Inhalation with sinusitis with a nebulizer: with which medicine are most effective

For the most effective treatment of maxillary sinusitis in medical practice, various methods are used: medicinal substances of general and local action are used in various forms. Most often, the patient is prescribed pills, nasal drops or injections, as well as multiple rinsing of the nasal cavity and sinuses. One of the most accessible and effective methods in recent years is the nebulizer spraying of drugs. Therefore, it is worth paying attention to the question, inhalations with sinusitis with a nebulizer with which medicine are most effective.

Inhalation drugs

For the procedure, both ready-made preparations are used in special containers or vials, as well as home-made solutions with the addition of the necessary drugs.

People can breathe aerosols at home after detailed consultation with an otolaryngologist. To do this, they will have to independently prepare for themselves or their child solutions for inhalation.

It is important to know which medicinal substances the patient may have allergic reactions or contraindications to.

The most popular and effective drugs for use in a nebulizer are mucolytics, expectorants, anti-inflammatory, antihistamines, vasoconstrictors, glucocorticosteroids, antibiotics, antiseptics, immunomodulators.

When using an inhaler to treat children, you need to carefully select solutions and their dosages, based on the age of the child and the presence of symptoms. The younger the child, the fewer medications that can be prescribed for aerosol treatment. Diluted preparations are allowed to be stored in the refrigerator for only a day, so it is better to prepare them right before the procedure. Before manipulation, you need to warm the mixture to room temperature.

However, not all drugs are suitable for use in a nebulizer. The following agents are not used for fine aerosol:

Herbal decoctions containing suspensions. They contain large particles that can damage the device.
Medicinal plant juices can lose most of their effectiveness.
The effectiveness of oil solutions is controversial, they can also ruin the device.
Medicines that do not have a field of application in the respiratory tract (Euphyllin, Papaverine, etc.), it makes no sense to apply in this way.
Systemic hormonal drugs affect the body as a whole, even in the form of aerosols, so it is logical to take them using the usual methods.

Antiseptics and antibiotics

They are used for point delivery of the active substance as close as possible to the focus of infection. At the same time, chemical compounds are less absorbed into the blood and do not give a large number of side effects:

Fluimucil is an antibiotic. A complex drug that combines the properties of an antibiotic (thiamphenicol) and a mucolytic (acetylcysteine). A bottle of powder (500 mg) and an ampoule with a solvent (5 ml) are sold in a complex, the ingredients are mixed before use. The mixture can be stored in the refrigerator for no more than 24 hours, before inhalation, warm up to 18-20 degrees. For inhalation for children under 12 years old, 125 mg of the substance is enough, for adults and children from 12 years old - 250 mg 1-2 times a week. Contraindications - diseases of the liver, adrenal glands, kidneys, hemoptysis, bronchial asthma.
Gentamicin. Antibiotic active against gram-negative bacteria in the respiratory tract. The dilution of the drug and saline solution is made in a ratio of 1: 6 for adults (0.5 ml of the substance) and 1:12 for children (0.25 ml). For one time, 3-4 ml is enough, inhaled 1-2 times a day. Not recommended for pregnant women, newborns and people with acoustic neuritis.
Miramistin. Antiseptic of extensive action. Good for the treatment of the respiratory tract, especially with a purulent component. A solution of miramistin 0.01% is used, adults need to inhale 4 ml a day three times, 2 ml is enough for children. It is necessary to pay attention to individual intolerance.
Dioxidine. Sinusitis is treated with 0.5% and 1% solutions for injections twice a day, 4 ml. Dilution with saline is as follows: 0.5% - 1: 1, and 1% –1: 2. It disinfects mucous membranes well. It is used exclusively with a doctor's prescription, not used for the treatment of children and pregnant women.
Furacilin. Disinfectant, active in the paranasal sinuses. You can dissolve 1 tablet in half a glass of sodium chloride or purchase ready-made solutions at the pharmacy. Scheme - twice a day, 4 ml. Not prescribed for patients with kidney problems.
Chlorophyllipt. This is a popular herbal remedy, the basis of which is 1% alcohol infusion on chlorophyll of eucalyptus leaves. Effective for sinusitis caused by staphylococci. In 10 ml of physiological fluid, 1 ml of chlorophyllipt is added, breathing occurs 3 times. The liquid has a yellowish color, which is not washed out from the nebulizer container.
Isofra, Polydexa, Rinofluimucil. These drugs are usually prescribed only after prolonged nasal congestion and a runny nose. Inhalations are done for a week, 2-3 times a day, 1 injection of the drug into a saline solution is enough. Isofra is prescribed from one year of age, Polydex - from 2.5 years, Rinoflkimucil - from 3 years.

