Drugs from sinusitis are the most effective

What drugs are used to treat sinusitis, the most effective remedy for sinusitis

Since the time of zemstvo medicine, when there was one doctor in the whole district, whose specialization was surgery, the treatment of maxillary sinusitis was reduced to the principle "where there is pus, wider open".

The wall of the maxillary sinus under local anesthesia was pierced with a wide needle or trocar, after which it was drained with pumping out purulent contents.

This practice existed in the eighties of the last century, leading to the successful disposal of acute sinusitis, but increasing the risks of recurrences that led to subsequent punctures and the formation of a chronic fistulous passage between the maxillary sinus and the cavity nose.

With the appearance in the pharmacological assortment of a large number of various antiseptics and antibacterial means, the treatment of sinusitis has passed to a new qualitative level and is now being carried out in most cases conservatively.

To the credit of modern otolaryngology, it should be noted that the rejection of the surgical route led to a very decent results, both with direct treatment of the disease, and in terms of results. Much less chronic process became, much less stress experienced by the patient, relieved of the need for painful and scary surgical manipulation of the puncture.

What are the real possibilities of medicinal treatment of sinusitis today, and how to choose the least cheap and effective drug set (to treat sinusitis with one drug is still not yet have learned)?

What are the medicines used for sinusitis?

Since the basis of the inflammatory (catarrhal or purulent) process in the maxillary paranasal sinus is infection (more often microbial, less viral or fungal), then by treating the antritis, the drugs choose antimicrobial, antiviral or antifungal.

Antibiotics

Antibiotics - a favorite brainchild of medicine of the 20th century, however, is not the best cure for sinusitis. If treatment is carried out in a clinic equipped with a decent baklaboratoriya and before the beginning of treatment Separated sinuses are sown for the purpose of determining the pathogen and its sensitivity to the antibiotic - it's up to the small.

It remains to choose the drug that shows the greatest activity against the microbe. In this case, one has to take into account that the result of the analysis (sensitivity in vitro) may not coincide with the real working conditions of the antibiotic in the body.

Therefore, immediately choose the strongest drug (in the absence of contraindications and, in the first place, allergic reactions to it). Most often, antibiotics are prescribed empirically, that is, experimentally, based on indications (the presence of yellow or green discharge from the nose, the body's temperature reaction). In this case, a wide-spectrum drug is selected that is active against the majority of potential activators of sinusitis.

Penicillins

For today, they have already lost in the struggle to the majority of microorganisms. And especially staphylococci, which are on the third place among the causative agents of acute or chronic sinusitis (after streptococci and hemophilic rod). However, often in the absence of crops, therapy begins with inhibitor-protected penicillins, which contain additional additives that prevent bacteria from destroying the drug. In addition, penicillins are still an effective tool in the fight against streptococci, which is capable of cause severe complications from the kidneys and joints, as well as secondary rheumatic valve heart diseases.

The most popular tablets are Clavulonate Amoxicillin under the trade names Panklave, Amoxiclav, Flemoclav and Powder for Suspension Augmentin. Sulbactam Ampicillin with names Ampixid in tablets and injections, Unazine, Sultamycillin in injections.

Amoxiclav is a combination of amoxicillin and clavulanic acid, active against golden staphylococci, pyogenic and pneumonia streptococci, Escherichia coli, enterobacteria, moraxella and Klebsiella. Thus, it covers most of the spectrum of potential activators of sinusitis. In tablets, the drug is taken in children at the rate of 40 mg per kg of body weight in three divided doses per day. For people over 12 years, 1 tablet (125 mg + 250 mg) every 8 hours or tablet (125 + 500 mg) every 12 hours. The course of therapy is 7 days.

Cephalosporins

The cephalosporins of the second (Cefaclor) and the third (Ceftibuten, Cefixim) generations, because of widespread use, have now made room for and have given way to macrolides. However, in the conditions of budget deficit and growing prices for medicines, they still have not left the stage.

Cefixime (Suprax, Panzef, Tsemideksor) - pills that suppress the growth of hemophilic rods, streptococci, moraxelli, Klebsiella). In half it is excreted by the liver and kidneys. 400 mg of the drug are taken once a day or in half the dosage twice (in adults and children over 12 years). Among the side effects: skin allergy, dry mouth, nausea, diarrhea, abdominal pain, pseudomembranous colitis, growth hepatic transaminases, dizziness, headaches, drop of white blood cells and blood platelets, rarely - interstitial nephritis. The drug is contraindicated for allergies to penicillins and cephalosporins.

