Which nasal drops are best for a runny nose? Let's choose the most effective ones

Updated: 06/20/2018 18:46:20

*Review of the best according to the editors of expertology.ru. 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.

Important Rules

For a cold remedy to really help, follow these rules:

1. Use drops for children under 6 years of age, and spray for adults. This is due to the fact that in children the auditory tube, that is, the communication between the pharynx and the ear, is short. If you spray a spray into your baby’s nose, it, as well as particles of microbes from the nasopharynx, will most likely get into the inner ear. There they are likely to cause otitis - allergic or infectious.
2. Using drops, lie down (lay the child down), drop 1-2 drops of the drug into the right nostril and turn your head to the right, tilting it up a little. Dripping into the left nostril, turn your head to the left and up. In this case, you need to lie down on each side for 7-10 minutes so that the product can get not only onto the nasal mucosa, but also into the area where the nose and sinuses connect. This rule is especially important for vasoconstrictor drops: by performing the instillation correctly, you will quickly facilitate nasal breathing, and also prevent sinusitis (swelling in the area of ​​​​the junction of the sinus and nose will subside - the contents of the sinus will not stagnate, but will come out).
3. When using the spray, on the contrary, the head should be vertical and tilted in the direction opposite to the nostril. This way the drug will remain in the nose and not move into the auditory tube.
4. Before using medicinal sprays for a runny nose, rinse your nose with saline solutions. This can be done using ready-made drops and sprays, which we will discuss below, or solutions that require preparation (Dolphin, Aqua-Maris powders with a nasal rinsing system). You can also rinse your nose with a 0.9% sodium chloride solution purchased at a pharmacy in a 200 or 400 ml bottle, as well as with a composition you prepare yourself (take 1 teaspoon of salt per 200 ml of boiled warm water).

Spray or drops?

Spray is considered a more convenient form of release and here's why:

1. evenly irrigates the nasal mucosa.

2. it is difficult to overdose.

3. the drug does not flow down the throat.

Minuses:

1. The gas-forming component of the aerosol can have an irritating effect on the nasal mucosa.

2. The spray should be sprayed while inhaling. This is difficult to achieve in young children, people with mental disabilities, and some elderly people.

3. If used carelessly, the nasal mucosa can be damaged by the spray nozzle.

Therefore, for children, vasoconstrictors are made in the form of drops.

Drops for adults

Why do some brands offer drops for adults? After all, a spray is more convenient?

The choice of release form depends on the specific disease.

For a common runny nose, a spray is more suitable. It covers a larger area of ​​the mucous membrane.

But for sinusitis, some ENT doctors prefer drops, because... the medicine must be delivered exactly to the anastomosis where the maxillary sinus and nasal cavity connect. In this case, you can offer Sanorin Xylo 0.1%, Nazivin drops 0.05%, Rinostop extra drops 0.05%.

The same applies to the situation with otitis media: the spray will be distributed throughout the nasal mucosa and will not reach the nasopharynx. And the drops will flow down the back wall of the pharynx and fall to the opening of the auditory tube to relieve swelling in this place and improve the outflow of inflammatory exudate from the ear.

So for sinusitis or otitis media, drops are better.

Types of drops for runny nose

What nasal drops can be used for a runny nose? There are the following groups of drugs:

1. Preparations based on saline solutions.
2. Vasoconstrictor drops and sprays.
3. Hormonal sprays.
4. Sprays to thin thick nasal discharge.
5. Drops and sprays with antibiotics or antiseptics (including silver-based).
6. Antiviral local drugs.
7. Combined preparations, including emollients, which contain essential oils.
8. Drops that will thicken copious liquid snot.
9. Homeopathic medicines.
10. Drops and sprays with an immunomodulatory effect.
11. Nasal drops for allergic rhinitis.

Rating of the best nasal drops

Preparations based on saline solutions

Medicines based on ocean, sea water or similar solutions prepared in a pharmacy contain many trace elements, organic compounds, and minerals. They are indicated for a runny nose of any origin (allergic, viral, bacterial, fungal), any type of sinusitis (sinusitis, sinusitis), inflammation of the adenoids. Their action is aimed at:

• washing away germs from the nasal cavity;
• thinning thick mucus;
• leaching of substances released during inflammation and maintaining their levels;
• acceleration of mucosal healing;
• increased vascular tone of the nasal mucosa;
• destruction of microbes (if the water contains iodine).

Depending on the concentration of sodium chloride in solutions, several types of saline solutions are distinguished:

How to choose the right drops for a runny nose?

Indeed, modern pharmaceutical companies have made excellent progress in the fight against rhinitis (this is the scientific name for inflammation of the nasal mucosa - colloquially a runny nose). First of all, it is worth mentioning that all similar products are sold in pharmacies without a prescription; their cost is not very high, but their effectiveness is excellent. With their help, you can easily get rid of the most acute symptoms of a runny nose - nasal congestion, discharge, and in some cases even a headache. Because of this, people do not always think about which remedy will be more suitable for their particular case.

First of all, you should definitely see a specialist so that he can make an accurate diagnosis and find out what the cause of the runny nose is. It can be very different, ranging from a common cold to such serious diseases as sinusitis, otitis, sinusitis or frontal sinusitis. In this case, drops designed for allergic rhinitis will be absolutely ineffective.

If pathogenic bacteria begin to develop on the mucous membrane, then the medicine must contain an antibiotic. Otherwise, even the best and most expensive means will not be able to have an inhibitory effect on microorganisms and will be useless.

Today there are quite a few types of nasal drops - vasoconstrictor, anti-allergenic, containing antibiotics, for developing local immunity. The first type is the most common. They effectively cope with typical cold symptoms and help cope with even more serious diseases, as they are included in complex therapeutic treatment. Using these remedies, it is possible to relieve swelling and make breathing easier. However, you should not use the drugs for too long, otherwise addiction and even reverse effects may occur.

Drops that stimulate local immunity usually contain an artificial protein, interferon, which the body uses to fight infections. Such drops effectively cope not only with the symptom - inflammation of the mucous membrane, but also with the cause - pathogenic microbes. The drugs are absolutely safe, so they are prescribed even to small children.

When choosing products to include in our review of the best nasal drops, we took into account absolutely all the analyzed factors, so we divided the rating into three parts - vasoconstrictors, anti-allergy drugs and drugs for the treatment of common runny nose. When choosing, we were based not only on our own preferences, but also relied on user reviews and took into account the price-quality ratio of products.

Vasoconstrictor drugs

These drops and sprays are used for both allergic rhinitis and colds. They constrict the vessels of the nasopharynx, as a result of which the swelling disappears and nasal breathing resumes. In case of an infectious runny nose, their use is justified: when removing swelling from the nasopharynx, low pressure will not be created in the tympanic cavity, so the inflammatory fluid full of microbes will not diffuse into the structures of the middle ear.

Decongestants (as vasoconstrictor drugs for the nose are called) are useful both for the prevention and treatment of sinusitis (sinusitis, frontal sinusitis). In this case, they relieve swelling from the anastomosis (communication) between the nasal cavity and sinus, as a result, the contents of the sinus do not stagnate, posing a danger in terms of the development of complications, but come out into the nose.

Decongestants allow a person to breathe easier through the nose, especially during meals, to hear better (even in the presence of otitis media), and normalize sleep and voice. At the same time, they inhibit the movement of cell processes (cilia) that form the nasal mucosa. When used for more than 5 days, the eyelashes are completely “paralyzed” (this is a temporary effect), so you should not use such drops for longer. You can save your eyelashes a little by using decongestants together with saline solution (Rinomaris, Rinotaiss).

