When choosing ear drops for otitis, you just need to buy the necessary medications and instill them in a certain way.

What is otitis media?

Ears are one of the most important organs human body, ensuring the perception of sound and the transmission of information to the corresponding parts of the brain. Otitis is an inflammatory process involving various departments ear. Depending on the location of the inflammation, otitis externa, otitis media and internal are distinguished.

Otitis externa is the mildest and rare option diseases. More common otitis media, which, along with internal otitis, poses the greatest danger to humans. This is due to the anatomical and functional features of the ear: the inner and middle ear are located inside the skull in close proximity to the brain, so the inflammatory process easily spreads to adjacent tissues.

According to character inflammatory process, produce catarrhal and purulent forms. Catarrhal form may transform into purulent if untreated or severe course diseases.

Symptoms of the disease

Signs of ear damage are quite typical and are the same at any age.

Among them the most significant:

• change general condition(fever, weakness);
• pain in the area of ​​the affected ear, which intensifies when swallowing, chewing, sometimes even when turning the head;
• the intensity of pain is directly related to the nature and severity of the inflammatory process;
• Some people with damage to the middle ear experience dizziness, ringing and tinnitus;
• hearing loss only when the middle and inner ear; if only the outer ear is affected, hearing is usually not affected;
• purulent discharge from the ear is observed only when purulent form diseases.

A small child is often simply unable to describe such sensations.

Adults around the baby should pay attention to the following signs:

1. Child without obvious reason cries, is capricious, refuses to eat, sleeps poorly;
2. Swings from side to side;
3. Rubs ears or squeezes head with hands.

For any form of otitis, the sooner treatment is started, the more effective and short-lasting it will be. Launched forms inflammatory lesion ear is quite difficult to treat. Often complications develop or the disease progresses to chronic form, which is accompanied by persistent damage to the internal structures of the ear and hearing loss.

Choosing the best inexpensive ear drops for otitis media

Most ear drops for otitis media have a combined composition. The components provide a reduction in swelling, a decrease in the severity of pain, that is, they have an anti-inflammatory effect. Typically, such drops for otitis media are effective in the initial stages of the disease. During development purulent phase the inflammatory process requires the use of ear drops with an antibiotic and glucocorticosteroids. It is important to treat an inflamed ear for several days, until the inflammatory process disappears completely, and not until the first signs of improvement.

In a modern city pharmacy chain you can find the following options for drops for treatment: inflammatory changes ear:

• boric alcohol;
• alcohol solution of furatsilin;
• Sofradex;
• Garazon;
• Dexon;
• Candibiotic;
• Otofa;
• Normax;
• Otipax;
• Anauran.

Drops for otitis in adults are limited in use only by the possibility individual intolerance, as well as pregnancy and lactation in women. Treatment of a child with any ear drops requires greater care, since a number of medications are allowed to be used only from the age of 12, or a lower dosage is required.

Let's briefly look at the main advantages and disadvantages of the above listed remedies for otitis media.

Antiseptics and anesthetics

Boric alcohol is a fairly old remedy for the treatment of otitis media. Effective for external otitis and initial stage otitis media.

Its evaporation from the surface of ear tissues affected by inflammation is accompanied by a decrease in swelling and, accordingly, pain. Alcohol solution furatsilina has similar mechanism actions and can be made at home.

A group of ear drops with similar names “Otinum”, “Otizol”, “Otipax” contain classical means from the group of analgesics and anesthetics. The first component, when it enters the ear, reduces the intensity of inflammation and gradually eliminates it completely. The second is designed to quickly reduce the severity of pain. This group of drugs does not contain an antimicrobial component, so it is quite safe even for small children. In pregnant and breastfeeding women, these drops should only be used if absolutely necessary.

Antimicrobial and hormonal agents

Garazon drops include a hormone (betamethasone) and an antibiotic (gentamicin). A product called "Dexona" contains two components: dexamethasone and neomycin. It is possible to use these drugs in the absence of evidence of otitis before the onset of of this disease. The use of one antibiotic will not cause addiction and the creation of antibiotic resistance.