Macrolides

Macrolides (Azithromycin, Jozamycin, Clarithromycin) are used in tablets and suspensions in children and adults in courses of 3-5 days. They show similar activity to inhibitor-protected phellenines with less resistance of microorganisms.

Azithromycin (Azitralum, Sumamed, Hemomycin) tablets of 500 or 250 mg are used at a dosage of 500 mg once daily. Side effects are similar to those of cephalosporins. Drugs are undesirable for allergies to macrolides, are questionable when used in pregnant and lactating women.

Fluoroquilones

These are drugs exclusively of adult practice, since they still refer to reserve funds and should used in extreme cases, so that the cross-insensitivity to bacteria does not develop. They have the property of killing bacteria by blocking their DNA. Lomefloxacin (Lomeflox, Lomacin, Xenacvin), Ciprofloxacin (Infipro, Quintor, Zindolin), Ofloxacin (Glaufos, Zanotsin, Kirol), Norfloxacin (Negaflox, Loxon), Levofloxacin, Moxifloxacin, Sparfloxacin (Sparflot).

Locally antibiotics

Local antibiotics sprinkle in the form of a nasal spray: Framicetin (from the group of aminoglyosides, Isofra). The medicine is used 4-6 times a day for 7-10 days.

Antiseptics

These are the drugs of choice in the treatment of viral sinusitis. Since most viral antritemics are treated with antiviral agents, it is expensive and useless (most of the drugs do not have a solid Evidence base), the main goal in viral sinusitis is to provide a decent outflow from the sinus and try to sanitize the cavity nose:

• Dioxydin in 1% solution. It is taken from the ampoule into a 10 ml syringe. From which it is buried in the nasal passages, which can also be washed with the drug. The remedy, in fact, is a powerful antiseptic, killing the majority of viruses and bacteria, which is undesirable to swallow "so as not to harm the stomach." In children's practice is not used because of toxicity. For the same reasons, it is not used in pregnant and lactating women.
• Miramistin is a chlorine-containing antiseptic of the widest spectrum of action. It has no color, smell and practically taste. In adults it is used for washing, and for children for instillation into the nose. May cause local allergy. Not contraindicated in pregnancy and lactation. Read more here.
• Furacillin in solutions, 2% is used to wash the sinuses. At home, the solution is prepared from two tablets and a glass of water. For washing, use a baby syringe or a 20 gram syringe. The ENT doctor uses an apparatus consisting of a leading tube through which a solution and suction pump is pumped into the nasal passage to pump it out. The course of washes consists of 3-10 procedures, can be complicated by otitis. Furacillin is bitter enough, but it is not dangerous to swallow it in small amounts (which usually happens when rinsing).
• Prothorgol is a solution of silver, very effective in the bacterial process in the sinuses, especially in children. It is digested 2-3 drops in each nasal passage for 7-10 days. For today, it is rarely used under the pretext of accumulation of silver ions in the body and its chronic poisoning, which according to the fair opinion of the otolaryngologists of the Soviet school is complete nonsense. The tool worked, works and will work, while it is prepared in pharmacies. The agent is suitable for 2 weeks if stored in a refrigerator.

Bacteriophage solutions

Again, the Soviet operating time, forgotten and clogged with the antibiotic lobby of the pharmaceutical industry. With staphylococcal or klebsiellosis maxillary sinusitis in children's practice and resistant microflora - worthy preparations for topical application in the form of rinses or drops in the nose.

Solutions for washing the nose

Dolphin, Aquamaris, Salin, Akvalor is a tricky advertising trick selling saline (,% NaCL, that is, sodium chloride solution) at the price of decent antibiotics. Rinse your nose with sinusitis is not harmful, it is harmful to pay for a solution of table salt fabulous money. So for a bottle of sterile saline solution of 20 ml you will have to pay no more than 40 rubles.

At the same time, a 10 ml bottle of Aquamaris costs more than 110 rubles, Saline for 30 ml - from 137 rubles, and 30 bags of Dolphin, each gram of powder in each cost 190 rubles.

