Nasonex duration of use

What is Nasonex spray

Nasonex is a hormonal medicine for the treatment of adenoids of allergic origin.

Nasonex is a hormonal drug that is used in the treatment of diseases of the upper respiratory tract of an allergic nature, for example, sinusitis, adenoiditis, and allergic rhinitis. Has anti-inflammatory and anti-allergic effects.

The main active ingredient is mometasone furoate.

Mometasone furoate is a potent synthetic steroid hormone. It is usually produced in the human body by the adrenal cortex. Added to various products as an anti-inflammatory substance. Once in the body, it breaks down to mometasone. However, in the form of furoate it is not absorbed into the blood and has no effect.

This drug:

• slows down the release of special substances (histamine, serotonin), which ensure the development of inflammatory processes;
• promotes the production of one of the proteins of a special class - lipomodulin, due to which the products of arachidonic acid synthesis are inhibited (in the human body it is responsible for processes leading to an increase in muscle mass and volume);
• prevents the accumulation of leukocytes (neutrophils), which reduces the production of fluids released in the body tissues during inflammation;
• inhibits allergic reactions.

The drug is poorly absorbed from the gastrointestinal tract and is excreted in urine or bile.

The drug is available in the form of a spray in a plastic bottle with a dosing valve (60 or 120 doses), which greatly facilitates the administration of active substances into the nasal cavity. Average price: from 469 rubles, depending on the volume of the medicine.

Composition and release form

Main active ingredient: mometasone.
Excipients: microcrystalline cellulose, glycerin, polysorbate, benzalkonium chloride solution, citric acid, sodium citrate, purified water.

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Available in the form of a nasal spray in bottles that contain 140 doses of the drug. One dose contains 50 micrograms (mcg) of mometasone.

• Dosed spray Nasonex Sinus. Polyethylene bottles 10 g, packaging No. 1. Each bottle is equipped with a protective cap and a spray nozzle. The contents of the bottle are designed for 60 doses, each of which contains 50 mcg of active substance.
• Nasonex metered spray. Polyethylene bottles 18 g, packaging No. 1. Each bottle is equipped with a protective cap and a spray nozzle. The contents of the bottle are designed for 140 doses, each of which contains 50 mcg of active substance.

The contents of the bottle are an opaque suspension of almost white or off-white color.

In what cases can a doctor prescribe Nasonex to a child?

Nasonex is great for seasonal rhinitis

The use of the drug is recommended by doctors for the treatment of:

• seasonal and year-round rhinitis (inflammation syndrome of the nasal mucosa) of an allergic nature. The product is also suitable for the prevention of seasonal allergic rhinitis. Doctors advise starting to use the drug 2–4 weeks before the expected period of exacerbation;
• acute sinusitis (infectious and inflammatory disease of the paranasal sinuses and nasal passages) or exacerbation of its chronic form in children over 12 years of age;
• adenoiditis in children over 2 years of age.

Expert opinions on the treatment of adenoids with hormonal drugs

Treatment with steroid drugs is considered dangerous by many, as there are still many myths regarding their side effects. Therefore, the opinion of specialists about this kind of medicine is interesting.

Otolaryngologist Ivan Vasilyevich Leskov describes in detail the principle of action of the drug and talks about the side effects:

Nasonex suppresses lymphoid tissue, which actually leads to a reduction in adenoids. It usually has to be used for a long time - in case of severe inflammation, Nasonex is not very effective. As a hormonal drug, it additionally suppresses local immunity, so when it is discontinued, inflammation in the adenoids resumes.

Moreover, he urges careful use of Nasonex:

Nasonex is not contraindicated in children under 18 years of age - this drug is absolutely not absorbed into the blood, however, its use for the treatment of adenoids, and especially sinusitis, does not stand up to criticism - if sinusitis and enlarged adenoids are of an inflammatory nature, Nasonex is simply ineffective.

But otolaryngologist Evgenia Vladimirovna Filatova has the opposite point of view and advises using a steroid medication:

Nasonex is a hormonal drug, but the hormone in a special form for local use does not have a general effect on the body (since it is almost not absorbed from the nasal mucosa). Don't be afraid to use it.

