The medicine for sinusitis and sinusitis

Drugs for sinusitis and sinusitis: tablets for treatment

Sinusitis is an inflammation of the nasal sinuses, which is a complication of acute infectious diseases of the upper respiratory tract, scarlet fever, influenza, measles.

Treatment of sinusitis requires a comprehensive, while using drugs from sinusitis as a systemic and local action.

Treatment of sinusitis and sinus with medicamentous agents

For the treatment of sinusitis or sinusitis at an initial stage, tablets and nasal sprays are used, which can be purchased in a pharmacy without a prescription. Such funds from sinusitis can quickly remove the main symptoms of the disease. But they do not cure its causes and can not be used for more than three days.

With long-term use, these drugs from sinusitis, as well as from sinusitis, lose their effectiveness, and can even cause the return and exacerbation of manifestations of the disease. Therefore, if within three days the runny nose has not passed, it is recommended to pick up other tablets or drops for the treatment of sinusitis and sinusitis.

Treatment of sinusitis and sinusitis involves mandatory use of antihistamines. These tablets block the synthesis of histamine, and therefore contribute to the elimination of swelling of the nasopharynx and the secretion of mucus. But it should be understood that the drugs for sinusitis to this group are effective only if the disease is allergic in nature.

Antihistamine tablets, drops and syrups should be used with great care, without disturbing the dosage. When starting treatment with them, it should be remembered that often they begin to interact with other medications and can affect the concentration of attention and the rate of the patient's reactions.

Another effective cure for sinusitis or sinusitis is vasoconstrictor drops or sprays. The main active ingredients of this group are phenylephrine and pseudoephedrine. These substances act on the vessels and capillaries lining the nasal sinuses. But they can also affect blood pressure.

For this reason, patients suffering from hypertension should consult a physician before starting treatment. Usually, the dosage is adjusted, or the antimycotics of another action are selected

Treatment of sinusitis and sinusitis with antibiotics

If the disease has a prolonged course, antimicrobial treatment is recommended. But before this, it is necessary to conduct a study of the excretions from the sinuses. The clinical picture and severity of the disease are also evaluated. Depending on this, antibiotics of different spectrum of action are prescribed.

1. An easy degree of illness. As a rule, the use of antibiotics is not required. If the runny nose is caused by a viral infection, these drugs will not be effective. If, after 10 days of treatment, the symptoms do not disappear or, on the contrary, become more pronounced, one can suspect the attachment of a bacterial infection. In this case, you can begin therapy with antibiotics.
2. The average severity of the disease. Appointed primarily amoxicillin or amoxicillin-clavulanate in different dosages and forms, depending on the age of the patient. The alternative is ampicillin preparations. Cephalosporins, macrolides, tetracyclines, and fluoroquinolones can also be used.
3. Heavy degree. Parenterally, inhibitor-protected penicillins are introduced: amoxicillin-clavulanate, ampicillicinsulbactam. Or cephalosporins of the second and third generations - cefuroxime, cefotaxime, cefoperazone. In case of individual intolerance to b-lactates, ciprofloxacin or chloramphenicol is prescribed.

The course of treatment and its scheme are determined and adjusted in this case only by a doctor.

Inhalation with sinusitis

In the complex treatment of sinusitis, inhalations are widely used. This method alone is not recommended for treating the disease at home. Local symptoms can be eliminated, but the focus of infection is not. The risk of transition of the disease to a chronic form is very high. In the body will remain a constant focus of infection, which will have its negative impact on the body.

When choosing a treatment program, one always needs to rely on the recommendations of an otolaryngologist and do not forget to undergo a follow-up examination to determine the effectiveness of the treatment. Often, the true nature of the disease can not be established during a primary examination. But it is precisely from what caused it, and depends largely on the way of treatment.

For inhalations at home, they usually use decoctions and infusions of herbs and plants. Chamomile, eucalyptus, thyme, sage, St. John's wort - all these herbs have bactericidal, anti-inflammatory, mucolytic effects. They can be used both individually and as part of the charges for inhalation with sinusitis.

If the patient does not have any allergies, propolis or a few drops of essential oils can be added to the inhalation fluid. The inhalation of vapors will have a bactericidal and restorative effect on the body with sinusitis. By the way, essential oils for colds are no less effective.

