For inflammation of the adenoids, what antibiotics?

Are antibiotics needed for adenoids?

It is impossible to “stuff” a child with pills unless absolutely necessary; to do this, you must pass all the necessary tests and make sure that the use of medications is advisable

First you need to understand what adenoids are. In fact, this is not so much a disease as a developmental feature of a child’s body. Adenoids are a proliferation of lymphoid tissue of the nasopharyngeal tonsil. It becomes larger, blocks the vomer and prevents normal breathing through the nose. It is because of the inability to breathe normally that all problems associated with adenoids arise - otitis media, sinusitis, sinusitis, etc.

Antibiotics for adenoids are prescribed in the following cases:

  • bacterial adenoiditis;
  • acute purulent otitis;
  • sinusitis (sinusitis) of a bacterial nature.

The principle of action of antibiotics is clear from the very name of the drugs - this is an antibacterial action. In other words, such drugs only affect bacteria, and therefore are only effective in case of bacterial infection.

Adenoids themselves are not a bacterial infection, but they greatly reduce immunity and cause diseases, including those of a bacterial nature. Therefore, antibiotics are actually justified in some cases, for example, with bacterial inflammation of the tonsil itself (adenoiditis), purulent otitis media or purulent sinusitis.

In general, the advisability of using antibacterial drugs can be determined by analyzing a nasopharyngeal smear. If bacteria are found in the material, appropriate medications are prescribed. In the case of otitis, antibiotics are prescribed for acute inflammation, accompanied by discharge of pus from the ear. For sinusitis, such drugs are prescribed in case of formation of purulent masses in the nasal sinuses.

You should also be careful when treating adenoids, because inflammation is not always caused by bacteria.

Conclusion: before using antibiotics for adenoids in children, it is necessary to accurately establish the diagnosis. You cannot give your child such potent drugs on your own - it can only make things worse and significantly undermine your health.

How to use Chlorophyllipt for adenoids

Chlorophyllipt oil in the nose for adenoids is used in two ways - instead of drops and for rinsing. It can be used by children over three years of age. Young children are not allowed to put oil drops into their nose, as they often do not yet know how to blow their nose on their own. As a result, the oil solution remains in the nose and irritates the mucous membrane.

To eliminate intolerance, you need to apply a small amount of solution to the skin and leave for 6-12 hours, and then evaluate the result. Slight redness of the skin in the first hours is a normal reaction, as the components of the solution increase blood circulation. If there is no rash or itching, the drug can be used for treatment.

It is advisable to carry out the procedure every day

To rinse the nose, you can use either an oil or an alcohol solution of Chlorophyllipt. It is necessary to stir a tablespoon of the solution in a glass of clean water. Instead of water, it is better to use sodium chloride saline solution.

Draw the resulting solution into a syringe without a needle or an Esmarch cup. Insert the tip into one nostril and inject the medicine. At this time, the child closes the other nostril and leans over the bathtub. Immediately after administering the drug, you must blow your nose so that the solution comes out. Then repeat for the second nostril.

Main groups of drugs

Antibiotics are selected according to the following criteria:

  • activity against the identified pathogen;
  • tolerability of the active substance by the child;
  • minimum side effects;
  • release form.

Adenoids must be treated correctly with antibiotics. The form of release of the drug plays an important role. Systemic medications (tablets and injections) are used only for extensive bacterial infection or adenoiditis. For otitis and sinusitis, preference is given to drugs for topical use - ear or nasal drops. This allows you to effectively act directly on the source of infection, but minimizes the negative impact of antibiotics on the entire body.

Antibiotics in tablets or injections for sinusitis or otitis due to adenoids are prescribed very rarely, and only in the presence of severe symptoms or the risk of complications.

With drug groups, things are not so simple. The main selection criterion is activity against a specific pathogen. True, complications of adenoids are usually caused by Staphylococcus aureus or Streptococcus, and almost all antibiotics are active against these bacteria. Thus, the choice most often comes down to minimizing side effects.

