How to use Nasonex for sinusitis


The principle of action of the drug

Nasonex is prescribed to children for rhinitis of various natures, chronic inflammation of the nasal cavity, sinusitis, sinusitis and adenoiditis. Like any hormonal drug, it must be used extremely carefully, only as prescribed by a doctor. The common cold is not an indication for the use of this medication.

The active substance of the pharmaceutical drug is an artificial corticosteroid - mometasone furoate. It is a substitute for human adrenal hormone.

It also contains an antiseptic - benzalkonium chloride, and a decongestant - glycerol. The triple effect gives a pronounced therapeutic result: blood supply is normalized, swelling disappears, and mucus formation is reduced. The antihistamine effect lasts a day after taking a dose of Nasonex.

Release form: spray for injection into the nose. A single press on the plastic bottle dispenser releases 50 mcg of the active ingredient. Vials are usually designed for 60 or 120 doses. It is incorrect to call the product the term “drops”, because simple instillation without spraying is prohibited. It is injection that ensures uniform dispersion of the hormonal medication, which allows you to achieve maximum effectiveness and avoid overdose.

When used correctly, the drug is safe: the corticosteroid does not penetrate into the blood and will only affect the affected areas of the nasopharynx.

Use of medication depending on the disease


The pharmaceutical preparation can be used for children from two years of age. How to choose a pediatric dosage for various respiratory ailments:

DiseaseHow often can I take it (per day)
Allergic rhinitisOne dose at a time.
Polyps and adenoidsDose twice.
Acute and chronic sinusitisAs an auxiliary medicine in three doses.
Infectious viral and bacterial rhinitisDose twice.

For a runny nose of an allergic or infectious nature, the use of Nasonex ® is recommended only if the disease cannot be treated with conventional vasoconstrictors, antiviral drugs, antihistamines and antibiotics.

The maximum duration of treatment should not be more than 10 consecutive days. The dosage is reduced gradually as the symptoms subside, since abrupt withdrawal can worsen the health condition.

Correct injection of the drug:

  1. Before first use, calibrate the nozzle by pressing the dispenser several times until the medicine flows.
  2. Free each nasal passage from mucus by rinsing with sea water or saline.
  3. Tilt the child's head towards the nostril being treated and inject the medication into the nose in the required dosage.
  4. After three days of use, remove the nozzle and rinse with warm water. After drying, put it back on and continue using the product.

If after two days the child’s condition has not improved, you should discard Nasonex ® and select analogues.

Application

Treatment of sinusitis is the task of a qualified specialist. Therefore, all attempts to use medications independently should be categorically rejected. Moreover, when it comes to hormonal drugs, special caution must be observed. Therefore, Nasonex is used only as prescribed by a doctor.

Method of administration

The drug is intended for spraying into the nasal cavity. Before using the spray for the first time, you need to calibrate the dispenser by pressing it several times until a stable aerosol is obtained. Each use of the drug should be preceded by clearing the nasal passages and vigorously shaking the bottle. Nasonex for sinusitis in adults and children over 12 years of age is administered 2 injections into each nostril twice a day. If such a daily dose is not enough to relieve symptoms, then it is doubled. And after achieving optimal therapeutic effectiveness, the amount of the administered substance is gradually reduced until complete withdrawal. Children should use the spray only under adult supervision.

Side effects

When using Nasonex for sinusitis, we must not forget about the likelihood of certain effects other than therapeutic ones. Adverse reactions during treatment with the drug may be as follows:

  • Headache.
  • Burning in the nose.
  • Sneezing.
  • Pharyngitis.
  • Nosebleeds.

However, the frequency of such reactions is comparable to that when using placebo, which indicates the safety of the drug. Some patients (with individual intolerance) after administration of mometasone may develop an allergic reaction with Quincke's edema, bronchospasm or anaphylaxis.

The likelihood of side effects during treatment with Nasonex is low, therefore the drug is recommended for widespread use in the practice of ENT doctors.

Treatment of adenoids with Nasonex ®


Nasonex ® is often prescribed for adenoids in children.
This medicine reduces the secretion of mucous secretions, removes swelling, and reduces the size of growths. Typically, the pharmaceutical drug is used in the second and third stages of adenoiditis, because in the first stage the disease is practically not noticeable. It can also be recommended in preparation for surgery to stop the growth of tumors. Healing adenoids in children requires a long course of pharmaceuticals: from three to twelve months. However, correct use of the medication already after 3-4 weeks leads to a noticeable increase in the quality of life of the young patient:

  • Breathing through the nose resumes;
  • Snoring disappears;
  • The throat stops hurting;
  • The flow of oxygen to the brain increases, which leads to improved performance and concentration.

