Often during the period of colds, many people worry. Special drops or sprays will help alleviate the patient’s condition and eliminate nasal congestion. There is a large selection of drugs for the treatment of diseases of the upper respiratory tract: vasoconstrictors, antibacterials. Antibiotic nasal drops help cure various nasal diseases and get rid of bacterial infections in both children and adults.

The principle of action of antibacterial nasal drops

After using antibacterial drops in the nose, the active substance that is included in the preparations acts on the infection and prevents its reproduction. Medicines help dilate blood vessels, relieve swelling of the nasal mucosa and restore breathing.

Unlike the use of general antibiotics, nasal drops with an antibacterial effect have a number of advantages. After applying the drug to the site of infection, the medicine begins to act faster than drugs intended for oral use.

When using antibiotic-based drugs, the risk of allergic reactions and resistance is reduced. This is due to the fact that the drugs do not enter the bloodstream and intestines.

Nasal preparations with an antibacterial effect do not harm healthy microflora: the product does not spread beyond the nasal mucosa and do not lead to a decrease in immunity.

The most common drugs for the treatment of upper respiratory tract diseases are:

• Isofra
• Polydexa
• Bioparox

These antibiotic drugs are quite effective in the fight against, which is caused by various bacterial pathogens.

Antibacterial drops based on antibiotics are used to treat:

• Rhinita
• Rhinopharyngitis
• Tracheitis
• Tonsillitis
• Laryngitis

In rare cases, a doctor prescribes, but only if serious bactericidal complications occur. Drugs with antibacterial action for topical use are prescribed when the infection lasts more than 5 days and is infectious in nature. Antibiotic nasal medications are used for the discharge of yellow, thick mucus from the nose, as well as for identifying the pathogen by inoculating the nasal mucus.

Features of using the drug Isofra

A medicine that contains the antibiotic framycetin. The drug acts bactericidal and inhibits the vital processes of pathogenic microorganisms. The antibacterial drug is effective against gram-positive and gram-negative bacteria. The drug is prescribed in combination for the treatment of various infectious diseases of the upper respiratory tract. The medicine is available in the form of a spray. Prescribed to children from one year of age and only under the strict supervision of a doctor.

It is prohibited to use medications on your own. When prescribing a particular drug, the doctor takes into account the type of infectious agent, as well as their sensitivity to antibacterial drugs.

Before using the antibiotic drug Isofra, the child’s sinuses should be cleared of sinuses, and then the drug should be injected into each nostril.

This procedure should be carried out at least 3 times a day. The drug should be used for about 7-10 days. Injections for adults should be done at least 6 times. It is important to maintain equal time intervals before the procedure.The patient's condition improves within a few days. If it was not possible to eliminate a runny nose and make breathing easier, then the causative agent of the disease is not sensitive to the antibiotic. In this case, you should stop using the spray and consult a doctor.

Useful video on how to treat a runny nose.

Instructions and features of using Evamenol nasal ointment

In rare cases, when using the drug, adverse reactions such as allergies appear.With long-term use of the drug, the normal microflora of the mucous membrane is disrupted, which leads to dysbacteriosis.

Isofra should not be used during pregnancy and breastfeeding. If there is an individual intolerance to individual components of the drug or an allergy to aminoglycosides, then the use of the drug is prohibited.

Action and use of the drug Polydexa

The drug is intended to reduce the amount of mucous secretions. The main active ingredients are the antibiotics neomycin and polymyxin. They have different effects on areas of inflammation.

The drug also contains other components that have antimicrobial, bactericidal and anti-inflammatory effects. In otolaryngology, the drug Polydexa is used to treat rhinitis of various microbial etiologies.

The antibacterial drug is available in the form of a spray or drops.

For children, injection should be carried out 2-3 times a day. For adults, the dosage increases and is 4-5 times a day in each nostril.

When using drugs in the form of drops, you must remember that they are intended for instillation only. The use of antibacterial agents for rinsing or inhalation is strictly prohibited. This may lead to the drug being swallowed. In this case, an overdose may occur and allergic reactions may occur. It also contributes to the suppression of the normal microflora of the nasopharynx.

Among the adverse reactions that may occur with prolonged and uncontrolled use of the drug, the following may appear:

• Edema
• Dryness and burning in the nose
• Headache
• Insomnia
• Irritability
• Tachycardia
• Lower blood pressure

It is prohibited to use the drug for viral diseases and the nasal cavity, glaucoma, or hypersensitivity to individual components of the drug. Pregnant and lactating women should use the drug only with a doctor's prescription.

