Instructions for use of Vibrocil, contraindications

A combined vasoconstrictor and antiallergic medicine is Vibrocil. Instructions for use explain how to properly use nasal drops, gel and nasal spray for the treatment of allergic rhinitis and sinusitis. What Vibrocil helps with, information on prices, analogues and patient reviews will also be presented in the article.

Indications for use and contraindications

The drug Vibrocil, which relieves chronic nasal congestion, is also recommended for use in the presence of the following symptoms and diseases:

• chronic and acute otitis media;
• medicine is prescribed for sinusitis;
• all known types of rhinitis;
• acute and chronic sinusitis;
• the medicine is used for green snot;
• in case of colds;
• Vibrocil is prescribed for flu and sore throat;
• This medication is recommended for acute respiratory diseases.

Also, the indications for use contain recommendations regarding the use of complex treatment, including Vibrocil, for chronic runny nose. Often the medicinal composition is used to rinse the nose before surgery and operations on the nasal sinuses. It is contraindicated to use the medication for atrophic rhinitis, simultaneously with MAO inhibitors, in the presence of closed-angle glaucoma, as well as in children under one year of age.

Use of the medication for adults

This medication is used as part of complex therapy to combat nasal congestion. Let's consider the basic recommendations for use for adults:

• adults are prescribed a therapeutic course for 7-10 days;
• Applying the product requires 3-4 drops in each nostril;
• It is recommended to use the medication no more than 3-4 times per day;
• before use, it is necessary to clear the sinuses of mucus;
• the medicine should be instilled in an upright position;
• It is not recommended to throw your head back too much.

If necessary, the dosage may be changed according to the doctor's recommendation. The specialist selects a course of treatment depending on the patient’s condition, but the dosage does not exceed the norms established in the instructions.

Before using a medicinal composition in the fight against a disease, it is necessary to undergo a proper examination and establish a reliable diagnosis in order to correctly select the concomitant treatment.

Application of Vibrocil for children

This medication is often prescribed as part of complex therapy for the treatment of runny nose in children. Here it is necessary to take into account a number of features prescribed in the instructions for use and recommended by doctors:

• the drug is not prescribed for children under one year of age;
• children under six years of age are prescribed 1-2 drops (3-4 times a day);
• for a child aged six to 12 years, the drug is prescribed 3-4 drops (3-4 times a day), strictly under the supervision of an adult.

The instructions for the medicine also contain recommendations for its use for adults and adolescents over 12 years of age.

A child’s body is not as strong as an adult’s; at a young age, it only begins to adapt to diseases and climatic conditions. This is why children are more susceptible to diseases. In order not to worsen the condition, all treatment of the child is carried out under the careful supervision of a specialist and supervision by an adult.

Use of the medication during lactation and pregnancy

Due to the fact that the drug has an effect such as vasoconstriction, it is not recommended for use in a therapeutic course during pregnancy and breastfeeding. Failure to follow these recommendations can have a detrimental effect on the health of not only the woman, but also her child.

Doctors insist on replacing this drug with safe nasal drops that can be used during pregnancy and lactation. Any treatment during these periods of time should be carried out under the strict supervision of a specialist. Unauthorized use of medications can lead to deterioration in the health of both mother and child.

In order not to worsen the health condition during pregnancy or lactation, the mother should regularly visit a doctor for a medical examination.

What is it used for?

Vibrocil is used to treat diseases such as:

1. Acute and chronic rhinitis. The action of Vibrocil is aimed at eliminating mucous discharge, burning sensations in the nasal cavity and external symptoms such as redness of the nose. With rhinitis, loss of smell and taste often occurs; the anti-inflammatory effect of the drug can eliminate this phenomenon in a short time.
2. Allergic rhinitis. Vibrocil eliminates itching, nasal congestion, constant sneezing, and watery discharge from the sinuses. The sooner you start using the drug, the faster you will get rid of all these symptoms that cause a lot of discomfort. In addition, allergic rhinitis is often accompanied by fever, headaches, and deterioration of general condition. Eliminating the main symptoms of the disease will speed up getting rid of the others.
3. Acute and chronic sinusitis. Vibrocil successfully combats such symptoms of sinusitis as a prolonged runny nose, a feeling of heaviness in the inflamed sinus area, partial or complete loss of smell, swelling of the cheeks, constant runny nose, causing irritation, etc. In the acute form of the disease, Vibrocil allows you to completely eliminate its symptoms, and in the chronic form, it allows you to achieve long-term remission.
4. Otitis media. For this disease, Vibrocil cannot be the main drug of therapy. However, when there is a strong inflammatory process in the ear, complex therapy is usually required to prevent the spread of swelling and other symptoms to other ENT organs. In this regard, Vibrocil is often prescribed as an additional means of combating otitis media.

Vibrocil can also be used before and after surgical procedures on the sinuses. The drug can eliminate swelling of the mucous membrane if it interferes with manipulation or is a complication after surgery.

Compound

The main active components of Vibrocil:

Phenylephrine. Responsible for vasoconstrictor function, relieves swelling, normalizes blood circulation and the amount of mucus secreted from the nasopharynx. Dimetindene. It has an anti-allergenic effect and has antiseptic properties that do not allow the development of pathogenic microflora. It is thanks to this substance that the effect after instillation lasts about 5 hours.

A one-time use of a medicinal substance can “pause” a runny nose for 5 hours. After this time, the mucous tissues will begin to swell, and inflammatory processes will begin to occur in the nasopharynx.

You should seek help from a qualified specialist who, after determining the characteristics of your body, will prescribe a specific list of medications. Additional products included in the drug:

Sorbitol. The substance gives Vibrocil a characteristic sweetish taste. If the solution gets into your throat, you will not feel the usual bitter taste of drugs. Benzalkonium. Clears the microflora of viruses and infections, preventing them from developing in the patient’s body. Lavender oil. Responsible for the pleasant aroma of the medicinal substance. Water as an auxiliary component.

Thanks to the above mentioned products, Vibrocil has a pleasant taste/smell, which makes it possible to use for babies.

Let's summarize. Before you start taking the substance, you should consult your doctor. Using Vibrocil without additional potent drugs will not bring the required result and will not be able to provide complex therapy. Chronic forms of nasopharyngeal diseases cannot be treated with Vibrocil.

What medications are used to treat sinusitis, the most effective remedies for sinusitis

Since the times of zemstvo medicine, when there was one doctor for the entire district, whose primary specialization was surgery, the treatment of sinusitis was reduced to the principle “where there is pus, open wider.”

The wall of the maxillary sinus was pierced under local anesthesia with a wide needle or trocar, after which it was drained and the purulent contents were pumped out.

This practice lasted until the eighties of the last century, leading to successful relief from acute sinusitis, but increasing the risk of relapses, which led to subsequent punctures and the formation of a chronic fistulous tract between the maxillary sinus and the nasal cavity.

With the advent of a large number of different antiseptics and antibacterial agents in the pharmacological range, the treatment of sinusitis has moved to a new qualitative level and is now carried out conservatively in most cases.

To the credit of modern otolaryngology, it should be noted that abandoning the surgical route has led to very decent results, both in the immediate treatment of the disease and in terms of long-term results. There are much fewer chronic processes, the patient experiences much less stress, freed from the need for a painful and scary surgical puncture procedure.

What are the real possibilities for medicinal treatment of sinusitis today, and how to choose the least expensive and effective medicinal set (they have not yet learned how to treat sinusitis with one drug)?

What medications are used for sinusitis?

Since the basis of the inflammatory (catarrhal or purulent) process in the maxillary paranasal sinus is an infection (usually microbial, less often viral or fungal), when treating sinusitis, the drugs chosen are antimicrobial, antiviral or antifungal.

Antibiotics

Antibiotics are the favorite child of 20th century medicine, however, they are not the best cure for sinusitis.
If treatment is carried out in a clinic equipped with a decent bacteriological laboratory, and before treatment begins, the sinus secretions are cultured to determine the pathogen and its sensitivity to the antibiotic - it’s a small matter. It remains to choose the drug that shows the greatest activity against the microbe. In this case, it is necessary to take into account that the result of the analysis (in vitro sensitivity) may not coincide with the actual operating conditions of the antibiotic in the body.

Therefore, they immediately choose the strongest drug (in the absence of contraindications and, first of all, allergic reactions to it). Most often, antibiotics are prescribed empirically, that is, experimentally, based on indications (presence of yellow or green discharge from the nose, temperature reaction of the body). In this case, a broad-spectrum drug is selected that is active against most potential pathogens of sinusitis.

Penicillins

Today they have already lost the fight to most microorganisms. And especially staphylococci, which are in third place among the causative agents of acute or chronic sinusitis (after streptococci and Haemophilus influenzae). However, often in the absence of cultures, therapy begins with inhibitor-protected penicillins, which contain additional additives that prevent bacteria from destroying the drug. In addition, penicillins are still an effective remedy in the fight against streptococcus, which can cause severe complications in the kidneys and joints, as well as secondary rheumatic valvular heart disease.

