Spray or nasal drops: which is better?

With the onset of cold weather, many adults and children begin to experience colds. This happens due to damage to the body by pathogenic microbes. As a result of this pathology, a person experiences a sore throat and sore throat. To eliminate them, it is necessary to use proven and effective preparations in the form of sprays. Here you can read about the possible causes of a sore throat and sore throat.

Many people choose a cough spray based on this principle - the more expensive, the better quality. But this statement is not always true. As practice shows, sometimes people buy an expensive spray, but fail to get a quick effect. In fact, the choice of spray should be made taking into account the cause and symptoms of the cold.

Only by following these recommendations can you speed up the healing process and not cause harm to the body. If it is difficult for you to choose a throat spray on your own, then trust your doctor.

Hexoral throat spray is one of the most commonly prescribed remedies. The active component is hexethidine. Thanks to him, it is possible to quickly and efficiently cope with various fungi that affect the mucous membrane of the throat. It is advisable to use the medicine 2 times a day after lunch.

Many people are familiar with this drug in the form of lollipops. But today Strepsils is also available in spray form. It eliminates sore throat, sore throat and discomfort.

It is advisable to use it for people whose body is affected by infectious and inflammatory diseases of the pharynx of the mouth, accompanied by painful symptoms.

This drug can be used by both adults and young patients. The number of injections per day is 6. Therapy is allowed for no more than 5 days, otherwise you can get the opposite effect and develop complications.

The main component is a polypeptide antibacterial component, which is characterized by an anti-inflammatory effect. It is for this reason that the drug should not be used Bioparox spray to relieve redness and sore throat. But the attending physician can prescribe such a drug, since there are a number of side effects. Bioparox is often prescribed for purulent tonsillitis.

This spray has two main features. It does not concentrate in the blood, but has only a local effect. In addition, fungi and infections are not addictive. Before direct use, you need to rinse your throat with warm water and wipe the nozzle with alcohol.

This drug is one of the most famous and effective sprays among buyers. The reason for this popularity is due to the rapid elimination of pain. All components of the drug actively fight infection. The average price of the drug is 70 rubles.

But this spray should not be used by children under 3 years of age, otherwise it may lead to laryngeal spasm. To prevent this from happening, choose a drug with a milder effect for your children. The composition of Inhalipt is rich in mint oil, eucalyptus and thymol. All of them are very effective and safe. In addition, the elements of the drug quickly eliminate sore throats.

Here are the reasons why your ears become clogged without a runny nose.

This medicine originates in Italy. It is used to treat ENT diseases. This spray has an anti-inflammatory, analgesic and local anesthetic effect. The active component is benzydiamine. Also the composition of God is based on herbal components, one of which is menthol flavoring. It is thanks to him that it is possible to achieve a pleasant smell and taste.

When irrigating the throat with a drug, it is possible to quickly eliminate the symptoms of respiratory diseases, even when it is accompanied by severe inflammation. When treating with Tantum Verde, the following effect can be achieved:

• eliminates coughing attacks;
• redness of the throat caused by the inflammatory process goes away;
• swelling goes away.

Tantum Verde is also actively used for sore throats in young children.

This spray contains propolis. In addition to eliminating sore throat, it is used to treat many pathologies. Using the spray you can overcome pain and sore throat, runny nose, sore throat, wounds and insect bites. It is best to use the medication to eliminate infections in the mouth and throat.

Spray treatment can be used for mild pain and soreness, as well as for sore throat. It can be used to treat colds in children. As for other methods, read about treating barking cough in adults.

For children under 3 years of age, it is not recommended to use any sprays when treating a sore throat. But as practice shows, doctors still prescribe such medications to children from the age of 2, taking into account the severity of the disease. Sprays are not prescribed for children under one or two years of age.

The most inexpensive and effective spray remains Ingalipt , which was discussed earlier. It can be used for children over 3 years of age. Gekosral and Tantum Verde also fall into this list.

The next drug is Faringosept. It is used not only to relieve sore throat, but also to treat non-productive cough. This therapy allows you to quickly overcome inflammation. Its active components have a moisturizing effect on the mucous membrane of the throat and pharynx; 3-4 sprays should be done per day. The therapeutic course should not exceed 14 days.

Faringosept is not used in infants, and to achieve maximum results, the medicine should be sprayed specifically on the affected area.

Algoven deserves special attention. This drug contains only natural ingredients. These include honey, ginger, sage. All of them have a complex effect in the treatment of dry cough, as well as pain and tickling. The positive effect is already noticeable after several injections. As a result of this treatment, it is possible to forget about dryness and sore throat. The drug has a moisturizing effect on the mucous membrane.

After 2-3 days, there will be nothing left of such a symptom as a sore throat. But to achieve this effect, you must strictly follow the doctor’s instructions.

A sore throat is an unpleasant symptom of a cold that brings discomfort to the patient’s life. It is quite possible to overcome it with a spray. But they must be used correctly, knowing the exact dosage and method of use. Here you can read about the treatment of dry cough in a 3-year-old child.

Source: sibloma.ru

Advantages of using dispersed spray products

The positive dynamics of treatment depends on the correct choice of the drug, after differentiating the cause of the reflex. A dry cough can be a sign of either a banal acute respiratory infection or indicate more serious pathological processes in the body :

• laryngitis;
• pharyngitis;
• whooping cough;
• bronchitis;
• dry pleurisy;
• bronchial asthma;
• malignant neoplasms of the respiratory system.

Each disease is characterized by a certain clinical picture, which can be manifested by soreness, redness and pain in the throat, an increase in body temperature to subfebrile levels and above, a runny nose, etc. Some of the diseases have similar symptoms, so a doctor should be involved in their diagnosis .

Dry cough sprays for children have a combined effect - they suppress the proliferative phase of inflammation, eliminate swelling, and prevent the development of microorganisms. Also, after use, they help protect the mucous membrane of the larynx from the irritating effects of external factors, forming a protective film.

