Spray for sinusitis and sinusitis

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The best sprays for sinusitis

Spray for sinusitis, unlike tablets, acts locally and is practically not absorbed into the blood, which avoids the effect of the drug on the liver, kidneys, heart and intestines.

Table of contents:

Thanks to the convenient dispenser, its active components are evenly distributed throughout the mucous membrane, penetrating into the most remote corners and sinuses of the nose.

Review

Sprays for sinusitis come in several types: some are designed to relieve symptoms, others can prevent and treat the disease. There are also combination drugs that relieve symptoms and treat at the same time.

Sinuforte

The drug is based on an extract of the poisonous plant cyclamen, which is considered very effective in combating inflammatory processes of the sinuses. Upon contact with the mucous membrane, Sinuforte immediately begins to liquefy thick sputum with vigorous secretion of liquid mucus.

The drug naturally improves the functioning of sinus anastomosis. As a result, phlegm and pus easily leave the sinuses. By acting on the secretory glands, the spray relieves swelling of the nasal mucosa. The effect is noticeable after the first injection.

Sinuforte is allowed from 12 years of age; it should be sprayed into the nose 2 times a day. Duration of use - 8 times, headache goes away after 3-4 injections. Sinuforte is contraindicated for pregnant and lactating women. Allergy sufferers, hypertensive patients, and people with polyps and cysts in the paranasal sinuses should not be treated with them.

Bilitong

Chinese herbal medicine. Indicated in the early stages of the disease. Relieves inflammation, improves cell renewal, constricts blood vessels and fights bacterial infection.

Contraindicated in case of intolerance and in children under 5 years of age.

Nasonex

A strong anti-inflammatory and antiallergic agent containing the hormone mometasone. It perfectly relieves inflammation, stops the proliferation of viruses and bacteria, and copes with the allergic cause of the disease. The effect of the drug is noticeable at the end of the first day of use.

The course of treatment is up to 12 days. Contraindicated for nasal injuries, fungal infections of the nasal cavity, before the 12th week of pregnancy and during lactation. Safety of use in children under 6 years of age has not been proven.

Baconase

Also a hormonal drug containing the hormone Beclamethasone. It has a powerful anti-inflammatory effect, but it cannot be treated for long. The drug quickly relieves swelling, improves communication between the sinuses and the nasal passages, which prevents the accumulation of pus in them, increased pressure, and pain. It perfectly relieves allergy symptoms and is more intended for the treatment of allergic sinusitis and runny nose.

Beconase helps from the first day of use. Prescribed for sinusitis in adults and children over 6 years of age. The drug may cause a sneezing attack. It is not recommended to use it during pregnancy - it partially penetrates into the blood.

Bioparox

Spray based on the antibiotic fusangin, extracts of cumin, cloves, coriander, mint, orange and pepper. The antibiotic fusangin is effective against most bacteria that can cause sinusitis, and also has the ability to relieve inflammation. Can be successfully used to treat sore throat, bronchitis, tracheitis and runny nose.

The medicine is approved for adults and children over 12 years of age. During pregnancy it is safer than taking an antibiotic orally. The course of treatment is up to 10 days, the drug must be sprayed every 6 hours (can be in the nose and mouth). The manufacturer does not recommend the use of Bioparox sinusitis spray for people prone to allergies and bronchospasm.

Isofra

Nasal spray based on the antibiotic framycetin. Isofra is an analogue of Bioparox. Once in the nasal cavity, the antibiotic immediately begins to fight the cause of the disease. The effect occurs when bacterial growth is inhibited and inflammation subsides, and lasts for a very long time.

The drug has proven itself well in clinical trials in the treatment of prolonged and chronic runny nose and sinusitis. As part of complex treatment, it cures well and perfectly prevents relapse of the disease.

The drug is approved after 1 year of life. Isofra is not recommended for use during pregnancy and lactation, but still, a nasal antibiotic taken by the mother is less dangerous for the fetus than a tablet one.

Polydexa

A combination drug of two antibiotics: polymyxin B and neomycin, the hormone dexamethasone and the vasoconstrictor phenylephrine. Polydexa is a unique drug that contains all the necessary components for the treatment of sinusitis and runny nose.

It quickly relieves swelling, improving the patency of anastomoses, eliminates nasal congestion, and promotes the release of mucopurulent contents from the sinuses. It affects the cause of the disease with two antibiotics simultaneously, leaving no chance of saving any bacteria.

Polydexa is approved for adults and children over 2.5 years old. Treatment can be continued for no more than 10 days. Contraindicated for herpes and chickenpox of the nasopharynx, pregnancy, glaucoma and renal failure.

Symptomatic sprays

The best among symptomatic drugs are the following:

  1. Isotonic solutions: Quix, Aquamaris, Humer. They moisturize the nose, wash out toxins and allergens, can relieve swelling and increase local immunity. The drugs have a long-term positive effect when used daily for a long time. Allowed from birth.
  2. Mucolytic or sputum thinner - Rinofluimucil. Nasal preparation based on acetylcysteine. Used as an additional treatment. In addition to its thinning effect, it relieves swelling and inflammation.
  3. Vasoconstrictors: Otrivin, Galazolin, Xymelin. Perfectly relieves swelling after the first use, instantly eliminates congestion. Among the vasoconstrictor sprays during pregnancy, Indanazoline and Naphazoline are allowed. Vasoconstrictors can be used no more than every 6 hours and no more than 4 times a day. The duration of treatment should not exceed 5–7 days. Each drug in this group has an individual age limit for children.

The listed medications can be successfully combined and alternated. Spray for sinusitis is a good and convenient remedy, but even it should be prescribed by a doctor and should not be the only drug for treatment. Sinusitis is not such a simple disease that could be cured with one miracle spray.

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A variety of sprays for sinusitis - how not to make a mistake in choosing?

Sinusitis is an inflammatory disease of the paranasal sinuses, accompanied by unpleasant symptoms and dangerous for its complications. Treatment of this disease requires a responsible approach and the use of comprehensive measures. Nasal spray for sinusitis is not the mainstay of treatment. However, its inclusion in complex therapy is mandatory due to the many positive effects it provides, including the alleviation of symptoms.

Why spray?

This dosage form has many advantages:

  • precise dosing of medication;
  • ease of use;
  • rapid manifestation of the effect;
  • medicinal substances enter directly into the area of ​​the inflammatory process;
  • spraying ensures complete coverage of the mucous membrane with the drug;
  • economical consumption due to precise dosing.

