Miramistin is a drug from the group of antiseptics, the purpose of which is to prevent decomposition of tissues in the wound area and relieve inflammation. The effectiveness of the drug has been proven against a large number of known microbes and viruses. Therefore, some patients call it universal and are used as a panacea for all diseases.
Composition and form of release
The main active substance in medicines under the general name Miramistin is benzyldimethyl ammonium chloride. As an auxiliary component in the preparation, purified water is used. There are 4 types of agents: spray, solution, drops and ointment. Liquid forms are available in individual bottles from 50 to 200 ml, the ointment is sold in a tube of 15 or 30 grams.
Scope and adverse reactions
Since the drug is not absorbed into the blood, it is considered absolutely safe and is widely used in various medical fields: dentistry, gynecology, otolaryngology, ophthalmology, urology, venereology, dermatology, surgery, pediatrics.
Contraindications and adverse reactions in the entire history of drug use have not been recorded. Despite this, some patients tend to choose analogues instead of Miramistin. Most often, the use of another drug is associated with the search for affordable prices or the lack of a therapeutic effect in a particular patient.
Dentistry
All over the world, people carefully monitor the health of their teeth, and with dental problems, most of them go to the doctor. The doctor, having examined the oral cavity, prescribes Miramistin for periodontitis, stomatitis or gingivitis. Doctors also give good reviews about the drug in cases of toothache treatment, after the procedure for removing or removing dentures.

The use of the drug for dental purposes is carried out by rinsing the oral cavity or sore spot up to 4 times a day in accordance with the instructions. The analogue of Miramistin, which attracts patients with its natural composition, is Rotokan. The basis of the product is calendula, chamomile and yarrow. The medicine has anti-inflammatory, analgesic, healing effect with the possibility of stopping small bleeding. After the removal of tartar, the doctors put cotton tows moistened with Rotokana solution into the space formed near the gums. The procedure is carried out for several days in a row. With inflammation of the mucosa, rinse the problem area by dissolving 1 tablespoon of the medicine in a glass of water. Despite the plant components in the composition, the Miramistin analog for rinsing the Rotokan oral cavity can cause adverse reactions in the form of redness, itching, and other allergic reactions.
Gynecology
In the treatment of female diseases "Miramistin" is used in cases:
- Gaps and wounds in the postpartum period.
- To avoid postoperative infection.
- Pathological conditions of the genital organs after inflammatory processes.
- Candidiasis
The spray is applied to wounds and surgical sutures to prevent complications. If vaginitis or endometritis is detected, cotton swabs moistened with a medicinal solution are injected into the vagina. Douching is recommended for the treatment of inflammation and infections. The procedure is also carried out with the analogue of Miramistin - hydrogen peroxide. With thrush, the drug helps relieve unpleasant symptoms such as itching, redness, unpleasant odor and discharge. At the initial stage of the disease, in most cases, Miramistin defeats candidiasis, and peroxide will give the result only in combination with antifungal drugs. During the first days of use, after the acute symptoms of candidiasis have been relieved, treatment should not be discontinued. It is necessary to continue the course of therapy for as many days as the attending physician prescribed. Often the absence of a positive result or neglected cases force the gynecologist to add antibiotics to the treatment. A feature of the drug is the ability to use it to get rid of thrush, even during pregnancy.
The analogue of “Miramistin” “Chlorhexidine” contributes to the fight against microbes, slowing their reproduction and exerting a bactericidal effect. The list of indications for the use of "Chlorhexidine" is huge, ranging from disinfection of wounds and medical instruments, treatment of burns, use in dentistry and the treatment of throat diseases up to getting rid of erosion and sexually transmitted diseases. In the treatment of candidiasis, the drug acts only in conjunction with antifungal drugs. Douching and the introduction of tampons into the vagina can significantly improve the clinical picture. For preventive purposes, it is also recommended to carry out therapeutic washing.
Doctors respond well to the effectiveness of Chlorhexidine, an analogue of Miramistin, only 3-4 times cheaper. Therefore, the purchase of an inexpensive tool and its availability in a home medicine cabinet will bring only positive points and will relieve some problems in emergency situations.
Otolaryngology
Using according to the Miramistin instructions and analogues of a medicine quite often leads to a positive result with problems of the throat, nose and ears. In case of acute or chronic otitis media, ear drops with a solution concentration of 0.1% are recommended. For the treatment of nasal problems arising against sinusitis or rhinitis, Miramistin is used to rinse the sinuses and instill. The tool will help to cope with allergic manifestations in the form of a cold, without resorting to the use of vasoconstrictor drops, minimizes swelling and normalizes breathing. In the treatment of throat diseases, a spray-like preparation acts as an antiseptic. A convenient nozzle penetrates deep enough, which allows high-quality processing of the tonsils and the infected surface of the pharynx. In some cases, specialists may prescribe a rinse with Miramistin. For effective treatment, gargling is carried out for at least 5 minutes, after which they allow the medicine to act in the oral cavity without consuming food and drinks for half an hour. The Miramistin analogue for the chlorhexidine throat also contributes to recovery, but irritation of the mucous membrane is not ruled out. Therefore, in order to avoid the occurrence of adverse reactions in childhood, it is not recommended to be used.
Known from Soviet times, the cheap penny “Furacilin” is widely used due to its low price. With antiseptic and antibacterial properties, the medicine copes with gingivitis, tonsillitis, tonsillitis and stomatitis. Quite often it is used in otolaryngology for gargling. The analogue of Miramistin is available in tablets and solution. Both doctors recommend both forms at the beginning of the development of the disease, as well as in chronic diseases.
“Sialor” as an analogue of “Miramistin” in otolaryngology is made in the form of a spray and drops for the nose and is used in the treatment of inflammatory processes of the nose, throat, ears.