The most popular drugs for pyogenic infections, antibiotics from the penicillin group, have recently been inferior in effectiveness to more modern drugs. The reason is the development of resistance in bacteria, which is explained by improper use of drugs or self-medication with an antibiotic.

If the medicine is chosen incorrectly or is used according to a different scheme, the bacteria gradually develop a kind of immunity to the action of this drug, so it becomes ineffective. Due to the craze for antibiotics as a treatment for any disease, simple antibiotics such as penicillins do not help most people. Therefore, before prescribing a drug, an analysis is most often carried out to determine the body’s sensitivity to a particular drug.


The tablet can be taken at any time, regardless of food intake (cannot be chewed)

For a long time, simple penicillins remained the most popular drugs in the treatment of diseases of the ENT organs. Despite the fact that drugs of past generations penetrated the inflamed organs rather slowly, they are famous for their wide spectrum of antimicrobial action and relatively low toxicity. Penicillins are often prescribed for adenoiditis and tonsillitis, but for otitis and sinusitis, preference is given to other drugs that penetrate better into the source of infection.

Penicillins are active against gram-negative and gram-positive bacteria, including pathogens of ENT diseases associated with adenoids.

Note! About a third of people are immune to penicillins.

For a long time, Ampicillin remained the first-line drug of choice. However, due to the low bioavailability of the active substance, it has recently been rarely used; it has been replaced by the semi-synthetic drug Amoxicillin. It is the one most often prescribed for diseases of the ENT organs, since it has a relatively small number of side effects and contraindications, but at the same time it acts quickly and penetrates into foci of infection in the nasopharynx, including the middle ear and paranasal sinuses.

Preparations based on this medicine:

  • Amoxil;
  • Amoxicillin Solutab;
  • Ospamox;
  • Hiconcil.

The peculiarity of the drug Amoxicillin Solutab is that the tablets do not need to be swallowed, they must dissolve in the oral cavity. They have a pleasant taste, so they are often prescribed to children.

Ampicillin is available in different forms - lozenges, suspension, capsules, injections.

Another effective medicine is Amoxiclav. This is a combination drug containing amoxicillin enhanced with clavulanic acid. It is also widely used for bacterial complications of adenoids.


The required dose is taken once during the day.

The second most popular group of antibiotics are macrolides. They are most often prescribed if a person is immune to penicillins. A feature of this group of drugs is their high bioavailability and good penetration directly into the site of infection.

These medications are highly active against pyogenic bacteria and have a rapid action, so recovery is achieved very quickly.

The most popular representatives of the group are Azithromycin and Erythromycin. Azithromycin is most often prescribed specifically for bacterial complications of adenoids. Preparations based on it:

  • Sumamed;
  • Azimed;
  • Azitro Sandoz;
  • Azicine;
  • Zitrox.

Available in the form of tablets, capsules and powder for suspension. Erythromycin-based drugs are prescribed quite rarely, since it is an older antibiotic that is less well tolerated by the body.


One of the most promising groups of antibiotics in the treatment of diseases of the ENT organs are cephalosporins. This is a relatively young group, characterized by rapid action and high efficiency; in addition, resistance to cephalosporins is practically not found. The downside is the high cost and release form. Drugs in this group act very quickly, but are available only in powder form, which is mixed with water for injection and administered intramuscularly or intravenously (in a hospital setting). In addition, drugs in this group are used more for infections of the lungs and bronchi than for diseases of the ENT organs, which is explained by the risk of side effects.

Group representatives:

  • Ceftriaxone;
  • Blicef;
  • Lawaxone;
  • Cefix.

Due to the nature of its use, it is recommended to use it only in a hospital setting and only as prescribed by a doctor. Children are prescribed with caution; it is important to choose the right dosage, taking into account the age and weight of the child.


The drug is a synthetic antibiotic, so bacteria do not develop resistance to it

Fluoroquinolones are synthetic antibiotics. Since these drugs have no natural analogues, pathogenic bacteria cannot develop resistance to their action, which means that such drugs are always equally effective. They have a number of advantages, the main one being the form of release. Fluoroquinolones work well locally, so they are available in the form of ear drops used in the treatment of otitis media.

