What vasodilator nasal drops are there?

Properties of drugs

During the cold season and in the off-season, colds and rhinitis are quite common, and the first assistant in the fight against liquid discharge, nasal congestion and swelling are vasodilating drops. The main goal of these drugs is to restore the normal state of blood vessels, which, under the influence of certain factors, can narrow and block the flow of air in the nasopharynx.

It is worth recalling that by drops we mean a medicine that is intended for instillation into the nasopharynx in a certain dosage.

In order for the drug to have the expected result, it must be used correctly. It is very important to tilt your head back when instilling the product into the nasopharynx, otherwise the liquid may not penetrate into the nose in sufficient quantities. To increase the effect, you first need to rid your nose of excess mucus, that is, blow your nose. Do not try to self-prescribe antibiotic vasoconstrictor drops and do not change the dosage of the drug. Follow the instructions strictly and if your condition worsens, consult a doctor. In the hospital, an otolaryngologist treats diseases of the nasopharynx, and it is to him that you should seek help.

List of medications for adults

Vasodilator drops are prescribed based on the root cause that caused the disease. Among the most common reasons are:

• allergic reactions;
• air pollution;
• hormonal imbalances;
• viral or bacterial infections.

As a rule, in addition to vasodilating drops, the doctor will prescribe additional medications; for example, if nasal congestion is caused by allergies, antihistamines will be prescribed. In the case of a bacterial infection, antibiotics and antiviral drugs are prescribed. There is no point in treating rhinitis with drops alone, since they can only temporarily relieve the symptoms of the disease, but will not eliminate the root cause.

List of the most popular vasodilators:

The doctor prescribes these medications for severe swelling of the nasal sinuses and excessive nasal discharge. The principle of action of all the above drugs is the same, the only difference will be in the duration of the effect. Drops containing naphazoline have the least effect - only 4 hours. Xylometazoline-based products, such as Tizin, Rinomaris and Ximelin, can relieve congestion for 6 hours. Oxylometazoline in the preparations Noxprey and Nazol can relieve symptoms of rhinitis for 12 o'clock

It is important to note that nasal drops can be addictive and will stop working if used for longer than 7 days. In addition, there are a number of consequences from improper use of drugs. Side effects include dizziness, nausea, allergic reactions, decreased sense of smell, drying out of the sinuses and the formation of a painful crust on the skin. Some of the vasodilator drugs, for example Rinofluimucil and Betadrin, contain mucolytics and antibiotics, so you need to remember about their additional effects on the body.

If the cause of a runny nose is an infection, then Grippferon or Nazoferon can be used. If you apply them in the first stages of the disease, you can stop the development of the infection and get rid of unpleasant sensations in the nose in just 3 days. The following medications will help eliminate a bacterial infection:

• Delufen;
• Bioparox;
• Polydex;
• Isofra;
• Euphorbium compositum.

Polydex is considered the most universal drug, since the drops contain antibiotics - polymyxin, neomycin and phenylephrine, which are considered a vasodilator, and dexamethasone, which is aimed at eliminating swelling and is of hormonal origin.

Drops based on essential oils, such as eucalyptus, are considered very effective. The most famous drug in this group is Vibrocil, which has a complex composition but gives results very quickly. The downside of the drug is that it can cause an allergic reaction, and it is also contraindicated for children under 3 years of age. For hypersensitive people, it is better to pay attention to other options for vasodilating drops, since oil drops can cause a number of consequences, which will be much more difficult to deal with than with a regular runny nose. It is important to note the fact that oil-based drops last a little longer, since their consistency disrupts the transport function of epithelial cells in the nasal mucosa. This is what makes it difficult to naturally remove mucus.

Protracted rhinitis can be cured with the help of vasodilators with a combined composition. For example, Collargol and Protargol are made by combining furatsilin and an antiseptic.

A drug called Nazaval will relieve runny noses of an allergic nature. The product can be used in the form of a spray or drops. The principle of action of the drug is that the product covers the inner lining of the nasopharynx with a thin layer and prevents the penetration of the allergen into the blood, which does not cause an allergic reaction.

Action of vasodilators

The use of this group of drugs should be carried out with caution, since they are classified as hormonal-based drugs. During treatment, you must strictly observe and not exceed the dosage indicated by your doctor.

The use of such drops during allergic rhinitis is not always advisable, since this can provoke an unexpected reaction to administration into the nose, however, in many cases, it is the drugs of this group that help cope with the main symptoms of allergies.

Unlike vasoconstrictors, vasodilators are used not only to treat rhinitis, but also to relieve dependence on nasal drops and to improve the delivery of medicinal substances deep into the tissues of the mucous epithelium. After administration of the drug into the nasal passages, the capillaries expand, which makes it possible to achieve the maximum effect from the use of drugs used in the complex treatment of the common cold.

