Dear friends, hello!
When you do the same thing for many years, you do some things automatically. You know the active ingredients, dosages, release forms, but some subtleties of the action of the drugs are erased from memory. And sometimes there is simply not enough time to get into the annotation and refresh the nuances.
The period of sneezes and snot is just beginning, so I would like to continue the conversation about and invite you to a topic dedicated to drugs for the common cold. How to choose the right drug for each “wrong” nose?
I have already said that a runny nose and a runny nose are different. Therefore, when I hear that with a runny nose, without any questions, the buyer is offered vasoconstrictors, my heart bleeds.
So, let's remember what remedies for the common cold are available in pharmacies. They can be divided into groups:
- Vasoconstrictors.
- Mucolytics.
- Moisturizing.
- Vegetable.
- Homeopathic.
- Antibacterial.
- Antiallergic.
Vasoconstrictor drops
Short-acting drugs. They last on average 3-6 hours.
Medium-acting drugs. After them, the nose breathes for an average of 6-8 hours.
Long-acting drugs. Their action lasts 10-12 hours.
All these vasoconstrictor drops act on the alpha receptors of the vessels of the nasal mucosa and cause their narrowing.
But receptors are also different. There are alpha1 and alpha2 receptors.
Of all the above, only phenylephrine acts on one type of receptor: alpha1. All others - for both types.
What's better?
On the one hand, the effect on both types of receptors gives a more pronounced effect. This seems to be good.
On the other hand, have you ever wondered why phenylephrine is included in many children's drops?
Because the effect is only on one type of receptor more safely for the nasal mucosa. Fewer blood vessels narrow, which means less oxygen starvation of the cells of the nasal mucosa.
Phenylephrine is less effective than other active ingredients, but safer.
Why do you need to narrow the blood vessels in the nose?
Because during colds, the vessels of the nasal cavity are dilated, and the liquid part of the blood leaves the vessels and causes swelling of the nasal mucosa.
The swelling shrinks the nasal passages and the person cannot breathe.
How to help your nose?
Narrow the blood vessels, reduce swelling, “clear” the passages for air flow.
When your nose can't breathe!
Therefore, ask the buyer how a runny nose manifests itself. If your nose is “running,” completely different medications can and should be recommended.
Remember...
That under the influence of the above remedies, blood vessels narrow not only in the nose. It is no coincidence that they are contraindicated for atherosclerosis, arrhythmias, thyrotoxicosis, and glaucoma. And there are many side effects: tachycardia, increased blood pressure, dizziness, etc., etc.
Therefore, be especially careful when recommending these products to older people.
Be wary when you are asked for medications and at the same time vasoconstrictor nasal drops.
Explain to your clients what this entails.
Some manufacturers are foaming at the mouth to prove that these products do not have a systemic effect. In this case, please explain to me why their annotations include this killer list of contraindications and side points for 10?
Warn...
Buyer that you can drip a vasoconstrictor drug for a runny nose for no more than 5 days.
You get used to it very quickly.
I remember my dad, who at one time became firmly hooked on ephedrine for the rest of his life. Those who are older probably remember that there used to be such drops in the nose.
Explain...
That the use of vasoconstrictors for more than 5 days leads to the fact that it is no longer possible to “get off” these drugs.
I know it from myself. Once I bought the most modern vasoconstrictor spray and sprayed it for a week. That's all! The nose categorically refused to breathe without this poison!
Why is my nose constantly stuffy after taking these medications for a runny nose?
Because constant narrowing of blood vessels leads to oxygen starvation of nasal cells. Without nutrition they atrophy. But a holy place is never empty. Mucous tissue is replaced by connective tissue. This is why atrophic and hypertrophic rhinitis occurs after vasoconstrictors, in which the nose stops working normally.
To reduce the harmful effects of vasoconstrictor drugs, manufacturers combine the active ingredients with other substances, for example, eucalyptus oil ( Sanorin with eucalyptus oil), moisturizing component ( Snoop) etc. This, of course, saves, but not much.
No! Because they cause vasospasm of the placenta, and therefore oxygen starvation of the fetus.
But when a woman cannot live without them, we choose the lesser evil, that is, children's dosages.
Mucolytics
These include Rinofluimucil. Contains mucolytic acetylcysteine and a vasoconstrictor component.
Its task is to liquefy mucus and facilitate its removal.
For thick nasal discharge (rhinitis, sinusitis).
Has the same side effects as vasoconstrictors. So be careful when making recommendations!
Moisturizers
As a rule, these products are made based on sea water ( Physiomer, Aqua Maris, and etc.). They moisturize the mucous membrane, thin the mucus, and it is easier to remove. Sea water mechanically cleanses the nasal cavity from viruses, bacteria, allergens, and reduces swelling due to its salt content.
For any runny nose.
By the way, before dripping a vasoconstrictor, you need to clear the nasal cavity of mucus and crusts so that it “reaches” its destination.
Therefore, do not forget to recommend a moisturizer along with the vasoconstrictor drug.
Herbal preparations
These drugs have undeservedly received the reputation of “not working,” although in fact they are the most therapeutic.
good old Pinosol. It gets its name from the Latin "Pinus", which means "pine", because it contains pine oil.
And several more vegetable oils of medicinal herbs, which relieve inflammation of the nasal mucosa, restore it, have a mild vasoconstrictor effect, and at the same time also act on viruses and bacteria.
And for those who do not like drops, you can offer ointment or cream Pinosol.
For a “cold” runny nose, when there are other signs of ARVI.
For a runny nose that is accompanied by sinusitis, another herbal preparation for oral administration is recommended Sinupret. It relieves inflammation and improves the flow of secretions from the paranasal sinuses. It is recommended when nasal discharge is thick and often yellowish-greenish in color (a sign of a bacterial infection).
Homeopathic medicines
The most common in this group are Euphorbium compositum And Edas-131.
It is too medicinal drops. They can be used for a long time, because... they act not through vasoconstriction, but through restoration of the self-regulation mechanism of the nasal mucosa.
Read more about homeopathy.
- When they ask for something “natural” or something that TREATS a runny nose.
- When there is intolerance to other local remedies for the common cold or contraindications to them.
Antibacterial agents
They contain an antibacterial substance, and from the name it is clear that they act on bacteria!
This group includes Bactroban ( nasal ointment), Isofra, Polydex with phenylephrine.
They are prescription-strength, so you don't need to recommend them yourself.
When are they appointed?
For bacterial rhinitis, which can be recognized by thick yellowish-green nasal discharge.
On antiallergic nasal drops I won't stop today.
We're talking about a cold.
But sometimes allergic rhinitis occurs all year round, so you should know the differences between allergic rhinitis and colds.
Allergic rhinitis:
- It may not be permanent, but may appear at times after contact with the allergen.
- The discharge is copious, transparent, like “water”.
- A person sneezes often and many times.
- The nose is stuffy, mainly at night.
- Eyes are often itchy, red and watery
When you hear this, suggest topical and oral allergy medications. And don’t forget about sea water to mechanically remove allergens from the mucous membrane.
