Is it possible to put Naphthyzin drops into the ear: instructions for use

Description of the product

These drops are a clear, colorless liquid, bottled in 10–20 ml bottles. The main active ingredient of the drug is naphazoline, an additional one is boric acid, and the auxiliary component is purified water. The main active substance of the drug (drug) has a pronounced ability to constrict blood vessels. This effect lasts for a long time. Due to the effect on α-adrenergic receptors, the manifestations of inflammation are significantly reduced:

In case of acute eustachitis, the medication is indeed recommended by the instructions for use, but it is administered not into the ear canal, but into the nasal passages. You can instill the product for no more than 5–7 days in a row. After this, resistance to the effects of the main active substance (tachyphylaxis) develops, and the drug loses its effectiveness.

With the help of the drug Naphthyzin, you can combat severe catarrhal phenomena affecting the nasopharynx and ear.

Pharmacological properties

Pharmacodynamics.
Naphthyzin has a pronounced vasoconstrictor effect on peripheral vessels due to its effect on α-adrenergic receptors. When applied to mucous membranes, it reduces swelling, hyperemia, and exudation, which helps ease nasal breathing during rhinitis. Naphazoline promotes the opening and expansion of the exit ducts of the paranasal sinuses and Eustachian tubes, improves the outflow of secretions and prevents the sedimentation of bacteria.

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Pharmacokinetics.

The therapeutic effect occurs within 5 minutes and lasts 4–6 hours when administered intranasally.

Clinical characteristics.

Nasal drops have a vasoconstrictor and vasoconstrictor effect. The drug belongs to the group of alpha-adrenergic agonists, which affect alpha-adrenergic receptors of mucous tissue. Naphthyzin helps remove secretions from the nasal passage.

The main pharmacological properties include:

reduction of inflammatory reactions;
dilation of the pupils of the eyes;
elimination of swelling of mucous tissues;
narrowing of the nasal vessels;
relief of nasal breathing with rhinitis;
enhancement of local anesthetics.

The active ingredient of the drug is naphazoline. Additional components are boric acid and purified water.

Use of Naphthyzin in ENT practice

Most often, this drug is used for nasal pathologies - from allergic rhinitis to sinusitis. But doctors do not disdain this remedy for the treatment of inflammatory processes in the auditory tube.

The auditory canal is a rather narrow (about 2 mm) canal that balances the pressure inside the tympanic cavity with its external indicators. Without this, normal functioning of the hearing organ is impossible. With such a small diameter of the canal, even a small process of inflammation leads to the cessation of air circulation between the pharynx and the cavity located in the middle ear. The pressure in the ear canal drops (since the incoming air is sucked in, but new air does not enter or enters with difficulty).

Due to the decrease in pressure, the eardrum is retracted, and transudate containing:

As a result, catarrhal inflammation of the middle ear develops along with the Eustachian tube (tubo-otitis). The functioning of the hearing organ is disrupted, and the quality of perception of auditory information decreases. In this case, a vasoconstrictor in the nose and special ear drops are recommended. Naphthyzin is not instilled into the ear.

Children's naphthyzin, instructions for use

For children, a 0.05% aqueous solution is prescribed, children from 1 to 6 years old are prescribed 1-2 drops, children from 6 to 15 years old - 2 drops, and this should be done 1-3 times. in a day. If necessary, use a 0.025% solution. To obtain it, you need to dilute a 0.05% solution of Naphthyzin with distilled water.

In ophthalmology, Naphthyzin is instilled into the eyes only after a doctor’s prescription. It is important to correctly diagnose and agree with your doctor whether Naphthyzin can be dripped into the eyes. As a rule, 1-2 drops are instilled into the conjunctival cavity. 0.05% solution. This procedure should be carried out 1-3 times. in a day. For those patients who are interested in what will happen if Naphthyzin is dropped into the eyes, the first procedure can be carried out under the supervision of a doctor.

Naphthyzine can be dripped into the ear when there is congestion only after a doctor’s prescription.

Indications

A variety of reasons, sometimes unexpected for a person, can lead to such a phenomenon as eustachitis:

Sore throat and chronic tonsillitis.
Pharyngitis.
Rhinitis.
Sinusitis.
ARVI and childhood infections (measles, scarlet fever, whooping cough).
Hypertrophy of the lower part of the nasal concha.
Obstruction of the nasal passages (choanal atresia).
Hypertrophy of the nasal mucosa.
Tumors (benign and malignant).
Dysfunction of the auditory tube under the influence of changes in blood pressure (rare pathology).
Nasal tamponade due to bleeding.