Doctor of the highest category, Evgeny Olegovich Komarovsky, that the use of any drugs for adenoiditis is useless:

Everyone thinks that there are some magic pills, some drops that can be given to a child, and he will not have adenoids, or they will go away. <…> In fact, if adenoiditis is of allergic origin, then, naturally, the active use of antiallergic drugs can reduce allergic swelling of the adenoid tissue. But if a child often suffers from viral infections, then there are no pills that can affect the adenoids.

Video: Doctor Komarovsky about adenoiditis

"Avamys" for adenoids in children: reviews from doctors

The modern pharmacological industry produces a lot of new drugs necessary for the treatment of adenoid invasion in children.

"Avamys" for inflamed, pathogenic adenoids in children, according to the unanimous opinion and reviews of pediatric doctors, is one of the most harmless nasal medications.

Moreover, being a hormonal medicine, it does not introduce destructive changes into the natural cycle of hormonal fermentation in the child’s body.

Let us, together with leading doctors of pediatric otolaryngology and visceral pediatric medicine, once again pay attention to the wonderful “Avamys” for adenoids in children. Competent reviews from practicing pediatricians will serve as a reliable and guaranteed assessment of this medicine. But first, some brief information about the pharmacology of the drug.

Chemical and pharmacological composition of the drug "Avamys"

The photo shows the structural chemical formula of the fundamental therapeutic component of Avamys - fluticasone furoate.

Thanks to this synthetic hormone, Avamis is a leader in the treatment of nasal injections and irrigation of nasopharyngeal hyperemic tonsils (adenoids). Along with fluticasone furoate, the composition includes an additional number of components:

1. Benzilkonium chloride : Chem. formula – C21H38

Belongs to the category of chloride algaicides. Actively used in pharmaceuticals. production as an antifungal, antiputrefactive, antibacterial and microbial ingredient.

1. Disodium edetate : Formula – C10H12CaN2Na2O8

An excellent immunomodulator with intense antiviral properties. Many medicines contain and are known as disodium salt.

1. Polysorbate: Formula C64H26O124.

The effectiveness of this component lies in its emulsifier and sorbitan abilities. Polysorbates are added so that the aqueous and oily elements in the composition of the drug are evenly mixed, ensuring the finest dispersion and atomization.

1. Cellulose dispersible:

Also, it has the necessary dispersion-suspension qualities. Without cellulose, the medicinal solution will thicken.

This is almost the same as glucose. Substances that increase the carbohydrate supply of the body, are involved in vitaminization, metabolic reactions, and improve the microbiological processes of hematopoiesis and blood supply.

Related articles Treatment of adenoids in children without surgery

It should be added to this section that in its finished form, “Avamys” is a pharmaceutical package with aerosol cans (or glass bottles) and a nozzle nozzle (aerosol valve injector). The dose of one (1 time) injection is the therapeutic volume for the child, the quantitative injection during the day is determined by the attending physician.

Important! Please note that the dosage of the drug implies different parameters - available from 30 doses/injections, 60 doses and 120.

The effectiveness of Avamys when using conservative treatment of adenoid tonsils in children

It is indisputable that the indicated remedy (“Avamys”) quickly and reliably eliminates the pathological symptoms of adenoid vegetation:

• Reduces swelling of the internal mucous surfaces in the nasopharynx by several times;
• Dramatically reduces purulent discharge of an infected mass from toxic foci of adenoids (nasal passages, nasopharynx);
• When using Avamis, a lasting result is achieved in improving free nasal breathing;
• Night snoring stops.

Otolaryngologists note the dynamics (for the better) of the transition of adenoids from 2-3 degrees of severity to the first stage. With proper adherence and precise use of the drug (without obvious overdose), practically no side complications are recorded. But for children under 2 years of age, neither Avamys nor any other hormonal drugs are used!

The action of the medication is especially effective and efficient in the initial stages of adenoid disease in children. In many cases, it is possible to normalize the clinical condition in the children's nasopharynx. Adenoid growths are canceled and the tonsils retain their wonderful functional – protective abilities.

