The most effective sprays for allergic rhinitis: a complete list
Allergic rhinitis is a health condition not associated with viruses or infections. Most often, this phenomenon affects children and young people, but recently statistics confirm that allergic rhinitis (rhinitis) is now diagnosed in patients of different ages.
Table of contents:
- The most effective sprays for allergic rhinitis: a complete list
- Types/symptoms
- Treatment with sprays
- Steroid/hormonal drugs
- Antihistamines/non-hormonal agents
- Vasoconstrictors
- Features of using sprays
- Why is allergic rhinitis dangerous?
- Video
- Hormonal nasal sprays for allergic rhinitis - which is better
- Types of allergic rhinitis
- Symptoms of allergic rhinitis
- Complications
- Advantages and disadvantages of nasal sprays
- Types of antiallergic sprays
- The best hormonal nasal sprays
- Avamis
- Flixonase
- Nasonex
- Baconase
- Nasobek
- Aldecin
- Features of the action of hormonal nasal sprays
- Sprays for allergic rhinitis
- ATX code
- Names of sprays for allergic rhinitis
- Hormonal sprays for allergic rhinitis
- H1 receptor blocker sprays
- Spray for allergic rhinitis with cromoglycic acid
- Anticongestant sprays for allergic rhinitis
- Pharmacological group
- pharmachologic effect
- ICD-10 code
- Medical Expert Editor
- Attention!
- Share on social networks
- The most popular nasal sprays for allergies
- Allergy symptoms and ways to eliminate them
- Hormonal sprays - features of their use
- Vasoconstrictor sprays for allergic rhinitis
- Antihistamine sprays
- Spray for allergic rhinitis
- Spray for allergic rhinitis: which one to choose?
- Using a spray for allergic rhinitis
- Stabilizing sprays
- New generation drugs
- Steroid drugs
- Aerosols with isotonic solution
- List of nasal allergy sprays: the most effective for adults and children
- What nasal sprays are there to treat allergic rhinitis?
- Hormonal nasal products: names, nuances of use
- Antiallergic sprays for the treatment of seasonal and persistent runny nose
- Drugs to constrict blood vessels in the nose during an allergic reaction
- How to choose an effective nasal spray for a child with allergies?
- Questions and answers
- How to choose the right nasal spray for rhinitis and allergies
- What sprays are there for allergic rhinitis?
- Hormonal nasal sprays for allergies: features of use and names
- Antiallergic drugs for the treatment of persistent and seasonal rhinitis
- Nasal sprays for vasoconstriction in allergic rhinitis
- Allergy sprays during pregnancy
- Which effective nasal spray should I choose for children with allergies?
Types/symptoms
Allergic rhinitis can be seasonal or year-round
In medicine, it is customary to differentiate two main types of the disease in question:
- Seasonal allergic rhinitis. It is also called hay fever and occurs only during the flowering period of certain plants - for example, in August an allergic runny nose may develop as part of hay fever due to the flowering of ragweed, and in June - due to poplar fluff.
- Year-round allergic rhinitis. In this case, the problem in question is present in humans all year round and means that the allergen is constant - for example, house dust, animal hair.
Please note: an allergic runny nose develops only if an allergen - plant pollen, animal fur - gets into the nasal passages or even the respiratory tract of a person. That is, if during the flowering period of ragweed the patient goes to a region where this phenomenon does not exist, then an allergic runny nose will not occur.
The symptoms of the condition in question are very simple and easily distinguishable:
- itching in the nose and eyes;
- nasal congestion, difficulty breathing - this symptom is short-term and has nothing to do with ordinary (viral/infectious) rhinitis;
- tearfulness;
- frequent sneezing;
- drowsiness.
Please note: even after carefully removing accumulated mucus in the nasal passages (blowing your nose or rinsing), the congestion does not disappear.
To alleviate the condition, you can use various medications - antihistamines are available on the market in a wide range, but for allergic rhinitis, special sprays will be the most effective:
- Firstly, sprays act locally and instantly alleviate the patient’s condition.
- Secondly, sprays are convenient to carry and use even when surrounded by people, at work.
Treatment with sprays
The use of sprays is considered the most effective method of combating allergic rhinitis. It is necessary to “remove” the allergen/irritant and only then will it be possible to achieve optimal results. But sometimes this is impossible to do - don’t change your place of residence because ragweed blooms once a year! For such patients, sprays have been developed that will help cope with the unpleasant symptoms of the disease in question.
Steroid/hormonal drugs
The most effective drugs are glucocorticosteroids, which will help quickly cure a runny nose in an adult. Sprays based on this can help almost instantly after being introduced into the nasal passages. One injection of the product will be enough to relieve the condition for 6-8 hours.
The most common steroid sprays for the treatment of allergic rhinitis (list of names of the most effective remedies):
- Flixonase. It has not only an anti-allergic, but also an anti-inflammatory effect - this is important, because even with the condition under consideration, inflammation of the nasal mucosa will necessarily be present. Flixonase is produced in special bottles with a dispenser - when used, a clearly defined dose of the drug comes out, so there can be no accidental overdose.
- Avamis. A drug similar in effect to Flixonase, but its effect occurs only after 6-8 hours, while the above-described spray against allergic rhinitis has an antiallergic effect within 2 hours after injection into the nasal passages. Avamis can cause side effects - excessive dryness of the mucous membranes, increased thirst and nosebleeds.
- Nasonex. A steroid drug that can be used to treat allergic rhinitis and in pediatric patients. It is necessary to make 2-3 injections into each nasal passage once a day - this is enough to alleviate your condition for a day.
Your doctor will help you choose the spray that suits you in terms of effectiveness and price.
Antihistamines/non-hormonal agents
Of the non-hormonal sprays for allergic rhinitis, the Allergodil spray “showed” the greatest effectiveness
A similar group of medications can be used long before the onset of allergic rhinitis. For example, with hay fever (seasonal allergic rhinitis), the patient always knows at what time the first signs of the condition in question will appear. In 2-4 weeks, you can start using antihistamines - the body will strengthen the immune system and prepare for the “invasion” of allergens. As a rule, non-hormonal drugs are presented in the form of tablets, but for allergic rhinitis, Allergodil spray has shown the greatest effectiveness.
How to use a nebulizer for a runny nose is indicated in the article.
Allergodil can be used during long-term therapy (up to six months); within minutes after injection of the drug into the nasal passages, an anti-inflammatory effect appears - this means that the swollen mucous membrane returns to normal, the patient’s breathing is restored, and nasal congestion disappears.
Vasoconstrictors
Sprays that will relieve congestion and significantly alleviate the patient's condition have a vasoconstrictor effect. Many patients prefer them - they have a quick effect, it lasts up to 6-8 hours. But it is worth knowing the negative aspects of using vasoconstrictor sprays:
- addiction develops to them - literally after 5-7 days the body stops responding to them and the patient’s well-being deteriorates sharply;
- vasoconstrictors act symptomatically and do not have a therapeutic effect;
- they cannot be used in the treatment of small children and pregnant women.