The effect is to increase local immunity, restore the normal function of regulating vascular tone and regenerate the nasal mucosa

What diseases require the use of vasodilators:

• pathologies of ENT organs – sinusitis (all existing forms), otitis media. The drops are designed to relieve tissue swelling;
• nosebleeds of unknown origin;
• excessive production of mucus by the ciliated epithelium of the nasal passages;
• symptomatic treatment of rhinitis.

The regimen for using vasodilator drops is drawn up by a doctor, since in the treatment of these diseases these drugs are often used in combination with other drugs. For acute indications for the treatment of allergic rhinitis, vasodilators are prescribed simultaneously with antihistamine tablets and sorbents.

Also, the combined use of vasodilator drops is intended for the treatment of a viral or bacterial infection that has affected the nasal cavity.

The key to successful treatment is the correct selection of the appropriate medication. Both with pathological expansion of the capillaries of the nose, and with their excessive narrowing, the mucous membrane becomes thin and swollen, and accumulated mucus blocks the full supply of oxygen to the brain tissue.

Only a specialist can identify the main cause of this phenomenon, so independent and uncontrolled use of drugs such as vasodilating nasal drops can be not only useless, but also dangerous.

Treatment of a runny nose should be carried out under the strict supervision of an ENT doctor.

For the little ones

Separately, I would like to mention nasal drops for children, since not all medications for adults can be taken by children. If an adult can easily tolerate the symptoms of rhinitis without changing their usual lifestyle, then for children a runny nose is a real torment. The vessels in the child’s nose constantly have to narrow as the baby tries to blow his nose to avoid congestion, which further aggravates the situation.

Children should buy medications based not on antibacterial agents, but on sea water, which can dry out the nasopharynx cavity, reduce swelling and discharge. Among the effective drugs that have no contraindications, I would like to note the following names:

These drops do not give an immediate effect, but they allow you to get rid of the symptoms of rhinitis much faster.

If the swelling with a runny nose is pronounced and there are suggestions that the congestion is caused by an infection, Nazol Baby and Nazol Kids will help. When nasal discharge becomes thick and takes on a greenish tint, Protargol, Pinosol and Collargol will come to the rescue. Pinosol drops perfectly soothe the nasal mucosa irritated by infection, but they are prohibited for use in children under three years of age.

To treat allergic rhinitis in children, it is customary to prescribe vasodilator drops called Zyrtec and Allergodil.

Effective vasodilator nasal drops

Vasodilator nasal drops are prescribed for swelling of the mucous membrane of the nasal passages. Nasal agents belong to the group of decongestants; they are used in the treatment of acute rhinitis of various etiologies.

Vasodilator nasal drops are used for preparatory purposes before examining ENT organs. The task of drugs in this group is to restore the internal tissues of the nose.

Under the influence of a viral infection, the blood vessels narrow, complicating the respiratory process, but after using nasal medications they return to normal.

Classification of vasodilating nasal drops

The pharmaceutical industry offers a wide range of nasal vasodilators for topical use. Depending on the mechanism of action and the main substance in the composition, nasal drops are divided into several groups:

• products containing phenylephrine are used in pediatrics during pregnancy and lactation;
• a vasodilator containing indanazoline, with a pronounced effect on nasal congestion;
• decongestants based on naphazoline, are drugs with a rapid but not long-lasting vasodilator effect, the effect lasts 4 hours;
• products with tetrazoline are identical in mechanism of action to nasal drops and sprays containing naphazoline;
• Preparations with xylometazoline have a duration of effect of up to 9 hours; with frequent use, they dry out the mucous membrane of the sinuses.

Decongestants containing oxymetazoline have a dilating effect on nasal vessels for 10 hours.

Popular products for adults

The choice of nasal drops will depend on the patient’s age and the causes of the runny nose: viral infection, hormonal imbalance, allergies. Taking these factors into account, therapy is prescribed. Widely used nasal drops and sprays.

"Nazol"

The active ingredient in Nazol is oxymetazoline. Prescribed for the treatment of viral diseases (sinusitis, rhinitis). Contraindications are:

Not recommended for use by children under 6 years of age. The frequency of use of the vasodilator solution is no more than twice a day. There is a risk of addiction.

"Otrivin"

The main substance in Otrivin is xylometazoline.

The remedy is used for allergic rhinitis, acute respiratory viral infections, and sinusitis.

Contraindication for use:

• hypertension;
• glaucoma;
• arrhythmia, tachycardia;
• atrophic rhinitis.