Well. To summarize:
When you are asked for a remedy for a runny nose, ask the visitor the following questions:
1. What kind of runny nose do you have: is your nose runny or stuffy?
2. Is your nasal discharge thick?
3. What color? White? Yellowish-green?
4. Apart from a runny nose, what else bothers you?
If your nose is stuffy, Recommend vasoconstrictors (only for congestion) + moisturizers. It is good to alternate them with herbal or homeopathic ones. The first make breathing easier, the second clear the nose, the third relieve inflammation, restore the mucous membrane, and act on the pathogen.
If your nose drips or runs + there are others cold symptoms – moisturizing and “natural”.
If water is running from your nose + yes allergy symptoms – moisturizing and antiallergic.
If your nasal discharge is thick – moisturizing and mucolytic.
If the discharge is yellow-green – antibacterial.
That's all for today.
If you have anything to add, write in the comments.
With love to you, Marina Kuznetsova
A constantly running nose or stuffiness, irritation on the skin from the endless use of handkerchiefs - probably each of us has encountered all these “charms” of a runny nose at least once. In order to get rid of a runny nose as quickly as possible, modern medicine offers various remedies - some can only be used as prescribed by a doctor, while others are available without a prescription and are often used as part of self-medication. In this article we will try to understand the types and principles of action of various drugs for the treatment of the common cold.
But let's start with the definition of a runny nose and the reasons for its occurrence.
A runny nose or rhinitis is one of the most common diseases of the upper respiratory tract, which is caused by inflammation of the nasal mucosa.
A runny nose is a faithful companion of the cold season, when pharmacies line up with people desperately sniffling. But even if you have overcome the cold season, this does not mean that the threat has passed. Indeed, in addition to colds and hypothermia, a runny nose can be caused by many other reasons.
A runny nose can be caused by:
- pungent odors, dust, smoke (exhaust gases, tobacco or any other) - vasomotor rhinitis;
- medicines - medicinal rhinitis;
- allergens - allergic rhinitis;
- traumatic effect on the nasal mucosa
- traumatic rhinitis,
- infections and viruses
- infectious rhinitis.
Infectious rhinitis, in turn, can be acute or chronic. Acute rhinitis most often occurs as a symptom of colds. Chronic rhinitis in the vast majority of cases arises from acute rhinitis or as a result of prolonged exposure to adverse environmental factors.
According to research, about 20% of the population suffer from chronic rhinitis, and up to 40% periodically report the presence of certain symptoms of a runny nose.
Regardless of what caused nasal congestion, there is little pleasant in it. Therefore, everyone tries to recover as quickly as possible. Often, the home medicine cabinet already contains a drug that “helped last time,” and that’s what they use. It’s better not to do this - because now the reason may be completely different.
Before using pharmaceutical remedies for the common cold, it is better to consult with your doctor (not to be confused with a pharmacist at the pharmacy!), especially when it comes to prescription drugs containing antibiotics or hormones. Remember: self-diagnosis and self-medication can be very harmful.
For your information: The main cause of nasal congestion is swelling of the mucous membrane, which narrows the nasal passage and interferes with breathing. Therefore, trying to blow your nose “with all your might” will not bring relief, but, on the contrary, can lead to injury to the inner ear and eardrum.
Remedies for the common cold: classification of drugs
The pharmacy range of products for the treatment of runny nose is very wide: drops, sprays, inhalations, tablets, patches. What to choose?
Each form has its own pros and cons. For example, nasal decongestion sprays may seem more convenient to use because they can be used anywhere, evenly spraying the nasal mucosa with the spray. But with some sprays the stream can be unpleasant, so drops or topical treatments may be preferable.
Let's figure out what the different groups of drugs for the treatment of the common cold are, what their pros and cons are, and what side effects you are at risk of encountering.
Vasoconstrictors
This is the most popular group of remedies for the common cold. The mechanism is simple: the use of vasoconstrictors leads to a narrowing of the vessels of the nasal mucosa, as a result of which blood flow decreases and the swelling that causes congestion subsides. This treatment is symptomatic - for some time (usually for several hours) the consequences of the disease are eliminated, but not its cause. Depending on the active ingredient of the drug, the effect of vasoconstrictors can last from 4-6 to 12 hours.
Today, the advisability of using vasoconstrictors to treat the runny nose is controversial. Although such drugs very quickly make breathing easier and eliminate nasal congestion, they do not affect the cause of the disease.
In addition, most of these drugs cannot be used for longer than 3-7 days, so as not to cause so-called drug-induced rhinitis or dependence on vasoconstrictor drops. Drug-induced rhinitis is manifested by chronic nasal congestion and a constant need for the use of vasoconstrictors. It is very difficult to cure it, like any addiction. Therefore, if after 3-7 days of using vasoconstrictor drugs the runny nose does not go away and the person continues to get sick, in any case the use of these drugs should be stopped.
Hormonal agents
These drugs are used in the treatment of severe forms of rhinitis, especially allergic rhinitis. Hormonal preparations are produced in the form of drops, sprays and ointments, which should be applied to the nasal mucosa. Hormonal remedies for the common cold do not lead to addiction and do not damage the mucous membrane, but they have a number of other unpleasant side effects: they can cause bleeding, headaches, and bronchospasm. It should also be taken into account that the effect of using hormonal drugs most often occurs after a sufficiently long use. Doctors try not to prescribe such drugs without serious reasons.
Antibiotics in the form of drops and sprays
Doctors usually prescribe medications with antibiotics if a runny nose develops due to a bacterial infection, there is no improvement after initial treatment, or after a period of temporary improvement, the symptoms of the disease begin to worsen again. Antibacterial drugs for the common cold are available in the form of drops. The disadvantage of these remedies is that if the cause of the runny nose was a viral infection, including the influenza virus, then they will not affect the cause of the disease in any way. If the drops do not contain additional vasoconstrictor or hormonal components, they will not be able to make breathing easier. However, if a bacterial infection does occur, antibiotics are most likely indispensable. But in each specific case, only a doctor can decide whether these funds should be used.
Important! Uncontrolled use of antibiotics without a doctor's recommendation is dangerous. This is how therapy-resistant strains of bacteria develop, which are then extremely difficult to fight.
Products with sea water
These drugs are not used for instillation, but for rinsing the nose. The procedure helps get rid of mucus, but you shouldn’t count on a quick reduction in swelling. This is largely prevention and one of the elements of complex treatment of the common cold. Therefore, doctors most often advise rinsing the nose with sea water after using vasoconstrictor drops and sprays.
Although these products have practically no side effects or contraindications, and they are quite safe, many people rinse their nose incorrectly, which can lead to penetration of the solution into the pharyngeal mouth of the auditory tube, from where it moves into the auditory tube, which connects the ear to the nose, and from it - into the middle ear. E This is fraught with the development of otitis media.
For your information: how to rinse your nose correctly?
When washing, you need to tilt your head slightly down and not turn it to the sides. The bottle with the solution must be pressed smoothly and very carefully so that strong pressure from the jet is not created in the nasopharynx. After this, you should blow your nose just as carefully. Do not forget that if you blow your nose sharply, mucus can enter the ear under pressure, and the results will be much worse than with a regular solution of sea water.
Products with essential oils
Today, essential oil products are available in different forms: spray, oil, and inhalation patches. The latter are rapidly gaining popularity due to their ease of use. The composition of such products includes essential oils that have antiviral, antimicrobial and anti-inflammatory properties.