The same audience that patented versions of saline are recommended as less safe (it is not clear, why), that is, children, in general, the lavage of the nose at home is not subject to the high risks of secondary inflammation middle ear.

A couple of words on how to rinse your nose correctly. Before washing, it is necessary to stand over the sink, bending forward at a right angle. After a deep breath, the breath is delayed. The washing container is firmly attached to the nostril. Then it slowly rises so that the solution flows out of the opposite nostril. Washed one, then the other half of the nasal passages and, if possible, sinuses. Remains of the solution are removed from the nasal passages by active blowing out.

GeloMirtol and GeloMirtol Forte

This is an alternative to antibiotics in the fight against sinusitis. This homeopathic drug, oddly enough, works. This effective remedy for sinusitis in combination with dioxin can cure acute uncomplicated sinusitis for a week. It is based on myrtole, supplemented with cineol, limonene, pine, rapeseed oil.

The whole mixture is encapsulated in a gelatin capsule that dissolves in the intestine. The drug has a weak antibacterial, anti-inflammatory effect, and improves the outflow of secretions from the sinuses and nose. Contraindicated with allergies to drug components, bronchial asthma, cholelithiasis, in the first trimester of pregnancy and in children under 6 years.

Nasal drops

Drops can drip during a genyantritis, but it should be not any what, and correct drops:

• Clean vasoconstrictors with maxillary sinus dripping is not desirable. The duration of their application (with a strong nasal congestion, interfering with sleep) should be limited to five days. Means of this group: Xylometazoline (Otrivin, Galazolin, Ximelin), Nafazolin (Sanorin, Naphthysine), Oxymetazoline (Nazivin, Nazol).
• Much more preferable mixture of essential oils (Sinupert, Pinosol, Sinuforte) or combined drops: vasoconstrictive phenylephrine in combination with anti-allergic fenistil (Vibrocil) or Rinoflumycil (acetylcysteine, improving efflux and vasoconstrictive thiamine-heptane sulfate).
• There are also Polydex (vasoconstrictive with antibiotic and corticosteroid), Rinoprint (antihistamine and vasoconstrictor), Dr. Taiss Nasoline (eucalyptus oil and vasoconstrictor xylometazoline).
• Sinuforte is a cyclamen from a genyantritis in the form of an extract of lyophilizate and juice of tubers. 2-3 drops are sprayed into each nasal passage once a day for two weeks. The drug is prohibited for pregnant and lactating. It can cause local allergy, therefore it is contraindicated to allergic people. Also, it should not be used for polyps in the nose and unregulated hypertension.

Auxiliary drugs

These are antipyretic and anti-inflammatory drugs (Nurofen, Ibuprofen, Paracetamol), as well as antiallergic means 2 and 3 generations, reducing the swelling of the mucous sinuses and nose (Loratadin, Desloratadine, Cetrin, Zinnerit, Claritin, Claricens).

Thus, treatment with antibiotics of sinusitis is not a necessary condition for successful conservative therapy. It is much more important that edema should be eliminated, the outflow of sinus contents adjusted, and the local sanation of the inflammatory focus should be carried out.

zdravotvet.ru

How to treat sinusitis? What medications are effective for this disease?

Answers:

veiling Ivanov

So I treated genyantritis with folk remedies. And, by the way, cured.)))) Try this folk remedy. Beets (juice) - a teaspoon. Honey - a teaspoon. Boiled water is a teaspoon. All this stir. Burrowing your nose the more, the better. It can at first bake, but it's even better. Do this for about ten days! Really helps! :)

vahus

I will advise Bioparox, but it has an antibiotic, so if you are allergic... and he is very good at sinusitis including! now there are still a lot of all kinds of homeopathic medicines, if you trust this method of treatment (personally I'm not)

