13 best remedies for the treatment of sinusitis
Inside the bones of the human facial skull, there are several cavities, which are called the sinuses. They facilitate bone mass, resonate, making the sounds louder. They warm and moisturize the air in them, and have insulating properties. The largest are paired maxillary sinuses, or maxillary sinuses, which after the name of the English doctor who opened them and the anatomist Nathaniel Gaymor, received the same name.
They are equipped with wide outlet openings that communicate with the nasal cavity. Almost a third of all diseases that treat ENT doctors, one way or another connected with the pathology of the paranasal sinuses, and, above all, with maxillary sinuses. An acute or chronic process of inflammation of the mucous and submucosal tissue lining the maxillary sinus from the inside, and is called respectively acute or chronic sinusitis or sinusitis.
The most common cause of sinusitis is inflammation of the nasal cavity - rhinitis, both acute and chronic, viral diseases - measles and flu, scarlet fever. Quite often, the cause of antritis is odontogenic factor, or the presence of unsaved teeth of the upper jaw.
Modern protocols for the treatment of acute and chronic sinusitis include the appointment of various pharmaceutical products to patients as conservative therapy, and surgical interventions related to the decompression of the sinuses and their drainage, as well as the introduction of various drugs into their cavity. Consider the basic drugs in various forms used for sinus, which can be purchased in over-the-counter access at retail, and arrange them according to the popularity rating and effectiveness.
Rating of the best remedies for sinusitis
| Nomination | a place | Active ingredient / Product name | price |
| The best intranasal remedies for sinusitis (adrenergic anti-congestants) | 1 | Naphazolin (Naphthyzinum, Sanorin) | 30 ₽ |
| 2 | Xylometazoline (Galazolin, For the lips, Xylene, Xymelin, Rinorus, Rinostop) | 25 ₽ | |
| 3 | Oxymetazoline (Nazivin, Nazivin-sensitive, Oksifrin, Rinostop, Sialor) | 145 ₽ | |
| 4 | Vibrocil (Bebifrin) | 252 ₽ | |
| The best local anti-inflammatory therapy for sinusitis (intranasal GCS) | 1 | Fluticasone (Fliksonaze, Avamis) | 469 ₽ |
| 2 | Beclomethasone (Nasobek) | 168 ₽ | |
| 3 | Mometasone (Nasonex, Nozephrine) | 469 ₽ | |
| The best antibacterial agents for sinusitis | 1 | Framycetin (Isofra) | 301 ₽ |
| 2 | Polydex | 333 ₽ | |
| 3 | Miramistin | 205 ₽ | |
| The best mucolytics for sinus | 1 | Sinuforte | 1 993 ₽ |
| 2 | Libeksin Muko (carbocysteine) | 415 ₽ | |
| 3 | Ambroxol (Ambrobene, Ambrohexal, Ambrosal, Bronkhovern, Lasolvan, Medox) | 123 ₽ | |
| What you can not do when sinusitis, or instead of the conclusion | |||
The best intranasal remedies for sinusitis (adrenergic anti-congestants)
Various drops for vasoconstriction, which lead to a decrease in edema, in the initial stages of sinusitis can improve communication of the excretory duct of the sinus with the nasal cavity.But it is important for the patient to understand that this symptomatic means of improving drainage helps only at the very initial stages of acute sinusitis - sinusitis, or during exacerbation of the chronic process.
The fact is that liquid medications applied inside the nasal cavity to the mucous membrane work only “from one side” and often do not get inside the sinus, since the internal opening of the duct leading into it can be covered from the inside of the edematous mucosa. Since the drug inside the sinus does not penetrate, these drops should be used only in the joint treatment of antritis with antibiotics, and one should not rely only on their effect.
Naphazolin (Naphthyzinum, Sanorin)
Rating: 4.9
Naphthyzinum, (chemically - naphazoline) is a vasoconstrictor medicine that has an alpha-adrenomimetic effect on antritis. The mechanism of influence of naphazoline is the activation of alpha-2 adrenergic receptors. As a result, there is a spasm of the vessels located in the submucosal layer of the nasal cavity, mucus secretion and redness decrease, and the exudative component decreases. As a result, breathing through the nose is facilitated.