But oral forms of these drugs are not widespread enough in otolaryngology due to side effects and systemic effects on the body. If adenoids are complicated by acute purulent otitis, one of the following drugs is prescribed:

  • Norfloxacin (drops);
  • Normax;
  • Cipronex;
  • Uniflox.

The active ingredients are norfloxacin (Normax), ofloxacin (Uniflox), or ciprofloxacin (Cipronex). All drugs act quickly, have a local antibacterial effect and are well tolerated. An allergic reaction or other side effects when using drops are very rare.

Light antibiotics - for the primary stages of adenoid pathology

  1. "Protargol"

Pharmacists, according to their science, pharmaceuticals, habitually call this medicine “Silver Proteinate”. It is thanks to the monovalent metal number 47, in the periodic table of D.I. Mendeleev, that the nasal “Protargol” owes its therapeutic effect to silver (argentum). In combination with the presence of penicillin, a 2% aqueous solution of colloidal silver has:

  • General antiseptic sanitation of nasal adenoid layers;
  • Antimicrobial/viral/bacterial neutralization of pathogenic accumulations of microflora;
  • Inhibits the reaction of adenoid pathogenesis by film covering the disease-causing areas;

"Protargol" has no effect on the hormonal balance of the child's body, on the organic functionality of the gastrointestinal tract (severe types of dysbiosis, dyspepsia). Well tolerated by children, but only if the prescribed dosage is observed!

Otolaryngologists most often prescribe "Protargol" as a preventive medication to prevent the development and growth of adenoids in a child in nasopharyngeal locations or during the primary (initial) stage of treatment of adenoiditis.

II. "Sinupret"

Known as a mild secretolytic antibiotic/mucolytic against adenoids. The fact is that a child’s adenoids, overflowing with all kinds of viral, microbial and bacterial groups, constantly produce their toxins (products of pathogenic “life support”, dead cells, waste).

All this putrefactive mass is secretory mucus - snot, purulent exudate from the nasal sinuses. It must be removed from the body, since it, in turn, is swallowed into the esophagus and penetrates the respiratory tract, thereby infecting new areas of the child’s body. The antibiotic composition in a therapeutic alliance with mucolytics (substances that thin the viscous consistency of mucus) is successfully presented in Sinupret.

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The medicine is saturated with a natural herbarium of flora, medicinal herbs (verbena officinalis, wild sorrel, gentian, elderberry inflorescences). They are used as nasal drops, and for adding to inhalation solutions, and for rinsing. Like the previous antibiotic “Protargol”, “Sinupret” has a gentle action, is effective at the onset of symptoms, but is ineffective in subsequent stages and severity of adenoiditis pathogenesis.

In conclusion to the section on mild antibiotics for a child with adenoids of the nose/throat/ears. This is not the entire list of liberal nasal antibiotic drugs. Modern pharmacological production supplies the pharmaceutical market with new, innovative medicinal developments every day.

Parents, on their own, are not even recommended to “swim” in this wide, purely professional information sea. Moreover, at your own peril and risk, buy and use harmless (in the opinion of adult family members) “light” nasal drops and gargles for a sore throat on your child. For some children, they may be light, but for others they will be heavy. Only a professional opinion and decision of an otolaryngologist, allergist, or pediatrician should become a motive for the use and purchase of anthranasal antibiotics that are classified as mild!

III. "Interferon" - an immune shield against the adenoid threat

In the photo, the molecular formula of interferon is human endogenous proteins transformed by genetic engineering into an immunomodulatory and antiviral leukocyte vaccine.

Antibiotics are a life-saving measure that greatly alleviates the general somatic condition of the child. Undoubtedly, in the initial stages, such drugs can completely eliminate the inflammatory manifestations of the adenoids in the nasal passages, sinuses, oral and laryngeal areas.

