The medicine "Isofra" for children is a nasal spray based on a component that exhibits bactericidal activity. This drug is used to treat sinusitis and rhinitis in children with an infectious etiology, and can be prescribed to children older than 1 year. For prolonged use, the drug is not suitable. The therapeutic effect is observed the next day. If after seven days the patient's well-being does not change, treatment is usually canceled. The drug belongs to the category of prescription.
Dosage form
The solution of the Isofra medical product is available in 15 ml plastic opaque bottles. The container is also equipped with a special tip designed so that the solution can be sprayed like a spray.
Description and composition
The spray is odorless and colorless. Its basis is a broad-spectrum antibiotic, which is represented by a substance - framycetin sulfate. The composition of the drug also includes some auxiliary substances, which in this case are sodium citrate, methyl parahydroxybenzoate, sodium chloride saline, citric acid monohydrate, as well as purified water.
The drug belongs to antibacterial agents that are part of the aminoglycoside group.
Mechanism of action
Framycetin, which is an active substance in Isofra drops for children, affects the ability of ribosomes of pathogenic bacteria to synthesize proteins. Due to this, the medication is bactericidal and completely destroys pathogenic cells.
The range of activity of the drug is very wide - it is active against the family of enetrobacteria, which include Escherichia, Klebsiella, Proteus; some gram-negative rods, some varieties of staphylococci and streptococci.
Indications for use
The drug "Isofra" for children is indicated in the treatment of the following pathologies in childhood:
- Rhinitis.
- Sinusitis (in acute and chronic form).
- Rhinosinusitis.
- Rhinopharyngitis.
- Postoperative conditions.
In the treatment of rhinitis in a child, it is imperative to find out the prerequisites for its occurrence, since with allergic types of the common cold, this medication will not have a positive effect.
Catarrhal phenomena in the nasopharynx during acute respiratory infections in children, as a rule, do not require antibiotic spray therapy.
The exception is such a pathology as rhinitis, which begins to acquire signs of a bacterial. In this case, it is very effective to treat a child with Isofra drops for children. Such pathologies usually represent a prolonged runny nose, difficult to treat with vasoconstrictive drops for the nose. In this case, mucus released in large quantities acquires a greenish or yellow hue.
With sinusitis in a child (especially with purulent inflammation of the maxillary sinuses), Isofra is also prescribed in the nose for children. The medication has established itself as a fairly effective remedy. However, a positive effect is possible only with complex treatment, using antibiotics not only of local action, but also taken systemically. In acute forms of sinusitis, or in exacerbations of chronic, the most effective is the use of systemic antibacterial drugs along with Isofra nasal spray.
In the postoperative period, for the prevention of all kinds of bacterial complications, antibiotic therapy is used, as a rule, without fail. If a specialist decides that local treatment with a nasal agent is sufficient, then most often drops of Isofra are prescribed for children in the nose.
Contraindications
The use of the drug is contraindicated in children who have intolerance to the main active substance or additional components. In addition, the drug is not recommended for babies with an identified allergy to medicines belonging to the category of aminoglycosides.
If the child is one year old, can Isofra be used in the nose?
The drug is contraindicated for washing the sinuses. Its use is also not recommended in children under one year of age.
Ways to use
What else does the instruction manual for Isofra in the nose for children tell us? This medication is available in a special bottle equipped with a spray tip. When digging the nose, the child needs to keep the tube in an upright position. The spray tip is brought to the nasal inlet and is pressed. In this case, the medicine is sprayed deep into the nasal passages.
If the bottle is turned over and pressed, then the amount of medicine injected into the nasopharynx increases sharply. This is undesirable, especially in children.
When used on the mucous membrane as an aerosol, the drug, as a rule, practically does not cause discomfort in the child’s nose and is evenly distributed on the surface. And most importantly - the effect of the drug begins much faster than the drugs in the form of drops, since the smallest elements of the solution cover the largest inner surface of the nasal passage and are immediately absorbed by the capillary vessels. Thus, the therapeutic effect occurs as soon as possible.
Dosage
Specialists recommend the following amount of Isofra for children:
- For children from one year to five years - in each nasal passage, one injection, three times a day.