Indications for instillation of Naphthyzinum are all acute processes in the nasopharynx, and chronic lesions, allergic and vasomotor components, accompanied by edema. Naphthyzinum is buried one drop in each nostril, but not more often than 3 times a day. Naphthyzinum, perhaps, the cheapest remedy for the treatment of sinusitis in the ranking. A bottle of 15 ml will cost only 9 rubles, and a spray of the same volume - from 23 rubles. Naphthyzinum is produced by domestic pharmaceutical companies, for example, LLC Slavyanskaya Apteka, CJSC Lecco.
Advantages and disadvantages
Naphthyzinum was included in the rating of the most popular remedies for antritis due to its cheapness, wide distribution in pharmacies, and, alas, due to the low medical literacy of the population. With long-term use, naphthyzine can be addictive, and with continuous use of naphthyzine, atrophy of the nasal mucosa occurs and so-called atrophic rhinitis develops. As a result, a constant dependence on Naphthyzin is formed, and the patient is forced to use it almost constantly, because without this medicine he immediately lays his nose. In addition, Naphthyzinum has a short period of action, and alleviates the condition of only 3 - 4 hours or less. Naphthyzinum can cause systemic effects caused by general adrenomimetic action. This is a rise in pressure, the development of a heartbeat - tachycardia. In the XXI century, there have long been more effective and not so "rough" drops in the nose with sinus.
Xylometazoline (Galazolin, For the lips, Xylene, Xymelin, Rinorus, Rinostop)
Rating: 4.8
The next generation of anti-congestants in drops for sinus presents a whole group of popular drugs that contain Xylometazoline. They are also available as a spray, there is a dosage for children - at a concentration of 0.05%, and for adults - 0.1%.
Xylometazoline is also an adrenergic mimic, but it does not irritate the nasal passages, does not contribute to the development of addiction and atrophic rhinitis, and has almost no systemic effect. The effect of the use of this substance is much longer - from 6 to 10 hours. It is shown to apply Galazolin and other means on average about 2 times a day, in the morning and in the evening, instillation in the middle of the day is sometimes required.
Xylometazoline produces many different companies, but one of the most high-quality and effective drugs is Otrivin, which is produced by Novartis, Switzerland. So, a bottle of 10 ml, designed for adults, can be bought for 135 rubles. At the same time, domestic Xylometazoline in the same dosage and the same volume, produced by Grotex LLC, can be purchased for only 19 rubles.
Advantages and disadvantages
First of all, xylometazoline is considered a safer drug, it does not have systemic effects like naphazoline, its effect is longer. In addition, there is a special, children's dosage. But still adrenergic, even safer, can cause negative effects. Often, when the dosage is exceeded, cephalgia and nasal burning develop, dryness in the nose sometimes appears. It is also necessary to take into account possible diagnoses when the use of adrenomimetics is generally contraindicated. These are glaucoma and thyroid pathology, hypertension and heartbeat, pregnancy and age up to 2 years, even for pediatric dosage, as well as individual intolerance. In general, Xylometazoline and its analogues are recognized as well-functioning, basic preparations for acute sinusitis.
Oxymetazoline (Nazivin, Nazivin-sensitive, Oksifrin, Rinostop, Sialor)
Rating: 4.7
The newest drugs to reduce the swelling of the inner surface of the nasal cavity, Oxyfrin and others, contain oxymetazoline. This compound has a dual effect. Low concentrations stimulate alpha-2 adrenoreceptors, and with a high content of the drug, the effect extends to alpha-1 receptors. In the case of application without overdose, oxymetazoline does not cause local irritation, and with a long period of treatment does not provoke redness of the mucous membrane.
Nazivin is indicated, in addition to sinusitis, also for allergic diseases of the upper respiratory tract, for otitis, for diagnostic manipulations to reduce the risk of bleeding.
Nazivin is applied 1-2 drops in the right and left nasal passages 3 times a day (0.05%). In newborns, a drug concentration of 0.01%. Nazivin is also available in the form of a spray, and is shown in short courses, not more than 5 days. Nazivin company releases Merck, Germany. The minimum cost of pediatric nasal drops of 10 ml will be 116 rubles. and above, and a nasal spray for adults at a concentration of 0.05% will have the same cost.
Advantages and disadvantages
The main advantages of Nazivin and its analogues are a more favorable range of security, as well as a long-lasting and durable effect. After a single instillation, the effect of alleviating nasal breathing and reducing mucosal edema can last up to 12 hours. However, in the event that the drug was used in much higher doses than recommended, then systemic effects, such as nausea, narrow pupils, rapid heartbeat, fever, may occur. It is also not recommended to continue the course of treatment with products containing oxymetazoline for more than 7 days. Despite their much higher safety, addiction to them can develop, with a significant decrease in efficiency.