Parents note not only the cure of adenoiditis, but also a decrease in the incidence of colds.

Contraindications and side effects of Nasonex


This drug is not addictive, and unpleasant consequences occur extremely rarely, most often when the rules of use are violated.
If the young patient is already two years old, he will tolerate therapy well. Nasonex ® can be used if the following contraindications are absent:

  • allergy to the components of the drug in the person taking the drug;
  • acute course of tuberculosis and herpes;
  • fungal infections of the nasopharynx.
  • side effects are mainly related to the effect on the walls of small blood vessels. With prolonged use, they become fragile, and mild nosebleeds are possible. Very rarely there are individual reactions: headache, sneezing, itching in the nasal cavities.

Precautionary measures

Using the drug for more than two weeks can cause addiction. For sinusitis and a common runny nose, the dose must be discontinued promptly, with the exception of an allergic runny nose.

Important! After completing the course of treatment, the patient should not experience joint pain, weakness, or depression. The occurrence of such complaints requires consultation with a doctor.

Long-term use of Nasonex requires the patient to be observed by a doctor after the course of treatment to identify changes in the structure of the mucous epithelium.

In children, taking the drug can cause headaches, bleeding, and frequent sneezing.

Reviews of Nasonex for sinusitis are positive. Advantages such as rapid action and less pronounced symptoms from the first day of administration were noted. The downside is the price, which varies from 800-1000 rubles. During the period of taking the drug, the immune system becomes somewhat weakened, so staying in places where contact with patients is possible is not recommended.

Nasonex's analogs

The price of the drug is quite high due to expensive raw materials and the complexity of its purification. Depending on the dosage and place of purchase, it can be different: from 760 to 1000 rubles. But this cost is affordable for many, in addition, the medicine replaces several different drugs at once.

You can purchase the medicine in regular and online pharmacies. When ordering through the website, pay attention to the price list or catalog. The price and expiration date should be indicated there.

If the price of a medicine seems too high, you can look for a cheaper option with a similar effect and choose which is better.

What analogues can replace the drug?

MeansActive ingredientIndications
DesrinitisMometasone furoateAllergic rhinitis, sinusitis.
FlixonaseFluticasone propionateSimilar to Nasonex. The product is suitable for children over 4 years of age.
And ldecin or NasobekBeclomethasone dipropionateAllergic and vasomotor rhinitis, polyposis. Nasobek is allowed from 6 years old.
AvamisFluticasone furoateAllergic rhinitis.

All of these drugs, except Flixonase and Nasobek, are approved for use from 2 years of age, but sinusitis can be treated with Dezrinitis only for adolescents from 12 years of age. Contraindications are generally similar to Nasonex.

If we look at pharmaceutical analogues more specifically, it can be noted that one of the most popular is the inexpensive Nasobek spray, produced in the Czech Republic. It has a different active substance, but the medication works similarly. But it is approved for use only from the age of six. In addition, it is not used as a prophylactic agent.

The second popular and cheaper pharmaceutical with a similar effect is the English Avamys. Parents often have a question: which is better – Avamis or Nasonex ®? It all depends on individual tolerance. In general, the effects of the drugs are similar, but Avamis cannot be used as a prophylactic agent.

Nasonex ® is widely used in otolaryngological practice due to the possibility of its use in bacterial and viral infections. To avoid possible side effects when treating children, constant medical supervision is required. It is advisable to consult not only a pediatrician, but also a pediatric allergist-immunologist.

Remember that only a doctor can make a correct diagnosis; do not self-medicate without consultation and diagnosis by a qualified doctor. Be healthy!

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Use of Nasonex spray during pregnancy

Nasonex can be used during pregnancy

Today, about 30% of the population suffers from allergic rhinitis.

Allergies choose victims regardless of age, nationality, or lifestyle.

But getting rid of it completely is almost impossible.

It is especially difficult during the period of exacerbation for women who are expecting a baby.

After all, the use of any medications in this case is extremely unsafe. Let's decide how and when you can use Nasonex during pregnancy.

