17 vitamin eye drops to improve vision

Has restrictions during pregnancy

Has restrictions when breastfeeding

Has restrictions for children

Allowed for older people

Has limitations for liver problems

Has limitations for kidney problems

Nasonex is a hormonal nasal spray used for polypous sinusitis and allergic rhinitis. It can be used to treat children and pregnant women, but only with all necessary precautions.

Nasonex contains the active ingredient Momentazone. Under its influence, the swelling of the nasal mucosa decreases, breathing becomes easier, and the increased production of nasal secretions stops.

The drug is used in therapy:

• rhinitis of any nature;
• sinusitis, including purulent course.

Most Nasonex analogues have the same pharmacodynamic properties, despite possible differences in composition. But many of them have slightly different indications and application features that must be taken into account before starting therapy.

Cleaning the Metering Sprayer

The remainder of the suspension in the dispensing nozzle dries out, blocking the release of the medicine from the bottle. To get the most out of Nasonex, you should clean your nebulizer periodically. The procedure is carried out as follows:

1. Remove the spray nozzle.
2. Rinse the dispenser in warm water. You can use a soap solution and then hold it under hot running water.
3. Wash the protective cap of the sprayer.
4. Dry the removed parts before fixing them on the bottle.
5. After cleaning the inhaler, calibration is carried out. To do this, press the dispenser 2-3 times until splashes form.

Do not clean the sprayer passage with needles, pen shafts or other narrow objects. Mechanical action increases the diameter of the hole. As a result, the single dosage of the drug increases. This affects the quality of treatment.

Use by children

There is no data on the treatment of children under 2 years of age with Mometasone, so the medicine should not be used for them. Can be used from 2 years of age. The daily dose is 100 mcg. The nasal spray is injected into the child once a day, 50 mcg into each nostril. At a young age, children are more sensitive to medications and are therefore more susceptible to possible side effects. Therefore, the use of the drug should be carried out under the close supervision of a doctor.

Nasonex's analogs

Cheap analogues:

1. Rinoklenil – 370 rub. (200 doses). The analogue is used according to a scheme similar to Nasonex. Improves the functioning of the immune system, stops the development of rhinitis due to allergies.
2. Nazarel – 400 rub. (200 doses). Reduces the feeling of itching in the nose, quickly eliminates nasal congestion. Cannot be used by small children.
3. Flixonase – 780 rub. (120 doses). The cheapest analogue, has an additional effect. Eliminates lacrimation and swelling of the nasopharynx. Can be used without antihistamines for allergies.
4. Avamis – 725 rub. (120 doses). The closest analogue in composition and action. Cannot be used as a prophylactic agent.
5. Polydex – 295 rub. (200 doses). Combined analogue, used for a wide range of diseases. There are serious contraindications. Not for use by teenagers under 15 years of age.
6. Nasobek – 180 rub. (200 doses). Increases human immunity. Improves mucus production, making it easier to clear the sinuses. It is strictly prohibited for pregnant women up to the 12th week.
7. Tafen nasal - 420 rubles. (200 doses). You can feel the effect of the analogue only 2-3 days after taking it. Eliminates inflammation, reduces allergic reactions.

Suitable for children:

• Avamis from 2 years;
• Nazarel, Flixonase from 4 years.

Only a doctor can select a replacement drug. Analogues do not fully correspond to the composition of Nasonex and may cause unexpected side effects.

Features of the drug

The peculiarity of this drug is that the drug decomposes well in the biological environment of the body. The active substance is not absorbed into the blood and does not have a negative effect. The drug specifically affects the desired organ. Today, a new form of the drug - Mometasone Furoate spray - is actively used and gives good results.

Due to the fact that with allergic rhinitis, inflammation in the nose develops gradually and over a long period of time, a person does not immediately detect its manifestations. Therefore, it will pass gradually and slowly.

Indications for use

• Allergic runny nose or inflammation in the nasal mucous membrane.
• Seasonal allergic rhinitis (hay fever) in a mild form of inflammation in the nasopharynx.
• Non-infectious inflammation of the paranasal and frontal sinuses, their mucous membranes (sinusitis, frontal sinusitis).
• Prevention of allergic exacerbations, to eliminate characteristic symptoms, use begins before the start of the season, 2-3 weeks earlier.
• An auxiliary agent (to ease breathing) in the therapeutic treatment of polyps, purulent sinusitis, severe forms of allergic rhinitis.

https://youtube.com/watch?v=G9LC3m5LRv4

Use of Nasonex for chronic runny nose and sinusitis

When a runny nose becomes chronic, the inflammatory process in the mucous membrane becomes constant and sluggish. The patient is concerned about nasal congestion, the presence of mucopurulent nasal secretions, and impaired sense of smell. If chronic sinusitis occurs, the nasal contents become purulent and more abundant, and the voice acquires a nasal tone.

In such situations, the joint prescription of antibacterial agents and corticosteroids is justified. Broad-spectrum antibiotics have bactericidal properties, that is, they affect the microflora itself, the cause of the disease, and synthetic hormonal drugs regulate the inflammatory process and are used as an adjuvant.

According to the instructions for use, Nasonex for exacerbations of sinusitis and chronic runny nose is prescribed 2 doses 2 times a day in each nasal passage. Age category: adults and children over 12 years old. Nasonex is not recommended for younger children in such situations.

When the severity of the clinical picture decreases and a therapeutic effect is achieved, the dose can be reduced to 1 injection 2 times a day, and then to 1 dose into the nose 1 time a day. The regimen of hormonal therapy for sinusitis is determined only by a doctor. He also calculates the duration of the course, monitors the patient’s condition, and adjusts treatment if side effects occur.

Can Nasonex be used for children with adenoids?

The active substance included in the drug quickly eliminates swelling of the membranes and relieves the severity of the inflammatory process without a pathological effect on the function of cell reproduction.
“Nasonex” for adenoids allows you to quickly normalize the process of physiological nasal breathing and eliminate the prerequisites for the formation of the adenoid type of the child’s face. Prescribed in courses that are usually timed to coincide with periods of exacerbation of the chronic inflammatory process. Constant medical monitoring is required throughout treatment. “Nasonex” for adenoids in children has an exclusively local effect, suppressing inflammatory factors and allowing the creation of conditions for accelerated regeneration of damaged tissues. With proper therapy, the size of the nasopharyngeal tonsil decreases, air conductivity improves, and relapses of inflammation are reduced.

Parents are also concerned about the question of whether Nasonex can be used for children for other diseases accompanied by copious mucous secretions from the nasal passages. Experts believe that it is optimal to prescribe hormonal drugs only when there are serious indications. Such use is permissible only if allergic and infectious rhinitis in a baby cannot be eliminated using traditional vasoconstrictors, antihistamines, antiviral and antibacterial therapy.

The use of Nasonex for adenoids and other nasal diseases in children should be accompanied by compliance with a number of doctor’s recommendations:

1. Self-prescription of such drugs is not allowed;
2. before starting a course of therapy, it is necessary to exclude all possible contraindications and drug interactions;
3. you should not combine the use of this drug with other types of nasal drops, the effect of this can be very unpredictable;
4. when the first signs of side effects appear, the drug should be discontinued and replaced with a more suitable one;
5. If there is no visible improvement in the child’s condition within 48 hours, the treatment and dosage regimen must be reconsidered.

Oftalmoferon analogues

Oftalmoferon

- These are eye drops that are used for various viral eye infections. They have not only an antiviral effect, but also a slight antibacterial effect, which is why their scope of application is significantly expanding.

Today Oftalmoferon is used both as a therapeutic and prophylactic agent. They help to locally improve immunity, as well as relieve irritation, inflammation and swelling of the eyes.

One of the main contraindications of drops is sensitivity to the substances included in their composition. And, despite the fact that side effects in the form of burning, itching and swelling rarely make themselves felt, nevertheless, the drug is not suitable for everyone. Therefore, sometimes it is necessary to find analogues of Oftalmoferon eye drops, which have a similar effect with the help of other substances in the composition.

So, let's look at the instructions for potential analogues of Oftalmoferon eye drops - does modern pharmaceuticals offer anything similar?

Composition of Oftalmoferon

It should be clarified that Ophthalmoferon consists of human interferon, which has the main antiviral and weak antibacterial effect, as well as diphenhydramine, which relieves additional symptoms caused by viruses - swelling, redness, itching.

Thanks to diphenhydramine, the drug has antiallergic properties, which is convenient for those people who suffer from seasonal allergies and are forced to use several eye medications.

Analogs

To replace Nasonex with a runny nose in children, the doctor may prescribe another mometasone-based drug, for example, Nosephrine or Dezrinit. Such medications are also presented as a metered nasal spray and contain 50 mcg of mometasone furoate in one dose. These medications have the same indications, age restrictions and possible side effects as Nasonex. At the same time, their cost is much lower, so such sprays are chosen when looking for an inexpensive analogue.

In addition to medications containing mometasone, other local glucocorticoid agents can be used in the treatment of rhinitis, for example:

• . The effect of this spray is provided by fluticasone furoate. The drug is prescribed to children over 2 years of age with allergic rhinitis.
• Flixonase. This nasal spray also contains fluticasone, but in the form of propionate. The medication is used in the treatment of prolonged runny nose caused by allergens, prescribing it from the age of 4.
• Nazarel. This metered-dose spray is another preparation of fluticasone propionate and, like Flixonase, is used in young patients over four years of age.

• Dexamethasone. ENT doctors can prescribe such eye drops in the form of nasal drops, often combining them with other medications (antibiotics, antiseptics, vasoconstrictors, etc.), creating “complex drops.” The use of Dexamethasone in the nose is considered an emergency and is not recommended without a doctor's prescription.
• Polydex with phenylephrine. This combination drug, including dexamethasone, two antibacterial substances and an adrenergic agonist, is prescribed to children from 2.5 years of age. It is used for nasopharyngitis, rhinitis, sinusitis and other sinusitis, if the cause of such diseases is bacteria. A drug used for otitis media is produced separately.
• Nasobek. The main ingredient of this spray is beclomethasone. The medication is prescribed to children with rhinitis caused by allergies from the age of 6 years.

