Instructions for use "Nazonex" states that the medication belongs to the number of hormonal drugs for the relief of the common cold. The medication for sale is represented by liquid-containing vials with a nebulizer, with which it is convenient to apply the substance to the inner surfaces of the nasal cavity, evenly distributing the active compound over the entire area of the organ. The main active compound, which provides a pronounced effect of the drug, is mometasone furoate monohydrate. The manufacturer equipped the spray can with a special dispenser. One portion of the aerosol sprayed in this way contains 50 μg of active substance.
general information
In the instructions for use of "Nazonex", the manufacturer indicates that the drug belongs to the class of glucocorticosteroids. In addition to the active substance, the tool contains auxiliary compounds that provide storage duration, enhancing the effect of the drug. A complete list of used substances is necessarily indicated in the accompanying documentation. It is important to get acquainted with it to people suffering from allergic reactions to any substances common in the pharmaceutical industry.
Additional substances indicated in the instructions for use of "Nazonex":
- cellulose;
- glycerol;
- lemon acid;
- sodium citrate;
- water;
- benzalkonium chloride;
- polysorbate;
- phenylethyl alcohol.
The substance is poured into a small plastic bottle equipped with a dispenser. One bottle is designed for 120 uses. One pack contains one bottle and instructions for use. Nazonex costs about 450 rubles and more.
Application rules
The drug from the GCS category is intended for intranasal use. It stops the allergic response of the body and fights foci of inflammation. Small dosages shown to patients allow for a pronounced local effect, while the drug does not have a systemic effect.
In the instructions for use with the Nazonex spray, the manufacturer recommends using the composition for:
- rhinitis caused by allergies;
- sinusitis in the period of exacerbation.
An allergic rhinitis with the help of a spray is eliminated both year-round and caused by the change of seasons. With this phenomenon, an aerosol is indicated to all those in need over two years of age.
If sinusitis worsens, the instructions for use "Nazonex" is recommended only as an element of a comprehensive treatment. The drug is combined with antimicrobial agents. You can use "Nazonex" from the age of twelve.
The manufacturer indicates the possibility of using the medication as a prophylactic if the patient suffers from an allergic rhinitis associated with a change of seasons, while the response of the body is expressed by a heavy or moderate severity level. In the instructions for the use of "Nazonex" in the nose, children, older people in this situation are shown to spray a couple of weeks before the start of the allergy season. Sometimes they begin to apply aerosol earlier - a month before the alleged flowering of nature.
It is impossible!
The manufacturer draws attention to the inadmissibility of the use of the drug if the patient has an increased sensitivity to any substance used in the manufacture of the medication. However, this is not the only contraindication mentioned in the instructions for use. Nasonex is not used in the nose for children and adults if local infection is established that affects the nasal mucosa. The medication is approved for use only as the relief of infectious processes.
If the patient has recently suffered an injury or surgery, the drug is allowed to be used only after the healing of all injuries. The instructions for use of "Nazonex" in the nose mention the possibility of spraying the product on the mucous membranes only by persons whose age is two years or older. No special studies have been conducted that can confirm the effectiveness of the use of the drug at the age of less than two years. There were no such tests that would argue about the safety of such therapy.
You can not use Nasonex in the nose (the instructions for use pay special attention to this) if a person has respiratory tuberculosis. Restrictions apply to both the active form and the latent flow.
Spray is not used if systemic infection with fungi, bacteria, viruses is detected, while the patient does not receive appropriate treatment. Similar limitations are imposed by infection with herpes simplex viruses, in which the eyes are affected. In rare cases, in such a situation, the doctor may recommend the use of Nazonex, but be sure to warn the patient about possible negative consequences. Have to keep the patient's condition under control.
Terms of use
The instructions for use "Nazonex" for adults and children is shown intranasally. The suspension, which is in the bottle, is sprayed with a tiny suspension into the nasal cavity using a dispenser. Use the drug only if the metering nozzle is in good condition.
