What is the drug
Sofradex is presented on the market in the form of a colorless liquid and sediment with a characteristic odor of ethyl alcohol. This is a combined antiseptic and decongestant with a strong bactericidal effect. In this regard, independent use of the drug without the prescription of a specialist is excluded, especially in pediatric therapy.
Sofradex medicinal drops contain three active pharmacological substances:
- Dexamethasone. Hormone - corticosteroid has an antiseptic, antipruritic and antiallergic effect.
- Framycetin. The antibacterial component is active against pathoflora: staphylococci, streptococci, Pseudomonas aeruginosa and Escherichia coli.
- Gramicidin. A local bactericidal and bacteriostatic substance complements the effect of framycetin. The antibiotic has a destructive effect on the membranes of meningococci, streptococci, gonococci, as well as anaerobic bacteria, and promotes their rapid elimination from the body.
Therapeutic effect and action of the drug
The therapeutic effect of using Sofradex for adenoids in children is achieved thanks to the hormone dexamethasone. The corticosteroid actively affects the inflamed tissue of the pharyngeal tonsil, inhibiting the growth of pathogenic bacteria and effectively relieving allergy symptoms.
Conservative treatment of hypertrophied adenoids with Sofradex is aimed at:
- restoration of cells of damaged nasopharyngeal mucosa;
- providing a local antiseptic effect;
- disinfection and disinfection of tissues of the mucous membrane of the nasopharynx;
- inhibiting the growth of pathomicroflora, which is the main cause of adenoiditis;
- Relieving swelling and facilitating nasal breathing;
- elimination of pain and burning sensation in the area of inflammation.
The positive properties of the drug are also based on the slow development of addiction of pathomicroflora to its components, due to which the therapeutic effect of Sofradex is enhanced.
How to use?
The attending doctor will answer the question of how to use this medicine and prescribe the required dosage and form of release of the drug. Derinat is positioned as a drug used from birth, which indicates the safety of the drug. For preventive treatment of ARVI diseases, use 2 drops 3 times a day.
If the child is already sick, then 3 drops are prescribed every 2 hours on the first day of the disease, and then you need to move on to a preventive dosage. In cases where there is swelling of the nasal mucosa, which is a common sign of the presence of adenoids in children, the medication is prescribed a few drops 5 times a day, and the duration of therapy is about 14 days.
For inflammatory processes in the nasopharynx, Derinat is used as an antimicrobial agent in the form of a mouth rinse. According to research, an overdose of the drug is practically excluded, and during pregnancy and breastfeeding, the use of Derinat is not prohibited. But before use, it is still better to consult with your doctor.
Operating principle
Since this drug has an immunomodulatory effect, the effect occurs only on the cellular structures of the immune system. Due to this, the protective functions of the body are strengthened. The effectiveness of the action is also due to the effect on B-lymphocytes.
This leads to the defeat of harmful bacteria and rapid improvement of the microflora of the nasal cavity. Derinat for adenoids in children, reviews of which are positive, has the following effects:
- relieving the inflammatory process;
- elimination of swelling of the mucous membrane;
- elimination of allergens;
- restoration of damaged mucous membrane;
- enhances cell protective factor.
According to a survey of women experiencing childhood pathology of the nasopharyngeal tonsils, the drug not only copes well with the disease, but also strengthens the immune system. After using the medicine, children are less likely to get colds.
Features of treatment of adenoids
The drug is prescribed as nasal drops for children from birth. When treating adenoids, the medicine must be dripped as deeply as possible so that Derinat gets to the right place. Due to the presence of various beneficial properties of Derinat, the disease is treated and the mucous membrane is restored.
Before using the medicine in the form of drops, you need to thoroughly clean the child’s nasal passage. To do this, you need to use a saline solution or a cotton wool turunda. The drug is used only in the treatment of the initial stage of the disease.
Treatment regimen for adenoids
Instillation into the nose
Before using Sofradex, like any other medicinal nasal drops, the child’s nose is freed of mucus and secretions. To do this, children are injected with a few drops of an isotonic sodium chloride solution, which, along with mucus, is removed with an aspirator. Older children can rinse their nose with a weak solution of sea salt on their own.
In order to reduce adenoid genesis, drops are introduced into the nose so that they flow directly onto the pharyngeal tonsil and nasopharynx. To do this, the child must lie flat and tilt his head back. 3 drops of the drug should be administered into each nasal passage.
To reduce inflammation and suppress the growth of lymphoid tissue of the adenoids, Sofradex drops are recommended to be used at least 3 times a day. The duration of therapy averages 5-7 days and is based on the severity of the disease and the age of the child.
Inhalations
At home, using Sofradex drops for inhalation is only permissible if you have a nebulizer. To do this, you need to dilute the drug with distilled water or saline in a ratio of 1:4. It is important that the child breathes the vapors of the medicinal solution using a nasal nozzle, so that the active substances are deposited as much as possible on the mucous membrane of the pharyngeal tonsil.
Already after the first procedures, there is a noticeable decrease in congestion, restoration of breathing through the nose and an improvement in the general condition of the child.