Vibrocil (Bebifrin)
Rating: 4.6
This drug is of mixed composition, and the effect of its use is not only alpha adrenomimetic, which narrows the arterioles, reduces swelling and redness in the nasal cavity. Vibrocilus facilitates drainage from the maxillary sinus, and it also acts as an histamine receptor antagonist, which exhibits antiallergic effect. Therefore, Vibrocil can be prescribed more widely, and in addition to sinusitis, it is assigned to different patients with different manifestations of allergy in the ENT clinic.
It is necessary to drip Vibrocil 2-3 drops three times a day, both for children over 6 years old and adults in each nostril. Children under 1 year old need only one drop in the left and right nasal passages with the same frequency of administration. Also available is Vibrocil - spray, which throws out a specially metered dose. Vibrocil is produced by the well-known pharmaceutical company Novartis (Switzerland), and a 15 ml dropper bottle can be purchased at a price of 240 rubles.
Advantages and disadvantages
Vibrocil combines the high effect of vasoconstriction caused by phenylephrine with the allergic effect of dimetinden.All this together allows to reduce the number of prescribed drugs, and instead of two means to use one, eliminating polypragmasy. The cost of this medicine is certainly not small, but if we consider that Vibrocil is a “two in one” drug, then it is not too high.
The features of the application should also include the need for a short course, not longer than 7 days without a doctor's prescription. Longer use in the form of self-treatment, as in the case of the remaining drops for sinusitis, can cause deterioration due to the rebound effect, in which swelling of the nasal mucosa causes the medication itself. Also, this drug has no pronounced symptoms of overdose and serious side effects. In some cases, with pronounced abuse of Vibrotsilom, patients had discomfort in the stomach and a small heartbeat.
The best local anti-inflammatory therapy for sinusitis (intranasal GCS)
It is known that corticosteroid hormones, such as prednisone, dexamethasone, and their active derivatives, which are used in clinical practice, have the strongest anti-inflammatory and antiallergic effect. Of course, with acute and chronic sinusitis, hormones are shown not always and not to all patients, but only with the violent nature of inflammation, with excessive intense exudation, which is accompanied by the accumulation of a large amount of secretion in the cavity of the maxillary sinuses, and causes marked clinical symptoms. In such patients, the temperature rises, there are arching headaches, aches in the face, and other symptoms. Then intranasal forms of glucocorticosteroids come to the rescue.
Fluticasone (Fliksonaze, Avamis)
Rating: 4.9
The hormonal drug Fliksonaze contains only fluticasone, that is, it is monocomponent, its composition is only glucocorticosteroid. This drug interacts with specific hormone receptors on the nasopharyngeal mucosa, and inhibits all cellular immunity. Reduces the activity of macrophages and neutrophils, mast cells stop secreting inflammatory mediators, such as histamine, cytokines. It suppresses the allergic reaction and reduces the symptoms of hyperemia and edema of the upper respiratory tract mucosa.
Flixonazase effectively combats symptoms such as nasal congestion and sneezing, a feeling of itching in the nose and tearing, pressure on the eyes and a feeling of bursting in the upper jaw associated with overflow of the maxillary sinuses
Fliksonaze acts quickly, after an hour and a half the patient feels relief of symptoms, the effect lasts the whole day after a single dose of fluticasone in the nose. Adults should apply Flixonase by injecting two doses into each nostril in the morning. As a result, the total daily dose will be 200 micrograms. After symptom relief, the dosage can be halved. The maximum dosage is 400 mcg per day, that is, no more than 4 instillations in each nostril during the day.
This drug is produced by the British company GlaxoSmith Kline, 1 bottle containing 60 doses of a hormonal spray, will cost 400 rubles. One sprayed dose contains 50 mg of the active substance.
Advantages and disadvantages
Fluticasone is one of the mildest and most effective hormonal drugs; it does not cause overdose symptoms when following clinical guidelines. However, there may be effects of interaction with other drugs taken at the same time, especially with antifungal agents and drugs to treat HIV infection. Therefore, the first appointment of this medication in the event that the patient takes such drugs, be sure to consult a doctor.This drug can be used without clinical control for more than a week, but if it is prescribed for a longer period, then the adrenal function should be checked regularly.
