microorganisms. The sore ear must be instilled 2 to 4 times a day, 4-5 drops. Drops are not recommended for use in children under 6 years of age, as well as during pregnancy and breastfeeding.

The active component of Otinum is choline salicylate. This salicylic acid derivative has an anti-inflammatory and analgesic effect. The recommended dose of the drug for adults is 3-4 drops up to four times a day. Pregnant and lactating women, as well as children, are not recommended to use these drops.

Nasal drops for otitis media

In order to reduce signs of swelling in the area of ​​the pharyngeal opening of the Eustachian tube, it is possible to use vasoconstrictor drops for otitis, such as Sanorin, Galazolin, Otrivin, Tizin.

After using these medications, signs of edema, hyperemia, and exudation are reduced, which leads to the opening and expansion of the outlet ducts of the paranasal sinuses and auditory tubes, improves the removal of secretions and protects against the deposition of microbes.

Drops for otitis with antibiotic

Antibiotic drops are prescribed for the treatment of otitis in cases where other substances do not give the desired effect: Levomycetin, Normax.

Levomycetin drops for otitis media are recommended for use in children over 1 year of age and adults, 2-3 drops once or twice a day. If there is heavy discharge from the ear canal, the use of the drug is increased to four times a day.

Normax - the active component norfloxacin has a broad antimicrobial effect. To treat otitis media, it is recommended to instill 5 drops into the sore ear canal three times a day for adults and children over 15 years of age. Before instillation, it is necessary to clean the ear canal, and after the procedure, close it with a turunda. Side effects may include itching and an unpleasant taste in the mouth.

It is not recommended to use drops for otitis media on your own, without a doctor’s advice. It is imperative to seek advice from an otolaryngologist to avoid harm from self-medication.

Medical Expert Editor

Portnov Alexey Alexandrovich

Education: Kiev National Medical University. A.A. Bogomolets, specialty - "General Medicine"

Attention!

To make information easier to understand, these instructions for use of the drug “Drops for Otitis” have been translated and presented in a special form based on the official instructions for medical use of the drug. Before use, read the leaflet included directly with the medication.

The description is provided for informational purposes and is not a guide to self-medication. The need to use this drug, the prescription of the treatment regimen, methods and doses of the drug are determined solely by the attending physician. Self-medication is dangerous for your health.

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