Features of using sprays
Indications for the use of these remedies are signs of allergic rhinitis. Those patients who have experienced the development of hay fever more than once make their own decisions about using one remedy or another. Nothing wrong with that:
- accidental overdose is impossible - the spray makes it possible to inhale a certain dose of the drug during one injection;
- sprays have a local effect, the medicine does not penetrate into the blood - a minimal amount of drug components is found in it;
- they can be used during pregnancy and while breastfeeding;
- if necessary, sprays can be used constantly (for year-round allergic rhinitis) or simply for a long time (when therapy is carried out 3
The dosage should be calculated by the attending physician, but even with independent use of the medications in question, you do not have to worry about the negative impact of the drugs on general health. It is enough to follow the instructions or focus on your own well-being. For example, some patients note that it is enough for them to inject the spray into the nasal passages once a day - the relief will be long-lasting. And for some, a one-time dose of the drug will not be enough - in this case, it is advisable to do injections twice a day.
What antibiotics doctors prescribe for coughs and runny noses can be found in the article.
Please note: if you are planning a trip to a place where external irritants/allergens are located in large numbers (for example, fields with flowering herbs, an animal nursery), the usual dosage may be increased.
Why is allergic rhinitis dangerous?
Otitis, sinusitis, conjunctivitis - three severe complications of allergic rhinitis
Many are sure that allergic rhinitis is not dangerous and you just need to wait out the period of exacerbation. In fact, this condition can lead to serious complications:
- purulent inflammation of the maxillary sinuses - sinusitis;
- allergic conjunctivitis - this interferes with work and leading a normal lifestyle;
- otitis - inflammation of the middle ear.
According to statistics, people with allergic rhinitis, if professional help is not provided, develop bronchial asthma with a 50% probability.
Video
The video will tell you more about the treatment of allergic rhinitis:
Allergic rhinitis is an unpleasant, but completely controllable phenomenon. If you approach the choice of medicines with knowledge of the range on the market, you will be able to alleviate your condition on your own. When choosing nasal sprays, you should focus not only on cost, but also on quality characteristics - they should have not only a vasoconstrictor/anti-inflammatory effect, but also an antihistamine. With their regular use, you can count on passing through the period of exacerbations of seasonal allergic rhinitis and year-round manifestations of allergies easily and quickly.
Source: http://prolor.ru/n/lechenie-n/sprei-ot-allergicheskogo-nasmorka.html
Hormonal nasal sprays for allergic rhinitis - which is better
An allergic rhinitis occurs when the mucous membranes of the nasal cavity react to irritants in the air. Rhinitis caused by allergies is usually a chronic condition. The pathological condition is equally often diagnosed in women and men, in the elderly, and in children.
Allergic rhinitis is a common disease, so pharmaceutical companies are actively producing a variety of antiallergic drugs. A spray is considered an effective and convenient dosage form.
Types of allergic rhinitis
Medical experts distinguish two types of disease.
- Seasonal allergic rhinitis. It is also called hay fever. The occurrence of a pathological condition is noted during the flowering of some plants. Most often, an allergic reaction flares up during the period of flying poplar fluff.
- Year-round allergic rhinitis. This pathological condition is observed throughout the year. This type of runny nose is provoked by irritants that are constantly near the allergic person: dust particles, pet hair.
You need to understand that allergic rhinitis occurs only when an irritant enters the upper respiratory tract. An allergy sufferer can avoid an unpleasant disease if they do not inhale dust, animal hair, pollen, or volatile chemicals along with the air.
Symptoms of allergic rhinitis
It is not difficult to identify the symptoms of allergic rhinitis. The disease is accompanied by:
- itching in the nose and around the eyes;
- nasal congestion;
- difficulty breathing;
- sneezing;
- profuse lacrimation;
- lethargy, weakness.
It should be noted that with allergic rhinitis, even with intensive blowing of mucus, the nose remains stuffy. To alleviate the condition, you should use nasal medications. In pharmacies you can find a variety of antihistamines that help cope with allergies, but the optimal remedy for eliminating rhinitis is a spray.
Preparations in the form of sprays are easy to use, highly effective, and have a therapeutic effect instantly.
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Complications
Many allergy sufferers believe that there is nothing dangerous about allergic rhinitis. A period of exacerbation will pass and the disease will disappear without a trace. In fact, the pathological condition often leads to serious complications:
Doctors warn that people suffering from allergic rhinitis are prone to bronchial asthma.
Advantages and disadvantages of nasal sprays
Antiallergic sprays are highly effective medications intended to eliminate allergic rhinitis. The spray is a convenient dosage form; the medication can be carried in a bag or pocket and used anywhere.
- The nasal drug acts instantly, since the active components penetrate directly into the nasal cavity. Antiallergy sprays have few side effects, so they are suitable for frequent use.
- The disadvantages of nasal products are insignificant and harmless. Sometimes, due to the drying out of the nasal cavity, crusts form on the mucous membranes, bleeding when peeled off. A person may also be intolerant to the components of the medicinal liquid.
Types of antiallergic sprays
Antiallergic sprays are divided into several types according to their composition and mode of action.
- Antihistamines. These sprays block histamine synthesis. The therapeutic effect is achieved within 10 minutes after application. Copes with mild to moderate allergies.
- Hormonal. Produced on the basis of glucocorticoids. These are potent medications used to treat severe allergic rhinitis.
- Anticholinergic. Used to reduce the formation of liquid mucus in the nasal cavity. Usually prescribed as an addition to antihistamines. Can cause side effects: drying out of the nasal mucosa, a significant increase in intraocular pressure.
- Cromons. Produced on the basis of cromoglycic acid. Inhibits histamine synthesis and suppresses the inflammatory reaction. They act slowly and not for long, so they are usually prescribed for the prevention of allergic rhinitis. Sometimes they cause side effects: drying out of the mucous walls of the nasal cavity, migraine, loss of taste.
The best hormonal nasal sprays
Hormonal nasal allergy medications are intended to reduce swelling and extinguish inflammation of the mucous membranes of the nasal cavity. The most popular and commonly used corticosteroid nasal sprays are described below.
Avamis
A drug that has an anti-edematous effect, intended for the treatment of inflammatory pathologies of the nasal cavity, including allergic rhinitis. The active component is fluticasone furoate, a synthetic corticosteroid that has a pronounced anti-inflammatory effect.
The breakdown of the active substance is carried out in the liver, the remains of the drug are excreted in the feces through the intestines. Pregnant women, breastfeeding mothers, and people who are intolerant to the drug should not use the nasal spray for allergies. The drug may cause side effects: ulcers in the nasal cavity, nosebleeds, migraines.
Flixonase
An antiallergic nasal drug that has a powerful anti-inflammatory effect. The active component is fluticasone propionate, which effectively suppresses inflammation of the mucous membranes of the nasal cavity.
The spray is intended for the treatment of both seasonal and year-round allergic rhinitis in adult patients and children over four years of age. Quite often, the medicine causes side effects: migraine, nosebleeds, drying and irritation of the mucous membranes of the nasal cavity and pharynx, and an unpleasant taste in the mouth.
