In the autumn period, almost all children manage to "catch" a runny nose, as well as other colds. What, then, to bury in the nose of children? You can drip "Tobrex" - this drug deservedly enjoys an excellent reputation among parents, and among pediatricians, and among pharmacists. The drug can be used not only to treat a runny nose, but also for barley, conjunctivitis, blepharitis and other inflammatory diseases of the mucous membrane of the eyes in both children and adolescents.
Composition and form of release
The drug belongs to the pharmacological class of substances for the treatment of eye diseases of an inflammatory-infectious nature. However, pharmacists often recommend "Tobrex" in the nose of children: this application allows to achieve narrowing of the vessels in the nasopharynx, which stops the runny nose. "Tobrex" in efficiency is not inferior to many drops for the nasopharynx, which were synthesized specifically in order to achieve a vasoconstrictor effect.
The composition of the drug includes an antibiotic from the aminoglycoside group - tobramycin, it has a detrimental effect on streptococci, staphylococci, protea, E. coli, Klebsiella, enterobacteria, acinetobacteria, diphtheria bacteria, gonococci and other microbes.
The drug is available in two forms:
- drops for local use;
- ointment.
Pharmacological action of the drug
For the use of "Tobrex" in the nose, children use drops. The therapeutic effect, as a rule, is achieved after 5-10 minutes after instillation: it becomes easier to breathe, nasal congestion passes. If the child suffers from sinusitis or complicated forms of the common cold, then a more specialized drug should be chosen that has a different principle of action on the nasopharynx. Too long-term use of Tobrex eye drops in the nose for children is undesirable.
The optimal duration of therapy is 10 days. Do not forget that the composition of the drops includes an antibiotic. If after this time there is no clinical improvement, then you should visit the ENT specialist and consult about the appropriateness of such a treatment, get an accurate diagnosis. The use of "Tobrex" in the nose of children can be useless with some specific diagnoses.
"Tobrex" refers to drugs of the aminoglycoside group. This is a fairly powerful topical antibiotic, which has some contraindications for use. In relatively small doses, tobramycin acts bacteriostatically, and in slightly larger doses it has a bactericidal effect.
Indications for the use of drops
Instructions for use with the drug indicate that it is effective as an independent tool in the following eye diseases of an infectious nature:
- blepharitis;
- conjunctivitis;
- keratoconjunctivitis;
- inflammation of the sebaceous glands of the eyelids;
- prevention of the development of infectious diseases after surgical interventions;
- blepharoconjunctivitis.
Reviews of Tobrex drops in the nose of children indicate that this remedy is used very often to prevent complications of the common cold of a viral nature. Some pediatricians and otorhinolaryngologists, knowing the composition of “Tobrex,” specifically recommend it for this purpose. If you do not treat a runny nose, then over time many complications can develop, for example, adenoiditis, sinusitis, etc.
Since the composition of "Tobrex" includes an antibiotic, drops can effectively combat the manifestations of the common cold of various nature. The tool has no contraindications for age, however, for small children, a minimum concentration of the drug should be used. Some pediatricians recommend diluting the drops with distilled water in order to avoid problems associated with too high a concentration of tobramycin (antibiotic, the main active ingredient of the drops and Tobrex ointment).
Contraindications
Instructions for use with "Tobrex" indicates that the product has the following contraindications for use:
- glaucoma;
- pregnancy and lactation (only after consultation with your doctor);
- adenoiditis (use is possible after consultation with a doctor);
- idiosyncrasy of tobramycin.
As a rule, the drug is well tolerated. Even if there are contraindications (for example, during pregnancy), otorhinolaryngologists often prescribe it. The composition is less toxic than other drops and ointments with antibiotics in the composition. Children of different ages are also prescribed the drug actively, as indicated by the instructions. "Tobrex" in the nose of children is an easy way to get rid of a runny nose and protect the child from possible complications of the seasonal, catarrhal or infectious nature of the common cold.
Feasible side effects
As a rule, both ointment and drops are well tolerated by patients. However, parents who instill “Tobrex” in the nose of the children note in the reviews that the drug can cause unpleasant tingling after instillation. The mucous membrane of the nasopharynx often responds in this way to anti-infective drugs, the pathogenic microflora dies under the influence of an antibiotic, therefore, in some cases, a slight tingling is quite acceptable. Most patients tolerate the effect of the drug well and do not notice any discomfort after instillation.
Before instillation, the bottle with drops should be slightly heated in the hand, if the drops are at room temperature, then this is guaranteed not to be deposited in the memory of the child, like some unpleasant and frightening procedure. If the drops are cold, then a small patient can at a psychological level distance himself from an unpleasant treatment, and it will be quite difficult to persuade him to bury him later.
Drug interaction
With the simultaneous administration of "Tobrex" with antibiotics of the aminoglycoside class, systemic side effects are observed. This may be a decrease in hearing clarity, vision, a rather powerful toxic effect on the organs of the urinary system. Avoid the simultaneous administration of drugs of such groups and warn the doctor that "Tobrex" is used in the complex therapy.