Beclomethasone (Nasobek)
Rating: 4.8
The active ingredient of this hormonal spray for the treatment of sinusitis is a strong corticosteroid beclomethasone. This medicine is a white, odorless suspension, has a pronounced anti-edema, anti-allergic and anti-inflammatory effect in the nasal cavity and the mouths of the excretory ducts of the maxillary sinuses.
The mechanism of action of beclomethasone is standard for glucocorticosteroid hormones. In addition to acute and chronic sinusitis, the drug is indicated for the treatment of vasomotor allergic rhinitis, including seasonal exacerbations due to pollinosis. The drug is used intranasally, in adults - one dose of 50 mg, but not more than 4 times a day in each nasal passage, with a subsequent decrease in dose while normalizing well-being. Nasobek is produced by Czech pharmaceutical company Teva, and it is quite inexpensive: 200 doses in one spray bottle can be purchased for 151 rubles. Thus, with a maximum daily dose of 400 micrograms of this bottle, it will last for 25 days, or for a whole month of continuous treatment.
Advantages and disadvantages
Unlike other hormonal drugs and vasoconstrictor drops, relief from receiving Nasobek does not appear immediately, but accumulates and becomes noticeable after a few days, but after the end of taking the drug, it also acts for several more days. If you follow the dosage, the side effect is almost never encountered, sometimes there is a slight irritation of dryness in the nose. In that case, if the drug is taken in a dosage, four times higher than the maximum recommended, then only systemic effects begin to manifest themselves, fraught with adrenal insufficiency. This drug can be used in pregnant women, if it is very necessary, although it is not recommended for standard reasons - to avoid any appointments to pregnant women, except for those who are vital.
In general, Nasobek is a reliable drug that can reduce the symptoms of exacerbation in chronic sinusitis, and improve the quality of life during the acute process in the sinuses.
Mometasone (Nasonex, Nozephrine)
Rating: 4.7
The third representative of intranasal glucocorticosteroid hormones for the symptomatic and pathogenetic treatment of acute and chronic sinusitis is represented by Nasonex, with the active substance mometasone furoate. The mechanism of action of mometasone is standard for all corticosteroids. It reduces the release of histamine and arachidonic acid metabolites, reduces the migration of neutrophils and macrophages to the focus of inflammation, reduces allergic symptoms due to the blockade, the release of histamine and other mediators.
Nasonex is indicated for the treatment of exacerbations of chronic antritis, and it should be used in combination therapy with antibacterial drugs. Nasonex is also well able to cope with the symptoms of allergic rhinitis, and especially seasonal, caused by pollinosis. Nasonex can also be used for prophylaxis, for example, at the beginning of the flowering of herbs. Nasonex is administered to adults in a standard manner: two doses in each nostril, containing 50 mcg, twice a day. As with other intranasal hormonal sprays, the daily dosage should not exceed 400 micrograms. Nasonex is manufactured by the famous pharmaceutical company Schering-Plow (UK). The bottle containing 60 doses can be purchased in large Russian cities at retail at a price ranging from 386 rubles.
Advantages and disadvantages
The advantages of Nasonex include extremely low absorption into the blood, and the complete absence of systemic effects.Therefore, in the official instructions there is not even a description of the pharmacokinetics, that is, the path of the active substance in the blood. Even if a certain amount of this drug is swallowed inside, an extremely small amount is absorbed from the gastrointestinal tract of mometasone into the blood. That is why you should not be afraid to swallow the excess medication that accidentally hit the throat after injecting into the nose. Despite the high safety, it is still not recommended to use it in pregnant and lactating women for general contraindications. Mometasone may have side effects, but only local. This is a burning sensation in the nose, a periodic sensation of irritation, and occasionally mild nasal bleeding may occur. They always stop on their own, and have occurred in each of the 20 patients.
The best antibacterial agents for sinusitis
Perhaps, it most quickly leads to recovery and to the reduction of all symptoms of acute sinusitis and exacerbation of the chronic process by the direct introduction of antibiotic solutions into the cavity of the maxillary sinus during puncture and rinsing. But the patient does not always manage to get to the doctor right away, and it is not always possible to carry out this minimally invasive surgery.
