Colds haunt a person throughout his life. More recently, people even died from colds and complications caused by it. However, the modern pharmaceutical industry is ready to offer its consumers a wide range of drugs to combat such infections. One of such medicines is Dekasan. For inhalations (consumer reviews are mostly positive), this drug is very effective. Although this is not the only area of application of this drug.
The principle of the drug
The main active component of Dekasan is detamethoxin. This substance affects almost all gram-positive bacteria known to science and some gram-negative. The essence of this effect is the destruction of the cell membrane of "extraneous" microorganisms. Bacteria lose their ability to reproduce and gradually die. However, the drug acts selectively, i.e. does not affect the cell membranes of the human body. “Dekasan” for inhalation with a nebulizer or use in any other way is chosen because it effectively affects microorganisms that have been immune to the course of therapy prescribed by the attending physician. Intact skin and mucous membranes do not allow Dekasan to be absorbed. In the blood, any significant indicators of the concentrations of the drug are not found.
If a nebulizer (nebulizer) is used to conduct a course of therapy, then the effectiveness of treatment is significantly increased. This device converts a drug solution, you can say, into a “cloud of mist”, consisting of small particles for inhalation. The goal of such nebulizer therapy is to deliver the necessary therapeutic doses of the drug to the tissues of the respiratory organs in a short time. Microparticles of the Dekasan antibacterial agent (for inhalation, the instruction recommends that it be diluted to such a state) enter the respiratory system and cover almost all of their mucous membranes, thus cleaning it of foreign microorganisms. Doctors and patients say that this treatment is highly effective.
The scope of the drug
"Dekasan" for inhalation (with a nebulizer or in some other way) can be used with a fairly extensive list of respiratory diseases. A good therapeutic result can be achieved in the treatment of sinusitis, rhinitis, laryngitis, tonsillitis. This medication is good for the fight against tonsillitis, tracheitis and tracheobronchitis, bronchitis. The drug will also cope with such formidable respiratory problems as abscesses and cystic hypoplasia of the lungs. “Dekasan” is effective in infecting the respiratory system with streptococci and staphylococci, other microbacteria and microorganisms (campylobacter, enterobacteria, diphtheria, Pseudomonas aeruginosa, Escherichia coli , etc.).
In addition to all of the above, it is worth mentioning that the medication has a negative effect on pathogenic intracellular microorganisms (chlamydia, treponema, ureaplasma, mycoplasma, fusobacteria). Active "Dekasan" and against fungi such as candida, trichophyton, torulopsis, mold species of fungi. Negatively affects the causative agents of trichophidia, mycosporia, erythrasma and epidermophytosis.
However, it is most reasonable to use Dekasan for inhalation with a nebulizer. I must say that in addition to its main effect, the drug enhances the sensitivity of pathogenic microorganisms to antibiotics. Therefore, against the background of inhalations using Dekasan, the course of antibacterial therapy becomes more effective, and a positive result is achieved faster.
Dekasan inhalation antiseptic (nebulas for inhalation for children and adult patients) is produced by manufacturers in disposable containers of 2 ml each, 10 pieces in one package. The concentration of the main active substance is 0.02%. The solution has a wide range of effects on the human body. It has antibacterial, antiviral and fungicidal effects. In addition, it has an antispasmodic, anti-inflammatory and desensitizing effect. Dekasan can be called an indispensable component of complex therapy for various diseases of the respiratory tract in patients of various age groups.
The medication can be called a broad-spectrum antiseptic, since it is practiced for bacterial-purulent skin diseases, boils, abscesses, and infected wounds. “Dekasan” is widely used in surgical practice when performing abdominal operations (irrigation of large wound surfaces, abdominal and pleural cavities), for treating medical instruments, with inflammatory lesions of the large intestine, and for the rehabilitation of the birth canal in pregnant women (before birth).
How to dilute the drug for inhalation?
In general, before taking any action, you need to familiarize yourself with the instructions for using the drug "Dekasan". How to dilute a drug for inhalation is described in this accompanying document. If the drug is offered to consumers in capsules for a nebulizer, then the question disappears by itself: distilled water and sodium chloride are already added to the medicine, it is ready for use. If purchased Dekasan in its pure form, then to prepare the desired solution it must be diluted with saline. For the treatment of adults, the ratio of Dekasan and saline is one to one. For small patients, this ratio is one to two.
However, it is worth saying that the formula is quite approximate, because the percentage of detamethoxin concentration may differ in different packages of the drug. Therefore, the best option is when the attending physician selects the proportion for the manufacture of the inhalation solution . And in different bacteria, the susceptibility to the drug can vary greatly.
Basic treatment regimen
The basic (or standard) treatment regimen with Dekasan (for inhalation with a nebulizer) involves one to three procedures per day with a dose of 5-10 ml of the medicine once. The total maximum dose of the drug should not exceed 20 ml. The frequency of the procedure depends on the disease, its stage and severity of the patient's condition. On the first day, even one inhalation may be enough. If no visible improvement is observed or complications began to develop, intensive therapy and an increase in the number of inhalation procedures to three per day are permissible.
With the microtracheostomal route of administration of Dekasan, the drug is used twice a day, 50 ml each. When using a transnasal catheter for drug administration, the procedure is performed once a day in a dosage of up to 10 ml. By the method of tracheobronchial lavage, the drug is administered in a volume of up to 100 ml.
Overdose, possible side effects
Due to the fact that the medication does not affect the cells of the human body, is not absorbed and practically does not enter the bloodstream, the likelihood of an overdose of Dekasan is very small. From contraindications, we can only talk about individual intolerance to the main active substance and auxiliary components (if any). If any symptoms of allergic reactions have suddenly appeared during the use of the Dekasan preparation, the instructions for using inhalation recommend stopping and consult a doctor.