Types of sprays

On pharmacy shelves there are many different sprays that can be used for sinusitis. However, before purchasing one of them, you should consult an ENT doctor. He will help you choose the optimal drug, taking into account the cause of sinusitis, its type and severity.

Nasal sprays for sinusitis belong to various pharmacological groups. Some of them have a combined composition.

List of types of sprays:

  • vasoconstrictors;
  • moisturizers and cleansers;
  • antibiotic sprays;
  • sprays with mucolytic effect;
  • plant-based products;
  • products containing glucocorticoids;
  • antihistamine sprays;
  • combination drugs.

Vasoconstrictor sprays

Drugs in this group do not treat sinusitis. They are prescribed to eliminate swelling of the nasal mucosa in the acute stage of the disease. At the same time, there is a decrease in mucus discharge, nasal congestion is eliminated and breathing becomes easier almost instantly.

There are disadvantages to this type of medication. Vasoconstrictors should not be used for more than 5-7 days, as addiction occurs and drug-induced rhinitis may develop. They can dry out the mucous membrane, cause capillary fragility and provoke nosebleeds. The use of almost all vasoconstrictor sprays during pregnancy and breastfeeding, with arterial hypertension and in children under 1 year of age is also prohibited.

Vasoconstrictor sprays come in short, medium and long action. Preference should be given to drugs that have a long-term effect, as they are less likely to have side effects.

The most popular vasoconstrictor sprays:

Moisturizers and nasal cleansers

Preparations based on sea water have a cleansing, moisturizing and some decongestant effect. Their use is justified for sinusitis and rhinitis of any kind in patients of all age groups. There is also no restriction on their use in pregnant and breastfeeding women. In addition, the advantages of such sprays are the possibility of long-term use and the absence of side effects and contraindications. The only contraindication is individual intolerance, which is very rare.

Products based on sea water are recommended to be used for hygienic cleansing of the nasal passages before using drugs from other pharmaceutical groups, which ensures an increase in the effectiveness of the latter.

The most popular drugs in this group:

Antibiotic sprays

This type of medication is used for bacterial causes of sinusitis, sinusitis, and can also be used for persistent runny nose. The advantage of using antibiotics in this form of release is minimal penetration of the drug into the general bloodstream and, as a result, the absence of systemic side effects. In addition, the antibacterial agent goes directly to the site of inflammation and effectively eliminates pathogens.

The disadvantage of this use of antibiotics is that they can only cope with mild forms of the disease. For more severe sinusitis, systemic administration of antibacterial agents will be required.

Today, the main representative of the group is Isofra nasal spray.

Nasal products with mucolytic effect

This group of nasal medications thins mucus and makes it easier to clear from the sinuses.

The main drug with a mucolytic effect is Rinofluimucil. It contains acetylcesteine, the effect of which is enhanced by the vasoconstrictor substance tuaminoheptane sulfate.

Plant based preparations

The most famous plant-based spray is undoubtedly Sinuforte. This drug contains juice and aqueous extract of cyclamen. Sinuforte causes increased secretion of the glands of the nasal mucosa, which promotes rapid and effective drainage of the nasal sinuses and their cleansing of accumulated contents.

You can also find Neonox Cyclamen spray on pharmacy shelves.

Antiallergic drugs

Antiallergic sprays are used for allergic sinusitis. They have a blocking effect on the release of inflammatory mediators into blood vessels. At the same time, swelling of the mucous membrane decreases, breathing becomes easier, nasal passage is restored and exudation decreases.

Preparations with glucocorticoids

Sprays containing hormonal substances are used for polyposis and allergic types of sinusitis. They quickly relieve swelling of the mucous membrane, eliminate the inflammatory process and restore nasal breathing. The most used representatives:

Combined products

The composition of the combined agents simultaneously includes substances from several pharmaceutical groups, which mutually enhance the therapeutic effect of each other. The most famous and widely used combined nasal spray for sinusitis is Polydex. It contains 2 antibiotics, a glucocorticosteroid and a vasoconstrictor component.

Irs-19

This spray should be highlighted separately. It has a unique composition - inactivated the most common bacteria that cause respiratory infections. Thanks to this composition, IRS-19 awakens protective immune reactions in the mucous membrane, which contributes to the rapid death of pathogens. It is used quite often as part of complex treatment of sinusitis.

Source: http://gaimorit-sl.ru/preparaty/mestno/sprej-ot-gajmorita.html

Treatment of sinusitis with sprays: the most effective drugs

Sinusitis is an inflammatory process that occurs in the maxillary sinuses. Visually, their location can be determined as follows: on both sides of the “wings” of the nose. It is these sinuses that are filled with purulent contents and disrupt the usual rhythm of life, bringing great discomfort. Sinusitis is considered one of the most dangerous diseases in the field of otolaryngology, because the purulent contents of the maxillary sinuses can spread to other cavities of the skull and even negatively affect the brain.

Symptoms and signs

Headaches in the forehead and complete nasal congestion are the main signs of any type of sinusitis

Firstly, you should remember that sinusitis never occurs “suddenly, unexpectedly, by itself.” This disease is always a consequence of an untreated common runny nose (rhinitis). Secondly, the symptoms of the inflammatory process in question are variable and depend on the form in which the disease occurs - acute or chronic. But both one and the second form will have the following symptoms and signs of sinusitis:

  • complete nasal congestion;
  • changes in olfactory reflexes - the patient will complain of a constant stench;
  • headaches in the forehead;
  • feeling of heaviness in the maxillary sinuses;
  • profuse lacrimation.

Speaking more specifically, it is worth considering that the acute form of sinusitis is characterized by:

  • paroxysmal headache;
  • spontaneous increase in temperature to high levels;
  • inability to breathe fully.

But with the chronic development of the inflammatory process in the maxillary sinuses, the symptoms will be somewhat different:

  • periodic headaches in the forehead - they are more often present when performing physical exercises, bending the body down/forward;
  • a feeling of heaviness in the area of ​​the maxillary sinuses - especially evident when bending down;
  • The patient's breathing through the nose is impaired, but present.

Treatment with sprays

The spray is the most effective drug that quickly relieves symptoms and has a therapeutic effect

Sinusitis should be treated only under the supervision of a doctor - the risk of developing serious complications is too high. But this does not at all mean the need for immediate and unconditional hospitalization. Firstly, such a need is determined by the doctor after examining the patient. And secondly, people with chronic sinusitis can completely cope with treatment on their own.