Clinical practice shows that almost all patients begin to take antibacterial drugs on their own, and in order to avoid surgery. In this section, we will not consider modern and powerful antibiotics that are administered intramuscularly or intravenously, that is, parenterally. Consider their main representatives, which are used to treat ENT diseases. Currently, there are a number of high-impact antibacterial agents that are applied topically and applied to the nasal mucosa.
Framycetin (Isofra)
Rating: 4.9
Isofra is the commercial name of the highly effective antibiotic aminoglycoside (framycetin). Framycetin acts as a highly soluble sulphate; it is on sale in intranasal spray. In addition to the bactericidal action, the drug has a bacteriostatic effect, that is, it not only prevents the reproduction of various pathogenic microorganisms, but also contributes to their destruction. When accumulating a sufficient concentration of the drug on the surface of the nasopharynx, bacteriostatic activity first appears, and then the destruction of pathogens. It affects the most common ENT pathogens - infections and upper respiratory tract.
Isofra is applied, by injecting one dose per day, into the right and left nasal passages, 4-6 times a day, the number of injections for children is reduced to 3. The maximum period of use of Isofra without expert advice is no more than a week. This drug is produced by the firm Bouchard Ricordati, France, and the cost of one spray bottle (15 ml) is 255 rubles.
Advantages and disadvantages
The advantages of Isofra include a wide range of antibacterial activity, the relatively infrequent use of intra-day, the rare development of side effects in the form of mild allergic skin reactions. The only unpleasant fact that accompanies the long-term use of the drug is the destruction of the natural biocenosis and the appearance of dysbacteriosis of the upper respiratory tract. Also, a long reception can contribute to the emergence of microorganisms drug resistance, so the ideal duration of the course of treatment is from 5 to 7 days.
Polydex
Rating: 4.8
Polydex is a highly effective antibacterial drug for alternative treatment regimens, if a patient, for example, according to the results of bacteriological cultures, separates framycetin-resistant strains from the maxillary sinuses and washes from the walls of the nasal cavity.In this case, the drug Polidex, which contains as many as two antibiotics - polymyxin B and neomycin, is indicated. This combination can significantly extend the range of antibacterial action to microorganisms that cause inflammation of the maxillary sinuses, as well as structures of the outer and middle ear. Polydex contains dexamethasone, which suppresses the associated inflammation, and reduces the symptoms of pain and swelling.
In order to avoid confusion, it is necessary to mention that there are two forms of the drug: a drug that buries itself in the ears with otitis, and Polydex nasal drops with phenylephrine, which, in addition to the antibacterial and anti-inflammatory effect, cause symptomatic relief of breathing due to vasoconstriction and alpha-adrenomimetic action .
Adding Polydex adults in the nose must be 3 to 5 times, injecting into each nasal passage. For children under the age of 15, the number of injections per day should not exceed three times. The average course of drug treatment lasts from 7 to 10 days. A 15 ml bottle of Polydex with phenylephrine can be purchased for 270 rubles, and the French company “Lab Bouchard Ricordati” also produces this drug.
Advantages and disadvantages
Polydex is a multicomponent drug that acts immediately and powerfully on inflammation, on various strains of microorganisms that cause sinusitis, including those resistant to monocomponent antibacterial drugs, and also a vasoconstrictor - phenylephrine. This allows the drug to quickly deal with uncomplicated sinusitis in the early days of the appearance of unpleasant symptoms.
Contraindications include age up to 2.5 years, severe heart and kidney disease, hypertension. Also, the drug can cause allergic reactions, which will be expressed by burning sensation and unpleasant sensations on the nasal mucosa. Use the drug should be for several days, but not more than 10 days without the consent of your doctor.
Miramistin
Rating: 4.7
A certain pride is caused by the fact that such a highly effective antiseptic drug was developed in the Russian Federation. We will not name the chemical name of the drug here, it is very complex. Suffice it to say that the active antiseptic substance refers to ammonium compounds.
Miramistin is successfully used in all forms of inflammatory lesions of the nasopharynx and oropharynx, including chronic and acute sinusitis. In addition to irrigation of the nasal passages, and holding the toilet of the nasopharynx and oral cavity as a means of disinfection, Miramistin is also shown as a first-line means for draining and washing the maxillary sinuses. This medicine is highly effective against various types of pathogenic microorganisms, both gram-positive and gram-negative. Miramistin destroys protozoa, viruses and pathogens of fungal infections.