The drug "Normax" is alternative means at re-treatment inflammatory process. Its main component is norfloxacin, antimicrobial agent from the group of fluoroquinolones. Resistance does not develop to them, as to most antibiotics, which is why Normax is the best remedy when treating people who often suffer from otitis media.

Sofradex drops have been deservedly popular for many years. This product has a combined composition, including steroid hormone(dexamethasone) and antimicrobial components (gramicidin and neomycin). It has a pronounced anti-inflammatory and bactericidal effect. It is necessary to drip Sofradex into the affected ear no more than 4 times a day. It is recommended to prescribe them if there is no effect from treatment with antimicrobial agents.

Polidex drops also include dexamethasone and an antimicrobial component (polymyxin and neomycin). Choice combination remedy for instillation into the ear is made on the basis of information about previously used antibiotics, as well as in accordance with the personal preferences of the doctor.

Drops "Otofa" and "Candibiotic" stand somewhat apart in the group of ear drops with antimicrobial action. "Otofa" contains rifampicin, which is a reserve drug, prescribed only in cases of chronic otitis media that are resistant to the action of other antimicrobial drops. The main component of Candibiotic is the antifungal substance clotrimazole, which is necessary for the treatment severe forms infectious process mycotic origin.

The drug "Anauran" is a rare combination of almost all the advantages of modern medications instilled into the ear. It contains two antimicrobial components (neomycin and polymyxin) and local anesthetic lidocaine. Powerful antibacterial effect two components quickly eliminates the infectious-inflammatory process, and lidocaine reduces pain even at the first instillation.

How to instill the product

Correctly instilling a remedy to eliminate inflammation in the ear is both a complex and simple task. Perhaps the first attempt will be unsuccessful, but as you repeat the treatment will be successful. It is impossible to bury yourself; the help of another person is required.

Any ear drops should be warmed to room temperature before use. To do this, you need to hold the bottle in your hand for several minutes or immerse it in a bowl with hot water. It must be remembered that excessively hot drops will cause a burn in the ear canal, and too cold drops will cause dizziness or even fainting.

The sick person lies down comfortably on his side with the sore ear facing up. In order for the drops to be properly distributed inside the ear and not leak out, the adult’s ear should be gently pulled back and up, and the baby’s ear (up to two years old) should be pulled back and down. After instillation, you need to lie quietly for 7-10 minutes. It is necessary to carefully observe the frequency of use, dosage and duration of use of any drops.

The use of antibiotics for otitis media

It is necessary to treat a person with ear inflammation with antibiotics if high probability development of complications, as well as in severe cases of the disease. In this case, not only antibiotics with a wide spectrum of effects are used, but also those that penetrate well into the internal structures of the ear. The most commonly used are 2nd and 3rd generation cephalosporins and modern penicillins (amoxicillin). Aminoglycoside drugs (streptomycin) are used with extreme caution, as they have side effects such as ototoxicity.

The prescription of an antibiotic must be agreed upon with an otolaryngologist.

Prevention of otitis

In this case, it is correct to talk not only about the prevention of otitis media, but also about the prevention of seasonal viral infections, which are often complicated by ear inflammation.

To do this you need:

• eat right, if there is a deficiency of vitamins and microelements, use appropriate multicomponent complexes;
• spend a lot of time on fresh air, practice outdoor activities on weekends;
• dress appropriately for the weather, but do not bundle up;
• If signs of an infectious process occur, begin treatment immediately.

Otitis is a common disease at any age, but not dangerous if early start treatment. You should contact an ENT doctor at the first signs of illness in order to quickly regain briefly lost health.

Video instruction: how to properly instill ear drops in children

Ear drops with phenazone and lidocaine, which have analgesic and anti-inflammatory effects. Prescribed for local therapy and pain relief for otitis media.

Contraindications for use: individual sensitivity to constituent substances, infectious or traumatic disruption of integrity eardrum.

After preliminary consultation with an otolaryngologist and only in case of urgent need, Otipax can be used by pregnant women and during pregnancy. breastfeeding. Can also be used for children during breastfeeding.

Method of administration and dosage – for children of any age, as well as for adults, instill in sore ear 4 drops up to three times a day. The course of therapy should last no more than 10 days, after which it is necessary to reconsider the method of therapy.