The most popular tablets are: Amoxicillin clavulonate under the trade names Panklav, Amoxiclav, Flemoklav and powder for suspensions Augmentin. Sulbactam Ampicillin with the names Ampiksid in tablets and injections, Unazin, Sultamicillin in injections.

Amoxiclav is a combination of amoxicillin and clavulanic acid, active against Staphylococcus aureus, pyogenic and pneumoniae streptococci, Escherichia coli, Enterobacteriaceae, Moraxella and Klebsiella. Thus, it covers most of the spectrum of potential pathogens of sinusitis. In tablets, the drug is taken in children at the rate of 40 mg per kg of body weight in three doses per day. For persons over 12 years of age, 1 tablet (125 mg + 250 mg) every 8 hours or a tablet (125 + 500 mg) every 12 hours. The course of therapy is 7 days.

Cephalosporins

Due to their widespread use, cephalosporins of the second (Cefaclor) and third (Ceftibuten, Cefixime) generations have now given way to macrolides. However, in the context of a budget deficit and rising prices for medicines, they have not yet left the scene.

Cefixime (Suprax, Pancef, Cemidexor) - tablets that inhibit the growth of Haemophilus influenzae, streptococci, Moraxella, Klebsiella). Half is excreted by the liver and kidneys. 400 mg of the drug is taken once a day or in half the dosage twice (in adults and children over 12 years of age). Side effects include: skin allergies, dry mouth, nausea, diarrhea, abdominal pain, pseudomembranous colitis, increased liver transaminases, dizziness, headaches, a drop in white blood cells and platelets, and rarely, interstitial nephritis. The drug is contraindicated if you are allergic to penicillins and cephalosporins.

Macrolides

Macrolides (Azithromycin, Josamycin, Clarithromycin) are used in tablets and suspensions in children and adults in courses of 3-5 days. They exhibit activity similar to inhibitor-protected peniillins with less resistance of microorganisms.

Azithromycin (Azitral, Sumamed, Hemomycin) tablets of 500 or 250 mg are used in a dosage of 500 mg once a day. Side effects are similar to cephalosporins. The drugs are undesirable if you are allergic to macrolides; they are questionable when used in pregnant and lactating women.

Fluoroquinlones

These drugs are exclusively for adult practice, since they still belong to reserve means and should be used in extreme cases, so that cross-insensitivity of bacteria to them does not develop. They have the property of killing bacteria by blocking their DNA. Lomefloxacin (Lomeflox, Lomacin, Xenaquin), Ciprofloxacin (Inficipro, Quintor, Zindolin), Ofloxacin (Glaufos, Zanotsin, Quiroll), Norfloxacin (Negaflox, Loxon), Levofloxacin, Moxifloxacin, Sparfloxacin (Sparflo).

Local antibiotics

Local antibiotics are sprayed in the form of a nasal spray: Framycetin (from the group of aminogliosides, Isofra). The medicine is used 4-6 times a day for 7-10 days.

Antiseptics

These are the drugs of choice for the treatment of viral sinusitis. Since most viral sinusitis is expensive and useless to treat with antiviral drugs (most remedies do not have a solid evidence base), the main goal for viral sinusitis is to ensure a decent outflow from the sinuses and try to sanitize the nasal cavity:

• Dioxidin in 1% solution. It is taken from the ampoule into a 10 ml syringe. From which it is instilled into the nasal passages, which can also be washed with the drug. The product, in fact, is a powerful antiseptic that kills most viruses and bacteria, which is not advisable to swallow “so as not to harm the stomach.” Not used in pediatric practice due to toxicity. For the same reasons, it is not used in pregnant and lactating women.
• Miramistin is a chlorine-containing antiseptic with a wide spectrum of action. It is colorless, odorless and virtually tasteless. In adults it is used for rinsing, and in children for instillation into the nose. May cause local allergies. Not contraindicated for pregnant and lactating women. Read more here.
• Furacillin in 0.02% solutions is used to rinse the sinuses. At home, the solution is prepared from two tablets and a glass of water. For rinsing, use a baby syringe or a 20 gram syringe. An ENT doctor uses a device consisting of an adductor tube through which a solution is pumped into the nasal passage and suction is used to pump it out. A course of rinsing consists of 3-10 procedures and may be complicated by otitis media. Furacillin is quite bitter, but swallowing it in small quantities (which usually happens during rinsing) is not dangerous.
• Protorgol is a silver solution that is very effective against bacterial infections in the sinuses, especially in children. 2-3 drops are instilled into each nasal passage for 7-10 days. Today it is used infrequently under the pretext of the accumulation of silver ions in the body and its chronic poisoning, which, according to the fair opinion of otolaryngologists of the Soviet school, is complete nonsense. The product has worked, is working and will continue to work as long as it is prepared in pharmacies. The product is good for 2 weeks if stored in the refrigerator.

Bacteriophage solutions

Again, a Soviet development, forgotten and clogged by the antibiotic lobby of the pharmaceutical industry. For staphylococcal or klebsiella sinusitis in pediatric practice and stable microflora, worthy preparations for topical use in the form of rinses or nasal drops.

Nasal rinsing solutions

Dolphin, Aquamaris, Salin, Aqualor - a cunning advertising trick that sells saline solution (0.9% NaCL, that is, table salt solution) at the price of decent antibiotics. It is not harmful to rinse your nose if you have sinusitis; it is harmful to pay exorbitant amounts of money for a solution of table salt. So for a bottle of sterile saline solution with a volume of 20 ml you will have to pay no more than 40 rubles.

At the same time, a 10 ml bottle of Aquamaris already costs more than 110 rubles, Salin 30 ml - from 137 rubles, and 30 Dolphin bags with a gram of powder each will cost 190 rubles.

The same audience for whom patented versions of saline solution are recommended as less safe (it is not clear why), that is, children, are generally not subject to nasal rinsing at home due to the high risks of secondary inflammation of the middle ear.

A few words about how to rinse your nose correctly. Before rinsing, you need to stand over the sink, leaning forward at a right angle. After a deep breath, the breath is held. The rinsing container is placed tightly against the nostril. Then it is slowly raised so that the solution flows out of the opposite nostril. One half of the nasal passages and, if possible, the sinuses are washed. The remaining solution is removed from the nasal passages by actively blowing your nose.

GeloMyrtol and GeloMyrtol Forte

This is an alternative to antibiotics in the fight against sinusitis. This homeopathic remedy, oddly enough, works. This effective medicine for sinusitis in combination with dioxidin can cure acute, unadvanced sinusitis in a week. It is based on myrtol, supplemented with cineole, limonene, pinem, and rapeseed oil.

The entire mixture is enclosed in a gelatin capsule that dissolves in the intestines. The drug has a weak antibacterial, anti-inflammatory effect, and also improves the outflow of secretions from the sinuses and nose. Contraindicated in case of allergies to the components of the drug, bronchial asthma, cholelithiasis, in the first trimester of pregnancy and in children under 6 years of age.

Nasal drops

Drops may drip during sinusitis, but they should not be just any drops, but the right drops:

• It is not advisable to drip pure vasoconstrictors for sinusitis. The duration of their use (for severe nasal congestion that interferes with sleep) should be limited to five days. Drugs in this group: Xylometazoline (Otrivin, Galazolin, Ximelin), Naphazolin (Sanorin, Naphthyzin), Oxymetazoline (Nazivin, Nazol).
• Much preferable is a mixture of essential oils (Sinupert, Pinosol, Sinuforte) or combined drops: the vasoconstrictor phenylephrine in combination with the antiallergic fenistil (Vibrocil) or Rinoflumicil (acetylcysteine, which improves outflow and vasoconstrictor thiaminoheptane sulfate).
• Polydexa (vasoconstrictor with antibiotic and corticosteroid), Rhinopront (antihistamine and vasoconstrictor), Dr. Theiss Nazolin (eucalyptus oil and vasoconstrictor xylometazoline) are also possible.
• Sinuforte is a cyclamen for sinusitis in the form of a lyophilized extract and tuber juice, 2-3 drops are sprayed into each nasal passage once a day for two weeks. The drug is prohibited for pregnant and lactating women. It can cause local allergies and is therefore contraindicated for allergy sufferers. It should also not be used for nasal polyps and unregulated hypertension.

Auxiliary medications

These are antipyretic and anti-inflammatory drugs (Nurofen, Ibuprofen, Paracetamol), as well as antiallergic drugs of the 2nd and 3rd generations that reduce swelling of the sinus and nasal mucosa (Loratadine, Desloratadine, Cetrin, Zinnerit, Claritin, Clarisens).