Products with essential oils not only relieve swelling of the mucous membrane and eliminate nasal congestion, thus making breathing easier, but also act on the cause of a runny nose - pathogenic bacteria and viruses. The effect of such drugs does not occur as quickly as from vasoconstrictor sprays and drops, but lasts up to 8 hours, which is quite comparable to the duration of the effect of vasoconstrictor drugs.
A big plus of products with essential oils is a tangible relief of the condition without the need to carry out procedures such as instillation and rinsing of the nose. To get a healing effect, you just need to inhale air enriched with vapors of essential oils. Another advantage that should be highlighted is the naturalness of these products and the fact that they have virtually no contraindications or side effects.
For severe nasal congestion, inhaler patches can be used in combination with vasoconstrictors and/or rinses. The duration and frequency of use of products based on essential oils are not limited, there is no addiction to them. Thus, if, following the instructions, you need to stop using vasoconstrictor drops after 5-7 days, then you can continue to use products with essential oils until the symptoms of a runny nose completely disappear.
Most preparations based on essential oils (with the exception of products from the Pinosol line) are used in a non-contact manner; they do not need to be instilled or injected into the nose. Gradually evaporating, essential oils enter the respiratory tract naturally - along with the air.
The main disadvantage of drugs in this group is that allergic reactions are possible to the plants from which essential oils are made.
Herbal medicines
Herbal medicines in tablet form reduce swelling and inflammation of the nasal mucosa, and also have a moderate antiviral and antibacterial effect. Taking tablets is, of course, easier than instilling or rinsing the nose, but the effect of them does not occur immediately, but only a few days after the start of administration. In addition, when using these drugs, side effects from the gastrointestinal tract are possible.
What should you pay attention to when buying a remedy for the common cold?
Thanks to the Internet, nowadays there are almost no problems when buying the product you need in the dosage prescribed by your doctor. But often there is no time to wait for delivery, because help is needed right here and now. Therefore, sometimes you have to buy medications at the nearest pharmacies, the range of which does not always correspond to what is written in the doctor’s recommendation. If a pharmacist at a pharmacy offers you to buy analogues, you need to pay attention to the following points:
- Compound. Different manufacturers use different additional components in their preparations. For example, the Sopelka inhaler patch contains camphor, to which allergic reactions are often possible. Camphor is not used. Therefore, before buying this or that product, it is better to make sure that you are not allergic to any of the components.
— Dosage and frequency of use. The dosage of the active substance can vary significantly in different drugs. Accordingly, both the single dose and the frequency of use change.
— Release form. The same product can be produced in different forms (spray or drops), in different concentrations and volumes.
All this must be taken into account so that the treatment is effective and does not lead to new health problems.
Stay healthy and don’t forget to consult your doctor so that the treatment is safe and effective and you don’t have to waste time and money buying inappropriate medications!
Remedies for the common cold: pros and cons
A runny nose causes a lot of trouble to a person. Most often it develops as a symptom of a cold. Nasal congestion must be treated, otherwise you risk complications such as frontal sinusitis, sinusitis or otitis media. To choose the best medicine for a runny nose, you need to research all the drugs used in treatment.
Before you start looking for a suitable remedy for the treatment of a runny nose, you should determine what drug you need. The choice will depend on the cause that caused the inflammation of the mucous membrane (in other words, rhinitis). Snot in an adult can have a different nature of origin. There are 5 following types:
- Infectious. Develops against the background of inflammatory infections of a viral or bacteriological nature. If treatment for a runny nose is not started, it becomes chronic.
- Allergic. The most common cause of mucus in the nose. For rhinitis to begin, it is enough for the allergen to come into contact with the mucous membrane.
- Drug. Develops against the background of drug therapy. Its appearance may be caused by side effects of medications taken.
- Atrophic. A stuffy nose is a consequence of the adverse effects of the external environment or is caused by congenital pathologies.
- Vasomotor. The exact origin of this type of runny nose is not fully understood. At the root of the problem is a violation of the tone of the nasal vessels.
Sometimes the development of rhinitis can be caused by swelling or tissue deformation due to mechanical action - trauma. Broken bones in such cases may even require surgery. If no treatment measures are taken in this case, then rhinitis will drag on for a long time.
Groups of drugs for the common cold in adults
In adults, treatment for a runny nose depends on the cause of its origin. The attending physician will be able to determine it most accurately. If snot appears, you should contact an otolaryngologist. After his examination, if the diagnosis is confirmed, he prescribes the following groups of drugs for rhinitis:
- antiallergic;
- antiviral;
- vasoconstrictors;
- thinning agents for rinsing.
These drugs for the treatment of rhinitis can have different release forms (sprays, drops, gels, ointments, solutions, tablets, aerosols) and consistency (solid or liquid). Each of these remedies has its own advantages and disadvantages, indications and contraindications.
Tablets for runny nose
When choosing a medicine for a runny nose, preference should be given to those that will act directly on the source of irritation of the mucous membrane. For colds, as a rule, therapy is carried out using drugs in tablets from the following list:
- Antihistamines with anti-inflammatory effects. Neutralizes both colds and allergies.
- Antibacterial. Clears the nasopharynx of the most common types of bacteria.
- Antiviral. They kill the virus and remove it from the body.
- Homeopathic. Increases the body's resistance and strengthens the immune system.
Tablets for the treatment of rhinitis are very effective because they have a complex effect. They help not only with a runny nose, but also cope with additional symptoms. Improper use of anti-inflammatory drugs, like any other, can lead to the development of complications, as well as a medicinal form of a runny nose.
Vasoconstrictor drops
The most popular remedies for a runny nose include vasoconstrictor drops. They should not be used only by pregnant women. Preparations based on sea water are suitable for them. Medications that constrict blood vessels act on adrenaline receptors. When the nose bleeds during rhinitis, they quickly stop the bleeding and remove swelling, making breathing easier. There are several groups of vasoconstrictor drugs for the common cold prescribed to adults:
- Based on oxymetazoline. The duration of their active work is 12 hours. These are good products that have a gentle effect on the nasal cavity.
- Based on phenylephrine. They have an effect on the nasal cavity for 6 hours. Getting used to them occurs extremely slowly, which allows rhinitis to be treated for a long time.
- Based on naphazoline. The active work of the components is short-lived and quickly becomes addictive. They are more suitable not for treatment, but for thinning snot.
- Based on xylometazoline. Active time of action is about 10 hours. They have side effects and are addictive.
Before treating rhinitis with such drops, consult a specialist. Some of them act quite quickly, but the body also quickly gets used to them. Using them for a long time for a runny nose leads to the fact that a person can no longer breathe on their own (without drops).
Preparations for the treatment of runny nose based on essential oils are suitable for everyone, including pregnant women. They have a gentler effect on the mucous membrane, but at the same time they also effectively fight inflammation, relieve swelling and help overcome congestion.
Wash solutions
These anti-runny nose remedies are non-vasoconstrictors. The main purposes of their use:
- preventive;
- emollient;
- cleansing;
- liquefying.
They have a healing effect on the mucous membrane. Most solutions are made on the basis of salts. With their help, a course of treatment of rhinitis in adults and children is carried out. You just have to pay attention to the salt concentration. Its excess can lead to swelling of the mucous membrane.
Saline solutions can be classified as a group of inexpensive products that are actively used for rinsing the nose. Also based on them, inhalations are performed at home using a nebulizer device. Although these drugs belong to the inexpensive group, they are no less effective and have been popular for several years.