Nasonex
A highly effective nasal drug to eliminate allergic rhinitis. The active component is mometasone furoate, a synthetic corticosteroid that has a strong anti-inflammatory effect. The active substance is practically not absorbed into the blood from the digestive tract, is intensively broken down in the liver, and is excreted in bile and urine.
The medication can be used both for therapy and for the prevention of allergic rhinitis; they are allowed to be treated in adult patients and children from the age of two. Do not use the spray if you are intolerant to its components. When using the medicine, side effects sometimes occur: migraine, nosebleeds, burning in the nasal cavity, impaired perception of tastes and smells.
Baconase
The nasal drug is intended for the treatment of both allergic and infectious rhinitis. The active component is beclomethasone dipropionate, which has antiallergic, anti-edematous, anti-inflammatory effects.
The active substance is poorly absorbed into the blood and leaves the body along with the feces. Therefore, the spray is not dangerous during long-term use. When using the medicine, minor side effects may occur: burning in the nose, sneezing, drying out of the mucous membranes of the nasal cavity, nosebleeds.
Do not use the spray if you are intolerant to its components. Pregnant women, breastfeeding mothers, people with tuberculosis, glaucoma, renal failure, herpes, and thyroid dysfunction should be treated with caution.
Nasobek
Nasal spray is used for chronic allergies, allergic rhinitis, and can be used as an additional remedy in the treatment of sinusitis. The active component is beclomethasone dipropionate, a synthetic glucocorticosteroid that has anti-inflammatory and immunosuppressive effects.
The spray should not be used in the first trimester of pregnancy, in case of tuberculosis, fungal and viral pathologies, or a tendency to nosebleeds.
Aldecin
A nasal drug intended for the treatment of allergic and vasomotor rhinitis. Can be used as an additional remedy in the treatment of polyposis of the nasal mucosa. The active component is beclomethasone dipropionate, which has antiallergic, anti-inflammatory, immunosuppressive effects, helping to reduce swelling of the nasal cavity.
It is forbidden to use the spray if you have tuberculosis, bacterial and fungal infections, damage to the nasal mucosa, a tendency to nosebleeds, or intolerance to the components of the drug. Pregnant women, breastfeeding mothers, people with glaucoma, thyroid dysfunction, liver failure, and high blood pressure should be treated with caution with nasal medication.
Features of the action of hormonal nasal sprays
Hormonal sprays are prescribed mainly to adult patients. These medications have an immediate therapeutic effect and provide long-term relief from the unpleasant symptoms of rhinitis.
When using hormonal medications, the condition of a sick person returns to normal within about 6 to 8 hours. The dosage for each nasal drug is individual, but usually adult patients are recommended to take 2–3 injections into each nostril with an interval of 5–6 hours.
Sprays are available with dispensers on bottles, so overdose is impossible.
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Sprays for allergic rhinitis
An effective means of local therapy for allergic sensitization of the body is a spray for allergic rhinitis. The use of this form of medication can significantly reduce nasal discharge (rhinorrhea), reduce itching and sneezing, as well as relieve swelling of the nasal mucous membranes that causes chronic nasal obstruction (stuffiness) during seasonal allergies (hay fever) and during the period of exacerbation of persistent (year-round) allergic runny nose.
In addition, indications for the use of intramuscular aerosol drugs include IgE-dependent vasomotor rhinitis and hay fever.
ATX code
Names of sprays for allergic rhinitis
To restore the impaired permeability of the vascular walls, reduce the intensity of edema and serous inflammation of the mucous tissues of the nasal cavity and exudate, the following sprays for allergic rhinitis are used:
- Hormonal sprays for allergic rhinitis containing glucocorticosteroids: Nasobek ( Aldecin , Beclazon, Beconase , Benorin, Klenil, etc.); Nazarel (Flutinex, Flixonase ); Amavis ; Nasonex ; Budesonide (Rinocort, Tafen nasal).
- Drugs that block peripheral H1 receptors (histamine receptors): Allergodil (Azelastine); Tizin-Alergy (Levoreact, Histimet, Reactin).
- Agents that stabilize mast cell membranes: Kromohexal (Kromofarm, Kromoglin , Kromosol , Ifiral).
- Anticongestant sprays (α-adrenomimetics or sympathomimetics): Nazivin (Ximedin, Xilen, Nazol), Otrivin (Farmazolin Noxprey), Lazolvan Rino, Nazospray, etc.
Otolaryngologists believe that H1-histamine blockers are safer, but corticosteroids are more effective in relieving inflammation. As for anticongestants - decongestant sprays for allergic rhinitis, despite their unconditional effectiveness in combating nasal congestion, these products are not recommended for use for more than a week, since the nasal mucosa stops responding to them, and the runny nose, as a rule, gets worse.
Hormonal sprays for allergic rhinitis
When these substances enter the nasal mucosa, not only does the proliferation of mast cells and basophils in the tissues become suppressed, but the release of mediators of allergy and inflammation (leukotriene, cytokines, histamine, etc.) from eosinophilic granulocytes is also reduced. Chemotaxis, the movement of immunocompetent leukocyte cells into the site of inflammation, also slows down. As a result, swelling of the nasal mucosa and mucus production are reduced.
The pharmacokinetics of hormonal drugs for allergic rhinitis is described taking into account their insignificant systemic absorption by binding to plasma proteins (at a level of 0.1-1%). Thus, the active substances of the sprays Nasobek, Beconase, Aldecin are absorbed by the nasal mucosa, but how much enters the stomach and bloodstream is difficult to determine with accuracy. However, two-thirds of GCS metabolites are excreted from the body in feces and urine (the half-life ranges from 3 to 15 hours).
Contraindications to the use of sprays for allergic rhinitis based on corticosteroids:
- hypersensitivity to the main or auxiliary substances of the drugs;
- pulmonary tuberculosis;
- viral (HSV) and fungal (Candida albicans) infections in the nasopharynx;
- children up to 6 years of age (Nazarel - up to 4 years, Nazonex - up to 2 years).
When prescribing these drugs, one should take into account the patients' tendency to nosebleeds, damage to the nasal septum, the presence of glaucoma, diseases of the thyroid gland, liver and cardiovascular pathologies.
The instructions for the drugs of this pharmacological group indicate that the use of sprays for allergic rhinitis during pregnancy (in the first trimester) is prohibited. Sprays Nazarel, Flixonase, Budesonide are contraindicated throughout pregnancy, and the use of Nasobek, Amavis and Nasonex is possible only as a last resort and if the expected benefit to the health of the mother is higher than the potential threat to the development of the fetus.
Side effects of sprays with corticosteroids most often manifest themselves in the form of increased dryness in the nose and unpleasant odor, irritation and itching of the mucous membrane, bleeding, headache, and disruption of the integrity (perforation) of the nasal septum.
Method of using sprays for allergic rhinitis based on corticosteroids: one or two injections into each nasal passage (i.e. 1-2 presses on the dispenser spray) - once a day (in case of exacerbation of allergic rhinitis - twice a day) .