Description and use of the drug Bioparox

An antibiotic drug that contains the active substance fusafungin. The drug is intended to combat pathogens such as streptococci, mycoplasma, staphylococci, pneumococci, and candida. The drug acts not only on the surface of the nasal mucosa, but also on the oral cavity. When using the drug, resistance of pathogenic bacteria does not develop. Bioparox has antibacterial, antifungal, and anti-inflammatory effects. Does not contain a vasoconstrictor component. The drug can be used by children from 2.5 years of age.

Bioparox is available only with a doctor's prescription. Use the product through the nose or mouth. Before use, the drug must be shaken several times. After the administration of an antibacterial agent, a positive effect occurs several hours later. The drug does not dry out the nasal mucosa and reduces the amount of sputum and nasal discharge.

Taking into account the severity of the disease, the doctor selects an individual course of treatment for each person. For adults and children, the dosage is 4 inhalations per day through the mouth, 2 inhalations through the nose. The drug should be used for no more than 7 days.

The drug is well tolerated, but in special cases nausea, sneezing, bronchospasm, and dry mouth may occur.

Allergic reactions may occur. It is not recommended to use the drug for pregnant women.It is not recommended to use drugs independently to treat diseases of the upper respiratory tract. Any antibacterial agent for the nose is prescribed by a doctor.

Before treatment, you should consult a specialist and read the instructions for using the antibacterial drug. Frequent use of nasal drops with an antibiotic can lead to negative consequences:

• Causes addiction to the drug
• The walls of the nasal passage become thin
• The supply of nutrients is disrupted
• When pressure changes, nosebleeds occur

To speed up the recovery process, you should consult a doctor in a timely manner and follow his strict recommendations. This will prevent negative consequences from occurring.

A person is surrounded by thousands of microbes. They are outside and inside. Not all of them are friendly, and the task of protecting the child from pathogens faces parents and doctors literally from the first minutes of the baby’s birth.

First, we treat the baby's umbilical wound, then, when the little one grows up, we begin to think about how to treat numerous abrasions, scratches, insect bites, and burns. In understanding the world around him, there are many places where a child wants to look, climb and get there, and this, as we know, is quite traumatic.

In kindergarten and school, children are exposed to other dangerous bacteria that cause intestinal infections, conjunctivitis. And here the protection should be even more reliable. Modern antiseptics will help protect your child. Moreover, let us make a reservation right away that the huge pharmacy assortment of antiseptic drugs that are suitable for adults is not fully applicable to the treatment of children. For example, Vishnevsky’s popularly loved ointment should absolutely not be tied or applied to a baby.

What are antiseptics?

Antiseptics are anti-putrefactive, antimicrobial agents designed to destroy bacteria and microbes on an open surface. They are herbicidal - capable of completely destroying microbes, and bacteriostatic - suppressing the growth and reproduction of pest microorganisms.

The action of antiseptics is based on the destruction of an environment favorable for the development of bacteria and microbes. If a microorganism does not receive enough nutrition and moisture, it dies fairly quickly. In addition to the aggressive effect on bacteria, modern antiseptics also have accompanying properties - cauterizing, regenerating (restorative), anti-inflammatory, drying.

What can kids do?

Antiseptics that children are allowed to take must meet a number of requirements:

• Safety and no toxicity,
• Inability to be absorbed into the baby's blood through the pores of the skin,
• Hypoallergenic.

Children should not use a solution of boric and salicylic acids, formalin, or Vishnevsky ointment.

The most famous and popular “children’s” (safe) antiseptics, which must be present in a home medicine cabinet:

Iodine (solution)

Iodine solution has a strong anti-inflammatory effect, it instantly destroys all microorganisms within its field of action. And its ability to cauterize and dry makes the drug indispensable in surgery and the treatment of pustular formations on the skin. This is a strong antiseptic, so it is recommended to use it in small quantities, avoiding getting the solution on the wound; only treat its edges.

An iodine solution is also used for bruises - all parents know that a mesh drawn with a cotton swab dipped in iodine promotes rapid resorption of bruises and seals.

Zelenka (brilliant green solution)

A local antiseptic, familiar to everyone since childhood. It has a pronounced antimicrobial effect, does not cauterize, but dries out wounds. When dry they are bright green crystals.

For medical purposes, an aqueous solution and an alcohol-based solution are used. Aqueous in finished form is not sold, but it can be prepared in a pharmacy if necessary. But the alcohol solution is our usual “green stuff”. Despite the fact that the birthplace of antiseptics is Germany, it is no longer used anywhere except Russia and the former allied states. This is due to the unproven and not yet refuted carcinogenicity of the drug, as well as the unaesthetic consequences of its use - green spots remain for a long time and do not wash off.