Ointments and gels for runny nose
Not the most popular form of release of drugs for the common cold are gels and ointments. This is due to the inconvenience of their use and problems with application to the most inflamed areas of the cavity. You can only lubricate the turbinates with your finger, and only a cotton swab will help you penetrate further. But with careless movement, you can injure the delicate surface of the mucous membrane. This form of medication is also not popular among doctors when prescribing a course of treatment.
Gels or ointments for the common cold, when applied, due to their consistency, do not get into the throat or into the hearing aid. This may be the most effective remedy for a runny nose when treating a patient in a hospital setting, but not at home. In the hospital, they are inserted into the nasal cavity using special instruments. Then they get to those areas where their action is needed. The following ointments and gels have been used:
- Miramistin;
- Ichthyol;
- Mupirocin;
- Bactroban.
For external treatment of the nose, you can use Menovazin. It relieves itching and irritation, helps soften the skin and accelerate its regeneration. It is better not to use ointment for rhinitis without medical prescription.
How to choose the right drug?
It is difficult to say unequivocally which remedy will be the best for a runny nose. Some people like to use drops for treatment, others aerosols. Each release form has its own advantages and disadvantages. Sprays are economical to use, they have a large irrigation surface when sprayed, and the active components penetrate even into difficult places in the nasal cavity. If used incorrectly, drops may flow into the throat or ears, or pour out of the nose without having the desired effect.
Tablets for the common cold have a wide range of effects on the body, as they are taken orally. They treat not only external symptoms, but also the very cause of the runny nose. Ointments are effective, but quite dangerous when used independently. The more severe your runny nose, the more seriously you should take its treatment. Your doctor will select the most suitable remedy for you.
The most effective remedies for rhinitis
The most effective remedy for a runny nose comes in the form of sprays. They are able to easily penetrate the most inaccessible places in the nasal cavity, are easy to use and economical in consumption. Oxymetazoline-based sprays are considered the fastest-acting:
- Afrin;
- Nazivin;
- Nazol;
- Nesopin;
- Sensitive;
- Vicks Active Synex.
The most expensive drugs for the common cold in this group are Nazivin and Afrin, and the most inexpensive is Nesopin. If a course of treatment with antibiotics is required, then Isofra, Polydexa and Bioparox have proven to be the best sprays.
Treatment of medicinal rhinitis is most effective with Nasonex spray, Avamis spray, Cinnabsin tablets, and Kameton aerosol. The doctor prescribes the prescription and dosage individually for each patient.
An effective natural remedy for the common cold has an immunostimulating, antiviral and decongestant effect. These include Sinupret, Euphorbium Compositum, Edas-131. They do not work the same way in treatment for everyone. In some cases, the duration of the course of using such drugs may be protracted.
Inexpensive medicines for the common cold
The best remedy for a runny nose comes in the form of drops or spray. This is a more convenient form of use, which allows you to directly influence the inflamed areas of the nasal mucosa. Sprays are considered to be more effective medicines for the common cold. They have a greater effect at a lower cost, which allows you to significantly save not only time, but also money during the treatment process.
Drops also have their advantages. With their use, the possibility of overdose is completely eliminated. The list of cheap drugs for rhinitis includes:
- Xylometazoline;
- Galazolin;
- Tizin;
- Nazivin;
- For nose;
- Grippostad Reno;
- Xymelin;
- Otrivin;
- Rhinonorm.
The most inexpensive in this list are Galazolin drops. This drug can also be used with caution during pregnancy. It is also actively used to treat sinusitis in children. The most prescribed medications for rhinitis are: Vibrocil, Polydexa, Gikomycin, Protargol (prescription).
Products based on natural ingredients have proven themselves well. They belong to the subgroup of phytopreparations: Laferon, Anaferon, Grippferon, Afrin, Nazoferon. They should not be used for allergic rhinitis. Inexpensive remedies for the common cold do not mean “ineffective.” The duration of treatment with their help is on average 3-5 days, if there are no complications. Their only drawback is the frequency of use, which significantly increases the consumption of medicine.
So what is the most effective remedy for snot in adults? When choosing a medicine to treat rhinitis, you should focus not on its price and release form, but on its effectiveness. If there are no noticeable improvements from using the chosen drug within a week, it should be replaced. When choosing, take into account the existing contraindications.
Updated: 06/20/2018 18:46:20
*Review of the best sites according to the editors. About the selection criteria. This material is subjective in nature, does not constitute advertising and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.
On the modern pharmaceutical market there are a lot of local drugs for the treatment of runny nose caused by inflammation, allergies and other reasons. The variety of nasal drops is very large. There are vasoconstrictors, saline laxatives that are used to rinse the nose, antiseptics and antibiotics, drugs for local immunity boosting, and anti-allergy medications. There are many herbal-based nasal drops and sprays; the preparations are often multi-component. To understand this diversity, this rating of the best sprays and drops for nasal instillation in children and adults was created.
Rating of the best nasal drops
| Nomination | place | Name of product | price |
| The best nasal drops for a runny nose | 1 | 349 ₽ | |
| 2 | 241 RUR | ||
| 3 | 135 RUR | ||
| The best nasal drops for allergies | 1 | 690 ₽ | |
| 2 | 754 RUR | ||
| 3 | 517 RUR | ||
| 4 | 141 RUR | ||
| 5 | 408 ₽ | ||
| The best vasoconstrictor nasal drops for a runny nose | 1 | 30 ₽ | |
| 2 | 83 RUR | ||
| 3 | 237 ₽ | ||
| The best nasal drops for children | 1 | 289 ₽ | |
| 2 | 210 ₽ | ||
| 3 | 294 RUR |
The best nasal drops for a runny nose
Isofra drops contain the antibiotic framycetin from the aminoglycoside group, and are indicated for use in acute nasopharyngitis, which is a common cold. Packaged in the form of a nasal spray, it has a bactericidal effect, destroying many pathogenic microbes. Most cases of a common runny nose are, one way or another, associated with a cold, sore throat, or malaise. And it is in this case, with acute rhinitis or nasopharyngitis, that the use of this remedy is indicated. One dose is injected into each nasal passage 4 to 6 times a day, and for children no more than 3 times. The course of treatment for a runny nose lasts no more than 10 days; further use should be carried out only as prescribed by a doctor. You can purchase 15 ml of the drug in the form of a nasal spray at a price of 270 rubles. Isofra is produced by the French pharmaceutical company Bouchard Recordati Laboratory.
Advantages and disadvantages
The advantages of these drops include a universal bactericidal effect, and the disadvantages are the ability to inhibit the normal microflora of the nasal mucosa with long-term use. It is also not recommended to use this remedy in the first days of influenza, aching joints, or severe symptoms of intoxication, since in this case both rhinitis and nasopharyngitis will be of viral origin. In such cases, Isofra should be used a few days later, when mucopurulent discharge appears from the nose due to the development of a concomitant bacterial infection.
Sialor is a universal bactericidal and hygienic preparation that contains a colloidal solution of silver (proteinate), the ions of which are associated with proteins. Silver proteinate has an astringent effect, prevents the development of microbial and viral invasion and protects the mucous membrane. Sialor produces a particularly pronounced protective effect against staphylococci, streptococci and various fungi. Silver compounds form a protective film on the nasal mucosa.