Reviews from doctors about Avamis as a hormonal drug for adenoids in children

Despite the fact that the drug has gained wide popularity among the medical community of practicing otolaryngologists, ENT doctors, and parents of sick children, Avamis has both allies and dissenting opponents.

For example, the famous pediatrician, TV presenter, excellent specialist in childhood diseases E.O. Komarovsky believes that Avamys (as, by the way, other hormonal nasal medications for children) is an extreme measure in the treatment of adenoiditis. If there is an urgent need for active treatment of inflamed adenoids with such drugs, it means that the most important points in the child’s health have been missed.

Articles on the topic Surgery to remove adenoids in children

The parents did not pay attention to the timely minor symptoms of incipient adenoid disease or adenoid problems in the child. And, when serious pathogenesis has already appeared in the nasopharynx, then, of course, the doctor has no choice but to prescribe potent drug treatment.

Although the basic rules for the prevention of adenoiditis (rinsing the nasal passages, hardening, preventive examinations) could prevent hormonal intake, swallowing and dispersive spraying of the nasopharyngeal sector. “Avamys” is an excellent drug, the leading pediatrician personally has nothing against it, but it is better not to let your child use it.

Vladimir Yatskiv, a doctor of pediatric ENT diseases, supports his famous colleague. And he also believes that “Avamys” for adenoids in children, according to the collected materials (reviews of pediatricians, otolaryngologists), deserves a positive assessment in the therapeutic aspect of adenoiditis. And, he agrees with those statements by E.

Komarovsky, in which he calls on parents to show in advance an active desire to prevent adenoids in children. Do not bring the condition of the child’s nasopharynx to the point where it is necessary to “pour” medicinal compounds into the child’s growing body.

Even if they are not particularly harmful, such as Avamis.

Source: https://adenoidy.com/lechenie/avamis-pri-adenoidah-u-detej-otzyvy-vrachej.html

Contraindications and side effects from using the spray

Nosebleeds are possible when taking Nasonex.

Steroid drugs, unfortunately, have many contraindications, including:

• hypersensitivity or allergic reaction to the components of the drug. If any symptoms of intolerance appear - increased swelling, rash and itching - you should immediately stop using the product and contact either your doctor or an allergist;
• the presence in the tissues and mucous membrane of the nasopharynx of any untreated local infection. The product is not an antibiotic, therefore it does not have antibacterial or antiviral effects;
• recent surgery in the upper and lower respiratory tract, the presence of open or unhealed wounds. It is necessary to wait until the damage is completely healed;
• the presence or suspicion of the presence of tuberculosis infection in the respiratory tract, fungal, bacterial, viral infection, including infection caused by herpes, with the appearance of lesions in the eye area. When taking hormonal drugs, the process of immunity formation (immunogenesis) is disrupted, which leads to an increase in the activity of harmful microorganisms;
• age restrictions: for allergic rhinitis, the drug is approved from two years of age, for exacerbation of sinusitis and for the prevention of seasonal allergic rhinitis - from 12 years of age.

The following side effects may occur in children:

• nosebleeds;
• inflammation of the mucous membrane and lymphoid tissue of the pharynx - pharyngitis;
• feeling of irritation or burning in the sinuses;
• headache;
• sneezing;
• bronchospasm, shortness of breath;
• disturbance of taste and smell.

In extremely rare cases, the following may occur:

• anaphylactic shock;
• increased intraocular pressure;
• angioedema – enlargement of the face or part of it.

It should be noted that the likelihood of occurrence of most of the above symptoms is comparable to the frequency of their occurrence from taking a placebo.

Application at different stages

The initial stage of growth of lymphoid tissue of the nasopharynx implies the blocking of approximately one-third of the free passage of this area.

At this stage, the child feels slight discomfort when breathing, which may increase during:

• sleep;
• colds;
• allergic reactions.

It is in such cases that the effectiveness of using Avamis as an additional remedy will be maximum. It will quickly relieve swelling and increase the patency of the upper respiratory tract.

Adenoid growths of the second degree occupy more than half of the nasopharyngeal region. In this case, the accumulation and stagnation of mucus in a given place is characteristic, which, due to the resulting overlap, is not able to be removed through the nose, followed by drying and separation. In addition to the fact that it is difficult for the child to breathe, he begins to be bothered by a reflex cough, when a viscous secretion drains and enters the throat.