For most of these pathologies, the ENT doctor can decide on treatment with Naphthyzin. And this should not be surprising. In some cases, to improve drainage of the ear canal, the described medicine can also be prescribed for acute otitis media. Usually, the combined use of Naphthyzin and drugs to reduce swelling and pain (Otipax), drugs to combat microbial/fungal flora, which are injected directly into the ear, is recommended.

Contraindications and side effects

Preparations with naphazoline are the most common vasoconstrictors. But not all categories of patients can receive them. This drug should not be used in infants under 12 months and in patients with:

Persistent hypertension.
Arrhythmia.
Diabetes mellitus.
Hyperthyroidism.
Pronounced atherosclerotic changes in blood vessels.
Serious ophthalmological ailments.

This medication is not prescribed simultaneously with MAOIs and within 2 weeks of stopping their use. It is strictly not recommended to be treated with this remedy for persons intolerant to any of its components.

Naphthyzin is an excellent medicine for treating a runny nose. Before instillation for ear treatment, you should consult a doctor.

By instilling this drug, you can get both a quick positive result and encounter unpleasant local consequences - redness of the nasal mucosa, its irritation. As well as a general effect associated with a strong vasoconstrictor effect and brain hypoxia:

Dizziness.
Feeling faint.
Headaches.
Nausea.

In patients prone to hypertension, there is an increase in blood pressure and an increase in heart rate. With prolonged uncontrolled use of Naphthyzin, their nasal mucosa may atrophy, swelling may develop, and nasal breathing may significantly worsen. In this case, treatment of the consequences of illiterate therapy will be required, one of the methods of which is cauterization of the mucous membrane. In addition, with regular use of this drug, patients develop a so-called naphthyzine dependence. The patient is forced to constantly resort to the use of nasal medications to eliminate signs of swelling of the nasal mucosa.

Adverse reactions

In some cases, the medication can cause side effects:

Redness and itching in the instillation area.
Dryness of the nasal mucosa.
Burning in the nose.
Weakness.
Tremor of the limbs.
Nausea.
Increased blood pressure.
Increased heart rate.

With long-term use of Naphthyzin, a side effect is constant nasal congestion. After applying the drops, breathing is restored only for a couple of minutes, after which the nose becomes stuffy again. If side symptoms occur, consult your doctor about changing the medication.

Rules of application

For adults, a 3-5 day, maximum weekly course of this medicine is recommended, with 1-2 drops instilled into each nostril with an interval of 8 hours. For children, this drug is dripped in a children's dosage of 1-2 drops with an interval of 12-24 hours, depending on age. In this case, consultation with a pediatrician is required. In children, especially young children, drugs with a vasoconstrictor effect more often than in adults lead to systemic side effects associated with a lack of oxygen to the brain tissue.

During pregnancy and lactation, any drugs that lead to vasoconstriction are not recommended. As for Naphthyzin, doctors prescribe it if the benefits to the mother, in their opinion, outweigh all the real and potential risks to the fetus or infant.

Contraindications

Naphthyzin - nasal drops (the price of the drug is much lower than that of drugs with similar properties), which have a simple and safe chemical composition.

Despite this, this medication is contraindicated for therapeutic use in the following cases:

inflammation of the lining of the nasal canals without signs of excess mucus accumulation, but with the presence of symptoms of increased dryness (in this case, the use of Naphthyzin will provoke an even greater drying effect, which will lead to the formation of cracks, irritation and ulceration);
individual intolerance to the constituent components of nasal drops, which manifests itself in the form of an acute allergic reaction;
severe infectious diseases of the upper respiratory tract, which require the use of more potent antibacterial and anti-inflammatory agents.

Naphthyzin nasal drops are not recommended for use during pregnancy and breastfeeding. Patients with signs of rhinitis of an allergic nature need to eliminate the source that provokes irritation of the mucous membrane, and then relieve pathological symptoms in the form of nasal congestion.

What ear drops are there for ear congestion?

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

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

For tubo-otitis

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

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

For a runny nose or cold

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

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

For pressure in the ears

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

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

For ear plugs

To remove sulfur plugs, the following are prescribed:

Remo-Wax. The action of the product is aimed at softening and preventing the formation of wax plugs in the ear cavity. You need to drip the medication along the back wall of the ear canal in the amount of 20 drops. Leave the product in the ear cavity for 20-60 minutes, then let it flow out for about 1 minute. Allowed during pregnancy.
A-Cerumen. The product breaks down the fats that make up the ear plug and is suitable for people who need to clean their hearing organs. For A-Cerumen to show effectiveness, you need to drop one ml into both ears twice a day, leave the drug inside for an hour and a half, then rinse the hearing organ with warm boiled water.