This remedy is indicated for various forms of rhinitis, including allergies, chronic diseases of the nasal cavity, severe dryness of the nasal mucosa, and runny nose. The product can be used for prevention during the epidemic season, for rinsing the nasal cavity and preparing for surgery. To use, you first need to prepare a solution by adding one tablet of the active substance to 10 ml of the prepared solvent. First, a solvent is poured into the bottle, then a tablet is added and shaken until dissolved. Apply the drug to the nasal mucosa, one drop 3 times a day for a week. The drug Sialor is produced by the domestic company “Obnovlenie”, and you can purchase one tablet with a solvent for a volume of 10 ml at a price of 210 rubles.
Advantages and disadvantages
The advantages of the drug include the ability to use it for prophylaxis, in case of increased dryness of indoor air and in the presence of harmful working conditions. Sialor does not cause overdose symptoms; only in a small number of cases, burning and itching in the nose may occur due to individual intolerance. It should be taken into account that while using Sialor it is not recommended to drip vasoconstrictor drops containing Adrenaline.
Nazivin drops are available in various concentrations (0.05% for adults, 0.025% for children, 0.01% for newborns), and can be included in the rating in different groups: as a vasoconstrictor, as a drug indicated for use in children and in adults and for the treatment of allergies. Such versatility allowed it to be placed on the list of the best remedies for the treatment of the common cold. The active substance is oxymetazoline, which belongs to alpha adrenergic agonists. This remedy promotes vasoconstriction, reduces swelling of the mucous membrane, and does not irritate it.
Nazivin is indicated not only for various forms of rhinitis and runny nose, but also for sinusitis, for example, sinusitis, as well as inflammation of the auditory tube (eustachitis). Apply the drug 1-2 drops into each nostril up to 3 times a day. In order to facilitate dosing, each Nazivin bottle has a graduated pipette. You can use the drug in the form of a nasal spray, or treat the nasal passages of children with a cotton swab moistened with Nazivin. The course lasts no more than 5 days.
The drops are produced by the German pharmaceutical company Merck. You can purchase Nazivin for all ages in a volume of 5 - 10 ml, on average, for 130 rubles.
Advantages and disadvantages
The advantages of the drug include ease of use and breadth of indications, low price, and the possibility of using drops in pregnant and nursing mothers, but only as prescribed by a doctor. The negative aspects include the occurrence of a burning sensation and a feeling of dryness of the nasal mucosa, sneezing. In case of a severe overdose of Nazivin, a systemic effect of adrenergic agonists may occur - an increase in pulse rate and blood pressure. If possible, long-term courses of using Nazivin should be avoided, since abuse of vasoconstrictor drugs contributes to atrophy of the mucous membrane of the nasal passages, and reactive drug-induced rhinitis occurs.
The best nasal drops for allergies
Allergic rhinitis occurs very quickly and can significantly worsen the quality of life of a healthy person in a matter of minutes. An allergic runny nose disrupts nasal breathing to such an extent that it leads to sleep disorders, a sharp decrease in performance, and psychological discomfort. Typically, symptoms of allergic rhinitis include frequent sneezing, itchy nose, a sharp decrease in the ability to breathe through the nose, as well as copious translucent or clear discharge from the nasal passages. In severe cases, allergic rhinitis is combined with angioedema, urticaria, or even bronchospasm. In this case, you should immediately consult a doctor. The rating includes several popular remedies that are “first aid” for allergic rhinitis.
Nasonex drops can be considered the “heavy artillery” among antiallergic drugs, since it contains a powerful antiallergic agent - the glucocorticosteroid hormone mometasone. One dose of nasal spray contains 50 mcg of this substance with a pronounced anti-inflammatory and antiallergic effect. In the Nasonex bottle you can see an opaque solution, but a white suspension. When applied to the mucous membrane, the drug sharply reduces the release of inflammatory mediators, which leads to normalization of the function of the mucous membrane and a decrease in exudation.
In addition to allergic rhinitis and hay fever, Nasonex can also be used to prevent allergies, for example, 2 weeks before the expected start of grass flowering and the appearance of pollen in the air. Nasonex is indicated in complex therapy for the treatment of exacerbations of sinusitis, sinusitis, and other sinusitis. The medicine is used by inhaling a dose into each nostril, but not more than 2 times a day. The desired maintenance dose is no more than one inhalation into each nostril daily. Nasonex drops are produced by the well-known Belgian pharmaceutical company Schering-Plough, and you can purchase one bottle containing 60 doses, on average, designed for 1 month of optimal maintenance therapy, for 400 rubles.
Advantages and disadvantages
The advantages of Nasonex include its high activity and the absence of atrophy of the nasal mucosa even after a year of daily use. Negative aspects of use include various side effects, such as mild nosebleeds, headaches, or a burning sensation in the nose. But the frequency of side effects is dose-dependent, and if the recommended dosage was followed, they were practically not observed.
Flixonase is another modern hormonal drug for the treatment of allergic vasomotor rhinitis. It contains fluticasone propionate, at a dosage of 50 micrograms per dose spray. The mechanism of action of the drug is generally accepted for glucocorticosteroid hormones. It suppresses the production of inflammatory mediators and interrupts the allergic reaction. Flixonase helps reduce itching in the nose, eliminates nasal congestion and runny nose, heaviness in the nose and stops sneezing.
Already 2 - 3 hours after the first use, significant relief occurs, and after a single administration of 2 doses in each nostril, this lasting effect lasts for 24 hours. Flixonase is recommended for use in adult patients and children over 12 years of age. To begin treatment, you need to inject 2 doses into each nasal passage, once a day, preferably in the morning. After improvement, the dose is halved. But in any case, you cannot use the drug more than 4 injections into each nostril during the day. Flixonase drops are produced by the English pharmaceutical company GlaxoSmithKline, and you can purchase a nasal spray designed for a month of use and containing 60 doses for 415 rubles.
Advantages and disadvantages
The advantages of the drug include its high activity, ease of use, and the absence of overdose symptoms. Side effects include rarely observed dryness and irritation of the nose and restrictions on the use of the drug in pregnant women. Special precautions should be taken when used together with certain antiviral and antifungal agents, as they may change the concentration of the hormone in the blood plasma.
Allergodil drops deservedly take one of the first places in the ranking in terms of antiallergic effectiveness. The active ingredient is azelastine in the form of hydrochloride, each dose contains 140 micrograms of this drug. Azelastine blocks histamine receptors, stabilizes the membranes of mucosal cells, and reduces capillary permeability. When applied topically, Allergodil can quickly relieve all allergy symptoms - nasal congestion decreases, itching and sneezing disappear. Allergic translucent mucus stops coming out of the nose.
The drops act quickly; within 15 minutes after a single use, significant relief occurs, which lasts 12 hours or longer. The drug is indicated not only for allergic rhinitis, but also for conjunctivitis (in the form of eye drops), as well as for vasomotor disorders in the nasal mucosa. Allergodil is used from the age of six and older, one dose in each nasal passage twice a day. The product is produced by the German company Meda Pharma. The nasal spray can be purchased for 490 rubles, the bottle contains 10 ml of the drug.