It should be understood that inhalations will be effective only if there are no large accumulations of dense, thick mucus in the sinuses of the nose. Dense contents of the sinuses will prevent the access of medicinal vapors to the mucous membrane. Therefore, if the nose is laid very hard, you should use vasoconstrictive drops or tablets before inhalation.

Contraindications to inhalation:

• High body temperature;
• The general severe condition of the patient;
• Propensity to bleeding;
• Children under 5 years;
• Heart diseases;
• Violations of circulatory functions;
• Bronchial asthma.

How to carry out inhalations at home? You can use for this purpose a nebulizer - a modern device that converts fluid into medical vapor. In the nebulizer fill capsules with a solution of the drug, herbal medicinal herbs and essential oils in this case are not suitable.

You can carry out inhalation in a hospital - but remember that after the procedure, it is undesirable to go out for 30-60 minutes, especially in the cold season. Traditionally, the method of grandmothers - a saucepan, a basin or a teapot with a hot medicinal solution, and a towel, which should be covered, bending over the container, is widely used by the people.

Before doing inhalations on your own at home, you need to make sure that there are no contraindications and allergic reactions to the components used for cooking solution. This is especially important in the treatment of young children.

Medication in the treatment of sinusitis

In the complex therapy of sinusitis, medicament preparations of various action are used. It:

1. Mucolytic agents, liquefying the contents of the maxillary sinuses and stimulating their departure.
2. Antimicrobial drugs, effectively eliminating pathogenic microorganisms.
3. Corticosteroids - used in severe forms of the disease, when the remaining funds were ineffective.
4. Moisturizing - auxiliary preventive, with the help of which it is easier to remove dirt and dust from nasal passages.
5. Antihistamines - relieving edema, itching and other allergy symptoms.

Mucolytic drugs include Mukodin, Fluiditek, Fluimutsil. They are produced in the form of a syrup or suspension with a sweet taste for children and the form of tablets, capsules or effervescent tablets for the preparation of a solution for adults. Dosage is calculated based on the weight and age of the patient.

Mucolytic effect may have a complex effect, also removing inflammation, fever, pain. These include Sinupret in sinusitis and sinusitis - it is made on the basis of plant components.

Antihistamines effectively eliminate allergy symptoms. But at the same time they overdry the mucous sinuses of the nose and thicken the mucus. And this promotes the multiplication of bacteria. Therefore, treatment with antihistamine drugs should be done with great care, under medical supervision.

Corticosteroids with severe sinusitis are the most effective drugs. To reduce side effects, the use of hormonal drugs in the form of nasal sprays is recommended. The most common drugs containing as active substance beclomethasone.

Some patients use for treatment of sinusitis Nasonehs, encouraged by advertising and reviews on the Internet. However, it should be noted that this drug is effective only in the allergic rhinitis.

If the nature of the disease is infectious or bacteriological, Nazonex is powerless - it will only temporarily eliminate unpleasant symptoms.

Medicines for complex treatment of sinusitis

Modern pharmaceuticals offer a variety of medicines for the treatment of sinusitis in different groups of patients. Taking into account the peculiarities of the action of drugs and the course of the disease, the nature of the disease and the physiological characteristics of the patient, the doctor develops a treatment regimen. Use can be either one or several drugs.

Means that have vasoconstrictive effect. Are necessary and most popular. Such drugs really very quickly restore the patency of the nasal sinuses, the patient can breathe easier, the outflow of mucus is improved. But this is only a temporary phenomenon - the cause of the disease with their help is not eliminated.

Therefore, long-term use of vasoconstrictive drugs is not recommended. Drops, sprays, ointments or gels can be used no more than 2-3 times a day, the duration of application - no more than 3-5 days. Then it is recommended to take a break in treatment.

Local or systemic drugs with anti-inflammatory effect. Medicines of local action are used to eliminate the symptoms of inflammation in the nasal sinuses and larynx. These can be glucocorticosteroids, antibiotics or antihistamines.

Which it is better to choose is determined by the doctor in each individual case. Simultaneously take drugs with anti-inflammatory effect, but from different groups, it is impossible.

Secretory drugs are usually combined with mucolytic drugs. These drugs enhance the activity of the ciliated epithelium, which contributes to the removal of thick mucus from the nasal passages.

Antibiotics are not used for non-purulent sinusitis. They can quickly improve the condition of the nasal sinuses, but at the same time cause significant harm to other organs. Therefore, they are used with extreme caution.