Thanks to the use of this form of the drug , a more gentle treatment effect is ensured due to dispersed dispersion of the contents , which increases the pharmacological activity of the active ingredients at low doses of the latter.

The microscopic size of the drug particles is more easily absorbed by the mucous membrane and respiratory tract. Local impact on the inflammatory focus practically prevents the occurrence of side effects; measured portions of spraying eliminate the possibility of overdose .

For reference! The difference between the aggregate states of the substance lies in the diameter of the particles of the sprayed composition: for aerosols the indicator varies from 1 - 5 microns, for sprays - within 10-50 microns.

If we compare two types of dosage forms - aerosol and spray, the latter are considered more practical and effective. Today, many medications that were previously sold in the form of aerosols have been converted by manufacturers into spray form.

Cough aerosols of a productive nature are produced in the form of solutions for inhalation procedures. To carry out these manipulations, you must have an inhaler.

Characteristics

There are several drugs in the line of sprays under the trade name “Pshik”. And although they have the same dosage form - nasal spray with saline solution, each has certain features. For example, a preparation for adults and children with a concentration of 0.9% contains sterile isotonic sea water. This means that the content of trace elements in it is as close as possible to the composition of blood plasma. In contrast, Hypertonic Zilch contains more salts (2.1%).

As the instructions for use indicate, sea water is extracted from a depth of 35 m in one of the Swedish fjords. And when creating the drug, it is diluted purified to the required concentration. Apart from this, there is nothing in the composition. The solution is available in a 100 ml pressurized aluminum bottle with a dispenser nozzle. It is transparent, odorless, but has a salty taste.

Action

Sea water rinses the nasal cavity well, clearing it of accumulated mucus, contaminants (for example, dust), germs and allergens. It moisturizes the epithelium, normalizes natural secretion and acidity, increases protective and regenerative properties. A hypertonic solution copes much better with swelling, so after its use there is an improvement in nasal breathing. Natural microelements contained in water help reduce the severity of the inflammatory process, which makes it possible to reduce the use of other drugs.

Spray Pshik contains sea water in isotonic or hypertonic concentrations. This provides it with a mild physiological effect on the mucous membrane.

Distribution in the body

Saline solutions act at the local level. Water with microelements is absorbed in small quantities by the mucous membrane, and most of it is removed outside when rinsing the nasal cavity. The composition of the drug is completely physiological, so the features of its distribution in the body do not need to be studied.

List of complex drugs

Depending on the nature of the cough reflex, the treating specialist selects the most optimal means with dispersed spraying. Self-prescription of medications can provoke an allergic reaction, side effects and significantly prolong the course of treatment.

For reference! Sprays and aerosols are not included in the therapeutic treatment regimen for children under three years of age.

"Alvogen"

This drug is used as a local supplement to the treatment of nonproductive cough, accompanied by sore throat and sore throat caused by cough attacks. The active ingredient is acacia honey, auxiliary - sage oil and ginger root .

After the product gets on the mucous membrane, it forms a protective barrier in the form of a microscopic film, which helps to moisturize the epithelium, eliminates swelling, relieves the inflammatory process and irritation of the damaged mucous membrane. Suppresses the proliferation of pathological microflora, contributing to its death.

"Shunam"

This spray can be used in the treatment of both dry and wet cough . The drug contains exclusively natural ingredients - more than 15 types of herbal extracts, lemon juice, grape alcohol.

The mechanism of action of a secretomotor and antibacterial agent. Helps increase mucociliary cleansing, disrupts the synthesis of cell wall components of anaerobic microorganisms. Included in the therapeutic regimen for treating patients with bronchial asthma

A fairly effective aerosol for ENT diseases. The active component in the composition is represented by hexetidine, which allows, with a long course of treatment, to suppress the growth of bacteria without acquiring strain resistance to the action of the drug .

It also has an antifungal effect against many pathogenic fungi. After use, a slight analgesic effect may be observed, which greatly facilitates breathing during dry cough attacks. In case of individual intolerance to the active ingredients, the use of the drug should be limited.

"Inhalipt"

Cough spray "Inhalipt" is an antiseptic combination product. Has activity against Gram (+) and Gram-negative strains . The action of the drug is aimed at suppressing the proliferative phase of the inflammatory process, the proliferation of pathological microorganisms and their destruction.

The use of the medicine for non-productive cough caused by inflammation of the throat mucosa is justified. The essential oils of eucalyptus and mint contained in the composition can cause an allergic reaction in the body, therefore, in case of individual intolerance to the components, preference should be given to analogues of the product.

"Chlorophyllipt"

A fairly effective and inexpensive remedy with a pronounced etiotropic effect, which allows you to eliminate symptoms in the form of a hacking cough and sore throat. Suppresses the proliferation of anaerobic microorganisms and promotes their death.

Has the ability to enhance the effect of other antiseptics . Before starting therapeutic actions, it is necessary to exclude an allergic reaction to the active substance.

"Tandum Verde"

A popular pharmacological product in the treatment of ENT diseases in childhood. The therapeutic effect of the drug allows its use in inflammatory processes of the mucous membrane of the pharynx/larynx, tonsils, and periodontal tissues. Often included in complex treatment along with immune and antibacterial therapy .

It has an analgesic effect, which allows you to relieve discomfort and sore throat after cough attacks. The effect lasts for 1.5-2 hours after application . Reduces the intensity and frequency of the cough reflex. The active substance of the spray, benzydamine, helps disrupt metabolic processes in the cells of pathological microorganisms, stimulate the healing process, and relieve swelling.

For reference! In addition to its antibacterial effect, benzydamine is active against pathogenic fungi; in particular, increased activity is observed against Gardnerella vaginalis and Candida albicans.

Indications

The scope of the drug is quite extensive. The instructions indicate that Pshik spray is prescribed in the following cases:

• ARVI and influenza.
• Rhinitis (acute and chronic).
• Sinusitis.
• Nasopharyngitis.
• Allergic runny nose and hay fever.
• Adenoids.