Side effects may include local allergic reactions, itching and redness of the skin.

Guaranteed shelf life is 3 years and a month after opening the bottle. Store drops at temperatures up to 25 degrees in a dark place.

Otofa

An antimicrobial drug whose active element is rifamycin.

Pharmacodynamics: rifamycin has antimicrobial activity against most microorganisms that contribute to the development of infectious and inflammatory diseases of the middle ear. Rifamycin has no effect on Pseudomonas aeruginosa (Pseudomonas aeruginosa).

The drug is used in the treatment of acute purulent discharge from the ear after surgical intervention, exacerbation of chronic otitis, isolated purulent lesion eardrum.

Drops are used topically, instilled into the external auditory canal of the affected ear twice a day. For adults it is recommended to instill 5 drops, for children – 3 drops, without any age restrictions.

Otofa is contraindicated in case of allergic reactions to the constituent components of the medication.

During breastfeeding and pregnancy, you can use the drug after consulting your doctor.

Since the medication has low absorption, an overdose is unlikely.

Among adverse reactions can be observed allergic rashes, bronchospasm, eczema.

Store at a temperature not exceeding 25 °C. After completion of treatment, do not save the opened bottle until reuse in the future.

Dancil

Antimicrobial agent with a broad spectrum of action. The active component of Dancil is ofloxacin. Recommended for the treatment of acute inflammatory processes in the ear.

Pharmacokinetics: after use, the components of the drop are easily and quickly absorbed. To a large extent it is excreted in its original form in the urine, a small part is excreted in its original form in feces within 6-13 hours.

Do not use Dancil for lactating and pregnant women, as well as for children under 18 years of age if they are individually sensitive to ofloxacin.

If chronic otitis media– 10 drops twice a day for about 2 weeks.

Possible side effects include: nausea, diarrhea, dizziness, insomnia, urticaria, itching.

The shelf life of the drug is 2 years, after opening the bottle - one month.

Oil drops

The basis of such drops are natural extracts or oils that have antimicrobial, anti-inflammatory, analgesic and itching effects.

The use of such a drug is prohibited for those who have individual sensitivity to the components or for skin lesions.

Oil drops are used in the form of moistened turundas, which are placed in the ear canal 3-4 times a day.

During breastfeeding, as well as during pregnancy, use the medicine only after prior consultation with a doctor.

Side effects include itching, an allergic reaction to the skin, and rarely contact dermatitis.

Anauran

Antimicrobial drops, the main components of which are polymyxin B sulfate, lidocaine and neomycin sulfate.

The use of this drug is indicated for chronic and acute form external otitis, acute otitis media, purulent inflammatory complications after radical mastoidectomy in postoperative period, tympanoplasty.

Do not use Anauran in case of individual hypersensitivity to the active components of the drug.

For treatment, 4-5 drops are prescribed into the sore ear, 2 to 4 times a day for adults. Children who have reached 6 years of age - 2-3 drops up to 4 times a day, depending on the severity of the disease.

Among the unwanted side reactions of the body, local allergic rashes are possible. skin, peeling of the skin in the area of ​​the external auditory canal.

It is forbidden to use the drug for pregnant and lactating women, as well as for children under 6 years of age.

The shelf life of the drug is 3 years; an open bottle of the drug should not be used for more than 3 months.

Drops for purulent otitis media

Purulent otitis - melting of the eardrum and release of purulent discharge. This form of otitis occurs in 1/3 of cases with otitis media.

At purulent otitis It is imperative to treat the ear canal with a solution of hydrogen peroxide or another agent with an antiseptic effect. For treatment, you can also use drops for purulent otitis: Otofa, Normax and Tsipromed.

Otofa, active substance which is rifamycin, has antimicrobial activity against most microorganisms that provoke the development of purulent otitis. It is recommended for adults to use 5 drops three times a day, for children, without age restrictions– 3 drops morning and evening.

The active component of Normax drops is the fluoroquinolone antibiotic norfloxacin. The drug is prescribed 2-3 drops 4 to 6 times a day, but when the case is more severe, it is recommended to drop it into the sore ear every three hours. Normax is not used during pregnancy and for children under 12 years of age.