How to treat sinusitis with medications? In case of exacerbations or an acute form of the disease, you will need to prescribe a regimen of antibacterial drugs (modern antibiotics for sinusitis), rinsing with antiseptic solutions, and physiotherapy.

The spray is the most effective drug that quickly relieves symptoms and has a therapeutic effect. This medicine, which has a local effect, is sold in plastic bottles with a dispenser and is easy to use.

How inhalations are done through a nebulizer for a runny nose is indicated in the article.

The most popular sprays for sinusitis

There are several categories of this type of medicine:

  1. Vasoconstrictors. They act directly on the mucous membrane of the nasal passages, relieve swelling, and facilitate the patient’s breathing. Sprays with a vasoconstrictor effect can be used by children from the age of 6 years, are strictly prohibited for pregnant and lactating women, should be used for no more than 5 days in a row - a longer period of use leads to persistent addiction. To obtain the maximum effect, one injection every 6 hours is enough. Vasoconstrictor sprays include: Sanorin, nasal drops Tizini Vibrocil.
  2. Moisturizing. They do not have a therapeutic effect, but they alleviate the patient’s condition as much as possible - they moisturize dry mucous membranes and have a mild washing effect. This type of spray for sinusitis can be prescribed to absolutely all patients, including pregnant women, lactating women, and children under 6 years of age - they are absolutely safe. Moisturizing sprays used for sinusitis include: Morenazole, Aqua-Maris, Salin.
  3. Mucolytic. This type of drug in question actively dilutes accumulated mucus, thereby facilitating its removal both from the nasal passages and directly from the maxillary sinuses. Such sprays can be used when treating patients over 12 years of age; they are strictly prohibited for pregnant and lactating women; they can cause allergic reactions and side effects (hyperemia of the mucous membranes, even greater swelling, an itchy rash throughout the body, angioedema and anaphylactic shock). But the drugs described have both anti-inflammatory and antioxidant effects. Mucolytic sprays include: Rinofluimucil spray and Sinuforte.
  4. Corticosteroids. Prescribed exclusively by the attending physician, can be used for a short time (no more than 3 days in a row), perfectly relieves swelling, allowing the patient to breathe through the nose. It is strictly prohibited for use in children under 10 years of age; it is prescribed with extreme caution to pregnant and lactating women; it may cause the development of side effects - heavy bleeding from the nose, burning in the nasal passages. Corticosteroid sprays include: Beconase and Nasonex.
  5. Antibacterial. This group includes antibiotic sprays, which are considered the best alternative to taking oral tablets. Antibiotic sprays can be prescribed to patients from the age of 2.5 years, there are no categorical contraindications for use by pregnant and lactating women, the duration of the course should not exceed 5 days, there should be no more than 3 injections per day. Antibacterial sprays include Isofra and Bioparox.

Indications/contraindications for the use of sprays

In each specific case, the prescription of sprays of any type of action should be carried out by a doctor

Prescribing medications for the treatment of sinusitis is the prerogative of doctors. It is advisable to prescribe sprays in the following cases:

  • the inflammatory process in the maxillary sinuses is at an early stage of development;
  • the patient has no signs of intoxication of the body with purulent contents of the maxillary sinuses;
  • sinusitis occurs in an acute form, diagnosed for the first time;
  • exacerbation of the chronic form of the disease in question occurs no more often than once every 3 months.

Sprays of any type may seem like absolutely harmless medicines, but they also have contraindications for use. In medicine, it is customary to consider two types of such contraindications:

  1. Categorical. These include previously diagnosed allergic reactions to the components of the sprays, early childhood (up to 2 years), polyps and other neoplasms in the nasal passages.
  2. Conditional. Pregnancy, lactation, unstable hypertension (increased blood pressure), and renal/liver failure can be considered as such.

Important: in each specific case, the prescription of sprays of any type of action should be carried out by a doctor. Only he, based on the results of the patient’s examination, will determine the advisability of carrying out a course of treatment with exactly these medications.

Rules of application

Sprays should not be used for more than 5 days in a row, otherwise it can cause persistent addiction and even some kind of dependence. The dosage should be 1 injection into each nostril, but 2-3 times a day.

Please note: in case of acute disease, the number of procedures per day can be increased by 1-2 positions, but no more.

The drug should not be too cold (it should absolutely not be used straight from the refrigerator). The tip of the “injector pipette” must be inserted into the nasal passage and pressed on the bottle itself. At the moment of injection, you need to take a deep breath - this will help the smallest particles of the drug spread over a wider area.

Possible complications

In the absence of any treatment or ignoring the prescriptions/recommendations of the attending physician, the following complications may develop:

  • transition from an acute form of inflammation of the maxillary sinuses to a chronic form;
  • development of pathological processes in other cavities of the ENT organs;
  • otitis - inflammation of the middle ear;
  • bronchitis and pneumonia.

Sinusitis is dangerous because it can “go beyond” the ENT organs, and in this case, the development of more serious and even life-threatening conditions is possible:

  • meningitis and/or encephalitis - inflammatory processes in the meninges;
  • damage to the heart, disruption of its functioning - myocarditis;
  • development of pathological processes in joints - arthritis, rheumatism;
  • kidney damage - in particular, against the background of advanced sinusitis, nephritis can develop;
  • sepsis is a general blood infection.

Video

You will learn more about the treatment and prevention of sinusitis in adults from this video:

Sinusitis is an inflammatory process in the maxillary sinuses, characterized by the formation of purulent contents and severe consequences in the absence of professional therapy. Treatment of sinusitis with sprays is not always justified, so consultation with a specialist is necessary. Otherwise, the pathological process will continue to actively develop.

It's just a disaster!

In addition to the ability to constantly catch colds, I also have a deviated nasal septum, which further complicates the treatment process. Moreover, in the early stages it is completely unclear what to treat, what to take, what pills to take. I came up with a formula for myself: rinsing with sea water and a vasoconstrictor spray, for the first few days, if nothing happens, I feel like I can’t do without sinusitis. I haven't found a better solution yet.