In pediatrics, brilliant green is widely used to disinfect and dry the umbilical wound after the child is discharged from the hospital. Later, brilliant green is applied to small wounds and abrasions, as well as bumps on the skin that appear with chickenpox. Do not allow brilliant green to come into contact with mucous membranes. For cauterization of stomatitis, only an aqueous solution of brilliant green is suitable, and not an alcohol solution.

Potassium permanganate (potassium permanganate)

Dark crystals of permanganic acid salt are dissolved in water. A 1% solution is used for delicate purposes- gargling, treating wounds, with a more concentrated composition cauterizing pustules and ulcers on the skin. Newborns are bathed with a weak solution of potassium permanganate and their eyes are washed if they have gotten poisonous insects.

Potassium permanganate dries and prevents inflammation. Should be kept as far away from children as possible, because 3 grams of potassium permanganate in crystalline form is a lethal dose. Recently potassium permanganate is dispensed from pharmacies strictly according to a doctor's prescription.

Hydrogen peroxide

An antiseptic that can and should be used literally from the first days of a baby’s life. For children, use a 3% solution. Hydrogen peroxide destroys bacteria with the help of atomic oxygen. This is what is released when peroxide gets on the wound. However, there is no talk of great sterility, so they try to use peroxide only to clean the wound of dirt, pus, and to painlessly soak off crusts and dried dressings. You can rinse your mouth with peroxide during stomatitis or after dental treatment in order to avoid infection.

Furacilin

Local antiseptic of rich yellow color and bitter taste. Available in the form of a solution, ointment, paste and tablets for preparing a solution. They are used to treat burns, wash the nasal cavity for sinusitis and other respiratory diseases, and gargling with furatsilin helps with sore throat.

Antiseptic is also used for washing eyes with conjunctivitis, blepharitis. In addition, furatsilin is an indispensable antiseptic for diseases of the urinary tract and intestinal infections.

Miramistin

This is a modern antiseptic with an incredibly wide spectrum of action. The colorless, odorless composition is available in the form of a solution and ointment. It has antimicrobial effects with a visible healing effect. It is non-toxic and therefore perfect even for children under one year old. They treat wounds, burns, abrasions, and cuts. Suitable for combating inflammation in the oral cavity.

Doctors prescribe this antiseptic for irrigating a sore throat, and this use is suitable even for the smallest patients. Miramistin ointment is used only externally - for the treatment of wounds and pustules. Miramistin is also used to treat hands before medical procedures.

Tincture of calendula

It is an antiseptic that has a pronounced antimicrobial and cauterizing effect. Calendula tincture, or rather its alcohol solution, is used for inflamed cuts, festering wounds. For inflammation of the gums, this antiseptic with the addition of boiled water is recommended rinse the mouth.

Protargol

Antiseptic nasal drops Protargol - an effective remedy for disinfecting the sinuses with runny noses of various origins. The main active ingredient is silver proteinate. The instructions for use state that the drug is contraindicated for children under 5 years of age. But many pediatricians, according to established practice, prescribe this medicine to younger children. Drops can also be used as eye drops, but only as prescribed by a doctor.

General requirements for the use of antiseptics in children

• Only aqueous antiseptic solutions are suitable for treating a child’s nose, throat, mouth or eyes. Solutions based on alcohol or oil cannot be used for these purposes.
• Avoid getting the antiseptic into an open deep wound. Process only its edges. Ingestion is “excusable” only for peroxide.
• Before applying ointment or gel with an antiseptic effect to burns and abrasions, be sure to treat the sore spot with hydrogen peroxide.
• Before treating pustules or fungal skin diseases with an antiseptic, make sure that the area where the product will be applied is as dry as possible.
• After the child has treated his throat with an antiseptic, he should refrain from eating and drinking for an hour.
• After treating the eyes with antiseptic drops or ointments, make sure that the child does not rub the eyes for at least half an hour to prevent the spread of infection.
• Remember that antiseptics are also medicines, do not overdose. More in this case does not mean more useful.
• Keep track of the expiration dates of the drugs in your home medicine cabinet. This is doubly true for antiseptics - after the period specified by the manufacturer, many of them practically lose their basic properties. Improper storage will also have a detrimental effect on antiseptics - high or low temperatures, direct sunlight destroy the composition, depriving it of important antimicrobial properties.

In the following video, the popular children's doctor Komarovsky talks in detail about antiseptics, what they are and in what cases to use them. Be healthy!