Thus, treatment of sinusitis with antibiotics is not a prerequisite for successful conservative therapy. It is much more important that the swelling is eliminated, the outflow of sinus contents is established, and local sanitation of the source of inflammation is carried out.

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Risks when using Vibrocil

The instructions for use of Vibrocil state that the drug is practically harmless for young patients. Therefore, the only possible threat can be the appearance of drug-induced rhinitis.

It cannot be used to treat those children who have been diagnosed with individual intolerance to any of the active substances or atrophic rhinitis. And those who have problems with the thyroid gland, heart pathologies or hypertension need to be as careful as possible.

Different types of medicines

Having analyzed the reviews of parents who tried to treat their babies with Vibrocil, we can conclude that this drug is really good for small noses. It acts over a long period, causes virtually no negative sensations, restores ease of breathing and is not addictive. The not too sharp therapeutic effect is compensated by the softness of the effect and ease of use.

Before using Vibrocil, parents of a sick child should definitely consult with a qualified specialist. And if the pharmacy starts offering you its analogues, then you should not agree to this under any circumstances. Keep in mind that at the moment pharmacists have not yet come up with adequate analogues for Vibrocil.

Treatment of sinusitis with nasal drops

ENT doctors include the following as the most effective intranasal medications:

1. Isofr is a potent antibiotic spray, quick help for advanced forms.
2. Vibrocil - for softness and speed of action.
3. Snoop is the best way to relieve nasal breathing.
4. Tizin Alergy – high effectiveness in the fight against allergic sinusitis.
5. Polydex - for its universal antibacterial action.
6. Afrin - quick cleansing of the nasal passages from germs and bacteria.
7. Sialor Protargol - for a powerful antiseptic effect, rapid relief of inflammation of the mucous membrane.

Price – from 116 rub.

The otolaryngologist's prescription of eye drops for purulent sinusitis is due to their capabilities: to suppress any coccal flora (which nasal antibiotics of previous generations cannot cope with), and not to irritate the nasal mucosa at all.

Active ingredient: tobramycin 3 mg in 1 ml.

When treating various forms of the disease, in addition to traditional therapeutic measures and pharmaceutical medications prescribed by a doctor, it is worth using self-made medicinal products. There are a large number of effective, healing formulations of ointments, drops, lotions, solutions for rinsing the nose, the main ingredients of which are only natural, natural raw materials.

With propolis

The natural antibiotic propolis contains special biologically active substances. They are quickly absorbed into the nasal mucosa, where they relieve negative symptoms and eliminate the source of the disease. For inhalation, instillation, and production of turundas, use 20% pharmaceutical alcohol or a self-prepared infusion of propolis.

From beets

Due to its rich microbiological composition, juice from raw red beets helps with sinusitis:

• dilute the viscous secretions that form poorly from the nose;
• relieve the inflammatory process;
• regenerate the affected nasopharyngeal mucosa.

Freshly squeezed, filtered juice from grated beets is instilled into each nasal passage, 3-4 drops/4-5 rubles. in a day.

In order for the juice to penetrate better into the maxillary sinuses, before administering it, a vasoconstrictor is instilled into the nose to relieve swelling in the nasopharynx, or the nasal passage is washed with saline solution.

Products based on these substances will have an immunostimulating, analgesic, and anti-inflammatory effect in the treatment of sluggish, chronic, purulent sinusitis.

1. Drops. You will need - 10 pcs. table mumiyo 2 tsp. boiled water 0.5 tsp. glycerin. All ingredients are mixed. The resulting solution is instilled 1-2 drops into each nostril/2-3 times/day. The general course of treatment is 20 days. If necessary, you can complete 2-3 more courses with breaks between them of 5 days.
2. Turunda. Small twisted cotton wool flagella are soaked in the medicinal composition and inserted into the nasal passages for 20-30 minutes/2-3 rubles/day. The solution is prepared from 1 tsp. thin honey 1 tbsp. l. boiled water 4-5 tablets. mumiyo.
3. Oil solutions. Prepared according to 1 recipe, 2-3 grams are added to them. apricot or peach oil. The solutions are instilled into the nose 2-3 times per day, 4-5 drops. Course – 1.5-2 weeks.

Inflammation of the mucous membrane of the maxillary sinuses can occur in both adults and children. Treatment of the disease should be aimed at relieving the swelling of the mucous membrane that occurs as a result of the inflammatory process in the nasopharynx. Experts most often recommend nasal drops for sinusitis as an effective remedy. There is a wide variety of such drugs: according to composition, and, of course, according to age.

Drops for sinusitis should be taken at the very beginning of the disease, which usually begins in the form of a runny nose. In this case, you can avoid the transition of the acute form of the disease to chronic. In addition, it is much easier to cope with the disease at this stage than to lead to severe swelling of the mucous membrane, because consequences such as often become inevitable:

• pain in the sinuses;
• difficulty breathing;
• elevated body temperature.

The use of rhinofluimucil anti-sinusitis drops will help cope with the development of the disease, and rhinofluimucil spray is even more popular. Mostly this medicine is prescribed only in combination with other nasal medications. As you know, modern pharmacology offers consumers a wide variety of nasal drops for sinusitis.

This category of drops for the treatment of sinusitis helps to quickly and effectively relieve swelling of the mucous membrane of the maxillary sinuses. They also make breathing easier and speed up the clearing of purulent contents from the sinuses. Among the vasoconstrictors of this pharmacological form, the most popular are Naphthyzin, Galazolin and Nazivin. A drug such as Nazivin 0.01% is suitable even for the smallest children. When treating the inflammatory process occurring in the maxillary sinuses, it becomes advisable to use drops for sinusitis Vibrocil. They do an excellent job with dryness in the nasal cavity and crusts that have formed.

It is allowed to use vasoconstrictor drops for sinusitis for no more than 5-6 days. The only disadvantage of vasoconstrictors is the rapid addiction to the medicine with prolonged use, as a result of which its effectiveness decreases. In this case, you should consult a doctor so that he can select other medications.

In addition to vasoconstrictor drugs, there are softer, but no less effective, oil-based drugs. They contain extracts of some medicinal plants. Such drugs envelop the mucous membrane of the maxillary sinuses, relieve swelling and facilitate breathing.

In the event of an allergic type of this disease caused by a specific allergen, antihistamine nasal drops are prescribed to treat sinusitis.

Despite the fact that such medications help reduce the body's sensitivity to the allergen, you must first read the instructions for use. The fact is that the interaction of antihistamines with other types of medications can lead to side effects.

Do not forget about natural remedies for this inflammatory process, which are made on the basis of sea water. Of course, they cannot be used as the main medicine, but, nevertheless, sea water will very effectively and absolutely harmlessly facilitate the treatment process itself.

Nasal drops for sinusitis based on sea water or saline cleanse the mucous membrane, so the use of medications after this, for example, the sinusitis medicine Sinuforte, reviews of which are extremely positive, increases their therapeutic effect. It is important to begin treatment of this inflammatory process as early as possible, because only under such conditions can serious health problems be avoided.

Treatment of sinusitis without a puncture is carried out at the initial stage of development of the disease, for which the formation of pus is unusual. True, sometimes, purulent contents can be easily removed from the paranasal sinuses by applying conservative treatment. Medications are prescribed depending on the form and stage of the disease, as well as the causes of its occurrence.

Only the attending physician can prescribe truly effective drugs, since this requires an individual approach, taking into account the physiological characteristics of the patient’s body. After all, sinusitis can often be accompanied by complications such as pneumonia or meningitis.

Many experts, speaking about how to cure sinusitis without a puncture, argue that only a comprehensive and systematic approach will help get rid of this inflammatory process. Based on this, it becomes obvious that the use of any one medication cannot cure the patient. In addition, it is important to understand that treatment at home rarely gives a positive result; usually such actions lead to the neglect of the disease. And untimely medical care inevitably leads to serious complications that spread to the eye socket, ear, and upper respiratory tract.

In most cases, sinusitis occurs as a result of pathogens entering the paranasal sinuses, so the use of antibiotics becomes inevitable. Such drugs can be prescribed only after a microscopic examination of a smear taken from the nasopharynx.

When taking antibiotic therapy, it is very important to follow the indicated course, because 3-4 days of such treatment can only worsen the disease. Often, excessively long-term treatment also harms the patient; in this case, in most situations, the bacteria become resistant to the antibiotic, after which it will no longer be possible to be cured with its help.