- Children from six to twelve years of age, the drug can be used up to four times a day, also one injection.
- Children over twelve years of age and adults can increase the frequency of use up to six times, two injections.
Despite the fact that the inflammatory process in children is mainly localized only on one side (difficulty breathing through one nasal passage), the drug should be sprayed in both nasal passages. This is a prerequisite for the localization of the therapeutic process and the prevention of some complications of the course of nose pathologies.
The duration of use of the medication usually varies from five to seven days. In the absence of a therapeutic effect after a few days, it is worth consulting a specialist in order to correct treatment.
Adverse reactions
Like any other antibacterial medication, Isofra for children can cause some side effects, but they are very minor.
With overly prolonged use, people with weakened immune systems sometimes develop a fungal infection. Therefore, after five days of using this medication, it is imperative to get the advice of an otolaryngologist.
Some cases of the appearance of allergic reactions in the form of redness of the skin and rashes in a child are described, burning and dryness on the mucous membrane of the nasal passages can also be observed. There is also an individual intolerance to the Isofra drug spray and cross-allergy with medicines of the aminoglycoside group.
As a result, the initial use of this nasal spray should be carried out in the morning in order to monitor the reactions of the body.
If a child has any manifestations of side effects of this medication, it is necessary to show it to the doctor without fail.
Do Isofra nasal drops for children have analogues?
Analogues of the drug
On the pharmacological market there are some modern analogue agents that have a similar effect and are also used to treat the above childhood diseases. They do not always have a similar composition, but have a similar therapeutic effect. These medicines include:
- Bactroban.
- "Polydex".
- Gentamicin.
- Amikacin.
"Polydex" or "Isofra" - which is better for a child?
The drugs have similarities in the following:
- They have one manufacturer.
- Both medicines act locally. They are absorbed into the bloodstream in a small amount, which does not cause negative reactions of the body.
- Both medicines contain an antibiotic of the aminoglycoside group. In "Isofra" - framycetin sulfate, and in "Polydex" - neomycin sulfate.
- A possible side effect of both drugs is an allergic reaction.
- An overdose of such drugs is very rare.
These drugs equally well help with rhinitis, sinusitis. Which remedy to choose is up to you and your doctor.
Isofra price for children
The cost of Isofra is an average of 302 rubles. Prices range from 267 to 390 rubles. It all depends on the pharmacy and the region of the country where the purchase is made.
Reviews
The drug for nasal use with the Isofra antibiotic is used quite widely in modern medical practice. Specialists often prescribe this medication for the treatment of colds in children of the most diverse etiologies, but most often - with the occurrence of complicated rhinitis and sinusitis. Doctors note the high effectiveness of this drug, as one of the main ones that can cure such pathological conditions.

There are many reviews about the drug. Basically, the opinion of the parents of small patients who have been observed various complications of rhinitis, frequent runny nose and colds. Parents note that this medication in most cases quickly helped them relieve their children of pathological symptoms, reduce the likelihood of complications and the negative consequences of the disease. In babies, in the first days of use, a significant decrease in the amount of mucus secreted from the nose was noted, which parents were very pleased with. And if such discharge at the beginning of the disease had a characteristic greenish color, which is a sign of a bacterial infection, then after a certain period they acquired a transparent color and their number decreased.
Experts indicate that such a medication has almost no contraindications and is prescribed for almost all children, with the exception of newborns. With sinusitis, judging by the reviews, the drug Isofra can be called an indispensable tool, and it acts not only at the height of the disease, but also after the surgical solution of a similar problem.
Nevertheless, there are some negative reviews in which it is noted that young children had unpleasant symptoms such as burning in the nose, sneezing after applying this medication, and tearing of the eyes. Due to these symptoms, the medicine had to be canceled and the use of another started. However, adverse reactions, judging by the reviews of parents, occur quite rarely. In some cases, consumers indicate that this medication did not have a positive effect in the treatment of sinusitis in children, but this may be due not only to the individual characteristics of the child's body, but also to the lack of an integrated approach to the treatment of such diseases of particular complexity.
We reviewed the instructions for the use of Isofra in the nose for children.