Dr. Komarovsky will tell you how to treat a child’s runny nose in the video below.

Eye drops Oftalmoferon

Ophthalmoferon eye drops are an effective ophthalmic drug that has anti-inflammatory and antiviral effects.

Ophthalmoferon eye drops are an anti-inflammatory and antibacterial agent

The product is made based on human recombinant interferon, which ensures good effectiveness.

Effect of the drug

The action of Oftalmoferon eye drops is explained by its main active component - human recombinant interferon and diphenhydramine. Drops have the following properties:

• Antiallergic.
• Antimicrobial.
• Restores the immune system.
• They have a local anesthetic effect.
• Strengthen the process of regeneration of eye tissue.

The drug has a mainly local effect; after administration, the active components activate processes in the cornea of ​​the eye. As a result, the symptoms of eye inflammation, which can be caused by bacteria, viruses and even surgical interventions, disappear.

When is it appointed?

Oftalmoferon eye drops are used during complex therapy during:

1. Dry eye syndrome.
2. Viral uveitis, keratouveitis.
3. In post-operative keratopathies.
4. During viral keratitis.
5. For viral conjunctivitis.

The product also shows excellent results in the treatment of eye fatigue, which can be caused by sitting at a computer for a long time or wearing contact lenses.

Eye drops Oftalmoferon instructions for use

Installation must be carried out 6-5 times a day, one or two drops. If the symptoms decrease, then the frequency of installation should be reduced to 2-3 times a day. The product must be used until complete recovery. If you do this in advance, the entire effect of taking it may disappear.

If we talk about the treatment of dry eye syndrome, then in such a situation two drops are prescribed in the evening and in the morning. The average duration of treatment in this case is one month.

Please pay attention! If after five days of use the symptoms do not decrease or intensify, then you should immediately contact an ophthalmologist. Rather, you need to use other means

Composition and release form

The active component of the drug is recombinant human interferon. Its content per 1 ml is not less than 10,000 units. The second active component is diphenidramine, its content is per 1 mo 0.001 g. Several additional components should be highlighted, which are also included in the composition:

1. Purified water.
2. Sodium chloride
3. Trilon B.
4. Boric acid.
5. Diphenhydramine.
6. Macrogol.Ophthalmoferon eye drops are available in 5 and 10 ml bottles with a convenient dispenser

Contraindications and side effects

You cannot use the product if you are allergic to one of the components, so read the ingredients carefully.

If we talk about side effects, they are not described in the instructions, but this does not mean that the product can be used independently.

Special instructions for use

The shelf life of Oftalmoferon drops is two years.

If the bottle is opened, it must be used within 4 weeks.

The product must be stored in a place protected from light at a temperature of 2-8 degrees. As you understand, a refrigerator is best suited for such purposes.

Do not touch objects with the tip of the bottle as this may cause irritation.

Price

The average price of Oftalmoferon in Russia is 330 rubles. In Ukrainian pharmacies you can find the drug for 150 UAH on average.

Eye drops Oftalmoferon analogues

At the moment, several analogues of Oftalmoferon can be distinguished:

• Reaferon-EC.
• Realdiron.
• Altevir.
• Alfarona.
• Realdiron.

Negative effects

Despite the safety of the drug, side effects sometimes occur when using it, as the instructions for Nasonex warn about. In children (parents note this in reviews), such phenomena appear very rarely. Negative reactions during treatment with the drug are rather the exception to the rule.

Adults may experience:

• Nosebleeds. They are observed in five percent of patients who used Nasonex. However, bleeding is usually short-term and stops on its own. When treated with other corticosteroids, the likelihood of bleeding is the same as when using Nasonex.
• Inflammatory processes in the nasopharynx.
• A burning sensation and irritation of the nasal mucosa.

The likelihood of developing negative effects when using the described drug is the same as when treating with other drugs with a similar therapeutic effect. The use of Nasonex for adenoids, according to reviews, adds headache to the list of undesirable manifestations. It occurs rarely and does not require stopping the drug.

According to reviews of Nasonex, the frequency of adverse events in young patients was comparable to the frequency of their occurrence when using placebo. When using intranasal hormones, systemic negative effects may occur, especially with prolonged use in large doses.

Side effects of nasal spray

Depending on the characteristics of the therapy, the drug may cause various side effects during the treatment period. For allergic rhinitis in adults and children, the following reactions are possible:

• in rare cases, it can cause nosebleeds in adults;

• headache;
• pharyngitis;
• burning sensation, dryness in the nose;
• sneezing.

Find out how to stop nosebleeds here.

Epistaxis during treatment with hormonal sprays is a typical reaction of the body to the active substance. They are usually not severe and go away on their own in a short period of time. When treating sinusitis with Nasonex, irritation of the mucous membrane may occur. If such a sign is detected, the drug should be stopped.

Nosebleeds during an exacerbation of allergic rhinitis occur even when using a placebo. On average, the incidence of such a symptom is no more than 15%.

Side effects of the drug Nasonex

In clinical studies of the drug for seasonal and year-round allergic rhinitis, the following side effects associated with the use of Nasonex were noted: headache (in 8% of cases), nosebleeds, as well as bloody mucous discharge or clots from the nasal cavity (in 8% of cases), pharyngitis (4%), burning sensation in the nose (2%), irritation (2%) and ulcerative changes (1%) of the nasal mucosa. The occurrence of such side effects is typical when using any nasal spray containing corticosteroids. Nosebleeds or bloody discharge from the nose were not profuse and stopped on their own, occurring with a slightly higher frequency than when using placebo (5%), but less than when prescribing other GCS for intranasal use (for some of them, the frequency of nosebleeds was up to 15%). The incidence of all other side effects was comparable to that observed with placebo. In children, the incidence of side effects, including nosebleeds (6%), headache (3%), nasal irritation (2%) and sneezing (2%), was comparable to the incidence of placebo. Immediate allergic reactions may rarely occur following intranasal administration of mometasone furoate. Anaphylactic reactions and angioedema were very rarely observed. Isolated cases of disturbances of taste and smell have been reported. When using Nasonex nasal spray as an adjuvant in the treatment of exacerbations of sinusitis, the following side effects were noted, the incidence of which was comparable to that with placebo: headache (2%), pharyngitis (1%), burning sensation in the nose (1%) and irritation of the nasal mucosa (1%). Nosebleeds were moderate and the incidence of nosebleeds with Nasonex spray was also comparable to the incidence of nosebleeds with placebo (5 and 4%, respectively). In patients with nasal polyps and acute rhinosinusitis, when using Nasonex spray, the total number of the above adverse events was comparable to that when using placebo and similar to the number that was observed in patients with allergic rhinitis. Very rarely, with intranasal use of GCS, cases of perforation of the nasal septum or increased intraocular pressure were noted.

Nasonex for the effective treatment of runny nose in children

If a child often suffers from a runny nose, infectious diseases of the respiratory tract and adenoids, the doctor may recommend a remedy such as Nasonex ®. It belongs to local glucocorticosteroid hormonal medications and has anti-inflammatory and antihistamine effects. Treatment with the original Belgian drug will help avoid surgical intervention and prevent serious complications: oxygen deprivation, shortness of breath, otitis media and night snoring.

Nasonex ® is often prescribed for adenoids in children. This medicine reduces the secretion of mucous secretions, removes swelling, and reduces the size of growths. Typically, the pharmaceutical drug is used in the second and third stages of adenoiditis, because in the first stage the disease is practically not noticeable. It can also be recommended in preparation for surgery to stop the growth of tumors.

Healing adenoids in children requires a long course of pharmaceuticals: from three to twelve months. However, correct use of the medication already after 3-4 weeks leads to a noticeable increase in the quality of life of the young patient:

• Breathing through the nose resumes;
• Snoring disappears;
• The throat stops hurting;
• The flow of oxygen to the brain increases, which leads to improved performance and concentration.

Parents note not only the cure of adenoiditis, but also a decrease in the incidence of colds.

Among the medications used for the treatment of rhinitis and diseases of the nasal cavity, the group of glucocorticosteroid hormonal drugs stands out. They should be used with extreme caution, since after such an effect it will not be easy to relieve nasal congestion with vasoconstrictor compounds. But in some cases, treatment with Nasonex is simply necessary in the complex treatment of adenoids and chronic rhinitis, sinusitis and polyps.

Let's take a closer look at these drops and how to use them in children and pregnancy. The article presents the composition and effect of the medicine, possible side effects and contraindications.

In modern otolaryngology, Nasonex nasal drops are often used as an alternative to vasoconstrictor drugs in cases where the latter do not have a positive therapeutic effect. Treatment with Nasonex begins with the minimum possible dosage; if there is no effect, the daily dose is increased and then adjusted if long-term maintenance is necessary.

"Nasonex" for rhinitis can be used in several cases:

1. autumn fever and seasonal allergic rhinitis without the possibility of eliminating the effect of the allergen;
2. chronic runny nose of unspecified etiology, including vasomotor disturbances in the production of mucous secretions;
3. complications of chronic sinusitis with severe swelling of the nasal mucous membranes.

For bacterial and viral infections, it does not replace therapy with etiotropic drugs (antivirals and antibiotics).

Nasonex is often used for chronic sinusitis with frequent relapses of the pathology and in the presence of prerequisites for the development of a maxillary cyst. It is recommended for use when severe symptoms of exacerbation appear, the duration of the course is until the patient regains normal well-being.

Typically, mucous membranes are treated 1-2 times a day. It is only part of a comprehensive treatment and in no way can replace other types of therapy for this disease. It is worth paying close attention to this, since in the practice of an otolaryngologist there are often situations when, when symptoms of acute sinusitis appear, the patient, frightened of a sinus puncture, begins to use a hormonal drug on his own. Without concomitant antibacterial treatment, this quickly transforms the pathology into the category of chronic recurrent infections of the paranasal sinuses.