It is necessary to apply Miramistin to irrigate the nasal passages and to rinse the throat with antritis three times a day. You can buy Miramistin in bottles in the form of a spray, for sale there are bottles from 50 to 500 ml in volume. The average cost of a 150 ml spray bottle is 270 rubles. Miramistin produces domestic scientific enterprise Infomed K.
Advantages and disadvantages
Miramistin does not irritate the oral mucosa and nasal passages. It is a slightly foaming liquid that has no taste or smell. Miramistin cannot cause allergies in most cases, with the exception of rare individual intolerance. Miramistin has no systemic effect, it is not absorbed through the skin and mucous membranes, and acts only where it is applied. There are practically no contraindications to the appointment of Miramistin, and it is used for the treatment of acute and chronic antritis with almost no restrictions.According to the ratio of antimicrobial effect and safety profile - this tool is one of the most beneficial for the acquisition and for the treatment in this rating. At the same time, the cost of Miramistin is more than democratic.
The best mucolytics for sinus
Consider another very important group of drugs that must be taken into account, especially in chronic sinusitis, when the secret inside the maxillary sinus becomes thick, viscous, and ceases to stand out in the nasal cavity. In order to improve the rheological properties of this secret, to increase its fluidity, and to break too long mucin mucin molecules into shorter fragments, mucolytic preparations are used. Usually they are prescribed for various forms of bronchitis and for pulmonary pathology, but they are also used for the treatment of sinusitis, when it is necessary to restore drainage function and improve the excretion of mucus. Consider the most popular and effective drugs that are widely used in domestic and international practice.
Sinuforte
Rating: 4.9
Perhaps, Sinuforte is the most amazing drug, which is represented in the rating of funds for the treatment of sinusitis. Its high efficiency is based on the ability of a well-known and beautiful cyclamen flower, more precisely its tubers, to cause abundant secretion of mucus into the nasal cavity from all the sinuses of the bones of the facial skull. Such excessive mucus secretion is called hypersecretion, and the mucus liquefies very strongly. Its viscosity becomes very low, and the mucus independently begins to move along the exit channel from the cavity of the sinuses to the nasopharynx. At the same time, the drug has no selective effect only on the maxillary sinuses. Of all the sinuses, an active outflow begins and the drainage function is normalized. Along the way, the drug enhances the capillary blood supply to the sinus mucosa, that is, microcirculation. The tool acts quickly, after a few minutes begins to show its effect, which lasts up to two hours. This drug is indicated for all types of sinusitis, both acute and chronic. In addition to sinusitis, it is used to treat ethmoiditis, frontal sinusitis and other similar diseases.
Sinuforte is applied by introducing a dispenser - dispenser in each nasal passage and spraying 2-3 drops of the product. It is necessary to apply medicine at antritis once a day, every day or every other day. With daily use, the average duration of treatment should not exceed 1 week, and if Sinuforte is injected every other day, the course duration can be doubled and last for two weeks. Available Sinuforte Spanish pharmaceutical company Pharma Mediterranea, and the company Invar. Sinuforte is quite an expensive drug. The bottle costs 1820 rubles. and higher. In this case, the dried, lyophilized concentrate is diluted with 5 ml of liquid. In each milliliter there are 10 drops, respectively, with the daily use of two drops, one pack is enough for 25 days of treatment, or for two full courses.
Advantages and disadvantages
A huge advantage of Sinuforte is its unique effect on the ability of the sinuses to synthesize a large amount of mucus, which is a cleansing procedure, and can completely replace the puncture of the maxillary sinus in uncomplicated cases. But the drug Sinuforte there are contraindications.
So, in the case of the presence of cysts or polyps in the maxillary sinuses, if there is a blockage, or obstruction of the ducts by the tissue, then the resulting excess secretion will not be able to find a way out. This is fraught with a serious deterioration of the condition: the emergence of persistent headaches, a feeling of distention in the face, high blood pressure, and other unpleasant symptoms.
In this case, the ambulance will be an urgent bilateral puncture of the maxillary sinuses to remove the secret.Therefore, before applying this expensive and highly effective tool on your own and for the first time, you need to be sure that the path for the resulting secret to the nasal cavity does not have any obstacles. And this can only reveal the ENT doctor. Therefore, the conclusion is this: before spending almost 2000 rubles. on Sinuforte, it is necessary to fully consult a doctor.