Gin

At me a genyantritis itself has passed or has taken place, was from 11let till 16 years, wished to do or make a puncture, and I have refused.
In the treatment of sinusitis, conservative (medicamentous) and surgical methods are used.
At the heart of medical treatment of sinusitis, local procedures must necessarily lie - the use of drops, sprays, inhalers, capable of eliminating the swelling of the mucous membrane.
Vasoconstrictive drugs include: Tizin, Nazivin, Sanorin, Nazole, Galazolin, and Conanos. When sinusitis should adhere to certain rules for pouring into the nose of medicinal fluids. The patient should lie on his side, after which to drip vasoconstrictive drops in the half of the nose, on which the patient lies - the drops should get on the side wall of the nose. In this position should be at least 5 minutes. Then, turn to the other side and repeat the procedure with the other half of the nose. Only after using these drops can be instilled by others - having antibacterial, anti-inflammatory or analgesic effect.
The treatment also uses antibacterial drugs (preferably cephalosporin), antihistamines (Claritin, Telfast, etc.). The nose is washed with antiseptic solutions (eg, furacilin). Of physiotherapy procedures are used such as UFO of the nasal cavity, UHF on the paranasal sinuses, etc.
Puncture (puncture) is done in order to pump out pus from the sinus, rinse the sinus, and then introduce antibiotics and anti-inflammatory drugs. This procedure is accompanied by unpleasant sensations, but its effectiveness is very high. Now, after a puncture in the sinus, special tubes are installed - catheters, through which it is possible to do a sinus lavage daily. When this method is used, the patient recovers very quickly. But to all there is evidence, and in the initial stage of sinusitis is not always required to perform a puncture, you can do with the washing of the nose.
To treat a genyantritis it is necessary under the control of the doctor-otolaryngologist (ENT-doctor).

Sergei

If completely pressed - three drops in each nostril of demedrol (this is for pain relief), and as a prophylaxis - daily washing with sea salt (two tablespoons per liter)

opium

Write: Sinupret, Tsiprolet. Rinse your nose more often: a glass of warm boiled water on a teaspoon of salt (you can use a syringe). Warm your nose with something. And go to the doctor.

Aniya BM

The doctor will give you the best advice!

VaMpirE

It's easier to go to the ENT hospital, where it will be effectively cured, you can not run it... start, start pus and this pus will go to the brain, and before that it's better not to reach

Basketball player

Take a picture. If the genyantritis is severe - an antibiotic is necessary (amoxiclav, for example). In the nose after washing with aqua-maris, drip polydex or isofra. It's also a good idea to drink the sinupent - it cleans the sinuses of the nose from the inside. Get well!

Christina

if at you chronic (at me such diagnosis 0 doctors offered to pierce. I refused because as a lifetime later you will conduct this procedure. in the first it hurts. I went to the healer, she gave me a mixture of onions and garlic. I put on the steam bath melted this mixture and dipped the sticks (ear) in them and then for 10-15 minutes put in the nostalgia, I polichilas a week. At me all as from a bucket left all pus sucked. and now the second year I'm missing. this mixture can be done by itself (onion cook not ready, and garlic. squeeze out and put in the freezer) when applying to a steam bath. Good luck and get well.

mika vitara

HAIMORIT is one of the most common types of SINUSIT - inflammation of the paranasal sinuses.
A feature of all paranasal sinuses, which includes the maxillary sinus, is the fact that, being sufficiently volumetric formations, they have very small outlets (1-3 mm) - anastomoses, with which the sinuses open into the nasal cavity. Therefore, when the edema of the mucous membrane of the anastomosis is closed, the outflow of mucus from the sinuses is broken, in the sinus begins to develop bacterial (sometimes fungal) flora and there is inflammation, which can be purulent, serous, hemorrhagic and other
CAUSES OF THE GENETIC
HAIMORIT (maxillary sinusitis) - inflammation of the maxillary (maxillary) sinus. Sinusitis usually occurs as a complication against a background of a viral infection (ARVI). This is an acute sinusitis. Inflammation of the sinuses can manifest itself in a few days and even weeks, after passing the acute symptoms of colds
Sometimes (in 10% of cases), sinusitis develops as a result of the transition of inflammation from the roots of molars located near the maxillary sinus. In these cases, the sinusitis proceeds in an erased form for a fairly long time.
Rareer causes of sinusitis are pressure drops during diving and flight on an airplane.
SYMPTOMS OF HAIMORIT
Symptoms of sinusitis: a runny nose (purulent discharge from the nose), stuffy nose, decreased sense of smell, "nasal" voice, headache, fever, swelling of the skin in the cheek or eyelid region, pain in the cheek or in the region of the upper teeth. These symptoms, individually or together, more or less pronounced, may indicate an inflammation of the sinuses.
If the runny nose worries for more than a week, is accompanied by a headache, severe stuffiness of the nose, temperature - this is the reason for visiting the ENT - a doctor.
DO NOT FORGET - the nose "grows" on the head. Nearby are the organ of vision, the organ of hearing, the brain. Untimely treatment of a doctor, self-medication can lead to complications, the most formidable of them - meningitis, brain abscess.
TREATMENT OF HYMERITIS
Sinusitis - a serious disease, so his treatment is better to entrust to the doctor. Treatment should be comprehensive and individual: local drugs, antibiotics, immune preparations are used. In the arsenal of ENT - the doctor there are many ways to treat this disease, including without a "puncture." But in some cases, the puncture of the maxillary sinus ("puncture") greatly facilitates the patient's condition.
Refrain from "warming up" at home. As a rule, this leads only to a worsening of the condition.
FACTORS PREPARING TO DEVELOPMENT OF HAIMORIT:
* conditions that disrupt the nasal breathing: curvature of the nasal septum, vasomotor rhinitis, hypertrophic rhinitis (nasal congestion), in children - adenoids, allergic diseases of the nose;
* untimely or incorrect treatment of cold, ARVI, rhinitis;
* inflammatory processes in the upper limbs of molars of the upper jaw;
* Reduction of the body's defenses - decreased immunity;
* bacteriocarrier;
* congenital disorders of development of anatomical structures of the nasal cavity.