Decongestants “work” through adrenaline receptors located on the vascular cells of the nasal mucosa. They give a “command” similar to that given by adrenaline - to constrict the blood vessels. Blood stops filling the vessels - swelling subsides for a while, and the production of nasal mucus decreases. This feature is also used to stop nosebleeds.

Adrenaline receptors are not only found on the vessels of the nasal cavity - they are present on many cells, including the cells of the heart, bronchi, prostate gland, bladder and pregnant uterus. Possible side effects associated with an overdose of any drug are associated with this: increased blood pressure, a significant decrease in heart rate, loss of consciousness, and a decrease in temperature. Due to their ability to contract the uterus, decongestants are not used during pregnancy.

Decongestants also have this feature: if the active substance constantly circulates in the blood, the receptors stop responding to it, and to achieve an effect the dose will have to be increased, which will inevitably lead to the development of undesirable symptoms. Therefore, vasoconstrictor drops are not used for longer than 5, or at most 7 days. If it is necessary to maintain the effect, the ENT doctor may prescribe a drug with another main active ingredient.

Drops for runny nose and nasal congestion are divided depending on their active ingredient. Some basic products last only 3-4 hours, while others last 8-10, or even 12 hours. Unless otherwise prescribed, short-acting medications are best used during the day, while long-acting drops and sprays are left overnight.

Please note: children's nasal drops for a runny nose contain 0.025-0.5%; for adults, a concentration of 0.5% (in the case of oxymetazoline), 0.1% (for other active ingredients) is used. For children up to one year, and better yet, up to 6 years old, use only drop forms.

Cheap nasal drops for a runny nose are:

• Xylometazoline-Solopharm;
• Xylene;
• Galazolin;
• Rhinostop;
• Naphthyzin;
• Nesopin.

For the treatment of the common cold

Galazolin drops

An inexpensive but very effective remedy that helps to quickly cope with even a severe runny nose and nasal breathing problems. It is well suited for short-term symptomatic therapy. For example, if a person gets sick in the evening, but can only see a doctor the next day. When this product gets on the nasal mucosa, it quickly relieves it of swelling, causing an outflow of blood. Using the drug, you can eliminate inflammation of the Eustachian tube within a few minutes and expand the passages for the free passage of air. As a result, breathing improves and becomes calm, without excessive snot production. The positive effect lasts for approximately six hours. If the drops are used once, there will be no irritating effect on the mucous membrane. Experts do not recommend using this product for too long - it may have the opposite effect.

The main active agent here is xylometazoline hydrochloride, which is contained in a concentration of approximately 0.2-0.3%. It does not cause allergic reactions, so it is often prescribed to pregnant and lactating women. If you use the product in the correct dosage, the active substance will practically not enter the body.

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Advantages:

• Low cost;
• Fast and long-lasting effect;
• Found in almost every pharmacy;
• Suitable as active symptomatic therapy.

Flaws:

• If used excessively, it leads to the opposite effect due to the body’s addiction.

Drops Sialor Protargol

Such drops can be used not only for acute, but also for chronic runny nose. The main active agent here is silver proteinate. With the help of this substance it is possible to achieve a drying and antibacterial effect. In addition, it also contains N-pyrrolidone and contains protargol, which was previously prescribed to patients as an independent medicine, but it has a short shelf life. Drops are well suited for combating pathological processes occurring in the nasal mucosa, with rhinitis resulting from inflammation or allergic reactions. They will also be quite useful in the presence of adenoids and polyps, if there are active pathologies in the paranasal sinuses. After various types of surgical interventions, the product is often used to wash the surface of the mucous membrane.

The product can be used to treat fairly young children, as well as for prevention during the cold season, when infectious diseases are very widespread. There are certain side effects, so this drug should be used only according to the instructions. In particular, such drops are not suitable for people suffering from atherosclerosis, high blood pressure, and glaucoma. In addition, pregnant and lactating women should refrain from using them.

Advantages:

• Expanded functionality;
• Several active substances that have versatile effects;
• Can be purchased without a prescription.

Flaws:

• There are some side effects - burning in the nostrils, redness of the eyes and so on;
• People with certain diseases should not use this drug.

Nazivin drops

It is produced in several versions - in the usual dosage, for people prone to or suffering from allergic reactions, for children of various ages. The drug has an excellent vasoconstrictor effect, and the effect can be achieved almost immediately after use. The patient immediately returns to normal breathing, the state of health improves significantly, and the amount of nasal discharge is also reduced. Thanks to this medication, it is possible to restore ventilation between the ears and sinuses, which eliminates the effect of stuffy ears, which is so common with colds. This allows you to prevent the development of diseases such as otitis media, sinusitis or eustachitis. The concentration of active substances here is optimal in order to effectively cope with a runny nose and prevent the body from quickly becoming accustomed to this remedy.

The active substance used here is oxymetazoline hydrochloride - one package contains about 0.1 mg (this depends on who exactly this drug is intended for). When used in the correct concentrations, it does not cause irritation of the nasal mucosa. A positive effect can be achieved for up to 12 hours. Some people have an individual intolerance to some components of the drug. An overdose of the substance should not be allowed, as this can lead to the opposite effect - the feeling of congestion will increase, and sometimes even blood pressure will increase.

Advantages:

• It is possible to achieve an almost instant effect;
• There are options for small children, people with allergies, and so on;
• Long shelf life;
• Easy to use product;
• Sold without a prescription;
• Reasonable price.

Flaws:

• There are some contraindications and side effects;
• Incompatible with some modern medications.

1. Isofra

Allows you to actively fight against infections on the mucous membranes of the nose and paranasal sinuses. This is a fairly effective remedy that contains an antibiotic that has a depressing effect on pathogens. The product is produced in the form of a spray with a dispenser, due to which the medicine is evenly distributed throughout the nasal cavity, penetrating even the most inaccessible places. The function of the active substance here is performed by framycetin sulfate - its concentration is 12.5 ml per 800,000 units. The volume of one bottle is 15 ml. In general, the developer and sole manufacturer of this product is the French pharmaceutical company. The area of ​​influence of the drug is not too wide, so it can be used both as an independent remedy and in combination with other medications.

Isofra has shown itself to be effective in the treatment of sinusitis, rhinitis, nasopharyngitis and other complications of the runny nose; a fairly good effect is obtained in the fight against sinusitis. However, to get rid of the latter pathology, it is necessary that the patient does not experience deformations in the nasal septum. The spray is often prescribed for the prevention and restoration of immunity, especially during the period of postoperative recovery of the body, when its resistance to disease is reduced.

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Advantages:

• Contains an active antibiotic that leads to the death of viruses and bacteria;
• Can be used by children aged 1 year and older;
• The bactericidal effect is well expressed;
• Used for individual use or for complex therapy.

Flaws:

• Should be used only on the recommendation of a doctor.

Hormonal sprays

These drugs are based on glucocorticoids - hormones, analogues of which are produced in the human adrenal glands - have pronounced anti-inflammatory, anti-edematous and anti-allergic activity. They are not “first aid” drugs, starting to act 3-4 hours after instillation. Maximum activity begins within a day.

By removing swelling, drops with glucocorticoids improve nasal breathing, prevent the development of sinusitis or, if it has already developed, reduce its manifestations. Due to the fact that they suppress local immunity, thin the nasal mucosa, and can lead to increased intraocular pressure, this type of drug is prescribed only by an ENT doctor.