An overdose of any sprays with adrenal hormones is dangerous due to the development of symptoms of hypercortisolism, which is manifested by obesity of the face and upper body, increased appetite, the appearance of stretch marks on the skin, excessive hair growth in women (above the upper lip and on the chin), headache, increased blood pressure, pain in bones and their increased fragility, sleep disturbances and depression.
Established interactions with other drugs preclude the simultaneous use of these antiallergic drugs with systemic corticosteroids, antituberculosis antibiotics, barbiturates, estrogens, hydantoin antiepileptic drugs and ephedrine drugs.
Storage conditions : at t=15-25°C; expiration date Nazarel, Flixonase, Amavis
Nasonex, Budesonide – 3 years, Nasobek – 4 years.
H1 receptor blocker sprays
The therapeutic effect of Allergodil (Azelastine) and Tizin-Allergy (Levoreact) sprays is based on their active substances - azelastine hydrochloride and levocabastine, which bind to peripheral histamine H1 receptors, the key tissue hormone responsible for the development of allergic reactions in the body. As a result, the release of histamine from mast cells and basophils is inhibited.
Allergodil penetrates the blood and is 93% bound to plasma proteins, bioavailability - azelastine 40%; metabolites after biotransformation in the liver are excreted in the urine (half-life approximately 20 hours).
Levocabastine is absorbed into the blood in a minimal amount (less than 40 mcg after a single dose); the drug is excreted unchanged through the kidneys with a half-life of about an hour.
Contraindications to the use of these intranasal drugs include intolerance to the substances contained in the drugs, as well as age under 6 years. The use of Allergodil and Tizin-Alergy sprays during pregnancy is contraindicated.
Their main side effects : headache, dizziness, nausea, irritation of the nasal mucosa, burning and itching in the nasopharynx, nosebleeds, skin rashes.
Method of use of intranasal sprays : Allergodil - 1-2 sprays in both nostrils maximum twice a day; Tizin-Alergy has the same dosage, but it can be used 4 times a day (with absolute obstruction of the nasal passages).
An overdose of these medications can cause dizziness, a drop in blood pressure, and increased drowsiness.
Allergodil (Azelastine) and Tizin-Allergy (Levoreact, Histimet, Reactin) sprays should be stored at room temperature; their shelf life is 36 months.
Spray for allergic rhinitis with cromoglycic acid
The antiallergic effect of nasal sprays containing cromoglycic acid in the form of sodium cromoglycate - Kromohexal , Kromofarm, Kromoglin , Kromosol , Ifiral - is based on the ability to stabilize the cytoplasmic membranes of mast cells, which, during the occurrence of an IgE-mediated allergic reaction, are activated and undergo degranulation with subsequent release from the cells structures of inflammatory mediators, in particular histamine H1. Sodium cromoglycate prevents this process by blocking the entry of Ca 2+ into the cytosol of cells and inhibiting enzymes necessary for the exit and chemotaxis of eosinophils, neutrophils, etc.
Pharmacokinetics: after Cromohexal (or synonymous drugs) enter the nasal mucosa, it acts for 4-5 hours; About 6-7% of cromoglycate is absorbed into the tissue and enters the blood, which does not undergo biotransformation and is eliminated by the kidneys within 24 hours.
Contraindications to the use of cromoglycic acid preparations are hypersensitivity, as well as age under 6 years and pregnancy (the first three months). The most likely side effects include mucosal irritation, skin rashes and nausea.
It is recommended to use Cromohexal up to 4 times a day - one injection into each nasal passage. Cases of overdose have not been described.
Storage conditions : at a temperature not higher than +25°C; shelf life – three years.
Anticongestant sprays for allergic rhinitis
The vasoconstrictor mechanism of action of the sprays Nazivin (Ximedin, Xilen, Nazol), Otrivin (Farmazolin, Noxprey) is due to imidazole derivatives - oxymetazoline hydrochloride and xylometazoline, the chemical formulas of which differ only in the presence of an oxygen atom (in oxymetazoline). Having a structural similarity to the endogenous α-amino acid histidine (converted into histamine), these substances act on the α1-adrenergic receptors of the capillary walls, which leads to their narrowing, increased impermeability and decreased blood flow. Thanks to this, the swelling of the tissues in the nose subsides and the secretion of mucous exudate is reduced.
Pharmacokinetics of α-adrenergic agonists Nazivin and Otrivin: the instructions note that the active substances of these sprays enter the systemic bloodstream in small quantities that do not have a systemic effect on the body. Imidazole derivatives act within minutes after injection of the spray, and this effect lasts more than 10 hours after application.
Contraindications to the use of Nazivin, Otrivin and all their synonyms: atrophic rhinitis, glaucoma (angle-closure form), severe atherosclerosis and hypertension, tachycardia, thyrotoxicosis, a history of surgical interventions on the brain, age under six years.
During pregnancy, the use of allergic rhinitis sprays containing oxymetazoline hydrochloride or xylometazoline is contraindicated.
Side effects of these medications include: irritation of the nasal mucosa and its dryness; burning in the nose; loss of sensitivity and atrophy of the mucosa; swelling, sneezing, increased secretion; as well as headache, increased blood pressure, heart rhythm disturbances, excessive mental excitability or depression.
Spray for allergic rhinitis Nazivin and Otrivin are recommended to be used no more than 2-3 times a day - one injection into each nostril. According to the instructions, the maximum duration of treatment should not exceed seven consecutive days.
It should be borne in mind that an overdose of these drugs can lead to impaired respiratory function, pulmonary edema, coma and cardiac arrest.
Nazivin and Otrivin are incompatible with any intranasal agents, as well as with all systemic antipsychotic drugs.
Storage conditions for these products: at room temperature; Shelf life: three years.
Pharmacological group
pharmachologic effect
ICD-10 code
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 “Sprays for allergic rhinitis” 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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The most popular nasal sprays for allergies
What nasal spray for allergies can be used for children and adults? Nasal allergy sprays are considered the most effective treatment for a runny nose, which can provide quick results. But before prescribing any spray, you first need to find out the cause of the body’s nonspecific reaction. Eliminating this cause will allow you to obtain a long-term therapeutic result and get rid of the disease.
Allergy symptoms and ways to eliminate them
When an allergic rhinitis develops, the patient's nasal mucosa becomes swollen or inflamed.
This symptom is also accompanied by other signs of allergy, which include:
- itching in the nose;
- discharge of clear secretion from the nose;
- sneezing;
- difficulty passing air through the nose.
In order to get rid of allergic rhinitis, it is necessary to eliminate the causes of the disease. At the same time, many patients believe that this is primarily facilitated by relieving irritation of the nasal mucosa.
A properly selected allergy spray, which should be prescribed by your attending physician, will help eliminate the unpleasant symptoms of the disease. You should not self-prescribe medications for allergic rhinitis, as this will not allow you to get the desired and long-term effect.
Nasal sprays for runny nose and allergies are:
- vasoconstrictors;
- hormonal;
- antihistamines.
This classification of a spray against allergic rhinitis will allow us to more accurately understand the mechanism of its action and the effect it has on irritants.