Pregnancy and allergic rhinitis. Instructions for the drug

What a wonderful time it is - nine months of waiting for a baby. Expectant mothers are happy, cheerful, preparing for dramatic changes in life. The only thing that can upset their condition is illness. After all, you can’t, as before, take the first medicine you come across and give up.

Now you need to study the instructions for the drug, but, in general, it is better to ignore them. After all, no normal mother wants to harm her child.

A difficult question arises for those women who suffer from allergic rhinitis. Indeed, in this case, it is simply impossible to ignore the drugs. Constant nasal congestion does not allow sufficient oxygen to enter the body. And this negatively affects the development and well-being of the baby.

Manifestations of rhinitis are very unpleasant: itching in the nose, which irritates and causes watery eyes, frequent headaches, sneezing, sore throat, reluctance to do anything. In a word, torture. But a pregnant woman needs as many positive emotions as possible, good mood and cheerfulness.

A new generation drug, Nasonex, has come to the rescue in the fight against this disease. It is based on a glucocorticoid - a steroid hormone, which classifies it as a type of corticosteroid allergy medicine.

Nasonex can be used during pregnancy, but it is important to thoroughly study the instructions.

Read the instructions before use

The drug Nasonex is an anti-inflammatory drug in the fight against allergic rhinitis, sinusitis, and is also used as the prevention of hay fever.

The drug is designed for use in certain doses.

One dose - 50 mcg of a white suspension called mometasone furoate - this is the main component.

Its main function is to penetrate the cell membrane, suppress histamine synthesis and reduce vascular permeability. Nasonex also contains: dispersed cellulose BP 65 cps, glycerol, citric acid monohydrate, sodium citrate dihydrate, benzalkonium chloride, polysorbate, purified water and phenylethyl alcohol.

This drug does not have a systemic effect, that is, a small amount of the drug is absorbed into the blood and has a minimum of side effects.

The small amount that reaches the gastrointestinal tract is almost not absorbed through the liver. Excreted in bile or urination. If you use it for a long time, there will be no health risk.

Nasonex is available in a bottle as a nasal spray. There are several types, depending on the number of doses - 60 and 120. The drug is effective for both seasonal allergies and year-round allergies.

The method of application is quite simple. The result appears quickly, in the first 12 hours. The daily dose contains 200 mg, that is, Nasonex is used once a day, 2 injections into each nostril. If after some time the patient notices improvement, the dose can be reduced.

Once and one injection at a time, the dosage is 100 mg. In case the result is not enough, the dose is increased to 400 mg, that is, 4 injections into each nostril once a day.

Be sure to rinse your nose with sea water 15 minutes before injecting Nasonex to rid it of mucus. Before first use, shake the spray thoroughly. Make about 10 test presses until the medicine starts splashing.

The bottle should be held vertically, without turning it over, and the head should be tilted back slightly. The tip should be washed and dried before each use.

After all, it goes completely into the nose and collects all the bacteria. You should not disassemble the spray or pierce the applicator, because this can disrupt the correct dosage contained in it.

There are few side effects. At first, bloody discharge from the nose, headache, and burning sensation in the nose are possible. The symptoms soon go away on their own.

An overdose of the drug is unlikely. But even if this happens, no special measures should be taken. Nasonex can be used from the age of two, in elderly patients and pregnant women.

Use of medication by trimester

Everyone knows that medications and pregnancy are incompatible. You can only use nasal drops based on saline solution or sea water. After all, most of them are vasodilators, which, when used systematically, negatively affects the child.

Pregnant women need to remember one thing: no medications should be taken in the first trimester. Therefore, the use of Nasonex during early pregnancy is prohibited. From the second to the eighth weeks of pregnancy, the fetus matures, and vital organs and systems are formed.

When using the drug for a pregnant woman, it is important to set priorities. If the expected effect is significant, then first of all you should think about the mother.

After all, there are cases and situations when you simply cannot do without treatment. The main thing is to notify your gynecologist and consult with him.

Unfortunately, the use of the drug during pregnancy has not yet been fully studied. If the patient follows the correct dosage and reduces it over time, then the risk to the baby is minimal. After the fourth month, the placenta has already formed, which acts as a reliable barrier for the child. Nasonex almost never enters the mother’s blood, which means it does not reach the fetus.

If the drug is used in large doses and throughout pregnancy, then the adrenal glands of the born baby should be checked. Since their hypofunction may develop.