It is also important to understand that Nasonex does not treat or eliminate polyps; it can only temporarily alleviate the symptoms of this disease. To radically solve the problem, it is necessary to carry out surgical intervention to remove polyps.

Review of effective analogues

Mometasone spray

A typical medication has an antiallergic effect in the body, relieves itching and inflammation. The active component is mometasone furoate, which has a concentration of 50 mcg per 100 ml of the drug. The use of intranasal inhalations enhances the therapeutic effect if antibiotics are additionally used. By regularly treating the lining of the nasal passages, nasal breathing becomes easier and allergy symptoms disappear. The use of nasal spray is allowed only on the recommendation of the attending physician.

Desrinitis

The Israeli medicine Dezrinit is an excellent remedy for acute and chronic runny nose. This pharmacological prescription is appropriate for obstructive pulmonary disease and bronchial asthma. The active component is mometasone furoate monohydrate, which has anti-inflammatory, antiallergic and antipruritic properties. It is recommended for use by adults and children, especially with seasonal allergic reactions of the body. When choosing Nasonex or Desrinit spray, it is advisable to give preference to the second medication with a gentle effect in the body

Avamis

This English analogue of Nasonex is used to treat allergic rhinitis and is approved in childhood and pregnancy. Reviews of the therapy completed with his participation have only positive content. If Nasonex was prescribed, but the medication was not suitable for a particular clinical picture, this is an inexpensive replacement with identical pharmacological properties. There are almost no side effects during treatment, and you can finally get rid of the unpleasant signs of allergic rhinitis.

Flixonase or Nasonex - which is better?

Both drugs have a pronounced anti-inflammatory effect and contain synthetic components in their chemical composition. The choice must be made in favor of the favorite. Voicing a list of analogues, the specialist recommends Flixonase spray. It is much more effective, but the price is much higher. Among systemic glucocorticosteroids, this is the best representative, thanks to which systemic measures are carried out that can stabilize the patient’s general condition in the shortest possible time.

Nasobek or Nasonex - which is better?

I examine the nasal mucosa; the otolaryngologist can detect polyps. Using Nasonex spray is not always effective, so doctors prescribe a more effective analogue - Nasobek. This is a nasal spray, which is indicated for treating the nasopharyngeal cavity twice a day for 7-10 days. Longer treatment is not recommended, since the therapeutic effect will weaken, and an analogue from the pharmacological group of GCS will again be required. In addition, in this way you can completely get rid of the systemic effects of allergies and provide reliable prevention of seasonal rhinitis.

Nasonex or Nazarel - which is better?

For rhinitis of various etiologies, it is better to use special sprays to treat the mucous membranes of the nasal passages than nasal drops. This is explained by the extensive area of ​​irrigation of the affected surface. Nasonex and Nazarel operate on the same principle and are complete analogues. However, the cost of Nazarel is 20% lower. This medicine can be safely prescribed even to a child, but at the same time do not violate the daily dose and do not delay the duration of the treatment course.

Analogues by mechanism of action

The best generics of Nasonex according to their mechanism of action are the drugs described below.

Avamis

Avamys English spray contains AB fluticasone. Under the influence of the drug, swelling of the nasal mucosa decreases, rhinitis stops, and the inflammatory process is eliminated. Fluticasone relieves allergies, so Avamis is most often prescribed for rhinitis of allergic etiology and polyposis.

The medicine is prescribed to adults, as well as to children over 6 years of age. During pregnancy, hypersensitivity to fluticasone or infectious lesions of the nasal cavity, the drug should not be used.

Features of using Avamis

Mode of application:

1. Adults and 12-year-old children – 2 injections/1 nostril once every 24 hours. After achieving the desired therapeutic effect, the dosage is halved, and the frequency of use remains the same.
2. Patients 6-11 years old: 1 injection 1 time/day. If necessary, the dose can be doubled. But only under strict indications.

Avamis often causes side effects in the form of nosebleeds, the formation of ulcers on the nasal mucosa, and cephalgia. With long-term treatment with the drug, systemic reactions may develop. If they occur, the drug should be discontinued.

Avamis differs from Nasonex in composition, dosage of AB, and features of use. Also, this spray, unlike the main one, is prescribed to children from the age of six, and not from two.

Aldecin

Aldecine is a local glucocorticosteroid prescribed to relieve inflammation and allergic reactions. Under the influence of the active component beclomethasone, a narrowing of blood vessels occurs, followed by easier nasal breathing.

Aldecin is prescribed for the treatment and prevention of allergic rhinitis. Its use is also advisable for nasal polyposis accompanied by chronic runny nose. The drug is intended for the treatment of adults and children over 6 years of age.

Polypous sinusitis

The use of Aldecin is contraindicated in patients with the following pathologies:

• tuberculosis;
• hypersensitivity;
• any systemic infections;
• hemorrhagic diathesis;
• tendency to frequent nosebleeds.

Aldecin is prohibited for use in children under 6 years of age, in the 1st trimester of the gestational period and after undergoing surgical interventions on the nose (until postoperative wounds have completely healed).

If the spray is used by a woman during breastfeeding, it is necessary to monitor the function of the adrenal glands in the baby. Sometimes doctors advise stopping lactation for the period of therapy.

Rules of application:

1. Children over 6 years old and adults – 1 dose of spray in each nostril 2-4 times/24 hours. Before manipulation, the nose should be cleared of accumulated mucus.
2. A maximum of 20 doses per day can be administered to adult patients, and 10 to minors.

The use of Aldecin is often accompanied by rhinorrhea, nosebleeds, irritation of the nasal mucosa, sneezing, and impaired sense of smell. With prolonged use of the drug, perforation of the nasal septum is possible.

Beklonazal

Beclonazal is a Finnish drug from the GCS group, intended for local use. Contains DC beclomethasone, which has an anti-inflammatory, vasoconstrictor, antiallergic effect. Prescribed for allergic rhinitis or runny nose caused by nasal polyps, for patients over 14 years of age.

Symptoms of allergic rhinitis

Beclonazole is prescribed with caution during pregnancy, lactation and chronic alcoholism. Patients with impaired renal function and children also require careful monitoring. It is recommended to monitor the growth and function of the adrenal glands in pediatric patients.

The spray is recommended to be administered intranasally, 1 spray 2 times a day. The duration of therapy is determined purely individually, but it should not exceed 90 days.

When treated with Beclonazole, patients often complain of hypersensitivity reactions. Side effects often occur in the form of nosebleeds, itching of the nasal mucosa, and discomfort in the nasal passages.

Beclonazole differs from Nasonex in its composition, rules of use, and cannot be used by children before their 14th birthday. The cost of drugs also varies.

Beclomethasone

Beclomethasone is an intranasal corticosteroid that helps eliminate allergic reactions, inflammation and swelling of the nasal mucosa. The drug is indicated for patients with a runny nose of allergic etiology and patients with diagnosed polyposis of the paranasal sinuses (PSN).

The spray should not be used if you have an individual intolerance to beclomethasone, ulcerations of the bridge of the nose, or after recent nasal surgery. It is contraindicated in the 1st trimester of pregnancy, during breastfeeding and in patients under 6 years of age.

Adults and patients over 12 years of age are prescribed 1-2 sprays for each nostril twice a day. Children aged 6 to 12 years are recommended to start with 1 spray twice a day. If necessary, the dosage can be doubled.

The use of Beclomethasone can cause nosebleeds, dry mucous membranes, sneezing, and headaches. If the maximum dose is exceeded or long-term treatment with the drug, adrenal gland dysfunction or growth retardation in children may occur.

Nazarel

Nazarel is a Czech drug used to eliminate allergic rhinitis. Unlike Nasonex, it has only 2 contraindications: childhood (less than 4 years) and hypersensitivity to fluticasone (the active component).

For children 4-12 years old, it is recommended to administer 1 dose of the drug once a day. Adult patients and older adolescents – 2 doses. It is preferable to use the medicine in the morning. The maximum permissible dosage is 400 mcg.

Side effects when using Nazarel include dryness and irritation of the nasopharynx, or the development of fungal diseases.

Nasobek

Nasobek is a drug from FC Teva that has anti-edematous, anti-allergic and anti-inflammatory effects. Prescribed for allergic diseases of the nasal cavity.

The medicine is intended for intranasal use in adults and children over 6 years of age. The dose for these categories of patients is 50 mcg for each NH. Number of applications – from 2 to 4 times a day. The dose should be gradually reduced taking into account the obtained therapeutic effect.

The spray should not be prescribed to persons with infectious diseases of the nasopharynx, hypersensitivity to beclomethasone, or hemorrhagic diathesis. Contraindications also include the 1st trimester of pregnancy, the period of breastfeeding, and a tendency to nosebleeds.

During therapy with Nasobek, irritation of the nasal mucosa, swelling, and itching may occur. Headaches, lacrimation and other manifestations of allergies are less common.

Polydexa

Polydexa is a French nasal spray based on dexamethasone and other active substances. It has a pronounced vasoconstrictor, anti-inflammatory, and antibacterial effect. Intended for the treatment of runny nose caused by sinusitis and rhinosinusitis.

Polydex spray is not recommended for use in the treatment of patients with angle-closure glaucoma, hypersensitivity to drug components, viral pathologies, and kidney diseases accompanied by albuminuria.

Polydexa can be prescribed to children starting from 2.5 years. From this age and up to 15 years, it is recommended to do 1 spray for each NH 3 times a day. Adults – 1 spray 3 to 5 times. The spray can cause allergic reactions of varying intensity, including skin reactions.

Rinoclenil

Rinoclenil is a hormonal spray based on beclomethasone. Indicated for patients for the treatment and prevention of allergic or vasomotor rhinitis. It is unacceptable to use the medication in case of individual intolerance to its components, tuberculosis, infectious lesions of the nose and age under 6 years.

Vasomotor rhinitis

Dosage features: 2 injections into each NH 1 time/day. Children can take 1 injection of the drug twice a day. The duration of therapy is determined individually.