Hormonal sprays - features of their use
To eliminate inflammation and swelling of the nasal mucosa, the doctor may prescribe a hormonal allergy spray to the patient. However, the names of the most common drugs do not allow us to understand which specific group of drugs they belong to, as well as the features of their use. Therefore, it is the doctor who must prescribe the necessary nasal spray for allergies, which will be appropriate in a particular situation.
The most commonly prescribed hormonal nasal spray for allergies is from the following list:
Most of these drugs are used to eliminate severe allergic rhinitis in an adult. They have an immediate effect and eliminate the symptoms of such a runny nose for a long time, which is approximately 7-8 hours.
A distinctive feature of these sprays against developing allergies is that they are produced with special dispensers, making it impossible to overdose. This is due to the fact that when you press the button, a certain amount of medicine comes out. The safest remedies for runny nose and allergies are new generation drugs such as Nasonex and Avamis. If particularly necessary, anti-allergy sprays that contain hormones can be taken even by pregnant women and children. But at the same time, compared to Fliconase, Avamis begins to act in about 5-6 hours.
Therefore, it is not recommended to take them independently, or to exceed the recommended doses, which also applies to the most harmless drugs such as Avamis and Nasonex.
Vasoconstrictor sprays for allergic rhinitis
A runny nose that appears as a result of an allergy is a serious disease that requires mandatory treatment. Frequently occurring symptoms of the disease can disrupt the normal life of patients and lead to serious complications such as bronchial asthma. To alleviate the patient’s condition, all kinds of local medicinal compounds are used, which also include vasoconstrictor antiallergic nasal sprays. They help overcome external signs of allergies - sneezing, runny nose, relieve swelling and normalize breathing. One of the positive qualities is that the latest generation of drugs are endowed with a long therapeutic effect.
Vasoconstrictor antiallergic drugs perfectly help relieve swelling of the nasopharynx, as well as improve breathing, which is ensured due to their effect on the blood supply to the nasal mucosa. After the natural expansion of the nasal passages occurs and the blood flow is restored, at this moment the person’s breathing normalizes, and congestion also disappears.
You can purchase vasoconstrictor drugs at any pharmacy, and they are sold without a doctor’s prescription. The main active ingredients are Xylometazoline, Oxymetazoline and Naphazoline, however, it is difficult to say which drug is best to use to eliminate allergies - in this case, it is better to ask a doctor for advice.
Today the following vasoconstrictors are used:
These sprays have an effect on blood vessels after just a few minutes. It is important to note that their therapeutic effect lasts for hours. The main disadvantage of the above drugs is that when they are used, the mucous membrane gets used to the drug. It should also be borne in mind that with frequent use, a person can easily develop edema, which threatens the person’s life. To quickly overcome side effects, you will have to use other medicinal compounds.
If we compare sprays and drops endowed with vasodilating properties, the former differ in that they are able to penetrate into some places in the nasopharynx - this happens due to the spraying of the active component.
There are no special contraindications to the use of nasal vasoconstrictors, but they are often prohibited by doctors during severe pregnancy.
Antihistamine sprays
When an allergen enters the body, it begins to produce biologically active substances, one of which is histamine.
This is what causes allergic symptoms such as:
- constant sneezing;
- cough;
- edema;
- watery runny nose;
- appearance of a rash.
This leads to the fact that the main symptoms of an allergic reaction disappear, the amount of mucus decreases, but swelling of the mucous membrane remains.
The following drugs are most effective:
These antihistamines are used both in the fight against runny nose of allergic origin and for its prevention. A patient who knows about the upcoming development of the disease is able to strengthen his immunity in advance, as well as prepare the body for seasonal allergies. This can be done approximately 2-4 weeks before the onset of allergies, since antihistamines can increase the immunity of the nasal mucosa to external external irritants.
The most effective and fast-acting spray for allergic rhinitis is Allergodil, which is distinguished by its unique effect on human receptors, as well as the absence of analogues. However, it has several contraindications.
These include:
- pregnancy and breastfeeding;
- age less than 6 years;
- individual intolerance to the components of the drug;
- renal failure.
Although each of the above antiallergic sprays is distinguished by its rapid principle of action, on average, a person suffering from bronchitis needs to make 3-4 injections into each nostril once every 7 hours - this will quickly achieve a therapeutic effect.
It is important to note that most antihistamines, when used frequently and for a long time, can have a negative effect on the patient’s body, which will affect the person’s attention, concentration and performance.
Doctors note that currently, almost every antihistamine composition for the nose is highly effective due to its strong antiallergic properties. That is why treatment with sprays can be carried out in just 1-2 weeks.
However, if necessary, the drug is prescribed for 5-6 months. In this case, it mainly maintains the patient’s health, and also constantly clears the lungs and bronchi from phlegm. After just 20 minutes, nasal sprays relieve swelling and improve a person’s breathing. Which also emphasizes the effectiveness of treatment with these drugs.
Source: http://allergolog1.ru/sredstva/sprej-v-nos-ot-allergii.html
Spray for allergic rhinitis
Useful information about diseases of the nose and respiratory tract
- Runny nose
- Children's runny nose
- Viral runny nose in children: symptoms and treatment
- Runny nose in a child in summer: causes and treatment
- How and what to treat a severe runny nose in a child
- Runny nose in adults
- How to get rid of snot in your throat?
- What to do if you have a constant runny nose and sneezing?
- Treatment of a runny nose during pregnancy: advice for pregnant women
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- Treatment of severe runny nose during pregnancy
- What to do when a pregnant woman gets a cold?
- Features of the treatment of dry cough during pregnancy
- Children's runny nose
- ENT diseases
- Ear
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- Bleeding from the ear: causes and treatment
- Degrees of conductive hearing loss, its causes and treatment
- Throat
- Chronic tonsillitis in compensated form and its treatment
- Types of sore throat in children and adults
- Rhinopharyngitis: a viral and allergic disease
- Nose
- Why does a child often bleed from the nose?
- Anterior dry rhinitis: causes, symptoms and treatment
- Rhinopharyngitis in children: symptoms of the disease and its treatment
- Ear
- Medicines
- Cough treatment
- Treatment of complications
- Cold treatment
- Folk remedies
- Runny nose during pregnancy
Spray for allergic rhinitis: which one to choose?
In the treatment of allergic rhinitis, antihistamines are used for oral administration, as well as sprays aimed at eliminating symptoms and blocking the action of the allergen. The spray for allergic rhinitis is very convenient to use; the presence of a tip on the bottle eliminates the possibility of accidentally overdosing the drug.
Using a spray for allergic rhinitis
Most often, sprays and drops are prescribed for local treatment of runny nose of allergic origin. The advantage of such medications is that they do not penetrate the epithelial barrier and are therefore not absorbed into the blood. The duration of use of the medicine is determined by the form of the disease. If allergic rhinitis is permanent, then daily use of the medicine is provided in order to alleviate the patient’s condition. The chronic form of allergic rhinitis tends to periodically worsen, and it is during this period that the nasopharyngeal cavity will need to be irrigated with medicine.
