Otofa or Otipax: which is better for children and adults pulmono.ru

What is better Anauran or Otipax?

Otipax and Anauran - ear drops for the treatment of otitis

The drugs are available in the form of ear drops, only Otipaxa contains 10 ml in the bottle, and the volume of Anauran is 25 ml. The bottles are made of dark glass to protect from sunlight.

Main similarities and differences between the drugs:

The manufacturer of Anauran is a French pharmaceutical company, and Otipax is manufactured in Italy.
Both drugs contain lidocaine, which relieves pain by blocking sodium channels, which prevents nerve impulses from being transmitted. However, Otipax contains four times less of this analgesic component.
Drops differ in other active ingredients. Anauran includes components such as neomycin and polymyxin, which have antimicrobial properties.
In addition to lidocaine, Otipax also contains phenazone, which enhances the analgesic effect. In addition, this substance perfectly eliminates inflammation in the ears. However, phenazone does not have a bactericidal effect compared to Anauran substances.
Both drugs are prescribed for otitis media. These drugs are good at eliminating pain. But it must be remembered that Anauran is used for a disease complicated by a bacterial infection, and Otipax is used when there is no pathogenic microflora in the ears, in the presence of viruses or fungus.
Contraindications for use are kept to a minimum. Both Otipax and Anauran are not used in case of individual intolerance to the substances of the drugs.
The first remedy is not allowed to be instilled into the ears if the eardrum is damaged. The second drug is not used to treat children under one year of age, and during lactation and pregnancy it is used under medical supervision. Anauran also cannot be used simultaneously with some other antibacterial agents.

Thus, it is impossible to say unequivocally which medicine is better. The effectiveness of these drugs depends on the diagnosis. Therefore, for otitis of bacterial origin, Anauran is prescribed. If the disease occurs against the background of a viral infection, then it would be advisable to use Otipax.

What is better Otofa or Otipax and how they differ

Otitis is a very unpleasant disease, which is called inflammation in the ear. It affects both adults and children, and can be either an independent disease or a complication of influenza or ARVI.

It is necessary to treat otitis media immediately, otherwise the inflammation may go further and impair hearing function. Perhaps one of the most common drugs for treating ears are Otofa and Otipax. A natural question arises: what is the difference between them and what is better to choose for ear pain?

Antibiotic for ears

Otofa is an antibacterial ear drop based on rifamycin, a substance active against staphylococci, pneumococci, hemolytic streptococci, gonococci, meningococci and mycobacterium tuberculosis. The drug is prescribed for the treatment of acute and chronic otitis media, as well as after operations on the middle ear. Drops can be used even if the eardrum is perforated.

The solution has a distinct color and may leave yellow stains upon contact with clothing. The bottle is equipped with a pipette, which makes the use of the medicine extremely convenient. Like any antibiotic, Otofu should not be used for too long and uncontrolled: the course of treatment is 1-3 days, maximum 7 days. Otherwise, the bacteria may become resistant to rifamycin.

Analgesic for ears

Otipax are ear drops containing lidocaine and phenazone and have anti-inflammatory and local anesthetic effects. The drug helps relieve pain and inflammation in the ears and is effective at the very beginning of the development of the disease. It can be used for acute otitis media, as well as for barotraumatic otitis. However, the use of the drug is possible only if the eardrum is intact, since perforation may cause complications due to drops entering too deeply.

The solution is prescribed for the treatment of not only adults, but also children, and even newborns. The effect of using ear drops occurs very quickly - after 15-30 minutes the pain goes away. The bottle is equipped with a transparent pipette, which is convenient for dosing the medicine. The shelf life of the drops after opening the bottle is limited and is six months.

And they don’t stand next to each other...

Judging by the description, we can say that the drugs are completely different and have nothing in common, so it makes no sense to choose one of them. This is partly true. However, there are still some similarities between medicines:

The indications for use of ear drops are basically identical - otitis media, both chronic and acute.
For both solutions, a contraindication is individual intolerance to the components.
Release form. Both medications are available in the form of drops in bottles with convenient pipettes.
The method of application is the same: the required amount of the drug is instilled into the sore ear.
The country of origin in both cases is France, and European quality and strict adherence to standards are reassuring.
Both drugs can be used to treat children in dosages that take into account the patient's age.