Treatment with Rinoclenil may provoke hypersensitivity or allergic reactions. Itching, burning, lacrimation, formation of ulcers on the nasal mucosa, nosebleeds are the most common adverse reactions. But they do not always require discontinuation of the drug.

Tafen

Tafen Nasal is a Swiss GCS for intranasal use. Contains AB budesonide. Prescribed for various types of rhinitis and polypous sinusitis. Contraindicated in patients with pulmonary tuberculosis, hypersensitivity to budesonide, and infectious diseases of the nasopharynx.

Tafen can cause PD in the form of hoarseness, sore throat, sneezing or coughing. Nosebleeds occur less frequently, or a secondary fungal infection occurs.

Tafen should be administered to adults and patients over 6 years of age, 2 doses/nostril twice a day. Correction of the treatment regimen can only be done by an ENT specialist (if necessary).

Tafen differs from Nasonex in price and composition. It also has some differences in application, indications and contraindications.

Flixonase

Spanish spray with fluticasone, which helps reduce swelling and eliminate inflammation and allergies. The drug is indicated for patients with different types of rhinitis. Under its influence, not only a runny nose goes away, but also nasal congestion. The vasoconstrictor effect lasts approximately a day.

For adults and adolescents over 12, it is recommended to inject 2 doses into both NHs 1 time/24 hours in the morning. Gradually, the dosage should be reduced by half, and then the medicine should be stopped altogether.

The occurrence of side effects (itching and burning in the nose, nosebleeds, the appearance of wounds or ulcers on the mucous membrane, etc.) is often observed in patients who have contraindications to the use of Flixonase in the form of hypersensitivity to its components.

Fluticasone

Fluticasone is an intranasal spray intended for the treatment of seasonal or year-round runny nose caused by allergies. Prescribed for adults and pediatric patients from 4 years of age.

Recommended dosages:

1. 4-12 year old children: 1 dose/NC/day. If necessary, the dosage can be doubled.
2. 12 year olds and adults: 2 doses/NC/day. Sometimes the frequency of use of the drug may be not 1, but 2 times/24 hours.

Year-round allergic rhinitis

Treatment with Fluticasone may cause an unpleasant taste or odor in the mouth, headaches, or nosebleeds.

Flutinex

Flutinex contains fluticasone and is used for the treatment or prevention of seasonal/perennial allergic rhinitis, including hay fever. The drug is recommended to be used as follows:

1. 2 doses/NH 1 time per day. It is advisable to carry out the manipulation in the morning. This dosage is designed for adults and adolescents over 12 years of age.
2. Children from 4 to 12 years: 1 dose/NC, 1 time per day. The maximum dose is 2 injections into each NH per day.

Note. To achieve the expected therapeutic results, the drug should be used regularly.

Flutinex rarely causes side effects. The most common ailments are headaches, nosebleeds, dryness or irritation of the nasal mucosa.

Possibility of treating sinusitis

The effectiveness of the drug Nasonex for sinusitis is still controversial among experts. Currently, the general consensus is that the spray cannot be used as an individual remedy for sinusitis. But more and more often it is prescribed for diseases that have a chronic form with the likelihood of developing maxillary cysts.

This use is part of complex therapy, and without antibacterial drugs you should not expect a positive effect from Nasonex. On the contrary, uncontrolled and incorrect use of the spray can transfer the disease from the acute stage to the chronic stage.

Is Nasonex a hormonal drug or not?

Nasonex nasal spray is a hormonal agent because it is a synthetic glucocorticosteroid substance for topical use, as indicated in the instructions for use.

The main feature of the active glucocorticosteroid substance is the effect of reducing the inflammatory process and the ability to eliminate any allergic manifestations in microdoses that penetrate the body and do not exhibit systemic side effects, which often develop during therapy with hormonal drugs. Mometazonafuroate has the ability to inhibit the release of inflammatory mediators, enhances the production of lipomodulin, which inhibits phospholipase type A, after starting a chain of such reactions, the drug simultaneously suppresses the release of arachidonic acid and its metabolic products.

By inhibiting the formation of chemotaxis, mometasone effectively prevents the occurrence of delayed allergic reactions, which usually develop within 2-3 days from the start of taking the medication. It has been clinically proven that eosinophils, neutrophils and histamine levels decrease after using the nasal spray. These values ​​in biochemistry can be considered unspoken allergy markers. A third of patients, from the onset of symptoms of seasonal allergies, note a significant improvement in their condition after 12 hours from the start of using medication therapy. In 50% of patients, improvement was noted within 36 hours of using the medicine.

Also, in patients who suffer from eye symptoms during seasonal exacerbations (itching, tearing, redness), negative local symptoms were also smoothed out. The nasal spray, as indicated in the instructions, has low bioavailability, no more than 0.1%. For this reason, systemic reactions do not develop, because practically nothing enters the body. Particles of the drug that enter the esophagus through the nasopharynx are metabolized almost immediately and do not have time to have any effect on the body. Basically, the metabolized substance is excreted along with bile, a small part through the kidneys.

To summarize, it is worth noting that although Nasonex is considered a hormonal drug, it has virtually no effect on the entire body as a whole. The product has only a local effect, without in any way affecting hormonal levels systemically.

Analogs

Desrinit, a hormonal spray, is produced in the Czech Republic.
Available in dosed bottles, the contents are a suspension of 10 g or 18 g, the main substance is mometasone furoate. Full compliance with the instructions for use, minimum side effects, allowed for children from 2 years old, affordable price. Nazorel is produced by the pharmaceutical company Teva, Czech Republic. The only form of release is a bottle of 120 doses. It contains another synthetic hormone, fluticasone. The antiallergic effect begins after 24 hours and lasts about a day. Prescribed to children from 4 years old, many side effects, contraindications, low price.

Avamis, made in Great Britain. The main substance is fluticasone furoate. Orange glass bottles of 30, 60, 120 single doses. The list of side effects and contraindications is insignificant; children over 2 years of age are allowed to use it. Allergic symptoms are relieved within 8 hours, the price is lower than Nasonex spray.

A neighbor gave my mother a fluffy cat. While visiting her, I began to notice that his fur was making me allergic: I blew my nose, sneezed, and my eyes watered. I looked on the Internet what can be done in this case. I don’t want to take pills, they affect the functioning of the intestines and the nervous system. I decided to buy Nasonex spray, a small bottle of 60 doses was recommended to me at the pharmacy, the price is affordable. Now, when going to see my mother, I take preventive measures in advance: one inhalation at night, the second in the morning. Safe and high-quality drug, convenient to inject.

Evgenia, teacher

My second grade son is in the karate section at school. Recently he began to complain that it was difficult for him to breathe through his nose during training. Ordinary drops for a runny nose only briefly relieved the symptom of nasal congestion.

An otolaryngologist discovered small polyps in his nose and recommended Nasonex spray to ease his breathing. It is believed that hormonal drugs are dangerous to health, but their content in this product is so insignificant that the use of Nasonex does not cause harm.

We inject the spray according to the instructions for 3-4 days, the son breathes freely for a month. The cost of the medicine is high, but there are minimal side effects and prohibitions on use.

Alyona. Shchelkovo

For many years I have suffered from exacerbations of rhinitis when trees bloom. Treatment must be carried out with nasal hormonal sprays.

I've been using Nasonex a lot lately. A convenient form of irrigation, does not enter the bloodstream, does not affect the intestinal flora. The therapeutic effect without the strong smell of the medicine, is soft and long-lasting. Using Nasonex according to the instructions 2 times a day for 4-5 days does not cause any negative symptoms in me. I usually buy a bottle of 10 g of medicine, I prefer not to store small quantities of doses for a long time, it’s better to buy a new spray.

The drug does not belong to the cheap category, but hormonal drugs always have a high price. The main thing is to consider the safety of its use for your health when purchasing.

Irina, manager. Moscow

Use in pediatrics

Nasonex drops are available in classic soft packaging without a dispenser attachment.

It is used as an adjuvant therapy for acute and chronic rhinitis, sinusitis and ethmoiditis.

For year-round or seasonal allergic rhinitis, Nasonex is highly effective due to its rapid decongestant effect, relieving swelling of the mucous membrane of the nasal passages and maxillary sinus.

Directions for use and dosage for allergic sinusitis:

• adults, elderly and people over 10 years old, 1-2 drops 3 times a day until symptoms completely relieve;
• for a child from two to ten years old, 1 drop 2 times a day.

For acute bacterial or viral sinusitis as maintenance therapy:

• adults, elderly and people over 10 years old, 2-3 drops 3 times a day for up to 14 days.
• for a child from two to ten years old, 2 drops 2 times a day for up to 7 days.

If a patient develops medicinal rhinitis due to dependence on vasoconstrictor drops, the hormonal drugs Nasonex or Avamis help restore the mucous membrane and eliminate unpleasant sensations (itching, nasal congestion). The medication is prescribed in childhood and adolescence for seasonal allergies to prevent the manifestation of symptoms.

Chronic sinusitis with the formation of granules or polyps is characterized by constant production of serous-purulent contents, atrophy of the mucous membrane and severe nasal congestion. The condition is dangerous due to the addition of a secondary infection, which significantly worsens the overall prognosis of the disease. Nasonex drops relieve local symptoms, prevent the proliferation of the mucous membrane, and inhibit the growth of polyps and granulomas.

In case of chronic pathology, drops are prescribed only on the recommendation of the attending physician to select the dosage that is most effective for each specific case of the disease. If the patient requires surgical intervention, the drug is prescribed after complete healing of the postoperative wound, since the active substance significantly slows down the rate of healing of mucosal tissue.

In a child under 5 years of age, the eustachian tube is shorter and wider than in an adult. Injecting a spray with a pressure dispenser device causes a funnel-shaped expansion of the mouth of the Eustachian tube, which provokes the development of tubo-otitis whenever a child has a runny nose. The medicine should be used with caution in the local treatment of allergic diseases in young children.