Nasal drops for children have found the widest application in practice. This is understandable, because a runny nose or rhinitis is a disease that every child suffers from quite regularly. Traditionally, the most popular treatment for a runny nose is nasal drops.

Most parents are extremely careful when choosing nasal drops for their children. This is more than justified. After all, not every nasal remedy can be used to treat rhinitis in a child. Often, the wrong choice of drug only aggravates the situation. If within 2 weeks, it should be seen by a qualified doctor.

However, the question: “Which cold drops are best for children to use?” is completely incorrectly formulated. After all, different types of nasal agents have their own specific purposes.

Let's take a closer look at which children's runny nose drops should be used in a given situation.

Variety of drugs

There are a huge number of types of nasal products that can be purchased at the pharmacy:

• vasoconstrictors;
• antiseptic;
• antihistamines;
• moisturizing;
• antiviral.

Vasoconstrictors

Vasoconstrictor nasal drops for children do not cure a runny nose. Moreover, their creators did not even set such a task for them.

But how can this be? After all, many people are accustomed to consider them the first remedy against emerging rhinitis.

Everything is very simple. Adrenergic agonists are designed to combat nasal congestion. And depending on the chosen drug, they solve the problem with varying degrees of success.

Nasal congestion occurs when blood vessels dilate and the resulting swelling of the nasal mucosa. Adrenergic agonists constrict blood vessels, thereby relieving tissue swelling, and temporarily restore free nasal breathing.

Here is an incomplete list of vasoconstrictor nasal agents that are designed for use in the treatment of children:

• Nazol Baby;
• Nazivin;
• Tizin;
• Xylometazoline.

Remember that such medications can only be taken in strict accordance with the instructions for use. It is worth paying special attention to the age at which you can take specific nasal drops and the maximum permissible duration of uninterrupted use.

Failure to comply with these requirements can have very dire consequences for the child. Drug dependence, medicinal, vasomotor and atrophic rhinitis may appear.

Antiseptic drops

Antiseptic children's drops for runny nose have an anti-inflammatory effect on the mucous membrane of the nasal cavity. In other words, such drops are responsible specifically for treating children's noses.

Let's take two completely different medicines as an example. Both are popular and effective antiseptics.

Pinosol

Pinosol drops are a completely natural oil preparation. They contain oils of mint, mountain pine and eucalyptus. They have a very mild antiseptic and anti-edematous effect on the mucous membrane of the child’s nasal cavity.

Treatment of allergic rhinitis with Pinosol oil drops is prohibited. But for ordinary catarrhal runny nose in a child, they will come in handy.

Protargol

Protargol is a colloidal solution of silver. These drops for children against a runny nose also have an antiseptic effect on the mucous membrane of the nasal cavity.

This medicine is prepared to order in specialized pharmacies with a production department.

On the one hand, these drops are a little outdated. On the other hand, they have many years of successful use against the common cold in children and adult patients.

Antihistamines

Antihistamines are designed to treat a variety of allergic rhinitis and reactions.

These are serious medications that should be prescribed exclusively by a doctor.

Suitable for use by children of different ages:

• Fenistil;
• Zyrtec;
• Allergodil.

Moisturizers

Nasal drops made from sea water perfectly moisturize the mucous membrane of the child’s nasal cavity and have no contraindications.

They perfectly cleanse the nasal cavity of mucous secretions that accumulate in it.

At their core, medicinal solutions created on the basis of sea water are analogues of ordinary saline solution. However, thanks to the large amount of salts they contain, they have a more complete therapeutic effect on the child’s body.

Moisturizing drops can be used without any restrictions from the very first days of a child’s life.

These include:

• Salin;
• Physiometer;
• Aqualor;
• AquaMaster;
• and many others.

Antiviral sprays

They are used in cases where a child’s runny nose is caused by a viral infection. And such cases are the overwhelming majority.

In addition to antiviral, such drops often also have an immunomodulatory effect on the child’s body. In other words, they strengthen the child’s immunity and defenses.

Suitable for children:

• Grippferon;
• Interferon Alpha;
• Derinat.

Which is better to use nasal drops or sprays?

Children's anti-runny nose sprays are more effective than drops. This is manifested in the fact that sprays allow a more complete therapeutic effect on the inflamed mucous membrane of the nasal cavity.

In addition, thanks to the dispensers they have, they allow you to take the maximum adjusted dose of the medicine.

Parents, remember that only a qualified doctor after diagnosis can choose the right pharmacological drug for the treatment of runny nose in children.

