A runny nose in medicine is called "rhinitis", it is not considered an independent disease, but only a symptom that occurs with other catarrhal symptoms - coughing, as well as sore throat and fever.
Treatment is always combined and involves the use of systemic and symptomatic drugs at the same time.
With a runny nose of bacterial etiology, the doctor without fail prescribes nose drops with a local antibiotic, which can affect the source of the disease, thereby eliminating the unpleasant manifestations of the disease and reducing the likelihood of complications.
The selection of medicines with antimicrobial effect must be approached very carefully, apply them only after consulting a doctor.
A topical antibiotic for the nose is an excellent medicine for eliminating bacterial infections of ENT organs. There are several medicines for this use, but each of them has certain features and indications.
When is it necessary to apply, and how to choose the right drug?
When the use of antimicrobial drops is warranted
Antibacterial drops in the nose are a convenient form that allows you to act in the very source of the inflammatory process. The structure of such medicines can include either one or several active components that have a negative effect on the cause of the disease.
Absolutely all antibiotics with local action for the throat and nose not only destroy the cell membrane of bacteria, but also prevent their further spread and penetration into deeper layers and sinuses.
It must be understood that antimicrobials do not show activity to the viral flora or allergens, their use in such ailments will be useless. To determine the type of source of damage, you need to pass a smear from the throat, nasal cavity or sinuses.
Antibiotics for the nose and throat of local importance help:
- Prevent the spread of bacteria.
- Relieve swelling of the mucous membrane and eliminate nasal congestion.
- Minimize the risk of complications and the spread of infection to the sinuses and throat.
Drops in the nose are used as part of the combination therapy of infectious and inflammatory processes of the upper respiratory organs and nasal cavity.
List of indications when you can use an antibiotic for topical nasal use:
- Rhinitis (inflammation syndrome of the nasal mucosa).
- Rhinopharyngitis (an inflammatory disease characterized by damage to the oropharynx).
- Sinusitis (inflammation of the mucous membrane of one or more sinuses).
- Frontitis (inflammation of the frontal sinus, a type of sinusitis, more complex inflammation of several sinuses).
- Adenoiditis (acute or chronic inflammation of the pharyngeal tonsil of the lymphopharyngeal ring).
- Etmoiditis (acute or chronic inflammation of the mucous membrane of the cells of the ethmoid labyrinth).
- Sinusitis (inflammation of the mucous membrane of the maxillary sinus).
All of these diseases can have not only bacterial, but also viral origin, in which identical drugs will be ineffective. The name of antibiotics in the nose for sinusitis:
- Isofra.
- "Polydex".
- Tsipromed.
- Protargol.
- Framinazine.
- Fluimucil.
- Sofradex
- Rinil.
Next, all of the above drugs will be examined in detail.
Isofra
Drops in the nose with a local antibiotic, in most situations used to eliminate acute and chronic lesions of the nasal cavity.
The active substance is framycetin sulfate. The active component exhibits increased antimicrobial activity, including staphylococcus, intestinal and hemophilic coli, and Klebsiella.
Inexpensive local antibiotic for nose and throat. The annotation says that the drug is used for etiotropic treatment for bacterial otolaryngological diseases, for example:
- Rhinitis.
- Pharyngitis (acute or chronic inflammatory process localized in the pharynx, affecting its mucous membrane and deeper layers, as well as soft palate tissues, lymph nodes).
- Sinusitis
- Sinusitis.
The exact dosage of the medicine is determined by the medical specialist individually for each patient.
If there are no specific indications, then the standard concentration for adult patients will be from 1 to 2 drops in each nasal passage. The frequency of use of the drug three times a day, and the total duration of therapy varies from five to ten days.
Side effects after using nasal drops with a local antibiotic are very rare and only with individual intolerance.
Nasal spray refers to medications of average cost. In drugstores, its cost varies from 280 to 450 rubles.
Polydex
It is a complex drug, as it has three active substances in its structure.
The spectrum of the effect of the drug is due to the following components:
- Phenylephrine - narrows the capillaries, which helps to facilitate breathing.
- Dexamethasone - eliminates inflammation.
- Polymyxin - has a detrimental effect on bacteria.
The drug is used for acute, subacute and chronic respiratory diseases of bacterial origin, among which are noted:
- Rhinitis.
- Sinusitis.
- Frontite.
- Sinusitis
Nasal drops can be used for other lesions of the nasal cavity, but in any situation, the medicine should be prescribed by a medical specialist.
It is necessary to use "Polydex", observing the following dosage:
- Adult patients and adolescents from twelve years old, 2 drops twice a day.
- Babies from 2.5 years old are prescribed 1 drop twice a day.
For children who have not reached 2.5 years of age, medication is prohibited. To abandon the use of "Polydex" will have to intolerance to the composition, as well as pregnancy and breastfeeding, diseases of viral origin.
"Polydex" and "Isofra" are produced by the same company, and they also have the same effect, but have a different composition. The cost of the drug is 370 rubles.
Tsipromed
The drug in most cases is used in ophthalmology and in diseases of the auditory organ, but can be used internally if necessary. "Tsipromed" - a local antibiotic for the nose with sinusitis.
The drug belongs to fluoroquinolones. In its structure contains ciprofloxacin, which exhibits antibacterial activity (capable of destroying bacterial cells).
Drops are most effective in treating sinusitis, as well as rhinitis and sinusitis. The duration of therapy should not exceed five days. The cost of Tsipromed varies from 120 to 189 rubles.