But, despite the “diluted” concentrate of penicillin benzyls, light antibiotics are still antibiotics. It is much better, safer, more productive not to allow the child to be treated before using medicinal chemicals. And use it long before painful manifestations, such as daily instillation of the anti-respiratory agent “Interferon” into the child’s nose. Its pharmacy analogues are “Grippferon” and “Nazoveron”.

Related articles Ointment for nasal adenoiditis in children “Levomekol”, this is the first remedy and help for purulent ulcers and abscesses

How to use antibiotics?

Having figured out whether an antibiotic treats adenoids, you should trust your doctor in choosing the drug. Indications for antibiotics are bacterial infections of the ear, nose or throat associated with adenoids. In all other cases, for example, with ARVI or non-infectious prolonged runny nose, such drugs cannot be used.

Self-medication can be dangerous. Only a doctor can choose a truly effective drug with minimal risk of side effects for a particular patient.

Parents should know several important rules for antibiotic treatment:

  1. Drugs in this group should be used only for their intended purpose. Antibiotics are not used for prevention, as they weaken the immune system.
  2. You should take the medicine strictly according to your doctor’s recommendations, without changing the dosage or interrupting treatment until the end of the course.
  3. If you are prescribed to take the medicine twice a day, you need to take it strictly at the same time.
  4. Most antibiotics disrupt the gastrointestinal microflora, so use is combined with probiotics or lactobacilli.
  5. Under no circumstances should treatment be completed in the middle of the course, even if the symptoms have already passed. There is a risk that the bacterial infection will not be completely destroyed, and then the disease will become chronic.

Thus, if the doctor prescribed you to take antibiotics for 5 days, then you need to take their entire course, no less and no more.

For children, you can choose antibiotics in the form of a suspension or lozenges. Such drugs have a pleasant taste, so even children 3-4 years old readily take them.

Adenoids are treated comprehensively with antibiotics, and a number of symptomatic therapy drugs are additionally prescribed. However, not in all cases it is necessary to take pills or injections. For example, if a child has uncomplicated otitis media, antibiotic drops are sufficient.

Adenoiditis: causes of the disease and main forms

Adenoids are an enlarged nasopharyngeal tonsil.

Most often, the disease is diagnosed in children aged 3 to 7 years and practically does not occur until the first year of life. Over time, the reverse development of adenoid vegetations is possible. In older children and adults, this pathology is extremely rare. The main factors causing enlarged tonsils:

  • frequent colds;
  • burdened heredity;
  • bacterial infections affecting the nasopharynx;
  • poor microclimate (dry air, constant contact with dust, etc.);
  • frequent allergies;
  • curvature of the nasal septum;
  • nasal injuries;
  • unfavorable environmental living conditions.

Types of adenoid pathology

There are several different degrees and forms of adenoid vegetations, which determine the overall picture of the disease.

First degree: the nasopharyngeal tonsil covers only a quarter of the lumen of the nasal passages. Difficulty breathing occurs at night.

Open mouth with adenoids stages II-III

Second degree: the adenoids begin to block two-thirds of the lumen of the passages. The child finds it difficult to breathe during the day, and at night he snores.

Third degree: growths completely cover the lumen of the nose. Normal nasal breathing becomes impossible, the child breathes only through the mouth.

According to the form of the disease, it is divided into acute and chronic. Acute is accompanied by an increase in general body temperature, signs of intoxication of the body appear. Often acute adenoiditis is accompanied by tonsillitis. The chronic form is characterized by morning coughing attacks, hearing impairment, headaches, poor sleep and appetite.

There is also often a constant flow of purulent mucus down the back wall of the throat.

Symptoms of adenoiditis

A child with chronic adenoids often walks with his mouth half open, this makes it easier for him to breathe. During the examination, the doctor pays attention to the characteristic appearance of the child: a puffy face with a slightly open mouth. Deformations of the facial skull, curvature of the nasal septum and malocclusion may be observed.

There is also a nasal voice, complaints of severe snoring at night, mucus running down the back of the throat, etc.