Long-term therapy (longer than 20 days) almost always leads to a decrease in the sensitivity of pathological microflora to the action of tobramycin. Therefore, the use of Tobrex drops in the nose for children longer than 10 days is impractical, since over time a small patient simply develops tolerance to the main active substance. If after a ten-day course of treatment there is no therapeutic improvement, then you should visit the attending physician or ENT specialist.
"Torbex" in the nose of children: treatment reviews
There are many reviews on the Internet from parents who used these eye drops in order to recover from ENT diseases. Of course, before starting use, you should consult your doctor about which concentration of drops to use and how often to do it. The duration of treatment should not exceed 10 days - this is the maximum period after which the pathogenic microflora begins to develop tolerance to the action of tobramycin.
Judging by the reviews, Tobrex drops in the nose of children are a fairly effective way to quickly get rid of the manifestations of the common cold and the inflammatory process in the nasopharynx. Relief occurs on the second or third day of therapy. Reviews report that even after improvement, you should not immediately stop using the drug, you need to continue therapy for a few more days.
In which cases it is impossible to instill drops in the nose
If the child has a discharge from the nose of an incomprehensible nature (purulent, with a greenish tint, with blood), then you need to visit a doctor.
Is it possible to drip “Tobrex” in the nose of a child if he has a high fever and severe pain in the nasopharynx? Self-treatment can not only not bring relief, but also exacerbate the condition of a small patient. Therefore, you must first find out the diagnosis accurately, and based on the clinical picture, build a therapeutic treatment regimen. It is impossible to do this without special medical knowledge. Sometimes it is necessary to take antibiotics in injectable or tablet form, and it will be useless to use Tobrex in the nose of children. The dosage of drugs with antibiotic components in the composition should also not be prescribed independently.
Reviews on the treatment of blepharitis and conjunctivitis
Such diseases are a direct prescription for the use of both drops and Tobrex ointment. Reviews of parents who treated their children’s infectious and inflammatory diseases of the eyes with the help of such medications are positive.
In some cases, the relief of conjunctivitis symptoms occurs after the second laying of the ointment or the use of drops. Compared with cheaper analogues, “Tobrex” has a rather concentrated composition (as can be seen in the instructions - the concentration of tobramycin is indicated on the leaflet or printed directly on the packaging for the drug).
With the wrong or excessive use of “Tobrex”, point keratitis may develop - a disease that is characterized by irritation, swelling of the eyeball.
Causes of the development of inflammatory diseases of the nasopharynx and eyes
Children very often “delight” their parents with such symptoms at the most inopportune moment. Coming from kindergarten or from school, the child scratches his eyes, complains of pain in the nasopharynx, suffers from a runny nose, from purulent secretions of an incomprehensible nature from the nose and eyes. This condition can have many unpleasant consequences, so the sooner you start treatment, the better. If conjunctivitis is triggered, the child will suffer from purulent discharge from the eyes, which can provoke a deterioration in the clarity of vision (only the attending physician can determine the complexity of the condition).
The most common cause of such infectious diseases is contact at school or in kindergarten with infected children. Also, diseases of this kind are more often attacked by children with low immunity, with a tendency to colds, to pathologies of an autoimmune nature, etc.
Doctors' opinion on the use of "Torbeks" in the nose of children
Very often, pediatricians themselves prescribe "Tobrex" as a tool for the treatment of diseases of the nasopharynx. Despite the fact that the drug belongs to the eye, its composition is quite effective in combating various infections of the nasal mucosa.
Doctors have a negative attitude to the fact that many parents begin to drip into the nose of Tobrex children (reviews on the Internet encourage them to take this step) on their own initiative or on the advice of a pharmacist from a pharmacy. To begin with, you should accurately establish the diagnosis, only then prescribe effective pharmacological drugs.
List of analogues and substitutes for the drug
Among the variety that any pharmacy provides to the simple consumer, the following analogues and substitutes for Tobrex can be distinguished:
- "Tobradex" is a combined drug that has antimicrobial and antihistamine effects. The active ingredients are dexamethasone and tobramycin.
- "Tobrimed" is a modern antibiotic that works in several directions at once, has anti-inflammatory and antimicrobial activity.
- "Phloxal" - the main active ingredient - ofloxacin, has an antimicrobial effect (a group of fluoroquinols).
- "Tobriss" - the composition includes the antibiotic tobramycin, as well as sodium hydroxide and hydrochloric acid.
- "Tobropt" - in addition to the antibiotic, sodium hydroxide, a solution of sulfuric acid, boric acid are also included.
"Tobrimed" - an analogue of "Torbeks"
"Tobrimed" is a broad-spectrum antibiotic that can also be used to treat a cold of an infectious nature. In addition to the antibiotic, the composition also includes orthophosphoric acid 10%, sodium dihydrogen phosphate. Due to this, the drug is even more effective than Tobrex, as it has a mild anti-inflammatory effect.
Before using "Tobrimed" should consult with an otorhinolaryngologist and an ophthalmologist. If parents are going to use drops not for their intended purpose, then it is important to understand the full responsibility for the possible consequences.