Depending on the main active ingredient, there are the following hormonal sprays (they are presented in order of decreasing local activity):

Drops for vasoconstriction

Spray Snoop

Using this remedy, you can quickly cope with the symptoms of a runny nose, which was caused by a variety of reasons - bacterial or viral infection, allergic reactions, and so on. After use, the beneficial effect lasts approximately 5 hours, then there is a need for repeated use. This is a German-made product: it was developed and produced by pharmacologists from STADA Arzneimittel, it is a colorless transparent liquid with an active component content of 0.05 (for children) or 0.1% (for adults). The ingredients here are xylometazoline hydrochloride, sea water that has undergone specialized purification, and potassium dihydrogen phosphate.

This product is absolutely safe, but not everyone should use it. For example, it is not suitable for people with the following diseases: high degree of atherosclerosis; with increased heart rate, hypertension, closed glaucoma, during pregnancy or breastfeeding. If you use the medicine too often, it can cause irritation and drying of the nasal mucosa, which will cause an unpleasant burning sensation, the person will begin to sneeze frequently, and so on.

Advantages:

• A very affordable drug that everyone can afford;
• Fast and fairly long-lasting action;
• Convenient and compact packaging;
• Contains sea water with a rich content of minerals necessary for the normal functioning of the mucous membrane;
• There are no preservatives;
• The likelihood of an overdose is reduced to almost zero.

Flaws:

• The maximum can be used for seven days;
• There are certain contraindications;
• Can be used by children only from 6 years of age;
• Opened packaging can be stored for a maximum of three months;
• It is strictly forbidden to use for chronic runny nose.

Sanorin with eucalyptus oil

With the help of such drops, it will be possible to alleviate the condition of a sick person after the first use, and literally five to six days later the runny nose will disappear completely. This product contains naphazoline nitrate, which has an original and complex mechanism of action on the human body. With its help, it is possible to achieve a narrowing of blood vessels; it also contains additional substances that dry out the nasal cavity and the mucous membrane itself, reducing secretions. The product is produced in the form of drops, spray or emulsion, so each person can choose the most suitable option for themselves. As auxiliary elements it contains water, boric acid, ethylenediamine and methyl parahydroxybenzoate. Available in pharmacies without a prescription, it is well suited for combating acute or chronic rhinitis, sinusitis, sinusitis and other diseases of the nasopharynx.

The composition also contains aloe extract, which can cope well with seasonal allergic reactions. You should not use the drug in case of high blood pressure, tachycardia, various vascular diseases, or eye diseases. During the day, you can instill the product into the nose no more than four times, at approximately the same time intervals. You should use it for a maximum of seven days (for children - no more than three).

Advantages:

• Inexpensive, but very effective;
• Contains many active substances that allow you to quickly cope with a runny nose;
• Long shelf life;
• Available without a prescription.

Flaws:

• A decent number of contraindications.

1. Naphthyzin

Intended for adults, but there are products designed for children as well. In principle, these drugs differ from each other only in the content of the active substance. The positive effect is long-lasting, and the remedy can be used for a variety of diseases of the nasopharynx, which are accompanied by rhinitis, as an additional remedy. When used topically, this product allows you to achieve a very pronounced vasoconstrictor effect. With its help, swelling is eliminated literally within a few seconds, which allows you to quickly cope with hyperemia and restore normal breathing. The active substance used here is naphazoline, which in combination with distilled water and boric acid allows you to achieve maximum effect and ensure its duration.

This remedy is not used very often for children due to the presence of a large number of possible side effects, but sometimes they still resort to it. In particular, there is a need to relieve nosebleeds, as well as inflammation of the paranasal sinuses. In some cases, the drug is also used in the field of ophthalmology - here it is necessary as an adjuvant to combat chronic and bacterial conjunctivitis.

Advantages:

• Low cost;
• Wide use;
• Fast and long-lasting effect;
• Helps well with otitis media;
• There is a children's option.

Flaws:

• Quick addiction to the drug;
• Contraindicated for children under one year of age, pregnant and lactating women.

Sprays to thin thick nasal discharge

Rinofluimucil

For both adults and children, with a runny nose accompanied by the release of thick snot (usually this occurs on the 5th day of illness or later), Rinofluimucil is prescribed - a drug containing a mucus “thinner” acetylcysteine ​​and a swelling reliever tuaminoheptane sulfate. Indications: rhinitis with copious mucopurulent discharge, chronic rhinitis, sinusitis, vasomotor rhinitis. Application:

• adults – 2 doses of aerosol in each nasal passage 3-4 times a day;
• children from 3 years old – 1 dose 3-4 times a day.

Contraindications: Hypersensitivity, angle-closure glaucoma, increased thyroid function, treatment with antidepressants-MAO inhibitors. Its price is 230-300 rubles.

In what cases are drops needed?

Rhinitis is not an independent disease. Pathology occurs against the background of concomitant diseases or due to the negative impact of irritating factors (gases, dust, allergens, foreign bodies) on the mucous membrane. Intranasal drops are intended to eliminate the irritating factor and eliminate the accompanying symptoms of a runny nose.

The drugs are used for therapeutic purposes for the following symptoms:

• regular sneezing;
• swelling of the mucous membrane and congestion;
• copious secretion of nasal mucus;
• discharge with pus;
• dry mucous membrane.

In most cases, drops for the common cold are intended solely for symptomatic therapy. Such drugs do not eliminate the cause of rhinitis, but only fight the manifestations of the inflammatory process. The exception is drops characterized by antibacterial, antiviral and antihistamine effects. Medicines belonging to the listed groups are prescribed directly to eliminate the root causes of the disease.

Antiseptic drops

If the runny nose is bacterial in nature, that is, yellow snot is released from the nose almost from the first day of the disease, the ENT doctor prescribes drops with antiseptics. Antiseptics are substances that destroy bacteria and also have the ability to slow down the activity of fungi and viruses. These are not antibiotics, to which bacteria can develop resistance: microbial enzymes have not learned to adapt to the composition of antiseptics.

Such drugs are prescribed only by an ENT doctor. The following antiseptic drops are available:

The best nasal drops for a runny nose

And the rating opens with several drugs that can be dripped into the nose for congestion and runny nose, the cause of which is a cold. These drops can be considered “broad spectrum” drops.

Isofra

Rating: 4.9

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. Produced by Isofra, a French pharmaceutical company.

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 – Protargol

Rating: 4.8

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 domestically, 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

Rating: 4.7

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 a German pharmaceutical company. 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.

Antiviral topical drugs

These are sprays and drops based on interferon-alpha1 - an antiviral substance that is produced by human leukocytes when a virus enters the body - to destroy it.

Runny nose and nasal congestion - what is it?

Scientifically, a runny nose is called rhinitis - inflammation of the mucous membrane of the nasal cavity. This inflammation is often accompanied by active secretion of nasal mucus. In some cases, the membrane swells so much and so much mucus is released that the nasal cavity becomes impassable for air. A person loses the ability to breathe through his nose, which seriously complicates his life. No less unpleasant is the release of mucus from the nasal passages.

There can be several reasons for a runny nose:

• allergic reactions to pollen, dust, pet hair, chemicals;
• bacterial or viral infection;
• taking certain medications;
• hypothermia of the nasal cavity.

Often several factors can be combined, for example, a viral or bacterial infection and hypothermia.

Antibiotic drops

They are prescribed for purulent processes localized in the nasal cavity or sinuses.

When are vasoconstrictors indicated for a runny nose?