Acute second and third degree adenoids are more complicated:

  • Persistent migraines may appear;
  • sleep and appetite are disturbed;
  • body temperature is low-grade;
  • there is a chronic runny nose with thick discharge (mucous and purulent);
  • there is a persistent cough, painful sensations in the nose and throat.

In advanced cases, epileptiform seizures, enuresis, rhinolalia, neuroses, obsessive cough, and laryngospasms are noted.

Contraindications and side effects

You may lose your appetite completely or partially

Whether an antibiotic is needed during treatment or after removal of the adenoids is decided by the doctor, based on the clinical picture and characteristics of the patient’s body. Contraindications and side effects depend on the drug chosen. In general, the contraindications are as follows:

  • intolerance to the active substance;
  • severe dyspeptic disorders during antibacterial therapy;
  • epilepsy;
  • severe forms of allergies with a history of taking antibiotics.

Also, some drugs have age restrictions. For example, Levofloxacin should not be prescribed to a child, since it is intended for patients over 18 years of age.

Relative contraindications include liver and kidney disorders, since in some cases it is enough to simply reduce the dosage.

Side effects most often occur:

  • allergic rash;
  • diarrhea;
  • nausea;
  • jaundice (for some groups of antibiotics);
  • abdominal cramps;
  • headache;
  • decreased appetite.

If side effects occur, you should contact the doctor who prescribed the drug. The antibiotic may need to be discontinued or replaced with another medicine.

Why are drops prescribed for adenoids? Do they help?

To treat adenoids and nasal congestion, vasoconstrictors, moisturizers, hormonal, antibacterial, and homeopathic agents are used

The main purpose of sprays and drops is to temporarily ease the breathing process while longer therapeutic measures are carried out - rinsing, warming, vitamin therapy. Long-term use of drops or sprays in children is not recommended, as some of them over time greatly dry out the nasal mucosa and damage the capillaries, which can lead to bleeding.

The duration of action of the drugs varies: from two to twelve hours. The longer the medicine lasts, the more concentrated it is (with the exception of homeopathic remedies). After instillation, relief occurs within 5 minutes, the nose begins to breathe.

When using drops and sprays in a child with adenoids, you should consult with your doctor: how long can this drug be used, how many times a day can it be used, what concentration is indicated for a child with adenoids.

The most effective use of drops and sprays for adenoids along with rinsing and physiotherapy.

Vasoconstrictor drugs

For adenoids or a runny nose, they are recommended for children to quickly ease their breathing. The principle of action on blood vessels is to narrow the walls and relieve swelling. With prolonged use, addiction occurs, after which it is necessary to change the drug or discontinue vasoconstrictor medications.

Active ingredients: oxymetazoline, naphazoline, phenylephrine, tetrizoline and others.

Children are prescribed in parallel with other treatment methods. The course of admission is no more than a week.

In order not to harm the child’s nasal mucosa, it is better to instill these drugs at night so that nasal congestion does not interfere with breathing.

The most common are:

Nazivin is the active ingredient oxymetazoline hydrochloride. Children under 6 years of age with adenoids are prescribed smaller dosages or the usual ones, but in lower concentrations. When using, you should carefully read the instructions. It is not recommended to use more than 7 days in a row.

Naphthyzin - nasal drops. The active ingredient is naphazoline. For adenoiditis in children, use 2 to 4 times a day.

Nazole – oxymetazoline. Can be used for adenoids and otitis.

Sanorin - reduces swelling of the nasal mucosa in adenoids in a child. The active ingredient is naphazoline.

Galazolin is the substance xylometazoline. Available in gel form in various concentrations. It is used in complex therapy in the treatment of adenoids in children.

Photo gallery:


Thuja oil is used in medicine to treat colds and respiratory diseases. For inflammation of the tonsils in children, it is used topically as a lubricant. It has a vasoconstrictor effect, so it makes breathing easier for adenoids.

Sea buckthorn oil - used for healing postoperative wounds, including after removal of adenoids.

Tea tree oil is a bactericidal agent that can be used for adenoids. Relieves swelling and makes breathing easier.


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