Sea water is indispensable for cleansing the initial part of the respiratory tract for people working in hazardous industries and in contact with allergens. Caring for the nasal cavity after surgery and preparing for the administration of other topical medications is another example of indications for saline solutions.

The drug is used for prophylactic purposes to moisturize the mucous membrane upon contact with dry and hot air; water and minerals reduce the negative effects of smoking. Isotonic solutions are widely used as hygiene products.

Metered aerosols

In case of pathological impairment of bronchial patency or difficulty in pulmonary ventilation, the patient must use dosed aerosols to relax the smooth muscles of the bronchi and stop spastic cough attacks .

The use of these drugs is justified for diseases such as cystic fibrosis, bronchiolitis, acute/chronic obstructive bronchitis, allergic diseases, bronchial asthma

The therapeutic effect occurs within 5 minutes and lasts for 3-5 hours . Not prescribed for patients under 4 years of age. Included in the treatment regimen for spastic cough attacks accompanying bronchial asthma and diseases with reversible narrowing of the airways.

"Berodual N"

A drug with bronchodilator activity. The patient's improvement is noted within 15 minutes after application ; to achieve maximum effect, an interval of one to two hours may pass. The effect of the medicine can last for six hours .

Restrictions on use: children under 6 years of age . As an alternative to a pocket aerosol, you can use a solution for inhalation procedures, after prior consultation with your treating specialist.

Fact! The advantage of using pocket inhalers is that they have a quick effect (the drug starts working within a few minutes), relieves spasms and makes breathing easier.

Which spray to choose or a list of cough sprays

Cough aerosols are very effective for pharyngitis - an inflammatory process in the pharynx. The disease is caused by microorganisms - bacteria, viruses, fungi. During their life, the mucous membrane becomes inflamed, pain, soreness, and a dry barking cough appear. With inadequate treatment, the process spreads from top to bottom, subsequently the trachea, bronchi, and lungs may be affected. Aerosols can be used together with antibiotics, antivirals, and antipyretics.

All sprays have local activity and are practically not absorbed into the blood. When sprayed onto the mucous membrane of the larynx, the medicine covers it with a thin layer. The disadvantage of all sprays is that the active substance is quickly washed off with saliva and swallowed, so it is recommended to use medications several times a day, always after meals, without taking liquid for an hour after treating the throat.

Fact! Inflammatory diseases of the pharynx account for about 30% of all respiratory tract diseases. The highest incidence of pharyngitis occurs in autumn and spring.

Hexoral

The main component of the aerosol is hexethidine; excipients include eucalyptus oil and ethanol. The active substance belongs to the group of local antiseptics. When applied, it destroys bacteria, fungi, and viruses. Thanks to eucalyptus oil, the product is able to relieve pain in the inflamed mucous membrane.

The aerosol is suitable for the treatment of acute and chronic pharyngitis, inflammatory diseases of the oral cavity.

Hexoral is used twice a day, 1 throat irrigation for 1-2 seconds. When spraying, you must hold your breath.

Side effects of the drug:

1. allergic reactions - urticaria, laryngeal edema;
2. cough if the product gets into the lungs;
3. dryness, local inflammatory reactions in the mouth.

Strepsils Plus

The aerosol consists of two antiseptics - dichlorobenzyl alcohol and amylmethacreazole, as well as a local anesthetic - lidocaine. The combination of antiseptics provides broad antimicrobial activity, and lidocaine effectively anesthetizes the throat mucosa. Auxiliary essential oils of mint and anise help relieve inflammation and eliminate cough.

The product cannot be used:

• with an allergic predisposition to the components;
• children under 12 years old;
• people suffering from bronchial asthma.

Side effects:

1. allergic reaction;
2. numbness of the tongue, changes in taste sensations.

Tantum Verde

Tantum Verde cough spray contains a non-steroidal anti-inflammatory drug - benzydamine. The drug inhibits the activity of substances that cause inflammation - cytokines. This reduces swelling, redness, soreness and dry debilitating cough.

During clinical studies, it became known that the active substance has an analgesic effect that begins 1 minute after irrigation.

Contraindications for use:

• allergic predisposition;
• the child's age is under 3 years;
• bronchial asthma.

You need to use a spray of 4-8 throat sprays up to 6 times a day (adult dosage).

Side effects:

1. allergic reactions - urticaria, increased skin sensitivity to sunlight;
2. locally – numbness, burning, change in taste.

Important! If spray treatment does not produce an effect within three days, you need to consult a doctor to change treatment tactics.

Ingalipt

A spray with a sulfonamide antibiotic, which, thanks to eucalyptus and peppermint oils, helps against dry cough and inflammation.

Inhalipt is contraindicated in the following situations:

• allergic predisposition to the components of the product;
• pregnancy, breastfeeding;
• children under 3 years old;
• convulsive syndrome in the past;
• failure of the kidneys and liver;
• blood pathology;
• increased thyroid function.

List of undesirable consequences:

1. allergic reactions;
2. locally – burning, ulcers on the oral mucosa;
3. headache, dizziness;
4. decreased heart rate;
5. nausea, vomiting.

Miramistin

The aerosol contains the antiseptic benzyldimethyl. The active substance successfully fights bacteria, fungi and viruses. When used, Miramistin spray is not absorbed from the mucosal surface. The medicine helps with cough caused by acute inflammation of the throat mucosa.

It is necessary to irrigate the throat three times a day, 3-4 injections.

After using the product, a burning sensation may occur, which quickly passes. Allergic urticaria cannot be ruled out.

Alvogen

Alvogen spray for coughs based on sage, peppermint and acacia honey oils. Effectively helps with sore throat and cough. Plant components create a film on the inflamed mucosa, which prevents the spread of infection, reduces pain and slows down the proliferation of microorganisms.

Cannot be used by people allergic to the active ingredients or children under 3 years of age.

Alvogen is used 1-2 sprays every 2-3 hours.

Important! The drug is suitable for people suffering from chronic pharyngitis and experiencing discomfort and sore throat. It can be used as needed, but not longer than 30 days of continuous use.