In general, it has been proven that the use of any drugs from the third to the ninth month of pregnancy does not interfere with fetal development. But their excessive consumption can affect the functioning of many organs. Probably the most important thing in such a situation is not to get hung up and not to be afraid.

Consult with several experienced doctors, set priorities, listen to your body. Think about it and monitor your condition, maybe there are options to avoid using the medicine, replace it with something easy and definitely safe.

Talk to your baby, explain the situation to him, ask for help and support. It is important for him to know that you are waiting for him and are worried about his well-being, health, and development. Here are a few simple rules that you can follow to bear and give birth to a healthy baby:

  • Do not self-medicate.
  • Do not exceed the minimum dose of the drug. If your condition worsens or does not change, consult your doctor.
  • Make lifestyle changes to avoid taking medications. Walk in the evenings and after rain, wash the floors at least once a day, don’t be nervous. If possible, change the climate during the flowering period.

How to take Nasonex for rhinitis is shown in the video:

By the way, to reduce the symptoms of seasonal allergies, you should adhere to a diet. Avoid the consumption of honey, spices, salted and pickled products, and smoked meats during this time. Also reduce the use of cosmetics, especially eye shadow and mascara, perfumes, and detergents with a strong odor.

Your health is in your hands. If you are planning a baby, then it is best to visit an allergist and, if possible, cure the allergy by introducing the allergen into the body. After all, if there is such an opportunity, you should not miss it. You will no longer suffer painful symptoms and your baby will not be at risk. Be healthy.

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Source: https://KakZdravie.com/primenenie-spreya-nazoneks-pri-beremennosti/

Release form

Nasonex comes in only one form, which is a nasal spray. It is dosed and sold in two volumes:

  • 10 g bottle containing 60 doses. One box contains one such polyethylene bottle equipped with a dispensing device.
  • The bottle weighs 18 g, inside of which there are 120 doses of medicine. One pack may contain 1, 2 or 3 of these plastic bottles with a dispensing device.

Inside any of the bottles there is a white suspension. Nasonex is not produced in forms such as tablets, syrup, capsules, ointment, drops and others.

Compound

The action of Nasonex is provided by a substance called mometasone furoate. This compound is presented as a monohydrate and is micronized. From each dose of the drug, the patient receives it in the amount of 50 mcg. Additionally, the suspension contains dispersed cellulose, benzalkonium chloride, citric acid and glycerol, as well as purified water, sodium citrate and polysorbate 80. Such substances are needed to preserve the medicine in liquid form and prevent its spoilage.

Operating principle

Mometasone is a glucocorticoid hormone, so it has anti-allergic and anti-inflammatory effects. When using the spray in doses recommended in the annotation, its active substance acts only locally and no systemic effects occur (it is absorbed in an amount of less than 1%). The use of Nasonex leads to:

  • inhibition of the process of release of substances that belong to inflammatory mediators;
  • increased production of lipomodulin, as a result of which the metabolism of arachidonic acid is inhibited, which also affects the activity of inflammation and allergic reactions;

Use in pediatrics

The medicine is approved for use in children over 2 years of age.
At an earlier age, the use of the drug is not recommended due to possible severe irritation of the delicate nasal mucosa of children and the lack of sufficient research on the use of the drug in this category of patients. Nasonex is especially often prescribed for green snot in a child, which signals a serious inflammatory process. This color of nasal discharge can be observed both with sinusitis and with other forms of sinusitis, rhinitis and adenoiditis.

Indications

  • For year-round allergic rhinitis.
  • For seasonal allergic rhinitis.
  • For acute sinusitis (together with antibiotics or antiviral drugs, if the inflammation was caused by ARVI).
  • For chronic sinusitis during the period of exacerbation of the disease (in combination with other medications).

  • For moderate and mild acute rhinosinusitis.
  • To prevent severe or moderate seasonal runny nose caused by pollen allergens.
  • If there are polyps in the nose (the medication is prescribed only to adults).

Contraindications

The spray should not be used in children with hypersensitivity to any of the components of the suspension. The medication is also harmful for patients who have recently undergone surgery in the nasopharynx or injured the nasal mucosa. In such situations, the medicine is not prescribed until complete healing.

When using Nasonex, attention from a doctor is required for patients with tuberculous lesions of the respiratory system, active bacterial or fungal infection. In addition, the product must be injected carefully and in case of serious viral infections, including infection with the herpes simplex virus. The issue of using the medicine in children with local changes in the mucous membrane of the nasopharynx is decided individually.