What is the difference?

There are still many more differences between ear drops than similarities, since they have different directions.

The main difference between ear drops is that they belong to different medicinal groups. Otofa is an antibiotic, and its competitor is just an anti-inflammatory and local anesthetic.
Otofu can be used even if the eardrum is perforated, but for its competitor this would be a strict contraindication. Therefore, before taking Otipax, an examination by an ENT specialist is mandatory.
Otipax is approved for use by pregnant and lactating women. Otofa, although it is a local drug with low systemic absorption, is still an antibiotic, and its use during pregnancy and lactation is only possible as prescribed by a doctor, since no studies have been conducted on its effect on the fetus and breast milk.
When using an ear antibiotic, no side effects are observed (except for the possible staining of clothing upon contact with the drug and the eardrum). When instilling Otipax, allergic reactions are possible in the form of itching and redness of the ear canal. If such a reaction occurs, the drug must be discontinued.
The shelf life of Otofa, unlike its competitor, is not limited to opening the bottle.
The storage conditions for the anesthetic are simpler; it does not require a special temperature regime (the main thing is that the thermometer does not rise above 30 degrees), while Otofa requires a cool place with a temperature no higher than 15 degrees.
The course of antibiotic treatment is much shorter - up to 7 days. Otipax can be used longer - up to 10 days.
Otofu should not be used concomitantly with other topical antibacterial agents. There are no data on the interaction of the anesthetic with other medications.
Price. Otipax will cost about 100 rubles more. Its cost is up to 290 rubles, while for a local antibiotic you will have to pay only about 190 rubles.

What to choose?

With so many differences, it is easy to understand that it is impossible to determine which drug is better. Yes, this is not necessary, since they are different. If uncomplicated otitis occurs and there is severe pain, Otipax is indicated, which will help quickly eliminate unpleasant symptoms and suppress the development of the disease.

If otitis is of a bacterial nature, then you cannot cope without an antibiotic, and in this case Otofa will help. Pregnant and lactating women will be better off taking Otipax. However, as a last resort, after consulting a doctor, it is possible to use an antibiotic.

If you have an imperforated eardrum, you can use both drugs. If there is perforation - only Otofu. There are no age restrictions for the use of medicines.

However, if otitis occurs, the first thing you should do is consult a doctor and not self-medicate, since only a doctor will be able to determine the nature of the disease and examine the eardrum for integrity. Self-prescription of medications can lead to a protracted course of the disease, as well as to a worsening of the condition.

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Composition and properties of Otipax

Otipax has antiseptic and anti-inflammatory properties

Otipax is an antiseptic drug. The medicine contains the following active ingredients:

Lidocaine hydrochloride – 1 gram.
Phenazone – 4 grams.

In addition, the drops contain the following excipients:

Glycerol.
Sodium thiosulfate.
Anhydrous ethanol.

Dosage form – drops intended for instillation into the ears. The solution is in a bottle in which a soft pipette is placed.

Otipax has the following pharmaceutical properties:

Removing the inflammatory process.
Reduced pain.
Helps reduce the development and reproduction of pathogenic microorganisms.
Has a disinfecting effect.

Usually, pain and reduction in inflammation begins within ten minutes after instilling drops into the ears. The pain goes away completely in about half an hour.

The drug acts at the local level, so systemic absorption of the active substances is not observed.

Indications and contraindications

The drug is prescribed for the treatment of otitis media

Otipax is prescribed for the local treatment of ear diseases. Typically, otolaryngologists prescribe the drug for the following pathologies:

Otitis of the middle ear, occurring in an acute form.
Barotraumatic otitis (which occurs against the background of sudden surges in air pressure).
Post-influenza otitis (phlyctenulous type of viral etiology).

Place the drug in the ear canals, a few drops at a time. It is important that the drops are warm, since a cold solution can cause discomfort in the ear area.

The interval between procedures can be every 8-12 hours. The frequency of use per day and dosage are determined by a specialist depending on the diagnosis, age criteria, severity of the disease, as well as the individual characteristics of the patient’s body.