The side effect is the development of allergic reactions.

Chlorophyllipt

The active ingredient of the aerosol is an extract of eucalyptus leaves. The plant component kills bacteria, fungi, protects against viruses, reduces cough, relieves inflammation, and promotes the healing of damage to the mucous membrane.

It is recommended to treat the throat with two sprays 4 times a day.

Kameton

The medicine belongs to the combination of drugs for the treatment of inflammation in the throat and cough.

The composition contains the following substances:

• camphor – causes blood flow to the site of application, eliminates bacteria, relieves inflammation;
• levomenthol - causes irritation of the mucous membrane at the site of application, which leads to a decrease in pain and inflammation;
• chlorobutanol hemihydrate – local anesthetic;
• Eucalyptus oil – eliminates sore throat and cough.

Do not use if you are allergic to any component or in children under 5 years of age.

Adults need to use the product 3-4 times a day, making two injections.

Source: MyKashel.ru

Do no harm: why nasal drops are dangerous for a child

Roszdravnadzor has banned pharmacies from selling three series of Sanorin-Analergin and warns that the number of abuses of drugs for the common cold is growing. Even ordinary nasal drops can be harmful if used without measure.

When and what types of drops will help and which will be useless - the editor of Letidor consulted with otorhinolaryngologist Yaroslav Kholin, as well as a pediatrician and a pharmacist.

Recently, Roszdravnadzor specialists recognized three series of the drug for allergic rhinitis “Sanorin Analergin” as being of poor quality and drew attention to the fact that the number of abuses of drugs for the common cold is growing.

Which children's nasal drops can be used, and correctly, and which "pacifiers" should not be used, the editor of Letidor consulted with otorhinolaryngologist Yaroslav Kholin, as well as a pediatrician and a pharmacist.

Swelling of the mucous membrane, nasal congestion and itching, mucus secretion - a rare person can boast that he has never had a runny nose. But doctors warn: a runny nose has many causes, as well as medications for it.

A runny nose (scientifically called rhinitis) is a fairly common manifestation in many diseases. The main cause of runny nose in children is respiratory infections. The penetration of viruses or bacteria cannot be avoided, neither small nor large.

In most cases, the infection enters the body through the respiratory tract. The selfless villi of the nose try to trap all the harmful things we breathe.

But once the immune system weakens, for example, due to hypothermia, respiratory infections fight to overcome our natural barrier.

But the “wet story” does not always begin because of viruses. Therefore, as doctors warn, before you grab the first drops that come to hand, you need to identify the cause of the disease.

In young children, the most common causes of inflammation of the nasopharyngeal mucosa are acute rhinitis, sinusitis and otitis media. But a runny nose can be a consequence of other diseases and disorders:

• Allergic rhinitis (reaction to allergens).
• Drug-induced rhinitis (side effect when taking medications or abusing vasoconstrictor drops).
• Vasomotor rhinitis (dysregulation of tone in the blood vessels of the nose).
• Adenoids, polyps.
• Foreign body (most often in children).
• Incorrect structure of the nasal septum.
• Hypothyroidism (underfunction of the thyroid gland).
• Autoimmune diseases (Wegener's granulomatosis, rheumatoid arthritis, psoriasis, scleroderma, sarcoidosis).
• Hereditary diseases (Kartagener syndrome, cystic fibrosis).

Only knowing the cause of the runny nose (and only as prescribed by a doctor), you can use the appropriate medications.

No matter how harmless nasal drops may seem, incorrect or excessive use will not only not get rid of a runny nose, but also threatens atrophy of the nasal mucosa, which takes a long time and is difficult to treat, as well as other complications.

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Otorhinolaryngologist

Yaroslav Petrovich Kholin

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“By using nasal drops for more than the prescribed period, “getting hooked on them” when they stop working, with self-treatment you can “earn” atrophic rhinitis and constant nasal congestion due to edema - hypertrophy.

With a chronic runny nose, the nose stops doing its full job. The immune system as a whole suffers. After all, the mucous membrane, becoming thinner, ceases to be moisturized and prevent the penetration of pathogenic microorganisms. In addition, there is a feeling of dryness, frequent nosebleeds, nasal discharge is scanty, and dry crusts form.

With atrophy of the mucous membrane, we not only stop feeling smells for a while, but we can also lose our sense of smell completely, as the nerve endings of the mucous membrane die off.

Also among the possible consequences of uncontrolled use of drugs for the common cold: sinusitis, inflammation of the mucous membrane of the pharynx and larynx, acute or chronic otitis media, ethmoiditis (the mucous membrane of the ethmoid sinus becomes inflamed).

Therefore, it is not recommended to use nasal drops for more than 5-7 days.

This applies primarily to vasoconstrictor drops, which are most in demand.”

Frequently ill child syndrome

Once a runny nose makes itself known, try to carry out a series of general strengthening procedures.

• If possible, it is better to leave the child at home, warm and quiet, so as not to spread the infection and prevent complications.
• You can warm his feet in warm water with mustard or essential oils (in the absence of allergies and fever), and inhale with salt or oils.
• Make sure that the air in the apartment is not very dry, and often moisten the nasal passages with saline solutions, clearing the nose of mucus.
• And, of course, offer your child plenty of fluids (water with lemon, herbal infusions and berry fruit drinks).
• Give your body the opportunity to cope with the disease on its own. With a mild viral infection, these measures are sometimes sufficient.

It is better to clean your nose with disposable paper tissues, “throwing out” viruses and bacteria with them.

Moreover, there is no need to be particularly zealous, trumpeting loudly, as parents usually demand from their children. In addition, doctors advise clearing the nasal passages of mucus one at a time: first one nostril, then the other.

If the disease continues to advance, you can start using drops, but strictly following the instructions of specialists (pediatrician, otolaryngologist, allergist). If suddenly you do not have the opportunity to consult or the specified drug is not available, in an emergency you can find a similar one, knowing the main similarities between them.

