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
The medicine for sinusitis
Often, the treatment of the common cold is thoughtless, considering it a symptom of a cold. Meanwhile, if the process is started, the consequences can be very serious. There are diseases that are accompanied by headaches, difficulty breathing, increased temperature. These include sinusitis and sinusitis. At the first signs it is necessary to immediately consult a doctor. Only he correctly prescribes a medicine for sinusitis. Sometimes, in order to improve, complex treatment is required according to a certain scheme.
What is genyantritis and how to treat it?
In sinusitis, sinuses become inflamed, which are located to the right and left of the bridge of the nose. The hole that connects them to the nose is overlapped. Mucus and microbes remain in the sinuses. Inflammation can have different causes, differ in the nature of the course. Viral is a disease, bacterial or fungal - in each case, the doctor prescribes his medicine for sinusitis.
The disease is severe when both sinuses become inflamed. Sometimes there is left-sided or right-sided sinusitis. At the same time, an intolerable headache with tilting and turning the head. In addition, there is a list of characteristic symptoms:
- nasal congestion;
- temperature increase;
- purulent discharge;
- raspiranie in the nose.
At an initial stage use the means removing an edema facilitating respiration. More often it is vasoconstrictive drops. If the disease is accompanied by an infection, the doctor prescribes antibiotic therapy. Good results are obtained by physiotherapy, which improves blood circulation in the sinuses. For these procedures, a laser, an electromagnetic field, and electrophoresis are used.
When chronic sinusitis in the mucosa, there are depressions in which pus accumulates. This dramatically exacerbates all symptoms. To facilitate the patient's condition resort to piercing the hole through which pus is sucked. However, modern medicamentous drugs allow for the treatment of sinusitis without a puncture. These include anti-inflammatory antibiotics.
What will happen if you do not treat sinusitis? The chronic form of the disease gives serious complications, which are poorly treated. Possible inflammation of the bone tissue, it is possible to infect blood, eye disease, and throat. The maxillary sinuses are located not far from the brain. There is a chance that there will be inflammation of his shell - meningitis and even death.
Methods of treatment at home in adults
How to cure sinusitis forever? To do this, it is important in the complex to take medicines from sinusitis, folk remedies, perform physiotherapy. An important role is played by the prevention of sinusitis. From medicines are popular:
- Rinoflumacil in the form of a spray for the removal of edema.
- Drops in the nose Naphthyzine for easier breathing.
- Hormonal means Polidex in the form of a spray improves the outflow of pus.
- Sinupret drink in the form of tablets - this is a good antiviral agent.
Drops in the nose
With maxillary sinusitis, you should not self-medicate. Even drops should be used as directed by the doctor. There are medicines from which it is easier to breathe - these are vasoconstrictors Naphthysine, Galazolin. In acute form Polidex is a medicine with antibacterial properties. It narrows the blood vessels and reduces inflammation, inhibits the activity of microbes. Quickly remove the swelling of the drops in the nose with an antibiotic - Neolycin.
Effective result gives complex drops in the nose - Sinuphort. The drug acts instantly. The edema decreases, pus liquefies. The patient immediately becomes easier. Sinuforte is a drop from a genyantritis on the basis of a cyclamen. Due to the fact that natural raw materials are used, they have a high price. In treatment, cheaper analogues are also used - Gaimorin, Salhino.
Antibiotics
What antibiotics to drink at a genyantritis? These drugs are prescribed for severe inflammation, high fever, purulent discharge. Antibiotics are taken in the form of tablets, suspensions, and injections. They not only fight diseases, but also prevent complications. One of the most effective of them is Amoxicillin. For children, the antibiotic of local action - Bioparox - produces a good effect.
Antibiotics help treat sinusitis caused by microbes. It is not prescribed if the cause of the disease is an allergy or fungal infection. It is worth paying careful attention to the appointment of drugs, because the use of antibiotics has contraindications:
- pregnancy;
- liver, kidney disease;
- breast-feeding;
- allergy to the components of the drug.
Nasal Sprays
Nasal sprays as a medicine for sinusitis should be taken only if they are prescribed by a doctor. These drugs are addictive, so they are not used for more than two weeks. The drug is injected into each nostril, while the other is clamped. The effects on the body sprays are divided into 5 groups:
- vasoconstrictive;
- salt;
- based on corticosteroids;
- hormonal;
- complex.
Vasoconstrictive drugs relieve edema and restore drainage from the sinuses. These include: Rinofloymcicil, Ximelin. Saline nasal sprays serve to wash the nose, reduce swelling. Sinuses are cleared of bacteria. In this group, drugs Aquamaris, Aqualor. Sprays containing corticosteroids reduce swelling, improve sinus ventilation. This includes Aldetsin, Nazarel.
Hormonal sprays improve the outflow of pus, reduce swelling. Act locally, so they are allowed to use even when treating a child. This medication is Avamis, Nazanex. The drug of complex influence is considered Sinuforte. When it is used, the sinuses are quickly cleared, the patient becomes better. Complex agent IRS-18 increases immunity.
Other medications
A severe headache with sinusitis is facilitated by paracetamol, ibuprofen. With allergic sinusitis it is often difficult to establish the cause, so take medications to improve immunity. Indispensable in the treatment of sinusitis wash. It removes mucus from the sinuses. Than to wash out a nose at a genyantritis? Excellent results give a solution of furatsilina, infusions of herbs.
Homeopathic remedies
An effective method in the treatment of sinusitis is the use of homeopathic remedies. These medicines are popular because they do not have side effects. They have a very small concentration of active substances, therefore it takes a long time to use them. The use of these drugs against sinusitis is more effective in the chronic form of the disease.
The doctor selects the active substance of the drug depending on the symptoms:
- Arsenicum (arsenic) is prescribed for burning pain, nausea and vomiting.