The active substance protargol has an antimicrobial and antifungal effect and is used in the following conditions:
- rhinitis of an allergic or inflammatory nature;
- chronic diseases of the mucosa;
- diseases of the sinuses of the nose, expressed in the form of frontal sinusitis or sinusitis;
- surgical interventions;
- preventive nasal lavage.
Ophthalmology
Drops for eyes “Miramistin” are used for burn injuries of the eyes, inflammation of the shell of the eyeball outside and the surface of the eyelids inside, and also to prevent the development of purulent diseases in the postoperative period. The treatment of conjunctivitis is carried out by instillation of 1 drop with an interval of 4-6 hours for 10 days. The prophylactic use of drops begins a few days before surgery and continues about a week after surgery. After burns, Miramistin is dripped every 10 minutes. After two hours of continuous treatment, drops are used after 4 hours, bringing the frequency of use up to 6 times a day.
Containing the same active substance as Miramistin, the Okomistin analog is presented to patients as eye drops. While the original is considered by manufacturers and patients as a solution. However, experts understand that the difference lies solely in the name and packaging, because they even produce drugs at the same pharmaceutical enterprise.
Urology
For both women and men, Miramistin is used in the treatment of inflammation of the urethra. Treatment of urological diseases is carried out exclusively after examining the patient and passing the necessary tests. The introduction of the drug into the urethra is allowed only to specialists in a hospital, and the duration of the course of treatment can reach 20 days. During the treatment period, the patient should adjust his diet in favor of dietary food and abandon sexual intercourse.
Venereology
When detecting genital infections, it is more convenient to use the Miramistin solution. This form of release is equipped with a special device that facilitates the process. For washing the urethra in men, the vagina in women and the mucous membranes of the external genital organs, about 10 ml of the drug is used. The burning sensation is not a contraindication for treatment. It passes on its own within a few minutes. Doctors give positive reviews and often give preference to Miramistin as an excellent prophylactic against venereal diseases. From an extensive list of drugs similar in principle to the action of the drug, the medicine is the most effective analogue, only cheaper. “Miramistin” compares favorably with cost and availability compared to other means of preventing sexually transmitted infections, as dispensed by pharmacists without a doctor’s prescription.
Dermatology
It also uses the antibacterial and antifungal effects of the drug. Miramistin is also prescribed for viral skin lesions. Ointment with severe purulent rash is applied to the damaged surface several times a day. Lotions are made from the solution for wet skin lesions. Also, the substance contained in the medicine actively fights against acne:
- prevents the growth and reproduction of bacteria;
- reduces inflammation and redness;
- removes pore contamination, including the resulting scales;
- carries out a protective function.
Facial skin can be treated by spraying the spray on the affected surface, applying the ointment pointwise or applying cotton pads dipped in Miramistin solution. There are a lot of analogues of ointments used to treat skin problems. The most famous and effective ones are Atserbin, Betadin, Zoksitin.
Surgery
With surgical interventions, only drugs that are included in the rather impressive special medical list are used. Analogues cheaper than Miramistin, like the drug itself, are included in this list of approved medicines. But more often the solution is used to treat surfaces destroyed by microbes, and to prevent secondary infection of already protracted wounds.
Pediatrics
In childhood, the use of Miramistin is indicated in the same cases as for adults. Pediatricians recommend it for the treatment of problems of an otolaryngological nature, in particular for the nose and throat. The analogues of Miramistin for children, appointed by specialists more often than others, are Hexaspray, Hexoral and Tantum Verde.
"Hexaspray" is made only in the form of a spray and is used in children from 6 years. Biclotimol as the main component has an antimicrobial effect and qualitatively fights against staphylococci, streptococci and other active pathogens. The medicine also has anti-inflammatory and analgesic effects. It is recommended to treat the oral cavity in cases of diagnosis of stomatitis, pharyngitis and tonsillitis in a small patient.
"Hexoral" is available in the form of a solution, spray and tablets. The active substance in liquid forms is hexetidine, auxiliary components are alcohol, water, oils of eucalyptus, cloves, peppermint and anise. Tablets have several basic active ingredients. All forms are distinguished by antiseptic and anesthetic effects, therefore, in addition to fighting bacteria, they also have anesthetic effect. "Hexoral" can be used from the age of three.
The analogue of the Miramistin spray, approved for use from the age of 3, is called Tantum Verde. Aerosol is used pointwise, treating the problem mucosa 2 to 4 times a day. Contraindications are individual intolerance to the components and pathological conditions of the lungs.
Most sprays are prohibited for use in newborns, so as not to provoke respiratory arrest in them. For babies, it is recommended to use the “Aqualor Baby”, from one to two years old “Aquamaris Baby” is prescribed, older than two - “Aquamaris Norms”. The drugs that are acceptable for use in all age categories are the ambulance and miramistin. For the throat, an analogue is cheaper and more effective than "Ambulance", the mother cannot find a baby. This drug is based on herbal ingredients: aloe vera gel, sage, calendula, chamomile, yarrow, propolis. The use of the drug has an anti-inflammatory effect with a cooling effect. The only condition for successful recovery, doctors call a spray dose of aerosol at the initial stage of the disease.
Inhalation
Miramistin is sometimes prescribed for inhalation in order to treat cough. In this case, the use of a nebulizer is necessary. Miramistin solution in combination with antitussive drugs acts on the mucous membrane as an antiseptic. The medicine is allowed to be used for any type of cough.
Given the wide range of uses of the Miramistin drug, as well as the huge selection of expensive and cheap similar drugs, doctors advise you to contact a specialist for the appointment of an effective drug, since making the correct diagnosis is the first and most important step in the fight against the disease.