The instructions for using the product indicate that the drops can be used for no more than ten days.

Otipax drops are not prescribed for hypersensitivity to the drug substances. In addition, it is prohibited to instill the drug into the ear if the eardrum is perforated due to infectious or traumatic origin. The drug is usually not prescribed to children under one month of age. For the treatment of older children, the drug is used only for medical purposes.

"Otofa" and "Otipax": which is better for a child? What is the difference? Patient reviews

Otofa - the main active ingredient in this drug is rifampicin (an antibiotic from the macrolide group, to which many bacteria are sensitive, mainly gram-positive cocci - streptococci, staphylococci). This type of antibiotic is used in cases where penicillins and cephalosporins are ineffective, or pathogenic microorganisms have developed resistance (addiction) to them. The drug is not recommended for long-term use (use no longer than 6-7 days), since bacteria can develop resistance to it.

Otipax - has two active components - lidocaine (local anesthetic) and phenazone (NSAID - non-steroidal anti-inflammatory drug). Thanks to the combined composition, this drug has an anti-inflammatory and analgesic effect. It is used to relieve pain in acute otitis media (infectious and inflammatory lesions of the middle ear), not burdened by a bacterial infection. Can be prescribed to newborn children.

In addition to the difference in the composition of Otofa and Otipax, the drugs have a number of other differences in indications, contraindications and release forms.

Indications

Otofa:

Otitis (acute or chronic) with lesions of the external ear;
Perforations (ruptures) in the area of the eardrum due to injury or caused by diseases (otitis media of the middle ear with accumulation of inflammatory fluid);
Otitis (chronic and acute) of the middle ear;
After operations in the ear cavity, to accelerate tissue regeneration (restoration).

Otipax:

Acute inflammation of the middle ear;
Exacerbation of chronic otitis media;
Inflammation of the middle ear due to influenza;
Barotraumatic otitis (a disease associated with a sharp change in pressure in the ear cavity).

Contraindications

Otofa:

Individual intolerance to the drug:
Age (not recommended for children under 3 years old);
During pregnancy and lactation (under medical supervision).

Anauran: action, release form and composition

Anauran has antibacterial and local anesthetic properties

Anauran is ear drops that belong to the group of combined drugs that act on the sensory organs.

The solution for instillation contains the following active ingredients:

Lidocaine hydrochloride – 40 mg
Polymyxin sulfate – 10 thousand IU
Neomycin sulfate – 5 mg

Additional substances of the drug include benzalkonium chloride.

Anauran is available in the form of drops. The solution is in 25 ml bottles. It closes with a dropper cap made of polymer. The bottle with drops is placed in a cardboard package.

The drug has the following effects on the body:

Polymyxin contained in Anauran kills gram-positive and gram-negative microbes, fungi and viruses.
Neomycin sulfate helps reduce the growth and reproduction of streptococci, staphylococci, Proteus and other pathogenic bacteria.
Lidocaine relieves pain in the ears and reduces itching.
Therefore, the medicine is used for otitis of bacterial origin.

Purpose and restrictions for use

The drug is indicated for the treatment of external and otitis media

Anauran is used in the treatment of the following diseases:

Acute otitis of the external ear.
Chronic form of external otitis.
Exudative otitis media of the middle ear in chronic form.
Otitis media

Ear drops are often prescribed to patients who experience complications after surgery. In addition, Anauran is prescribed after fenestration, mastectomy, tympanoplasty and anthrotomy.

When prescribing the dosage and duration of treatment, the specialist takes into account the severity of the disease, the individual characteristics of the patient’s body, his age and the presence of concomitant pathologies.

Usually 4-5 drops are prescribed in each passage for adults and 2-3 drops for children. You should not use the drug for more than 7 days in a row.

Typically the course of treatment lasts from three days to one week.

Anauran has some restrictions on its use. Such contraindications include:

Individual intolerance to active or auxiliary components.
Age up to one year.
Tendency to allergic reactions.

During pregnancy, a medicine is prescribed only if the benefit to the woman outweighs the risk of developing undesirable consequences in the fetus. Therefore, only a qualified specialist prescribes the drug to pregnant women.