Vasoconstrictor drops

This is the largest group of remedies for the common cold (drops, sprays). Their main purpose is to reduce swelling of the mucous membrane, narrowing the blood vessels, to make breathing easier.

Vasoconstrictor drops are divided into 4 types (based on active substance):

• based on naphazoline (Naphthyzin, Sanorin), duration of action – up to 6 hours.

Yaroslav Kholin: “Naphthyzin is not recommended for use in young children, as there have been episodes of suppression of the activity of the central nervous system.”

• based on xylometazoline (Xymelin, Xylen, Dlyanos, Rinonorm, Galazolin, Tizin), duration of action – up to 4 hours.

Yaroslav Kholin: “In my opinion, this is the most adequate drug of all the options. As a rule, they are used for children from 2 years old. The pediatric dosage is 0.05%. Until the age of two, strictly as prescribed by the doctor.”

• based on oxymetazoline (Nazivin, Nazol), duration of action – up to 12 hours.

Yaroslav Kholin: “Oxymetazoline is similar to xylometazoline and is in no way inferior to it. Each age has its own forms and dosage. Babies under one year of age are prescribed medications in the form of drops; older children can be sprayed with sprays.”

Oxymetazoline is presented in 3 dosages:

– 0.01% – for infants – 0.025% – from one year to 6 years

– 0.05% – after 6 years

• based on phenylephrine (Nazol Baby, Nazol Kids), it is not recommended to use it for more than 3-4 days. Not the most effective of these groups.

Olga Sergeevna Polacheva, pharmacist at the Evalar pharmacy:

“You can only buy nasal drops for treatment at a pharmacy with a prescription. Without a doctor's prescription, you can mainly buy only saline solutions, antiseptic and vasoconstrictor drops. When purchasing, pay attention to age restrictions, expiration dates and contraindications.

The cost of children's vasoconstrictors is up to 200 rubles. Salts, consisting of natural ingredients, will cost you an average of 350 rubles. The price depends on the form of release, age gradation and manufacturer.

In order not to doubt the reliability and quality of the product, always purchase drops only in pharmacies where they have the appropriate certificate.”

• “Tizin Xylo” (Germany, France, USA) – from 100 rubles
• “Galazolin” (Poland) – from 35 rubles
• “Xymelin (Germany) – from 85 rubles
• “ForNos” (Switzerland, India) – from 75 rubles
• “Sanorin” (Czech Republic, Israel) – from 80 rubles
• “Nazivin” (Austria, Germany) – from 120 rubles

Saline solutions (softening, rinsing)

• physiological (Aqua Maris, Aqualor, Salin): for moisturizing and washing away (removing) nasal mucous deposits.
• hypertonic (Quix, Aqua Maris Strong, Aqualor Forte, Dolphin), they have a higher concentration of salts: to cleanse the walls of the nose with viscous discharge and relieve swelling of the mucous membrane.

Five facts about children's cough

Irrigation of the nose with saline solutions is recommended not only for the treatment of a runny nose, but also for the hygiene of the nasal passages. By washing away all harmful substances (viruses, bacteria, allergens) and mucus, they intensively moisturize the mucous membrane.

This is especially important with long-term use of vasoconstrictor drops, which dry it out.

Therefore, doctors recommend resorting to saline solutions before using medicinal drops, as well as as a prevention of colds and allergic diseases.

The main advantage of salt drops is that they can be used even for infants. Their natural composition (sea salt) does not pose any risk of side effects or addiction.

Thinning drops (Rinofluimucil, Fluditec, Sinuforte)

They are used to ensure that viscous and thick mucus, which makes breathing difficult, is better released from the nasal cavity, speeding up recovery.

Antiviral drops, or immunomodulators (Derinat, Grippferon, Poludan)

Antiviral drops are designed to strengthen the immune system by producing antibodies against infection.

Antibacterial agents (Isofra, Polydexa)

Antibacterial drops with added antibiotic. They are prescribed, as a rule, for prolonged infectious rhinitis, when “green” snot is observed.

By the way, in the spring of 2020, Roszdravnadzor, following the European Coordination Group on the Mutual Recognition and Decentralized Procedure (CMDh), decided to withdraw from sale the Bioparox spray, which was previously used as an antibacterial agent in the treatment of upper respiratory tract infections. According to the Pharmacovigilance Risk Assessment Committee (PRAC), fusafungin, the active ingredient in Bioparox, can cause allergic reactions with serious consequences. Moreover, the termination of registration certificates was supported by the company itself (France).

Antiseptic drops (Protargol (Sialor) – with silver, Miramistin)

Antiseptics can dry out the mucous membrane, so additional hydration is necessary.

Antiallergic (antihistamine) drops

• non-steroidal (non-hormonal): Cromohexal, Allergodil.
• steroid (hormonal): Avamis, Nasonex, Flixonase, Beconase, Nasobek, Aldecin.

Psychosomatic symptom: why is a child sick?

Natalya Nikolaevna Antropova, pediatrician:

“The effectiveness of non-hormonal drugs is low. Hormonal drops can help better, but, again, only a doctor should prescribe them, since they cannot be used for infectious rhinitis. Using it for other purposes can only worsen the condition by increasing the number of bacteria on the nasal mucosa. They are usually prescribed to children from 2 years of age.

Antihistamine drops, as a rule, are combined - they can have both antiallergic properties and vasoconstrictor, relieving swelling in allergic rhinitis.

It is very important to choose the right nasal drops. If you use antibacterial drops for allergic rhinitis, you can further aggravate the course of the disease. An allergy to pollen, for example, may be accompanied by an allergy to the components of these drops themselves.”

Complex (combined) drops

• Vibrocil (vasoconstrictor + antihistamine),
• Snoop (saline + vasoconstrictor),
• Polydexa (antibacterial + vasoconstrictor + anti-inflammatory).

These drugs are designed not only to relieve the symptoms of a runny nose, but also to cure it, which is why they are recognized by experts as the most effective. But with uncontrolled use, the effectiveness of the drugs decreases. Only a doctor can tell you when you need to take them into service and when not.