1. Bacterial, viral, allergic rhinitis, in which the nose is stuffy. The goal is to relieve nasal congestion, because you really want to breathe.

If your nose is running, they are not needed. In this situation, it is enough to rinse your nose with a solution of sea water several times a day.

2. Acute sinusitis (sinusitis, sinusitis, etc.).

3. Acute otitis media. In this case, vasoconstrictors reduce swelling of the nasopharynx in the place where the auditory tube exits. Due to this, the outflow of inflammatory secretions from the ear cavity improves.

4. Eustachitis - inflammation of the auditory tube - for the same purpose as with otitis media.

5. After operations in the nasal area, to reduce postoperative swelling of the mucous membrane and improve nasal breathing.

6. To relieve swelling of the mucous membrane before performing any diagnostic procedures.

Combination drugs

Drops and sprays of this type contain a vasoconstrictor in combination with either an antihistamine, a glucocorticoid, or an antibacterial drug.

The last 2 drugs also belong to the group of softening drops (thanks to the essential oils in the composition). They are prescribed for the prevention and complex treatment of otitis, which arose as a complication of acute respiratory viral infection.

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

Rating: 4.9

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 a well-known Belgian pharmaceutical company, 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

Rating: 4.8

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 injection of 2 doses into 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, 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

Rating: 4.7

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 in Germany. 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

Rating: 4.6

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. Produced by Cromohexal pharmaceutical, 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

Rating: 4.5

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, and you can purchase one bottle of a 20 ml atomizer 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.

Homeopathic medicines

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.

Aqua Maris

Rating: 4.9

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. It produces, or rather packages, pharmaceutical 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

Rating: 4.8

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 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 in the Czech Republic; 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

Rating: 4.7

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. It is produced by Vibrocil pharmaceutical, 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 2019-17. But no matter what active and complex drugs are offered to consumers in pharmacies, 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. Attention! This rating is subjective in nature, is not an advertisement and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.

Drops and sprays with immunomodulatory effect

Treatment methods for runny nose

Medical science has developed many ways to cope with a runny nose. This could include medications instilled into the nose, rinsing, distraction therapy, or physical therapy. It is important that different types of runny nose have their own treatment methods.

The most commonly used treatments for rhinitis are:

• vasoconstrictors,
• moisturizers and anti-inflammatory agents,
• antihistamines,
• antibiotics,
• combination products (containing components with different mechanisms of action).

Most medications for the common cold are available in topical forms (ointments, sprays and drops). They act directly on the mucous membrane of the nasal cavity.

The most convenient form is sprays. When spraying the medicine in the nasal passages, tiny droplets of the spray are evenly distributed over the surface of the mucous membrane. If, when instilling drops, the patient must take a lying position, then sprays do not have this drawback. However, sprays are contraindicated for small children; only drops are allowed for them. This is due to the fact that when using sprays, there is a high probability of infection in the Eustachian tube, which is very wide in children, and the development of otitis media.

Oral medications for a runny nose are rarely prescribed. These could be drugs with phenylephrine to treat nasal congestion without excessive discharge (Rinza, Coldact, Coldrex). For allergic rhinitis, treatment with local medications can also be accompanied by taking tablets (Cetrin, Orinol, Erius). For bacterial rhinitis complicated by sinusitis or sinusitis, antibiotics from the groups of amoxicillins, macrolides or cephalosporins in capsules or tablets (Augmentin, Flemoxin Solutab, Hemomycin, Sumamed, Suprax, Pancef) can be prescribed.

Photo: u11116 / pixabay.com

Vasoconstrictors

They contain analogues of adrenaline, which constricts blood vessels, but work only at the local level, interacting with adrenergic receptors in the nasal mucosa. The narrowing of the small capillaries of the mucous membrane leads to a reduction in its swelling and relief from nasal congestion. Indications for vasoconstrictors include infectious and allergic rhinitis, sinusitis, sinusitis and sinusitis.

These remedies are among the most effective. They act within 4-12 hours. However, they have some contraindications. Many drugs containing adrenergic agonists are not approved for young children, pregnant women, or those suffering from cardiovascular diseases. These medications also have a number of side effects. In particular, they can cause addiction and mucosal degeneration with prolonged use. Therefore, the course of treatment with adrenergic agonists should not exceed a week (for some drugs this period is even shorter). You should not use these drugs too often (more than 4 times a day). In addition, they should not be used for early symptoms of a runny nose or for mild runny nose.

Commonly used vasoconstrictors:

• phenylephrine;
• naphazoline;
• oxymetazoline;
• xylometazoline;
• tramazolin.

Vasoconstrictor drops and sprays are prescribed to children with caution. Phenylephrine-based drugs are considered the safest. Also, in preparations for children, the concentration of the active substance is usually lower than in preparations for adults.

Naphazoline

This adrenergic agonist is included in many inexpensive drugs for the common cold, such as Sanorin and Naphthyzin. The effect of naphazoline develops quickly - after 3-5 minutes and lasts 4-6 hours. Cannot be used to treat children under 3 years of age.

Xylometazoline

A more modern drug. Its duration of action is up to 12 hours. The substance is part of drugs under the trademarks Galazolin, Otrivin, Rinonorm, Xymelin, Tizin, DlyaNos. They are available in the form of drops and sprays. There are two concentrations - 0.1% (for adults), 0.05% (for children). The course of treatment with xylometazoline-based drugs should not exceed a week.

Oil based preparations

These include preparations containing essential oils of camphor, mint, eucalyptus, pine, and fir. These products moisturize the mucous membrane and protect the mucous membrane from drying out, relieve irritation, heal microcracks, and destroy bacteria. Essential oils are of natural origin and have a minimum of side effects.

Moisturizing salt solutions

Saline solutions also successfully absorb toxins from the nasal cavity and thin mucus. There are hypotonic, isotonic and hypertonic solutions. The Aquamaster hypotonic solution has a salt concentration lower than the salt concentration in the blood plasma (less than 0.9%). It thins mucus and dissolves crusts on the mucous membrane.

In isotonic solutions (Aquamaris, Humer, Physiomer, Aqualor, Marimer, Morenazal), the concentration of sodium chloride is the same as in the blood. Isotonic solutions are often made from seawater. They moisturize the mucous membrane well and wash out bacteria from it. Suitable for treating infants and pregnant women.

Hypertonic solutions (sodium chloride concentration greater than 0.9%) draw excess fluid from the mucous membrane, which leads to a decrease in swelling and thinning of mucus. The period of use of hypertonic solutions is no more than 3 days. They also cannot be used to treat children under 3 months of age. Hypertonic solutions include Humer 050 Hypertonic, Aqua Maris Strong, Quicks, Aqualor Aqua Forte.

Antihistamines

Intended for the treatment of allergic rhinitis. They act on histamine receptors, a mediator of inflammation responsible for the development of allergic processes. Relieves swelling by reducing the permeability of capillary walls. Popular drugs with antihistamine action:

• azelastine (Allergodil),
• levocabastine (Tizin Allergy),
• cromoglicic acid (Cromohexal),
• dimethindene (Vibrocil).

Immunomodulatory drugs

They can be prescribed for rhinitis of viral etiology. Contain substances that stimulate cellular immunity at the local level. The most frequently prescribed drugs are Interferon, Viferon, Ingaron. Available in the form of drops, ointments and gels.

Hormonal drugs

This is the “heavy artillery” used for complex allergic rhinitis. Hormonal preparations contain analogues of glucocorticosteroid hormones. Indications for hormonal nasal medications:

• seasonal or year-round allergies accompanied by nasal congestion;
• polyposis;
• sinusitis;
• sinusitis.