The use of a vasodilator is not recommended for children under six years of age. Pregnant women and while breastfeeding are allowed nasal drops in limited quantities. The course of treatment is no more than 10 days with four irrigations a day. Used as an adjuvant to eliminate swelling of the Eustachian tube.

"Sanorin"

The active ingredient is naphazoline nitrate, used in the treatment of laryngitis, sinusitis and rhinitis. Improves the outflow of secretions and restores respiratory function. Cannot be used for the following pathologies:

• chronic laryngitis;
• allergic reaction;
• diabetes;
• atherosclerosis;
• thyroid dysfunction.

A vasodilator is available for adults, can be taken from 15 years of age, four irrigations per day. The course of treatment is 6–8 days. With the same name, but a different concentration, it is produced for children from 2 years old. It is not recommended to use for longer than 3 days. 1 drop in the nose 2 times a day.

"Tizin"

The main active ingredient is an imenazoline derivative - xylometazoline.

It is used as a vasoconstrictor for allergic rhinitis and infectious sinusitis, pharyngitis. “Tizin” relieves swelling of the mucous membrane and restores drainage in the nasal sinuses. Contraindication:

• hypersensitivity to the main component;
• abnormalities in the cardiovascular system;
• glaucoma;
• diabetes.

When treating with a vasodilator, it is necessary to follow the recommendations for the age category. The course of treatment should not exceed one week. Place 2 drops in the nose per day, twice a day.

"Naphthyzin"

The active ingredient is naphazoline nitrate, used in the treatment of rhinitis of various origins, laryngitis, sinusitis, and middle ear disease.

The anticongestant stimulates the production of alpha-adrenergic receptors in blood vessels, thereby reducing exudation, eliminating swelling, and improving respiratory function through the nose.

The drug is contraindicated:

• for allergies;
• with tachycardia;
• with high blood pressure.

The course of treatment with the drug should not exceed seven days, with instillation three times a day. Age restrictions must be observed.

"Xymelin"

The main component is xylometazoline, which affects rhinitis, sinusitis, hay fever, and otitis media. Relieves nasal congestion, swelling, promotes the outflow of exudate.

Cannot be used in the following pathological conditions:

• atrophic rhinitis;
• glaucoma;
• cardiopalmus;
• hypertension.

Not indicated for children under two years of age. The course of treatment with Xymelin nasal drops should not exceed 5 days with twice-daily instillation.

"Vibrocil"

A vasodilator sympathomimetic based on phenylephrine, helps reduce secretion production and restores the function of the ciliated epithelium. It is used against all types of rhinitis, sinusitis, and semi-sinusitis. Available in the form of nasal drops and gel. The gel form is used for injuries to the mucous membrane of the nasal passages. You cannot take Vibrocil:

• with hypersensitivity to dimethindene or phenylephrine;
• if rhinitis is complicated by the nosological form of ozena;
• cannot be taken together with MAO inhibitors.

Nasal drops are contraindicated for children under six years of age. The combined sympathomimetic is prescribed with caution to people with diseases of the cardiovascular system, epileptics, and hyperthyroidism.

The pharmaceutical group of decongestants is represented by broad-spectrum drugs. They can simultaneously act as vasodilators and have mucolytic, antiallergic and antiseptic effects.

Drugs approved by pediatricians

Vasodilator drugs are used quite rarely in pediatrics.

Medicines are used only as prescribed by a doctor, in compliance with all prescribed recommendations for the treatment of allergic rhinitis, inflammation of the middle ear (otitis), and bacterial infection of the maxillary sinuses.

The patient's age should correspond to the concentration of the main drug substance. The course of treatment should not exceed that specified in the annotation.

Allowed up to a year

The use of nasal drops is permitted from the age of two. For the smallest children, rinsing the nasal passages using Humera, Marimerom, and Aquamaris is suitable.

Of the sympathomimetics, Nazol Baby is allowed, the main component is phenylephrine hydrochloride, it relieves congestion in the nasopharynx, dilates nasal vessels, and eliminates swelling. The child regains the ability to breathe normally.

The effect occurs within 5 minutes, the course of use is no more than 4 days.

"Nazivin" 1%. The therapeutic effect of the vasodilator drug, thanks to the active substance oxymetazoline, lasts 10–12 hours. The drug must be used strictly as recommended by a doctor. Place a drop in the nose in the evening before bed and in the morning. Possible burning of the skin near the nose, decreased temperature, allergies.

"Otrivin" 5%. The therapeutic effect of the vasodilator solution lasts 8 hours; the active ingredient in the composition is xylometazoline. The product must be used strictly according to the instructions for the drug. Possible side effects:

• nausea;
• headache;
• dryness and itching in the nasal passages.

