With a runny nose in children and adults, doctors prescribe Nesopin. Reviews of this tool indicate that it quickly and effectively facilitates breathing. The healing effect persists for many hours. However, the drug has many contraindications for use and has side effects. How to use this cold remedy? And will it not do harm? Let's try to figure it out.
Composition and action
The drug is released in the form of a spray and drops. Its active ingredient is oxymetazoline. It belongs to the group of adrenergic agonists. So-called medicinal substances that stimulate adrenergic receptors on the mucous membranes.
Due to the adrenomimetic action of oxymetazoline, the vessels in the nasal cavity narrow. This leads to the removal of edema of the mucosa and facilitate breathing. The positive effect of the drug is noticeable already 15 minutes after application. Patients note the duration of the drug "Nesopin". The reviews reported that this tool makes breathing easier for 8-12 hours.
The composition of the spray and drops include such additional ingredients as menthol and eucalyptus oil. They also have a healing effect. These components soften and moisturize the nasal mucosa, and also destroy bacteria.
The drug looks like a clear yellowish liquid. The spray is packaged in bottles with a sprayer of 10 or 20 ml. Drops are also available, they contain 0.05 or 0.025% of the active component.
Indications
Respiratory and allergic diseases, accompanied by a runny nose, are the main indication for the appointment of the drug "Nesopin". The instruction recommends the use of this tool for the following pathologies:
- rhinitis of various etiologies;
- allergic reaction to pollen;
- sinusitis;
- inflammation of the Eustachian tube.
The use of a vasoconstrictor drug helps prevent complications of the common cold such as sinusitis and otitis media. After all, these consequences of rhinitis often arise due to the penetration of bacteria from the nasopharynx into the sinuses and middle ear cavity. Eliminating nasal congestion reduces the risk of infection in nearby organs.
It is important to remember that vasoconstrictors only eliminate the symptoms of a runny nose. But they do not affect the causes of rhinitis. Doctors very rarely use the drug "Nesopin" as monotherapy. According to experts, drops and spray significantly improve breathing, but do not affect the duration of the disease. Therefore, they are usually used as part of complex drug therapy.
Contraindications
Vasoconstrictors for the nose are quite potent drugs. They have not only local, but also systemic effects on the body. Therefore, not all patients can use drops and spray. The drug "Nesopin" has the following contraindications:
- child age up to 6 years (for spray);
- infants up to 1 year (for drops);
- an allergic reaction to the components of the drops and spray;
- rhinitis, accompanied by mucosal atrophy;
- arrhythmia;
- diabetes;
- high blood pressure;
- glaucoma;
- atherosclerotic changes in the vessels;
- thyrotoxicosis;
- severe kidney disease.
This tool is not recommended for use during gestation and lactation. However, in exceptional cases, the doctor may prescribe the drug to a pregnant woman. However, the specialist should weigh the likely benefits for the patient and the possible consequences for the unborn child.
Unwanted effects
Vasoconstrictive adrenergic agonists can have an adverse effect on the body. Not all patients tolerate Nesopin well. The instructions for use and reviews report the following undesirable effects:
- sneezing
- lacrimation
- itching in the nasal passages;
- heart palpitations;
- increased blood pressure;
- sleep disturbances;
- dizziness
- increased anxiety;
- nausea
- dry nasal mucosa;
- burning sensation in the nostrils.
This drug can not be used for a long time. This can lead to atrophy of the nasal mucosa. In addition, the patient develops addiction, and the remedy ceases to have a therapeutic effect.
It is very important to observe the recommended dosage of the drug. The introduction of an excessive amount of drops or spray can cause severe intoxication. After all, this tool has a systemic effect on the body. An overdose of the drug can lead to severe tachycardia, sharp jumps in blood pressure and even loss of consciousness. The treatment of poisoning is only symptomatic, as there are no special antidotes.
Application
If the drug is used in the form of a spray, then adults and children over 12 years of age are recommended to do 2-3 injections in each nasal passage. The procedure is repeated twice or thrice a day. At the age of 6 to 12 years, the liquid is injected once in each nostril 2-3 times a day. Spray is not used to treat children under 6 years of age.
Nasal drops at a dosage of 0.025% are intended for the treatment of children from 1 year to 6 years. In the treatment of patients 6-12 years old, a solution of a concentration of 0.05% is used. The drug is administered 1 drop in each nasal passage 2-3 times a day.
Adults and children over 12 years of age are prescribed nasal drops at a dosage of 0.05%. They are injected into each nostril, 2 drops twice or thrice a day.
The course of treatment should not last more than 3-5 days. If during this time the patient's condition has not improved, then a doctor should be visited.
Interaction with other medicines
There are medicines that can not be used with aerosol and Nesopin drops. In the reviews of doctors and instructions, the interaction of the drug with the following medicines is reported:
- Other vasoconstrictors for the nose. In this case, the risk of side effects increases sharply.
- Antidepressants. With joint administration, blood pressure may increase.
During treatment, in no case should you drink alcohol even in small quantities. This can significantly reduce the therapeutic effect and enhance side effects.
The opinion of doctors
Pediatricians and otolaryngologists often use Nesopin drops and spray in their practice. Reviews of specialists about this tool are mostly positive. Doctors note the fast and long-acting effect of the medicine. Unlike other vasoconstrictors, Nesopin dries the mucosa much less and causes less likely adverse effects.
However, experts warn of the inadmissibility of abuse of drops and spray. If, after a 5-day course of treatment, significant relief of nasal breathing has not come, then the use of the drug should be discontinued. Otherwise, severe atrophy of the nasal mucosa may develop, which is difficult to treat.
Patient opinion
Parents of young patients have a positive opinion about Nesopin for children. The reviews reported that this tool almost instantly eliminates nasal congestion. Thanks to the long-term effect of the medicine, the children were able to sleep peacefully and breathe through their nose. The duration of the use of drops and spray did not exceed 5 days. In many cases, during this time, the rhinitis in the child disappeared on its own.
You can find many positive reviews from adult patients. This drug helped them quickly get rid of nasal congestion. The reports noted that the treatment with drops and spray is useful to supplement by washing the nostrils with sea water. This enhances the therapeutic effect of the drug.
Patients also write that after the end of treatment they did not have withdrawal syndrome. The drug is addictive only when abused.
However, not all patients have the Nesopin remedy. The reviews reported the occurrence of side effects during treatment. After applying the drops and spray, some patients developed severe burning, soreness and irritation of the nasal mucosa. It is possible that such reactions are associated with increased sensitivity to the components of the drug. In such cases, you must consult a doctor about replacing the drug.