Other foreign substitutes

In Russian pharmacies you can also find the following foreign drugs:

• Xymelin Extra. A Norwegian-made medication, produced in the form of a spray. It is characterized by rapid action, eliminating congestion in just a few minutes. The effect of application lasts within ten hours.
• Nazorine with eucalyptus. Since this Belarusian medicine has a very strong effect, it is usually prescribed for the treatment of laryngitis and sinusitis. Widely used in otorhinolaryngology. The composition contains eucalyptus as one of the active ingredients.
• Rinofluimucil. This Italian-made substitute is very close in characteristics to Vibrocil. Since Rinofluimucil can be addictive, therapy with its use lasts no longer than seven days.
• Nazik. A German-made medication with an effect aimed at constricting blood vessels and against inflammatory processes. It is characterized by a moisturizing effect, and therefore Nazik can be used in long-term therapy. Admission in children is allowed.
• Sanorin Analergin. Czech drops that quickly eliminate the symptoms of a runny nose. The effect of use lasts for a long time. The medicine has an antihistamine and vasoconstrictor effect and does not cause adverse reactions.

Of the foreign medications discussed above, the most profitable and at the same time effective substitute is Nazorin with eucalyptus, which can help even with sinusitis.

The structure closest to Vibrocil is Sanorin Analergin, which, like the original, has a complex effect:

• anti-inflammatory;
• vasoconstrictor;
• decongestant.

Before starting therapy, it is important to carefully study the instructions included with the medication.

Traditional methods of treating sinusitis

Answers:

Natalya Kudrina

Grate household soap, onion juice and rinse, water

Serge

I heard somewhere that putting the juice of an aloe plant into the sinuses helps. But the information is unreliable and requires verification.

Anna Tugaeva

Cuckoo if it's a child.

Oleg Garkunenko

traditional ones - puncture and antibiotics, they will write a lot of non-traditional ones for you here

Unknown

If traditional treatment, then go to the hospital, all the procedures will be done there. It can be treated with folk remedies, they only help if there has been no surgical intervention (punctures also apply to this). If you have any questions about folk remedies, write in a personal message. I have had sinusitis since I was 5 years old, I can tell you a lot.

Maria Bagautdinova

Vibrocil drops in the nose helped me in 3 days, it was a very good product, they wanted to pierce it, it didn’t work, I tried these drops as if by hand, nothing happened at all, it didn’t help at all, by the way, it is also for children from 2 years old

Just LANA

Vibrocil does not help with sinusitis. I struggled with sinusitis in myself and my child (5 years old) on my own and achieved results. There are many ways, whatever suits anyone, but you can’t do without strong antibiotics; rinsing the nose is mandatory (we use Dolphin with a solution of furatsilin, the main thing is to wash out the purulent discharge from the nose). I was helped by Zitrolide capsules (3 pieces in a package, 1 per day, Macropen tablets), Polydex in the nose (as a vasoconstrictor Rinofluimuicil). Warm the sinuses (if there is no fever), refrain from swimming during the illness. Pinicillin in an ampoule also helps very well, pour it into the nostril (after rinsing the nose) and lie there for 20 minutes, also with the other nostril. It’s good to drip Chlorophyllipt oil at night and wash off the nasty stuff in the morning. You need to contact your ENT specialist. Good luck!

Analogs

If required in drops, the doctor may prescribe it, since this medicine also contains phenylephrine. These nasal drops can be used at any age. Nazol Kids is also produced with the same composition, but it is a medication with a higher dosage, so it is prescribed to children over 4 years of age.

Combination medications containing phenylephrine, for example, in which this substance is supplemented with tramazoline, can also serve as a replacement for Vibrocil. This medicine with a dosage for children is used from the age of three. Another analogue is the drug Rinopront, produced in syrup. This medication, which includes carbinoxamine in addition to phenylephrine, can be given to children over one year of age.

Instead of Vibrocil drops, pediatricians and ENT doctors also often prescribe other adrenergic agonists (Nazivin, etc.), preparations based on sea water (Marimer, etc.) and other medications. At the same time, it is not recommended to choose an analogue for a child on your own, because each of these medications has its own restrictions on use and contraindications.

You can learn more about vasoconstrictor drugs and how to use them from the following video. Popular pediatrician Komarovsky comments.

Interaction with other drugs

The medication contains components that have a constricting effect on blood vessels. That is why the following series of recommendations regarding the combined use of Vibrocil with other drugs should be taken into account:

• Concomitant use with MAO inhibitors is not allowed;
• two weeks should pass after therapy with MAO inhibitors;
• Concomitant use with beta-blockers is not allowed;
• the medication is not prescribed together with tetracyclic antidepressants;
• Concomitant use with tricyclic antidepressants is not allowed.

The exact list of drugs with which it is not recommended to use Vibrocil will be provided by the doctor who will be involved in the selection of complex treatment.

In order not to worsen the health condition, doctors recommend adhering to the selected therapeutic course to the proper extent.

Instructions for use

Vibrocil is prescribed to patients for the following diseases and conditions:

• acute rhinitis (including runny nose due to ARVI);
• chronic rhinitis;
• allergic rhinitis (including that which occurs against the background of hay fever);
• vasomotor rhinitis;
• sinusitis;
• acute otitis media (auxiliary treatment);
• preparation for nose surgery;
• swelling of the mucous membranes of the nose and sinuses after surgery.

Directions for use and doses

Children over 6 years old and adults are prescribed 1-2 sprays of the spray in each nostril 3-4 times a day. Injection of the drug is carried out as follows:

1. Clean your nose thoroughly.
2. The sprayer must be held strictly vertically, with the tip up.
3. Keeping your head straight, insert the tip into the nostril and squeeze the sprayer with a sharp movement. Then remove it from your nose and squeeze it.
4. At the moment of injection, inhale lightly through your nose.

Contraindications

Absolute contraindications for the use of the drug are as follows:

1. Intolerance to the components of the drug.
2. Atrophic rhinitis (including ozena with fetid discharge).
3. Taking MAO inhibitors (together with Vibrocil or within 2 weeks before starting to use the spray).
4. Children's age up to 6 years.

The drug is used with caution when:

• diseases of the heart and blood vessels (hypertension, arrhythmia, generalized atherosclerosis);
• diabetes mellitus;
• angle-closure glaucoma;
• thyroid pathologies;
• prostate adenoma;
• pronounced reactions to sympathomimetics (sleep disturbances, dizziness, etc.).

Overdose

The drug can cause an overdose only if accidentally swallowed, which is more typical for young children.

Research confirms that in most cases there are no alarming symptoms. Sometimes the following may appear:

• insomnia;
• hypertension;
• tachycardia;
• stomach pain;
• pale skin.

The victim should immediately be given activated charcoal and take a laxative or drink a lot of water. There is no specific antidote.

Side effects

The drug is usually well tolerated. In some cases, symptoms such as burning and dryness in the nose are observed. After discontinuation of the drug, these side effects disappear.

Composition and release form

The drug is available in the form of a nasal spray. Packaged in 10 ml plastic bottles equipped with a sprayer.

The medicine contains the following components:

• phenylephrine and dimethindene (active substances);
• citric acid monohydrate;
• benzalkonium chloride (preservative);
• sorbitol;
• lavender extract;
• MGPC;
• water.

Pharmacology and pharmacokinetics

Vibrocil is a drug of combined action.
Its effects are due to the content of two active substances - phenylephrine and dimethindene. Phenylephrine belongs to the class of sympathomimetics. When used topically, the spray stimulates alpha1-adrenergic receptors located in the veins of the nasal mucosa. As a result, the vessels narrow, swelling of the mucous membranes of the nose and paranasal sinuses disappears.

Dimetindene is an antagonist of histamine H1 receptors. Thanks to it, allergy symptoms are relieved.

Since the drug is used only locally, its effectiveness does not depend on the level of active substances in the blood.

special instructions

The maximum duration of use of Vibrocil is 1 week. After this, you need to consult with your doctor about the possibility of continuing to be treated with the drug.

When using the spray for longer than 2 weeks and in case of overdose, the following may occur:

• tachyphylaxis;
• drug-induced rhinitis;
• development of systemic vasoconstrictor action.

Interaction with other drugs

The combination of Vibrocil with drugs of 3 groups is not allowed:

• MAO inhibitors;
• tricyclic antidepressants;
• beta blockers.

If the patient requires taking MAO inhibitors, the use of Vibrocil will have to be postponed and restored only 2 weeks after completion of the course of treatment.

Contraindications:

Hypersensitivity to the components of the drug.

Atrophic rhinitis (including with foul-smelling discharge - ozena). Taking MAO inhibitors (simultaneously or in the previous 14 days).

Use with caution in patients with arterial hypertension, arrhythmias, cardiovascular diseases, as well as in patients with generalized atherosclerosis, thyroid diseases, angle-closure glaucoma, prostate adenoma, and insulin-dependent diabetes mellitus.

As with the use of any local vasoconstrictor, caution should be exercised when prescribing Vibrocil to patients with severe reactions to sympathomimetics (for example, the development of insomnia and dizziness).

The drug is not recommended to be taken during pregnancy without a doctor's recommendation.