Source: http://prolor.ru/n/lechenie-n/lechenie-gajmorita-spreyami.html

Effective sprays for the treatment of sinusitis

Spray for sinusitis is one of the most common methods of treating sinusitis; when diagnosing inflammation of the maxillary sinuses or any other diseases of the nasopharynx, it is prescribed to almost every second patient. This kind of preparation, namely in the form of a spray, is multifunctional, convenient and, most importantly, effective. Unlike drop medications, sprays cover the entire nasal mucosa as much as possible and almost immediately alleviate the person’s condition.

Benefits of using sprays

Sinusitis is an infectious disease and an allergic reaction to pathogens. For nasal sinusitis, the best relieving medications are sprays. They are suitable for alleviating the condition at almost any stage of the disease, but it is recommended to consult a doctor before use.

Also, in addition to relieving symptoms, they have antibacterial and antiallergic properties, reduce swelling, stimulate the release of pus and thereby facilitate the patient’s breathing. To cope with such symptoms, sprays are more suitable than ever.

Additional benefits of sprays:

  1. Used economically.
  2. More convenient to use than drops. 1) The drugs are as convenient as possible, because they are made in such a way that with one click you get exactly the required amount of the drug that is required. This is a good protection against overdose. 2) The substance is distributed throughout the nasal cavity as evenly as possible, capturing additionally hard-to-reach areas.
  3. The drug can be used anywhere.
  4. Deeper penetration and faster absorption.
  5. Fewer side effects.

Types of sprays

To choose a nasal spray for sinusitis, it is necessary to take into account individual characteristics and symptoms. If there is already thick yellowish nasal discharge that is very difficult to clear, it is necessary to use sprays with antibacterial properties to treat sinusitis, and if there is swelling, the first thing doctors will do is prescribe vasoconstrictors.

For the treatment of inflammation of the maxillary sinuses, sprays are divided according to the presence of symptoms:

  1. Vasoconstrictors
  2. Antibacterial, antiviral
  3. Anti-inflammatory
  4. Mucolytic
  5. Moisturizing
  6. Antiallergic

Also, practically each of the drugs has a complex effect, which means they can fight several symptoms at once.

The most popular and indispensable spray for sinusitis. One of the most unpleasant symptoms of sinus inflammation is swelling, and it is this kind of spray that reduces swelling by narrowing the volume of blood vessels, which in turn makes breathing easier, and normalizes the sinuses and nasal passages.

Additionally, anti-allergy substances, antibiotics, plant-based oils, and components for moisturizing the nasal membrane are added to such products.

Very important! Long-term use of vasoconstrictor sprays is strictly not recommended. It must be used strictly according to the period specified in the instructions.

Since they are highly addictive, they disrupt the normal functioning of the nasal lining and make the blood vessels weaker. It is also necessary to know that their action has only a temporary effect; they cannot fully cure sinusitis.

Not a long lasting effect (action about 4 hours), contains naphazoline:

  • Naphthyzin, Naphazolin (the name speaks for itself), Naphazolin-Ferein, Sanorin and Sanorin with eucalyptus oil.
  • They dry out the mucous membrane much more than others.

Medium effect with xylometazoline (5-6 hours):

  • Galazolin, Rinomaris, Ximelin, Tizin
  • They act more easily on the mucous membranes and have a moisturizing effect.

Long-term effect of sprays, oxymetazoline base (10-12 hours):

Complex nasal spray for sinusitis based on phenylephrine:

  • Vibrocil
  • Minimum contraindications, can be used in children over 6 years old. They have an antiallergic effect.

Antibacterial and antiviral

An effective type of antibiotic spray for sinusitis, the most important thing is to use them correctly. When used in the first stages of the disease, they will help get rid of a runny nose in 3-4 days. It is these drugs that treat sinusitis, with mild pathologies; a spray containing antibiotics can be used for treatment even without the use of tablets.

Sprays containing antibacterial drugs - Bioparox (contains the antibiotic fusafingine, must be used for four to six hours, inhalation drug, course of treatment for up to 7 days, not recommended for pregnant women, people with allergies, children. They have side effects and contraindications), Isofra (can used during pregnancy and children over 3 years old, there are fewer side effects and contraindications).

Mucolytics

Such sprays with mucolytic action are used in the presence of such symptoms. The most popular drug with a mucolytic is Rinofluimucil, it doesn’t even have analogues, it is a safe combination that treats a runny nose, relieves swelling, and has vasoconstrictor components.

Sinuforte is a remedy for sinusitis and sinusitis, helps allergy sufferers, a drug with cyclamen (plant base), the product is one of the most expensive, but has a strong effect, after the aerosol has been used, strong mucus production begins, which helps to ease breathing.

Moisturizing

This type of spray combats dryness, burning and irritation. Maximum moisturizes the nasal mucosa, has an anti-allergic effect, and cleanses the sinuses. Moisturizing medications have a minimal list of contraindications; they can be used in children from 1 month of age, since such medications are based on saline solution.

Salin (ionized salt water, effective, maximally moisturizes the nasal membrane).

Aqua Maris (Dilutes mucus, kills germs, moisturizes the nasal mucosa) There are no contraindications or age restrictions.

Morenasal (Cleansing and thinning effect, there are also no contraindications or age restrictions).

Cortecosteroids

Nasonex, Flixonase, Beconase.

A type of spray with hormones. The use of such medications should only be as prescribed by a doctor; they are not used to fight viruses and bacteria, and are not recommended for use by children or during pregnancy. The main purpose of hormonal sprays is to prevent inflammation of the maxillary sinuses. They also relieve swelling and fight polyps. Due to topical application, they have very few side effects.

List of drugs with combined effects

Quite often, doctors prescribe sprays to patients with a wide range of components that have several properties at once.

  1. Rinofluimucil, it belongs to sprays with mucolytic and anti-edematous effects. It also has a vasoconstrictor, thinning effect, and stimulates the secretion of pus. The drug is not recommended for use for more than 14 days.
  2. Polydex. A combination drug developed by a French company. Antibacterial medicine for sinusitis, which contains antibiotics - neomycin, polymyxin.
  3. Vibrocil, a combination product containing phenylephrine (vasoconstrictor effect) and dimethindene (antiallergic agent). It is not recommended to use for more than 1 week, as it may cause drug-induced rhinitis.

Source: http://stopgaimorit.ru/sprei-i-kapli/sprei-ot-gajmorita.html

Review of effective sprays for sinusitis (sinusitis) and runny nose

A wide variety of medications allows you to choose a spray for sinusitis depending on the causes of the disease. For pathologies of an allergic and bacterial nature, various groups of drugs are used. For this reason, it is not recommended to independently select drugs. Treatment is prescribed only by a specialist.