Drug Photo Price

If these symptoms occur, you should stop using Otrevin.

From 1 year to 6 years and older

Drugs recommended by pediatricians at this age:

• "Nazivin" 0.025% in the form of nasal drops;
• “Sanorin” 0.05%, approved after two years, active ingredient naphazoline, retains effect for 5 hours, take as prescribed by a doctor;
• “Vibrocil”, nasal drops, is used to treat rhinitis from the first year of a child’s life, is well tolerated, has no side effects;
• Adrinol, a vasodilator drug, is prescribed for severe nasal congestion and is used infrequently.

Drug Photo Price

When a child turns 6 years old, the list of drugs expands; not only drops are used for treatment, but also sprays, which were not previously recommended for use. The medicine can get into the ear canals, this is due to the short eustachian tube. Vasodilators:

Drug Photo Price

Medicines are prescribed by a pediatrician. If emergency assistance is needed for a child with a severe runny nose, then you should carefully read the instructions for the drug for age and dosage.

Use during pregnancy

The question remains open about the advisability of using nasal drops during pregnancy. If the expectant mother's nasal congestion is difficult, the breathing is difficult, which means that the fetus does not receive enough oxygen. Rhinitis in a pregnant woman can occur when there is a hormonal imbalance and will last until the birth of the child. In this case, doctors recommend children's types of drugs with a small dosage.

Taking any medication in the first trimester is undesirable; vasodilators are no exception. Once in the blood, they are transported to the placenta and can cause an effect not only in the nasal cavity, but also in the placenta itself, which will negatively affect the development of the child. Therefore, vasodilators are prescribed by a doctor taking into account the benefits to the mother and harm to the fetus.

Treatment of rhinitis in pregnant women

As for pregnant women who need vasodilators for the nose, they need to pay attention to drops intended for infants.

They, as a rule, do not cause side effects and do not in any way affect the intrauterine development of the fetus. With extreme caution, pregnant women should use xylometazoline-based vasodilator drops to treat rhinitis. In the second trimester of pregnancy, women can use Tizin and Faryal to eliminate infectious rhinitis.

Long-term use of drops may not produce results if you do not adhere to the dosage and instructions for the drug. If after a week of using vasodilator drops you do not feel any relief, you should consult a doctor. Advanced rhinitis can turn into sinusitis, but it is much more difficult to treat and sometimes you have to resort to surgery.

This publication is for informational purposes only and does not constitute instructions for use or a recommendation for the purchase of the above drugs.

Vasodilator nasal drops list

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Vasodilator nasal drops: names and recommendations of doctors

To treat a runny nose, doctors usually prescribe topical medications. One type of such means is vasodilating nasal drops. From this article you will learn the trade names of these drugs. You can also find out how to properly use vasodilating nasal drops for children. Doctors' recommendations for such formulations will be described below.

Medicines for children

Most often, otolaryngologists prescribe vasodilating nasal drops for children that do not contain antibiotics.
Such products usually include sea salt, which has a beneficial effect on the condition of the mucous membranes, has a drying effect, and successfully eliminates swelling. Among the safest pediatric vasodilator medications are:

• Aquamaris;
• Aqualor;
• Humer;
• Physiometer;
• Salin.

These substances do not have an immediate effect, but they significantly improve the baby’s well-being.

• 
  If swelling due to rhinitis is caused by infectious causes, Nazol Kids and Nazol Baby are prescribed.

• For viscous greenish discharge, Collargol, Protargol, and Pinosol are used. These products are prohibited for children under 3 years of age.
• To eliminate a runny nose caused by allergies, use Allergodil and Zyrtec drops.
• To treat patients up to one year old, nasal rinsing is used with solutions of Aquamaris, Humer, Marimer.
• To relieve symptoms, use Nazol baby, which contains phenylephrine, which promotes vasodilation and eliminates swelling. This drug has a quick effect, but should not be used for more than 4 days. In addition, Nazivin 0.01% and Otrivin 0.05% can be prescribed.
• From 2 to 6 years old, Nazivin is used with a dosage of 0.025%, Sanorin 0.05% and Vibrocil. In rare cases - Adrianol.
• After 6 years, drugs can be used not only in the form of nasal drops, but also nasal sprays. These drugs include Tizin, Nazivin, Rinomaris, Ximelin.

Despite the fact that vasodilator medications are not capable of providing a therapeutic effect, they are widely used in medical practice . By dilating the blood vessels, these products not only restore the patency of the nasal passages and improve the patient’s well-being, but also allow access to hard-to-reach areas in the nose for other products.