Prescribing a hormone-based drug (the scientific name is glucocorticosteroids) is a difficult task. As a rule, such drugs are used for severe rhinitis, if more gentle means did not give the expected effect. Drops in the nose with hormones are most often prescribed for the treatment of the common cold caused by allergies, or in chronic forms of rhinitis.
Most popular remedies
What hormonal nasal drops are better? Now in pharmacies you can find many drugs based on glucocorticosteroids for the treatment of the common cold. Sometimes it’s not easy to navigate this variety, so the help of a qualified specialist is needed. The most popular and often assigned are:
- Flixonase
- "Nasobek";
- Nazonex
- Aldetsin.
Drops in the nose with hormones act as follows. After spraying the solution on the mucous membrane of the sinuses, inhibition and stopping of inflammatory processes occur. As a result, a runny nose becomes less pronounced, nasal congestion is removed, and the symptoms of tissue hyperemia disappear.
Do not treat
It is worth knowing that such medications do not affect the cause of the disease, but only relieve symptoms, facilitating the course of allergies. The advantage of glucocorticosteroid drugs is a non-systemic effect, which allows hormones that enter the bloodstream to not change their composition. In order for the disease not to take a chronic form, it is necessary to correctly diagnose and eliminate the root cause of the pathological process. For example, vasomotor rhinitis occurs against the background of hormonal imbalance in pregnant women or pathologies of the endocrine system. In this case, hormone-based drops only temporarily ease breathing. Let's take a closer look at the most popular types of nasal drops based on glucocorticosteroids.
Flixonase
Most often, drugs with glucocorticosteroids are available in the form of sprays and aerosols. Drops in the nose with hormones are a rarer form and it is quite difficult to find them in pharmacies. Flixonase is one of the drugs in this group. It well removes inflammation and swelling of the nasal mucosa, stops the development of allergic reactions. The effect of the use of this drug lasts up to 4 hours after instillation. The quality of life of patients prone to frequent allergies is markedly improved thanks to the use of "Flixonase", which helps to quickly and accurately remove the symptoms of allergic rhinitis. The drug prevents complications and quickly relieves nasal congestion.
Suitable for children from two years of age. Which hormonal nasal drops to choose is best, you can check with your doctor.
“Flixonase” differs from other hormonal nasal preparations in that it does not affect the functioning of the hypothalamic-pituitary system. The following side effects may appear on the first day of use:
- itching in the nasal cavity;
- tickle in the nasopharynx;
- symptoms of conjunctivitis;
- aggravation of congestion and rhinorrhea is possible.
In case of allergies, drops in the nose with the hormones "Flixonase" are intended for intranasal use. To get the maximum effect from their use, it is necessary to strictly observe the dosage regimen prescribed by the doctor. It is best to carry out the procedure in the morning. Basically, two injections are prescribed in each nasal passage once a day.
In the acute course of the disease, the doctor may prescribe a double use of the drug. However, this is a short-term measure and after a few days you should return to the normal dosage regimen. Usually, you can evaluate the effect of treatment after three days of using Flixonase. In childhood, the dosage is one injection in each nasal passage once a day.
Before using the drug, the vial must be shaken. After the injection procedure, the applicator must be cleaned with running water.
Side effects
Side effects of instillation of drops with hormones in the nose can be expressed as follows:
- Headaches.
- Irritation in the nasopharynx.
- Burning sensation in nose.
- Dry nasal mucosa.
- Nose bleed.
- Nasal congestion.
- Bad taste in the mouth.
It is extremely rare to see also perforation of the nasal septum as a result of the use of the drug. If you notice swelling of the face and tongue, a rash on the skin, or difficulty breathing, then it is possible that you are allergic to the components of Flixonase. A contraindication to the use of this drug along with individual intolerance is also a children's age up to four years.
Whether to use Flixonase during pregnancy is decided by the attending physician. It all depends on the severity of the disease, the risk of disturbing the normal course of the intrauterine development of the unborn child, as well as on the condition and well-being of the woman. With caution, Flixonase should be used for those who have recently experienced surgery in the nasopharynx, as well as for people with diseases that are of acute infectious nature.