Milock

In a glass with warm water, add a teaspoon of salt and soda stir and rinse your nose three times a day. 7 days. (you can use a small pear)

Peganov Yuri ™

Health problems??? Go on these sites:
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Be healthy - do not be ill. .
Good luck and health ...

Pirogova Olga

My relative suffered greatly from sinusitis, he was recommended washing with sea salt several times a day. And it really happened. But of course it's better to contact a specialist before starting self-treatment.

Faina Gromova

If the genyantritis manifests itself, I immediately take cinnabsin. These pills make my condition easier. Make your nose breathe and liquefy come down.

ALEXEY KONOVALCHUK

that's what happened to my doctor-friend. She told me that she needed an operation for a day to remove pus. I advised her to try a remedy, which is used by my whole family - Riciniol - a very good home remedy on the basis of castor oil. She took it, poured herself in her nose, lay down for an hour and left all the pus, as riciniol very well penetrates. Even the operation did not have to. Until now, I am grateful for the advice. Maybe someone will help too! I wish success to all. By the way, you can not find it anywhere. It is a unique product, only Argo stores sell it. I heard that if they register on the site of Argo, then there will be a 20% discount. Here is the link http://argo.pro/newuser/?logout=yes&am; = 1146 & amp; = cfa43fa64fd0e13b7c49b4bb1c19a09

Mila Krokova

Some washings with sea salt from a genyantritis will not relieve. I also remembered to wash my nose and took prescribed Cinnabsin tablets. With their help, sinusitis went through 2 weeks.

The medicine for sinusitis

An otolaryngologist should prescribe an effective remedy for sinusitis after examining and obtaining the results of the tests. In addition, for the appropriate therapeutic measures, the form of the disease and the type of pathogen is important.

Drugs for the treatment of sinusitis:

1. Antibiotics.
2. Sulfonamides.
3. Preparations for the reduction and removal of the inflammatory process.
4. Fluids for washing the nasal sinuses.
5. Drops and sprays to relieve swelling, drainage of maxillary sinuses.
6. Solutions for inhalation.

Let's consider in more detail each group of medicines.

What medicines from a number of antibiotics to treat a genyantritis:

1. Gramox.
2. Amoxyl.
3. Flemoxin solute.
4. Hiconcile.
5. Augmentin.
6. Rovamycin.
7. Tsifran.
8. Cephallexin.
9. Vampilox.
10. Macropean.
11. Sporroid.
12. Duracef.
13. Ampiox.
14. Cefotaxime.
15. Ceftriaxone.
16. Wertsef.
17. Cefazolin.

Antibiotic medicine against sinusitis should stop the development of the inflammatory process in the body and stop the growth and reproduction of bacteria or fungi in the sinuses of the nasal cavity. When choosing a medicine for the treatment of sinusitis, it is necessary to study the list of side effects of the medicine and the level of its toxicity.