Moisturizers

Moisturizing aerosols are designed to moisturize, soften and cleanse the nasal mucosa. They have no therapeutic effect. The use of moisturizers is allowed from the first days of life. The main active ingredient in the composition is saline solution.

Moisturizers for the treatment of sinusitis are used after vasoconstrictor sprays to remove purulent accumulations and mucus from the sinuses.

  1. Aquamaris. Combined drug. Made from purified sea water. Allows you to effectively clean the nasal cavity and remove snot in the early stages of the disease. The gentle action of the saline solution is aimed at moisturizing the mucous membrane. Suitable for use in infants from the first days of life.
  2. Salin. The main component is ionized salt water. The purpose of the spray is to moisturize the mucous membrane, dilute snot, and fight colds in the initial stages. The absence of contraindications allows its use in newborns.
  3. Morenasal. The drug is intended for active irrigation, rinsing and cleansing of the nasal passage and maxillary sinus. Allows you to restore nasal breathing. Prevents respiratory diseases during colds and flu. The basis of the product is ionized sea water. The drug is sold in the form of drops or spray. Suitable for use for sinusitis or rhinitis of various etiologies.

Vasoconstrictor drugs

Vasoconstrictor drugs have shown high effectiveness for the nose in case of sinusitis. They are used before using the main medicine to normalize breathing. Sprays are aimed at relieving symptoms of nasal congestion, drying the mucous membrane, and reducing nasal swelling.

It is recommended to use a vasoconstrictor for no more than 5 days. This is due to the body’s rapid adaptation to the drug.

  1. Sanorin. The active ingredient is naphazoline. The product belongs to the budget category with a short period of validity. Sanorin has an effect for no more than 4 hours. The drug is used in adults and children over 12 years of age.
  2. Naphthyzin. A drug based on naphazoline. Belongs to the group of short-acting agents. The drug has a vasoconstrictor effect. Used for acute rhinitis, seasonal runny nose. Shown to be highly effective for laryngeal edema and hyperemia of the mucous membranes in the postoperative period.
  3. Tizin. Long-acting vasoconstrictor drug. The effect lasts up to 8 hours. The active substance is xylometazoline. Suitable for use in children from 6 years of age. If drops are intolerant, headaches, signs of hyperemia, and burning of the mucous membrane may occur.

Among the names of vasoconstrictor drugs, Rinomaris, Nazol, Nazivin, Xymelin are distinguished. The drugs differ in their duration of action.

Antibacterial sprays

Sprays for sinusitis with antibiotics are used in case of purulent discharge. They are a good replacement for oral medications. Antibacterial spray for runny nose is suitable for use in children from 2 years of age. It is also approved for use in pregnant women and during lactation. The average course of treatment with antibiotic drops is no more than 5 days.

  1. Bioparox. The product contains the antibiotic fusafungin. Used to treat acute rhinitis and sinusitis in adults and children. The dosage is 1 injection into the nose every 4-6 hours, depending on the age of the patient.
  2. Isofra. A popular medicine based on the antibiotic framycetin. It is used both for mild sinusitis and adenoiditis in childhood. It has shown high effectiveness in the bacterial picture of the disease. The course of treatment is from 5 to 10 days.
  3. Polydexa. Combined drug. Contains two types of antibiotics: aminoglycoside neomycin and polypeptide (polymyxin), as well as the hormone dexamethasone. Has a pronounced vasoconstrictor effect. Has anti-inflammatory, antibacterial and anti-allergenic effect. Suitable for patients from 2.5 years of age.

Hormonal drugs

Hormonal sprays for sinusitis are prescribed based on glucocorticosteroids. They have a pronounced anti-inflammatory effect. They showed good results in cases of allergic or polypous sinusitis. Hormonal sprays are used for a limited period of time. The course lasts no more than 5 days. The nasal spray is approved for use in children over 2 years of age due to less pronounced side effects.

  1. Nasonex. Hormonal drug. The main active ingredient is mometasone. Recommended for allergic sinusitis. Has an anti-inflammatory effect, helps reduce fluid production in the sinuses. Has virtually no side effects.
  2. Avamis. Glucocorticosteroid drug. The main active ingredient is synthetic fluticasone furoate. The drug has a pronounced anti-inflammatory effect. Suitable for the treatment of seasonal and year-round allergic rhinitis. Suitable for use in children and the elderly.
  3. Flixonase.

Sprays with mucolytic action

A nasal spray for sinusitis with a mucolytic effect is aimed at liquefying and removing viscous mucus accumulated in the sinuses. Mucolytic drugs show the best results in diseases with the formation of a thick, viscous secretion. Experts identify two drugs that have proven themselves: Sinuforte and Rinofluimucil.

  1. Sinuforte. The drug is better suited for the treatment of sinusitis. It is based on herbal ingredients. The action of the product is to liquefy thick mucus and have an irritating effect. As a result, the removal of secretions from the nasal passages is activated. The spray effectively relieves swelling and normalizes the condition of the nasopharyngeal mucosa. The drug is suitable for the treatment of sinusitis in adults and children over 12 years of age. A single dosage is 1-2 injections. The course of treatment does not exceed 5 days.
  2. Rinofluimucil. Combined action drug. It has a pronounced mucolytic and vasoconstrictor effect. It has an anti-inflammatory effect, relieves swelling and hyperemia. Approved for use in children over 6 years of age. In some cases it is prescribed earlier. As a side effect, it can cause dry mucous membranes and an allergic reaction.

The list of sprays with a mucolytic effect can be expanded. Depending on the patient’s condition, the doctor prescribes the drug most suitable for the specific situation.

Chinese-made drugs

Modern medicine offers not only domestic, but also imported drugs for the treatment of diseases. Recently, a Chinese-made anti-sinusitis spray has shown high effectiveness. It is distinguished by its inexpensive price and high efficiency.

Three sprays have received wide distribution and the most positive reviews throughout the country.