Advantages and disadvantages
The advantage of the product is its rapid action and relatively affordable price, the ability to use the product in complex therapy with other local drugs for nasal instillation, and the absence of overdose symptoms. The negative point is minor irritation of the nasal mucosa as a side effect, very rarely dizziness and weakness occur, and the drug is contraindicated for use in children under 6 years of age, during pregnancy and lactation.
Cromohexal drops, the active ingredient of which is cromoglycic acid, have long been widely used in various forms for the treatment of atopic bronchial asthma, and the topical form is also in demand in the treatment of allergic rhinitis. The drug prevents the start of the allergic cycle in the mucous membrane of the nasal cavity, but Cromohexal is best used for prevention, since a noticeable improvement does not occur in minutes or hours, but in a few days, and even a few weeks after administration. This unique property is rarely found in nasal drops, which is why Cromohexal has earned its place in the ranking.
For hay fever and allergic rhinitis, this remedy can be used in conjunction with other remedies. It can be used in adults and children over 5 years of age, and the dose should be one inhalation of the spray in each nostril 4 times a day, and increased to 6 times if necessary, for example, with prolonged contact with potential allergens. The course of treatment is a month. Cromohexal is produced by the pharmaceutical company Sandoz, Switzerland. You can purchase one 15 ml bottle of spray for 150 rubles, especially if you use the online medicine ordering service.
Advantages and disadvantages
Cromohexal, as well as other drugs containing cromoglycic acid, has one feature: it must be discontinued gradually, over 1 week, so as not to get the opposite effect, and this is not entirely convenient. But this remedy is “long-lasting”, and after proper withdrawal it continues to act. Side effects include coughing, occasional nosebleeds, and in rare cases headaches. This drug is contraindicated for use in pregnant and nursing mothers, as well as in children under 5 years of age. But the positive point is its unique ability to reliably “cover” the mucous membrane compared to the use of other means, and an affordable price with Swiss quality.
Prevalin is a barrier drug. This means that it does not contain any hormones or substances that affect the mechanism of inflammation and the allergic cascade of reactions. Simply, when applied to the nasal mucosa, this product mechanically covers it from the effects of allergens. In the bottle, Prevalin is liquid, but once on the mucous membrane, it turns into a gel, and allergens cannot overcome this gel barrier. That is why this remedy is very suitable for prevention before allergens reach the mucous membrane, but Prevalin is much less suitable for treatment. The product contains bentonite, or clay, glycerin stearate, mint and sesame oil, as well as inorganic phosphates.
It is advisable to use this remedy either in complex treatment, when the patient takes antihistamines orally, and they have a systemic effect, or for the prevention of allergic rhinitis and hay fever. The standard dose is 2 sprays in each nostril three times a day. Reliable protection of the mucous membrane after administration lasts up to 6 hours. Prevalin is produced by the German pharmaceutical company Incjupharm, and you can purchase one 20 ml spray bottle for an average of 390 rubles.
Advantages and disadvantages
Prevalin contains no synthetic chemicals, no signs of overdose and no side effects. Prevalin is an almost ideal remedy for protecting the mucous membranes, and if it is used for this reason, then allergic rhinitis develops much less frequently. The negative aspects of taking it include its low effectiveness even against the background of severe allergic symptoms. This spray should be in the first aid kit of every allergy sufferer and used before going outdoors, before encountering allergens, but not to relieve symptoms.
The best vasoconstrictor nasal drops for a runny nose
A runny nose of any etiology always leads to dilation of the vessels of the nasal mucosa. As a result, mucus production increases and the nose becomes stuffy. Vasoconstrictor drops affect the adrenergic receptors embedded in the nasal vessels, and the vessels spasm. As a result, their area decreases, swelling goes away, and the nose begins to breathe freely. These drugs are very popular because they provide relief within minutes.
But we must remember that these funds should be used as rarely as possible. Most ENT doctors do not recommend using them for more than a week, and it is best to limit it to one or two days, since addiction to these drugs develops very quickly, and an increasingly large dosage is required, since the blood vessels stop responding to the medicine. But that's not the whole problem. The walls of the blood vessels gradually become thin, the mucous membrane of the nasal cavity atrophies, an addiction to drops arises, and soon the patient discovers that even without any cold it is necessary to constantly drip Naphthyzin into the nose so that it does not become blocked. The result is chronic, atrophic rhinitis, frequent nosebleeds and painful dependence of the nasal mucosa on these drugs.
Of course, there will be nothing wrong if the drugs included in the rating are used in short courses or occasionally, in this case they will be very helpful.
Perhaps the simplest, crudest, but the cheapest and most effective remedy, popular and beloved among the general public, is Naphthyzin. It contains naphazoline. Drops are an alpha-adrenergic receptor stimulant, and everything said in the introduction to this section of the rating fully applies to it.
It is indicated for various rhinitis, nasal congestion, sinusitis, and swelling of the mucous membrane of various etiologies. Naphthyzin is available in a children's dosage of 0.05 g. Naphthyzin should be instilled no more often than 3 drops 4 times a day, preferably one drop three times a day. It must be remembered that after 5 days of taking it, addiction begins and the effect of the medicine decreases, so you need to take a break for several days, or, best of all, switch to other medications altogether. Naphthyzin is produced by a large number of domestic pharmaceutical companies, and at low cost it breaks records. Thus, 10 ml of the drug in an adult dosage can be purchased for 9 rubles.
Advantages and disadvantages
The disadvantages of Naphthyzin include addiction and decreased effectiveness, as well as local and general side effects. The nasal mucosa can become irritated and even swell with prolonged use; in case of an overdose, blood pressure may rise and the pulse may increase, nausea and headache may appear. This drug cannot be used together with monoamine oxidase inhibitors and some antidepressants, and therefore it is advisable that Naphthyzin be prescribed by a doctor. The positive aspects include the rapid action of the drug at the very beginning of its use and its extreme cheapness and universal availability.
Galazolin contains xylometazoline as an active agent. It is weaker than naphazoline, which is part of Naphthyzin. Naphthyzin is an extremely strong drug; all the others are not so powerful, but safer. Galazolin causes addiction and the development of atrophic rhinitis is half as likely as the use of Naphthyzin. Xylometazoline has a milder effect, but Galazolin should be instilled three times a day, since it acts for about 6 hours after administration. It is important that Galazolin is available not only in nasal drops, but also in the form of a nasal gel, standard dosage 0.1%, and 0.05% (for children). The drops begin to act within 5 minutes.
The recommended dosage regimen for adults and children is 2-3 drops of solution in each nostril 2-3 times a day. As for the gel, one drop three times a day in each nostril is enough. The maximum duration should not exceed 2 weeks of use. Nasal drops can be purchased for 34 rubles, and nasal gel costs much more - about 110 rubles. per bottle of 10 ml. The product is produced by the Polfa company, Poland.
Advantages and disadvantages
The advantages of Galazolin include a milder effect, lower cost and less frequent development of addiction than Naphthyzin, but it is advisable not to use this drug for drivers and those people whose profession is associated with increased concentration of attention. The product should not be dripped more than 3 times a day. Side effects may include dry mucous membranes and headache; in case of overdose, tachycardia and increased blood pressure. Galazolin is contraindicated in people with glaucoma, arterial hypertension, thyrotoxicosis, diabetes mellitus, and while taking monoamine oxidase inhibitors. Of course, it is best if this remedy is prescribed by a doctor after a comprehensive assessment of the condition.