Nasal sprays and antibiotic drops should not be used for any rhinitis. Antibacterial drops have a highly targeted effect. If they are used incorrectly, they can have undesirable consequences. But there are situations in which antimicrobial drugs cannot be avoided. In what cases should antibiotic nasal drops be used, and which means should be preferred?

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When should you use antibiotic drops?

Antibiotics attack bacteria. Therefore, nasal drops with an antibiotic should be used only for rhinitis caused by bacteria, as well as for (sinusitis).

To determine the signs of a bacterial rhinitis, we list the types of non-bacterial rhinitis:

• Viral runny nose - manifested by copious watery nasal discharge, congestion, fever;
• – manifested by clear nasal discharge, irritation, itching of the nose, sneezing, nasal congestion, redness of the eyes;
• – manifests itself occasionally and for no reason in the form of copious liquid discharge from the nose, nasal congestion, and sneezing.

The fundamental difference between a bacterial runny nose and those described above is yellow or green discharge from the nose - pus, formed as a result of the neutralization of microbes by cells of the immune system.

In addition, bacterial rhinitis is characterized by:

• Thickening of nasal secretions;
• nasal congestion;
• in the acute form or with sinusitis - increased temperature;
• sometimes – headache, weakness, poor health.

At the microbiological level, bacterial runny nose develops according to the following algorithm:

1. Due to a decrease in immunity (as a result of the suppressive ability of viruses - i.e. against the background; as a result of hypothermia or prolonged use of medications), bacteria enter a state of active spread.
2. Special immune cells attack bacteria: as a result of this collision, both sides die, yellow-green nasal discharge is mainly deactivated microbes, waste products and immune cells that have fulfilled their function.
3. The body has the ability to cope with a bacterial attack using its own means. It all depends on how intense the immune response is. However, in most cases, if a bacterial infection has developed, then this response is weak, so antibiotics, as a rule, cannot be avoided.
4. If you do not take it, the bacteria will spread further - primarily into the nasal sinuses, in which they are much more comfortable than in the constantly ventilated nasal cavity. Penetrating into the pharynx, these bacteria cause,. A chronic bacterial focus in the nose is a common cause of sore throat.

Bacterial runny nose without the help of antibiotics can cause complications in the form of inflammation of adjacent organs, and if treatment is started late, it can become chronic. For this reason, it is advisable to start taking nasal drops with an antibiotic at the first sign of yellow-green purulent discharge.

Name of antibiotic drops and their use

There are not many nasal antibiotics available. One of the most popular until recently - - since April 2016, it has not been approved for sale or use. Consider those antibiotic nasal drops that you can buy at the pharmacy today.

Isofra spray is based on an antibiotic with good antibacterial activity, framycetin. This chemical damages the bacterial cell wall, disrupts metabolic processes in it, which together leads to its death.

Framycetin is an aminoglycoside that is well tolerated. The drug can be used, including by pregnant women. Side effects are extremely rare and usually occur in the form of a skin reaction.

Polydexa spray contains a complex of the following active ingredients:

• Antibiotics (neomycin, polymyxin B);
• anti-inflammatory drug (dexamemazone);
• vasoconstrictor (phenylephrine).

Due to its complex composition, Polydexa has a pronounced therapeutic effect:

• Relieves inflammation of the nasal mucosa;
• reduces the separation of pus;
• reduces the concentration of bacteria.

Like all drugs that contain an anti-inflammatory glucocorticosteroid, Polydexa has a number of contraindications, including:

• Pregnancy and breastfeeding;
• kidney disease;
• viral respiratory disease (can camouflage the infectious process);
• Use with caution in patients with cardiovascular diseases.

Sofradex

Another drug with a complex composition is Sofradex. It includes substances already familiar from Isofra and Polydex:

• Antibiotics (framycetin, gramicidin C);
• anti-inflammatory glucocorticosteroid (dexamethasone).

All of the above about Isofra and Polydex is also true for Sofradex. With one exception: in accordance with the instructions for use, Sofradex is a remedy for the treatment of external otitis. This is what explains its droplet shape. While it is more effective to use a spray to deliver the drug to the nose and sinuses.

It is not rational to use Sofradex as a nasal remedy: there are Polydex and Isofra, which are more convenient in shape and similar in composition.

Garazon

An antibiotic (gentamicin) and an anti-inflammatory agent (betamethasone) are included in Garazon drops. The drug is intended for the treatment of bacterial inflammation of the ears and eyes. But in the absence of antibiotic sprays, Garazon can be used as nasal drops.