Tsipromed drops contain ciprofloxacin, which helps actively fight infection. The dose of medication for adults is 5 drops into the sore ear canal three times a day. Treatment lasts from 3 to 5 days. Drops should not be used by children under 15 years of age, as well as during pregnancy and lactation.

Drops for otitis media

Otitis media is an inflammatory process in the middle ear, often occurring in childhood, as a consequence colds, acute inflammatory pathologies ENT organs of various etiologies.

For the treatment of otitis media, you can use Sofradex and Otipax drops.

Sofradex is the active substance framycetin sulfate, which has a bactericidal effect on microorganisms, causing disease middle ear. Drop 2-3 drops into the sore ear 3-4 times a day for adults and children over 7 years old. Therapy should not last more than a week.

The active component of Otipax phenazone has analgesic, anti-inflammatory and analgesic properties. The daily dose of Otipax is 4 drops, 2-3 times. Treatment with the drug for up to 10 days.

Drops for catarrhal otitis

Catarrhal otitis – acute catarrh mucous membrane of the middle ear (tympanic cavity, mastoid, Eustachian tube), accompanied by acute pain, which intensifies with coughing, sneezing, and swallowing. If you do not pay attention to these signs, then there is a possibility of developing acute otitis purulent form.

Drops are used for treatment catarrhal otitis Anauran, Otinum.

Anauran is a broad-spectrum aminoglycoside antibiotic. It has a bactericidal effect on gram-positive and gram-negative microorganisms. The sore ear must be instilled 2 to 4 times a day, 4-5 drops. Drops are not recommended for use in children under 6 years of age, as well as during pregnancy and breastfeeding.

The active component of Otinum is choline salicylate. This is a derivative salicylic acid has an anti-inflammatory and analgesic effect. The recommended dose of the drug for adults is 3-4 drops up to four times a day. Pregnant and lactating women, as well as children, are not recommended to use these drops.

Nasal drops for otitis media

In order to reduce signs of swelling in the pharyngeal opening area eustachian tube possible use vasoconstrictor drops for otitis, such as Sanorin, Galazolin, Otrivin, Tizin.

After using these medicines signs of edema, hyperemia, exudation decrease, which leads to the opening and expansion of the exit ducts of the paranasal sinuses and auditory tubes, improves secretion removal and protects against microbial deposition.

Drops for otitis with antibiotic

Antibiotic drops are prescribed for the treatment of otitis in cases where other substances do not give the desired effect: Levomycetin, Normax.

Normax – active ingredient norfloxacin has a broad antimicrobial effect. To treat otitis media, it is recommended to instill 5 drops into the sore ear canal three times a day for adults and children over 15 years of age. Before instillation, it is necessary to clean the ear canal, and after the procedure, close it with a turunda. Side effects may include itching and bad taste in the mouth.

Inflammatory diseases of the middle ear are an important clinical and social problem. This is due to their prevalence among all age categories, untimely contact with an ENT doctor and frequent attempts at self-medication, which significantly increases the risk of intracranial complications and irreversible hearing loss varying degrees gravity.

Properly selected antibiotics for otitis, procedures that improve the drainage function of the auditory tube, elimination of foci of primary and chronic infection, provoked inflammation, qualified surgical care(if necessary), allow us to minimize the number of consequences dangerous to life and health.

The frequency of this pathology, the severity of the course and the variety of development mechanisms are determined by anatomical and physiological characteristics.

In adults, the auditory tube has a relatively larger lumen than in children, and is located above the nose at an angle of 45 degrees relative to the ear. It opens into the nasopharynx at the level of the inferior turbinate.
When the mouth is opened wide, swallowing and yawning, the mouth of the tube opens, which is a predisposing factor for the spread of infection from the nasal cavity or throat.
Hypertrophy of the tubal and pharyngeal tonsils also complicates normal ventilation of the tympanic cavity and can cause a serious inflammatory process.

For otitis, a risk factor is also: general sensitization of the body, chronic, and, in children, adenoid vegetations.

The inflammatory process is usually associated with bacterial flora, less often the cause is fungi or viruses.