  1. Biltong. Chinese spray on a natural basis. It contains mint, chrysanthemum, borneol crystals, honeysuckle. Copes well with acute and chronic forms of the disease. Also suitable for the treatment of rhinitis, sinusitis and colds. Does not have a negative effect on the body. It has an anti-inflammatory effect, relieves swelling, and constricts blood vessels. Contraindications include individual intolerance to the components and hypersensitivity.
  2. BeeGun. A propolis-based spray helps well against sinusitis. The second active ingredient in the drops is chamomile. Therefore, the use of the product is not recommended for patients prone to allergic reactions and in childhood. Contraindications also include pregnancy and lactation. BeeGun has a powerful anti-inflammatory and antimicrobial effect.
  3. A Chinese preparation made from mint, propolis, essential oils and cicada. Allows you to treat manifestations of rhinitis and prevent nasopharyngeal diseases during colds and flu. Effectively relieves swelling from the nasal mucosa and signs of inflammation.

Chinese sprays are not recommended for use without consulting a specialist. The presence of plant components may provoke an allergic reaction.

Which nasal drops and sprays to choose are determined only by a doctor, based on the results of laboratory tests and a visual examination of the patient.

Incorrectly selected drugs do not have a therapeutic effect and contribute to the transition of the disease to a chronic form with complications.

Whatever one may say, the best remedy for sinusitis will be Loromax, a very worthwhile remedy, which pleases precisely because after its use there is no relapse of the disease.

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All information provided is subject to mandatory consultation with your attending physician!

Source: http://viplor.ru/nos/gajmorit/sprej-luchshij

Nasal spray for sinusitis, list of medications

There are a wide variety of nasal sprays that are used to treat sinusitis. The main advantages of using medications in the form of a spray are:

Drops into the nose should be instilled in a lying position; the spray can be used in any place and position.

Due to uniform spraying, medicinal substances penetrate the blood vessels faster and exert their effect.

Less chance of overdose.

A convenient spray dispenser allows you to accurately administer the required amount of the drug. To treat sinusitis, several types of sprays have been developed, which differ in their action and have the following effects:

  • Vasoconstrictor;
  • Antibacterial;
  • Antiallergic.
  • Anti-inflammatory;
  • Mucolytic;
  • Moisturizing.

Combination sprays contain several active ingredients and combine various properties.

Vasoconstrictors

They do not have a therapeutic effect, but they are quite effective in eliminating manifestations of sinusitis, such as nasal congestion. They help remove mucus accumulated in the sinuses. They are used for no more than 10 days, as they cause an addictive effect. The effectiveness of the drug gradually decreases over time.

Common side effects include: nosebleeds, allergic reactions, increased blood pressure. Contraindicated for use in pregnant and lactating women, children under one year old, and people with arterial hypertension.

Depending on the active substance, several groups are distinguished:

Short-acting sprays (based on naphazoline).

They work for up to 4 hours, are effective, but cause severe dryness of the mucous membrane and are quickly addictive. Preparations:

  • Naphazoline;
  • Naphthyzin;
  • Sanorin.

Medium action sprays (based on xylometazoline).

Valid for 5–6 hours. They work more gently than the previous group of drugs. Representatives:

  • Otrivin;
  • Rinomaris;
  • Xymelin.

Long-acting sprays (based on oxymetazoline).

They work up to 12 hours. Preparations:

They act for about 4 hours, have a mild effect and are approved for use in children. Representatives: nazol-kids, vibrocil.

Products with a moisturizing effect

Solutions based on sea salt cleanse the mucous membrane, moisturize it and partially reduce swelling of the nasal cavity during sinusitis. They have no side effects or contraindications other than individual intolerance. Can be used in pregnant women and children up to one year old for a long time.

Moisturizing sprays contain purified sea water with varying concentrations of salts or regular saline solution. Representatives:

  • Humer;
  • Salin;
  • Aquamaris.

Interesting! Some sprays have the ability to open the bottle of solution. Therefore, after using the spray, you can pour saline solution or a self-prepared sea salt solution into the bottle and use it to further moisturize your nose.

Sprays affecting viscosity and mucus removal

Mucolytic sprays help to liquefy and remove viscous secretions from the sinuses during sinusitis. Main representative:

Sinuforte is a herbal preparation based on cyclamen extract and juice. When used, it significantly increases the secretion of mucus, which dilutes stagnant mucus and removes it from the sinuses.

Having a harsh effect, it often causes lacrimation, pain in the eyes and redness of the face. Contraindicated for use in children under 12 years of age, pregnant and lactating women, as well as patients with a tendency to allergic reactions.

Apply one injection into each nostril once a day or every other day. For sinusitis, the course of treatment is about two weeks.

Antibiotic sprays

Sprays that contain local antibacterial drugs are used in the treatment of mild forms of sinusitis or as part of complex therapy for the disease. Representatives:

Bioparox is a drug based on the antibiotic fusafungine. For sinusitis, use a nasal tip. Apply one inhalation into each nostril every 4–6 hours (depending on age). Approved for use in children over 2.5 years of age and pregnant women.

Isofra – contains the bactericidal antibiotic framycetin. Use for 10 days, several injections into each nostril daily. Approved for use in children from one year of age.

Sprays based on glucocorticosteroids

These drugs have a pronounced anti-inflammatory effect, but show their effect several days after the first use of the drug. They are used to treat allergic and polypous forms of sinusitis. Use it for a month, then take a break of several months, and then return to using the spray again. Representatives:

The main side effect is dryness of the mucous membrane and increased fragility of blood vessels in the nose, which increases the risk of developing nosebleeds.

For prevention, it is recommended to regularly moisturize the nasal mucosa with saline solutions, or drip a few drops of vegetable oil (olive, sea buckthorn, etc.) into the nose.

All these sprays are used in the same way: two sprays into each nostril once a day in adults and one spray once a day in children under 12 years of age.

Nasonex for sinusitis

Nasonex is a spray that is produced by Belgian manufacturers in special bottles. The drug contains the active substance mometasone, which is a synthetic glucocorticoid, and can have a strong anti-inflammatory effect. For ease of use, the package with the drug contains a dispenser.

The mechanism of action of the drug is to prevent the release of inflammatory mediators and inhibit an immediate allergic reaction.

Nasonex is used in adult patients and children over 2 years of age for seasonal and chronic allergic rhinitis. It also helps in adults (over 18 years old) with nasal polyps and impaired smell function.

Nazonenex for sinusitis and rhinosinusitis is used in acute processes or exacerbations of chronic ones as an additional treatment. Sinusitis is treated with this auxiliary remedy twice a day, 3 doses at a time. For a child from 2 years to 12 years old, the nasal cavity should be irrigated three times a day, one measured dose at a time.

