Medicines for sinusitis - Causes, Symptoms and Treatment .MF .
Sinusitis or sinusitis - inflammation of the maxillary (maxillary) sinuses, the most common complication of acute rhinitis.It is an infectious disease, ie,growing by ingestion of viruses or bacteria.From what has caused inflammation of the microbe, and will depend on the treatment.The vast majority of acute sinusitis - viral proceeding against SARS or influenza.
Uncomplicated viral rhinosinusitis is typically lasts 7 to 10 days, during which time the immune system will cope with the infection and healing takes place.Unlike acute viral rhinosinusitis, bacterial sinusitis takes longer and harder, more often leads to complications.The probability of bacterial sinusitis is increased from the 10th day of the onset of symptoms.
drugs to reduce symptoms of sinusitis
In mild cases, their use is enough (usually viral sinusitis).
1. Analgesics.Applied in the presence of pain, heat.Generally used paracetamol, ibuprofen.Appointed by a short course (3-4 days) on 1 tab.2 times a day.
2. Local decongestants - na
3. Salt solutions - drops and sprays.Improves the flow of nasal discharge, moisturize the mucous membrane, reduce congestion.It is safe to use up to recovery.
Aqua Maris.Adults - 2-3 doses in each nostril 4-8 times a day.
Babies under one year - 2 drops in each nostril, children 1-7 years - 1-2 injections in each nostril 1-3 times a day, children 7-16 years - 2 injections in each nostril 46 times a day
Treatment of bacterial sinusitis
Antibiotic treatment of sinusitis
Appointed only in bacterial sinusitis.In viruses antibiotics do not work.Such drugs take the basic place in the treatment of bacterial inflammation, shorten the duration of illness.
Indications for antibiotic therapy:
- heavy for sinusitis (high fever, poor general health, the presence of fluid in the sinuses, and others.)
- related diseases of the immune system (immunodeficiency), cardiovascular and respiratory systems.
- a long (more than 7 days) the preservation of the symptoms or worsening of the disease.
Groups antibiotics to treat sinusitis
1. Semi-synthetic penicillins (aminopenicillin).
Amoxicillin (hikontsil, amosin)
Tablets 125, 250, 500.1000 mg
2. "Protected" aminopenicillin.It contains special substances that prevent the damaging effects of bacteria on antibiotic itself.This is an additional benefit in the treatment, ie. Less likely to microbial resistance and treatment failure.There are such drugs more expensive than simple aminopenicillins.
amoxicillin clavulanate (amoxicillin + clavulanic acid).Tablets 375 mg, 625 mg, 1 g
sold under the trade names: amoksiklav, panklav, flemoklav soljutab, Augmentin.
3. «Respiratory" fluoroquinolones.
Levofloxacin (levolet, Glewe, tavanik, elefloks, floratsid) tab.500 mg
Moxifloxacin (Avelox), Tab.400mg
Clarithromycin (klabaks ML klarbakt, klatsid, fromilid) tab.250, 500 mg Azithromycin
(Azitroks, zitrolid, sumamed, sumatrolid soljutab, Hemomitsin) tab.250, 500 mg
Antibacterials in any case can not be taken on their own without a doctor's prescription. Even at the recommended physician acceptance may develop side effects:. Nausea, diarrhea, fungal infections, allergic rashes and other
choice of a particular antibiotic in the sinus is based on sensitivity to the most common causative agents of acute sinusitis (pneumococcus, Haemophilus influenzae, Moraxella)severity of the condition, the presence or absence in the past allergic reactions to a particular antibiotic, the frequency of side effects, contraindications.First-line drugs is amoxicillin / clavulanate and amoxicillin only in case of intolerance to prescribe antibiotics of other groups (alternative formulations).
glucocorticoids can be used in the treatment of both viral and bacterial sinusitis, alone or in combination with with oral antibiotics.Expressed decongestant and anti-inflammatory effect is particularly important in patients with concomitant allergic rhinitis.It has no systemic exposure (to other organs).
Nasonex (mometasone furoate) nasal spray.1 dose - 50 micrograms
Adults take 2 doses in each nostril 2 times a day.Due to the possible risk of side effects (nasal bleeding, secondary infection, pharyngitis, candidiasis, etc.) Should be used only on prescription.
various dosage forms containing ephedrine, pseudoephedrine, phenylephrine, phenylpropanolamine.Reduces swelling of the nasal cavities, sinuses facilitate ventilation.Appointed by a short course (from 3 to 5 days) with concomitant disturbance of function of the eustachian tube.It should not be used without a doctor's prescription, especially patients with diseases of the cardiovascular system, hypertension, enlarged prostate due to systemic vasoconstrictor action.
Antihistamines are not recommended for the treatment of acute sinusitis.
Mucolytic means (thinning viscous nasal secretion)
Rinofluimutsil.Adults - 2 doses with an interval of 5 minutes in each nostril 3-4 times a day.
children - 1 dose 3-4 times a day.
course - 5-7 days.
Local media combined structure
Polydex with phenylephrine.
Adults - 3-5 injections in each nostril per day, children from 2.5 to 15 years - 3 injections in each nostril.
Duration of treatment - 5-7 days.
Contraindications angle-closure glaucoma, allergic reactions to components of the drug, viral infections, kidney failure, and kidney disease with the presence of protein in urine, children up to 2.5 years, during pregnancy and breastfeeding.
applied after consultation with the doctor.
OTC agents, in the absence of individual intolerance, can be used in addition to the basic treatment.
Sinupret (dragees, drops for oral administration).Anti-inflammatory drug based on medicinal plants.
Adults - 50 drops or 2 tablets 3 times a day.
Children from 2 to 6 years - 15 drops 3 times a day, at school age - 25 drops or 1 tablet 3 times a day.The course - 7-10 days.
sinusitis treatment in children
Children along with the maxillary sinus in the inflammatory process often involved other sinuses (polisinusit).Treatment is carried out by the same group of drugs as adults after adjusting for age and weight of the child (children form preparations).Nurofen for children, Children's Panadol appointed in the case of a headache.
sinusitis treatment in pregnant
Sinusitis in pregnancy necessarily need to be treated to prevent the risk of intrauterine infection of the fetus.In the case of viral sinusitis is usually symptomatic treatment is sufficient.Safety is Sinupret (pills), salt solutions.Of the group of antipyretic and analgesic drugs can take paracetamol.Vasoconstrictive topical preparations used in pregnant women only when absolutely necessary and prescribed by a doctor.If the doctor considers it necessary to administer the antibiotic, there is preference for amoxicillin because of its lack of adverse effects on the fetus.
illiteracy and untimely treatment of sinusitis leads to the development of complications, particularly in chronic sinusitis, where symptoms persist for more than 3 months.In severe cases, inflammation can go to nearby organs and tissue - the periosteum, the periorbital area, the brain.In children, due to the peculiarities of the anatomical structure, complications are more common.As a rule, in cases of suspected acute sinusitis, doctors prescribe X-rays of the sinuses, according to the results of which he prescribes treatment and venue - at home or in a hospital.