Oil-based drops (Pinosol, Kameton, Nazol-advance)

Most often they contain mint, pine and eucalyptus oils. These components are designed to restore the barrier properties of the nasal mucosa during dryness without injuring it. Their effect is based on antiseptic and anti-inflammatory effects. Provided that the child is not allergic to plant extracts. They can help with swelling, but are useless with purulent discharge.

Homeopathic drops (Rinitol Edas-131, Cinnabsin, Euphorbium-Compositum, Sinupret)

Having antiviral properties, they promote lymphatic drainage and relieve swelling, and also strengthen the immune system. The natural components in their composition provide additional assistance in the fight against viruses. But, according to doctors, it is unknown how they will affect a particular person. Therefore, treatment may be delayed.

Natalya Nikolaevna Antropova:

“Of the dummy drugs, I would like to mention Euphorbium-Compositum. You can just as easily splash water into your nose. There will be a result, of course, but no more than the effect of irrigation with water, since allergens, viruses and bacteria can still be washed off in this way.”

• First, using a saline solution, moisten and soften the dried mucus in the nose - crusts.
• Then we clear the nasal passages. For small children who do not yet know how to blow their nose, we use a rubber bulb or aspirator.
• Place 1-2 drops in each nostril, tilting the child's head slightly to one side. We drip into the nostril opposite to the tilt. You can lay the baby down, but you don’t need to throw your head back. Usually prescribed 2-3 times a day.
• Vasoconstrictors, which relieve swelling, can be used before bedtime so that the child’s nose can breathe and congestion does not prevent him from sleeping peacefully.

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Source: https://letidor.ru/zdorove/ne-navredi-chem-kapli-dlya-nosa-opasny-dlya-rebenka.htm?full

» Miscellaneous » Why children under one year old should not have nasal spray

Young children have a runny nose quite often due to insufficiently strong immunity. Treatment of a runny nose in a child is always complicated by the fact that not all medications are suitable for a child’s body.

The younger the child is, the narrower the range of drugs that can be used. Children under 6 years old need to buy sprays and drops with a special indication “children’s”.

Nasal spray for children is prescribed by a doctor depending on the cause of a runny nose.

A runny nose is not an independent disease; it is one of the symptoms of any disease. Most often, children have a runny nose due to a viral infection, allergies, or the body’s physiological reaction to dust and dry air. Treatment of a runny nose should begin with determining its causes and contacting a pediatrician.

How to choose a children's spray for a runny nose, types and use, and dosage should be determined by a doctor. Side effects when treating a child are more pronounced, so it is not advisable to do home treatment without consulting a pediatrician.

It is worth remembering that sprays most often do not cure a runny nose, they alleviate the child’s condition, relieve symptoms, some help cleanse the mucous membrane, but they cannot always eliminate the cause of the disease.

Sprays for a runny nose are prescribed to a child in the following cases:

• Rhinitis. Rhinitis in a child is most often of a viral nature. In this case, the child produces mucus from the nose, irritation appears on the skin near the nostrils, and severe swelling may occur. Drops and sprays in this case are used to relieve swelling, rinse and moisturize the mucous membrane.
• Allergic rhinitis. Allergic rhinitis differs from viral rhinitis in the absence of other cold symptoms. The child does not have a cough with sputum or fever. A runny nose worsens when exposed to an allergen. This type of rhinitis is treated primarily with antihistamines, but topical sprays are also used.
• Adenoids. With inflammation and enlargement of the tonsils, the child’s nasal breathing is disrupted, he breathes through his mouth, and experiences constant oxygen starvation. In this case, sprays help eliminate the problem only temporarily, but treatment should be aimed at relieving swelling from the tonsils.
• Sinusitis. Sinusitis occurs in children over 3 years of age and is often a complication of rhinitis. If the infection spreads further, to the mucous membranes of the facial sinuses, the swelling intensifies and headaches occur. For sinusitis, combined vasoconstrictor and cleansing local drugs are used.

Vasoconstrictor spray is a drug that can quickly relieve congestion and swelling of the nasal mucosa

Pediatricians allow children to use vasoconstrictor drugs from six months to a year. For younger children, such sprays can be used only if necessary on the recommendation of a doctor.

Sprays are more convenient to use, since they allow you to dose the drug and irrigate the entire mucous membrane of the nasal passage, but doctors do not recommend their use when treating children under one year old, as they can harm the child.

In this case, it is not the drug itself that is dangerous, but the pressure under which the spray occurs. In a small infant, such irrigation can provoke otitis media, as the mucus from the nasal passage will pass further.

These drugs contain vasoconstrictors (xylometazoline, phenylephrine or oxymetazoline), which can quickly relieve swelling.

Cold medicine for children:

• Nazol Baby. This is a drug based on phenylephrine. It can be used by children from birth. The bottle is easy to use for spraying or as a dropper. It is advisable to use the drug no more than 3 times a day, as it can be addictive. The course of treatment is no more than 3 days. The course can be extended only with the permission of the doctor.
• Nazivin for children. Nazivin spray contains oxymetazoline, which allows the nose to breathe for 12 hours. You can use the spray 2 times a day: in the morning and at night. The drug is prescribed for the treatment of rhinitis, sinusitis, and otitis in children over one year of age. For small children under one year of age, it is advisable to use the milder drug Nazivin Sensitive. The drug can be used for no more than a week.
• Snoop. Snoop contains xylometazoline, which quickly and effectively relieves swelling. The effect of the drug lasts up to 6-8 hours. The drug is intended for the treatment of children over 2 years of age. Snoop can be used for a week. If your runny nose remains after this, you should consult your doctor.
• Tizin for children. The drug is based on xylometazoline, intended for the treatment of children from 2 to 6 years old. For young children there is Tizin Xylo Bio, which not only relieves swelling, but also moisturizes the mucous membrane and protects it from irritation.