Drops with sinusitis

These medicines should be mentioned separately, since with sinusitis and antritis, medicines are usually prescribed in this pharmaceutical form.

Drops have many advantages in comparison with tablets. Firstly, they act locally, and therefore very quickly - relief is felt after only a few minutes. Only a small fraction of the active components of the drug enter the bloodstream. And this means that the probability of side effects is much lower.

But in 3-5 days inevitably there is an accustoming of an organism to vasoconstrictive and antihistamine drops. Because they are usually supplemented with drugs of a different form, a slower but longer-lasting effect.

The most common are such drops as Nazivin, Naftizine, Sanorin, Galazolin. Sprays for the nose can also contain hormones. But only the doctor appoints them and only if the treatment with other drugs does not bring the expected result as described in the video in this article.

stopgripp.ru

The most popular means for the treatment of genyantritis

The treatment of sinusitis is very different from the treatment with a common cold or cold. The proximity of the paranasal sinuses to the orbits and vessels of the brain, makes this disease especially dangerous and the choice of an effective medicine for sinusitis becomes a decisive factor for rapid recovery.

In the treatment of sinusitis it is necessary to use several groups of drugs, such as sinupret, sinuporte, sanorin or folk remedy - cyclamen, appoint only qualified personnel, the doctor will observe the progress of treatment and, if necessary, adjust it or to supplement. With independent or incorrect treatment, the inflammation can become chronic or the patient is at risk of getting one of the numerous complications of this disease.

For the treatment of sinusitis you need

1. Suppress the development of the infectious process and inflammation in the paranasal sinuses - for this purpose use antibiotics and antiseptics - washing with solutions of furacilin, saline solutions, inhalation with drugs and antibiotics in the form of sprays, drops, tablets or injections,
2. Reduce the swelling of the mucosa and increase the outflow of accumulated fluid from the sinuses - for this use means, narrowing vessels (adrenomimetics) and mucolytics that dilute mucus and facilitate its removal - sinupret, sanorin, gaymorin, sinuporte and others, also use folk remedies for the treatment of sinusitis - cyclamen, royal jelly or honey,
3. Rid of the patient from pain and intoxication - use analgesics, vasoconstrictor drugs and antibiotics,
4. Prevent the formation of scar tissue - in chronic sinusitis increases the risk of scar tissue formation in place inflammation, to avoid this use corticosteroids and resorptives - backlopt, spray - nazoneks and others.

We hope you understand from the above written that the treatment of sinusitis is an integrated approach using several groups of drugs. These medications can be chosen by an ENT doctor, so it is highly recommended that you go to a medical consultation where you will write in detail what medicines to buy, how to drink them and possibly prescribe additional instrumental methods treatment.

Treatment of sinusitis depends on the stage and severity of the disease, but most often, with mild and moderate forms diseases, patients are treated out-patiently, at home, without the use of punctures and other surgical techniques.

To date, it can not be said that one effective remedy for sinusitis has been created, it is necessary to apply the preparations in a complex way for recovery:

Antibiotics

At home, antibiotic treatment should be done only as directed by the doctor. In uncomplicated genyantritis, antibiotics are prescribed topically, in the form of drops and sprays, this helps protect the body from their systemic effects. Most often used drugs such as:

• pinosol or neonox are nasal drops on the basis of natural herbal remedies, they simultaneously facilitate breathing, enhancing the outflow of mucus, and disinfect mucous, killing bacteria and viruses;
• protargol and collargol - preparations based on silver ions that purify mucous membranes from pathogenic bacteria, but act slowly and do not have additional effects;
• drops and sprays with dioxydinum - strong enough, but a dangerous remedy possessing antimicrobial, decongestant and antiallergic effect, has many contraindications, is not used to treat children and pregnant women and should only be used by appointment of a doctor.

With moderate and severe sinusitis, systemic antibiotics are used:

• penicillins - ampicillin, amox, amoxyl, amoxiclav and others,
• cephalosporins - ceftriaxone, cefazolin, cefotaxime and so on,
• macrolides - macropen, azithromycin, clarithromycin,
• fluoroquinolones - levofloxacin, sparfloxacin - heavy antibiotics, should be used only in extreme cases, with ineffectiveness of drugs from other groups.