In addition to damaging the auditory tube, the spray under pressure enters the respiratory tract, causing irritation of the child’s pharynx and palate. Analogues of the drug in drops are not only cheaper, but also safe. Sick young children are prescribed not only local nasal, but also systemic anti-inflammatory treatment with medications, often in the form of a suspension. Suppression of inflammatory processes leads to a delay in the production of anti-inflammatory enzymes and relieves symptoms and signs of the disease.

Nasonex nasal drops physiologically descend through the nasal passages, reaching the maxillary sinus in the required quantity. If the adenoids grow, the medicine should be instilled with the head thrown back high, staying in this position for up to 5 minutes after the drug enters.

The active substance inhibits the proliferation of adenoid lymphoid tissue by reducing proliferative processes and stabilizing cell membranes.

Method of use and dosage of Nasonex with antihistamines. The drug Nasonex, which is available only in the form of a nasal spray for topical use, for persistent allergic rhinitis is prescribed along with taking medications that inhibit the production of histamine. Such combination therapy can eliminate the symptoms of eosinophilic inflammation in a short period of time.

The spray is used in adults at a daily dosage of 400 mcg, inhalations are carried out between doses of antihistamines to achieve maximum therapeutic effect. A complex local and systemic effect on the mucous membrane suppresses the formation of mast cells, stabilizes their membrane and inhibits the breakdown of arachidonic acid.

For children from two to 11 years of age, combination therapy is prescribed only after consultation with a pediatrician and allergist to identify the risk of side effects. For seasonal exacerbations, drug therapy is prescribed in a prophylactic dose a week before the expected manifestations of the disease. If the first signs of allergy appear intensely, the doctor increases the daily dosage of both drugs.

Allergies, manifested by seasonal or year-round rhinitis, can negatively affect the general well-being and work activity of any person.

The use of these two drugs was well tolerated by patients, from which we can conclude that the use of others based on Loratadine is also possible.

Use of Nasonex during pregnancy and lactating women

The manufacturer of Nasonex has not conducted specific studies on the safety and use of this medication by pregnant women.

Since mometasone furoate is practically not absorbed into the blood plasma, it can be assumed that it does not have a toxic effect on the developing fetus.

But, nevertheless, Nasonex is prescribed to pregnant women and nursing mothers only if there are no other effective means and methods for treating the identified pathology or they do not work.

If a woman received glucocorticosteroids during pregnancy, it is recommended that the born children be examined to determine the function of the adrenal glands.

The drug is not prohibited for use starting from the age of two. Until this age, the nasal mucosa is still developing and therefore has increased sensitivity, which increases the likelihood of developing adverse reactions.

When treating children, it is extremely important to follow the dosage prescribed by the doctor. Clinical trials have not shown that Nasonex causes growth retardation.

The medicine Nasonex, instructions for use of which are necessary in order to know about the dosage rules of the drug, its side effects and indications. So, Nasonex is a hormonal drug for routine local use, which prevents inflammation and has an anti-edematous effect.

Under no circumstances should standard doses of this medicine be used by young children under 12 years of age. The dosage for children from 2 to 11 years old is 50 micrograms (one injection into each nostril of the baby). This procedure can be performed only once a day. But for an adult and a child over 12 years of age, the daily dose naturally needs to be increased to 200 micrograms per 24 hours, i.e. 2 injections into one nostril of the patient. This dosage is recommended for the treatment of allergic profuse runny nose.

As for the direct treatment of sinusitis and other inflamed nasal mucosa, the remedy should be used twice as often. Accordingly, children over 12 years of age and adults suffering from a similar disease should be given two generous injections into each nostril twice a day.

The drug Nasonex, the instructions for use of which take into account the following side effects:

• nosebleeds;
• pharyngitis;
• burning in the nose;
• severe irritation of the nasal membrane inside;
• bacterial and fungal infections of the nasopharynx;
• obsessive headache.

It is imperative that each patient familiarize himself with the drug Nasonex in detail; the instructions for using such a drug are extremely important. Since any medicine has contraindications, Nasonex spray has them:

• Tuberculosis;
• Untreated fungal, bacterial, or viral infection;
• Teenagers (15 – 18 years old) and children under 2 years old;
• Increased level of susceptibility to the drug (its active component - mometasone furoate);
• For wounds and damage to the nose;
• During pregnancy and breastfeeding.

A drug such as Nasonex, instructions for use dictate its own storage conditions, because if stored incorrectly, it may lose its basic properties and the patient will not feel the desired result. In addition, it should not be left in a place accessible to children, as an overdose is possible. The reason is that Nasonex is a strong drug and thus dangerous if taken in excessive quantities.

• tuberculosis;
• age up to 2 years;
• increased sensitivity to the active component;
• damage to the nasopharyngeal mucosa.

Side effects can be avoided if you fully comply with all the requirements of the attending physician. It is very important to undergo a bacteriological examination of the mucus secreted from the nasal cavity, since if the disease is bacterial in nature, Nasonex will relieve swelling, but the very cause of the disease can only be eliminated with the help of antibiotics.

Indications for use of Nasonex are:

• allergic rhinitis (seasonal or year-round) in children, adolescents and adults;
• exacerbation of chronic sinusitis (the drug is prescribed as an adjunct to antibiotic therapy) in adolescents and adults;
• prevention of moderate/severe seasonal allergic rhinitis (it is considered optimal to start using the spray no later than 2 weeks before the expected start of the dusting period).

Children are prescribed Nasonex allergy spray from the age of two. For the treatment of sinusitis in pediatrics, it is used in children over twelve years of age.

General recommendations

The drug is intended for intranasal administration (used in the form of inhalations) of the suspension contained in the bottle. The procedure is carried out using a dosing nozzle, which is supplied with each bottle of Nasonex.

Before using the spray for the first time, it is “calibrated” by pressing the dosing device 6-7 times. “Calibration” allows you to establish a stereotypical supply of medicine. In this case, each press of the dosing device ensures the release of 100 mg of suspension into the nasal cavity, which contains 50 mcg of a chemically pure active substance.

1. Before first use, you need to “calibrate”: press the dosing device several times until the suspension begins to spray from the neck of the bottle. Now, each press of the valve will release about 100 mg of medication (50 mcg of pure Mometasone) - 1 standard dose.
2. If more than 14 days have passed since the last use of the product, the “calibration” procedure will have to be repeated.
3. Before each use, thoroughly shake the bottle of medicine so that the powder of the active substance does not settle at the bottom.

General recommendations

Nasonex use

The bottles are equipped with a convenient inhaler, which is used to spray Nasonex into the nose. After opening the package, you need to perform 6-7 clicks to adjust the suspension volume. After this, the doses will be the same, eliminating the possibility of overuse. In case of a break in treatment of two weeks, the procedure must be repeated. Before inhalation, shake the bottle to mix all the ingredients.

Nasonex - how to use for adults?

Treatment must be prescribed by a doctor, so recommendations may vary depending on the problem. For this reason, Nasonex, the indications for use of which are not limited to the disorders described in the instructions, should not be purchased independently. To maintain the effectiveness of the drug, you must prevent dust from getting inside, wash and dry the dispenser, and do not store it with the cap open.

Nasonex - nebulization doses recommended for typical cases.

1. Exacerbation of chronic runny nose
   - 2 injections twice a day, with a decrease in symptoms, leave one application. You can use it no more than 4 times at a time, but then the dose needs to be reduced.
2. Allergic rhinitis
   - rapid relief is achieved with two sprays into each nostril. This is done once. After the dose is halved, the use remains to maintain normal condition.
3. Polyps
   - twice a day, two irrigations, then move on to one use per day.

How to use Nasonex for children?

No studies have been conducted regarding the safety of the drug for infants, so Nasonex is prescribed to children over 2 years of age. The permitted maximum is 100 mcg per day, which corresponds to one inhalation. The effect develops after 12-14 hours. Long-term use does not affect the child's growth. A number of tests have confirmed this even with continuous and frequent treatment, but without exceeding the daily dose.

How long can Nasonex be used?

The treatment plan depends on the problem identified, so this is a question you should ask your doctor. He should also tell you how often Nasonex can be used in a particular case. General recommendations are for daily spray treatment for no longer than 3 months. More often, specialists try to limit the prescription to periods of inflammatory or allergic exacerbations. This is due to the hormonal base of the drug; numerous studies have not revealed its effect on important body functions, but doctors prefer to completely eliminate possible risks.

Instructions: method of use and dosage

According to the instructions, Nasonex is used intranasally. Injections are carried out using a dispenser on the bottle, alternately into each nasal passage.

Before first use, you should configure the dispenser. To do this, you need to press the nozzle 6-7 times, due to which the same type of drug delivery is achieved. If treatment is necessary after a long break, the procedure can be repeated.

Contraindications to the use of the drug

• tuberculosis;
• age up to 2 years;
• increased sensitivity to the active component;
• damage to the nasopharyngeal mucosa.

Side effects can be avoided if you fully comply with all the requirements of the attending physician.

It is very important to undergo a bacteriological examination of the mucus secreted from the nasal cavity, since if the disease is bacterial in nature, Nasonex will relieve swelling, but the very cause of the disease can only be eliminated with the help of antibiotics

How the medicine is used

To avoid seasonal exacerbation of allergies, Nasonex is prescribed for a period of two weeks to four days before the onset of the flowering season of the allergen plant. This type of prevention is suitable for both adults and children over two years of age.

For the treatment of chronic infectious and inflammatory diseases (sinusitis, sinusitis, sinusitis), complex therapy is prescribed, which also includes Nasonex. The correct combination of a vasoconstrictor and an antibiotic drug promotes a faster onset of remission. However, for medicinal purposes, Nasonex is recommended for use in adolescents over 12 years of age and adults, since children under twelve years of age have not yet developed their immune system. In severe cases, taking Nasonex can be dangerous. Also, using a drug without antibiotics for bacterial and fungal infections can aggravate the situation, so in any case you need to consult a specialist.

