After the infectious acute diseases that occurred in the upper respiratory tract, flu, scarlet fever, measles, inflammation of the sinuses often occurs, which is called sinusitis. The treatment of this disease is carried out comprehensively. Medicines for sinusitis are prescribed by the doctor. Medicines have both systemic and local effects. Sinusitis, an inflammation of the maxillary sinuses, is also treated with similar methods .
The cure for sinusitis and sinusitis
In the initial stages, both tablets and nasal sprays are used in the treatment of sinusitis and sinusitis. They can be purchased without a prescription at any pharmacy. These funds help relieve the main symptoms of the disease. But they do not cure the causes. You can use the medicine for sinusitis and sinusitis yourself for no more than three days. With prolonged use, the medicine may lose its effectiveness and cause an exacerbation of the disease. If after three days the runny nose does not go away, then you need to choose other medicines for sinusitis.
In the treatment of sinusitis, the doctor prescribes antihistamines. The medicine can block the synthesis of histamine, which helps eliminate swelling and reduce nasal discharge. But this only works if sinusitis is allergic in nature.
From patient reviews, it follows that antihistamines should be used with extreme caution, without violating the dosage. When interacting with other agents, they are able to reduce the concentration of attention, as well as the speed of the reaction.
An effective remedy for sinusitis are sprays or vasoconstrictor drops. The main active ingredients here are pseudoephedrine and phenylephrine. They tend to act on the capillaries and blood vessels that line the sinuses. Drugs can affect blood pressure, so those who suffer from hypertension must always consult a doctor before using them. He will adjust the dosage or advise an alternative.
Antibiotic Sinusitis Treatment
If the disease is delayed, the doctor prescribes antibiotic treatment. Before this, a study of the discharge is necessarily carried out, the severity of the disease is assessed. Medications for sinusitis in adults have a different spectrum of action.
With a mild degree of the disease, the use of antibiotics is not required. If a viral infection caused a runny nose, then antibacterial drugs will be useless. If a runny nose lasts more than ten days, then most likely a bacterial infection has joined, antibiotic therapy is prescribed.
If the disease is moderate, the doctor prescribes Amoxicillin or Amoxicillin-clavulanate. If you compare these two drugs, then in recent years, the latter is increasingly preferred. Due to the content of clavulanic acid, its action is more effective. As an alternative, macrolides, cephalosporins, fluoroquinolones and tetracyclines are used.
In severe cases, an inhibitor-protective penicillin is administered parenterally - this may be Ampicillin-Sulbactam, Amoxicillin-Clavulanate. Cephalosporin of the 2nd and 3rd generation is also used - these are Cefotaxime, Cefuroxime, Cefoperazone. If there is an individual intolerance, then beta-lactams - "Chloramphenicol" or "Ciprofloxacin" are prescribed.
The treatment regimen, the full course is prescribed by the attending doctor.
Inhalation
In the complex treatment of sinusitis and sinusitis, inhalations are widely used. This method alone is not able to cope with the disease. Inhalation helps to eliminate only local symptoms of the disease, it does not eliminate the focus of infection. There is a high risk of the disease becoming chronic, therefore, medicines for sinusitis should be used both topically and comprehensively.
For inhalations, infusions or decoctions of medicinal plants are most often used. If we consider the reviews of patients, then we can judge that the most effective are eucalyptus, chamomile, sage, thyme, St. John's wort. They have bactericidal properties, have mucolytic and anti-inflammatory effects. Herbs are used both individually and in collections.
If the patient does not suffer from allergies, then for inhalation you can take essential oils and propolis. Inhalation of vapors with sinusitis has a general strengthening and bactericidal effect on the body.
You should be aware that large accumulations in the nasal passages of mucus prevent the entry of healing fumes. If the nose is badly blocked, drops or vasoconstrictive tablets must be used before the procedure.
Contraindications for inhalation
It is worth considering the contraindications that exist for inhalation:
For inhalations at home, a nebulizer is used. In it, the medicinal fluid turns into steam. In the nebulizer, you can fill the capsules with the drug, decoctions of herbs. Essential oils cannot be used in this device. If inhalation is carried out in a hospital, it should be remembered that after the procedure it is undesirable to go out into the open air for an hour. If inhalation is indicated for sinusitis with a nebulizer, with what medicine they should be administered, the doctor will recommend.
If we compare drugs for inhalation, then according to patients' reviews, we can judge that the most popular drugs in capsules. Ease of use and a correctly calculated dosage lead to effective results.
Proper inhalation
In order for inhalation to bring maximum benefits, it is worth sticking to the following recommendations:
Before the procedure, clean the sinuses well.
Inhale is done through the mouth, exhale through the nose.
Inhalation of medicinal vapor should be done carefully so as not to harm the mucous membranes.
The procedure is performed twice: morning and evening.
The course lasts from 7 to 10 days on average.
