In the autumn and winter, both adults and children often suffer from a runny nose, which takes on a chronic form. Drops and a spray in the nose with an antibiotic will help solve this problem, effectively fight inflammation of purulent and bacterial nature in the sinuses. Of course, some patients still prefer treatment with tableted antibiotics, but they have much more disadvantages compared to topical aerosols and drops. Drops and a spray in the nose with an antibiotic are good because they do not enter the systemic circulation, do not provoke the development of intestinal dysbiosis, and do not inhibit the liver.
Indications for the use of local antibiotic agents
Rarely, who is able to determine the nature of nasal discharge, this requires consultation and examination by an otorhinolaryngologist. Many patients start using an antibiotic spray in their nose simply because they have a runny nose. Meanwhile, even such a simple diagnosis as rhinitis can be different - purulent, viral, etc. And in each case, a different medication is needed. For rhinitis of a bacterial nature, for sinusitis, a antibiotic spray should be used for the nose. Adults usually require a higher concentration of the active substance in the drug than children.
If you have some kind of observation, it is quite possible to independently diagnose a particular type of runny nose. But if doubts remain - it is better to consult an otorhinolaryngologist. Rhinitis of a bacterial nature can be distinguished by the color and nature of the discharge from the sinuses. If they are thick, with a greenish or yellowish tint, then we can confidently talk about their bacterial nature. In this case, pathogenic microflora actively multiplies in the nasopharynx, so the patient may suffer from headache, otitis media, stuffy ears, and low-grade fever. If bacterial rhinitis flows into sinusitis, then the patient may suffer from severe pain in the nose.
List of indications for use
Sinusitis and rhinitis of a bacterial nature are never accompanied by sneezing familiar with viral rhinitis. There are also no liquid, transparent discharge from the sinuses.
An antibiotic nasal spray is usually prescribed when diagnosing the following diseases:
- rhinopharyngitis, provoked by the growth of pathogenic microflora (inflammation of the mucous membrane of not only the nose, but also the pharynx :;
- sinusitis - inflammation of the paired maxillary sinuses, proceeds painfully and for a long time, eventually acquires a chronic form;
- phenoiditis - inflammation of the bacterial nature of the unpaired sphenoid sinus;
- ethmoiditis - inflammation of the ethmoid labyrinth, which is located at the base of the nose.
In some cases, the use of a spray or drops with an antibiotic in the composition is not enough. In severe cases of the disease, it is often necessary to include in the course of treatment also tableted or injectable drugs with an antimicrobial, antibiotic effect. Only the attending physician should decide on the feasibility of their use and prescribe the working dosage of the drugs. Self-administration is unacceptable, since the drugs of this pharmacological group have serious side effects, up to death with an incorrect combination or overdose.
Antibiotic nasal spray: names
Sometimes in a pharmacy, pharmacists do not know which sprays contain antibiotics and which do not. So if the patient never visited the doctor, but independently diagnosed himself with a disease of a bacterial nature, then you should pre-select your drug and go to the pharmacy, knowing the name of the drug.
So, the most commonly used antibiotic sprays:
- Isofra.
- "Polydex with phenylephrine."
- "Bioparox".
- "Garazon".
- Sofradex
Each of them has its pros and cons, side effects may develop. Therefore, it is better to get a consultation with an otorhinolaryngologist before using it. Otherwise, all responsibility for the consequences of self-designation lies with the patient.
"Isofra": composition, dosage and indications for use
The drug is available in the form of a spray for nasal injection. The main active ingredient is framycin. Belongs to the class of substances with antibiotic action, aminoglycoside.
"Isofra" - a spray for the nose with an antibiotic, effective for sinusitis, rhinopharyngitis, sinusitis, bacterial pharyngitis. The total duration of treatment is at least seven days, optimally - 8-9 days. Use "Isofra" should be two to three times a day.
Patient reviews report that Isofra effectively punctures the sinuses with obstruction, typical for sinusitis and sinusitis. Already on the third or fourth day, the symptoms of the disease completely disappear. It is an effective nasal spray with antibiotic for sinusitis. However, this number of days is usually not enough for a complete cure - symptoms may return. It is better to be patient and still have therapy for the recommended 10 days.
Possible side effects and contraindications for the use of Isofra
In general, the drug is well tolerated, side effects develop relatively rarely. Reviews report that in some people, when using an aerosol, local swelling is observed, as well as dryness and peeling of the nasal mucosa. This is quite rare, and if the severity of side effects is low, then a full course of treatment can be carried out. If the severity of side effects is high and they prevent a person from carrying out their daily activities, it is better to refuse to use.
Among the contraindications to the use of a nasal spray with the Isofra antibiotic are children's age up to one year, individual intolerance to framycin. During pregnancy, you can use the spray only after consulting with your doctor, since the drug contains an antibiotic.
In laboratory conditions, no particular interaction with other drugs was found. However, Isofra can partially or completely reduce the effectiveness of local antifungal agents.
"Polydex with phenylephrine": composition, indications for use, dosage
Polydex antibiotic nasal spray is an effective treatment for sinusitis, sinusitis, bacterial pharyngitis. The composition of the liquid includes the following components:
- neomycin sulfate;
- phenylephrine;
- polymyxin B sulfate;
- lithium chloride;
- dexamethasone;
- other excipients.