Nazol contains the next generation of active adrenergic agonist - oxymetazoline. There is a whole family: simply Nazol, Nazol Advance, Aqua, Baby, Kids. All these drugs have different dosages and are intended for adults and children of different ages - from toddlers to teenagers. Oxymetazoline is indicated for various forms of runny nose, acute and chronic sinusitis, and also for the treatment of acute upper respiratory tract infections. The drops are classified as adrenomimetics, begin to act after 10 minutes, and the effect lasts for 12 hours.
It is necessary to prescribe it to adults and children, two to three drops in each nostril twice a day, and to children - 1 drop twice a day, if we are just talking about the drug Nazol. You can buy Nazol in the form of a spray of 10 ml at a price of 130 rubles. The drops are produced by the German concern Bayer.
Advantages and disadvantages
The advantages of the product include greater softness, compared to Naphthyzin and Galazolin, the ability to choose the right dosage, but with prolonged use, nasal breathing may become difficult, and symptoms of atrophic rhinitis may occur. Therefore, it is not recommended to use these drops for more than 7 days without a doctor’s prescription. Nazol should not be used by children under 6 years of age; there is a special dosage for children - this is Nazol Baby. The drug is not indicated for use in pregnant and nursing mothers, or in patients with diseases of the cardiovascular system. Therefore, a preliminary consultation with a doctor is advisable.
The best nasal drops for children
Children are not as well adapted to changing environmental conditions as adults, so they have a more difficult time with a runny nose. The airways in them are narrower, and if the child is an infant, then he may simply not be able to breathe through his mouth. Therefore, a runny nose is always a more dangerous condition for children than for adults. However, children's bodies are more demanding of active ingredients, and they often cannot be prescribed nasal drops that are used for adults. The rating of popular drops for runny noses in children includes various drugs, we present them to your attention.
The first of these preparations is AquaMaris Baby, containing natural sea water. Essentially, it is just pure sea water without any impurities, and it is intended for irrigation and rinsing of the child’s nasal cavity. The product does not contain any chemical additives or preservatives. It is known that sea water contains a small concentration of salt (on average, 33 ‰), and a salt solution applied to the mucous membranes draws out excess fluid from them and reduces swelling. This reduces the risk of spreading infection, reduces nasal congestion and irritation of the mucous membrane, and helps with a runny nose.
In children, it is recommended to rinse the nose with sea water for various rhinitis and sinusitis, for a runny nose, for atrophic rhinitis, as well as in the complex treatment of respiratory viral infections. For the purpose of prevention, each nasal passage is washed on average 3 times a day, and for treatment the number of rinses increases to 6 times. Drops are produced in cylinders. First, you need to tilt the baby's head to the side, insert the tip of the balloon into the upper nasal passage, and irrigate the nasal cavity for a few seconds. After this, you need to ask the child to blow his nose, then turn his head. You can purchase a spray with a 50 ml container for 255 rubles. The pharmaceutical company Yadran produces, or rather packages, sea water, and the manufacturer indicates that sea water is taken from the Adriatic Sea, in ecologically clean areas.
Advantages and disadvantages
The advantages of this drug include its preventive nature and complete safety, the absence of side effects, contraindications, and the possibility of overdose. The drug can be used for a variety of diseases and in children of different ages, including healthy children. The disadvantages of the product include the impossibility of using it as monotherapy for severe nasal congestion in a child, and yet the negative side is the relatively high price - 250 rubles for a quarter glass of sea water is still a bit much.
Pinosol is available in the form of drops, as a nasal spray, and even as an ointment for the nose, and this drug was included in the rating because it is a herbal remedy that is effective at any age, but it is most often used in children due to its gentle effect on the mucous membranes . Pinosol contains eucalyptus and pine oil, vitamin A, peppermint oil, and other components. The product has an antiseptic and anti-inflammatory effect. It is indicated to use Pinosol in children with acute and chronic rhinitis, various inflammatory diseases of the mucous membrane in children, as well as after operations on the ENT organs.
For children, the product is instilled 3 times a day, one or two drops into each nostril, or a cotton swab is used for this. The treatment period for a runny nose is no more than a week. Pinosol drops are produced by the Czech company Zentiva; you can buy a 10 ml spray for 200 rubles, drops of the same volume for 125 rubles, and a nasal ointment of the same volume for 215 rubles.
Advantages and disadvantages
The advantages of Pinosol include its good tolerability, the content of natural ingredients, and various forms for nasal administration. It can be used for prevention during the epidemic season. The disadvantages of the product include its ineffectiveness for allergic rhinitis in a child, since allergies do not require antiseptic and antibacterial action at all.
Vibrocil is a complex preparation. It contains an antiallergic histamine receptor blocker and a vasoconstrictor alpha-adrenergic agonist. These are, respectively, dimethindene maleate and phenylephrine. The product is available in the form of a gel, drops and spray. It has a vasoconstrictor and antiallergic effect, and is excellent against the runny nose. Vibrocil is indicated for all types of acute and chronic rhinitis, including allergic nasal congestion in a child.
Drops can be prescribed to a baby, starting from the newborn period - one drop 3-4 times a day in each nasal passage. In older children, the dosage is gradually increased, and children over 6 years of age are prescribed three to four drops in each nasal passage 3-4 times a day. Nasal gel and spray are used only in children over 6 years of age. Vibrocil is produced by the pharmaceutical company Novartis, and a 15 ml bottle of drops can be bought for 250 rubles.
Advantages and disadvantages
The drops have a complex effect and are intended for a wide range of indications; they have a gentle effect on the child’s nasal mucosa. There are many convenient forms for use. Contraindications include the presence of atrophic rhinitis, which, however, is very rare in children, and the use of monoamine oxidase inhibitors, which children also take infrequently. Side effects of Vibrocil are rare - mainly a burning sensation and dryness in the nose, which quickly disappear. To combat these side effects, you can use AquaMaris Baby.
Above we discussed the main popular drugs for topical use for runny nose of various etiologies in children and adults: drops, sprays, nasal gels and ointments. The rating was compiled based on sales volumes in various regions of the Russian Federation for 2016 - 17. But no matter what active and complex drugs are offered in pharmacies for the consumer, the main specialist who can weigh all the benefits and possible harm from use is the attending physician. Therefore, first of all, you need to consult a specialist, and only then begin treatment.
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Often a runny nose is of an allergic nature. In such cases, persistent nasal congestion may accompany the flowering period of some plants or appear suddenly after contact with an allergen (for example, after a person pets a cat). A runny nose can accompany more serious diseases: inflammatory processes in the paranasal sinuses (presence of sinusitis, sinusitis, etc.). In this case, as a rule, there is severe general intoxication, increased body temperature, and the appearance of a severe runny nose with a thick consistency. Nasal congestion accompanies a deviated nasal septum. A runny nose with copious, acrid discharge of a liquid consistency may accompany withdrawal symptoms when withdrawing from narcotic substances. Liquorrhea (leakage of cerebrospinal fluid) through the nose due to fractures of the ethmoid bone can imitate a common runny nose. Therefore, the best remedy for a runny nose, as you understand, directly depends on the cause that caused it. Therefore, in order to understand what effective remedy for runny nose and nasal congestion should be used in a given situation, sometimes a thorough examination of the whole body is necessary.