If a person is worried about a seasonal allergy, for example, to the flowering of a certain plant, then a runny nose occurs mainly in the autumn-spring period, and the duration of treatment is usually several weeks. Typically, allergy sufferers who suffer from seasonal exacerbations know when they approximately experience allergic reactions, therefore, in order to prevent the development of a health-threatening condition, they should start taking antiallergic medications in advance.
To reduce the intensity of symptoms, vasoconstrictor drugs are prescribed - Naphthyzin, Nazol, Tizin. They do not have a therapeutic effect on the mucous membrane, but help relieve swelling, which occurs as a reaction to a certain irritant.
Nazaval is considered an effective nasal spray for allergies. The main effect of the drug is to create a barrier to aggressive agents. When the powder is injected into the nasal passages on the mucous membrane, it turns into a protective film that prevents the effects of allergens. The use of the drug is prescribed several times a day, so reliable protection against aggressive agents is created. Nazaval is considered for seasonal exacerbation of allergic rhinitis or in cases where it is precisely established that allergens enter the body through the nose.
Stabilizing sprays
In the treatment of allergic rhinitis, otolaryngologists often prescribe stabilizer sprays, the action of which is aimed at strengthening membrane permeability. These medications include Cromosol and Cromohexal sprays. They are almost always well tolerated by patients, are not addictive and have a beneficial effect on the general condition of the patient. The drugs need to be injected into the nose 3 times a day.
New generation drugs
Modern pharmacology offers several effective new generation drugs to solve the problem caused by an allergic reaction of the nasopharyngeal mucosa. Allergodil has proven itself well, but it must be taken strictly as prescribed by a doctor, since the drug can cause many complications. When used correctly, the medication eliminates the possibility of side effects, and the drug can become a reliable assistant for the nose. The advantage of the spray is the possibility of long-term treatment - up to 6 months, while its effect is felt within 15 minutes from the moment of irrigation of the nasal cavity.
Visozen is another spray that can be used for any type of rhinitis. After its use, the following beneficial effects on the allergy sufferer’s body are noted:
- swelling of the nasal mucosa decreases;
- nasal breathing improves;
- inflammation is eliminated;
- local immunity is strengthened.
Such drugs are considered effective only for mild forms of allergic rhinitis, which usually resolve within a few weeks. But in cases where the disease has reached a serious stage of development, complex treatment will be required.
Steroid drugs
If allergies bother a person all year round, steroid sprays for allergic rhinitis will come to his aid. They have anti-inflammatory, antiallergic and immunosuppressive effects on the nasal mucosa. Their advantage is that glucocorticosteroid drugs can be taken indefinitely, alleviating the manifestation of unpleasant symptoms. Examples of such effective medications are the following glucocorticosteroid sprays:
Immediately after the first irrigation of the nasal cavity, irritation from the mucous membrane is relieved, as a result of which the person is no longer so bothered by itching, burning, sneezing and discharge of liquid mucus from the nose. If the drug is taken regularly, the symptoms disappear completely.
Aerosols with isotonic solution
Rinsing the nasopharynx with an isotonic aqueous solution is aimed at cleansing the mucous membrane of various microparticles that can cause allergies. Using Aqualor and Aqua Maris sprays, you can easily carry out a hygienic procedure without the need to prepare a solution yourself. Aerosols allow you to clear the nasopharynx of mucus, restore its integrity and improve the activity of microcilia.
The natural composition of the products explains the absence of contraindications and the occurrence of side effects, thanks to which sprays with isotonic solution are prescribed even to newborn children and pregnant women. Such drugs are not antiallergic, but they will be a reliable prevention of the development of allergic rhinitis.
There are combination drugs that combine antihistamine and vasoconstrictor properties. For the treatment of allergic rhinitis, otolaryngologists usually prescribe the combined action drug Vibrocil or its analogues. Although allergic rhinitis may seem like a harmless condition, it can cause serious health problems. That is why timely elimination of allergy symptoms is required.
If you have questions for your doctor, please ask them on the consultation page. To do this, click on the button:
List of nasal allergy sprays: the most effective for adults and children
The presented list of nasal allergy sprays will help each patient learn about the most commonly used drugs that help improve the condition of the body and ease breathing during rhinitis. Allergic rhinitis is a pathological reaction of the nasal mucosa to irritants, usually present in the air. Unlike rhinitis of an infectious nature, this phenomenon is often chronic. The disease can be diagnosed in patients of any gender and age, and therefore information about the most effective drugs for relieving swelling and inflammation is necessary for every person suffering from year-round or seasonal allergies.
What nasal sprays are there to treat allergic rhinitis?
The use of sprays is one of the methods of fighting a runny nose that can give a quick and long-term effect. Before prescribing this or that remedy, the doctor must take into account the cause of allergic rhinitis. Its elimination by the patient will give a high chance of achieving a long-term therapeutic result.
To eliminate symptoms, the patient should use a good allergy nasal spray. Ignorant use of any drug will not allow you to achieve a full, long-term effect. Experts are confident: only with a qualified approach can you get rid of specific rhinitis.
Nasal sprays are an excellent way to treat a runny nose.
Allergy nasal spray can be:
This classification of medications allows us to consider in more detail the role of each drug in the treatment of the body’s pathological reaction to stimuli.
Hormonal nasal products: names, nuances of use
To relieve inflammation and swelling of the mucous membrane, doctors recommend using a hormonal nasal spray for allergies. The names of the drugs that are in greatest demand do not provide patients with comprehensive information about the features of using such a drug and do not allow them to determine which pharmacological group a particular medication belongs to.
Experts include the most popular corticosteroid nasal sprays for allergies:
As a rule, most of these drugs are used exclusively to treat adult patients. The products have an immediate effect, eliminating the uncomfortable manifestations of rhinitis for a long time. On average, hormonal sprays ease breathing and the general condition of the patient for 7-8 hours. They produce antiallergic and anti-inflammatory effects. By the way, relieving inflammation is one of the main goals that must be achieved at the very beginning of therapeutic measures.
A distinctive feature of sprays is their release with dispensers in special bottles. Unlike the use of drops, an overdose with a spray is impossible: when you press the bottle, a fixed amount of medicine comes out. Of all the drugs listed on the list, Avamis and Nasonex are relatively safe. If there is a justified need, they are recommended for use by pregnant women and children. However, in comparison with Flixonase, the effect of Avamis does not occur immediately - on average, after 5-6 hours.
When injecting hormonal allergy sprays into the nose, you should understand that medications can also cause side effects:
- dryness of the mucous membrane of the nasal passages;
- burning sensation and itching;
- thirst;
- bleeding from the nose.
All drugs act differently, but most often, to alleviate the patient’s condition, 2-3 injections into each nasal passage with an interval of 6-8 hours are enough per day. It is worth considering that corticosteroid drugs have a lot of contraindications and can cause addiction to the body, so you cannot treat them on your own without the supervision of a specialist.
Antiallergic sprays for the treatment of seasonal and persistent runny nose
Antihistamine nasal sprays for allergies do not contain hormonal components.