More information about otitis media can be found in the video:

Before using drops, nursing mothers should consult a doctor about the advisability of using the product.

Anauran drops are not allowed to be used simultaneously with the following medicinal substances:

Netilmicin
Streptomycin
Amikacin
Monomycin
Gentamicin

When these components are combined with substances that are part of Anauran, toxic effects in the ears may develop.

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Characteristics of the drug Otipax

A drug such as Otipax is an ear drop, the constituent components of which include lidocaine and phenazone. The substance phenazone has a pronounced anti-inflammatory effect and helps speed up the process of eliminating the inflammatory process in the ear. Lidocaine is a substance whose presence in the drug enhances the local analgesic effect.

The combination of lidocaine and phenazone in a drug such as Otipax leads to an increased analgesic effect, which has a positive effect on the patient’s condition.

This allows you to relieve the patient from unpleasant symptoms and discomfort, as well as speed up the recovery process. Some advantages of this drug can be highlighted:

has a pronounced analgesic effect;
Read also: How to use Bioparox in the treatment of sinusitis
has an anti-inflammatory effect;
the drug can be safely used to treat diseases of the hearing organs, both during pregnancy and lactation;
is not absorbed into the lymph, blood and cerebrospinal fluid, and this property allows the drug to be used for the treatment of infants.

Despite all the advantages of a medicine such as Otipax, it also has some disadvantages, for example:

The product does not have an antibacterial effect, which may reduce the effect of treatment.
The drug contains a component such as lidocaine. It can provoke the development of allergic reactions in patients, so it is necessary to use Otipax for the treatment of ear diseases with extreme caution.

Medical practice shows that this medicine is most often used to eliminate painful sensations in the hearing organs, as well as in the treatment of otitis media at the very beginning of its development.

Characteristics of the drug Otofa

A medicine such as Otofa is widely used to treat various diseases of the hearing organs. The main component of this medicine is rifamycin, so the drops are considered an antibacterial drug.

The use of such drops in the treatment of ear diseases has a detrimental effect on pathogenic microorganisms, which are the main cause of the development of the inflammatory process and otitis media.

In fact, rifamycin is considered a fairly strong antibacterial component, which has increased activity even in situations where cephalosporins and penicillins are no longer effective. It is this factor that explains the high effectiveness of such a drug in eliminating acute and chronic pathologies of the middle ear.

We can highlight some positive aspects of Otofa ear drops:

the drug has a detrimental effect on various types of pathogenic microorganisms, therefore, when carrying out drug therapy, it is possible to quickly achieve the desired result;
This drug is highly effective in the treatment of chronic otitis media.

Among the disadvantages that are inherent in this drug are the following:

the composition does not contain anti-inflammatory or analgesic components;
the component of the medicine is a strong antibiotic, therefore Otofa is not prescribed during pregnancy and breastfeeding;
the price of such a drug is quite high compared to its analogues.

The drug is considered an effective drug that is used to eliminate pathologies such as otitis media.

What's better?

The question of what is better to choose - Otinum or Otipax - sounds incorrect. Each tool has its own advantages and is used for a specific situation.

Despite the fact that, according to the instructions, these drugs have similar indications for use, if there is severe pain in the ear at the height of the disease, you should choose Otipax. Ear pain is equal in severity to toothache and causes significant discomfort to the patient. The pain-relieving components of Otipax work quickly and instantly relieve the patient of discomfort in the ears. It should be remembered that lidocaine in these drops can cause discomfort, irritation or allergies.

Otinum also exhibits an analgesic effect, but works more gently. These drops act on the inflammatory reaction itself, slowly removing its manifestations. It has weak disinfectant and antifungal properties, therefore it is suitable for the treatment of otitis media that are not accompanied by severe pain.

Both medications are not prescribed for patients with chronic otitis media when there are defects in the eardrum. Drops, when used correctly locally, do not cause systemic effects or signs of overdose.

What are the differences and should we take them into account?