With sinusitis, inhalation should not be done without the advice of a doctor. The doctor will determine if there are any contraindications to the procedure, prescribe the right medication.
Sinusitis: inhalation with a nebulizer (medication)
When inhaled by a nebulizer, the medicine, splitting to the smallest particles, can get into the farthest sections. Various drugs are used. We list the most popular medications for sinusitis according to patient reviews:
Combined:
"Tonsilong N" - anti-inflammatory and antimicrobial properties.
"Rinofluimucil" is a vasoconstrictor and secretolytic property. Accelerates the restoration of mucous membranes.
"Polydex" - in comparison with the listed drugs contains a hormonal part (dexamethasone), as well as two antibiotics. It has anti-inflammatory, antibacterial and vasoconstrictive effects.
Topical antibiotics:
Gentamicin.
"Bioparox".
"Isofra.
"Tobramycin".
"Streptomycin".
"Dioxidine".
Immunostimulants:
Instructions for
Before inhalation with a nebulizer, pour 2 ml of solvent. After that, take the medicine for sinusitis and add as many drops as the doctor recommended. Do not use distilled water as a solvent, it can cause coughing attacks. It is better to take saline (saline) and warm it to 18-19 degrees.
The procedure can be performed two hours after any physical activity. Before the procedure, it is forbidden to smoke and drink alcohol. If expectorants have been prescribed, their use must be discontinued. During the procedure you need to breathe slowly and evenly.
Drug treatment
What drugs to treat sinusitis in combination therapy? Drugs have different effects here. And how patients respond, complex therapy, in comparison with local exposure, is much more effective in combating the disease.
Mucolytic drugs thin the clots in the maxillary sinuses and stimulate the passage of mucus.
Antimicrobial agents actively fight against pathogenic microorganisms.
Corticosteroids are used in severe cases of the disease when other drugs do not help.
Anti-histamine drugs relieve swelling, itching, and other symptoms of an allergic nature.
Moisturizers can prevent dust and other impurities from the sinuses for preventive purposes.
Preparations
Mucolytic drugs for the treatment of sinusitis:
Fluditec.
Mukodin.
Fluimucil.
Preparations are available in the form of a suspension or sweet syrup for children. For adults in the form of capsules, tablets, effervescent soluble tablets. The dosage should be calculated taking into account the age and weight of the patient.
The complex drug Sinupret, which has received many positive reviews, has a complex effect, including mucolytic. It relieves pain, fever and inflammation. It is based on plant components.
Treatment with antihistamines should be carried out under the supervision of a doctor. The drugs effectively remove allergy symptoms, but thicken the mucus and dry the mucous membranes.
Medicines against sinusitis - corticosteroids - are effective in the most severe forms. To relieve side effects, hormonal drugs in the form of nasal sprays are used. Common are funds that contain beclomethasone.
Many patients, inspired by advertising, are actively used in the treatment of sinusitis "Nazonex". But it is worth noting that, in comparison with other drugs, this tool helps only with a runny nose, which is allergic in nature. If the disease is bacteriological, then "Nazonex" only temporarily eliminates the symptoms.
Complex treatment
Modern pharmaceuticals are many remedies for the treatment of the common cold. Given the course of the disease, its degree of complexity, only a doctor can correctly prescribe a cure for rhinitis and sinusitis. In the treatment can be used as one or a number of drugs.
Vasoconstrictor drugs. The most popular and necessary drugs. Quickly eliminate congestion, restore patency and provide mucus outflow. Such remedies do not eliminate the cause of the disease, but only bring temporary relief. It is not recommended to use ointments, sprays, drops for a long time. It is possible to use within 3-5 days 2-3 times a day. After this, a break is needed.
Anti-inflammatory drugs of systemic or local action. Eliminate the symptoms of inflammation of the sinuses and larynx. These include antihistamines , corticosteroids, antibiotics. The simultaneous use of anti-inflammatory drugs from different groups is not recommended. In each case, the doctor chooses which medicine is best to use.
Secretomotor and mucolytic drugs are combined. Under the influence of these drugs, the activity of the ciliated epithelium increases. This helps to clear the nasal passages of accumulated mucus.
Antibiotics are not used if sinusitis, sinusitis is not purulent. In this case, while benefiting the condition of the nasal passages, antibiotics can harm other organs, so use drugs with extreme caution.
Drops
A special word should be said about drops, since with sinusitis, sinusitis, it is in this form that drugs are used most often. In comparison with tablets, drops have many advantages. Act locally and bring a sense of relief quite quickly. A minimum of active components enters the bloodstream. Side effects are extremely rare.
But the main point is that addiction to vasoconstrictive drops occurs very quickly, after 3-5 days. Therefore, along with drops, it is necessary to use drugs of a longer, albeit slow effect. A doctor prescribes a course of treatment.
The most common drops: "Naphthyzine", "Nazivin", "Sanorin", "Galazolin".