Instructions for use

The drug is prescribed for diseases that are accompanied by a runny nose, nasal congestion and swelling. Among them:

• acute rhinitis (including a runny nose that accompanies a cold);
• allergic rhinitis (including that which occurs against the background of hay fever);
• vasomotor rhinitis;
• chronic rhinitis;
• sinusitis;
• acute otitis media (auxiliary therapy);
• preparing the patient for nasal surgery;
• recovery after nasal surgery (to eliminate swelling of the nasal mucosa and paranasal sinuses).

The drug is also prescribed to patients to prevent nasal congestion at night and to eliminate dry nose and crusts caused by injuries.

Directions for use and doses

Before applying the gel, you must thoroughly clean your nose.
Children over 6 years of age and adults are advised to apply a small amount of Vibrocil into the nostrils 3-4 times a day. The gel must be injected as deeply as possible. The last use of the drug should be carried out immediately before bedtime - in this case, the effect of the drug will last until the morning.

The duration of treatment depends on the severity of symptoms. The maximum course of treatment is 1 week. Then you definitely need to take a break.

Contraindications

It is not recommended to use the drug for:

1. Intolerance to any components in the gel.
2. Atrophic rhinitis (including ozena, in which the discharge acquires a foul odor).
3. Taking MAO inhibitors (simultaneously with Vibrocil or within two weeks before starting treatment with this drug).

Caution is required when using the drug if the patient suffers from:

• arrhythmia;
• hypertension;
• diseases of the heart and blood vessels;
• generalized atherosclerosis;
• thyroid pathologies;
• angle-closure glaucoma;
• prostate adenoma;
• diabetes mellitus;
• increased sensitivity to the action of sympathomimetics (insomnia, dizziness, etc.).

Pregnancy and lactation

During pregnancy and breastfeeding, women should avoid using Vibrocil. The gel contains phenylephrine, which can have a systemic vasoconstrictor effect.

Overdose

The manufacturer claims that even as a result of accidental ingestion of the product by young children, no serious complications were identified.
There were no overdose symptoms in most cases. Occasionally, stomach pain, increased blood pressure, psychomotor agitation and sleep disturbances, weakness, and pale skin were observed.

If such signs appear, the person should be given activated charcoal and a laxative.

A child over 6 years old and an adult can also be given plenty of water. There is no need to rinse the stomach. There is no specific antidote.

Side effects

Vibrocil practically does not cause side effects. Sometimes there is a mild burning sensation or dryness of the nasal mucosa. Symptoms disappear after stopping taking the drug.

Composition and release form

The drug is available in the form of a nasal gel. It is colorless or slightly yellowish in appearance and has a light lavender aroma.

The composition of the medicine is as follows:

• phenylephrine and dimethindene (active substances);
• benzalkonium chloride;
• anhydrous disodium phosphate;
• citric acid monohydrate;
• lavender extract;
• MGPC;
• sorbitol;
• water.

Pharmacology and pharmacokinetics

Vibrocil belongs to the class of sympathomimetic drugs.
The action of the medicine is based on the properties of two active substances in its composition. Phenylephrine stimulates alpha1-adrenergic receptors, thereby achieving a vasoconstrictor effect. As a result, swelling of the nasal mucosa and paranasal sinuses is reduced and the nasal passages are cleared. The functionality of the ciliated epithelium and mucosa is not impaired.

Dimetindene acts as an antagonist of histamine H1 receptors and has an antiallergic effect. It is well tolerated by most patients and shows effectiveness when used in small doses.

Description of the drug

Vibrocil is a topical drug that is available both in the form of drops (a form that has the widest range of applications) and in the form of sprays or a special ointment.
The active substances in the presented forms of the drug are contained in the same concentration. The choice of one or another type of medication depends on the patient’s age and type of disease. The substance itself in all the described cases will have a slight specific odor. Vibrocil solutions in the vast majority of cases do not have a strong color, but may acquire a slight yellowish tint. The same goes for the gel.

The medication regimen is also sufficient for growth. To achieve the required therapeutic effect, it is recommended to administer the product 3-4 times into previously cleaned nasal passages, 4 drops each. This dosage is used to treat various rhinitis, as well as colds. It is suitable for adults.

Drops: a clear, colorless to slightly yellow solution with a faint lavender odor.

Gel: homogeneous, colorless to slightly yellow with a weak specific odor of lavender, free from foreign mechanical particles.

Spray: a clear, colorless to faint yellow solution with a faint lavender odor.

Vibrocil composition, release forms

The therapeutic effect of Vibrocil is provided by the components included in its composition - dimethindene maleate and phenylephrine.
These substances complement each other perfectly, enhancing the beneficial effects of each. In this combination, they cope with the pathological process much faster and slow down the progress of the inflammatory process. Vibrocil also contains auxiliary components that enhance the effect of various pharmacological forms of Vibrocil:

• methyl hydroxypropylcellulose and other active ingredients present in nasal drops;
• benzalkonium chloride, citric acid monohydrate, purified water, anhydrous sodium phosphate, lavender deterpene extract.

The presence of auxiliary components in Vibrocil allows you to preserve the main active ingredients and, in addition, maintain the optimal consistency of the drug. Lavender extract plays a particularly important role in the composition of the drug, thanks to which it creates a delicate protective film on the nasal mucosa. Its presence also explains the pleasant aroma of the drug.

Dosage forms of Vibrocil

Today, the drug is offered in pharmacies in several pharmacological forms:

• nasal drops;
• cold spray or nasal spray;
• nasal gel.

Vibrocil drops for the common cold have the appearance of a clear liquid with a slight yellowish tint, exuding a soft aroma of lavender.

The drug in the form of a spray is widely used due to the convenience of this pharmacological form, while its composition differs from nasal forms.

The gel is a substance with a transparent thick composition, which is located in a special tube. It also has a pleasant lavender smell inherent in the spray, which makes the use of this drug comfortable.

Which Vibrocil to buy for a baby and how to use it?

The drug is produced in three dosage forms. Two of them - gel and spray - are not intended for such small patients. The gel appeared on sale relatively recently, and it is only allowed from 6 years of age. The spray is undoubtedly very convenient to use, as it guarantees uniform irrigation of the nasal cavity. But it is better to leave it for adult family members and school-age children. And the point is not at all that they have a different composition or a different concentration of the active substance. It’s just that in the first months of life, babies have very narrow nasal passages. This eliminates the possibility of using drugs in the form of a gel and products equipped with a spray. And how can you explain to a baby that you need to take a deep breath?

For children under one year of age, only Vibrocil in drops is allowed. They are placed in a dark 15 ml bottle with a very convenient pipette cap and supplied with instructions. The composition looks like a colorless liquid of uniform consistency with a noticeable smell of lavender.

Since, according to the instructions, Vibrocil drops are not allowed for use in children under one year of age, it does not contain recommendations aimed at this category of patients. Therefore, carefully read how to carry out treatment:

• newborns and infants - 1 drop. into each nasal passage no more than 3 times a day. Carry out the procedure before feeding;
• before instillation of the nose, it is recommended to clear the baby’s nose of mucus, crusts and secretions accumulated there using a saline solution and an aspirator;
• The maximum duration of treatment is 7 days. If you continue to use the product longer than this period (without a break), then addiction develops.

Important! With long-term use, tachyphylaxis and the opposite effect are possible. It consists in the development of drug-induced rhinitis. The mucous membrane will cease to perform its functions normally, and its condition will have to be maintained all the time with the help of vasoconstrictors.

Analogs, cost of medicine

How much do nasal drops cost? Vibrocil is not a cheap product. Its average price ranges from 250 to 280 rubles, depending on the form of release. This product has no structural analogues. This is the only drug that has both vasoconstrictor and antiallergic effects.

If Vibrocil is not suitable, analogues are isolated according to a similar therapeutic property. These include:

Nazivin

• Available in the form of drops and spray.
• Allowed for children from birth.
• It has a pronounced vasoconstrictor effect due to oxymetazoline.
• Such analogues are half the price of Vibrocil. The cost ranges from 110-140 rubles.

Rinofluimucil

• If Vibrocil is not suitable, an analogue can be selected in the form of Rinofluimucil. It has not only a vasoconstrictor effect, but also a mucolytic one.
• The structure of the drug includes acetylcysteine ​​and tuaminoheptane sulfate.
• Costs about 270 rubles.

• One of the cheap analogues with a vasoconstrictor effect.
• The active ingredient is xylometazoline.
• Allowed for children from birth.
• Helps eliminate allergic and infectious rhinitis.
• The average price is from 130 to 160 rubles.

Although the drugs differ in price, in most cases they quickly cope with a runny nose of any nature. If we talk specifically about Vibrocil, then it effectively treats rhinitis of an allergic and infectious nature. Reviews about this medication are positive in many situations. Drops, spray and gel instantly eliminate congestion and at the same time have a pleasant smell.

But the medicine may not be suitable for everyone. Therefore, consultation with a doctor is required.