Degrees of enlargement of adenoids

In this situation, the doctor usually prescribes Avamis for a long course - from 2 to 8 months - with an individual dosage for each child. After analyzing the results obtained, the appointment may be changed.

The drug rids the nasopharynx of mucus, thereby stopping its further accumulation, which provokes the development of various viral and bacterial infections.

The third degree of adenoids in children usually involves treatment with surgery. This is often inevitable, since the nasopharyngeal tonsil can grow so much that this area will not have the slightest passage.

Avamis can also be prescribed by your doctor a few days before surgery to reduce swelling. It is also used in the postoperative period.

Features and treatment regimen for adenoiditis with Nasonex

Adenoid location diagram

Doctors resort to conservative methods of treating inflamed adenoids only in the first and second degrees (very rarely in the third). This is due to the fact that at these stages serious complications have not yet appeared that require immediate surgical intervention: hearing impairment, complete closure of the nasal sinuses, deformation of the facial part of the skull.

The drug can be used if the proliferation of lymphoid tissue begins to occur due to frequent exacerbations of allergies. Adenoiditis caused by infectious diseases cannot be treated with antiallergenic drugs.

The use of Nasonex is allowed for children from two years of age.

Standard dosage regimen: injection of one dose into each nasal passage once a day. It is necessary to strictly follow the recommendations given in the instructions for the drug, and only a doctor can give other advice on use and changing the dosage.

If you use Nasonex in large doses for a long time, it is possible to inhibit the functioning of the hypothalamic-pituitary-adrenal system (performs the endocrine function of producing hormones).

Instructions for use

Before using the spray, press the spray nozzle several times until it sprays. The same is done after a long break in using the product (2 weeks or more). In addition, before inhalation, the bottle with the suspension should be shaken, and if the duration of treatment is long, it is important to periodically rinse the nozzle and cap with warm water.

To spray Nasonex into the nasal passages, the little patient's head should be tilted slightly to the side. The medicine is first injected into one nostril and then injected into the other nasal passage in the following dosage:

• At the age of 2-11 years – 1 injection (50 mcg each). According to the scheme, the medicine is used once a day, that is, the daily dosage is 100 mcg.
• At the age of 12 years and older - 2 injections at once (100 mcg each). The product is also often prescribed once a day, then the daily dose will be 200 mcg, but sometimes the spray can be prescribed twice at a daily dose of 400 mcg. In addition, if there is no effect, the doctor can further increase the dosage to 200 mcg per dose (4 inhalations), which corresponds to a daily dose of 400-800 mcg. As soon as the specialist notices a sufficient therapeutic effect, the dosage is reduced.

Combination with other drugs

Nasonex can be combined with Loratadine

Very often, the spray is used as part of complex therapy in the treatment of adenoids and sinusitis. However, there are several features that parents need to be aware of:

• It is not recommended to use Nasonex together with vasoconstrictor drugs, as it acts as an alternative to them. Moreover, after using the drug, you should take a course of means to strengthen the walls of blood vessels to avoid nosebleeds;

Sometimes Nasonex is prescribed to patients who want to get rid of naphthyzine addiction. It relieves nasal congestion, but is not addictive.

• Nasonex goes well with other antihistamines, such as Loratadine;
• When using the spray, it is recommended to rinse the nose and gargle with various solutions. This will help free the organs from mucus and other impurities. It will also contribute to better absorption of the drug. However, it must be borne in mind that it is better to change all solutions once every two months.

What are adenoids and why do they enlarge?

Adenoids are an enlargement of the nasopharyngeal tonsil to such an extent that it can make breathing difficult and reduce hearing. Signs of enlarged adenoids can be: nasal congestion, mouth breathing, nasal voice, green snot, snoring during sleep. Surgical removal of the adenoids does not always lead to positive results, as the tonsils may grow back.

And pediatricians advise refraining from such intervention until the child is 7-10 years old. Therefore, parents begin to resort to drugs such as Polydexa, Isofra, thuja oil, peach oil, Tafen, Avamys, Nasonex for children. Reviews from specialists on the effective treatment of tonsil enlargement vary.