What is Naphthyzin used for?

The drug Naphthyzin contains naphazoline, which relieves swelling, has a local effect and constricts blood vessels. Thus, after instillation, blood flow to the site of inflammation decreases, and the swelling gradually subsides. However, this drug is intended to treat a runny nose, and whether otitis media can be cured with it has not been definitely proven. According to the instructions, Naphthyzin is used for the following diseases:

Rhinitis and inflammation of the maxillary sinuses
Nosebleeds
Inflammatory reactions
Allergic conjunctivitis.

At the beginning of use, you may experience a feeling of dryness and a slight burning sensation, which gradually disappears. With prolonged and frequent use of Naphthyzine, a decrease in its effectiveness and an increase in blood pressure may be observed. It is contraindicated in cases of tachycardia, hypertension, atherosclerosis, hyperthyroidism, children under one year of age and in case of individual sensitivity to the drug.

Which ear drops are suitable?

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

For ear congestion without pain

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

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

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

If your ears hurt

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

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

Nasal drops for children

The instructions say that Naphthyzin is only allowed for children over 1 year of age. When prescribing this medicine to a child, the doctor will warn parents that it is better to buy the drug not in a plastic bottle, but in a glass one. Correctly calculating the dose of the drug can only be done using a regular pipette, and if you put drops in your baby’s nose from a plastic bottle, you can significantly exceed the permissible amount of medication and cause an overdose.

It should be noted that Naphthyzin is prescribed to a small patient in rare cases, such as frontal sinusitis in a child, severe tracheitis or laryngitis.

Allergic rhinitis in a child also often becomes an indication for the use of Naphthyzin, since this condition can be dangerous and requires the use of fast and effective drugs, but it is important to remember that the maximum course of treatment for children with this drug normally does not exceed 5-6 days.

Indications for the use of Naphthyzin in adults and children are the same, but it is much easier to provoke side effects in children, so it is better to use other medications if possible.

It is prohibited to exceed the permissible quantities of the drug, even if there is no improvement after use. Children can only drip 0.05% Naphthyzin solution into their nose. The dosage is prescribed by the doctor, but on average the number of drops per dose is 1-2 in each nasal passage. The frequency of instillation should not exceed 3-4 per day.

Inhalations with Naphthyzin are rarely carried out, in case of serious pathologies of the respiratory tract, these may be:

stenoses,
laryngitis,
coughing attacks that cannot be stopped by other means,
tracheitis,
chronic sinusitis and sinusitis.

Tracheitis

Breathing the vapors of this drug is much safer than dripping it into the nasal cavity. To prepare the solution for the inhaler, you need to dilute Naphthyzin drops with saline solution in a 1:1 ratio and pour it into the special compartment of the nebulizer. You should breathe no more than 2-3 minutes, up to three times a day. It is imperative to consult a pediatrician before undertaking such a procedure.

Important! When using Naphthyzin, you need to carefully monitor the dosage. If your baby shows signs of overdose, such as pain in the abdomen, attacks of nausea, dizziness and vomiting, you should immediately call an ambulance.

Side effects of the drug that occur in children are usually the same as in adults, but the frequency and speed of development of such reactions is much higher, so you need to carefully monitor the child’s well-being during treatment.

Reviews

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

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

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

What to do before visiting a specialist?

Many people, even before visiting an ENT doctor, try to find out about the symptoms of eustachitis and treatment at home. Where to start self-therapy for the disease? You can instill vasoconstrictor drops into your nose or take antihistamines. The former reduce mucus secretion by narrowing the lumen of the capillaries. As a result, nasal congestion, which affects the patency of the Eustachian tube, is eliminated.

Before treating eustachitis with instilled medications, it is necessary to clear the nasal passages of mucus. How to rinse your nose? You can use boiled water, but it is better to use saline solution and pharmaceutical products based on sea water from the Aqualor series.

Vasoconstrictor nasal drops for the treatment of tubootitis:

Vasoconstrictor nasal drops are sold in pharmacies without a prescription. Instillation agents are used 2–3 times a day. The treatment course should not exceed 3–5 days. An overdose leads to drying of the nasal mucosa, its irritation and increased swelling.