Use during pregnancy

If, nevertheless, a woman had to use the drug Nasonex during pregnancy, immediately after the birth of the baby it is necessary to check the adrenal glands, since there is a possibility of developing hypofunction. During breastfeeding, the drug is also undesirable, but its use can be resorted to in extreme cases.

Contraindications

According to medical reviews, “Nasonex” for children in the nose cannot be used in case of hypersensitivity to any component of the drug. In addition, trauma to the nasal mucosa (surgery in the nasopharynx, trauma, etc.) is a contraindication. In this case, you must wait for complete healing.

Monitoring by a doctor is required for patients who use this medicine for:

• tuberculous lesions of the respiratory system;
• bacterial infection;
• fungal infection;
• viral infection.

A viral infection even includes herpes simplex. Judging by the reviews, Nasonex for children can only be used under the strict supervision of the attending physician. This is due to the fact that the issue of using the medicine is decided on an individual basis.

Does Nasonex help with sinusitis, how it works, application

The medicine is sprayed into the nose, because It comes in a spray form. Just a couple of doses are enough for the drug to start working actively. One of its tasks is to eliminate copious nasal discharge - it can be fluid or stagnant with an admixture of pus.

It has antibacterial activity against a number of microbes and bacteria. Using Suprax as an example, it cannot be perceived as an antibiotic in its pure form, but it also has such an effect.

Composition and active substance

The basis is the active substance mometasone furoate. This is a powerful corticosteroid that copes even with old inflammatory processes, which can be accompanied by the accumulation of purulent masses. It provides a complex effect - eliminates swelling, local inflammation and provides protection against the development of allergies, which can occur against the background of problems with the nasopharyngeal mucosa, because There is no local protection against pathogens and triggers.

One bottle contains 120 doses. Additional components included:

• dispersed cellulose;
• glycerol;
• sodium citrate dihydrate;
• lemon acid;
• polysorbate 80;
• benzalkonium chloride;
• phenylethyl alcohol;
• purified water.

How and for what forms of disease can it be used

Prescribed according to the doctor's decision. But most often they resort to the help of such potent drugs in the later stages of therapy, when conventional means do not help. Corticosteroid is not the most harmless drug.

Composition and release form

Nasonex is packaged in vials that can contain from 60 to 120 standard doses. The containers are equipped with nozzles for precise dosage of the substance. The packaging is cardboard, with a predominance of white and blue tints.

The bottles contain a light suspension under pressure. The active ingredient is mometasone. Each dose contains 50 mcg of active substance. For precise dosing of the drug, the medicine is available only in spray format.

Among the excipients:

• purified water;
• glycerol;
• cellulose and other components.

Identify and treat

Prolonged improper breathing provokes incorrect development of the chest, causing anemia and other health consequences. The course should be prescribed by an experienced doctor. In the first degree of the disease, when the patient does not have significant breathing problems, conservative therapy is sufficient. The Nasonex discussed above or other similar drugs are prescribed, and to maintain the general condition of the body, vitamin complexes and calcium supplements are additionally recommended. Calciferol and ascorbic acid are considered especially useful.

In the presence of complications, the second or third degree of proliferation of lymphoid tissues, adenotomy is indicated, that is, removal of neoplasms. This treatment option is used relatively rarely, only if the indications clearly indicate the need for urgent intervention. Adenotomy is done if the child’s hearing has already deteriorated, speech disorders, respiratory dysfunction are observed, and diseases are very common.

If the decision has been made to undergo surgery, there are two options: local or complete anesthesia. The doctor will tell you about the specifics of caring for your child during rehabilitation at your appointment - everything is strictly individual.

Contraindications and side effects

In this section we will talk about the possible side effects of Nasonex for children. Instructions for use, reviews indicate that use of the drug in children can cause the following reactions:

• headache;
• nose bleed;
• sneezing;
• irritation of the mucous membrane.

The following side effects are less common:

• burning;
• the appearance of ulcers;
• pharyngitis;
• bronchospasm;
• anaphylaxis;
• allergic reaction;
• taste disturbance;
• impaired sense of smell;
• increased intraocular pressure;
• perforation of the nasal septum.

In addition to all of the above, with long-term use of Nasonex, the following are possible:

• growth retardation;
• fungal infection of the nasopharynx;
• Cushing's syndrome;
• glaucoma;
• sleep disturbance;
• aggression and so on.

In this section, it is important to note that combination therapy with Loratadine is well tolerated by patients. No mention of other drugs was found in the instructions for the medicine.

Clinical studies have not been conducted to evaluate the interaction of Nasonex with other medications. If necessary, a number of patients received treatment in combination with the antiallergic drug loratadine (trade names Claritin, Lomilan, Erolin, Clarisens) with good tolerance.

It is forbidden to use Nasonex if the child has recently undergone surgery or trauma to the nose. It is necessary to wait for complete healing of the mucosa, because mometasone interferes with wound healing.

It is not recommended to use the spray if:

• open or latent forms of pulmonary tuberculosis;
• bacterial infection;
• fungal infection;
• infection with viruses, especially herpes simplex spreading to the eyes.

If treatment with this particular drug is necessary, then its use is allowed even during these diseases, but you must first consult with your doctor. Self-medication with Nasonex is strictly prohibited.

Sometimes the use of Nasonex spray in children causes adverse reactions:

• bleeding from the nose, discharge of bloody clots of mucus - in 6% of cases;
• irritation of the nasal mucosa and sneezing - 3%;
• headache - 3%.

Particular attention should be paid to young children who are treated with glucocorticosteroids, such as Nasonex, for a long time. They may experience growth retardation. In such cases, the spray dose must be reduced to a minimum.

Long-term treatment with drops can cause systemic side effects:

• hypercortisolism syndrome - dystrophy, hyperglycemia, hypokalemia, hypernatremia, high blood pressure, myopathy, cardiomyopathy;
• adrenal insufficiency;
• growth retardation;
• cataract - clouding of the lens;
• glaucoma - increased intraocular pressure;
• anxiety;
• aggressiveness.

After long-term therapy, withdrawal syndrome may occur. Pain in joints and muscles, lethargy, constant fatigue, and bad mood appear. The child’s immunity decreases and he is susceptible to bacterial and fungal infections.

Pharmacological action of Nasonex and recommended doses

The drug is available in the form of a spray for nasal use. The main active ingredient is the corticosteroid mometasone furoate with a concentration of 50 mcg per dose. Vials containing 60 or 120 single doses are available.

The pharmacological effect of Nasonex occurs exclusively in the deep layers of the mucous membrane. Absorption of the active substance into the blood and its circulation in the body is not observed if the recommended dosage is observed. This circumstance makes the use safe for a wide range of patients.

The therapeutic effect is in two directions: the anti-inflammatory effect is gradually supplemented by a long-acting antihistamine. Immediately after introduction into the cells of the mucous membrane, it prevents the release of mediators of the inflammatory reaction from mast cells. These substances attract leukocytes and macrophages, which increases local blood flow and causes tissue swelling. In addition, the production of inhibitors from the phospholipase group is simultaneously increased, which reduces the amount of prostaglandins present at the site of inflammation.

After about 5 minutes, a sharp decrease in the number of neutrophilic leukocytes is determined, which prevents the influx of new macrophages. Blood supply is normalized, swelling is eliminated and the process of formation of mucous secretion stops.

The antihistamine effect develops in the second phase of pharmacological action. With a decrease in the function of releasing inflammatory mediators from mast cells, the synthesis of chemotaxis decreases. Due to this, the cells of the mucous membrane completely lose susceptibility to various types of allergic triggers.

The table below shows the doses of Nasonex for children and adults for various pathologies of the upper respiratory tract:

Analogues with the active ingredient mometasone furoate

Analogues of Nasonex in terms of the active substance are the drugs Dezrinit, Mometasone, Rizonel. Let's take a closer look at them.

Desrinitis

Desrinit nasal spray is a Czech drug produced by Teva. The medicine has an anti-edema, vasoconstrictor effect. Due to this, sneezing, runny nose, and nasal congestion are quickly eliminated. Prescribed to eliminate symptoms of allergies, sinusitis, polyposis. The medication should not be used if you are hypersensitive to mometasone.

The use of a spray for intranasal administration is strictly not recommended if there is damage to the surface of the nasal mucosa. In view of this, you first need to wait until the wounds or scratches heal, and then begin therapy. This is especially important if the injuries were caused by surgical interventions in the nasal cavity.

The dosage of Desrinit is selected individually. As a rule, the following daily dosage is recommended for children under twelve: 1 spray into each nasal passage 1 time. The course of therapy depends on the diagnosis and severity of the disease.

Adults and adolescents from 12 years of age are prescribed 1-2 doses in each nostril once a day. The use of Dezrinit can provoke adverse reactions in the form of cephalalgia, nosebleeds, burning of the nasal mucosa, and pharyngitis. The main differences between Nasonex and Desrinit are the price and features of the drug.

Mometasone spray

Mometasone is a corticosteroid intended for use in otorhinolaryngology and allergology. Produced in Russia and other countries, it is sold in the form of a spray for intranasal administration.

Mometasone has anti-inflammatory, decongestant, vasoconstrictor, antiallergic effects. The drug is indicated for allergic rhinitis, sinusitis, including polyposis. Contraindicated for pregnant and lactating women. The spray is also not prescribed to persons with hypersensitivity to its components.

Allergic rhinitis

The method of application is identical to that previously described: 2 injections/24 hours for adults, 1 for children 2-12 years old. The course of therapy can be continued from 2 weeks to 1.5 months, depending on the diagnosis and therapeutic response.

Mometasone may provoke the development of hypersensitivity reactions. Also, when using it, sneezing, nosebleeds, and swelling of the nasal mucosa may occur. All these symptoms of side effects indicate intolerance to the drug, so its further use is inappropriate.

Reasonel

Rizonex is an analogue of Nasonex, containing mometasone, and has an anti-edematous, anti-inflammatory, anti-allergic effect. Belongs to the group of GCS for local use.

