The solution for nasal instillation refers to alpha-adrenergic agonists, which in most cases are used in ENT practice. What are naphthyzin drops used for?
The medicine is made in the form of a solution for instillation into the nasal cavity. It is dispensed without a prescription in ordinary bottles or dropper bottles with a volume of 10 milliliters.
Drug structure
The composition of the naphthyzin drops includes one active component - naphazoline. Depending on its content in the solution, 0.1% and 0.05% are produced.
Pharmacological properties
The solution belongs to the group of alpha-adrenergic agonists and has a pronounced narrowing effect on the capillaries. When a medicine is instilled into the nasal passages, the pharmacological effect develops after a few minutes and lasts up to four to six hours.
When a drug enters the mucous membranes of the nose, the severity of edema and redness decreases, the number of secretions from the nasal passages decreases significantly.
Indications
According to the instructions for use, naphthyzin nasal drops are prescribed to patients with the following conditions and ailments:
- Acute rhinitis (inflammation in the nasal mucosa).
- Eustachiitis (an inflammatory lesion of the auditory tube, leading to a deterioration in the ventilation of the tympanic cavity with the development of catarrhal otitis media).
- Otitis media (an infectious inflammatory process characterized by rapid development and localized in the middle ear).
- Bleeding from the nose.
- Allergic rhinitis (a disease that develops as a result of contact of allergens with the nasal mucosa).
- Laryngitis (inflammation of the mucous membranes of the larynx, which is associated with colds or with infectious ailments such as scarlet fever and whooping cough).
- Acute nasopharyngitis (an inflammatory disease of the nasopharynx of an infectious-allergic nature).
- Chronic conjunctivitis (a long-term inflammatory process in the mucous region of the eye, which is characterized by moderate swelling of the eyelids, as well as photophobia, increased lacrimation).
- Asthenopia (visual impairment, which is accompanied by increased fatigue during visual work).
- Sinusitis (inflammatory lesion of the mucous membrane of the paranasal sinuses of the nasal cavity).
Limitations
Before starting treatment with a medicine, it is necessary to familiarize yourself with the annotation, since the solution has a number of certain contraindications. According to the instructions for use, drops of "Naphthyzin" is forbidden to use in the following diseases and conditions:
- High blood pressure.
- Angle-closure glaucoma (a pathological process that leads to injury to the optic nerve).
- Individual intolerance to the drug.
- Pregnancy.
- Lactation.
- The patient's age is up to one year and six years (depending on the content of the active component).
- Hyperthyroidism (a disease that is caused by an increase in hormonal activity of the endocrine system and is characterized by excessive production of thyroid hormones).
- Atherosclerosis (a chronic disease of arteries that occurs due to impaired lipid metabolism and is accompanied by deposition of cholesterol in the capillaries).
- Chronic inflammatory process of the nasal mucosa.
- Tachycardia (a sharp increase in heart rate, a sign of serious disorders).
- Heart rhythm disturbances.
- Diabetes mellitus (a chronic metabolic disorder, which is based on the lack of formation of own insulin and an increase in blood sugar).
Instruction manual
What are the naphthyzin drops for? The solution is administered intranasally. The dosage regimen is prescribed by the doctor, depending on the indications.
To improve nasal breathing and eliminate swelling of the nasal mucosa, the drug is instilled one or two drops into each nostril, tilting its head to the side.
According to the instructions, naphthyzin nasal drops should not be used for more than five days. In the absence of a positive pharmacological effect, the therapy is stopped and re-turned to a medical specialist to clarify the diagnosis and select another drug.
For diagnostic studies - after cleansing the nasal passages, you need to drip three to four drops or introduce a cotton swab moistened in a 0.05% solution and leave for one to two minutes.
What are the naphthyzin drops intended for? For swelling of the vocal cords, use 2 milliliters of a solution in the form of a spray (dropper bottle) or in small doses with a special syringe. For bleeding, use tampons moistened with 0.05% of the drug.
In ophthalmology, "Naphthyzinum" is used, one or two drops of a 0.05% solution into the conjunctival cavity and posterior surface of the eyelids (three times a day). As an additional tool for superficial analgesia, four drops per 1 milliliter of local anesthetic.
At what age can I use
The instruction to the drug prohibits the treatment of "Naphthyzine" in children under the age of one year. A child from one year of age is allowed to use the medication, but many pediatricians prefer to treat rhinitis with drugs based on xylometazoline or oxymetazoline.
According to the instructions to "Naphthyzinum", children should not drip nose drops even at the minimum concentration (0.05%) without the permission of the doctor. A drug with a concentration of 0.1% is not usually prescribed to small patients, as it is contraindicated in children under the age of eighteen.
At the age of one to fifteen years, only 0.05% of "Naphthyzine" is used in this single dose:
- For children from one to six years old - one drop.