Before the first application of the composition, it is necessary to calibrate the dispenser of the bottle. To do this, the area controlling the spray operation is pressed six, sometimes seven times in a row. The dispenser starts to work stably, giving out the same volumes of the drug with each activation.
In the instructions for use of "Nazonex" (nasal spray), the manufacturer indicates that when you press the dispenser at the same time, 100 mg of suspension is sprayed into the surrounding space, of which 50 μg is the active substance, showing a pronounced local effect.
If the drug has not been used for two weeks or a longer period, it is necessary to calibrate the sprayer again before reuse. The manufacturer also indicates in the instructions for use of "Nazonex": the nasal spray is contained in a vial that must be thoroughly shaken before spraying the contents. Vigorous stirring is necessary before each new use.
Diagnoses and rules
In case of a cold caused by an allergy, Nazonex is recommended for use from the age of 12. The drug is suitable for adolescents, people of middle, mature, advanced age. Both for prevention and treatment, it is used in equal amounts - two injections of 50 μg of the active component in one nostril. The total volume received by the patient is 200 μg of the active component. All the medication put on the day is administered at a time. If it was possible to achieve the desired effect, as part of the maintenance course, you can use "Nazonex" in half the amount - to inject the drug in each nostril only once. The total daily volume will be 100 μg of the active compound.
The manufacturer in the instructions for use of the spray "Nazonex" (reviews confirm that this is really possible) warns that sometimes 200 micrograms per day is not enough to get a pronounced effect. In such a situation, it is allowed to increase volumes, still introducing the medication in one procedure. Up to four injections are made in each nostril, that is, on the day the patient receives 400 micrograms of the active substance. As soon as a marked reduction in symptoms is achieved, the volumes used are reduced.
The clinical effect of the use of aerosol can be observed in the first 12 hours from the moment the agent enters the patient.
Instructions for use "Nazonex" for children older than two years old, but younger than eleven years old is shown in the amount of 100 mcg per day. All this volume is administered in one procedure, making one injection into the nostril.
Alternatives
If chronic sinusitis is exacerbated, Nazonex is combined with antimicrobial agents. For children over 12 years old, for adults and elderly patients, the drug is put twice a day by injection into each nostril. In one procedure, the patient receives 100 μg of the active ingredient.
Instructions for use "Nazonex" for children over twelve years old, for adult patients and the elderly is recommended as an auxiliary element of the course prescribed for exacerbation of sinusitis. Two doses of the drug are injected into each nostril, the procedure is repeated twice daily. In one day, the patient receives 400 mcg of active substance.
Interesting position
Currently, there are no options that have a systemic effect (eg tablets), Nazonex. The instruction for the use of the medication mentions that the spray is intended strictly for topical use, which ensures a high level of its safety. Special studies, organized in order to identify a possible effect on the female body during the period of bearing a child, showed that the use of aerosol in dosages recommended by the manufacturer does not lead to the appearance of an active component in blood plasma or the concentration is so low that even the most accurate modern indicators simply do not in the power to catch her. Based on this, it was concluded that the substances contained in the Nazonex aerosol, if they can affect the fetus, are so small that they can be neglected. It was not possible to establish toxicity to the fetus, a negative effect on reproductive function, which allows us to say with confidence that the poisoning abilities are either too small or completely absent.
However, the instructions for the use of "Nazonex" in the nose (drops under this name are not released, but you can buy a suspension for spraying in the nasal cavity), the manufacturer mentions that no special studies were organized, on the basis of which it would be possible to completely eliminate the dangers associated with with a therapeutic course. The drug is recommended to be used in reproductive age, while carrying a child and breast feeding a child only when the obvious benefit significantly exceeds the possible risks. Infants whose mothers used Nazonex aerosol during pregnancy should be in the hospital for the first time after birth so that doctors can monitor the condition. There is an assumption that such children may weaken the functionality of the adrenal glands.
Negative consequences
The instructions for use of Nasonex (drops under this name are not produced, but a suspension is produced) indicate that with rhinitis associated with the allergic response of the body, the drug can cause inflammatory processes in the throat, as well as:
- nasal burning;
- nosebleeds;
- local irritation of the mucosa.