Allergic rhinitis is an allergic inflammation of the nasal mucosa

During an allergic reaction, swelling can be very severe, mucus is released profusely, and sneezing becomes more frequent. Antihistamines will help get rid of allergic manifestations, but local treatment is also prescribed.

Allergies in a child can be quite severe. To alleviate his condition, it is necessary to use 2 types of sprays: vasoconstrictor and cleansing. The first will relieve swelling, and the second will cleanse the nasal mucosa of the allergen, rinse and moisturize it, and relieve inflammation.

It is very important to identify the cause of the allergy in order to avoid contact with the allergen.

Important! If the allergen is constantly present, treatment will not bring the desired results.

• Vasoconstrictor sprays. For allergies, you can use any age-appropriate vasoconstrictor drugs, but there are also special drugs such as Tizin Alergy and Vibrocil. Tizin Alergy contains special substances that not only relieve swelling, but also have a local antihistamine effect. Vibrocil based on phenylephrine relieves swelling and inflammation. These drugs should also not be taken for a long time, so as not to cause addiction and increase swelling.
• Hormonal sprays. Hormonal drugs are intended to relieve inflammation; they are prescribed by a doctor only if necessary. They can also be used within a week. These drugs include Nasonex and Avamis. These drugs actively suppress the allergic reaction and eliminate inflammation, but have side effects and limitations in use.
• Moisturizing sprays (Aqua Maris, Aqualor, Otrivin). Any solution of sea water or even saline solution is suitable for rinsing the nose. The main thing is to remove particles of irritating substances from the nasal mucosa. You can rinse your child’s nose up to 5 times a day. However, it is worth remembering that a small child under one year old should not rinse his nose under pressure. All products are used as drops. An infant's head should be held while washing.

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Moisturizing nasal sprays are a safe remedy for the treatment and prevention of runny nose in children.

Moisturizing sprays do not have an immediate effect. They do not relieve swelling, but help to avoid complications and significantly shorten the course of the disease.

These preparations most often contain sea water, which washes the nasal mucosa from mucus, bacteria and viruses, cleans it, moisturizes it, prevents the appearance of crusts, does not allow infection to penetrate further, and also relieves inflammation.

It is advisable to use moisturizing sprays not simultaneously with other local products, so as not to weaken their effect.

The best sprays for children:

• Otrivin. The drug Otrivin Baby is available in the form of drops and spray. It can be used from the first day of a child's life. This is a safe saline solution that effectively rinses the nose, moisturizes the mucous membrane, and helps relieve inflammation. You can use the drug up to 5 times a day. Otrivin is also great for prevention and daily rinsing of a child's nose.
• Aqua Maris. Aqua Maris is available in the form of drops for children under 3 years of age and in the form of a spray for older children. This is a preparation based on sea water. It helps to rinse the child's nose of mucus, eliminate dryness and irritation. Great for daily nasal rinsing for newborn babies. The drug is safe for children of all ages.
• Aqualor Baby. The drug is available in the form of drops and spray. The composition of the drug also includes sea water. Aqualor Baby perfectly rinses all parts of the nose, helps eliminate inflammation, and clears the child’s nose of mucus and crusts.

These drugs can be used to rinse the nose before using other topical medications. After rinsing the nose from mucus, they will be better absorbed.

Some mothers prefer to replace store-bought sprays with a solution of soda or sea salt, as well as saline solution. These products are also effective, but it should be remembered that pharmaceutical preparations are sterile, the dropper does not become clogged and does not require cleaning, whereas when using home pipettes they should be constantly disinfected.

Combined sprays, as a rule, contain several active substances that act in several directions at once: relieve swelling, eliminate inflammation, and have an antibacterial or antiviral effect.

Such drugs are prescribed only by a doctor. The dosage must be observed to avoid side effects.

The most effective drugs for the common cold:

• Vibrocil. Vibrocil contains phenylephrine, which helps eliminate swelling and also relieve inflammation. This drug is prescribed for allergic and viral rhinitis, and for bacterial infections. It has anti-edematous, anti-inflammatory and antihistamine effects. However, the vasoconstrictor effect is not as pronounced. The drug is prescribed to children from one year of age. Before using the drug, it is recommended to clean the child’s nose, then tilt his head back, drop 1 drop into each nostril. The drug has virtually no side effects.
• Rinofluimucil. This drug has a mucolytic effect, removes mucus from the nose, makes it easier to blow your nose, and also relieves swelling from the nasal mucosa and reduces inflammation. Rinofluimucil is prescribed for rhinitis, sinusitis, and thick purulent nasal discharge. The drug is prescribed to children under 3 years of age with caution. You can use the drug up to 4 times a day for no more than a week. Children may experience an allergic reaction.
• Polydexa. An effective drug containing antibiotics and hormones. It is prescribed for purulent nasal discharge. Polydexa has antibacterial, anti-inflammatory, and also a mild vasoconstrictor effect due to phenylephrine. The drug can be used to treat children over 2.5 years of age.

Source: https://ludmilatumanova.ru/raznoe/pochemu-detyam-do-goda-nelzya-sprej-v-nos.html

Pros of using cough sprays

The main positive side of using aerosols is the penetration of microscopic particles of the active substance directly into the site of inflammation . The result is rapid relief from coughing attacks and improved well-being.

Other advantages of using antitussive sprays include:

1. No negative effects on the stomach.
2. The ability to penetrate various parts of the respiratory organs, including hard-to-reach ones.
3. Economical consumption of active substance.
4. Minimum side effects.

In addition, such products are compact, which allows you to always keep them with you.

Indications for use

Indications for the use of cough sprays are the following respiratory diseases:

• bronchitis (acute, chronic, tracheobronchitis, etc.);
• emphysema;
• chronic obstructive pulmonary disease;
• bronchial asthma.

Thanks to the use of antitussive aerosols, muscles quickly relax and the lumen between the bronchi expands. As a result, improvement occurs within a matter of minutes after the medicine enters the body.