Nasonex for sinusitis instructions

As with any long-term treatment, patients using Nasonex® Nasal Spray for several months or longer should be periodically examined by a physician for possible changes in the nasal mucosa. It is necessary to monitor patients receiving intranasal corticosteroids for a long time. Possible development of growth retardation in children. If growth retardation is detected in children, it is necessary to reduce the dose of intranasal corticosteroids to the lowest that allows for effective control of symptoms. In addition, the patient should be referred to a pediatrician for consultation.

If a local fungal infection of the nose or throat develops, it may be necessary to discontinue treatment with Nasonex® nasal spray and undergo special treatment. Irritation of the nasal and pharyngeal mucosa that persists over a long period of time may also serve as a reason to discontinue treatment with Nasonex® nasal spray.

In placebo-controlled clinical studies in children, when Nasonex® nasal spray was used at a daily dose of 100 mcg for a year, no growth retardation was observed in children.

With long-term treatment with Nasonex® nasal spray, no signs of suppression of the function of the hypothalamic-pituitary-adrenal system were observed. Patients who switch to treatment with Nasonex® nasal spray after long-term therapy with systemic GCS require special attention. Withdrawal of systemic corticosteroids in such patients can lead to adrenal insufficiency, the subsequent recovery of which may take up to several months. If signs of adrenal insufficiency appear, systemic corticosteroids should be resumed and other necessary measures taken.

When using intranasal corticosteroids, systemic side effects may develop, especially with long-term use in high doses. The likelihood of developing these effects is much less than with the use of oral corticosteroids. Systemic side effects may vary both in individual patients and depending on the GCS used. Potential systemic effects include Cushing's syndrome, characteristic Cushingoid signs, adrenal suppression, growth retardation in children and adolescents, cataracts, glaucoma, and less commonly a number of psychological or behavioral effects including psychomotor hyperactivity, sleep disturbance, anxiety, depression, or aggression (especially in children).

During the transition from treatment with systemic corticosteroids to treatment with Nasonex® nasal spray, some patients may experience initial withdrawal symptoms of systemic corticosteroids (for example, joint and/or muscle pain, fatigue and depression), despite a decrease in the severity of symptoms associated with the lesion. nasal mucosa. Such patients must be specifically convinced of the advisability of continuing treatment with Nasonex® nasal spray. The transition from systemic to local GCS can also reveal allergic diseases such as allergic conjunctivitis and eczema that already existed but were masked by systemic GCS therapy.

Patients undergoing treatment with corticosteroids have a potentially reduced immune reactivity and should be warned about their increased risk of infection in case of contact with patients with certain infectious diseases (for example, chickenpox, measles), as well as the need for medical advice if such contact occurs . If signs of a severe bacterial infection appear (for example, fever, persistent and sharp pain on one side of the face or toothache, swelling in the orbital or periorbital area), immediate medical consultation is required.

When using Nasonex® nasal spray for 12 months, there were no signs of atrophy of the nasal mucosa. In addition, mometasone furoate tended to promote normalization of the histological picture when examining biopsy specimens of the nasal mucosa.

The effectiveness and safety of mometasone have not been studied in the treatment of unilateral polyps, polyps associated with cystic fibrosis, and polyps that completely occlude the nasal cavity.

If unilateral polyps of an unusual or irregular shape are detected, especially those that are ulcerated or bleeding, additional medical examination is necessary.

Impact on the ability to drive vehicles and operate machinery

There is no data on the effect of Nasonex® on the ability to drive a car or drive machinery.

Side effects

The use of Nasonex in children sometimes provokes the appearance of:

  • headache;
  • nosebleeds;
  • sneezing;
  • irritation of the mucous membrane.

In adolescents, the spray can occasionally cause a burning sensation in the nose, ulceration of the mucous membrane, or pharyngitis. In isolated cases, the medicine provokes bronchospasm, anaphylaxis or other allergic reaction, and also impairs the sense of smell and taste. Extremely rare side effects during Nasonex therapy include increased intraocular pressure and perforation of the nasal septum.

Very long use of the medicine can theoretically cause the development of side effects such as growth retardation, fungal infection of the nasopharynx, Cushing's syndrome, glaucoma, sleep disturbances, aggressive behavior and other problems. However, studies have shown that even long-term treatment with the spray does not provoke systemic effects, because the drug is absorbed in very small quantities.