Gentamicin and betamethasone included in the drug are contraindicated:

• During pregnancy;
• during lactation;
• children under 8 years old;
• for viral respiratory infections.

Use with caution for herpes virus and diabetes.

Protargol

Protargol is a solution of silver protein. It is not an antibiotic in the strict sense of the word. Protargol is a nasal antiseptic that has a pronounced disinfectant effect. Its advantageous difference from the drugs discussed above is the absence of contraindications and good tolerability, which allows it to be prescribed to even the most sensitive categories of patients, including children and pregnant women.

Protargol is a prescription drug manufactured to order in pharmacies that have appropriate departments.

Antibiotic nasal drops for children

It is advisable to use Isofra as children's nasal drops with antibiotics. This drug is considered safe for use even in very young children. For children, Isofra is sprayed once into each half of the nose three times a day.

Antiseptic drops Protargol can also be used at any age. However, in acute rhinitis, these drops in isolation from other medications will not be effective. Their main purpose is to prevent exacerbations of sinusitis.

Polydex is used for children in case of severe bacterial rhinitis. The instructions for use of this antibiotic allow it to be used starting from 2.5 years of age. Decisions about the choice of this drug and the dosage are solely within the competence of the doctor.

With a runny nose

It should be emphasized once again that not every runny nose requires antibiotics to be dripped or sprayed into the nose. In most cases, to treat rhinitis, it is sufficient to apply simple herbal antiseptic preparations topically:

• Pinosol;
• Sinuforte;

The listed drugs are not antibiotics, but for ordinary non-purulent runny nose, antiseptics in the nose are the main means that should be used.

Antibiotic nasal drops for sinusitis

- a disease that cannot be treated with antibacterial sprays alone. The sinuses are fairly protected, poorly drained areas. A fine spray method is capable of delivering medicine to the entrance to the sinuses, but cannot overcome the inflammatory process inside. To treat sinusitis in the acute stage, systemic oral antibiotics are required.

Nasal drops for sinusitis with antibiotics are always an additional treatment:

• Isofra: adults up to 6 times daily, 1 spray into each half of the nose. The instructions for using the antibiotic do not recommend using the product to rinse the sinuses.
• Polydexa: adults up to 5 times daily, 1 spray into each half of the nose.

Before using a nasal spray with an antibiotic for sinusitis, you should first rinse your nose with any of the following:, etc.

When not to use antibiotic drops

You cannot use antibiotics for a long time, because... By destroying some bacteria, they make room for other microbes, as well as fungi. Such a change in the microflora of the nasal cavity can lead to the development of a secondary infection, as well as the formation of bacterial resistance to this antibiotic.

An antibiotic should not be dripped into the nose in three cases:

• If the nasal discharge does not have a purulent component - it is transparent, whitish or absent;
• if no improvement is observed within 2 days of use, perhaps the bacteria are resistant to the antibiotic used and it needs to be replaced, or the runny nose has a non-bacterial cause;
• longer than 10 days – if the infection is sensitive to the chosen antibacterial therapy, it should disappear within 7-10 days.

Conclusion

Nasal drops with an antibiotic are used for bacterial purulent runny nose. The best way to deliver medication to the nasal mucosa and sinuses is.

Today, two nasal sprays with antibiotics are used under the names Isofra and Polydexa. Polydexa is more effective. However, it has more side effects and is contraindicated in some groups of patients.

For effective treatment with antibiotics in drops and sprays, the dosage should be observed and not exceed a 10-day course of treatment.

In case of acute bacterial rhinitis, antibacterial drops should be used in combination with antibiotic tablets.

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Runny nose, which bears the medical term “rhinitis,” is not an independent disease, but only a symptom that occurs with other catarrhal symptoms - cough, sore throat, fever.

Treatment is always comprehensive and involves the use of systemic and symptomatic drugs simultaneously.

For rhinitis of bacterial origin, the doctor must prescribe nasal drops with an antibiotic, which can act on the cause, thereby eliminating the manifestations of the disease and reducing the risk of all kinds of complications.

The choice of drugs with antibacterial action should be approached extremely carefully, and used only after prior consultation with a doctor.

Antibacterial nasal drops are a convenient and effective form of the drug that allows you to act at the very source of inflammation. Such drugs may contain one or several active substances that have a negative effect on pathogens.

Almost all antibiotic drops not only destroy the cell membrane of bacteria, but also prevent their spread and penetration into deeper tissues and paranasal sinuses.

It is important to understand that antibiotics do not act on viral flora or allergens; their use for such diseases will be pointless. To determine the type of pathogen, it is necessary to take a swab from the throat, nose, or paranasal sinuses (depending on the disease) for culture on nutrient media.