GCS medications quickly relieve swelling and inflammation. However, they cannot be used for a long time due to the risk of side effects. In particular, they weaken the immune system, which leads to the risk of developing infection. For the same reason, hormonal drugs are not used for bacterial rhinitis.

Antibiotics and antiseptics

Used for bacterial rhinitis. Kill pathogenic bacteria, eliminating the cause of infection. Also effective for sinusitis and sinusitis. Available in the form of drops or aerosols. Antibiotic medications can only be taken with a doctor's prescription. The course of treatment with antibacterial drugs should not exceed 10 days.

Along with antibiotics, silver-based antiseptics (Collargol, Protargol) are also used.

Antihistamine drops

They are used for rhinitis with a pronounced allergic component.

Phenylephrine or xylometazoline/oxymetazoline?

There are 2 subtypes of alpha adrenergic receptors: alpha 1 and alpha 2. Phenylephrine acts only on alpha-1 receptors. The remaining funds are for both types.

Impact on both types of receptors gives a more pronounced and longer-lasting effect.

But the effect on alpha-2 receptors constricts the arterioles supplying the nasal mucosa. Prolonged narrowing of these vessels leads to oxygen starvation of the mucous membrane and its damage.

Phenylephrine, which acts selectively on alpha-1 receptors, causes constriction only of the venous vessels of the nasal turbinates and does not lead to oxygen starvation of the mucous membrane.

What to use for children

A pediatrician or pediatric ENT doctor will write a list of nasal drops for a runny nose for your child, based on an examination and his own experience in this regard. Typically it includes:

1. Rinsing with saline solutions, mainly not hypertonic, but isotonic: Aqua-Maris, Humer 150 worth, Physiomer, Aqualor, Marimer or others.
2. Vasoconstrictors: Nazol-Baby, Nazol-Kids, Nazivin of appropriate concentration.
3. If the allergic component is strong, after 2-3 days the drugs of the previous group are changed to combined drugs (Vibrocil, Pinosol).
4. In case of severe swelling, Avamis or other hormonal sprays are added in a short course.
5. Bacterial rhinitis is treated with antiseptic (Ocomistin, Protargol) and antibacterial (Isofra, Polydexa) agents.
6. To prevent a viral infection from “crushing” a child, Grippferon or other interferon drugs are used from the first day of a viral runny nose.
7. Euphorbium compositum and other homeopathic drops also help well from the first day of illness.
8. If a child is often sick, it makes sense to use IRS-19 or Derinat. But they must be prescribed by a doctor.

Author:

Krivega Maria Salavatovna resuscitator

Some tips for choosing a vasoconstrictor

Situation 1. “I need something for my runny nose. The nose can't breathe."

You can offer standard products based on Xylometazoline or Oxymetazoline: Afrin, Dlyanos, Xilen, Nazivin, Rinonorm, Rinostop.

Situation 2. If your runny nose has lasted longer than 3-4 days, there is a high probability that a bacterial infection has occurred.

Offer a product with menthol and eucalyptus. Eucalyptus is a natural antiseptic.

For example, Afrin Extra with menthol and eucalyptus, Xylen Active, Ximelin Eco with menthol, Otrivin menthol, Sanorin with eucalyptus oil.

Situation 3. If there is thick mucus in the nose, it is difficult to blow your nose, and also if there is a headache, heaviness in the maxillary sinuses - Rinofluimucil and see a doctor.

Situation 4. If in a conversation with the buyer it turns out that there was surgical intervention in the nasal cavity, preference is given to a product with dexpanthenol (Nasik) for the speedy restoration of the mucous membrane.

Situation 5. If the client says that he usually has dryness and discomfort in his nose from vasoconstrictors, you can offer:

1. Product with a moisturizing component: Afrin moisturizing, Otrivin, Tizin Expert, Snoop.

Or:

2. Product without the preservative benzalkonium chloride: Ximelin Eco, Nazivin sensitive, Rinonorm, Sanorin.

Situation 6: If the customer appears to have allergic rhinitis, recommend Vibrocil.

Situation 7. If you ask an adult for something for ear pain, along with ear drops, offer nasal drops: Sanorin Xylo 0.1%, Nazivin drops 0.05%, Rinostop extra drops 0.05%.

Situation 8. If nasal congestion is accompanied or alternates with nasal runny, recommend a combination remedy containing Ipratropium bromide: Otrivin complex, Xymelin Extra.

Contraindications

Drops with a vasoconstrictor effect are not allowed for all people.

Experienced otolaryngologists have established a number of cases when it is strictly prohibited to use such a drug:

• If the patient has an intolerance to one of the components included in the drug;
• For glaucoma of any degree of maturity;
• People with impaired heart function, tachycardia or hypertension;
• When rhinitis reaches an atrophic form;
• Patients suffering from atherosclerosis;
• For any disruption of the endocrine system: hyperthyroidism, increased hormone production.

It is worth noting that the instructions for use of the drugs indicate age restrictions. Typically, the list of contraindications for the drug includes an age category of up to 1 or up to 3 years, depending on the active substance.

Nasal drops are not as harmless as they might seem. It is imperative that you read the instructions before using them or warn a specialist about the presence of an illness, otherwise, after using them, either a slight illness or more serious consequences may appear.

Contraindications: when is it better to abstain?

α-adrenergic agonists should not be taken if:

• individual intolerance to components;
• use of MAO inhibitors (Iproniazid, Isocarboxazid, Phenelzine, Moclobemide, Selegiline, Befol, etc.) and tricyclic antidepressants (Amitriptyline, Imipramine, Nortriptyline, Fluoracisine, etc.);
• rehabilitation after surgical interventions on the brain or its membranes.

Medicines in this group are used with great caution for:

• hypertension and arrhythmias;
• diabetes mellitus and hyperthyroidism;
• closed-angle form of glaucoma;
• advanced atherosclerosis;
• atrophic rhinitis.

Thus, vasoconstrictor drugs are mainly an emergency treatment for acute respiratory infections, allergies, sinusitis, etc.

They cannot be used for a long time to avoid the development of unpleasant consequences, and the choice, especially when treating children, pregnant and lactating women, should be treated with particular scrupulousness, and it is better to consult a doctor.

Also, consultation with a specialist is required if a runny nose, despite all efforts, does not go away within 2 weeks.

Types of nasal drops

Nasal drops are divided into types depending on the spectrum of their action. There are antiviral, antibacterial, moisturizing, thinning, vasoconstrictor, combined and plant-based drops.

Antiviral and antibacterial nasal drops for children are used if a runny nose is caused by viral diseases. Viruses penetrate the nasal mucosa, so effective treatment is achieved with the help of antiviral drops (Grippferon, Derinat).

The use of products, the main component of which is interferon, helps strengthen the immune system and cures runny nose within three days if used in a timely manner.

Antibacterial nasal drops (Isofra, Polydexa, Bioparox) can only be used as prescribed by a specialist, since children often do not tolerate antibiotics well.

The use of antiviral and antibacterial drops to treat children is possible if the viral etiology of the disease is clearly established. These funds have a number of serious contraindications.

Moisturizing nasal drops - AquaMaris, Aqualor, Marimer, Humer - are successfully used to treat children's runny nose. They are treated with saline solution as the most affordable and accessible remedy for children's runny nose.