Vasoconstrictive drugs

Necessary to reduce the production of mucus and improve nasal breathing, they affect the vessels located in the mucous membrane of the nose and, causing them to narrow, reduce the formation of mucus and tissue swelling, freeing the nasal ways for respiration. Vasoconstrictors are the most common remedy for sinusitis. It is with the application of sprays and drops to the nose that the catarrh of any patient usually begins to be treated, but using adrenomimetics, we must not forget that they drastically dry the nasal mucosa and they can only be used for 3 days contract. The most popular drugs for the treatment of sinusitis can be considered:

• preparations based on xylometazoline - galazolin, otrivin, prinos, tizin xylo, and so on;
• phenylephrine - vibrocil, adrianol;
• naphazolin-sanorin;
• oxymetazoline - nasol and others.

Muklitiki

It is necessary to dilute mucus and facilitate its removal from the nose, the most popular drugs are those based on medicinal plants, such as cyclamen. For example, sinuporte - the most common medicine for sinusitis, is made on the basis of cyclamen - a poisonous plant, It can reduce mucosal edema, dilute mucus and activate the movement of ciliary epithelium, which promotes excretion mucus from the nose. At home, most medicinal plants, such as cyclamen, can not be used, so sprays and tablets based on them - Sinupret, Sinuporte and others remain so popular.

Corticosteroids

Used in severe forms of sinusitis, when the usual vasoconstrictor and decongestants are ineffective. Most commonly used nasal sprays - Nazonex, Beclfort and others. They have a pronounced anti-inflammatory and anti-edematous effect, but they have a number of side effects, they should be used only for the doctor's prescription and for no more than 3 consecutive days.

The most popular remedies for sinusitis

For the treatment of genyantritis at home, the following medicines are most often used:

1. Drops in the nose - Galazolin, Naphthyzin - preparations of the adrenomimetic group, have a pronounced vasoconstrictive effect, they are prescribed for acute inflammation of the nasal mucosa for the treatment of rhinitis, sinusitis or sinusitis in adults and children. Doctors warn that these drugs have only a symptomatic effect, do not destroy bacteria, but are able to bring only temporary relief to the patient. They are not recommended for more than 3 days in a row, as they are addictive.
2. Sinuforte is one of the most effective modern drugs for the treatment of sinusitis. It is created on the basis of natural plant components, such as cyclamen, it is not absorbed into the blood and very quickly begins to act - it stimulates reflex secretion in the mucous membrane of the nose and nasal sinuses, due to this, the drainage of the contents of the paranasal sinuses is intensified, they are cleared and released from the mucus. Sinufort is considered one of the best means for treating sinusitis, it is prescribed to adults and children over 12 years of age in the form of sprays or drops for intranatal administration.
3. Sinupret - a combined remedy on the basis of herbal preparations, has anti-inflammatory and anti-edematous effect, liquefies and accelerates the secretion of mucus, in addition, Sinupret accelerates the regeneration of the mucosa and restores its protective properties. Sinupret is prescribed for sinusitis in adults and children from 2 years in the form of pills or tablets or drops for ingestion. There are no other medicinal forms of the drug.
4. Polydex is a combined preparation, which includes antibacterial drugs neomycin and polymyxin B and anti-inflammatory - dexamethasone. The drug has proved effective in the treatment of most bacterial infections of the nasal passages and external auditory canals. It is used for the treatment of acute and chronic sinusitis in the form of nasal spray in adults and children from 2 years.

Today, a huge number of different drugs and their analogues for the treatment of sinusitis have been created, even it is difficult for a specialist to understand all of this diversity and assign the appropriate treatment. Therefore, do not try to treat this dangerous disease yourself, at home, without going to the doctor, it can lead to complications or chronic inflammation.

ingalin.ru

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

What are and how to use drugs for sinusitis

Inflammatory processes developing in the paranasal sinuses require immediate intervention. The choice of drugs for sinusitis here primarily depends on the type of pathology. An important role is played by factors such as the patient's age and general health.

Features and Symptoms of Sinusitis

In the human body, several paranasal sinuses are located. They are located in the bones of the skull and connect with the nasal cavity by ducts called the mouths.Any inflammation in the nose can lead to infection in one or more cavities.The infection settles there and begins to multiply, acute sinusitis develops rapidly enough, which can become chronic over time.