The following remedies showed the greatest effectiveness:
Medicines from this group of nasal medications are used not only as a therapeutic measure to combat rhinitis, but also to prevent seasonal allergies. Knowing about probable contact with an irritant, or before the onset of a potentially dangerous period, patients can strengthen their own immunity and prepare the body for an active “attack” of irritants. Approximately a month before the season predisposing to allergies, it is necessary to take care of the body’s comprehensive antiallergic protection. To generally strengthen the immune system, take oral medications in the form of tablets and drops. Antihistamine sprays will help increase the immunity of the nasal mucosa to irritants.
As a rule, such medications are taken simultaneously with corticosteroids to speed up the onset of therapeutic effect. One of the most effective, well-proven medicines is Allergodil. The lack of analogues and the unique effect on histamine receptors make it possible to rank this drug among the best.
However, the drug can be used only in the absence of a number of contraindications, which include:
- children under 6 years of age;
- pregnancy and lactation;
- renal failure;
- individual intolerance to the components of the medication.
Each spray acts differently, but on average every 6-8 hours you need to do about 3 injections into each nasal passage
It is also worth noting that most antihistamine sprays, when used for a long time, can have a negative impact on the patient’s performance and have a depressing effect, affecting attention and concentration. Experts and manufacturers of nasal allergy medications advise holding off on driving vehicles and operating machinery.
Any antihistamine nasal spray against allergies is highly effective. The list of drugs presented above includes products for long-term use (up to 5-6 months). Despite the fact that the minimum concentration of the active substance in such drugs is an order of magnitude lower than in systemic drugs, antiallergic sprays guarantee relief from swelling minutes after injection.
Drugs to constrict blood vessels in the nose during an allergic reaction
Vasoconstrictor nasal sprays for allergies are drugs of primary importance for relieving swelling of the nasopharynx and improving breathing. The principle of their action is indicated by the name itself: such drugs affect the blood supply to the mucous membrane. When normal blood flow is restored and the nasal passages are sufficiently expanded, breathing becomes free and congestion goes away. Vasoconstrictor sprays and nasal drops help not only with allergic rhinitis, but also with colds.
These medications can be purchased at pharmacies without a prescription. Naphazoline, Xylometazoline and Oxymetazoline are the main active ingredients present in the composition of the drugs. It’s definitely difficult to say which nasal spray is better. If you have an allergy, it is advisable to consult your doctor before using any medicine.
Most often used to narrow blood vessels:
All sprays from the above list affect blood vessels in just a few minutes. In this case, the drug effect lasts for an average of hours. A significant disadvantage of nasal drugs of this group is the rapid adaptation of the mucous membrane. In addition, if the drug is used excessively, the patient may develop so-called drug-induced edema. To eliminate the side effect, you will need to use additional medications.
Compared to vasoconstrictor nasal drops, sprays reach the most inaccessible areas of the nasopharynx due to the spraying of the active substance. In addition, in the form of drops, the medicine usually gets into the throat, which cannot be said about the spray. There are practically no contraindications to the use of nasal medications for vasoconstriction. Only in exceptional cases, for example, during a difficult pregnancy due to the risk of oxygen starvation of the fetus, such medications may be prohibited.
How to choose an effective nasal spray for a child with allergies?
Since allergic rhinitis is observed in patients at an early age no less often than in adults, you should familiarize yourself with the features of using sprays for children. When choosing the appropriate drug, in any case, consultation with an allergist and pediatrician is necessary. A qualified specialist, based on the individual characteristics of the child, his age, body weight and other important indicators, will be able to select a safe and effective nasal spray for allergies. But for the treatment of rhinitis of any origin in infants, the use of sprays is impossible - only drops can be prescribed for babies under 1 year of age.
For children under 2 years of age, hormonal and antihistamine drugs are not suitable. To relieve swelling and restore the child’s breathing, use vasoconstrictor sprays in a minimal dosage:
Aquamaris and Salin are suitable for parallel moistening of the mucous membrane. For children 2-3 years old, Cromoglin is included in the treatment regimen for allergic rhinitis; from 6 years old:
Such drugs are used 3-4 times throughout the day with equal frequency. Among antihistamine sprays for children 6 years old, the following should be noted:
Due to the strong antiallergic effect of these drugs, the degree of inflammation and swelling is reduced, and a smaller amount of mucous discharge from the nasal passages is produced. In addition, medications produce a barrier effect, preventing irritants from entering the nasal cavity. The components of the sprays are not absorbed into the blood, and the risk of side effects of therapy is close to zero, which is extremely important when treating allergies in children.
Eliminating the symptoms of allergic rhinitis is the main goal of using nasal sprays. However, it should be remembered that the drug should be prescribed by a specialist, regardless of the seasonality or persistence of manifestations. A nasal spray against allergies for both adults and children will produce the expected effect only if the patient gets rid of the irritant or significantly limits contact with it.
Questions and answers
Question. Can the spray be used to treat allergies in an infant?
Answer. No, nasal drops are used to treat children. Corticosteroid, vasoconstrictor and antihistamine sprays for allergic rhinitis are included in therapy for children after 2-6 years.
Question. What is better: anti-allergy nasal sprays or drops?
Answer. For a vasoconstrictor effect, experts recommend using drops; in other cases, sprays are a priority.
Question. How long can I use nasal spray for allergic rhinitis?
Answer. The use of antihistamines can be long-term; hormonal and vasoconstrictor sprays cannot be used for more than 5-7 days, since the body quickly gets used to them.
Question. Which spray is better, how to choose the right one?
Answer. In any case, treatment for allergic rhinitis should be prescribed by a doctor. The specialist, depending on the condition of the patient’s mucosa, his age and other characteristics, decides to prescribe the most suitable remedy.
How to choose the right nasal spray for rhinitis and allergies
Allergic rhinitis is a pathological reaction of the nasal mucosa to various irritants that are in the air. This phenomenon, unlike infectious rhinitis, is usually chronic. Allergies can be diagnosed in patients of any gender and age group, so information about the most effective remedies for relieving inflammation and swelling is required for any person who suffers from seasonal or year-round allergies.
What sprays are there for allergic rhinitis?
Using nasal allergy sprays is one of the ways to combat a runny nose that can provide long-term and quick results. Before prescribing a specific nasal spray for allergies, the doctor must identify the cause of allergic rhinitis, the elimination of which will provide a better chance of achieving a long-term therapeutic effect.
To eliminate symptoms, the patient must use only an effective allergy nasal spray. Ignorant use of any product will not help achieve a full, long-lasting effect. Doctors say: only with a qualified approach is it possible to cure any specific rhinitis.
Nasal allergy sprays can be:
This classification of antiallergic drugs makes it possible to consider in more detail the role of each of these drugs on irritants in the treatment of an allergic reaction of the body.
Hormonal nasal sprays for allergies: features of use and names
To relieve swelling and inflammation of the mucous membranes, experts advise using hormonal nasal allergy medications. The names of the sprays that are in greatest demand do not provide the patient with complete and comprehensive information about the features of using this antiallergic drug and do not help determine which pharmacological group a particular medicine belongs to.