- Belladonna (belladonna) is used for pain in the eye sockets and eyebrows, which increases with tilts.
- Dichromate potassium - with purulent discharge.
- Mercury relieves headache, sensitivity when touched.
People's means
In addition to conservative ways of treating drugs that are sold in pharmacies, there are folk remedies. These include:
- Rinsing of the nose with solutions of soda, propolis.
- Warming up with hard-boiled eggs.
- Inhalation with a nebulizer with medications or infusions of herbs.
- Compresses from the present bay leaf.
- Burial of menthol oil.
Video: treatment of genyantritis in children
The treatment of sinusitis in a child should be taken seriously. Why does it occur in children, and do I have to put shots. Whether it is necessary to go to hospital or help treatment at home. Why does not it make sense to do x-rays when diagnosing? Does the puncture help in treatment. What to look for when a child has a protracted runny nose. Watch the video and you will understand a lot.
Reviews for antritis
Yana, 25 years old: She was sick with genyantritis at 3 months of pregnancy. I was afraid that drugs could harm a child. The gynecologist advised washing with sea salt. At first I was afraid to do the procedure. But I was very surprised when I saw how much mucus was washed away. After 5 days, the nose began to breathe well, the head stopped hurting. I advise you to use moms.
Anna, 30 years old: The daughter got sick, the doctor diagnosed a sinusitis and prescribed treatment with antibiotics. I remembered grandmother's remedy. I cooked 2 eggs and, in a hot form, through a napkin, put it to my nose. After warming up the child began to breathe more freely. Improved separation of mucus. I advise you to treat complexly, except for medicines to use and folk methods.
Olga, 45 years old: I have chronic maxillary sinusitis. The headaches were aggravated, which increased with inclinations. The smell of pus followed. They made painful piercing, the doctor prescribed antibiotics. After the course of injections, it became much better. I do not advise anyone to self-treat sinusitis. It is better to go to the doctor, he will tell you how to be treated correctly.
sovets.net
What helps or assists from a genyantritis?
Answers:
Aurora Kons
Often, doctors immediately send a puncture, which is not really how much it heals how much it maims.. .
There is a proven prescription for sinusitis, it helps 100%.
You take birch buds (they are on sale in a pharmacy) and fall asleep in a vigil of vodka (only vodka, alcohol does not go), about 1/5 of the kidneys and the rest of the vodka. I so fall asleep until the vodka to the neck does not fit. Insist in a warm dark place, shaking until the vodka turns brown. Then wet a cotton cloth, folded in 5-6 layers (approximately the size to cover your forehead) with this infusion and put on the forehead so that the compress closes even the eyebrows and the entire forehead. Top with cellophane and a warm hat, and keep all night. After that, do not go outside for half a day... From this forehead can slightly pinch, burn, but it's good, then the truth will turn a little red, but no more... it is possible before smeared with children's sunflower oil, but I did not do... the effect is worse... Enough once or twice to do and everything passes. It is checked up on itself, children and friends.. .
Simply but effectively, and most importantly, no drugs and punctures.. .
In addition, this tincture can be used for abscesses, furuncles, pustules. Quickly stretches and cleans.. .
If someone wants to procure the kidneys themselves, they need to be collected in March-April, until the sap flow begins. It is important!
Be healthy!
Kostua Maznev
When I was a small grandmother I was treated with a folk remedy.. the onion juice interfered with the sugar dig in the nose.. The sensation is certainly not pleasant, but the next day it all passed.
she always liked to fall apart
If the doctor is not destiny, then do the washing at home. in the palm of water, dial, hold the second hand with the nostril, and draw the other nose with water. Repeat the same with the second nostril. After blow your nose.
ameli))))
aloe juice
Nadya 555
increase immunity, rinsing do regular, wear according to the weather) and in general if you are afraid of a repeat genyantritis, do not run the disease, runny nose) are treated better folk remedies, punctures are very unpleasant thing)
Does Sinuphort help with genyantritis?
Answers:
Lilac Fairy
As if everything was easy and simple and would not suffer from sinusitis for years, did not make piercings... took an expensive medicine and sinusitis, as it had not happened.
People are so tormented, but everything has just begun.
Helps to get rid of sinusitis annual stay at sea for a month.
I know that such a festering begins and one boy is completely cured in a month.
Here is another tool from Ineta that can help you.
One man in his life had chronic sinusitis. He first appeared, even when he was 14 years old. He often got into the hospital because of sinusitis, made punctures. But now almost 20 years since he cured sinusitis. Thanks to the kind people who told him about the effective treatment of sinusitis at home. This folk ointment saved him from sinusitis in just 3 weeks!
For its preparation, take in equal parts alcohol, honey, vegetable oil, milk, juice onions, crushed dark laundry soap. We put everything in one pan and soak in a water bath until the soap is melted. When the ointment has cooled, it will be ready for use.
Wrap a few cotton wool on the match, dab it in the prepared preparation and insert into each nostril for 15 minutes 3 times a day. The course of folk treatment of sinusitis is 3 weeks. If necessary, after 10 days of a break, you can repeat the course of treatment of sinusitis.
I wish a complete cure.
Unknown
It helps. Good medicine)
frets of the beast
Rinse with salt solution or buy ocean water in a pharmacy
Andrei Borgia
I had a purulent maxillary sinusitis. drank antibiotics, went completely
Alinevod
Who says that does not help - did not try Sinuphorte! Fucking medicine, it's worth it. Only it is enough for 1 course, the expiration date there a couple of weeks, it seems. But that the genyantritis will pass - 100%
ivan samoran
I peep 4 day - ZERO EFFECT - 2 thousand to the wind, it was easier to buy a flower cyclamen