Usually, the maxillary sinuses are the first to be affected. There is a nasal congestion, a feeling of bursting and pain under the eyes, in the area of ​​the cheeks and forehead. Unpleasant symptoms can be supplemented by high fever and a violation of smell. This condition is called sinusitis. If in time not to take measures to cure the disease, the infection can penetrate into the latticular sinus, and from there - into the frontal and wedge-shaped, located between the eyes.

Thus, sinusitis develops, which, if unfavorable, can lead to the appearance of infectious foci in any parts of the body. General malaise, severe fatigue, headache, nasal congestion with abundant secretions should become a signal for a visit to an otolaryngologist. It is he who must prescribe drugs that will destroy the infection in the sinuses and remove the inflammatory process.

Principles and features of curing various types of sinusitis

Today, patients are offered a large selection of medicines, which differ not only in composition, but also in their therapeutic form. So, for the treatment of sinusitis can use the same drugs, produced in the form of tablets, drops, injections or ointments. The choice of drugs primarily depends on the characteristics of the disease.

To date, the pathology is classified according to:

• type of flow and can be mild, moderate, severe, complicated and uncomplicated;
• duration, where subacute, acute, chronic and recurrent sinusitis differ;
• location: one-sided, bilateral, frontal, sinusitis, pansinusitis, etc .;
• features of inflammation: serous, purulent, catarrhal, hemorrhagic, etc.

In this case, sinusitis is divided into 2 main forms: purulent and catarrhal. Treatment of the purulent form is carried out with the help of antibiotics and antibacterial agents. The catarrhal form is cured with the use of antiviral drugs.

Each remedy for sinusitis, prescribed to the patient, presupposes the following effects:

• elimination of inflammation;
• facilitating the separation of the contents of the sinuses;
• restoration of patency of the nasal passages.

The last item is considered the most important, since normal ventilation of the nasal cavity allows only to alleviate the general condition of the sick person, but also to avoid hypoxia and caused by it complications. With this in mind, an otolaryngologist must designate a complex of medicines, which may include drugs related to the following groups:

1. Vasoconstrictors. Produced in the form of drops, spray, ointments and gels. The effect of the medication manifests itself instantly: the mucosal edema decreases, the permeability of the nasal passages increases. This class of medicines is undesirable to apply in the absence of additional treatment, since the vasoconstrictors do not lead to cure and only temporarily relieve the condition.
2. Anti-inflammatory drugs for topical use. Used to reduce inflammation of the mucous sinuses and nose, to improve drainage and ventilation of the nasal passages.
3. Anti-inflammatory drugs for systemic use. They are subdivided into systemic antibiotics, non-steroidal and glucocorticosteroid preparations. Appointed in a strictly defined case under the supervision of a doctor.
4. Means to stimulate secretion. Decrease the viscosity of the contents of the sinuses and promote its withdrawal.
5. Mucolytic and secretory drugs. Increase the activity of the epithelium, resulting in increased efficiency of cleansing the mucous and nasal passages.
6. Antibiotics and antibacterial agents. Used only for pathology that has a purulent character. The purpose of use is the destruction of bacteria and microbes and the restoration of a sterile environment in the sinuses and nasal cavity.

Other methods of curing sinusitis

Along with the use of drug therapy for curing sinusitis, other ways of influencing the infection are widely used:

• Irrigation therapy, including irrigation of the nasal mucosa with antiseptic and saline solutions;
• carrying out drainage of nasal sinuses with special catheters or moving liquids;
• puncture of the maxillary sinus with genyantritis;
• surgical interventions.

Today, not all specialists consider the use of a puncture to be justified, since it can often cause a relapse of the disease. That is why treatment by puncture or puncture is performed only in case of emergency.

Many people, counting on high efficiency and a large assortment of drugs offered in the pharmacy, at the first signs of sinusitis do not rush to see a doctor. They independently purchase medicines and use them according to the attached instructions. But, as experts mark, it is extremely undesirable to do this: sinusitis is a very insidious disease, which, if improperly treated, can go on into a chronic form.

But if the independent use of medications does not seem appropriate, then the use of methods of traditional medicine in combination with therapy prescribed by a doctor can bring quick and positive result.

Home treatment for sinusitis

So, one of the ways of home treatment of sinusitis should be considered washing nasal passages with special solutions. For the procedure, you can use small teapots, plastic bottles with a spray gun or rubber syringes with a thin tip.