The principle of action of Nasonex and contraindications to its use

Nasonex refers to symptomatic drugs that cannot have a systemic effect on the body and do not have antibacterial activity. This means that this remedy must be used in combination with other medications for the therapy to be complete. Nasonex temporarily blocks the production of inflammatory exudate, under its influence the process of infiltration and granulation is inhibited, the level of histamine decreases, and the number of eosinophils, neutrophils and epithelial cell adhesion proteins decreases.

The use of Nasonex may be accompanied by a burning sensation in the nose, irritation of the nasal mucosa, headaches and the development of pharyngitis. In some cases, moderate nosebleeds may occur. Typically, these side effects are temporary and disappear after stopping the course of treatment.

When Nasonex is used intranasally, the active substance is almost undetectable in the blood. If the drug partially enters the gastrointestinal tract, this should not cause concern, since it is very poorly absorbed. Therefore, there is no basis for a strict ban on the use of the medicine during pregnancy and breastfeeding. However, no studies have been conducted in this group of patients, so the decision to treat with this drug should be made by a specialist, taking into account the circumstances, potential benefits and possible harms.

Nasonex should not be used if:

  • there is hypersensitivity to one of the components of the drug;
  • the patient’s age is less than 2 years (the aggressive effect of the drug on the nasal mucosa can cause irritation);
  • a pronounced infectious process was detected in the nasopharynx (including viral, fungal, bacterial infection);
  • the nose has recently been injured or surgery has been performed on this organ.

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Dosage and Application

Instructions for use. For a child aged 2 to 11 years, the medicine is prescribed one inhalation, first into one nostril and then into the second. The drug should be used once a day, since the total dose of the drug per day for patients under 12 years of age is 100 mcg of mometasone. To properly spray the suspension on young children, adult assistance is required:

  • Before first use , press the dispensing nozzle several times to create a splash. The same actions are necessary if the spray has not been used for more than 14 days.
  • Tilt the child's head slightly to the side, insert the end of the nozzle into the nostril and press the dosing device once. Next, the medication is also injected into the second nasal passage.
  • Before each use of Nasonex, the bottle must be shaken so that the suspension entering the nose is homogeneous.
  • If the medicine is used for a long time, the dispenser nozzle must be cleaned periodically by rinsing its tip and protective cap in warm water. When these elements are dry, they are carefully attached back to the bottle.

For adolescents 12 years of age and older, with allergic rhinitis, both for treatment and prevention, 200 mcg of mometasone per day is prescribed, which corresponds to two inhalations of Nasonex in each nasal passage. The spray is used in this dosage once, and when a therapeutic effect is achieved, the dose can be reduced to 1 inhalation in each nasal passage once a day (100 mcg of active compound in total). If the use of 2 inhalations does not provide relief from nasal congestion, itching and other symptoms, it is possible to increase the daily dosage to 400 mcg of mometasone, that is, up to four inhalations of the drug in each nasal passage.

Nasonex during pregnancy: how and when to use the drug

No one is immune from rhinitis. And if a woman has not previously suffered from chronic rhinitis or allergies, then there is a high probability that she will encounter these pathologies during pregnancy.

At the same time, even common colds may become more frequent. Even if such problems were not observed before conception, nasal congestion can still become one of the most unbearable companions of pregnancy.

A runny nose itself does not pose a danger to a woman, although there is insufficient breathing in the expectant mother, which, accordingly, affects the access of oxygen to the baby, that is, certain risks still arise. As a rule, rhinitis, which can plague all 9 months of gestation, goes away immediately after the baby is born.

But how to deal with it until this moment, when there is no normal breathing?

Is it possible to use Nasonex during pregnancy and how to do it?

This drug is recommended by doctors quite rarely for this category of patients. However, many women self-treat with it, because it really has a quick effect, making breathing easier, eliminating runny nose and allergies.

However, Nasonex belongs to the group of glucocorticosteroid medications, that is, it contains hormones.

This drug has an anti-inflammatory, desensitizing, anti-allergenic (antitoxic) and immunosuppressive effect. It is highly effective for the treatment and as a means of preventing seasonal allergic rhinitis and chronic sinusitis.

"Nasonex" during pregnancy can quickly relieve swelling of the mucous membrane of the new cavity and restore breathing, but not for long. The fact is that the need for its use is constant, and this, as you might guess, is fraught with negative consequences for the unborn baby.