All drugs from the group of nasal antibiotics allow:

• first of all, prevent the proliferation of bacteria;
• as a result, relieve swelling of the mucous membrane and eliminate nasal congestion (after 3-4 days);
• Minimize the risk of complications and spread of infection to the sinuses and throat.

Nasal drops containing an antibiotic are used as part of a complex treatment of infectious and inflammatory processes of the upper respiratory tract and nasal cavity.

The list of indications for use includes the following pathologies:

• rhinitis;
• nasopharyngitis;
• sinusitis and its complications;
• frontal sinusitis;
• adenoiditis;
• ethmoiditis;
• sinusitis.

All of the above diseases can be not only bacterial, but also viral in nature, in which such remedies will not be effective.

Isofra

Isofra is a local antibiotic, often used in the treatment of acute and chronic diseases of the nasal cavity from birth.

The active component of the drug is framycetin sulfate (12.5 mg (8000 IU) in 1 ml).

The active substance exhibits high antimicrobial activity, including gram-positive and gram-negative bacteria (staphylococcus, Escherichia coli and Haemophilus influenzae, Klebsiella).

The instructions for use indicate that Isofra is used for etiotropic therapy for bacterial diseases of the ENT organs, in particular:

• rhinitis;
• pharyngitis;
• sinusitis;
• sinusitis.

The exact dose of the drug is determined by the doctor individually for each patient.

If there are no prescriptions, the standard dosage for adults is 1 to 2 drops in each nostril. Children from birth: 1 drop. The frequency of use of the drug is 3 times a day, and the total duration of treatment is 5 – 10 days.

Adverse reactions after using the drug are extremely rare and only in cases of individual intolerance to the active substance.

Isofra nasal spray is a medium-cost drug. You can buy it in pharmacies for 300 rubles per bottle. See also: instructions and more.

Polydexa

It is an inexpensive combination product because it contains three active components.

The mechanism of action of Polydexa is due to the following substances:

• Phenylephrine - constricts blood vessels, facilitating nasal breathing.
• Dexamethasone – relieves inflammation.
• Polymyxin - has a detrimental effect on bacteria.

The drug is used for acute, subacute and chronic respiratory diseases of bacterial origin, including:

• rhinitis;
• sinusitis;
• frontal sinusitis;
• sinusitis.

Polydex nasal drops can also be used for other diseases of the nasal cavity, but in any case the drug must be prescribed by a doctor.

You can use Polydex following the following dosages:

• Adults and children over 12 years old, 2 drops twice a day.
• Children from 2.5 years old: 1 drop 2 times a day.

The drug is contraindicated for children under 2.5 years of age. You should stop using the medicine if you are intolerant to the composition, are pregnant or lactation, or have diseases of viral origin.

Polydexa, like Isofra, is produced by the same manufacturer, has a similar effect, but has a different composition. The price in pharmacies ranges from 215 to 350 rubles.

Tsipromed

The drug is more often used in ophthalmology and ear diseases, but if necessary it can be administered internally.

The medicine belongs to the group of fluoroquinolones. It contains ciprofloxacin, which has antimicrobial activity: it can destroy bacterial cells.

Tsipromed drops are most effective in the treatment of sinusitis, rhinitis and sinusitis. Duration of use should not exceed 5 days.

The drug is not prescribed to children under 15 years of age and is used with extreme caution, since there is evidence that it negatively affects the activity of the central nervous system. The price of drops in pharmacies does not exceed 250 rubles per bottle.

Protargol

Protargol (silver proteinate) is an aqueous colloidal solution that has a pronounced astringent, anti-inflammatory and antiseptic effect. The medicine is available in the form of nasal drops with a concentration of 1% and 2%.

It is used in the treatment of complicated runny nose, sinusitis, sinusitis, sinusitis and other diseases of the nasal cavity and upper respiratory tract. The advantage of the drug is that it can be used from birth.

The mechanism of action of the drops is due to the formation of a protective film on the nasal mucosa, which activates vasoconstriction, inhibits the development of inflammatory reactions and suppresses the proliferation of bacteria. The drug is also effective against fungal and viral flora.

For adults, Protargol is prescribed 2-3 drops 3 times a day. Newborns and children under 3 years of age - 1 drop three times a day, over 3 years of age in an adult dosage.

The total duration of treatment with Protargol is no more than 7 days, to avoid drying out the mucous membranes.

The medicine should be used with caution during pregnancy and hypersensitivity to the composition. Adverse reactions of the body occur extremely rarely and are more often diagnosed in individuals with intolerance to the drug.