Herbal remedies

They are less effective, but are approved for use in pregnant women with sinusitis. Representative: pinosol (spray based on pine, eucalyptus and mint oils).

Combination drugs

To treat and eliminate the symptoms of sinusitis, sprays are widely used that combine the effects of several active components at once. Popular representatives:

A combination of acetylcysteine ​​(mucolytic) and a vasoconstrictor component (tuaminoheptane sulfate). Effectively reduces swelling in the nose, dilutes viscous secretions and promotes its removal from the sinuses. The course of treatment takes a week. Adults are recommended 2 doses 2-3 times a day, children 1 dose respectively.

Polydex with phenylephrine.

A combination of a local hormone (dexamethasone) and two antibiotics (neomycin and polymyxin B).

Spray with vasoconstrictor and antiallergic effects.

On a note. Any liquid preparation for topical treatment of sinusitis can be converted into a spray using a compression or ultrasonic nebulizer.

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Antibiotics as a treatment for sinusitis

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Technique for performing acupressure massage for sinusitis

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Traditional recipes for the treatment of sinusitis

How is sinusitis pierced, and what is the danger?

Drops and sprays effective for sinusitis and runny nose

Source: http://gaimoritus.ru/lekarstva-i-proceduri/sprej-ot-gajmorita-dlya-lecheniya.html

Sprays for sinusitis

Sinusitis is one of the types of sinusitis, which manifests itself in the form of inflammation of the maxillary sinuses (in an x-ray photo the disease looks like darkening). A good way to combat the disease are sprays for sinusitis in bottles with special sprayers. Preparations in this form of release are considered more effective than drops or solutions. What are their benefits and which nasal spray is best to use for sinusitis?

The benefits of medicines in the form of a spray

Treatment of sinusitis at home is not complete without pharmaceuticals. This disease is of infectious or (less commonly) allergic origin. It is accompanied by severe swelling, severe difficulty breathing and thick discharge. It must be treated with drugs that provide antibacterial or antiallergic effects, relieve swelling of the nasal mucosa, dilute secretions and facilitate breathing. Sprays for sinusitis cope perfectly with these tasks.

They are more convenient to use than drops, since the required amount of the drug is injected with one click. The active substance is evenly distributed in the nasal cavity, delivered even to its most remote areas and quickly absorbed. The main advantage of this remedy for sinusitis is the precise dosage of the drug, which ensures a minimal risk of overdose.

Types of nasal sprays for the treatment of sinusitis

You need to choose a suitable nasal spray for a runny nose and sinusitis, taking into account the existing symptoms. When a patient has thick mucous discharge that is difficult to clear and he is faced with the task of how to thin the snot in the nose, it is necessary to use mucolytic drugs, in case of severe swelling - vasoconstrictors, and in the presence of pus - drugs with an antibacterial effect.

All medications in the form of sprays used in the treatment of inflammatory diseases of the nasopharynx are conventionally divided into vasoconstrictors, mucolytic, hormonal, antibacterial, moisturizing, which serve to rinse and cleanse the nose. However, many drugs have a complex effect, that is, they have several pharmacological effects at once.

Vasoconstrictors

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Such sprays for sinusitis are indispensable for severe congestion, which makes it impossible to breathe normally. They constrict blood vessels, thereby eliminating swelling of the mucous membrane and making breathing easier. However, vasoconstrictor drugs for the nose are only symptomatic: they can only temporarily eliminate swelling, but do not in any way affect the healing process itself. In addition, these medications can be addictive, so they are used with a time limit.

Moisturizing

This type of medication allows you to minimize dryness, irritation and burning that occurs with long-term use of specific medications. Moisturizing spray for sinusitis is used in complex treatment. It may not contain components with a pronounced pharmacological effect. These medications include sprays based on saline solution and sea water.

Corticosteroids

This category of drugs belongs to potent hormonal drugs. They are prescribed for severe inflammatory processes and allergies that cannot be treated with sinusitis medicine with a more gentle effect. Hormonal sprays help with severe forms of the disease, but due to the possibility of developing serious side effects, they should be used under the supervision of a doctor.

Mucolytic

With sinusitis, nasal discharge is often too thick, and therefore difficult to blow your nose naturally. To improve the discharge of secretions from the nasal sinuses, a mucolytic spray for sinusitis is prescribed, which can dilute the stagnant mucous secretion, making it less viscous, thereby reducing swelling and normalizing the general condition of the nasopharynx.

Antibiotics

Antibacterial sprays for sinusitis contain an antibacterial substance. They must be used for such forms of inflammatory diseases complicated by bacterial infection. It is highly not recommended to use antibiotics on your own in the treatment of sinusitis, since the optimal type of active ingredient and the exact dosage must be selected by a doctor.

List of the best nasal sprays for sinusitis

It is recommended to consult a doctor about which sinusitis drug is best to use. When choosing over-the-counter medications yourself, you need to carefully follow the instructions and monitor the symptoms of the disease. If after several days of using the drug there is no improvement, you need to consult a specialist.

Ingredients: active ingredient xylometazoline, additional substances.

Action: the product has a pronounced vasoconstrictor effect, which eliminates swelling and facilitates breathing. The drug does not interfere with the natural waste of secretions. Otrivin contains hypromellose and sorbitol, which reduce the severity of side effects observed with its long-term use.

Application: adults and children over 6 years old – one injection) 3-4 times a day. A child under 6 years of age is prescribed a dosage form of the drug with a reduced concentration of the active substance, which is used 1-2 times, but not more than 3 times a day. This sinusitis spray should not be used for more than 10 days in a row.

Cost: from 150 rubles.

Ingredients: active ingredient naphazoline, auxiliary components.

Action: the spray reduces swelling of the mucous membrane, restoring the patency of the nasal passages, facilitating breathing and improving the patency of the Eustachian tubes. With prolonged use, the effect of the drug gradually decreases, therefore, when treating sinusitis, it is recommended to use it intermittently every 5 days.

Application: the product is injected 1-3 3-4 times a day. The duration of therapy with this drug for children is no more than 3 days, for adults – no longer than a week.

Cost: from 170 rubles.

Ingredients: active substances phenylephrine and dimethindene, additional components.

Action: the product has a vasoconstrictor and antihistamine effect.

Application: the drug is prescribed to children over 6 years of age and adults at a dose of 1-2 injections 3-4 times a day. It should not be used for more than 7 days, unless a different period of treatment is agreed with the doctor. With long-term (more than 2 weeks) use or exceeding the recommended dose, it can cause the development of drug-induced rhinitis.