The solution for washing is prepared as follows: ¼ tbsp. salt is diluted in 1 glass of warm water. Then it is necessary to bend over the sink and gently pour the liquid into each of the nostrils. The solution will flow out of the other nostril, removing the secret and for a while easing the symptoms of the disease.

In addition, steam inhalations with aromatic herbs, eucalyptus or menthol can be used. To conduct them it is necessary to heat water or broth of herbs in a wide container, add essential oils and breathe steam over the container. The substances contained in the broths can improve the condition of the mucosa and remove swelling.

In folk medicine to cure sinusitis and sinusitis is known such a medicine as butter and onions. To make it, you need to take 50 g of any pure vegetable oil, pour it into a glass jar and put it in a water bath. After 15 minutes, the oil should be removed and cooled. After this, it is required to clean 1 small bulb, grind it and squeeze out the juice.

Bulb juice is added to the oil and mix well. Prepared drug should be instilled in the nose 3 times during the day, 5 drops in each nostril. After the procedure, you can not blow your nose 5-10 minutes. If the disease is characterized by the presence of a large amount of secretions with blood, the amount of instillation can be increased to 5 per day.

Also, the Kalanchoe juice can be used to cure sinusitis. Preliminarily cut and aged for 7 days in the fridge, the leaves of the Kalanchoe are crushed and squeezed out. Then the juice is aged for at least 2 days before the precipitate is obtained, is drained and diluted with 20% alcohol solution in the proportion of 20/1. The resulting mixture is buried in the nose.

To ensure that sinusitis does not spoil the quality of life, it is necessary, even at the first signs of the disease, to seek help. Here it is necessary to remember that even the most common cold at first glance can cause serious trouble. Only competent therapy will help to permanently remove unpleasant symptoms.

lor03.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

Chronic sinusitis: definition and causes

• Symptoms
• Treatment
• Self-help

What is chronic sinusitis? It is a disease that can cause the patient to periodically feel unhappy. It lasts from 12 weeks to several months.

A type of sinusitis is sinusitis - inflammation, localized in the maxillary sinuses of the nose.

In the bones of the face and head there are sinuses (sinuses) - hollow air pockets, which exist in order to amortize the brain during the trauma.

Sinuses are lined with a thin layer of tissue that produces a small amount of mucus.

This mucus keeps the sinuses healthy and "flushes" the microbes.

Sinusitis occurs when the mucous membrane of the sinuses is infected or irritated. In this case, it swells and produces additional mucus.

Failure to understand the distinctive features that indicate chronic sinusitis can lead to an erroneous diagnosis.

"The therapist can label the condition as allergic rhinitis, but the treatment for sinusitis (chronic and allergies) and its results will be completely different. The problem that the therapist faces is to understand how to determine which patients with synonasal symptoms actually have sinusitis themselves or in combination with other conditions, "said Neil Bhattacharya, MD, associate professor of otology and laryngology at Harvard Medical School.

It is important to know

Chronic sinusitis is a multifactorial disease that requires a thorough diagnosis and therapeutic approach. There is no single therapy that will work for every patient.

A number of factors may increase the risk of chronic sinusitis or worsen its symptoms. These include:

• Allergy: much more common among people with chronic rhinosinusitis than among healthy people. This is especially true for allergies that are present all year round, for example, on dust mites, animal hair, mold and cockroaches. Poorly controlled allergies can worsen the symptoms of chronic sinusitis and cause allergic sinusitis.
• Exposure to tobacco smokeor certain environmental toxins, such as formaldehyde, can translate sinusitis into a chronic one.
• From the immune system: the majority of people with chronic sinusitis normally function as the immune system. However, people with certain immune system problems are at increased risk of developing chronic sinusitis.
• Viral infections: some people develop chronic rhinosinusitis after a recurrence of a viral infection (eg, a cold), although there is no exact evidence that the infection is the true cause of chronic sinusitis.
• Curvature of nasal septum(a piece of cartilage that separates the nostrils from each other). This condition can be from birth or develop later as a result of a nose injury.

Chronic sinusitis and its symptoms in adults

In chronic sinusitis, the membranes of both paranasal sinuses thicken due to constant inflammation.

In chronic and acute sinusitis, signs and symptoms are similar, but the duration of acute sinusitis does not exceed ten days.