The use of Nasonex for the treatment of runny nose during pregnancy

It is immediately worth noting that it is impossible to completely safely eliminate rhinitis during pregnancy with the help of medications. All of them can cause harm to some extent.

Procedures that involve rinsing the nasal cavity with saline solutions and sea water are completely safe, but such measures often turn out to be ineffective. Doctors often recommend traditional methods for treating a runny nose.

It is worth noting that the latter cannot be completely safe either.

Even if you have previously used some herbs and herbs, they may be prohibited during pregnancy, do not forget about this.

The big disadvantage of folk recipes is that they do not bring benefits to many, moreover, such treatment, as a rule, is quite lengthy.

Therefore, expectant mothers want to use some of the safest possible nasal drops or sprays in order to forget about all the manifestations of a cold for a long time.

Vasoconstrictors can be used for pregnant women only in extreme cases and only on the recommendation of the doctor leading the pregnancy, as well as under his direct supervision. In addition, therapy with such drugs should not exceed 7 days, the optimal course of treatment is several days.

The same applies to the drug Nasonex. In addition, the minimum effective dose is administered into each nostril. In addition, it would be useful to remind you that everything is good in moderation, that is, if the minimum effective dosages are observed, the active substances of this drug will not enter the bloodstream and will not have a systemic effect - they will not affect the unborn child in any way.

However, due to the lack of research among this category of patients, the drug falls into the group of potentially unsafe, however, like the vast majority of other drugs for topical use.

Side effects

Like any other drug for the treatment of the common cold, Nasonex can provoke negative reactions from the body.

These include:

  1. Irritation of the nasal mucosa;
  2. Dryness and burning in the nasal passages;
  3. Nosebleeds;
  4. Pharyngitis;
  5. Increased intraocular pressure;
  6. Headache;
  7. Frequent sneezing.

It should also be noted that any use of hormonal drugs while carrying a child is a rather dangerous undertaking, so most often doctors prefer alternative sprays and nasal drops for a runny nose, which are mostly intended for children.

Special Application

In case of severe disease, the doctor may prescribe Nasonex, but according to an individually developed regimen, and unlikely in the first trimester of pregnancy.

Typically, treatment does not last more than a week, and the product itself is used only once a day. If Nasonex treatment was carried out during pregnancy, then after the baby is born it is recommended to check his adrenal glands, as there is a possibility of developing their hypofunction.

Contraindications

  1. Individual intolerance to any of the components of the drug;
  2. The presence of a poorly treated local infection, when the mucous membrane of the nasopharynx is involved in the inflammatory process;
  3. Recent trauma to the nose or surgery in this area (before the wound heals);
  4. Active or latent tuberculosis respiratory tract infection;
  5. The presence of a viral, fungal, bacterial systemic infection or caused by the Herpes simplex microbe, accompanied by damage to the visual organs.

Manifestations of rhinitis as an insidious disease

Allergic rhinitis is an inflammation of the nasal mucosa. The disease is also called "hay fever". The list of allergens today is frightening:

  • Pollen from flowering plants (hazel, sunflower, ragweed, chestnut, maple, bluegrass, quinoa, etc.)
  • House dust mite
  • Pet hair
  • Allergy to mold, fungi
  • Down, feathers, animal saliva

Source: https://zdorovo.live/beremennost/nazoneks-pri-beremennosti-kak-i-kogda-mozhno-ispolzovat-preparat.html

Terms of sale and storage

Purchasing Nasonex at a pharmacy is possible only with a prescription from an ENT doctor, pediatrician or other specialist. The average price of a bottle with 60 doses is 440-450 rubles, and for a bottle weighing 18 grams you need to pay from 700 to 800 rubles .

It is recommended to keep the spray at home at a temperature of +2 – +25 degrees, avoiding freezing or overheating of the suspension. The shelf life of Nasonex is 2 years and is marked on the box. After completion, the medicine should be thrown away.

Reviews

There are a lot of positive reviews about the treatment of children with Nasonex, both from doctors and parents. Pediatricians and ENT doctors (including Dr. Komarovsky) call this spray effective and safe. Mothers also confirm that the medication is effective for allergies and alleviates the condition of a child with a runny nose. Although the cost of the medicine is called quite high, doctors claim that Nasonex works better than its analogues and has been studied more, so it is preferable for the treatment of young patients

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