Possible complications caused by the drug

In most cases, Vibrocil is quite well accepted by patients; the drug causes side effects extremely rarely, but they can still occur. These could be:

• Feeling of dryness and burning in the nose. This symptom occurs in those who take this medication most frequently.
• Getting used to the drug. Occurs in patients who have used this medicine for more than 7 days to treat rhinitis or other respiratory tract disease.
• Pale skin, increased excitability, tachycardia, insomnia. These side effects occur extremely rarely in patients. They can only occur with a significant overdose of this drug.

If this does not happen, he needs to see a doctor and undergo additional examination. The doctor will be able to prescribe him another drug and an antihistamine, which will quickly get rid of the side effects.

Indications for use of the drug for the nose

Indications for the use of the drug, taking into account its properties and composition, include the following diseases in the nasal area:

• rhinitis in acute and chronic form;
• swelling of the mucous membrane due to a cold;
• runny nose as an element of an allergic reaction of the body;
• violation of reflex mechanisms that lead to an incorrect reaction to irritation of the mucous membrane (the so-called vasomotor rhinitis);
• sinusitis (inflammation of the mucous membranes lining the sinuses) in acute and chronic form. The drug is used for all forms of the problem - sinusitis, frontal sinusitis, ethmoiditis, etc.;
• preparing the nasal cavity for diagnostic or therapeutic manipulation;
• preparation for surgical intervention;
• the need to relieve swelling after surgery performed in the nasal cavity.

Why is Vibrocil prescribed?

According to the instructions, nasal drops and spray are prescribed in the following cases:

• Acute rhinitis (for example, with colds);
• Allergic rhinitis (including hay fever);
• Vasomotor rhinitis;
• Chronic rhinitis;
• Acute and chronic sinusitis;
• Acute otitis media (as an adjuvant);
• Preparation for surgical interventions in the nose and elimination of swelling of the nasal mucosa and paranasal sinuses after surgery.

pharmachologic effect

The drug has a combined active composition, represented by two substances.

• Phenylephrine is a sympathomimetic agent that has a moderate vasoconstrictor effect when applied topically. This effect is due to stimulation of alpha1-adrenergic receptors, which are localized in the nasal mucosa in the venous vessels. Phenylephrine quickly eliminates swelling of both the mucous membrane and the paranasal sinuses.
• Dimetindene is a substance with an antiallergic effect. Antagonist of H1-histamine receptors. The action of dimethindene does not affect the activity of the ciliated epithelium, i.e. does not disrupt the function of nasal mucosal cells.

The combined action of the two components allows you to quickly clear the nasal passages, eliminate nasal congestion and swelling of the mucous membrane.

The most powerful antibiotic drops

Antibiotics are used only for sinusitis caused by the penetration of bacterial or fungal flora into the nasal sinuses. Such drugs should be administered after clearing the nose, in strict accordance with the instructions.

Levomycetin

Antimicrobials have a bacteriostatic, systemic effect on Gr, Gr-bacterial strains in the early stages of the disease. Preparations based on chloramphenicol quickly reach the required therapeutic concentration in all body fluids. At the same time, the focus of purulent inflammation in the maxillary sinuses is eliminated, nasal congestion is reduced, and its normal respiratory functions are restored.

Price – 16-82 rubles.

Isofra

Isofra nasal spray is intended for the treatment and prevention of relapses of infectious inflammation in the paranasal sinuses. The main active component of the irrigation solution is the bactericidal antibiotic framycetin. The drug can be used not {amp}gt; 10 days, dosage regimen – 1 injection 4-5 times per day. Cost – 313-347 rubles.

Penicillin

Low toxicity, wide spectrum of action, good compatibility with other medications. Allows the effective use of penicillin-type entranasal drops for the treatment of acute, purulent bacterial sinusitis in children and adults. They have: a bacteriostatic effect - temporarily suppress the ability of pathogens to reproduce with an immediate bactericidal effect - complete destruction of their cellular structure, death in the body. Price – 117-358 rubles.

1. Local antibiotics for sinusitis

For what kind of runny nose is Vibrocil used?

Many people do not know what kind of runny nose Vibrocil helps with. The main effect of the drug is the elimination of allergies, as well as vasoconstriction during the inflammatory process. Therefore, according to the current instructions, Vibrocil will be effective for allergies and some ENT pathologies, these may be:

acute and recurrent rhinitis of a bacterial nature; allergic rhinitis (various forms); pre- and post-operative elimination of nasal swelling; colds accompanied by severe nasal congestion; sinusitis (including polysinusitis); vasomotor rhinitis; acute catarrhal otitis media.

Despite the wide range of uses of the drug, Vibrocil is used only after consultation with an otolaryngologist. The composition of the drug allows you to treat a runny nose in pediatric practice. Vibrocil for a runny nose is excellent not only for treating children of primary and school age, but is also recommended for infants.

At the doctor's discretion: vasoconstrictor drops for infants

Vibrocil is a combined product for topical use that has a vasoconstrictor and antihistamine effect. It is produced by the very famous Swiss company Novartis. The medicine has a unique composition: it is made on the basis of two active components - dimethindene maleate (250 mcg) and phenylephrine (2.5 mg). The first eliminates allergy symptoms, the second constricts blood vessels, reduces swelling of the mucous membrane, that is, fights the runny nose. Both components in a pair work very well, without interfering, but only helping each other. Excipients give the drops the necessary viscosity and aroma. In this case, the medicine almost does not enter the systemic bloodstream and does not harm other organs.

The instructions prohibit the use of Vibrocil for children under one year of age. Mothers can see this for themselves if they read the contraindications. However, pediatricians often prescribe it to infants. And here's why: in our country the drug has proven its safety in practice, and today it is one of the most widely used medicines in pediatrics. In particular, it is actively used for the treatment of allergic, vasomotor, acute (for colds) and chronic rhinitis in newborns and as an additional remedy in the treatment of otitis media.

It should be noted that several years ago there was no entry in the annotation for the medicine that Vibrocil was prohibited for children under one year of age. But then the manufacturers rebranded - they changed the external design of the bottle and made additions to the annotation (they expanded the list of contraindications with an age limit). Apparently, they decided to play it safe and place all responsibility on the doctors. Doctors say: this drug is practically harmless and in a special dosage and dosage form is safe for infants.

Instructions for use

Before using the spray, clean your nose.

Children under 6 years of age: Contraindicated because the fluid is removed under pressure, and in young children the auditory tubes are located close to the nasal passages. As a result, infected mucus can get into the ear area and then there is a possibility of a more serious disease - otitis media.

Adults and children over 6 years old: 1-2 injections into each nasal passage 3-4 times a day. The sprayer must be held vertically upward. The tip is inserted into the nasal passage and an injection is made with a short sharp pressure. During injection, you need to inhale slightly through your nose. Without a doctor's prescription, the use of Vibrocil spray cannot exceed seven days. Long-term use can lead to addiction.

Children from 1 year to 6 years: use only drops. 1-2 drops in each nasal passage 3-4 times a day.

How to take it for children?

Drops are administered into each nostril 3-4 times a day, after tilting the head up. For children under one year of age, one drop is administered into each nasal passage and before breastfeeding. A child from 2 to 6 years old receives 1-2, and children from 6 and adults receive 3-4 drops in each nasal passage.

Spray

Is it possible to give the spray to children under one year old? No, its use is allowed only after 6 years. The product is sprayed 3-4 times a day, 1-2 injections into each nostril. You should first lift your head up and take a deep breath of air during the procedure.

Gel

Children under one year of age are also not prescribed ointment. The gel is best used from the age of six 3-4 times a day. A small amount is injected deep into each nasal passage. If you apply the gel before bed, you can avoid nighttime nasal congestion.

Analogues of the drug

A common analogue of the drug is Adrianol. It is only suitable for getting rid of runny nose in children under five years old; it is produced only in drops. This drug contains substances similar to Vibrocil. It has contraindications: kidney diseases, adrenal glands, pathological processes in the liver, pathological processes in the thyroid gland, glaucoma, heart and vascular diseases, atherosclerosis.

There are no cheap analogues, the price of each is not much different from the cost of Vibrocil:

• Aqualor – vasoconstrictor effect;
• L-cet – acts as an antihistamine;
• Otrivin is a vasoconstrictor drug;
• Aleron is an antiallergic drug;
• Vicks active is a vasoconstrictor, a remedy against respiratory diseases;
• Tonsilgon - for the treatment of viruses;
• Milistan is a vasoconstrictor;
• Erespal - helps in the treatment of viral diseases;
• Erius is an antihistamine.

Use for sinusitis

The main thing with this disease is to restore the normal outflow of mucus. As the instructions for use for vibrocil say, it can be used for sinusitis, eliminating this symptom.

This drug, when used at the initial stage of inflammation in the area of ​​the paranasal sinuses, makes it possible to avoid puncture. Treatment should be combined. It not only reduces discharge, but also removes swelling from the mucous membrane and removes dried crusts.