In order to avoid complications, namely violations in the work of the adrenal glands, it is necessary to carry out therapy under the supervision of a specialist. It is not worth it to prescribe drugs for the glucocorticosteroid group yourself, since these drugs have a number of contraindications.
"Nasobek"
The name drops in the nose with hormones is familiar to many. The drug "Nasobek" is common and often prescribed by doctors. It is intended for the relief of inflammatory processes and allergic reactions. The therapeutic effect is manifested in the following:
- Reduction of tissue edema.
- Decreased secretion.
- Increased immunity of the mucous membrane in relation to external stimuli.
The result from the use of the Nasobek spray can be observed four days after the start of treatment. The maximum effect is observed after a week. Prescribe a drug for the treatment of vasomotor rhinitis, with hay fever, as well as seasonal or chronic allergies.
“Nasobek” is applied by intranasal spraying in two doses in each nasal passage twice a day. The doctor may, under certain circumstances, change the dosing regimen to one injection four times a day. The maximum daily dosage is 8 sprays. If the effect of therapy is absent within 20 days after the start of treatment, it is necessary to cancel the drug. The bottle must be shaken before the procedure. After spraying, the applicator is washed with running water.
In the first trimester of pregnancy, hormonal drops in the nose for adults are strictly prohibited. The decision on the appointment of "Nasobek" in the future is made by the attending physician. This rule also applies to the period of breastfeeding. A steroid spray increases the effectiveness of beta-adrenostimulants while taking them simultaneously.
Side effects
Side effects from the use of Nasobek may include:
- Dry nasal mucosa.
- Soreness in the nasopharynx.
- Cough.
- Worsening of the common cold.
- Sneezing.
- Nose bleed.
- Perforation of the nasal septum.
- Ulcers at spray sites.
- Decreased visual acuity as a result of increased intraocular pressure.
These hormonal drops and nasal sprays can be bought at any pharmacy.
More rarely, the following adverse reactions from the use of Nasobek are possible:
- Drowsiness.
- Headaches.
- Conjunctivitis.
- Skin rash.
- Spasm in the bronchi.
- Change in taste.
With prolonged use of corticosteroid drugs, or in excess of dosage, candidiasis of the nasopharynx and a delay in the physical development of the child may develop.
Contraindications
Contraindications to the use of Nasobek are:
- Hemorrhagic diathesis.
- ARVI.
- Hypersensitivity to the components.
- Pulmonary tuberculosis.
- Predisposition to nosebleeds.
- Children under 6 years old.
Patients with glaucoma should use Nasobek with extreme caution. The presence of damage to the nasal mucosa is also an occasion for the careful use of the drug. Exceeding the prescribed dosage can cause the development of pathology in the work of the hypothalamus and pituitary gland. A person’s consciousness is not inhibited by the drug, so it can be used by people whose field of activity is related to concentration of attention.
Nanosex
It is difficult to understand solely by the name of a drop in the nose with hormones whether the drug belongs to the group of glucocorticosteroid drugs. Therefore, expert advice and a careful reading of the instructions for use are always important.
Another nasal hormone spray is Nanosex. It is prescribed for topical use, has an antihistamine and anti-inflammatory effect. It does not cause systemic side effects if used correctly. It is not available in the form of drops, therefore the dosage regimen depends on the amount of spray.
Indications for the appointment of "Nanosex" are:
- As a prevention of allergic rhinitis during periods of seasonal exacerbations. A nasal preparation is prescribed approximately two weeks before the period of mass flowering of plants.
- Treatment of chronic forms of allergies.
- For the treatment of chronic rhinitis as part of complex therapy.
The injection procedure is performed once a day, two sprayings in each nasal passage. Sometimes the disease is severe. In this case, it should be remembered that the maximum daily dose of the drug is eight sprays. As soon as the desired effect is obtained from the use of the drug, the dosage is halved. Positive dynamics are observed 12 hours after the first use of Nanosex. The bottle must be shaken before use.