The listed phenomena are more characteristic of adult patients. Bleeding usually stops on its own, quite light, do not require any special measures. Compared with the placebo group, Nazonex provoked bleeding with almost the same frequency, that is, in five out of a hundred subjects. Compared with other hormonal agents, this indicator is significantly lower - many drugs initiate nosebleeds in 15% of cases.
Other negative consequences of using the medication are comparable in frequency to those who bothered the placebo group.
When using "Nazonex" according to the instructions for use by children with adenoids, rhinitis of an allergic nature and other diagnoses in which the drug is indicated, there is a risk of the following negative phenomena:
- nosebleeds;
- irritation of the nasal mucosa.
Some children sneeze actively, others complain of a headache.
On average, the frequency of all these adverse effects is approximately the same as in the placebo group.
As indicated in the instructions for use of "Nazonex" for adenoids, sinusitis in the acute phase, the drug in people over 12 years of age can cause:
- local burning, irritation;
- inflammatory processes in the throat;
- headache.
Bleeding from the nose is moderate, and the frequency is only one percent more than in the placebo group.
It is known that in isolated cases, against the background of the use of Nazonex, an increase in pressure in the organs of vision and perforation of the nasal septum were diagnosed.
Too much!
According to the instructions for use of "Nazonex", for sinusitis, sinusitis, rhinitis and other diagnoses, in which the drug is effective, you must use the drug strictly at the doses recommended by the manufacturer and confirmed by the doctor. Prolonged use of the drug in excessive dosage and combination with other hormonal anti-inflammatory compounds can cause inhibition of the adrenal system, hypothalamus and pituitary gland.
The systemic bioavailability of the active component of Nazonex is estimated to be less than one tenth of a percent, so it is highly unlikely that an accidental (or even deliberate) overdose can become the reason for any symptomatic therapy. If an overdose is detected, it is recommended to monitor the patient's condition, monitor for the presence of negative changes, and make sure that in the future the substance is used strictly in the recommended amounts.
"Nazonex": analogues
Instructions for use indicate that the drug is based on mometasone furoate. This substance has a rather high cost, so the funds created on it, on average, are quite expensive. Replacing Nazonex with something cheaper, but with the same composition, is extremely difficult. If it is impossible to purchase the composition selected by the doctor, you should look at the following products:
- "Desrinitis."
- "Nosephrine."
- Asmanex.
In some cases, you can use an ointment on the same active ingredient. It is produced under the name "Momat." There is a cream "Momat." Sometimes, as an alternative, the Momat Rino Advance tool is advised. A good alternative is Avamis.
The cost of these analogues is quite high: from 400 to 1,500 rubles - it depends on the specific drug, its volume, and the price policy of the pharmaceutical point.
The most affordable analogue of "Nazonex", the instructions for use of which indicated mometasone, is cream and ointment "Momat", the price of which is close to 200 rubles. True, this format of release is not suitable in all cases, it has a number of specific differences in operation.
Before replacing the tool with alternative options, it is reasonable to first check with the doctor what may be suitable in a particular case. Whatever drug is chosen, it will be necessary during the therapeutic course to carefully follow the dosages and rules regulated by the instructions for use. Reviews about "Nazonex" with adenoids, rhinitis, allergies, sinusitis are mostly very good, and some note even the effectiveness of otitis media. Not all analogues of the drug have an equally good reputation.
"Nazonex" with adenoids
As medical practice shows, “Nazonex” can be used with adenoids, but only in cases where the doctor has prescribed this drug. It is known that in some cases, such treatment may be ineffective. In general, the rules of use are similar to those described above: the drug is injected into each nostril of the patient daily, in each nasal passage - twice. As the patient's condition improves, the dosage is halved. The duration of the course is chosen by the doctor.
What is this about?