Derinat is a solution of an immunomodulating and regenerating agent in an aerosol package. Used for spraying in the nasal and oral cavities. As indicated in the instructions for use, Derinat can be used for tubootitis from 5 to 30 days.

How to blow out the eustachian tube:

Squeeze the wings of the nose with your fingers, pressing them against the nasal septum.
They make swallowing movements to push air into the auditory tube.

This exercise helps the passage of air into the tympanic cavity through the blocked eustachian tube. Drug therapy is supported by gymnastics and treatment with folk remedies: aloe juice, warming compresses with warm salt.

Fight inflammation and swelling

Antihistamines eliminate the allergic component of the inflammatory process in the ear canal and middle ear cavity. Medicines are used that span several generations. Suprastin tablets last longer, but may cause drowsiness. More modern drugs Claritin, Erius, Tavegil, Zyrtec do not have this drawback.

Anti-inflammatory and antipyretic drugs for tubootitis are used at high body temperature, which lasts for ½ day or more. They are limited to a single dose of tablets or syrup at 38.5°C. The most commonly used drugs are ibuprofen, paracetamol, acetylsalicylic acid (except for pediatrics).

Solutions for instillation into the ear

Otipax and Otofa ear drops help with inflammation in the tympanic cavity. Solutions quickly eliminate redness of the eardrum and reduce its tension caused by changes in pressure. Anti-inflammatory drops for eustachitis Otipax also have an antiseptic and local anesthetic effect.

How to treat eustachitis at home with Otipax:

A single dose of solution for instillation into one ear canal is 4 drops.
Use the product 2 or 3 times a day for no more than 10 days.
Do not use drops if the eardrum is damaged.

Otofa ear drops for eustachitis contain the antibacterial component rifamycin. Adults instill 5 drops into each ear canal; children need 3 drops. Apply three times a day in a short course, not exceeding 3 days. The use of this remedy is allowed if there is a hole in the eardrum.

Boric alcohol is a local anti-inflammatory agent with a warming effect. Treatment of tubootitis with boric alcohol is carried out in two ways. The product is instilled into the ear, or gauze turundas are moistened with the solution and injected into the external auditory canal. You should protect your skin from irritation with boric alcohol.

Antibiotics

The doctor prescribes antibacterial drugs for microbial causes of inflammation. If the disease of the tympanic cavity is caused by allergies and viruses, then treatment with antibiotics does not help. The specialist selects a medicine for tubo-otitis individually, depending on the results of the examination and microbiological culture (analysis of microflora).

Antibiotics for tubo-otitis in adults:

Amoxicillin + clavulanic acid.
Azithromycin.
Ceftriaxone.
Cefuroxime.
Cefixime.

Antibiotics are usually prescribed for high fever and accumulation and discharge of pus from the middle ear. The course of treatment, depending on the drug chosen, is 5–14 days. If the main symptoms of tubo-otitis disappear in the first days of treatment, then the antibiotic is not stopped.

At home, it is recommended to instill vasoconstrictor drops into the nose and take an antihistamine orally. Medicines reduce the symptoms of inflammation and speed up recovery. Complete restoration of the patency of the Eustachian tube is possible only after eliminating the cause and all consequences of tubo-otitis.

Features of application

The drug should be used with great caution in severe diseases of the cardiovascular system (arterial hypertension, coronary heart disease), diabetes mellitus, hyperthyroidism, pheochromocytoma, concomitant use of MAO inhibitors or other drugs that may have a hypertensive effect.

When using high doses of the drug, side effects from the cardiovascular and nervous systems may develop, such as palpitations, arterial hypertension, arrhythmia, headache, dizziness, drowsiness or insomnia.

It is important to avoid long-term use and overdose, especially in children. Long-term use of drugs intended to relieve swelling of the mucous membrane can lead to swelling and subsequent atrophy of the nasal mucosa.

Use during pregnancy or breastfeeding.

There is no data regarding the ability of naphazoline to penetrate the placental barrier or into breast milk. Therefore, before prescribing the drug, women during pregnancy and breastfeeding should carefully consider all possible risks and benefits of treatment and prescribe the drug if absolutely necessary.

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The ability to influence the reaction rate when driving vehicles or other mechanisms.

The use of the drug Naphthyzin in recommended doses does not affect the ability to drive vehicles or operate machinery. If recommended doses are exceeded, dizziness and drowsiness may occur.