It can be bought at pharmacies or prepared independently at home: take a teaspoon of salt per liter of boiled water. Preparations containing sea water as a base are also safe, not contraindicated even for children under one year old, and are not addictive. However, their cost is quite high.

Nasal thinners (Mucodin, Rinofluimucil, Acetylcysteine, Sinuforte) are used to relieve congestion in the nasal passages and maintain a good state of mucus in them.

If you do not get rid of the thick contents in the nasal passages in time, then stagnation of mucus can provoke complications in the form of rhinitis and sinusitis.

Thinning drops are prepared using mucolytic drugs and secretolytic agents. The former are used to eliminate the viscosity of nasal contents, the latter are needed for the complete outflow of mucus from the nasal passages.

The group of secretolytics also includes substances of plant origin, so drops can cause allergies.

The task of vasoconstrictor nasal drops (Sanorin, Nazol, Oxymetazoline, Nazivin) is to facilitate nasal breathing. These drops do not fight the causes of the disease, but eliminate discharge from the nasal passages and relieve the feeling of congestion.

But these medications can be addictive. It is not recommended to use them for more than five days: the effectiveness of treatment noticeably decreases with prolonged use.

Among nasal preparations based on plants, we can recommend oil drops based on peach, olive, and fir oils (Pinosol). They should be used if the mucus in the nasal passages is completely dry. Usually, when a child sneezes, he blows out dry crusts.

Eliminating risk factors during pregnancy

Pregnancy is the best period in a woman’s life. This extraordinary sacrament, when two hearts beat in unison, cannot be expressed in words. A separate list of nasal medications is provided for pregnant women. What drops for nasal congestion are considered safe during this period?

It is best to choose natural preparations. Vasoconstrictors will have to be abandoned, since they will not only have a local effect, but can also affect the narrowing of blood vessels in the placental layer. The following intranasal pharmacological preparations are considered safe:

• "Humer";
• "Pinosol";
• "Physiomer";
• "Dolphin"
• "Alergol."

The dosage and duration of use should be determined by the doctor, because you are responsible not only for your health, but also for the full and, most importantly, safe development of the baby.

As already mentioned, the issue of choosing nasal agents is very complex. You have seen for yourself what a variety of drugs exist today. The best choice is a consultation with an ENT specialist and compliance with all his instructions. Be healthy!

Vasoconstrictor folk remedies

When traditional medicines do not help or cannot be used, grandmother’s recipes of traditional medicine can come to the rescue. So, effectively eliminate swelling:

Warming up with boiled eggs. They are wrapped in cloth and placed on both sides of the nose. Eggs can be replaced with potatoes or other items such as salt. But such a procedure can be carried out only with complete confidence in the absence of sinusitis, since it can cause significant harm to health.

Inhalations with essential oils. Tea tree, eucalyptus, cedar, and fir oils are perfect for manipulation. To carry it out, you can use a household inhaler, or, in the absence of one, an ordinary pan with boiling water and a towel to cover your head.

But when treating children, you should be careful so that the baby does not accidentally spill hot liquid on himself. For one procedure, it is enough to drop only a couple of drops of the selected oil or a mixture of them into boiling water.

Onion drops. The onion is passed through a meat grinder, the resulting pulp is placed in cheesecloth and the juice is squeezed out. For 1 part of it, take 6 parts of vegetable oil, preferably olive, and inject 2-3 drops into each nostril several times a day.

Kalanchoe juice. Fresh leaves of the plant are ground and the juice is squeezed out. It is instilled 2 drops every three hours.

Viburnum berry juice. 12 berries are ground through a sieve to release the juice. It is divided into two equal parts and introduced into the nasal passages. At least 4 such procedures are carried out per day.

Age and other features of the use of vasoconstrictors

Drops for children

Be sure to consult your doctor when using

Children often face the problem of a runny nose, which goes without saying when the child first goes to kindergarten. Constant colds and sniffles. Treatment of a runny nose in adults and children differs significantly. This is due to the immune system not yet fully formed. Therefore, in this case, treatment must be treated with vigilant caution. For children, a different dosage and concentration of medicinal components is being developed. For children, special drops with a mild effect have been developed that protect the children's mucous membrane.

Typically, drops for children are made on the basis of phenylephrine or tramazoline; in some cases, oxymetazoline can be used. The most common remedies are Nazol Baby, Adrianol, Nazivin Sensitive.

When a child reaches six years of age, he can be treated with adult medications.

Drops for pregnant women

Self-medication is prohibited, drops are prescribed only by a doctor, especially in the first trimester

Pregnancy is a special condition of a woman when the use of most drugs is prohibited. The phenomenon of congestion during pregnancy is an extremely undesirable phenomenon. This is due to the fact that the drug can negatively affect the condition of the unborn child, so in this case it is recommended to select the drugs very carefully. In this situation, treatment must be selected after consulting with a specialist. It may be necessary to resort to the use of folk remedies. The annotations for most drugs indicate that their use is not recommended during pregnancy and lactation.

The danger is that individual components can cause a narrowing of the placenta and affect the narrowing of the fetus. In addition, it is necessary to combat a runny nose during pregnancy, since nasal congestion can lead to nasal congestion and the development of hypoxia. Fortunately, modern medicine does not stand still and doctors can prescribe medications to a pregnant woman that will not have a negative effect. Such as Nazivin, Vibrocil, Tizin.

Before using the drug, it is recommended to consult your doctor and consult about the use of the product. Perhaps the doctor has a different point of view after assessing the general condition of the woman and her unborn child.

During lactation, things are not much simpler. Nursing mothers are allowed to use oxymetazoline or finilephrine, without xylometazoline. In this case, it is necessary to monitor the dosage and take into account individual characteristics.

Some features of use

To clear the nose, most doctors recommend drips of vasoconstrictors after clearing it of mucus , if there is a runny nose.

This is best done using saline solutions. They can be prepared at home from ordinary salt and water or bought ready-made at the pharmacy:

• Physiometer;
• Humer;
• Aqua Maris;
• Salin;
• Quicks et al.

They are made on the basis of sea water and can effectively clear the nasal cavity of accumulated snot, including dried ones.

But with sinusitis and other types of sinusitis the situation is the opposite. In such cases, on the contrary, it is recommended to first instill vasoconstrictor drops, and then rinse, so that during the procedure the affected sinuses are cleared of purulent contents.

Duration of treatment and use of vasoconstrictor nasal drops

Getting used to the vasoconstrictor takes 5-7 days; stop or change the drug after this time.

A frequently asked question is how long can you drip the drug so as not to become addictive or harm your health, and what means are best to use?

It is recommended to use any drug for no more than 7 days without consulting a doctor.

If you neglect this rule, then long-term use of vasoconstrictor drops may lead to one or more negative reactions, such as:

• Dryness and irritation of the mucous membrane;
• Heavy bleeding from the nose;
• Dizziness and severe migraines;
• The appearance of a burning sensation in the nasal cavity.
• Addiction to the drug is one of the most dangerous harmful effects.

Habituation means that the receptors can no longer independently control the process without the use of drops. The consequence may be the occurrence of chronic edema. The medical term for this problem is medicinal rhinitis (medicinal).

Before purchasing drops, in any case, you need to consult your doctor and he will select for you the best drugs that are suitable for curing the disease.

How to quickly cure a runny nose No sprays or drops helped, it’s pouring

Answers:

Evgeniy Jukov

A little unpleasant method, but 100% results overnight, tampons soaked in aloe juice, honey and horseradish are inserted into the nose, there is a side effect, then for 2 days everything will seem like honey and horseradish and but the mucous membrane will be burned at the entrance, this method not only treats runny nose, but also flu.