"Polydex" is perhaps one of the most commonly prescribed sprays, which relieves painful symptoms already on the second or third day from the moment of use. Otorhinolaryngologists often prescribe it "Polydex", since the composition includes a glucocorticosteroid dexamethasone. A nasal spray with such a composition should be used no longer than 10 days, otherwise serious side effects are possible.
"Polydex" should be used daily, with three to four injections several times a day. Moreover, if in one nostril there is more congestion, and in the other it is almost completely absent, then the drug should be sprayed into both nostrils equally uniformly. This is an effective and relatively safe spray for the nose with an antibiotic for sinusitis.
Phenylephrine has a vasoconstrictor effect. The composition of the drug includes neomycin and polymyxin, which are antibiotics. Dexamethasone nasal spray is an excellent solution for sinusitis.
Indications for use:
- rhinitis of purulent, acute course;
- rhinopharyngitis of acute or chronic course;
- adenoiditis;
- sinusitis of various etiologies;
- purulent children's rhinitis;
- prevention of the development of purulent diseases in the mucosa after surgical interventions in children and adults.
Prescribe this nose spray with antibiotic and children. The instructions indicate that children from 12 years old can be given two to three injections per day in each nostril. Moreover, the total duration of treatment is from five to twelve days. If the child complains of swelling or severe pain after injection, suffers from dry mucous membranes, then the drug change should be discussed with the otorhinolaryngologist. Most likely, the child suffers from intolerance to this drug.
Possible side effects of Polydex and patient feedback on the action
Common side effects (as a rule, these are manifestations of an allergic reaction):
- dry mucous membrane;
- the appearance of ulcers that cause pain;
- local puffiness.
It is also possible the development of systemic side effects (which is quite rare) - this is nausea, fever, tremors, severe weakness, tachycardia. With such symptoms, you should stop using the drug.
Many patients do not take Polydex seriously and do not follow the dosing regimen, as a result of which they suffer from side effects. The composition of the spray includes an antibiotic, it is able to partially absorb the tissues of the mucosa, into the bloodstream. Depending on the individual characteristics of the patient and his immunity, this process can be expressed to a greater or lesser extent.
Patient reviews report that when used correctly, the drug is very effective. Symptoms of sinusitis (nasal congestion, nasal bridge pain, headache) pass on the third or fourth day of treatment. At the same time, some patients combine the use of Polydex with oral antibiotics. Such an effective scheme can only be prescribed by an otorhinolaryngologist.
"Bioparox": instructions, indications and contraindications for use
The drug has anti-inflammatory and local antibacterial action. It can be used to treat children and adolescents. The main active ingredient is fusafungin. The drug is an oily liquid with a pungent odor. It is produced in 20 ml containers, each of which is equipped with a metering valve. There are three interchangeable nozzles in the kit: yellow is for nasal use, white is for inhalation through the mouth, and transparent is for use in children. "Bioparox" - an effective children's spray for the nose with an antibiotic, which is actively prescribed for sinusitis, pharyngitis, sinusitis.
The drug has the following contraindications for use:
- children's age up to two years;
- pregnancy (only after consultation with a doctor);
- individual intolerance to fusafungin;
- chronic renal or liver failure.
Possible side effects and reviews on the action of Bioparox
Reviews report that Bioparox is one of the best nasal sprays with antibiotic for sinusitis of a chronic course. Many patients have tried various methods of treatment, including folk ones, however, pronounced relief was brought only by the use of Bioparox. It is optimal to use the drug with a course of 10 days.
The instructions indicate that the age limit when using the drug is from 2.5 years, since children younger can experience such a side effect as laryngospasm. For children from 2.5 to 11 years, it is recommended to carry out one injection into each nostril, or two injections into the throat - with this dosing regimen, side effects are extremely rare.
Common side effects include dry nasal mucosa, allergic reactions, and local swelling. Judging by the reviews of patients, with the right dosage regimen, side effects are relatively rare.
"Fluimucil" - a spray for the nose with an antibiotic
Release form - tablets, granules for solution preparation and spray for inhalation. The main active ingredient is acetylcysteine. The drug has a mucolytic effect. It is indicated for use in otitis media, sinusitis, laryngotracheitis, as well as for washing the sinuses, middle ear, maxillary sinuses, as a prophylactic after surgery on the mastoid process. It is used in otorhinolaryngology in preparation for aspiration drainage, bronchography, bronchoscopy.
Contraindications to use - exacerbation of peptic ulcer, for women - lactation, individual intolerance of the active components. If there is a history of liver problems (hepatitis, precirrhosis), then use the drug with caution. Doctors usually prescribe not only one spray, but also tablets in parallel to it.
In rare cases, the development of the following adverse reactions can be observed: nosebleeds, tinnitus, digestive system disorders (in the form of nausea, heartburn, sensation of fullness of the stomach, skin rash, vomiting, diarrhea), urticaria, itching. There is also evidence of the development of collapse, bronchospasm, decreased platelet aggregation, stomatitis.
Reviews of use indicate that with the correct dosage and compliance with the doctor’s prescription, side effects do not develop. Some patients complain that the spray quite noticeably dries the mucous membrane. But such an action for diseases of a bacterial nature have almost all sprays. Also, reviews report that Fluimucil is usually effective in the initial stages of the development of the disease.