Cough sprays for adults

The list below includes the names of the most effective sprays prescribed to adults:

1. Hexoral.
2. Chlorophyllipt.
3. Tantum Verde.
4. Bioparox.
5. Cameton.
6. Lugol.
7. Shunam.
8. Miramistin.

Hexoral

Hexoral contains the active component hexethidine. This product has a pronounced local effect in the development of dry cough. In the process of using this product, the intensity and frequency of attacks decreases, and pain in the chest decreases. According to the instructions for use, the medicine is sprayed in the mouth twice a day - in the morning and evening. The duration of therapy is determined by a specialist individually. On average, it can range from 5 to 7 days.

Chlorophyllipt

Irrigations with Chlorophyllipt, containing eucalyptus extract, are often an important element in the complex therapy of dry, unproductive cough that occurs with the release of viscous sputum. The spray is irrigated into the oropharynx, holding your breath while spraying. The process is repeated 3-4 times a day, in a 3-7-day course.

Tantum Verde

Tantum Verde contains benzydamine hydrochloride as an active component. This cough and sore throat spray should be used after meals. Adults, patients over 12 years of age and elderly patients are recommended to use the drug 2-6 times a day (from 4 to 8 injections per 1 session). The duration of treatment should not exceed 7 days.

Bioparox

Bioparox is a French medicine containing fusafungine. This cough aerosol demonstrates high effectiveness in the treatment of respiratory diseases caused by bacterial or fungal infections. However, if viruses penetrate the body, the drug does not cause the necessary therapeutic effect.

The use of Bioparox provides:

• removal of inflammatory processes;
• eliminating pain and sore throat;
• reducing the intensity of coughing attacks;
• decreased permeability of the vascular wall;
• slowing down the formation of edema.

This product exhibits the greatest activity at the early stage of development of dry cough. In case of a runny nose, the drug is sprayed into the oral and nasal cavities. Procedures are carried out up to 4 times every 24 hours, for 7-10 days.

Kameton

Cameton contains a complex of active substances:

• chlorobutanol hehydrate;
• racemic camphor;
• eucalyptus leaf oil;
• levomenthol.

The medication is used in the development of acute inflammatory diseases of the respiratory system. Similar to Bioparox, this aerosol for dry cough can be sprayed both in the nasal cavity and in the mouth. During the day, you need to apply the medicine no more than 4 times (2-3 sprays per session).

Lugol

The active ingredient of Lugol is molecular iodine, due to which this product exhibits a pronounced effect against fungi, representatives of gram-positive and gram-negative pathogenic microflora. The drug is sprayed up to 6 times a day. The duration of use should be agreed with your doctor. Using the medication for too long is not recommended, as it can lead to suppression of thyroid function.

Shunam

Shunam is a preparation for adults made from a combination of various herbal extracts and aromatic oils. The product eliminates inflammatory processes well and facilitates coughing in case of unproductive and wet syndrome . In addition to bronchitis or pneumonia, Shunam can be used in patients with bronchial asthma.

The product is sprayed in the mouth up to 5 times a day. The maximum duration of treatment with this drug is 3 weeks.

Miramistin

Benzyldimethyl chloride monohydrate is used as the active ingredient of Miramistin spray. This component allows you to effectively fight diseases of the respiratory system caused by streptococci, staphylococci, yeast-like fungi, E. coli, herpes virus and others. To treat a cough, the spray is sprayed three to four times a day. Depending on the intensity of the pathological process, 2-4 presses are performed in one procedure. The course of therapy takes on average 7-10 days.

After using cough sprays, it is recommended to refrain from eating or drinking for 15-30 minutes. This is necessary for the full therapeutic effect of medications.

Types of sprays

There are several types of products that are produced in the form of sprays and aerosols. Each of them has contraindications and indications for use. Not all of them are used for children. Each aerosol has a recommended frequency of use and an acceptable number of injections, as indicated in the attached instructions.

Medicines for the throat, which are produced in the form of sprays, are:

• antiseptic - the active substances in the composition destroy bacteria and also have an effect on fungi and individual viruses,
• containing antibiotics - their action is mainly aimed at suppressing bacteria,
• antiviral - most often they stop the mechanism of virus reproduction.

There are also aerosols that relieve inflammation. They block the further formation of various substances that cause inflammation in the body.

Homeopathic sprays are made on the basis of herbs, with the addition of trace elements and a small concentration of metal salts. Such sprays are prepared individually for the patient, after examination by a doctor. But individual aerosols can be purchased at the pharmacy. Cleansing and moisturizing aerosols are produced on the basis of sea water or using herbal extracts, which promote the accumulation of fluid among the cells of the pharyngeal mucosa. This will eliminate dryness and itching.

There are a large number of products that have a complex effect. They contain several active ingredients. You can choose a spray for pain in the throat for a child, which will simultaneously cleanse the oral mucosa and soothe it. And also heal damaged tissues and fight bacteria and relieve pain.

Such multi-component throat remedies are quite effective, however, they have many contraindications and restrictions based on the age of the child.

What aerosols are prescribed for children

Among the cough sprays that are the safest in childhood, the following should be highlighted:

1. Inhalipt.
2. Orasept.

Ingalipt

Inhalipt spray contains eucalyptus plant extract. This medicine is used to treat children over 3 years of age. At the same time, a small patient should not have hypersensitivity to the components of this drug - streptocide, eucalyptus oil, thymol and others.

Cough inhalipt is used for 5-7 days, having previously agreed on its use with a pediatrician. The aerosol is sprayed into the baby's mouth 3-4 times a day, pressing the nozzle for 1-2 seconds. After injecting the medicine, the child should hold it in his mouth for 5-7 minutes.

Orasept

Oracept contains the active substance phenol. Irrigation with this spray when coughing can be carried out starting from 2 years. The drug is used according to the following scheme:

• children 2-12 years old – three times a day (every 4 hours);
• patients over 12 years old - 5 times during the day (at 4-hour intervals).

The duration of the treatment course is determined by the doctor. On average it can be 5 days.

Ingalipt and Orasept can be used not only to treat children. These drugs are among the few cough aerosols approved during pregnancy.