Adenoids enlarge due to inflammation (expansion) of lymphoid tissue, the function of which is to protect the body from infections. But when a child enters kindergarten and begins to get sick often, the tonsils are in a constant inflammatory process, expanding every day, turning into a chronic source of infections.

Reviews from parents about spray treatment

Nasonex did not suit my daughter; on the contrary, the swelling began even worse. ENT called the representatives of this medicine, they said - remove it. Sometimes it happens. Now we take Flixonase and there is an improvement.

Olesya

https://vladmama.ru/forum/viewtopic.php?f=1103&t=75754&start=80

It really helps us, but we have grade 1 adenoids - they have hardly shrunk, but the runny nose went away already on the 2nd day. His daughter is 2 months old. prescribed 1 spray per day.

Anna

https://www.u-mama.ru/forum/kids/child-health/548439/index.html

After the acute phase, one ENT specialist prescribed 1 injection of Nasonex for 2 weeks. The other one is for a month, and it is better to spray it twice, morning and evening. Now we seem to be holding on, going to kindergarten, but I’m afraid that we’ll cancel it, whether everything will start all over again. The adenoids have grown to grade 2-3. Snoring doesn't bother me. I would like to take my child to the pool again, but I’m also afraid.

Natalia

https://www.u-mama.ru/forum/kids/child-health/548439/index.html

A year ago, my daughter was diagnosed with stage 2 adenoids. They prescribed Nasonex and had been sick very often before it. After the course (10 days) everything was fine, my nose didn’t bother me even with a cold, there were no complications to my nose. Six months later, the adenoids reminded themselves, and again 10 days of Nasonex. We took it to the south in the summer, everything was fine. Homeopathy was used for prevention. Now my nose is stuffy again and it’s running down the back wall. The doctor started talking about Nasonex again...

Zhanna https://deti.mail.ru/forum/zdorove/detskoe_zdorove/nazoneks_pri_adenoidah_by_zhannet_0579_mail_ru/

What can replace Nasonex?

Nasonex is not the only steroid drug that can be used in the treatment of inflamed adenoids. There are other hormonal analogue drugs. They differ not only in the active substance, but also in price. Despite the similar action, their age restrictions are different. However, this is explained by the fact that the company producing the product has not conducted studies on the effects of the product on children of a certain age.

Medicinal analogues of the drug

Drugs that can replace Nasonex, pictured

Homeopathy and physiotherapy

Therapy with homeopathic remedies and physiotherapy are alternative options for treating adenoids.

The most popular drugs in homeopathy to solve this problem are:

• diluted thuja oil;
• Job the Kid;
• Phthision;
• Lymphomyosot;
• Euphorbium compositum;
• Calcarea carbonica 6.

They are prescribed by doctors either as independent remedies or as components of complex therapy. Their main disadvantage is that they are designed for long-term use (from six months or more), and traditional medicine completely denies any proven effectiveness of drugs.

Physiotherapy is rarely prescribed in the treatment of adenoids without concomitant medication, but has proven itself to be a fairly effective way to combat adenoiditis.

Types of procedures:

• electrotherapy: electrophoresis, magnetic therapy, EHF therapy (extreme high frequency therapy). After exposure, swelling of lymphoid tissue decreases;
• inhalation. Made with the addition of mineral water, diphenhydramine, calcium chloride. Hot inhalations for adenoiditis are contraindicated, as they contribute to even greater tissue swelling;
• nebulizer treatment. Used as a replacement for conventional inhalations. The principle of operation is fine cold spraying of medicinal substances onto growing tissues;
• cryotherapy. The adenoids are exposed to liquid nitrogen, which stops the growth of tissue.

Photo gallery: Physiotherapy prescribed for the treatment of adenoiditis

Nasonex spray has proven itself to be an effective remedy in the treatment of adenoids of allergic origin. It acts quickly, the result is visible within a few days. A big plus is that it can be used for young children for a long time without fear of serious consequences. However, it should be noted that this is a hormonal medicine, so the decision to prescribe it can only be made by a doctor. He also sets the duration of treatment and dosage.

• Author: Praskovya Mineeva
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