1 — Etiotropic therapy: includes antibacterial, antiviral drugs that act on pathogenic microorganisms that cause the inflammatory process in the case of infectious genesis of the runny nose;
2 – Symptomatic therapy includes drugs that relieve or alleviate the symptoms of a runny nose and other painful phenomena that occur with a cold. These include remedies for nasal congestion (including those for nasal congestion without a runny nose), remedies that soften the nasal mucosa when it dries out, remedies that thin thick snot and, accordingly, quickly improve their outflow. Local vasoconstrictor drugs are widely used. These are remedies for a runny nose that is not seriously complicated, possibly with nasal congestion.
3 – Antiallergic drugs. The most common remedies for a runny nose or nasal congestion without a runny nose (and in some cases the most effective) from this group are antihistamines. They suppress the action of free histamine, which is a key mediator of inflammation. There are several generations of this group of drugs, which differ significantly in their mechanism of action, effectiveness and safety. Also, for allergies in more severe cases, hormonal drugs are prescribed, however, their use is associated with the risk of developing addiction and the formation of drug dependence. An effective drug from this group is, for example, cromohexal.
4 –Homeopathic medicines. Homeopathy for colds is an interesting type of treatment that causes a lot of discussion, however, it is still a method of treatment for runny nose and colds that has repeatedly proven its effectiveness, based on the principle: “Like is cured by like.” Complex multicomponent natural homeopathic preparations are usually taken for a long time. It should be noted that they are practically free of side effects. And this statement is by no means an advertisement, but a fact confirmed by experience. Recently, remedies for the treatment of runny nose with homeopathic composition are often used by otolaryngologists. The best drugs from this group: “ Euphorbium-compositum", "Sinupret", "Corrizalia".
5 – Phytotherapy. Here we are talking about a huge range of medicinal plants that have many years of experience in use for colds. For example, star anise, traditionally used in China to treat colds, is part of a popular modern remedy for colds and runny nose “ Tamiflu"(this is in no way an advertisement, but only an example of the inheritance of ancient Chinese traditions)
6 – Physiotherapy. Exposure to physical environmental factors is sometimes a more effective remedy for runny noses and colds than pharmacological drugs. The following methods are used to treat runny nose in adults: ultraviolet irradiation of the nasal mucosa, laser therapy, UHF therapy. Recently, an advertisement has appeared for an innovative method - information-wave exposure to the nasal area during a runny nose using the Azor-IK device.
7 – . Perhaps they should also be separated into a separate category. This includes remedies for the common cold with sea water, extracts of medicinal plants (chamomile, sage) and simply saline solution. The therapeutic effect consists primarily of enhanced drainage of the nasal cavity.
Medicines for the common cold
Now here is a list of the most common drugs for the treatment of runny nose:
Local preparations
The best remedy (or at least the most popular) for a purulent runny nose is the drug “ Isofra" Thanks to the active substance, the broad-spectrum antibiotic framycetin, it is successfully used for the common cold and sinusitis.
A good drug against a runny nose, a lingering runny nose that occurs against a background of reduced immunity, is “ Euphorbium compositum" This drug is homeopathic, relieves swelling and inflammation in the nasal cavity, and has a powerful immunomodulatory effect.
Among antiviral drugs, drops containing interferon (for example, “ Nazoferon"). This drug directly affects viruses, and also improves immunity and is successfully used for colds, but is ineffective in the presence of a purulent runny nose.
An effective antiallergic drug - Cromohexal. This agent stabilizes mast cell membranes. Thus, degranulation does not occur, and histamine, which is involved in the formation of an allergic reaction, does not enter the blood.
Sanorin- the best remedy for nasal congestion. The drug has a vasoconstrictor effect due to its effect on alpha-adrenergic receptors located in the walls of the vessels of the nasal mucosa. We can say that this is the best drug for nasal congestion, since, by constricting blood vessels, it relieves and prevents the appearance of swelling of the mucous membrane, which makes nasal breathing difficult. However, it should be remembered that Sanorin, like other medications from this group, should be used with great caution. Firstly, their use risks causing addiction. That is, roughly speaking, without the drug, severe nasal congestion will appear and in some cases patients may subsequently take these medications for a long time (years), causing significant harm to their health. And, secondly, swelling of the mucous membrane during a runny nose is adaptive, protective in nature. This helps the body quickly cope with the pathogenic agent and prevents the spread of the inflammatory process. If you have a drug-induced runny nose, you should not use this drug.
The most effective remedy for a runny nose caused by a severe allergic reaction is a hormonal drug Flixonase. This is a local glucocorticosteroid. The drug has a more powerful anti-allergic, anti-edematous and anti-inflammatory effect compared to antihistamines. However, when using it you should also be wary of addiction.
But a good natural remedy, often successfully used for rhinitis (also in pediatric practice) is Pinosol. Eucalyptus, pine, mint oil, vitamin E and guaiazulene are the ingredients of this drug. It has an antimicrobial effect, improves the processes of restoration of damaged epithelial cells of the mucous membrane.- A drug that can be used to effectively rinse the nasal cavity is an infusion of chamomile flowers (pour 2 tablespoons of 200 ml of boiling water, leave for 15 minutes, then strain, use warm for rinsing). You can say this is a home remedy for a runny nose. It has antiviral, antibacterial, anti-inflammatory effects. Washing with chamomile infusion, due to its pleasant smell, has a calming effect. Washing is also good for purulent runny nose.
A good remedy for a runny nose that accompanies sinusitis - Sinupret. This is a multicomponent herbal medicine, widely used in ENT practice. Relieves inflammation, promotes sinus drainage. Has an immunostimulating and antiviral effect. Few remedies for runny nose and congestion have a similar effect!
Salin– an excellent remedy for a runny nose, which is suitable for both adults and children. Salin has an anti-edematous, anti-inflammatory effect, thins nasal discharge, and normalizes the pH of the nasal cavity. It also has an antiseptic effect. Improves the transport function of the nasal epithelium. It is used for runny nose of various etiologies, including atrophic rhinitis.
Systemic drugs
Separately, it is necessary to present effective means of systemic action that are used to treat the common cold.
A common symptomatic remedy for colds and runny nose is Coldrex. It has antipyretic, analgesic, anti-inflammatory, as well as mild immunomodulatory effects. The composition includes the following components: paracetamol, phenylephrine, vitamin C. The drug significantly improves subjective well-being during colds, but it should not be abused.
To increase the body's defenses, a preparation based on the flowering parts of Echinacea purpurea is suitable - Immunal. This remedy enhances the process of phagocyosis, has a direct antiviral effect (acts on the influenza virus, herpes), and also stimulates humoral immunity. Used for the prevention and treatment of colds.
Homeopathic medicine Aflubin also stimulates the body's immune response. In addition, it relieves symptoms of the disease: headache, weakness, and reduces body temperature. If you start taking aflubin at the very beginning of the development of an acute respiratory disease, it significantly speeds up the healing process. Not addictive.
Amizon– has a fairly high rating, a drug from the group of non-narcotic analgesics, has an anti-inflammatory, antipyretic effect. In addition, it stimulates cellular and humoral immunity, which is why it is widely used.
If there is a purulent runny nose, it is necessary to prescribe antibiotics.
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