Protargol is one of the cheapest antibacterial drops, the price of which does not exceed 60 - 100 rubles.

Framinazine

Framinazine is a local antibiotic in the form of a spray from the group of aminoglycosides. Used to treat acute and chronic inflammation of the nasal passages and adenoiditis.

The drug has the ability to disrupt the integrity of bacterial membranes, thereby destroying pathogens, speeding up the recovery period and reducing the risk of complications.

Framinazine drops are effective in treating:

• rhinitis;
• sinusitis;
• rhinopharyngitis;
• adenoiditis;
• sinusitis.

The drug can be used from the 1st year. According to the instructions, the dosage for adults is one injection 4-6 times a day with an interval of 3 hours, for children also one injection, but 3 times a day. The duration of treatment is from 5 to 7 days.

The drug is well tolerated. Adverse reactions develop extremely rarely and only as a result of intolerance to the active substance.

During pregnancy, the drug can only be used in the second trimester. Framinazine - inexpensive drops, prices in pharmacies are about 100 rubles per 10 ml bottle.

Fluimucil

Fluimucil-antibiotic IT is a powerful combined agent with antibacterial and mucolytic effects. The drug contains 2 active substances - acetylcysteine ​​and the local antibiotic thiamphenicol.

The first component thins the viscous mucus in the nasal cavity, which promotes its discharge, and the second has a detrimental effect on a number of gram-positive and gram-negative bacteria.

Fluimucil is effective for nasal congestion and bacterial infections of the upper respiratory tract. The medicine is not prescribed to children under 2 years of age during pregnancy and lactation.

The dosages look like this:

• if the patient is over 12 years old, then the drug is injected into the nose up to 4 times a day, 3 drops in each nostril;
• Children over 2 years of age can be administered no more than 2 drops three times a day.

The optimal course of treatment is no longer than 10 days. The drug can be used not only internally, but also for rinsing in a hospital setting or inhalation. These drops are the most expensive from the list listed: cost from 677 rubles. for a pack of 3 ampoules.

Sofradex

Sofradex is a local drug with a combined composition, which, according to the instructions, is used in ophthalmology and ear diseases. Despite this, Sofradex is often used to treat infectious and inflammatory lesions of the nasal cavity of bacterial origin.

The drops are based on two antibiotics: framycetin and gramicidin, which act on gram-positive and gram-negative bacteria.

Indications for the use of Sofradex are often bacterial rhinitis, sinusitis, and sinusitis. The drug is not used for viral diseases or purulent processes in the nasal cavity.

The permissible dose for adults and children over 7 years of age is 2-4 drops 3 times a day. The drug is strong, therefore it has a number of contraindications and side effects that you need to familiarize yourself with before use. Price – from 362 rub. for 5 ml.

Rinil

Inflammatory diseases of the ENT organs of bacterial origin can be treated with Rinil drops, which belong to the aminoglycoside group of antibiotics and are effective in the treatment of the runny nose, sinusitis and rhinopharyngitis.

The basis of the drops is framycetin, a compound that has an antibacterial effect. It disrupts the integrity of the cytoplasmic membrane, thereby causing the death of bacteria.

There have been no adequate studies on the safety of use during pregnancy and breastfeeding, so in such a situation only a doctor can prescribe the drug.

This medicine has a number of contraindications, which you should familiarize yourself with before taking the medicine. You can buy Rinil for 250 rubles per 15 ml bottle.

Recommendations for the use of antibacterial drops

Nasal drops containing an antibiotic are well tolerated, but should only be prescribed by a doctor after a final diagnosis has been made.

To achieve the maximum therapeutic effect, before using any antibiotic in the form of drops, you need to rinse the nasal cavity with saline solution, clean it of dry crusts or accumulations of thick mucus.

During the treatment process, it is important to follow some rules; this will help achieve a positive result and avoid complications:

• Antibiotic drops can only be used if the disease is of bacterial origin. If the causative agent is a virus, they will not bring the desired result.
• Do not use for longer than 5–10 days to avoid the development of local immunodeficiency.
• Strictly observe the dosage of the medicine.
• Do not stop treatment with drops when you feel better. The course must always be completed to the end. If the bacteria are not completely destroyed, they will develop resistance to the antibiotic, and the next time it will be ineffective.
• Do not use two local antibiotics at the same time.

Antibacterial drops for diseases of the ENT organs should be used in combination with other drugs of symptomatic and systemic action, and not as the only medicine.

Can a runny nose be treated with antibiotics in the nose? — Dr. Komarovsky

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