To resolve the dispute about whether Otipax or Otinum is better, it is better not to rely on the subjective feelings of consumers from their use, but to find out how the drugs differ. The differences between them are:

Otipax is a 100% analgesic, its task is to relieve pain and minimize inflammation. Otinum will additionally provide protection against pathogenic microbes and infections, as it contains antiseptic components;
Otipax has fewer contraindications. It cannot be used during pregnancy, lactation, with individual intolerance, allergy to lidocaine or if the eardrum is damaged. You need to be careful with Otinum, since, in addition to the listed contraindications, it has others: polyposis of the paranasal sinuses, asthma, alcohol dependence, intolerance to NSAIDs and salicylate. But it does not contain lidocaine;
when using Otinum and Otipax, itching, burning in the ear and redness may occur (but this is rare);
Otipax is approved for children (infants up to one year old are advised to inject 1-2 drops of solution into the ear, children from one to two years old - 3 drops, children over 2 years old - 4 drops). Otinum is allowed to be used from 6 years of age. You can put this medicine in the ear of a small child only if the ENT specialist prescribes it;
Otinum liquefies earwax - its “rival” does not have such abilities;
both Otipax and Otinum can be used only in the initial stages of the disease. If the process has gone far (ulcers, open wounds, perforation of the membrane have formed), then they cannot be used! This may cause hearing loss;
The cost of drugs also varies. The average price of Otinum ear drops is 200 rubles. For this amount you can buy a glass bottle of medicine with a volume of 10 ml. If you decide to take Otipax, then get ready to pay 300 rubles. But the volume of this product will be 5 ml more.

If you want to find cheap analogues of Otipax, the price of which will not hit your pocket, then pay attention to the following medications:

Anauran. Combined antibiotic. Created on the basis of nesomycin sulfate, polymyxin, lidocaine. Anesthetizes, fights bacteria. It is not much cheaper - about 290 rubles;
Normax. Antibiotic drops. Not allowed under 18 years of age. Sold at prices up to 146 rubles;
Otirelax (from 176 to 180 rubles) Relieves acute pain, reduces inflammation in otitis media of bacterial, viral and cold origin;
Folicap. The composition is the same as Otipax (lidocaine plus phenazone), but is sold by prescription. Price from 112 to 170 rubles;
Holikaps (from 99 rubles) NSAID, used for otitis media and to dissolve earwax.

It is extremely rare for a person to experience inflammation that ends without consequences. If such a pathology occurs in the parts of the ear, then if a person does not consult a doctor in a timely manner or receives poor treatment, a person risks partially or completely losing his hearing. Most patients who have been given a similar diagnosis complain of headaches

, deterioration in general health and hearing.

Sometimes additional symptoms are added to them, which are characterized by otitis - increased temperature, the formation of purulent fluid from the auricle

, the appearance of an unpleasant odor. Having noticed the above symptoms, a person should begin to worry and consult a doctor as soon as possible. In each case, treatment will be different, since the disease can be caused by different reasons and diagnosed at different stages. But if the patient comes to his senses in time and has not yet experienced any complications, then special drops in the ear for otitis media can help him restore his health quite quickly.

List of the most commonly prescribed drops

The active ingredient in this drug is

the substance choline salicylate appears. The concentration of this substance in 1 g of the drug is 0.2 g. In appearance, choline salicylate is a colorless liquid of a light yellow hue. This drug is prescribed to patients who have been diagnosed with external, purulent or unspecified otitis media. The effect of choline salicylate is enhanced by auxiliary components - chlorobutanol, glycerol and ethanol. The medicine is offered in pharmacies in a 10 g bottle with a dosing device.

When used regularly, these drops for otitis eliminate inflammation, have an analgesic effect, relieve pain, and have an inhibitory effect on the production of prostaglandins. The drug is prescribed to patients with confirmed catarrhal inflammation of the external meatus; it works well in the treatment of complications caused by infections

. Recommended as an effective means of treating the middle ear and membrane, in some cases it is prescribed for preventive purposes before washing the ear canal.