Cost: from 250 rubles.

Ingredients: sterilized sea and purified water.

Action: this nasal spray with sea water thins mucus, normalizes its production and effectively washes away impurities, dust, and allergens from the mucous membrane, reducing its inflammation.

Application: adults are prescribed 2-3 doses from 4 to 8 times a day, children from 7 to 16 years old - 2 injections 4-6 times, from one year to 7 - the same number of applications, but no more than 4 times a day. For sinusitis, the treatment period can be from 2 to 4 weeks or longer.

Cost: from 200 rubles.

Ingredients: sea water.

Action: the spray relieves inflammation from the nasal mucosa, ensures its effective cleansing and strengthens local immunity, increasing resistance to pathogens.

Application: in the treatment of sinusitis, the drug is prescribed in a dose of 2–4 injections. The drug can be used for a long time, up to several months.

Cost: from 300 rubles.

Ingredients: active substance sodium chloride, additional ingredients.

Action: this spray for sinusitis has an anti-edematous effect, cleanses the nasal passages, moisturizes the nasal mucosa, and promotes better mucus separation. In the treatment of sinusitis, the drug is used as an adjuvant. It has no contraindications and does not lead to the development of undesirable effects, therefore it is prescribed even during pregnancy or the treatment of infants.

Application: recommended dose for adults – 2 sprays 6-8 times a day. Children are prescribed one injection up to 6 times a day.

Cost: from 170 rubles.

Ingredients: active substance mometasone, additional components.

Action: the spray is a glucocorticosteroid with anti-inflammatory and anti-allergic effects, which relieve swelling and restore normal breathing.

Application: Nasonex is prescribed in a dose of 2 injections 2 to 4 times a day. The duration of treatment must be agreed with the doctor.

Cost: from 450 rubles.

Ingredients: active ingredient fluticasone, excipients.

Action: the drug is a corticosteroid that has anti-inflammatory, anti-edematous and anti-allergic effects. The spray reduces nasal congestion, relieves itching, discomfort in the paranasal sinuses, a feeling of pressure around the eyes and nose, and helps get rid of headaches that often accompany acute sinusitis.

Application: adults and children over 12 years old – 2 times a day. After the acute symptoms pass, the dose is reduced by half. Children from 4 to 12 years old – 1 injection per day.

Cost: from 750 rubles.

Ingredients: active substances acetylcysteine ​​and tuaminoheptane, auxiliary ingredients.

Action: according to the description given in the instructions, the drug has a vasoconstrictor, anti-inflammatory and mucolytic effect. The spray promotes thinning and better discharge of secretions, relieving swelling and inflammation of the nasal mucosa.

Application: adults are recommended 2 injections 3-4 times a day, children – 1 dose the same number of times. The product should not be used for more than 7 days.

Cost: from 240 rubles.

Ingredients: active ingredients: cyclamen juice extract and lyophilisate and solvent (distilled water).

Action: the spray is a herbal preparation that effectively relieves inflammation, stimulates the production of mucus and improves the process of its removal. The product is the most expensive in the drug rating, but few other drugs provide the same pronounced effect: increased mucus production begins almost immediately after spraying the aerosol and continues, depending on the amount of secretion, from half an hour to two.

Application: spray the product once at a time. When used daily, the course of treatment lasts 6–8 days, when administered every other day – no more than 12–16.

Cost: from 2000 rubles.

A more affordable herbal preparation called Sinupret has a similar mucolytic effect, but it is not produced in the form of a spray, but in drops and tablets.

Ingredients: active substance fusafungin, additional components.

Action: the spray is an antibiotic with anti-inflammatory activity.

Application: the drug is injected into the mouth and nose. Adults are recommended 4 injections into the throat and 2 into the nose up to 4 times a day. Children from 2.5 years old - 2-4 sprays of aerosol in the mouth and 1-2 in the nose with the same number of daily doses.

Cost: from 500 rubles.

Ingredients: active ingredients neomycin, polymyxin B, dexamethasone, phenylephrine, auxiliary ingredients.

Action: this spray for sinusitis has an antibacterial, anti-inflammatory and vasoconstrictor effect.

Application: adults are recommended 1 injection up to 3-5 times a day, children from 2.5 to 15 years old - a similar dose up to 3 times a day. The duration of treatment with the drug is 5–10 days.

Cost: from 270 rubles.

Composition: active substance framycetin, auxiliary components.

Action: the spray has an antibacterial effect and is prescribed for severe infectious and inflammatory processes.

Application: adults - 1 spray of aerosol up to 4-6 times a day, children - the same dose, but the daily number of injections should not be more than 3. Treatment lasts a week.

Cost: from 260 rubles.

What sprays can be used for children

It is not recommended to use a children's runny nose spray when treating children under one year of age due to the high risk of reflex spasm of the larynx, which can cause serious breathing problems. Nasal spray for older children is chosen based on age among special children's forms of drugs that have a reduced concentration of active ingredients.

For sinusitis in children, some experts recommend using homeopathic remedies, which have fewer side effects than traditional drugs. Most experts are skeptical about these medications, but there are patients who report noticeable improvements after such therapy.

Feedback on results after treatment

Maria, 28 years old: I have been treating sinusitis for many years. Once I was recommended the herbal remedy “Sinuforte”. The spray helped, but due to the high price of Sinufort, analogues and substitutes for which, as I was told, could not be found in Russia, I switched to Polydex during the next exacerbations. After about 3-4 days I am treated exactly according to the instructions and my breathing is restored.

Sergey, 34 years old: Sinusitis was in a very advanced stage. I tried to treat with traditional methods - washing with decoctions, inhalations with honey, alcohol compresses, warming up. There was temporary relief, but in a good clinic in St. Petersburg I was still advised to get a puncture due to the high risk of complications. After the puncture, they prescribed some kind of cheap antibiotic spray. It's been over a year and so far everything is fine.

Svetlana, 25 years old: When sinusitis developed that could not be treated, I was afraid that it would come to surgery and was treated with everything that was prescribed. They prescribed me drops, bactericidal sprays and warming procedures, I conscientiously underwent several courses of treatment and managed to cope with the disease. To prevent a relapse, I am now trying to properly treat my runny nose.

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/3989-sprei-ot-gaimorita.html