- For children from six to fifteen years old - two drops.
So much of the drug is administered first into one nostril, laying the baby on a flat surface and slightly turning his head so that the medicine gets on the wall of the nasal passage. Subsequently, the procedure is repeated for the second nostril. The frequency of use of the drug is from one to three times a day.
But even when using small doses of the drug, it is not recommended to use vasoconstrictor in the treatment of children in high dosages. The maximum number of drops is two in each nasal passage. The duration of therapy should not exceed five days. If the baby in the future needs a longer course of treatment, then only a doctor can decide which drug to use.
What are naphthyzin drops used for? When small patients are concerned about regular nosebleeds, a 0.05% solution is used to neutralize them. The cotton pad is impregnated with the medicine and inserted into the nostril. You need to hold it for a couple of minutes, and then you can remove it.
Use during pregnancy
The safety of "Naphthyzin" for women during pregnancy and fetal development has not been confirmed, so this drug can not be used in this period of time.
Treatment with this medication is carried out only in the presence of serious diseases in a situation where the expected benefit outweighs the risk to the unborn baby. For women during pregnancy, it is best to use the drug in a children's dosage. Therapy should be continued for no more than three days.
If it is necessary to use the medication during lactation, it is necessary to consult a doctor. It might be better to stop breastfeeding while treatment is ongoing.
Negative effects
According to the instructions, drops of "Naphthyzin" can provoke the appearance of some negative reactions:
- Burning in the nasal cavity.
- Tingling in the nasal passages.
- Constant sneezing.
- Dry nose.
- Migraine (a neurological disease characterized by periodic or regular bouts of pain on one side of the head).
- Increased fragility of capillaries.
- Drowsiness.
- Lethargy.
- Hyperemia of the nasal mucosa (overflow of blood vessels in the circulatory system of any organ or body area).
- Edema.
- Urticaria (an allergic disease that is manifested by the formation of blisters on the surface of the skin and on the mucous membranes).
- Quincke's edema (a disease that is characterized by the occurrence of a clearly limited angiodema of the skin, as well as subcutaneous tissue).
Overdose
If the drug is used too often (more than 3-4 times a day) and when more than 2 drops are instilled into the nasal passage, a person may develop symptoms of poisoning, which are manifested in an increase in the negative effects described above, as well as weakness, dizziness, rapid heartbeat, and an increase in level blood pressure.
If such phenomena occur, drug treatment must be stopped and consult a medical specialist for the implementation of complex therapy.
Can I use Naphthyzinum with other drugs
The solution when combined with drugs from the group of local painkillers slows down and reduces their pharmacological effect.
According to the instructions for use with naphthyzine drops, it is known that it is not recommended to be used simultaneously with antidepressants. If a person used drugs of this group, then at least fourteen days should pass before starting therapy with a solution.
Advice
It is not recommended to use the drug for longer than seven days, since in this case the patient becomes addicted to the active substance, which requires the use of increasingly large dosages. Accordingly, the risk of negative phenomena and symptoms of poisoning increases.
If during therapy with this medication a person develops drowsiness or lethargy, then the use of the solution is immediately canceled and they turn to the doctor.
Analogs
In drugstores you can find drugs that are similar in their pharmacological effect to "Naphthyzine."
These drugs include:
- Farmazolin.
- Xymelin.
- Galazolin.
- Afrin.
- "Sanorin."
- Aqua Maris.
- Otrivin.
- Rinostop.
- "Nazivin."
- Tizin.
- Knoxpray
Before replacing the drug, the patient needs to consult a medical specialist about the dosage, prohibitions on use and the duration of the course.
Holiday Terms
Drops "Naphthyzin" can be bought at the pharmacy without a doctor’s prescription. Keep the bottle with the drug away from children. Storage temperature - no higher than twenty-five degrees.
An open bottle must be used within a month. If the medication is not used, it is disposed of. Shelf life of the medicine in unopened packaging is twenty-four months. At the end of this time, the tool needs to be thrown out. The cost of the drug varies from 130 to 160 rubles.
Patient opinions about the drug
There are various reviews of "Naphthyzine". Patients call this drug as emergency medical care for a cold and other diseases, as well as a drug that provokes addiction. Patients note that this drug can be used with severe signs, but you can not use it longer than the time recommended by the doctor.
The treatment of small patients with "Naphthyzine" is answered differently. The drug is called affordable and inexpensive, so it is often used for rhinitis in children. According to parents, the medication is effective and instantly helps to eliminate signs of inflammation for about six hours.
But such a short exposure is also attributed to the negative sides of the drug. Because of this, most mothers often give preference to other vasoconstrictor drugs that eliminate nasal congestion for a longer time. In addition, in so many responses, patients complain of dependence on "Naphthyzine", which is manifested by a decrease in the effectiveness of the drug.