In chronic sinusitis, the symptoms in adults are as follows:

• Isolation of a thick, greenish or yellowish liquid from the nostrils.
• A feeling of pressure and swelling in the eyes, cheeks, nose, or forehead.
• Dulling of smell, change in taste.
• Relentless pressure and swelling in the sinuses can give a side effect in the form of a headache. Pain can also be seen in places that you might not have thought of during sinusitis. For example, sinusitis can provoke pain in the ear, toothache and pain in the jaw and cheeks.
• Unpleasant sensation in the ears.
• Cough, which at night can be worse.
• The smell from the mouth becomes unpleasant.
• Constant nasal congestion, which causes shortness of breath through the nose.
• Fatigue or irritability.
• Nausea.

It is important to know

Acute and chronic sinusitis is not an explanation for a chronic headache. In some patients with chronic headache, chronic sinusitis is sometimes incorrectly diagnosed, but often the opposite occurs.

Before symptoms of chronic sinusitis appear in adults, the patient may experience several episodes of acute sinusitis lasting less than four weeks.

Read also "Pansinusitis, what is it?"

Methods of treating chronic sinusitis

The doctor can recommend a number of procedures to help alleviate the symptoms of sinusitis. These include:

• Saline nasal irrigationusing a spray to cleanse the nasal passages.
• Corticosteroidsin the form of nasal sprays, such as budesonide and fluticasone. They are used to prevent inflammation and treatment of an already existing one.
• Glucocorticoid tablets. In some cases, in the treatment of chronic sinusitis, the doctor will recommend the patient to take glucocorticoids. The most commonly used oral glucocorticoid is prednisolone. Glucocorticoids taken in the form of tablets provide higher doses of the drug compared to nasal sprays, rinses or drops. This can lead to a reduction in inflammation and a significant improvement in the symptoms of sinusitis. Nevertheless, glucocorticoids taken orally suppress normal immune responses throughout body and can cause side effects, so doctors use them only in case of acute necessity.
• Antileukotriene drugs. These include Montelukast, zafirlukast and zileuton. These medications work by reducing inflammation, but other than glucocorticoids. Antileukotriene drugs are not suitable for all types of chronic sinusitis. They are most useful for people with chronic nasal congestion accompanied by polyposis and asthma.
• Painkillers(aspirin, acetaminophen or ibuprofen). Aspirin is associated with the risk of developing Reye's syndrome, so it is given only to people over 18 years of age. Some of these drugs can exacerbate the symptoms of chronic sinusitis, so do not prescribe pain medication yourself, consult your doctor.
• In case of bacterial infection, people suffering from sinusitis should takeantibiotics.
• If sinusitis is caused by an allergy, thenimmunotherapywill help reduce the body's reaction to certain allergens.
• In cases in which the body continues to resist drugs, one of the options for treating chronic sinusitis may beendoscopic surgery. After the operation with sinusitis, you can again open the aisles and sinuses of the nose and remove the mucus or polyps that have entered them.

Self-help for chronic sinusitis and its treatment with folk remedies

Here are the simple steps that can help alleviate the symptoms of chronic sinusitis:

Rest more often. This will help your body fight inflammation and accelerate recovery.

To dilute the secretion of mucus and improve its drainage,drink juice, tea or other liquid. Just do not during the illness to drink caffeinated or alcoholic drinks, since they can promote dehydration.

In chronic sinusitis treatment of folk remedies and its symptoms in adults and children necessarily includeshydration of the paranasal sinuses. At home, you can do this as follows: cover your head with a towel and breathe a few minutes of steam from the pot with hot water. Or take a hot shower, or even better - a bath with sea salt or tea tree oil. This will improve the outflow of mucus from the facial sinuses.

Warm compressesare useful for alleviating pain in the nose and sinuses.

Rinse the nasal passageswith the help of sprays, sold in a pharmacy or made with his own hands. In the second case distilled or boiled and cooled water, which does not contain harmful substances, is needed.

Here's how to treat chronic sinusitis with folk remedies with the help of salt washing:Dilute 1 teaspoon of table salt in 500 ml of water. Pour a little liquid in the palm of your hand, pull it in with your nostrils, and back it should pour through your nose or mouth. And for greater convenience, you can use a special "watering can which is sold in pharmacies. Since the symptoms of chronic sinusitis in adults and children are very similar to the symptoms of chronic sinusitis, this method will be effective and with inflammation of the maxillary sinuses.

Sleep with a raised head. This contributes to a better outflow of mucus from the sinuses.

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gajmorit.com

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