Therefore, antibiotics for otitis in adults and children form the basis of treatment. Beginner course carried out empirically, antimicrobial agents wide range actions covering the entire range of suspected pathogens (pneumo-, streptococci and staphylococci, Haemophilus influenzae).

Further adjustment, if it is necessary to prolong therapy, is based on the results of flora cultures for sensitivity. The duration of treatment depends on the severity of the inflammatory process, the condition immune system, the presence of complications and concomitant pathologies.

Classification

1. By duration:

• acute otitis media - up to three weeks;
• subacute - from three weeks to three months;
• chronic - over three months.

1. By type of inflammatory process:

• exudative;
• purulent.

1. By localization of inflammation:

• otitis externa;
• Otitis media

You can also join:

• myringitis (the eardrum is affected);
• mastoiditis (inflammation of the mastoid process);
• labyrinthitis (damage to the inner ear is added).

Main complications

• intratemporal (rupture of the eardrum, sensorineural hearing loss - type of damage to the sound-conducting apparatus, tympanosclerosis, facial nerve paralysis);
• intracranial (meningitis, epidural abscess, subdural empyema, otogenic encephalitis, brain abscess, lateral sinus thrombosis, otogenic hydrocele of the brain).

As a rule, the inflammatory process affects tympanic cavity, auditory tube and mastoid process. Damage to structures can be combined, therefore, when making a diagnosis, the predominant localization of the pathology in one or another department is taken into account.

Let's consider methods of treating the disease depending on its established form.

Antibacterial therapy for exudative otitis media

The disease manifests itself as a persistent serous inflammatory process that affects the mucous membrane of the auditory tube and the eardrum.

Antibiotics for ear pain in an adult, prescribed for early stages inflammation (before perforation appears), help prevent further progression pathological process and avoid permanent hearing loss.

Four stages of the disease

1. Catarrhal stage (eustachitis). Clinically, it manifests itself as mild tinnitus and mild hearing loss.
2. At secretory phase mucus accumulates in the tympanic cavity. Patients complain of a feeling of fullness and pressure in the ear, a sensation of iridescent fluid in the ears when tilting and turning the head.
3. In the mucosal stage, the secretion becomes viscous and thick. Symptoms of hearing loss are evident. When the membrane is perforated, sticky, sticky contents are released from the ear, trailing a cotton swab.
4. In the fibrotic stage, a pronounced irreversible hearing loss is observed, and adhesive otitis media is formed.

Treatment of otitis media with antibiotics in adults, accompanied by exudative inflammation

Therapy begins with restoration of patency and normal functioning pipes. They use the Politzer ear blowing method or using a catheter. The eardrum is massaged according to Siegl.

Blowing the ear canal using the Politzer method

During the procedure, the hormonal drugs(hydrocortisone ®), antibiotics, enzyme agents(trypsin ®, chymotrypsin ®). Electrophoresis with lidase ® or proteolytic enzymes is effective.

A mandatory component of treatment is general antihistamine therapy and the use of vasoconstrictor drops in the nasal passages.

General strengthening measures are indicated: vitamin therapy, the use of immunocorrectors (polyoxidonium ®).

Antibiotics for ear pain in adults they are used systemically and locally.

• The drugs of choice for systemic administration are penicillins with an extended spectrum of action (and Amoxicillin ®) and inhibitor-protected ones (Amoxicillin/clavulanate ®, Ampicillin/sulbactam ®).
• Ampicillin ® for oral use is prescribed 500 mg, four times a day. At intravenous administration- up to 6 g, for four injections.

Amoxicillin ® for otitis in adults

Surgical treatment

Schematic representation of the actions during paracentesis (puncture) of the eardrum.

Paracentesis of the tympanic membrane is prescribed according to the following indications:

• the disease lasts more than three days;
• general intoxication (meningism, convulsive syndrome, high fever, strong pain syndrome);
• bulging of the eardrum, smoothness of identification points during otoscopy.

Paracentesis is the puncture of the eardrum, followed by suction of pathological fluid through a needle from the middle ear cavity.

Myringotomy is usually performed after paracentesis. The procedure includes dissection of the membrane, removing pathological secretion products from the cavity. The cavity is washed with antibiotics.