But before using it for sinusitis, it is necessary to remove mucus using moisturizers. This effect is achieved due to the active components.

Contraindications and possible side effects

The instructions do not recommend using Vibrocil nasal drops for:

• atrophic rhinitis and ozena;
• the need to take MAO inhibitors for 2 weeks after their discontinuation;
• angle-closure glaucoma;
• individual intolerance to any of the components.

The abstract also advises not to prescribe the drug to children under one year of age. But due to the high safety of the active ingredients, if the frequency and recommended dose are observed, it can still be used from birth.

In some cases, Vibrocil can be used only on the recommendation of a doctor, as it can aggravate existing diseases. Such pathologies include:

• arterial hypertension and arrhythmia;
• atherosclerotic vascular lesions;
• hyperthyroidism and diabetes mellitus;
• prostate hyperplasia or adenoma;
• epilepsy;
• insomnia, dizziness, provoked by an excessive reaction to the administration of sympathomimetics, which include Vibrocil.

Side effects are rarely observed when using this medication. However, minor discomfort, dryness, burning and itching in the nasal cavity, and sometimes bleeding may occur.

• headaches localized in the occipital region and dizziness;
• arrhythmia and tachycardia;
• hand trembling;
• increased blood pressure;
• sleep disorders;
• increased fatigue.

If an overdose occurs and the above symptoms occur, you should take activated carbon or its more modern analogue and drink a large amount of liquid.

Attention

In situations where this is observed in hypertensive patients, an α-blocker prescribed by a cardiologist for everyday use, but not a β-blocker, is used to normalize blood pressure.

At the same time, the drug does not cause drowsiness and does not affect the ability to work with mechanisms that require increased concentration.

Therefore, after its introduction, you can fearlessly drive a car or work in hazardous industries.

special instructions

In some cases, Vibrocil cannot be used to treat infants:

• Hypersensitivity to active ingredients or additional substances.
• Heart disease, persistent high blood pressure and other serious illnesses.
• Chronic runny nose, which provoked a decrease in the sensitivity of the nasal mucosa.
• Diabetes.
• Thyroid dysfunction.

The active components of the drug almost do not penetrate into the blood, and therefore have minimal effect on the body. After using the drops, the following negative reactions may occur: burning, dryness, sneezing.

If the dosage or frequency of administration is violated, there is a risk of side effects:

• Increased frequency of myocardial contractions;
• Arterial hypertension;
• Sleep disorders;
• Headache;
• Nausea.

In case of overdose, digestive disorders, increased body temperature, and heart rhythm disturbances occur. There is a risk of pulmonary edema and depression of the nervous system. In some cases, nausea, vomiting, and abdominal pain occur.

Vibrocil is prohibited from being combined with monoamine oxidase inhibitors, tricyclic antidepressants and antihypertensive drugs.

Thus, Vibrocil in the form of drops is allowed to be used for the treatment of allergic rhinitis in children under 1 year of age. The drug gently and effectively eliminates the symptoms of the disease without disturbing the normal functioning of the ciliated epithelium. However, you can take the medicine only after the doctor’s permission and the diagnosis has been clarified. To avoid negative consequences, adhere to the treatment regimen determined for you by your pediatrician.

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Recommendations for use for children and pregnant women

Pregnant women should be more careful about their health and consult with their doctor regarding each medication that she plans to take. Vibrocil can have a systemic pathological effect on the tissue of the uterus and, accordingly, on the baby. Clinical and laboratory studies have proven that the fetus experiences intrauterine starvation while the mother is taking this drug. Intrauterine starvation has a negative impact on the development of the brain and spinal cord, central and peripheral nervous systems. Therefore, the attending physician should protect the pregnant woman from using Vibrocil and prescribe more suitable medications.

Similar prescriptions are typical for the lactation period. Breastfeeding women should limit the use of this medication to avoid pathogenic effects on the baby. If you contract an infectious disease, seek help from a doctor who will select a safe remedy.

The effect of Vibrocil on the body of children is positive and does not cause disturbances, addiction, or pathogenic effects. The only condition: parents must consult a doctor and undergo the necessary tests for susceptibility to the medicinal components included in the composition. If no individual intolerance is detected, you can safely begin treating your child with Vibrocil.

Advice: strictly follow your doctor’s instructions and recommended dosage to avoid worsening your baby’s condition.

There is a small age limit regarding taking the medication. The use of the drug is allowed for children from 1 month. Please note that the drug is completely safe and is recommended for use from infancy (not taking into account individual intolerance, congenital pathologies, etc.)

What forms of Vibrocil are commercially available?

Pharmacists have developed 3 types of products:

1. Gel. Transparent thick substance. Has a light lavender scent. Packaged in plastic tubes.
2. Drops. Transparent liquid, slightly yellowish. Has the smell of lavender. Available in a dark glass bottle with a dropper.
3. Spray. The consistency is similar to drops. Available in a spray can.

The manufacturer warns: children under 6 years of age should not use Vibrocil-gel and Vibrocil-spray.

The concentration of active and excipients in all forms is the same: the choice is determined by ease of use.

Vibrocil's analogs

If the therapeutic effect is insufficient or there is increased sensitivity to the components of the composition, the doctor may recommend the use of an analogue of Vibrocil . Such means are:

• Adrianol is a vasoconstrictor decongestant intranasal drops based on phenylephrine hydrochloride and grimazoline.
• Nazivin is a spray and drops with a vasoconstrictor effect, the active ingredient is oxymetazoline hydrochloride.
• Otrivin is a vasoconstrictor anticongestive drug in the form of a spray and drops, produced on the basis of xylometazoline hydrochloride.
• Xymelin is a nasal spray and drops based on xylometazoline hydrochloride with a vasoconstrictor effect.
• Rinofluimucil - acetylcysteine ​​and thauminoheptane sulfate, the active substances of this nasal spray have a combined anti-inflammatory, mucolytic and antihistamine effect.

Is it possible to put ear drops into the nose?

Practicing ENT doctors sometimes advise using ear drops for instillation into the nose, explaining that ear medications often contain clinically significant substances that are not used in nasal medications.

Composition of vibrocil

The drug consists of a combination of two substances: dimethindene maleate (an antiallergic agent) and phenylephrine (a vasoconstrictor and decongestant). The substances combine well with each other, complementing each other at the same time. This composition allows for a comprehensive effect on the pathological process and inhibits the development of the inflammatory process.

Vibrocil also has excipients that complement different forms of the drug:

benzalkonium chloride (antiseptic), citric acid monohydrate (food grade), lavender deterpene extract, sorbitol (sugar substitute), anhydrous disodium phosphate, purified water (in nasal drops and spray); methylhydroxypropylcellulose and all auxiliary agents included in the nasal drops (in the gel).

Excipients ensure the safety of the main active ingredients and also maintain the required consistency of the drug. Lavender extract creates a gentle protective film on the nasal mucosa and gives the product a pleasant smell.

Price

Depending on the form of release of the drug, its price differs. In Moscow pharmacies the cost of Vibrocil is as follows:

Analogs allowed during pregnancy

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If Vibrocil is not suitable or there are contraindications to it, the medication should be replaced with another one with a similar pharmacological effect and approved during pregnancy. Only a doctor can select an analogue. But the patient should also know which drugs are suitable as a substitute.

The safest analogues of Vibrocil:

• Pinosol. Available in the form of spray, drops and nasal ointment. It has a herbal composition, reduces swelling and inflammation, thins viscous secretions and cleanses the nasal cavities. During pregnancy and breastfeeding, it is used according to the standard regimen. It costs less than Vibrocil - from 140 to 220 rubles.
• Euphorbium Compositum. Refers to homeopathic remedies on a natural basis. It has an anti-inflammatory and antihistamine effect, moisturizes the mucous membrane. It is practically not absorbed into the bloodstream, so it is especially recommended during pregnancy and lactation. It costs much more than Vibrocil - 480–500 rubles.
• Children's Nazivin Sensitive. Available in the form of drops and aerosol. It has a vasoconstrictive effect, prevents the occurrence of sinusitis and otitis media. It works very softly. During pregnancy and lactation, the recommended dosages should not be exceeded. The approximate price of the drug is 170 rubles.
• EDAS-131. Homeopathic remedy with a multicomponent composition. It has virtually no contraindications or side effects, and is safe from early pregnancy. The cost of the drops is 125 rubles.

Indications for use

In medical practice, the drug is prescribed for local intranasal therapy of infectious and inflammatory diseases of the ENT organs and for rhinitis of an allergic nature . Vibrocil is indicated for the following diseases and conditions:

• chronic or acute sinusitis;
• acute rhinitis due to a cold or ARVI;
• allergic rhinitis, including hay fever;
• vasomotor, chronic rhinitis;
• otitis media;
• the period of preparation for surgery and the postoperative period (prescribed as a decongestant).