The medicine is prescribed for year-round or seasonal runny nose caused by allergic reactions in adult patients and children over 2 years of age. Under the influence of the drug, rhinitis is eliminated, and further growth of polyps in polypous sinusitis/pansinusitis is prevented. Reasonex is prescribed by otolaryngologists not only for therapeutic, but also for preventive purposes.

Symptoms of pansinusitis

Rizonex should not be used if you are hypersensitive to its components. It should not be used by pregnant women, nursing mothers, or patients under two years of age. The drug is also contraindicated for infectious lesions of the nasal cavity or injuries to the mucous membrane.

Features of application:

1. Typically, adolescents aged 12 years and older are prescribed 2 injections once a day. Such dosing features are relevant for the treatment of rhinitis. After achieving the expected therapeutic effect, the dose of the drug is reduced to 1 dose.
2. The same dosage feature is used for maintenance therapy in the treatment of rhinitis caused by nasal polyps.

Treatment is recommended for 1-2 weeks. However, if indicated, the doctor can prolong the course of therapy to 3-4 weeks.

Pharmacological properties of the drug Nasonex

Pharmacodynamics. Mometasone furoate is a synthetic corticosteroid for topical use with a pronounced anti-inflammatory effect. Mometasone furoate has a local anti-inflammatory effect in doses, the use of which does not cause systemic GCS effects. The mechanism of anti-inflammatory and antiallergic action of mometasone furoate is mainly associated with its ability to inhibit the release of mediators of allergic reactions. Mometasone furoate significantly reduces the synthesis/release of leukotrienes from leukocytes in patients with allergic diseases. Mometasone furoate has demonstrated in cell culture a high potential (at least 10 times higher activity than other steroids, including beclomethasone dipropionate, betamethasone, hydrocortisone and dexamethasone) to inhibit the synthesis/release of interleukins (IL-1, IL-6) and necrosis factor tumors (TNF-α); it also significantly inhibits the production of Th2 cytokines, IL-4 and IL-5 by CD4+ T cells. Mometasone furoate is also at least 6 times more potent in inhibiting IL-5 production than beclomethasone dipropionate and betamethasone. In studies with provocative tests with the application of antigens to the mucous membrane of the nasal cavity, the high anti-inflammatory activity of the Nasonex aqueous nasal spray was established in both the early and late stages of the allergic reaction. This was confirmed by a decrease (compared to placebo) in histamine levels and eosinophilic granulocyte activity, as well as a decrease (compared to baseline) in the number of eosinophilic and neutrophilic granulocytes and epithelial cell adhesion proteins. A pronounced clinical effect in the first 12 hours after using Nasonex aqueous nasal spray was observed in 28% of patients with seasonal allergic rhinitis. In 50% of patients, improvement occurred on average within 35.9 hours. In addition, when using Nasonex, significant effectiveness was noted in reducing the severity of visual symptoms (redness, lacrimation, itching) in patients with seasonal allergic rhinitis. In clinical studies in patients with nasal polyps, Nasonex was significantly effective compared to placebo in reducing nasal congestion, polyp size, and restoring the sense of smell. In clinical studies involving patients aged 12 years, the use of Nasonex 200 mcg 2 times a day demonstrated high effectiveness in reducing the symptoms of rhinosinusitis compared to placebo. During 15 days of treatment, symptoms of rhinosinusitis were assessed using the Major Symptom Score (MSS - pain in the face, sensation of pressure and pain when pressing in the area and projection of the paranasal sinuses, rhinorrhea, mucus flow down the back of the throat and nasal congestion) . The effectiveness of amoxicillin 500 mg 3 times a day was not significantly different from placebo in reducing symptoms of rhinosinusitis according to the MSS scale. During the follow-up period after completion of treatment, the number of relapses in the Nasonex group was lower and comparable to the amoxicillin and placebo groups. The duration of treatment for acute rhinosinusitis 15 days has not been assessed. Pharmacokinetics. Mometasone furoate, when administered as an aqueous nasal spray, has low bioavailability (≤0.1%), it is practically undetectable in blood plasma, even when using a detection method with a sensitivity threshold of 50 pg/ml. Therefore, there are no relevant pharmacokinetic data for this dosage form. A small amount of mometasone furoate suspension, which can enter the gastrointestinal tract after intranasal administration, undergoes active primary metabolism even before excretion in urine or bile.

pharmachologic effect

The active substance has a significant anti-inflammatory effect not only at the early stage of allergy, but also at the late stage. Another effect of mometasone is to reduce the level of histamine in the blood, which is directly responsible for the allergic reaction. At the same time, many indicators of the body’s functioning are brought back to normal, confirmed by research and testing.

The main substance enters the blood in a concentration of 0.1%. Absorption occurs with the participation of the liver.

A small volume of the suspension, which may enter the stomach during intranasal (by spraying into the nostrils) treatment, is excreted in urine and bile. Internal use is the optimal use of the drug. Absorption through the gastrointestinal tract is very poor.

special instructions

Regular examination of the nasal mucosa by an ENT doctor is necessary when using Nasonex for a long time. Therapy is interrupted and special treatment is prescribed if local fungal infections of the pharynx or nose develop.

Irritation of the mucous membrane of the cavities of these organs for a long time may be a reason to discontinue the drug.

The use of the spray for quite a long time was not accompanied by functional suppression of the HPA system. Patients who have been using systemic glucocorticosteroids for a long time and then switched to Nasonex should be given increased attention, since their withdrawal is fraught with adrenal insufficiency. It may take several months for it to recover. If signs of adrenal insufficiency appear, systemic glucocorticosteroid therapy is resumed and other measures necessary in this case are addressed.

In patients, after GCS therapy, there is a risk, and a high one, of infection due to a decrease in immune reactivity directly upon contact with patients with infectious diseases (chicken pox, measles, etc.). In case of any contact, you should notify your doctor. If there are signs of a severe bacterial infection (toothache, fever, sharp and persistent pain on one side of the face, swelling in the periorbital or orbital area), you should visit a doctor.

Nazarel or Nasonex – which is better?

Nazarel is a spray for internal use based on fluticasone. It allows you to remove swelling and inflammation, as well as reduce allergic manifestations. The effect occurs approximately three hours from the start of use and lasts about a day. The product relieves itching, nasal congestion and sneezing, and copes well with ophthalmological symptoms.

Table - existing forms of the drug Nazarel with prices *

Instructions for use

It is important to use the drug in accordance with the recommendations of doctors. Use it in the dosage prescribed by your doctor . Follow the instructions for use located on the Nasonex Sinus inner leaflet.

Do not take orally. Nasonex is for the nose only. For allergic rhinitis, it is advisable to start using the product 2-4 weeks before the start of the flowering season.

Shake nasal spray immediately before each use.
Before first use, activate the nasal sprayer by spraying the medication into the air until the medication begins to release. Application of Nasonex Sinus nasal spray:

1. Check the manufacturer's instructions to make sure you know how to operate the sprayer.
2. Shake the bottle gently and remove the cap (before using the spray for the first time, activate the spray several times by directing the stream into the air until you see a fine mist in the air).
3. Gently empty your nose of any secretions to clear it.
4. Keep your head upright and insert the tip of the bottle into one nostril.
5. Pinch the other nostril by closing it with your finger.
6. Insert the nozzle into the open nostril. Try to keep the bottle upright.
7. Inhaling quickly, gently spray the medication into your nose.
8. Remove the nozzle from your nostril and exhale through your mouth. Repeat the procedure if a double dosage of the spray is prescribed.
9. Then do the same manipulations with the other nostril.
10. Wipe the nozzle with a clean cloth and close the cap (if the nozzle is not blocked, you can disconnect it and rinse it under running warm water).

Do not wet your nose for the first few minutes after using the nasal spray . Use only the number of doses per nostril as prescribed by your doctor.

Rinse your skin, eyes, or mouth with plenty of water if the medicine comes in contact with you.

If the nasal spray has not been used for more than 1 week, before use, reactivate the sprayer by pointing it into the air until the first cloud of drug dust appears.

Read all the medication information that comes in the Nasonex Sinus package - especially the section with instructions for use. If you have any questions, ask your doctor or pharmacist.

While using the medicine, you should be regularly examined by a doctor to be sure that the medicine does not harm the nose and paranasal sinuses (paranasal sinuses).

Throw away the bottle after 120 doses have been used, even if there is some medicine left in it.

Advantages of treatment with Nasonex, price and analogues

It works quickly, shows a high effect and makes it possible to provide better quality therapy. And this is its main advantage. It has a fairly mild effect, and side effects do not develop so often. You can buy it at a pharmacy for a price of 700 rubles.

The list of analogues of Nasonex, like many other drugs, contains several names. Similar operating principles include:

1. Avamis. The drug is the closest in mechanism of action, which costs less, but at the same time shows a high effect. One of the differences is that Avamys is not recommended for use as a preventative. Cost – 650 rubles.
2. Flixonase. Not the most affordable option, but it has a similar active ingredient and is more active in relieving allergy symptoms. The average price is 649 rubles.
3. Nazarel. With a similar principle of action, it provides relief from swelling, eliminates inflammation, relieves allergy symptoms, and does not differ in systemic effects. Approximate cost: 300 rubles.
4. Nasobek. An inexpensive replacement for Nasonex, which contains beclomethasone, provides an immunosuppressive effect that allows you to restore immunity; fights well against mucus accumulated in the nasal sinuses. You can buy the medicine for 150 rubles.

Precautions when using Nasonex Sinus

Avoid being near sick people, beware of infections. Contact your doctor for preventative treatment if you are at risk for chickenpox or measles . The consequences of these diseases can be life-threatening in people who use steroid drugs.

Before using Nasonex Sinus, you must tell your doctor about any existing infection, glaucoma or cataracts, herpes simplex eye infection, tuberculosis, nasal ulcers, and also provide information about recent nasal surgeries and any injuries.

Nasonex Sinus nasal spray must be used for at least 2 weeks before symptoms improve . To achieve the best results, use the drug for the period of time prescribed by your doctor. Tell your doctor if symptoms do not improve after a week of treatment.