2. Perforated

A rupture of the eardrum is accompanied by otorrhea, a decrease or even disappearance of pain, an improvement in well-being, and persistent hearing loss. Suppuration may persist for up to five days.

Antimicrobial therapy is prescribed according to indications.

Drops for otitis in adults with antibiotics are effective in the perforated stage

Water-based antibacterial drops are instilled into the ears after dry toileting the external auditory canal:

• Anauran ® .
• Effective antibiotics for purulent otitis for adults when sowing Pseudomonas aeruginosa (Normax ®,).

Combined aerosol preparations oxytetracycline and hormonal substances:

• Oxycyclosol ® .
• Levovinisol ® .
• Vinizol ®.

Local remedies with anti-inflammatory effect, in the nasal passages:

• IRS – 19 ® .
• Rinofluimucil ® .

Vasoconstrictor drops:

• Nazivin ®.
• Nazol ® .
• Rinorus ® .
• Otrivin ®.
• Tizin ® .

3. Reparative

Characterized by scarring of the damaged part of the eardrum and complete disappearance of otorrhea and pain. The patient's well-being returns to normal, and hearing gradually returns.

To speed up recovery, blowing and catheterization of the auditory tubes and pneumomassage of the eardrum are used. It is effective to prescribe UHF physiotherapy, electrophoresis with lidase - endaurally.

Basic antibiotics for otitis media

Often antibiotics for otitis media in adults and children are taken without taking into account the data of the antibiogram, in insufficient one-time and daily dose, too short a course, which leads to the transition of the process to chronic stage, relapse or development of severe complications.

Answer to the question: what antibiotics should I take for otitis media in adults? — is based on the principles of rationality and validity of antimicrobial therapy. Drugs for initial empirical treatment are selected taking into account the main pathogens. Preference is given to semi-synthetic broad-spectrum penicillins. Amoxiclav ® for otitis media is the drug of choice.

For any person it is intuitively clear that the most correct treatment ear - this is instillation into it medicines. However, this evidence is deceptive. Our ear system consists of several sections. are the main means. For the middle ear, drops are used with restrictions in composition complex therapy And .

According to the view active substance drops used for otitis media are classified as follows:

• Antiseptics
• Antibiotics with steroids

Antiseptics

Hydrogen peroxide

This is one of the most famous medicines, which is probably in every home. His antiseptic properties well known. In contact with blood, pus and other organic substances peroxide oxidizes and deactivates them. The substance is effective against germs and bacteria.

Use:

• for disinfection of the external auditory canal for diffuse and focal inflammation localized in it;
• to remove pus from the ear canal with purulent otitis media.

The drug has no contraindications.

Boric acid

The disinfectant effect was known long before the first antibiotics appeared. Today its use is the disinfection of the ear canal for external otitis with an intact eardrum. Turundas soaked in boric acid are inserted into the ear canal 2 times a day.

This medication is toxic and imposes restrictions on its use:

• The substance should not enter the tympanic cavity and therefore is not used.
• Boric acid is slowly excreted from the body and tends to accumulate in tissues. The drug should not be used for more than 5 days.
• Contraindicated for children and.

Antibiotics

Tsipromed

Tsipromed contains one of the most commonly used antibiotics today. broad action– ciprofloxacin. Drops are the main remedy local application at the post-perforation stage of purulent otitis. The drug is instilled three times a day after cleaning the ear from purulent areas using hydrogen peroxide.

Tsipromed is not prescribed to pregnant women and children.

Otof drops contain the antibiotic rifamycin, which exceeds the effectiveness of penicillin and cephalosporin drugs. Otofu is used for purulent otitis of the middle ear, both with an intact eardrum and with a perforated one. A significant advantage of these drops is the absence of contraindications.

The maximum course of treatment is 3 days. Directions for use: drop 5 drops into the affected ear for a few minutes, then drain, repeat 2-3 times a day.

Normax

The basis of Normax drops is the antibiotic norfloxacin. The drug can be used both for inflammation in the external auditory canal and for the treatment of purulent otitis with perforation of the eardrum.