Protargol
The drug is a colloidal solution, which has a pronounced astringent, as well as anti-inflammatory and antiseptic effects. A medication is produced in the form of drops for the nose with an active substance content of 1% and 2%.
It is used in the treatment of complicated rhinitis, as well as in sinusitis, sinusitis, frontal sinusitis and other lesions of the nose and upper respiratory organs. "Protargol" is a topical antibiotic for the nose for children.
The spectrum of exposure is due to the formation of a protective film on the mucous membrane of the nasal cavity, which activates vascular stenosis, and also inhibits the appearance of the inflammatory process and inhibits the spread of bacteria. The medication is effective against fungal and viral pathogens.
Adult patients "Protargol" is recommended to use 2-3 drops three times a day. For newborns and babies up to 3 years - 1 drop three times a day, older than this age - in an adult dosage.
The total duration of drug therapy is no more than seven days to avoid overdrying of the mucous membranes.
With extreme caution, it is necessary to use the drug during the "interesting position" of the woman and increased sensitivity to the composition. Adverse reactions of the body are extremely rare and are more often diagnosed in people with intolerance.
"Protargol" is a cheap local antibiotic for the nose, the cost of which is 170 rubles.
Framinazin
A local antibacterial agent in the form of a spray, which belongs to the group of aminoglycosides. It is used to eliminate acute and chronic inflammatory processes in the nasal passages and with adenoiditis.
The local antibiotic for the nose has the ability to damage the integrity of the bacterial membranes, thereby eliminating the source of the disease, accelerating the recovery period and reducing the likelihood of complications.
Drops are effective in therapy:
- Rhinitis.
- Sinusitis
- Rhinopharyngitis.
- Adenoiditis.
- Sinusitis.
The drug can be used from one year. According to the instructions for use, the dosage for adult patients is one irrigation six times a day with a time interval of three hours, for children also one injection, but three times a day. The duration of therapy varies from five to seven days.
The medication has good tolerance. Side effects occur very rarely and only due to intolerance to the active component.
During the "interesting position" the medicine can be used only in the second trimester. Framinazine is an inexpensive local antibiotic for the nose, its cost varies from 100 to 150 rubles.
Fluimucil
A powerful complex drug with antimicrobial and expectorant action. The drug in its structure contains two active ingredients - acetylcysteine and thiamphenicol.
The first substance dilutes the mucus in the nose, which helps to remove it efficiently, and the second microelement has a detrimental effect on a number of gram-positive and gram-negative pathogens.
"Fluimucil" is highly effective in case of nasal congestion and bacterial diseases of the upper respiratory system. The drug is not prescribed for children under two years of age, with an "interesting position" and breastfeeding.
Dosage scheme of a local antibiotic for the nose for children:
- If the patient is from twelve years old, then the medication is injected into the nostril up to four times a day, three drops each.
- Young patients from two years of age can be used no more than two drops three times a day.
The duration of therapy is no longer than ten days. The drug can be used not only internally, but also for washing in a medical facility or inhalation. These drops with a local antibiotic are the most expensive of the entire list of drugs listed. The price of the drug varies from 120 to 750 rubles.
Sofradex
An antibacterial agent of local action with a combined composition. The drug is used in ophthalmology and ear diseases. Despite this, Sofradex is usually used to eliminate infectious and inflammatory diseases of the nasal cavity of bacterial etiology.
In the structure of the drops there are two antibiotics: framycetin and gramicidin, which actively affect gram-positive and gram-negative bacteria.
Indications for the use of Sofradex in most cases are:
- Bacterial rhinitis.
- Sinusitis.
- Sinusitis
The medication is not used for viral lesions or purulent processes in the nasal cavity.
For intranasal administration, doctors advise diluting the drug with saline in a ratio of one to one.
The permissible concentration of the active substance for adults and children from seven years old is two to four drops three times a day. The medication is powerful, therefore, it has a number of prohibitions and adverse reactions, which must be familiarized with before use. The cost of the drug varies from 320 to 450 rubles.
Rinil
Inflammation of the ENT organs of bacterial etiology can be eliminated with this drug, which belongs to the antibiotics of the aminoglycoside group, is effective in the treatment of rhinitis, sinusitis and rhinopharyngitis.
The basis of the drops is framycetin, which has an antimicrobial effect. It violates the integrity of the cytoplasm, thereby provoking the death of pathogens.
Adult patients need to use two drops of the medicine three times a day, children from three years old - one drop three times a day. The duration of therapy is no more than ten days.
During pregnancy, the drug can be taken only with the permission of the doctor. This medication has certain contraindications, which should be familiarized with before taking the medicine. You can buy Rinil at a price of 260 rubles.
Recommendations
Topical nasal drops with a local antibiotic are well tolerated, but can only be prescribed by a medical professional after diagnosis.
To achieve the maximum pharmacological effect, before using any antimicrobial agent in the form of drops, it is necessary to rinse the nasal cavity with saline solution, as well as clean the nose of dry crusts or accumulations of mucus.
During therapy, certain rules must be observed, this will help to achieve a positive effect and avoid a number of complications:
- To use the drug with a local antibiotic is necessary only for bacterial diseases. If a viral ailment, then it will not bring the proper result.
- Do not use the medication for more than ten days in order to avoid the appearance of local immunodeficiency.
- Strictly observe the dosage.
- Do not stop therapy while improving well-being. If the bacteria are not completely eliminated, they form resistance to the antimicrobial agent, and the next time it will be ineffective.
- Do not use several local antibiotics at once.
Antimicrobial drops for otolaryngological diseases should be used in combination with other medicines with symptomatic and systemic effects, and not as a single drug.