Libeksin Muko (carbocysteine)
Rating: 4.8
Carbocysteine is a modified acetylcysteine molecule. Its task is to dilute and break down the glycoproteins of mucus, which is located inside the maxillary sinuses. Of course, it is mainly used for bronchitis, but, when taken orally, carbocysteine is able to affect all secreted mucus that is produced in the body. Carbocysteine activates the sialic transferase enzyme. This causes the normalization of the acid-base composition of the mucus, which leads to its liquefaction. It is very important that carbocysteine contributes to the ingress of the maxillary sinuses of secretory immunoglobulins A, which perform a protective function.
It is necessary to take this drug for persistent chronic sinusitis when the drainage of mucus and discharge into the nasal cavity is impaired. Libexin Mucco is produced in a syrupy form, and an adult patient needs to take it three tablespoons three times a day. Libeksin Muko produced by French pharmaceutical company Sanofi, and a bottle of 125 ml costs from 400 rubles. and higher.
Advantages and disadvantages
The main advantage of carbocysteine is a high degree of dilution of the secret, not only for sinus, but also for other sinusitis: ethmoiditis, frontal sinusitis, with the defeat of the ethmoid labyrinth. This drug has contraindications for use, for example, in patients with acute exacerbation of gastric ulcer and duodenal ulcer, in the presence of acute cystitis, and in the glomerular apparatus of the kidneys - in glomerulonephritis. It is not used in pregnant and lactating women, as well as in babies up to two years of age.
Ambroxol (Ambrobene, Ambrohexal, Ambrosal, Bronkhovern, Lasolvan, Medox)
Rating: 4.
This drug is very popular in pulmonology and treatment of ENT diseases, as evidenced by a large number of diverse commercial analogues. Ambrobene is one of the most high-quality and highly effective preparations containing Ambroxol. It is produced by the German company Merkle. The chemical name is benzylamine. In case of chronic sinus infection, there is a thickening of the secret in the sinus, then after receiving Ambrobene, after 30 minutes, the process of intensive dilution of this secret begins.
Ambrobene is indicated mainly in chronic sinusitis, since in the acute form of the disease most often there is no obstacle to diluting the inflammatory secretion, and it departs on its own. But when chronization process often occurs thickening of the secret. Ambrobene is produced in various forms: in capsules, in syrup, in tablets, and even in a solution for intravenous administration, in emergency situations in pulmonology.
Ambrobene for sinusitis is most often used in syrup, or in tablets. Dosage - depending on the severity of the condition and goals of therapy.
You can buy syrup in a 100 ml bottle for 100 rubles. Ambroxol does not exist in nature, it is artificially synthesized, and to it, although rarely, but, nevertheless, side effects sometimes develop. Most often it is dryness in the mouth and in the nasal cavity, with an overdose, nausea and taste perversion are possible. It is not recommended to take drugs containing Ambroxol in the first trimester of pregnancy, and patients with severe impaired renal function and liver. But, despite the side effects, a great advantage remains the rapid dilution of the secret of the sinuses, which allowed Ambroxol to be included in the rating of funds for the treatment of sinusitis.
What you can not do when sinusitis, or instead of the conclusion
In this rating, the main groups of drugs that are used to treat various acute and chronic sinusitis, and, first of all, antritis, which leads in the frequency of occurrence among all sinusitis, were considered.
In conclusion, I must say that it can harm the state of health of a patient with sinusitis, especially in the first days, when a visit to the ENT doctor has not yet been made, and various attempts at self-treatment are undertaken. In acute sinus, heat procedures and warming in the first days are strictly contraindicated. In the acute phase, there is swelling and pain, and if you try to warm this place, the swelling and pain will only intensify, and if the outflow of secretions from the sinus is broken, this will lead to the need for surgery.
The second mistake can be called the beginning of treatment, in which strong antibiotics are immediately used in pills, or, even worse, by intramuscular injections. Such self-prescription of potent drugs, and even with their introduction into the systemic circulation, can only cause intestinal dysbiosis, and is unlikely to help to cope with sinusitis. At best, the symptoms subside somewhat, the inflammation will become chronic, and the microorganisms that led to the onset of sinusitis will be able to acquire drug resistance to such a single administration of antibiotics. Therefore, first of all, it is necessary to visit a doctor, and only carry out his prescriptions.
Attention! This rating is subjective, is not advertising and does not serve as a guide to the purchase. Before buying, you should consult with a specialist.