Most often, such symptoms may include skin itching or hives, burning, dry skin. With endobronchial administration (via a microtracheostomy or transnasal catheter), a burning sensation behind the sternum may appear. At the end of the procedure (after 20-30 minutes), the discomfort passes on its own. However, in some cases breathing difficulties may occur , which in itself is very dangerous and requires mandatory consultation with a doctor.
Contraindications for inhalation procedures
Even this seemingly harmless method of treatment has contraindications. “Dekasan” for inhalations with a nebulizer (reviews and recommendations of experts concern any drug for inhalations) can not be used at elevated body temperature (from 37.5 ° C and above). Unacceptable inhalation procedures for nosebleeds, if there is a tendency to them. A sufficient indication for the cancellation of inhalation by any drug is the presence of heart and lung diseases with severe cardiovascular or respiratory failure.
Inhalations and children
Pediatricians generally believe that inhalation is a very effective method of treating a variety of respiratory diseases. Firstly, it is a quality local therapy. If the main problems in the child’s body are localized in the respiratory organs, then it is better to treat them by inhaling medications, one of which is Dekasan. Instructions for inhalation (for children, and not only) describe in detail the principle of preparation of the solution, the use of the drug.
Secondly, for the implementation of inhalation procedures, substances in the form of aerosols are used. The medication, sprayed with the smallest particles, has a larger contact surface (covers with its influence a large surface of the mucous membranes of the respiratory tract) and, accordingly, acts faster.
Thirdly, inhalations facilitate and stimulate the elimination of sputum and mucus from the respiratory tract.
“Dekasan” medication; instructions for inhalation for children over 12 years of age allow not to dilute with saline and apply a solution of 0.2 mg / ml of 5-10 ml for each inhalation 1-2 times a day. For children under 12 years of age, Dekasan is diluted with saline in a ratio of 1: 1 (for example, 2 ml of Dekasan per 2 ml of saline). The frequency of the procedures is 1-2 times a day.
We are treated correctly
The Dekasan medication for children recommends using inhalation an hour and a half after eating. During the process, several rules are mandatory. It is undesirable to be distracted by conversations and other matters. The patient should have clothes that do not constrain the neck and do not impede breathing. If the procedures are carried out as part of the treatment of diseases of the nose and paranasal sinuses, the inhaled drug should be inhaled and exhaled through the nose and without tension. If a complex treatment of diseases of the throat, trachea, bronchi, lungs is carried out, one should “breathe” medications through the mouth.
At the end of the inhalation procedure for at least 1 hour it is not recommended to talk (sing - especially) and eat. Before you begin to do inhalation with Dekasan (how to do it, it is described in detail in the instructions), it will be advisable to do skin tests to make sure that there is no individual sensitivity to the drug. In addition, it will be useful to know that the Decasan solution, heated to +38 ˚, will have a more effective effect on the human body.
If you follow all these rules of treatment with Dekasan for inhalation, the feedback of large and small patients will be only positive, and the effect achieved from treatment will be maximum.
Release form and price range
Dekasan is produced by manufacturers in several types of containers. If a doctor is prescribed to treat inhalation with Dekasan (the use and dosage are described in the instructions and in this article above), then it is most advisable to purchase it in nebulas. In this container, the drug is suitable for treatment with a nebulizer. As mentioned earlier, the release form in nebulas is 10 containers of 2 ml in one package of the Dekasan medication. Instructions for inhalation (the price of a medicine in this form may vary from 80 to 135 rubles depending on the region) describes in detail the principle of the use of the drug.
In addition to such containers, medicine can be offered to customers in bottles and containers that are plastic bags. Bottles can be in volumes of 50, 100, 200 and 400 ml. Polymer bags with Dekasan can be offered in a much wider range of volumes: 50, 100, 250 and 500 ml, 1, 2, 3 and 5 liters. The cost in each case depends on the volume of the bottle or polymer bag. Both in bottles and in plastic bags contains a 0.02% Decasan solution.
Opinions of patients and specialists
Reviews of patients, parents and medical workers about the drug "Dekasan" are quite mixed. For example, inhalation with "Dekasan" with "snot" (as many parents call rhinitis or runny nose) were very effective, a positive result is achieved quite quickly if the disease is at an initial stage of development. Many parents report that their children were prescribed the drug for gingivitis and stomatitis, tonsillitis, adenoiditis, tonsillitis. Most often, the use was recommended using nebulizers or ultrasonic inhalers. This method of treatment is really convenient for young children, because it allows them to breathe the drug "without interruption from their main activity" - drawing, modeling or watching cartoons.
Medical professionals have a generally positive opinion about the drug. However, they believe that if children have a lesion in the upper respiratory tract, then steam inhalation will still be more effective. It is these procedures that moisturize sputum and contribute to its rapid elimination. But for diseases of the lower respiratory tract (lungs and bronchi) there is nothing better than to use inhalation with the help of a nebulizer in complex therapy. For this reason, doctors believe that there is no particular sense in using diseases such as, for example, adenoiditis or viral infection, for the treatment of Dekasan.
Reviews (for inhalation, children and adult patients use the same Decasan solution) about the drug on the part of patients, parents and doctors have a positive color. However, it is worth remembering that even taking into account the fact that Dekasan has almost no contraindications and side effects, it is still a broad-spectrum medicine. Therefore, in order to avoid unpleasant surprises and unexpected reactions on the part of the human body, it is best that the doctor appoint the procedure and he selects the necessary and safe dosage of the medication to obtain the most positive result.