Mucolytics and expectorants

Treatment of sinusitis cannot be carried out fully without evacuation of the accumulating mucus. Sometimes it is too thick for the cells of the ciliated epithelium to cope with it. In such cases, solutions with mucolytic and expectorant effects are used:

ACTS Inject, Fluimucil. A 10% solution for injection of acetylcysteine is used. Facilitates the removal of mucus from the upper respiratory tract. The course of therapy is up to 10 days, 1-2 times. Dilute in a 1: 1 ratio in glassware, contact with rubber and metals is undesirable. It is necessary from 1 to 3 ml, depending on the age of the patient. Acetylcysteine is not used for antibiotic therapy; in these cases, fluimucil antibiotic or a mucolytic compatible with the antibiotic such as ambroxol is prescribed.
Ambrobene, Lazolvan. The active ingredient ambroxol actively dilutes viscous thick phlegm. Compatible with antibiotics, enhances their absorption, however, it is not recommended to take with cough medicines (pectusin, falimint, codeine). Mixed with sodium chloride 1: 1, children need 1-2 ml, adults - 3 ml twice a day. Full course 5 days.
Sinupret. Homeopathic herbal remedy from a number of plants (elderberry, primrose, verbena, gentian root). Reduces the swelling of the air cavities and anastomosis, activates the protective functions of the body. It is effective for chronic and acute sinusitis, because it clears the maxillary sinuses from exudate. 3 times a day for 4 procedures. Concentration with sodium chloride: 2-6 years old - 1: 3, 6-16 years old - 1: 2, over 16 years old - 1: 1.
Alkaline solutions. Mineral or mineral-table waters such as "Narzan", "Essentuki" or "Borjomi" are defended until complete degassing. Prescribed according to the scheme: 3 ml - 3 minutes - 3 procedures per day. They well moisturize the mucous membrane and normalize its work.

Anti-inflammatory drugs

When inhaled with a nebulizer to relieve or reduce inflammatory processes, drugs based on plant materials and biologically active substances are most often used:

Propolis. Due to its medicinal properties, propolis recipes are very common in folk medicine. It is indicated for injuries and inflammations of the upper respiratory tract. Contraindication - allergy to beekeeping products.1 ml of propolis tincture per 20 ml of saline. 3 ml of the mixture is inhaled 3 times a day.
Rotokan (infusion of alcoholic extracts of yarrow, chamomile and calendula). An effective way to relieve acute inflammation of the mucous membranes. For 1 inhalation, 4 ml of a mixture of infusion and saline solution (1:40) is required. According to the same technique, an infusion of alcoholic calendula is used.
Malavit. Alcoholic infusion based on plant extracts and minerals, refers to biologically active additives. Divorces 1:30. The application is the same as for propolis.
Eucalyptus. It is used for inflammatory processes in the respiratory tract. It is not prescribed for bronchospasm and bronchial asthma. In 200 ml of sodium chloride, 15 drops of eucalyptus tincture are dripped. The reception scheme is traditional.

Antihistamines and Glococorticosteroids

Hormonal and antihistamines are necessary for allergic sinusitis, as well as for severe tissue swelling that interferes with normal nasal breathing:

Dexamethasone. It is prescribed for acute inflammation requiring the use of hormones. To create an aerosol for 1 inhalation, 2 mg (0.5 ml) of the drug diluted with 3 ml of sodium chloride is required. Internet casinos for hryvnia in Ukraine https://top-kazino.com.ua will give all gravers a no-deposit bonus for re-staging. The course is a week, 4 times a day. Pour the ampoule of dexamethasone into saline in a ratio of 1: 6 and use as needed. It is necessary to consult your doctor as dexamethasone has a number of contraindications.
Cromohexal. It has anti-asthmatic, anti-inflammatory and anti-allergic effects. A special solution for inhalation is used in plastic containers of 2 ml. It is diluted in equal proportions with saline, while the use of distilled water is prohibited.

Do not store an open bottle or the remainder of the liquid from the nebulizer. Breathe 4 to 6 times a day, 4-8 ml, depending on the severity of the disease.

Decongestants (vasoconstrictors)

Vasoconstrictor drugs, which are injected into the nasal cavity in the form of a fine suspension, spread more evenly over the entire surface of the mucous membrane, and have less effect on the blood vessels.

Naphtizin. Nasal drops at a concentration of 0.05% are diluted in a ratio of 1: 5, if the concentration is 0.1%, then 1:10. Can be used for children from one year of age. The active ingredient is naphazoline.
Adrenalin. A 0.1% solution for injection or external use of epinephrine hydrochloride is used. Children under two years of age are diluted with saline solution 1:12, sprayed with 0.25 ml of the substance, for children from 2 years old and adults, a dilution of 1: 6, use 0.5 ml. Use with caution, as heart palpitations may increase.

Immunomodulators

An increase in the level of local immunity, especially against the background of antibiotic therapy, is important for a complex treatment of acute sinusitis, prevention of exacerbations of chronic sinusitis, prevention of complications and prevention of the disease:

Derinat. The active ingredient is sodium deoxyribonucleate (external solution 0.25%). The same amount of sodium chloride is added to 2 ml of derinate, inhaled twice a day.
Interferon. Mix 1 ampoule of the drug and warm water (ordinary or mineral without gas) in an amount of 3 ml. The procedure is carried out 1 to 4 times a day, depending on the age of the patient.