Adenoids - the formation of lymphoid tissue, for various reasons, overgrown. Normally, this tissue is the base of the tonsils in the nasopharynx. Adenoids can be suspected by frequent and prolonged otitis media, colds. It is impossible to see the education on your own. If adenoids are suspected, the child should be shown to a qualified doctor. For examination, a special mirror is used, which allows you to see in detail the tonsils in the nasopharynx.
Adenoids are a widespread word, but in medical practice it is more correct to use the term "adenoid vegetation". Statistics show that the problem is widespread, most often it bothers children older than one year of age, but less than 15 years old. The peak falls on the interval from three to seven years, although in recent years the lower boundary has gradually shifted, adenoids are detected in children at an ever younger age.
Symptoms of adenoids:
- breathing through the mouth;
- open mouth sleep;
- difficulty breathing in the absence of a runny nose;
- prolonged runny nose, which can not be eliminated by any drugs.
Effects
Without adequate treatment (for example, with Nazonex aerosol), adenoids can cause hearing loss. . . , , , . , , .
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Studies show that the complication of nasal breathing leads to a lack of oxygen. The average shortfall is estimated at 18%. If the child cannot fully breathe through the nose, the body is constantly faced with a lack of oxygen, which negatively affects various organs and systems. First of all, irreparable damage is caused to the brain. However, adenoids interfere with the normal development of the skeleton of the face, and this inhibits speech function. Statistics show that among children with adenoids, the percentage of those who can not cope with the pronunciation of certain letters is much higher. Many speak in the nose. Parents, as a rule, do not notice such changes, since they live together with the child.
With adenoids, the functionality of the middle ear is significantly impaired, since the mouth of the Eustachian tube is blocked by the neoplasm. In such conditions, it is easier for an infectious agent to penetrate the middle ear, where inflammatory processes soon begin.
An increase in the volume of unhealthy tissue is accompanied by chronic inflammatory processes, so the child is constantly sick with pharyngitis, laryngitis, bronchi and trachea become inflamed. Tissues generate mucus, fester, and secretions enter the lower parts of the respiratory system. Along the entire path of their passage, foci of inflammation are formed.
Many children with adenoids cough constantly. It is noted that this is not accompanied by pulmonary, bronchial changes, it has no consequences. Coughing is explained by irritation of nerve elements in the nasopharyngeal region. Cough is called reflex, ranked among the common symptoms of adenoids. In practice, it is known that sometimes it is confused with manifestations of the flu, colds, therefore, the wrong course of treatment is prescribed. You can get rid of cough with adenoids if you eliminate the root cause of the disease, that is, overgrown tissue.
Identify and cure
Prolonged irregular breathing provokes abnormal development of the chest, causing anemia and other health consequences. The course should be prescribed by an experienced doctor. In the first degree of the disease, when the patient does not have pronounced breathing problems, conservative therapy is sufficient. The “Nazonex” considered above or other similar drugs are prescribed, and to maintain the general condition of the body, vitamin complexes and calcium preparations are additionally recommended. Calciferol and ascorbic acid are considered especially useful.
In the presence of complications, the second or third degree of proliferation of lymphoid tissues, adenotomy is indicated, that is, removal of neoplasms. They resort to this treatment option relatively rarely, only if the evidence clearly indicates the need for urgent intervention. An adenotomy is done if the child’s hearing has already worsened, speech disorders, respiratory dysfunction are observed, and diseases are often persecuted.
If it was decided to undergo surgery, two options are possible: local or complete analgesia. A doctor will tell you about the features of caring for a child during rehabilitation at the appointment - everything is strictly individual.
"Nazonex" against adenoids
With adenoids, especially the first degree, hormonal aerosol allows you to take control of the processes of growth of lymphoid tissue, which means to alleviate the patient's condition and prevent the occurrence of complications. As a rule, using the spray according to the instructions avoids surgery. The medication is usually prescribed in a ten-day course. In the reviews of the drug, many note that in such a short time the aerosol really effectively improves the condition of the sick child, the nose goes completely completely, the baby begins to breathe normally. The regular repetition of such courses as necessary stops the development of adenoids, makes it possible to control neoplasms and contributes to their degradation to normal tissue volumes.