Doctors include the most popular corticosteroid medications for the nose for rhinitis:
Most often, many of these sprays are used only to treat adults. The drugs have an immediate effect, relieving discomfort from rhinitis for a long time. Hormonal sprays usually ease a person’s general condition and breathing for 6-8 hours. These drugs have anti-inflammatory and antiallergic properties. By the way, relieving the inflammatory process is one of the main goals that must be achieved at the beginning of therapeutic treatment.
The main feature of sprays is their manufacture with dispensers in special bottles. An overdose with a spray, unlike using drops, is impossible: when you press the product, a certain volume of medicine comes out. Of all the sprays on the list, the safest are Nasonex and Avamis. If necessary, they can be used for children and pregnant women. But unlike Flixonase, the effect of Avamis does not occur instantly - after approximately 4-5 hours.
When using hormonal medications for an allergic reaction in the nose, you must remember that these sprays can also cause side effects:
- itching and burning sensation;
- dryness of the mucous membrane of the nasal passages;
- nosebleeds;
- thirst.
All medications have different effects, but, as a rule, to alleviate the patient’s condition for one day, 2-3 injections into each nasal passage with a time interval of 5-7 hours are enough. It should be taken into account that corticosteroid drugs have many contraindications and can also cause addiction to the body, so you should not use them without the supervision of a doctor or on your own.
Antiallergic drugs for the treatment of persistent and seasonal rhinitis
Antihistamine sprays for nasal allergies do not contain hormonal substances. The following drugs showed the best effectiveness:
Drugs from this group of nasal medications are used not only for the therapeutic treatment of rhinitis, but also for preventive purposes against seasonal allergies. By being aware of possible exposure to an irritant, or before a potentially dangerous season arrives, patients can improve their immune system and thus prepare their body for the inevitable “attack” of irritants. About one month before the potentially dangerous season for allergies, you need to take care of the body's anti-allergic complex defense. To generally improve immunity, oral agents in the form of drops and tablets are used. Antihistamine sprays can help improve the immunity of the nasal mucosa to irritants.
To quickly achieve a therapeutic effect, these drugs are most often used simultaneously with corticosteroids. Allergodil is considered one of the most effective, well-proven medications. The unique effect on histamine receptors and the lack of analogues allow us to classify this drug as the most effective.
But the spray can be used only in the absence of a whole list of contraindications. which include:
- breastfeeding or pregnancy;
- the child's age is less than 6 years;
- personal intolerance to medication substances;
- renal failure.
It should also be noted that many of the antihistamines, during their prolonged use, can have a negative effect on the patient’s performance and have a depressing effect, which affects concentration and attention. Manufacturers of allergy nasal sprays and experts recommend holding off on operating machinery and driving a car.
Any nasal antihistamine for allergies has excellent effectiveness. The list of sprays presented above includes preparations for long-term use (up to six months). Despite the fact that the minimum concentration of active ingredients in these products is much lower, in contrast to systemic drugs, after injection, antiallergic sprays guarantee the removal of swelling within minutes.
Nasal sprays for vasoconstriction in allergic rhinitis
Vasoconstrictor allergy medications are a means of primary importance for improving breathing and relieving swelling of the nasopharynx. The principle of their work is directly indicated by the name: these sprays affect blood circulation in the nasal mucosa. With sufficient expansion of the nasal passages and restoration of normal blood circulation, congestion goes away and breathing becomes free. Vasoconstrictor drops and nasal sprays can help with both allergic rhinitis and colds.
Such medications can be purchased at any pharmacy without a prescription. Oxymetazoline, xylometazoline and naphazoline are the main active substances found in the sprays. It is definitely difficult to say which drug is better for allergic rhinitis. Before using any medicine for allergies, it is best to consult your doctor.
To narrow blood vessels, the following are most often used:
All drugs from the above list act on blood vessels almost instantly. Moreover, the therapeutic effect lasts approximately for hours. A significant disadvantage of nasal sprays of this group is the rapid adaptation of the nasal mucosa. In addition, if the drug is used excessively, the patient may experience so-called drug-induced edema. To remove this effect, you will need to use additional medications.
Unlike nasal drops, vasoconstrictor sprays penetrate into the most inaccessible parts of the nasopharynx by spraying the active component. In this case, the medicine in the form of drops often ends up in the throat, which cannot be said about the spray. There are almost no contraindications to the use of nasal agents for vasoconstriction. Only in exceptional cases, for example, during a difficult pregnancy due to the possibility of oxygen starvation of the fetus, these medications may be contraindicated.
Allergy sprays during pregnancy
You need to understand that pregnancy is a time in a woman’s life when it is necessary to minimize the use of any medications without urgent reasons. Doctors recommend using prophylactic medications before pregnancy to prevent complications during pregnancy. It is also undesirable to use anti-allergy drugs in the nose during the first trimester of pregnancy, as this may have a negative effect on the baby. You should not use medications from this group during lactation.
But there are drugs that, to a certain extent, can be used in this situation, but their use must be carried out under the full supervision of a doctor:
- Tavegil. It may be a potentially dangerous drug for the fetus, but if necessary, it can be used with the permission of a doctor;
- Allertek. It is possible to use the drug during pregnancy, but the risk is still very high;
- Suprastin. This remedy is used only when the mother's allergies threaten the child to a greater extent than the described remedy. The use of Suprastin is possible for acute allergies and their treatment in the 2nd and 3rd trimesters of pregnancy.
Which effective nasal spray should I choose for children with allergies?
Since allergic rhinitis in patients at an early age is much less common, unlike in adults, it is necessary to become familiar with the features of using sprays for children. When choosing the appropriate remedy, one way or another, consultation with a pediatrician and allergist is required. A qualified doctor, taking into account the child’s body weight, age, individual characteristics and other important data, will be able to choose an effective and safe nasal spray for allergic rhinitis. But for the treatment of allergies of any etiology in infants, the use of sprays is impossible - only drops can be prescribed for children under one year of age.
Antihistamines and hormonal drugs are not suitable for children under 2 years of age. To restore breathing and relieve swelling in a child, vasoconstrictor sprays are used in the minimum allowable dosage:
To simultaneously moisturize the mucous membrane, you can use Salin, Aquamaris. The treatment regimen for allergic rhinitis for children 2-3 years old may include Cromoglin, and for children over 6 years old:
These drugs are used 3-4 times during the day with the same injection time. Among antihistamines for children 6 years old, it is necessary to highlight:
Due to the strong anti-allergic effect of these sprays, the severity of swelling and inflammation is reduced, and a smaller volume of mucous discharge is produced from the nasal passages. In addition, the drugs have a barrier effect, preventing irritants from entering the nasal cavity. The active substances of the sprays are not absorbed into the blood, and the risk of side effects during treatment is close to zero, which is very important for allergic rhinitis in children.
Relieving allergy symptoms is the main goal of using nasal sprays. But we must not forget that only a specialist is obliged to prescribe any remedy, regardless of the consistency or seasonality of the manifestations. A nasal allergy spray for both children and adults will produce the desired effect only if the patient can get rid of the irritant or significantly limit contact with it.
Source: http://netalergii.ru/sprej-ot-allergicheskogo-nasmorka.html