Norfloxacin has numerous side effects nervous system, gastrointestinal tract etc. The drug causes a decrease in concentration and reaction speed, and therefore, when taking it, it is not recommended to drive a car or do work that requires concentration.

Antibiotics with anti-inflammatory steroid

The following drops contain a corticosteroid drug - dexamethasone. It has important properties:

• Reduces local inflammation.
• Prevents the process of fluid exudation in the tympanic cavity.

Drops containing steroid drugs are not used if the integrity of the eardrum is compromised.

Steroid drops should not be used for more than 7 days if there is no significant improvement in the condition, because Dexamethasone can mask the ongoing infectious process.

Dexon

Used for purulent and exudative otitis media middle ear, with furunculosis in the external auditory canal. In addition to dexamethasone, the composition includes antimicrobial antibiotic– neomycin. Dexona is instilled into the affected ear 3 times a day, 3 drops.

Dekson has numerous side effects and is contraindicated during pregnancy due to toxic neomycin.

Polydexa

Podilex ear drops

Another drug with neomycin is Polydexa. It also includes:

• antibiotic – polymyxin
• vasoconstrictor – phenylephrine.

Indications for use: otitis externa.

Sofradex

Sofradex drops contain antibiotics from two different groups– gramicidin and framecitin. Both have bactericidal activity against aerobic microorganisms and are intended for local treatment or limited external otitis. The property that sets Sofradex apart from a number of similar drugs is its good antipruritic effect, which reduces the desire to scratch the ear.

Sofradex is instilled 2 drops 4 times a day.

An inflammatory process in the ear causes a mass discomfort. The pain syndrome, signaling the development of otitis media, mostly affects children, but adults are no exception. It is quite possible to fight the disease at home if the ear drops are chosen correctly. In case of inflammation, they must be part of complex therapy.

Causes of ear inflammation

The inflammatory process that occurs in the auricle and is caused by bacteria entering it is called otitis. The disease probably applies more to children, because 80% of patients with characteristic symptoms- different kids age groups. Local action have

There are several forms of otitis: middle, internal and external. Most often, otitis media is recorded, in which suppuration of the eardrum occurs. Staphylococci, pneumococci, streptococci and Haemophilus influenzae can lead to a similar condition. Bacteria are able to penetrate into the ear cavity from the nasopharynx during colds and viral diseases.

Otitis media can be recognized by the following signs:

• Sharp (shooting) pain in the ear.
• Increase in temperature.
• Pain when trying to open your mouth.
• Slight swelling of the shell, redness.
• Discharge of pus (2-3 days after the first signs appear).

Drops in the ears for inflammation and pain should be selected by an otolaryngologist after a preliminary examination of the patient. Delay in visiting medical institution undesirable, because otitis media neglected form significantly impairs hearing and leads to the development of hearing loss.

Ear drops (anti-inflammatory): types

In most cases, otitis media occurs in a purulent form and requires a special approach to treatment. Drops used for local therapy are divided into several groups:

• Mono-products- Contains a non-steroidal anti-inflammatory drug.
• Combination drugs- several active substances have an effect.
• Antibacterial drops- capable of fighting bacterial pathogens at the local level.

This classification allows you to select the most effective drops in the ears. In case of inflammation and severe pain, you should contact medical assistance. Only a specialist can determine the etiology of the disease and select effective therapy. Self-medication can best case scenario relieve pain temporarily and lead to complications.

What to consider when treating otitis media?

The inflammatory process in the ear almost always manifests itself as pain. Warming compresses that relieve the condition are prohibited when high temperature and purulent discharge from the ear canal. Children and adults are allowed to take painkillers based on paracetamol and ibuprofen. Eliminate sharp pain Ear drops (anti-inflammatory) can also help. In case of illness small child You must immediately contact an otolaryngologist or call your local pediatrician at home.

The discharge of a yellowish fluid indicates that the eardrum has ruptured. There is no need to put cotton wool in the ear or clean out pus from the ear canal with a cotton swab at this time. With such manipulations, the infection can penetrate deeper and cause complications. You can safely clean the auricle using ear pads soaked in hydrogen peroxide.