More details about inhalation treatment in the review Inhalations in the treatment of adenoids in children
It is important to know that the active ingredients of the drug lose their medicinal properties over time, so Sofradex can be used for no more than 1 month after opening the bottle.
Diagnosis and treatment of adenoids in children. Adenoids in children: symptoms and treatment.
02/10/2018 admin 0 Comments
The longer a pediatric otolaryngologist works in the field of specialization - treatment of adenoiditis, adenoid growth of the nasopharyngeal glands in children, the more convinced he becomes of the effectiveness of, namely, schematic treatment projects. Because, based on the unmistakably diagnosed pathogenesis in the nasal cavities and throat of the child, the treatment regimen for adenoids demonstrates stable, improving performance.
Let's start in order, and the description of treatment regimens for well-known medications opens.
Injections are made 2 times (50 mcg) into each nostril. A continuous course of treatment, after which you can be sure of the positive dynamics of the effect, no earlier than after 7 - 10 days.
Contraindications and side effects of the drug
Contraindications to the use of any form of Sofradex may be the presence of the following factors in patients:
- hypersensitivity to drug substances;
- after surgical interventions: dexamethasone has an immunosuppressive effect, which slows down the wound healing process, and the use of gramicidin on an open wound causes severe pain;
- fungal and viral processes of mucous membranes and skin: the antibiotics of the drug are active only against bacteria, and the hormone reduces local immunity. These factors lead to increased activity of fungi and viruses;
- for glaucoma and herpetic keratitis (corneal ulcer);
- if the cornea or the membrane of the eye (sclera) is thinned, the use of the drug may cause perforation;
- perforated eardrum (with a violation of integrity): penetration of the drug through the lumen in the eardrum into the middle ear can cause an ototoxic effect;
- during pregnancy and lactation;
- babies.
For young children and patients with systemic diseases of the body (lupus erythematosus, rheumatoid arthritis, Wegener's disease), Sofradex is prescribed with caution. Therapy for older children is recommended to be carried out under the strict supervision of a doctor in order to avoid disturbances in the functioning of the adrenal glands.
During the period of use of the drug, patients may complain of burning, itching, pain, and distortion of visual perception. In these cases, there is no need to stop taking the drug; these sensations go away on their own after 15-20 minutes.
It should be noted that prolonged use of Sofradex for more than 10 days, in some cases, entails an increase in eye pressure, the development of glaucoma and visual impairment, the occurrence of cataracts, thinning of the cornea and membrane of the eye, and decreased hearing. As a result of the action of dexamethasone, local immunity is suppressed and fungal infectious diseases and repeated inflammatory processes can develop.
Treatment of adenoids and adenoiditis with a nebulizer
Treatment of adenoid and adenoiditis with a nebulizer is carried out in order to relieve symptoms, and although the drugs rarely lead to a complete reduction of hypertrophied tissue, they successfully fight inflammatory processes. For effective treatment, the following simple rules should be followed:
- Adhere to contraindications for use, including folk remedies.
- Do not use frequent inhalations with drugs of different mechanisms.
- If allergic reactions develop, change the active ingredient if the severity is mild, abandon the procedure if the severity is severe.
- Do not drink or eat for an hour after inhalation.
- Monitor the child's reaction to inhalation.
- The average duration of the procedure is 5-10 minutes.
- Do not increase the duration of the course on your own, especially with steroids.
- Do not use the drug without consulting a doctor.
- Treat with nebulizer.
- The inhalation device should only be used individually.
By following these simple rules, you can avoid all unwanted reactions. Additionally, you can use other medicinal groups for oral administration: tablets, dragees and syrups.
Interaction with other drugs
If the patient uses other approved drops in addition to Sofradex drops, then the break between instillation procedures should be at least 10-15 minutes.
The use of Sofradex in combination with other antibacterial drugs, such as Gentamicin, Streptomycin, Monomycin, can cause an ototoxic and nephrotoxic effect.
It is important to note that the presence of a permanent focus of inflammation in the nose with adenoids causes frequent rhinitis and otitis of various origins, and also reduces the effectiveness of the drug Sofradex. A complete cure for adenoiditis is facilitated by a number of therapeutic and preventive measures, including complex therapy with antibacterial and antihistamine drugs, folk remedies, physiotherapeutic procedures, correct temperature conditions, timely vitaminization and hardening of the child’s body.
What will happen if left untreated?
If adenoids are not treated, the disease will progress. Enlarged tonsils contribute to the frequent development of infections, which means further growth of lymphoid tissue. Difficulty breathing due to obstruction of air flow will lead to insufficient ventilation and oxygen deprivation.
The child will become lethargic and apathetic, but restless and nervous. Night sleep is significantly disrupted and snoring appears. In adulthood, this disease will contribute to:
- prolonged colds;
- obstructive sleep apnea syndrome;
- malocclusion;
- chronic bronchitis;
- bronchial asthma;
- reflex urinary incontinence;
- decreased memory and attention.
Children's performance at school naturally declines, and their quality of life deteriorates significantly. The sense organs also suffer – hearing decreases over time. The most dangerous prospect is malignant neoplasms of hypertrophied lymphoid tissue.