Side effects
Side effects from the use of drops in the nose with hormones for sinusitis and other diseases can be:
- Burning in the nasopharynx.
- Bleeding from the nose.
- Sore throat.
- Headaches.
- Irritation of the mucous membrane of the nasopharynx.
- Sneezing.
- In rare cases, perforation of the septum and increased intraocular pressure are possible.
Can I use these nasal drops with hormones for children? Not always, there are a number of contraindications.
Contraindications
Nanosex is contraindicated in the following categories of patients:
- Children under the age of two.
- Patients with an acute stage of development of an infectious disease.
- People who have recently suffered injuries or surgery in the nasopharynx.
- Patients with hypersensitivity to the drug.
The appropriateness of the use of "Nanosex" during pregnancy is determined by the attending physician. However, due to the fact that this drug enters the circulatory system in a very small amount, the period of bearing a child does not belong to a number of absolute contraindications. If during pregnancy Nanosex was still used, then after the birth of a baby, it is necessary to monitor the functioning of its adrenal glands. During the entire therapy with hormonal drugs, it is necessary to be observed by an otolaryngologist in order to avoid changes in the microflora of the nasopharynx.
Aldetsin
These are hormonal drops in the nose of a new generation. This drug has a strong antihistamine, anti-inflammatory and immunomodulating effect. It is shown under the following conditions:
- Runny nose caused by allergies.
- Vasomotor rhinitis.
- Polyposis.
- In complex therapy in the treatment of bronchial asthma.
- Potentiation of the action of xanthines.
The drug is administered intranasally. Before use, the bottle is shaken. When spraying, the applicator should not touch the mucous membrane. In the standard version, one dose is prescribed in each nasal passage 4 times a day. The maximum possible daily dosage is 16 sprays for an adult and 8 for a child. After processing the mucosa, it is necessary to rinse the oral cavity.
Adverse reactions
In case of exceeding the doses prescribed by the doctor and violation of the instructions for use, or with prolonged use of the drug, the following side effects may develop:
- Skin rash (allergic).
- Itching sensation.
- Bleeding from the nose.
- Sneezing.
- Nausea.
- Nasopharyngeal candidiasis.
- Dizziness.
- Heart palpitations.
Drops in the nose with hormones for children will be discussed below.
Quite rarely, an increase in the hypoglycemic index (increase in blood glucose), as well as symptoms of osteoporosis, cataracts and arterial hypertension are possible.
When the drug is contraindicated
These nasal drops with hormones are contraindicated for children under six years of age, as well as in the following situations:
- Tuberculosis of the respiratory tract.
- Infectious diseases of the acute course.
- Hypersensitivity to the components of the drug.
- Hemorrhagic diathesis.
- Paroxysmal bronchial asthma.
- Regular nasal bleeding.
The drug "Aldetsin" is contraindicated for use in the first trimester of pregnancy. If treatment takes place during lactation, breast-feeding should be discontinued for the duration of therapy. In case of an overdose during pregnancy, the development of dysfunction of the adrenal cortex in a child is possible.
An overdose can also be expressed in dyspeptic disorders, glaucoma, arterial hypertension and shortness of breath. It is also possible a violation of the functioning of the adrenal glands and the ingestion of a steroid drug into the circulatory system.
Patients suffering from hypertension should also be careful when using Aldetsin. The same applies to liver failure, glaucoma, and hypofunction of the thyroid gland. Do not combine the drug with antibiotics.
For children, the following hormonal drops can be used: Nasobek, Avamys, Nazonex, Aldetsin. But it is important to understand that treatment is necessary under the supervision of a physician.
Drops in the nose with hormones: reviews
These drugs deserved mainly positive reviews. They are well tolerated, quickly help, rarely cause adverse reactions. It is necessary to begin to apply them at the first symptoms. Before use, read the instructions.
At the same time, many parents are wary of nasal drops with hormones and antibiotics when it comes to treating a child. For this reason, self-medication is unacceptable. The doctor should select the drug.