Renarde

washing! take a small teapot (teapot), pour hot water from the tap, a spoonful of salt, a spoonful of soda (you can do it and it won’t make it worse) and three drops of iodine, rinse with this as often as possible! This is how I cured sinusitis

Tanya

try otrivin

Elena Ryzhova

Just stop treating it, it will go away on its own!

Personal Account Removed

cut off your damn nose!!!

MissC

Treat it will last for 2 weeks, don’t treat it the same way.

Veta Mukha

squeeze out the leaves of colonchoy (I think everyone has it growing in their house) and drip it in... or put a piece of onion under it and breathe in it... it will help.. I’ve tried it before) don’t get sick!

Alpha Centauri. We are there

tear off a piece of aloe (such as a cactus) and drop it into your nose. Elementary Watson.

mila laba

I am being treated with isofra and bioparox

Olga Olga

Perhaps you also have an allergic component, and not just a cold. Try to simultaneously use an allergy spray (for example, Aldecin) and a regular vasoconstrictor for the runny nose (for example, Naphthyzin, although it is harmful, it is effective) and take orally either your usual allergy medicine (if you are allergic), or something else something else (“Diazolin”, “Erius”, or whatever they recommend to you). If after a week there are no changes, go to the ENT specialist immediately. Otherwise, it can lead to vasomotor rhinitis - then you suffer with intravenous medications and a constantly stuffy nose. And under no circumstances do you stuff horseradish into your nose (I read someone’s advice here) - you don’t need a burn to the mucous membrane. And it’s also better not to experiment with honey without a doctor’s advice.

Anna Matveeva

A runny nose is treated for seven days, without treatment it goes away within a week. All medications only make life easier. Vasoconstrictor drops - naphthyzin, sanorin, galazolin, all the rest are their derivatives from different companies. Inhalations from Vietnam. “Zvezdochka” balm - heat a small saucepan of water to almost boiling, put a piece of balm the size of a match head, cover with a towel so it doesn’t get into your eyes, and breathe for about 10 minutes. Steam your feet overnight, wipe dry and thickly smear Zvezdochka between your toes, and especially the 2nd finger. Then put on woolen socks and go to bed. The only way to stop a runny nose is if you do UHF on your nose in the first hours. Yes, and don’t forget to take IMMUNAL half a teaspoon 3 times a day, after all, this is a viral infection.

Margot

Do not use drops, they have an even worse effect on a runny nose. Just try to suffer for 3 days without medications, it will go away on its own, but if you treat it with drops, especially naphthyzine, it will drag on for months..

Willow...

Grandma's recipe helps her children. Boil a chicken egg hard, peel it while it is still bitter and roll it across the bridge of your nose, the result is no runny nose.

Nataly

actifed or sudofed tablets.

Margarita

When no drops or sprays help, then perhaps your nasal mucosa is burned and the inflammation does not go away due to addiction to the drugs. All vasoconstrictor drops that are used to facilitate nasal breathing give a temporary effect and do not cure. From their constant use, vasomotor rhinitis usually develops, which is extremely difficult to cure. I had this after sinusitis, I cured the sinusitis itself by washing it with a solution of water and iodine - a very effective remedy, but it burned the mucous membrane, then I suffered for 1.5 months, and to restore the mucous membrane I was advised Euphorbium - a homeopathic spray. Now that's all I use. Additionally, I rinse my nose with dioxidine. In this case, it is necessary to drink as much fluid as possible and something for allergies; often colds are accompanied by allergies

How long can vasoconstrictor drops be used?

You can use medications of this kind without a doctor’s prescription for no longer than 7 days, since longer use can lead to a number of side effects:

1. irritation and dryness of the mucous membrane;
2. the appearance of a feeling of tingling and burning;
3. nosebleeds;
4. tachycardia and increased blood pressure;
5. headaches and dizziness, etc.

But the most dangerous consequence of prolonged uncontrolled use of local α-adrenergic agonists is considered to be the occurrence of addiction to them, since the receptors cease to independently control vascular tone.

The consequence of this is chronic edema, which is eliminated only under the influence of ever-increasing doses of pharmaceuticals. In such situations, vasomotor or medicinal rhinitis is diagnosed.

Folk remedies: The disease is difficult to treat, and sometimes it can only be dealt with by cauterizing the mucous membrane in one way or another, for example, with a laser or argon plasma.

However, there are situations when taking the medication for a longer period of time is required. This is often necessary for sinusitis or allergic rhinitis. But such drops can be instilled for longer than a week only with permission and under the strict supervision of an otolaryngologist.

Vasoconstrictors for sinusitis

Almost all ENT specialists prescribe vasoconstrictors to their patients when treating sinusitis. This is necessary because the swelling interferes with the already impaired outflow of contents from the maxillary sinuses.

Therefore, if it is not eliminated in time, sinusitis will progress, the intensity of symptoms, especially headaches and a feeling of fullness, will increase, and over time the disease will become chronic.

In principle, any drops or sprays can be prescribed, but it is still better to give preference to combination medications containing an antibiotic, for example, Polydex. But you cannot self-medicate if you have sinusitis, as this will easily cause the condition to worsen.

Medicines that moisturize the nose

These are the safest medications, but, unfortunately, these include all saline solutions, including saline solution used for injection.

They are indicated even for newborn children, but they give results only when congestion occurs due to blockage of the nasal passages with clots and crusts of snot, since, in fact, they are simple salt water.

Drugs in this group effectively thin mucus and facilitate its removal, thereby cleansing the nasal cavity.

But the use of saline solutions helps to moisturize the mucous membrane and prepare it for the administration of other medications, especially when using vasoconstrictors and constantly staying in rooms with dry air. These include:

• Humer;
• Marimer;
• No-salt;
• Aqualor;
• Physiometer;
• Aquamaris, etc.

Anti-inflammatory

Since the main cause of swelling is the inflammatory process, the use of anti-inflammatory drugs is the most appropriate method of treatment. But the choice of drugs with this effect is limited.

A bright representative. Their composition can include many different components that exhibit both medicinal properties and relieve unpleasant symptoms.

Plant based

It is believed that such medications treat a runny nose, but in fact their therapeutic effect is insignificant. Basically, they make nasal breathing a little easier due to the influence of natural essential oils and menthol included in the composition, and thin out viscous mucus.

Representatives of the group are:

• Pinosol;
• Kameton;
• Balm Golden Star (applied exclusively to the skin of the wings of the nose, it is unacceptable to bury it inside);
• Eucamenol;
• Mentoclar.

Homeopathic drops for congestion

Homeopathic remedies are safe and, with long-term correct use, help to fully recover. These include:

• Delufen;
• Euphorbium compositum;
• Rinitol Edas-131, etc.

They help eliminate not only swelling, but also increase local immunity, which significantly speeds up the onset of recovery. Due to their safety, they are prescribed even to young children.

Hormonal

Drugs in this group are classified as local corticosteroids, that is, hormonal agents. Their effect is comparable to that of vasoconstrictor drops, but they are not addictive even with long-term use.

The most prominent representatives of the group are:

• Nasonex;
• Baconase;
• Flixonase;
• Nasobek;
• Alcedin;
• Rinoklenil.

Despite the fact that their active ingredients are various corticosteroid (glucocorticoid) hormones, these medications are considered the safest and most effective for all types of rhinitis, including allergic and those caused by adenoiditis.
Corticosteroids are just drops for nasal congestion without snot, although they also help eliminate rhinorrhea.