Types of the drug and their composition

Vibrocil is produced by the well-known pharmaceutical company Novartis Consumer Health SA from Switzerland. On pharmacy shelves you can find the drug in 3 dosage forms: drops, spray and ointment. The active ingredients of all varieties of Vibrocil are phenylephrine and dimethindene. The composition of the excipients is somewhat different, due to the characteristics of each dosage form. However, any of them contains lavender oil, which gives a pleasant aroma to the medicines.

Side effects and overdose

According to the instructions, side effects that may develop when taking Vibrocil are a feeling of dryness or a slight burning sensation. In most cases, therapy using any form of this medication is well tolerated by patients. Symptoms of overdose are stomach pain, arterial hypertension and tachycardia, insomnia, feeling tired and pale skin. In such cases, gastric lavage is useless; it is recommended to take activated charcoal and drink large amounts of liquid. There is no specific antidote.

What drugs are prescribed by doctors for the treatment of sinusitis in adults - a list of the most effective

ENT doctors include the following as the most effective intranasal medications:

1. Isofr is a potent antibiotic spray, quick help for advanced forms.
2. Vibrocil - for softness and speed of action.
3. Snoop is the best way to relieve nasal breathing.
4. Tizin Alergy – high effectiveness in the fight against allergic sinusitis.
5. Polydex - for its universal antibacterial action.
6. Afrin - quick cleansing of the nasal passages from germs and bacteria.
7. Sialor Protargol - for a powerful antiseptic effect, rapid relief of inflammation of the mucous membrane.

Price – from 116 rub.

When is Nazol baby prescribed?

Nazol baby - instructions, informs that the drug can be used for any type of rhinitis. They help improve nasal breathing, relieve babies and infants from congestion and other unpleasant symptoms of rhinitis. The drug is symptomatic, that is, it eliminates the symptoms of ENT diseases affecting the nasal mucosa.

• acute respiratory infections and acute respiratory viral infections;
• otitis;
• rhinitis;
• rhinitis due to allergies;
• frontitis.

Nasal drops can be used to relieve symptoms of other diseases that cause swelling of the nasal mucosa. Reviews from parents note its high effect and good tolerability.

Recommended reading: Nasal drops for allergies.

Composition and effect during pregnancy

Vibrocil is a combination medicine. Contains two active ingredients - phenylephrine hydrochloride and dimethindene. The first, when introduced into the nasal cavity, exhibits a vasoconstrictor effect, eliminates swelling and cleanses the sinuses. Dimetindene has antiallergic activity, reduces the amount of mucus, relieves itching and irritation.

Excessive use of Vibrocil can cause many complications during pregnancy:

• placental abruption;
• hypertonicity of the uterus;
• persistent increase in blood pressure in a pregnant woman;
• nosebleeds, dry mucous membranes.

Vibrocil is known for its negative effect on kidney function. You need to remember this and avoid overdosing on the drug. Otherwise, the medication, coupled with the increased load on the urinary system during pregnancy, will lead to edema or kidney failure.

Dosage forms of Vibrocil

vibrocil (nasal drops); vibrocil spray for runny nose or nasal spray; vibrocil (nasal gel).

Vibrocil nasal drops for runny nose are a clear liquid with a slight yellowish tint and have a mild lavender aroma.

The spray form is used for ease of use, and the composition is identical to nasal drops.

The gel consists of a transparent and thick medicinal mass placed in a tube. The smell also has a lavender note, which makes the use of the drug comfortable for patients.

Pharmacological properties

The main effect of the drug is anti-congestive - relieving swelling of the nasal mucosa.
When the ointment is applied locally, the lumen of the arterioles narrows, and the capacity of the bloodstream in the area of ​​influence of the drug decreases sharply. This action leads to the removal of inflammation, swelling, and the resumption of breathing through the nose. Vibrocil gel has a positive effect on the ciliated epithelium, improving its functionality. Congestive processes, hyperemia of the mucous membrane are eliminated, and the severity of rhinorrhea (runny nose) is reduced. The pathological formation of exudate ceases to be released from the vessels and clog the nasal passages.

Another important effect of the medicine is the immediate relief of allergic reactions (swelling, itching, irritation, runny nose). After applying the gel, the therapeutic effect is observed within 5 minutes.

Vibrocil also has a mild sedative and analgesic (pain-relieving) effect. After applying the gel, pain and discomfort in the nose disappear.

The drug has a therapeutic effect only at the local level. It is not absorbed through the mucous membrane into the general bloodstream and does not affect the functioning of internal organs and systems. The activity of the drug does not depend on its concentration in plasma.

Vibrocil is a combination drug containing phenylephrine and dimethindene maleate.

Phenylephrine has a vasoconstrictor effect, eliminates swelling of the nasal mucosa and its paranasal sinuses.

Dimetindene has an antihistamine effect. The drug does not disrupt the physiological functions of the ciliated epithelium and nasal mucosa.

According to the instructions, “Vibrocil” is a combination drug that is used for symptomatic local treatment of rhinitis. The active ingredients of this drug are phenylephrine and dimethindene. Phenylephrine is an alpha adrenergic agonist.

Its local application provides selective moderate vasoconstriction due to stimulation of alpha1-adrenergic receptors located in the venous vessels of the nasal mucosa and paranasal sinuses. Quickly and effectively relieves swelling of the nasal mucosa and paranasal sinuses. Dimetindene has an antiallergic effect and is a blocker of histamine H1 receptors.

The substance does not inhibit the activity of the ciliated epithelium of the nasal mucosa. "Vibrocil" is a drug for topical use; its effectiveness does not depend on the content of active substances in the blood plasma.

Is it possible to breastfeed with a runny nose?

With mild rhinitis, which is not accompanied by a significant deterioration in the woman’s condition, it is not only possible, but also necessary to continue lactation. This will support the baby’s immunity and protect the woman’s breasts from mastitis and lactostasis.

If the mother’s condition is severe and she is taking antibiotics that are not recommended for breastfeeding, then feeding should be stopped for a while and returned to it after recovery.

How not to infect your baby

Despite the fact that during lactation you can continue to feed the baby, the mother must make every effort not to infect him with an infection:

1. Do not kiss or sneeze on the child.
2. When feeding and close contact, wear disposable sterile masks.
3. Ventilate the room regularly.
4. Do not lick pacifiers or cutlery, which will then end up in your baby's mouth.
5. Do not sleep in the same room with your child during illness.

Drug interactions

The vasoconstrictor component phenylephrine is not used simultaneously with MAO inhibitors (monoamine oxidase) or within 14 days of their discontinuation. Vibrocil cannot be combined with tricyclic antidepressants, beta-blockers, and glucocorticoids. The product is used with caution in combination with antibiotics and antiseptics, especially local ones.

The instructions also describe special instructions for using the medicine:

• Vibrocil should not be used for more than a week, unless otherwise prescribed by the doctor. Otherwise, excessive use of the drug can lead to tachyphylaxis (reduced therapeutic effect), rebound effect (medicinal rhinitis).
• The gel form of the drug is indicated for dry mucous membranes and the presence of crusts.
• Vibrocil does not have a sedative effect.

Directions for use/dosage

Advice: in what case and in what doses to use the drug, the attending physician should determine, depending on the individual characteristics of the body. How to use: Apply drops to the patient's nose (or allow them to do the process themselves) in any position in which they are most comfortable. Ask the person to tilt their head back. After the drops have entered the nasal passage, the patient should remain in the current position for 30-40 seconds.

Please note: strictly follow the required dosage. An overdose of the drug can lead to negative consequences for the body (the vasoconstrictive effect is not limited to the nasal passages, the process can affect the entire nasopharynx).

Recommended dosage: no more than 4 drops (in each nasal passage) per day. If you do not notice a positive result, you should contact your doctor and ask to change the drug. The recommended time frame for medication treatment is no more than 7 days. If after the expiration of the period you do not notice a positive effect, the runny nose becomes chronic and requires a change in the entire course of therapy.

Is Vibrocil allowed during pregnancy?

The instructions state that during pregnancy the medication should not be applied to the nasal mucosa without the prescription of a specialist. Thus, the decision about the possibility of using Vibrocil during this difficult period for a woman falls on the shoulders of the doctor. If the doctor considers that the benefits of vasoconstrictor drops are greater than the harm, he will prescribe the drug. And he will be right.

Sometimes excessive pickiness during pregnancy leads to very unpleasant consequences for the mother and fetus. Thus, constant nasal congestion and untreated runny nose often result in complications in the form of sinusitis, otitis media, bronchitis, and inflammatory diseases of the pharynx. Prolonged hypoxia during pregnancy is also dangerous for the unborn child - with a lack of oxygen, placental insufficiency can develop. And this is much more dangerous than treatment with Vibrocil.