Before placing drops in your ears, you should consult an ENT doctor. The drug is selected depending on the etiology of inflammation in the ear cavity. IN mandatory Vasoconstrictor medications for the nose are prescribed. Antibacterial therapy will be effective only for purulent otitis, its duration is usually 5-7 days.

Otipax drops: description of the product

Most ENT doctors prefer to prescribe Otipax to patients. It contains lidocaine and phenazole, which block pain. Combination drug effectively treats any type of otitis and is approved for use by infants and pregnant women, as confirmed by the instructions. Ear drops are produced in small bottles, onto which a special soft pipette is placed before use.

In the acute phase of otitis, the drug is not prescribed. IN in rare cases an allergic reaction to lidocaine occurs. Despite the lack of an antibacterial component, the drops have proven themselves well and can be used to eliminate ear inflammation. "Otipax", the price of which ranges from 180 to 220 rubles, has no systemic effect and is not absorbed into the blood, which practically eliminates contraindications for use and side effects.

When should you not use Otipax drops?

If the eardrum has ruptured, the product should not be used. Drops are not prescribed if the active ingredients are intolerant. During pregnancy and breastfeeding, prescriptions should only be made by the attending physician.

Drops "Normax": the effect of the drug

"Normax" - antibacterial drops, which are used to treat inflammatory processes of bacterial etiology in the ear cavity and on the mucous membrane of the eyes. The active ingredient, norfloxacin, is considered a fairly strong substance and destroys most pathological microorganisms. That is why the drug is prescribed for the treatment of all types of otitis media, as well as for ophthalmological pathologies.

The anti-inflammatory and analgesic effect is absent in the drug "Normax". Drops are well tolerated almost always, but are prohibited for use by children (under 18 years of age), pregnant women and nursing mothers. Side effects such as peeling and itching of the ear canal rarely occur. In patients prone to allergic reactions, Quincke's edema may develop. In this case, you will need the help of doctors.

When faced with an unpleasant problem that can sometimes simply unsettle you, you should immediately visit an otolaryngologist and not self-medicate. Otitis - enough serious illness and if wrong therapeutic approach may cause complications or become chronic.

Drops in the ears for inflammation - a mandatory component complex treatment. Pharmacies offer a wide selection of these products. It is not recommended to use drops without the help of a specialist and preliminary examination, because some of them are allowed only if the integrity of the eardrum is preserved, while others will be absolutely ineffective against bacterial pathogen otitis

You can hear a lot positive feedback regarding the drug "Otipax". A significant advantage is its safety for pregnant women and newborns. Positive result Use is possible only if the product has been prescribed by a doctor. If installed bacterial cause inflammatory process, you will need therapy with such agents as Normax (drops), Polydex, Otofa, Sofradex.

Are Polydex drops effective?

Polidex ear drops contain neomycin, polymyxin and dexamethasone. The first two components are antibiotics that suppress the development of gram-positive and gram-negative microbes, respectively. The medicine can only be used if the eardrum is intact and strictly as prescribed by a specialist.

The antibacterial agent is used in pediatrics and is approved for children over 2.5 years old. During pregnancy, it is advisable to replace the drops with safer ones in order to prevent the development of hearing pathologies in the fetus.

Many people are already familiar with Polydex, since it is also produced in the form of a nasal spray. The drug is popular among doctors and patients, quickly copes with the task and alleviates the symptoms of the disease. It is still not recommended to use it on your own, so as not to cause irritation to the damaged eardrum and hearing impairment. As an analogue, you can use drops (on the recommendation of a doctor) “Otinum”, “Candibiotic”, “Otipax”.

The price of "Polidex" differs slightly from the cost of similar drugs and amounts to 230-260 rubles.

We bury our ears correctly

Provide therapeutic effect the remedy is only capable of correct use. Before putting drops into your ears, you should wash your hands thoroughly. auricle it is also necessary to carefully clean off purulent discharge. The bottle with liquid is pre-warmed in your hand.

The head should be tilted to the side, the sore ear should be on top. The lobe should be pulled down and back slightly so that the medicine gets into the ear canal. Having buried required quantity drops, you need to lightly press on the tragus and hold your head in this position for 1-2 minutes.