The only drawback of these medications is their high cost, often several times higher than the price of vasoconstrictor drops.

Indications for use

Basically, medications of this kind are used when the nose cannot breathe, which is typical for:

1. Acute rhinitis of a viral or bacterial nature. Most so-called colds begin with viral rhinitis. They are characterized by the formation of a transparent liquid secretion and slight congestion. Bacterial rhinitis often becomes a complication of ARVI and is manifested by the discharge of green or yellow snot.
2. Chronic rhinitis. This disease can cause a lot of trouble for patients, since it tends to worsen regularly. This often results from neglect of colds, working in dusty rooms, etc.
3. Sinusitis: sinusitis, frontal sinusitis, ethmoiditis. Inflammation of the paranasal sinuses is often accompanied by fever, headaches, yellow-green secretion and swelling of the nasal mucosa. Sinusitis is quite dangerous and in severe cases can cause the death of the patient.
4. Allergic rhinitis. This disease develops as a result of increased sensitivity of the body to certain substances contained in the air. Their role can be tree pollen, components of household chemicals, animal hair, fish food and even commonplace dust.

Its main manifestations are nasal congestion, sneezing and runny nose. However, today many experts recommend avoiding the use of such medications for allergies.

But vasoconstrictors are also used in a number of other cases, including:

• complex therapy of otitis media;
• before performing an endoscopic examination of the nasal passages, that is, rhinoscopy;
• stopping bleeding.

Such an extensive list of indications is due to the fact that these drugs belong to the group of α-adrenergic agonists. Capillary receptors are susceptible to them, which, in response to stimulation, provoke contraction of the thinnest muscle fibers that form the walls of blood vessels.

The consequence of this is a reduction in their lumen, due to which much less fluid sweats from the blood into the tissue of the mucous membrane, which means its swelling decreases and nasal breathing resumes.

In other words, substances of this pharmacological group fight well against the manifestations of pathologies, but in no way affect the cause of their appearance.

No prevention!

Remember that vasoconstrictor drops and sprays are drugs that are used to eliminate the symptoms of a runny nose, but in no case for prevention! When using vasoconstrictor drops in the nasal cavity, blood circulation worsens, which only increases the likelihood of viral infection.

What drugs to choose for a child rating

Today, several products stand out in the rating of nasal drops. They have proven themselves in the treatment of various conditions in children associated with nasal congestion, so mothers most often give preference to these remedies.

Nasal drops AquaMaris

AquaMaris drops are used as a prophylactic and are an effective drug for the treatment of runny nose of various origins and inflammatory processes that affect the respiratory organs.

The basis of AquaMaris is unique: natural water of the Adriatic Sea. Sea water contains many chemical elements, the compatibility of which provides a positive effect on the immune system, and also has antiseptic agents. This product for children contains only sea water, impurities are excluded.

The drug is safe even for infants and is not addictive.

It is used as an independent remedy, and also combines well with other drugs, which is important in complex therapy for a speedy recovery. This drug is not cheap, but it is high quality.

Nazivin nasal drops

Nazivin is a widely used nasal remedy. The advantages of this drug include an undoubted local vasoconstrictor effect. Thanks to this, nasal swelling is eliminated and congestion is reduced. In addition, the drops are inexpensive compared to other drugs.

But there are also disadvantages of the drug. Drops can be used up to three times a day and for no more than a week, otherwise the body becomes accustomed to them. When used in excess, the product dries out the nasal passages, causing an unpleasant burning sensation, thereby reducing the body's immune strength.

Vibrocil nasal drops

Vibrocil is an effective remedy for the common cold, a top seller. It is used in the treatment of acute and chronic otitis media, rhinitis, and sinusitis. The drug is also used before surgery to cleanse the mucous membranes in the nasal passages.

With the help of these vasoconstrictor drops, swelling is eliminated, the nasal passages are cleared, and congestion is eliminated. When using it, there is no feeling of dryness or burning. The drug is not addictive.

The advantages of this product include the fact that it can be used by children up to one year old. Before using the product, for a greater therapeutic effect, the nasal passages should be rinsed.

The instructions for these drops warn of the possibility of certain side effects if there is an overdose of the drug: fatigue, increased blood pressure. However, if you strictly follow the instructions, then Vibrocil is an excellent drug for the treatment of children's runny nose. Consumers also note the affordable cost of the drug as a positive thing.

Polydex nasal drops

Polydexa is a universal remedy containing the vasoconstrictor component phenylethrile, the antibiotics neomycin and polymyxin, and the hormonal agent dexamethasone, which relieves inflammation.

The drug is inexpensive and effective. Relief when using it comes quickly, but not for long. It is prescribed to children very rarely precisely because of such a large number of components.

Grippferon, a remedy for the common cold

Grippferon is a widely known drug from the group of antiviral nasal drugs. It is based on recombinant interferon. Effective in the treatment of influenza, ARVI.

Grippferon suppresses viral activity and helps restore immunity. The drug, being in the blood in small quantities, does not give a systemic effect.

The sooner you start treatment with this remedy, the more effective it will be. For older children, the drug is also approved as a prophylactic agent.

Herbal preparations

Almost all drugs that a consumer can find on pharmacy shelves are created from synthetic substances.

Experienced doctors recommend using herbal vasoconstrictor drops to treat a runny nose. They are the safest and no less effective.

By the way, the price of many drugs does not exceed 150 rubles , which also allows you to save money.

The only contraindication to its use is individual intolerance to the component.

Herbal preparations include:

• Eucaseptus,
• Kameton,
• Neonox,
• Delufen.

Delufen

Eucasept

Kameton

Neonox

"Evkasept" - a budget drug

If you need cheap nasal drops with eucalyptus, then you should consider Eucasept. It is often called an analogue of “Pinosol”, but it costs much less. This remedy is also allowed to be used for a long period of time; there is practically no addiction.

The main active ingredient of the drops is eucalyptus oil. This is why the medicine can cause an allergic reaction. In other cases it is completely safe. However, doctors always advise seeking advice before prescribing medications against the common cold.

Judging by the reviews, “Evkasept” quickly restores nasal breathing, has a pleasant aroma and promotes the healing of damaged mucous membranes. It is prescribed for infectious rhinitis caused by bacteria or viruses. In case of allergic rhinitis, Eucasept is not prescribed. Also contraindications are:

• children under two years of age;
• whooping cough;
• bronchial asthma.

However, similar warnings apply to all products based on eucalyptus oil, because it can be a choking hazard.

Nasal moisturizers

Nasal preparations with a moisturizing effect are the safest. It is not surprising that they are produced without a doctor’s prescription, and can be used both as a prophylactic agent and for treatment in combination with other medications.

Another distinctive feature is that they are suitable for almost all patients, including newborn children, pregnant women and nursing mothers.

The basis of such preparations is sea or mineral water from natural sources.

In combination with vasoconstrictor drops, these drugs are necessary for the following purposes:

• eliminating dry mucous membranes;
• strengthening local immunity;
• removal of accumulated mucus from the sinuses;
• reduction of swelling and inflammation.

The only contraindication to taking the drug is individual intolerance to the component. Accordingly, in rare cases, a side effect appears during treatment, in the form of an allergic reaction: redness of the nose or mild itching.

The best drugs with a moisturizing effect are:

• Aqualor
• Aqua Maris
• Sialor Aqua

Aqua Maris

Aqualor

Sialor aqua
The cost of the drug depends on its volume. Approximately it ranges from 180 to 450 rubles.