The instructions for the drug contain instructions that it should not be taken by patients with membrane damage or intolerance to the active substances of the drug. This drug should not be prescribed to women during pregnancy and breastfeeding. Patients with hypersensitivity to this medicine may experience allergies and temporary hearing loss. For adult patients, the medicine is prescribed three to four drops 3 times a day; before the procedure, the adult should lie on his side, and after administering the drug, lie still for two to three minutes.

Offered in bottles weighing 16 g, it contains phenazone and lidocaine hydrochloride as active components. It also contains excipients - medical alcohol, glycerin, sodium thiosulfate. The main therapeutic effect of the drug is provided by phenazone and lidocaine, which slow down the biosynthesis of prostaglandins and interfere with the conduction of nerve pain signals. This remedy is prescribed to patients diagnosed with different types of otitis media.

, including biotraumatic and post-influenza.

The drug should not be prescribed to people with eardrum injuries and to people with hypersensitivity to the main components of the drug. In some patients, the medicine may cause allergic reactions. The drug is used for a course of 10 days, 4 drops 3 times a day.

The drug in question belongs to the class of fluoroquinolones and is offered in pharmacies in the form of colorless drops. Main healing effect

t provides the substance norfloxacin. Excipients that enhance the therapeutic effect of Normax include acetic acid, disodium edetate, and benzalkonium chloride. In pharmacies it is sold in 50 ml dark glass bottles, with a special dropper included.

These ear drops successfully fight bacteria and have a stimulating effect on the production of DNA gyrase enzymes, which impede the synthesis of proteins of pathogenic microorganisms. Once in the zone of inflammation, they have a strong effect on the affected areas and are characterized by low systemic absorption. Treatment of ear diseases is carried out according to the following scheme: on the first day, the medicine is administered two drops every 2 hours, and subsequently the frequency of administration is reduced to 2 drops 2-4 times a day. The course of treatment lasts 2 months. Each successive procedure for instilling drops must be preceded by sanitization of the ear canal.

The recommended dosage must be followed exactly. This medicine is not prescribed to women during pregnancy and lactation. Some patients may experience an allergy to the drug in the form of anorexia, diarrhea, attacks of nausea and heartburn. If the dosage is greatly increased, the patient may experience disturbed sleep and headaches. Allergies in patients who have ignored the doctor’s recommendations most often manifest themselves in the form of itching and skin rashes.

Belongs to the group of drugs with complex effects. Main therapeutic action

provide the substances polymyxin B sulfate, neomycin sulfate and sodium methosulfatobenzonate. In pharmacies it is sold in dark glass bottles, equipped with a convenient dosing device - a pipette.

Successfully fights bacteria, relieves inflammation in a short time, and is approved for use in otitis media along with other antibiotics, which increases the effectiveness of treatment;
Successfully fights anaerobic bacteria;
If the patient has damage to the eardrum, the effect of using the drug together with other antibiotics is reduced.

The medicine is prescribed for otitis media for a course of no more than 6 days, taken in a dosage of 5 drops 2 times a day. No cases of overdose have been reported. Only the attending physician can prescribe it to women during pregnancy and breastfeeding due to the lack of sufficient information about the effect of the drug on the female body in such conditions. Some patients may experience allergic reactions in the form of a skin rash.

And they don’t stand next to each other...

The indications for use of ear drops are basically identical - otitis media, both chronic and acute.
For both solutions, a contraindication is individual intolerance to the components.
Release form. Both medications are available in the form of drops in bottles with convenient pipettes.
The method of application is the same: the required amount of the drug is instilled into the sore ear.
The country of origin in both cases is France, and European quality and strict adherence to standards are reassuring.
Both drugs can be used to treat children in dosages that take into account the patient's age.

Which drug is better to choose

To summarize, it is worth noting that it is impossible to determine which product is better. Each of them has its own advantages and disadvantages. In addition, due to their different mechanism of action, they are used for various pathologies.

If you have been diagnosed with uncomplicated otitis and there is severe pain, it is better to purchase Otipax drops, which help quickly eliminate unpleasant symptoms and stop the inflammatory reaction. If the bacterial nature of the main process is confirmed, it is better to choose an antibiotic.

In any case, relying on self-medication is not recommended. Only a doctor can make the correct diagnosis and prescribe an effective drug for treatment.