What sulfonamide drugs to take with genyantritis:

1. Sulfadimethoxin.
2. Biseptol.
3. Ethazol.
4. Streptocide.
5. Norsulfazole.
6. Sulfalene.
7. Sulfopyridazine.
8. Sulphadimezin.

This group of drugs is prescribed for severe forms of the disease and a dangerous course of the inflammatory process in combination with an antibiotic. In addition, sulfonamide drugs can be used as substitution therapy in case of intolerance to antibiotic agents. When choosing which medicines to drink at a genyantritis from a number of sulfonamides, it is necessary to check up, how much they are compatible with the chosen antibiotic and whether the suitable preparation of allergic reactions causes.

Than to treat a genyantritis - anti-inflammatory medicines:

1. Coldie.
2. Flukold.
3. Coldrex.
4. Pharmacitron.
5. Cagedactivity.
6. Loratadin.
7. Fenkarol.
8. Bromhexine.
9. Ambroxol.
10. Sinupret.
11. Sinuforte.
12. Suprastin.
13. Cinnabsin.
14. Gaimorin.
15. Solpadein.
16. Nimid.
17. Oksalgin.
18. Bronhoklar.
19. Diazolin.
20. Tavegil.

Any of the above means is suitable as a cure for chronic sinusitis in the complex therapy of the disease in the acute stage. They also perform the following functions:

• intensify the action of antibiotics;
• reduce edema of the mucous membranes;
• relieve a headache;
• reduce inflammation in the sinuses;
• contribute to the liquefaction of purulent contents.

Drugs for washing the sinuses of the nose:

1. Tincture of calendula.
2. Elecasol.
3. Rekutan.
4. Saline solution.
5. Phytodent.
6. Rotokan.
7. Decoction of chamomile.
8. Decamethoxin.
9. A solution of manganese.
10. Furacil.
11. Broth of St. John's wort.
12. Iodine solution.

Medicine for sinusitis - spray:

1. Isophra.
2. Xylo-Mefa.
3. Sinuforte.
4. Akvalor.
5. Ximelin.
6. Humer.
7. Sanorin.
8. Marimer.
9. Otrivin.
10. NAZAVAL.

Solutions and medicines for inhalation with sinusitis:

1. Herbal anti-inflammatory decoctions:

• chamomile;
• succession;
• St. John's wort;
• Oak bark;
• celandine;
• currant leaves.

2. Inhalation solutions with essential oils:

2. Brine.
3. Dioxydin with saline in equal proportions.
4. Berodual.
5. Salgim.
6. Berotek.
7. Atrovent.
8. Ventolin Nebula.
9. Gedelix.
10. Tonzillon N.
11. Cromohexal.
12. Pulmicort.

WomanAdvice.ru

What is the most effective remedy for sinusitis? You can also folk.

Answers:

The one that ...

Aloe juice is digested, a sock with hot salt or sand on the bridge of the nose, and also honey on a piece of paper glue in the area of ​​the sinuses. Recovery is very fast (checked on me). Good luck.

Tatjana Zaika

that fixed themselves on the people's.. pancake.. pus in the brain will go. and you poprishchat hosh ..

Eva Ataeva

The simplest folk remedy for sinusitis is: Take an alcoholic tincture of red bitter pepper and every day we apply a nose. Treatment lasts from a week to a month, but the result is 100% Tested! Working! Folk remedy for sinusitis Elderly sinusitis can be cured by folk remedy, which helps many. True this remedy is not very pleasant in execution but very effective! And besides it's not difficult to use. We take and cook the hard-boiled egg clean it gently yet hot cut into two halves apply from two sides to the nose CAUTION!!! The egg should be hot, but not burning! And then you can get a burn. It is usually enough 2-5 procedures, sinusitis breaks and your nose clears. Verified!

Marina Tishunina

If the folk remedies helped, there were no chronic sinusitis, do not test your body.

Tanechka

Actually, you have to be careful with your head! Better to the doctor! although they often ring.. .

From a genyantritis grandfather treated his friends with ointment, which he cooked and helped them. This ointment has the ability to draw pus, relieve swelling and heal in an accelerated mode (sinusitis, otitis, gangrene, erosion, burns, bruises, scars after operations... )

You can also dig in the beet juice, but it is MANDATORY to dilute with water (a very strong remedy)

It is better not to be ill, good health to you.

The reference to the ointment is not inserted... type in Google "family and I ointment from genyantritis"

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