Fliconase or Nasonex – what to choose?

Fliconase comes in the form of a metered-dose nasal spray. The main active ingredient is fluticasone propionate, a glucocorticosteroid of synthetic origin. The drug has pronounced antiallergic and anti-inflammatory effects.

Fliconase should not be used if you are intolerant to the components of the drug, during pregnancy and lactation, or before reaching the age of four. It is necessary to approach the use of the drug very carefully when taking drugs that inhibit liver enzymes at the same time. In addition, it is worth abandoning its use in the presence of injuries to the nasal mucosa, as well as tuberculosis in the acute phase.

The drugs have similarities:

• have an equivalent price;
• have the same mechanism of action;
• do not have a systemic effect on the body;
• can be used for a long time, up to six months.

Main differences:

• Fliconase has more pronounced anti-inflammatory and antiallergic properties.
• Nasonex can be used from two years of age, and Fliconase from four years of age.

To relieve the symptoms of allergic rhinitis, it is better to use Fliconase, because it has a better speed of action and can also relieve ophthalmological symptoms, namely itching of the eye mucosa and lacrimation. In addition, it has a very pronounced anti-inflammatory effect and allows you to remove swelling of the nasal mucosa much faster. Therefore, it is also prescribed for acute rhinitis.

Nasonex has a wider scope of use, therefore, it is prescribed for the treatment of adenoid vegetations and polyposis in the nose and sinuses.

Nosephrine or Nasonex – which is better?

Nosephrine is a generic version of a Belgian drug produced by a Russian company. The main active ingredient is similar and presented in the same dosage. From the above it follows that both drugs have the same indications for use, contraindications, and side effects.

With the exception of a few auxiliary components, there are no differences in composition. In addition, these substances do not fundamentally change the effect of the drugs. During clinical trials, it was found that Nasonex has a longer lasting effect and a more pronounced effect.

Composition of Nasonex nasal spray

Nasonex contains a component related to glucocorticosteroids (GCS) - mometasone furoate. Its volume in one spray of the spray is 50 mcg. This is taken into account when selecting a treatment regimen.

The following additional components are present in the drops: water, dispersed cellulose, polysorbate 80, sodium citrate in the form of dihydrate, benzalkonium chloride, glycerol and phenylethyl alcohol. These substances allow mometasone to remain active and also provide a convenient dosage form. The drug is prepared in the form of a white suspension. The thin plastic bottle contains 120 pumps.

Nasonex and beer

Take Nasonex after drinking a glass of beer, because the hormonal drug, in this case, does not interact in any way with an alcoholic drink. The fact is that the active substance practically does not penetrate into the bloodstream, but remains on the mucous membrane of the nasal passage.

The only exception is long-term use of the drug in high dosages. In this case, doctors do not allow mixing it with alcohol, so as not to lose the resulting therapeutic effect.

Even in the absence of visible manifestations, the body works in an enhanced mode, and both the kidneys and liver are under load.

Compatibility of Nasonex and alcohol

Nasonex is a drug used only for the nasal passages. Its main function is to eliminate allergic reactions, inflammation, and swelling. It penetrates into the bloodstream in minimal quantities, since with 1 injection a minimal amount of glucocorticosteroid is distributed to the mucous membrane.

Drinking alcohol is contraindicated when using hormonal medications. But the consequences arise only if they are used orally or intravenously. There is a small risk of increased stress on liver and kidney function if the nasal medication is used for a long time, in increased quantities.

Even if the patient consumes ethyl alcohol in large quantities, there is no risk of lack of therapeutic effect. The kidneys work overtime to remove ethanol, but the medicine acts locally.

Application

Mometasone is used only topically. This is an external method of intranasal administration of medication in the form of a spray. This method of treatment is safe, as it does not injure the nasal mucosa. Modern sprays are produced with dispensers, this allows you to control the amount of the medicinal substance.

Another advantage is that other organs, for example, the stomach and liver, do not suffer from the chemical effects of the drug. But the medicine in the form of a spray can only be used by children starting from the age of two.

Mometasone spray works well in treating:

• allergic rhinitis, both seasonal and year-round;
• nasal polyposis;
• sinusitis (in combination with antibiotics).

It is also used to prevent these diseases. The dosage and dosage form are determined by the attending physician. This takes into account the characteristics of the patient’s body, his existing diseases and examination data. That is why you cannot treat with this drug on your own without consulting a specialist and change the dosage.

Cases of overdose are unlikely because the drug contains a small dose of the active substance. So even children, if pressed accidentally, will not receive a large portion of the active substance. But using the medicine for too long can lead to adverse changes in the body. In this case, symptomatic treatment and adjustment of the selected medications are carried out.

But to prevent such unpleasant manifestations from occurring during treatment, you must strictly follow the instructions of specialists and not self-medicate.

Reviews

Svetlana Kremnyova (Krasnodar): I have seasonal allergies. The allergist prescribed Nasonex spray. I used it 2 weeks before the poplar tree, to which I am allergic, bloomed. Surprisingly, I survived the flowering time normally. It was good to breathe, no nasal congestion, which constantly tormented me. I will definitely use it again next year.

Vladislav Chernov (Voronezh): This is my second year using Mometasone spray. At first I felt dryness in my nose, but after a week everything became normal. Breathing opens well. Satisfied by all indications.

Ekaterina Khvorostyanskaya (Bashkiria): I used different medications for sinusitis and allergic rhinitis. All containing mometasone. I liked Nasonex the most. At first it seemed to tingle, but the attending physician advised me to turn the bottle’s spout to the side. And it helped, now it doesn’t sting. During flowering and exacerbation, only Nasonex helps, although we bought cheaper products, but only it helps.

Nasobek or Nasonex – which is better?

Nasobek is a budget analogue of the Belgian product, produced on the basis of beclomethasone. It is this that has an immunosuppressive effect, and accordingly, allows you to restore the proper functioning of local immunity.

Table - existing forms of the drug Nasobek with prices *

Before using the medicine

Nasonex Sinus is a medicine that should be taken with extreme caution. For these reasons, you should tell your doctor before using this product if you have:

• infection in the nose;
• recent nose surgery;
• tuberculosis;
• pregnancy;
• use of other medications, including over-the-counter, herbal and homeopathic remedies;
• an allergic reaction to any medicine.

It is not known whether Nasonex crosses the placental barrier and can cause harm to the fetus, so tell your doctor if you are pregnant or planning to take it. You should also tell your doctor if you are breastfeeding.

Steroid drugs affect growth in children. Tell your doctor if you notice that your child's growth has slowed while you are using Nasonex.

Nasonex Sinus is not approved for use in children under 2 years of age.

How to get the most benefit from treatment

Before you start treatment, read the description of the drug in the leaflet included in the medicine package.
This will give you a step-by-step guide on how to use the spray and also provide a complete list of side effects that may occur while using it. For the first time after starting to use mometasone, you need to take 2 doses of the drug in each nostril in the morning . This advice is relevant for adults and children aged 12 years and older. For children aged 3 to 11 years, use 1 dose in each nostril. As soon as symptoms improve, it is recommended to reduce the dosage. Use the spray for the entire period prescribed by your doctor.

When using a hay fever spray, doctors usually recommend starting to use it 2-3 weeks before the start of the hay fever season. This happens because the effect of using the drug does not occur immediately. By using the drug in advance, you will not feel symptoms during the flowering season.

If you need to use the spray for several months, you should have regular checkups at your doctor's office . This is especially true for children using Nasonex Sinus.

Momat Rino or Nasonex – which is better?

Momat Rino is a complex product that contains azelastine hydrochloride and mometasone furoate. The action of a synthetic glucocorticosteroid has already been discussed in detail above, therefore it is necessary to consider the second component in more detail. Azelastine hydrochloride has antihistamine, antiallergic and membrane-stabilizing effects, and also reduces capillary permeability and exudation. Bioavailability is about forty percent when administered internally, so the drug has a systemic effect.

In case of an allergic reaction, Momat Rino is much more effective due to its complex composition. However, this is precisely what makes it impossible to use during pregnancy, lactation, and also before reaching the age of eighteen.

What is Nasonex Sinus

This is a mometasone metered-dose nasal spray that is used for rhinitis, a condition in which the inside of the nose becomes inflamed and irritated. In this case, the most striking symptom is nasal congestion. Nasal congestion, or obstruction, is one of the most common symptoms encountered in primary care and specialist clinics, and is often the predominant symptom of upper respiratory tract disorders such as allergic rhinitis, rhinosinusitis, non-allergic rhinitis and nasal polyposis. In addition, nasal congestion is also a common symptom of ear infections and adenoids, and it may contribute to or worsen sleep disorders, including obstructive sleep apnea.

Most often, these disorders are caused by allergies, such as hay fever. The prevalence of allergic rhinitis is increasing worldwide, ranging from 10% to 30% in adults and up to 45% in children. Almost 50% of patients with allergic rhinitis experience symptoms for more than 4 months of the year, and nasal congestion is often the predominant symptom. Other symptoms of allergic rhinitis include nasal itching, rhinorrhea and sneezing, as well as ocular itching, redness and bleeding.

Mometasone belongs to a group of medicines called corticosteroids. It significantly reduces inflammation and swelling and thus relieves congestion, itching, sneezing, irritation and discomfort from rhinitis.

Mometasone nasal spray is also prescribed as a treatment for nasal polyposis.

Nasal polyposis is a chronic inflammatory disease of the upper respiratory tract caused by growths of inflammatory cells, which are primarily eosinophils. The causes of nasal polyposis are unclear but may include chronic infection, aspirin intolerance, reaction to dirty air, epithelial breakdown, inhalant or food allergies. Symptoms include nasal obstruction and decreased sense of smell.

Nasonex Sinus nasal spray is used to eliminate the symptoms of adenoiditis in children and adults.

Indications for prescribing the drug to children

The main purpose of Nasonex is the treatment and prevention of the common cold. Nasonex is prescribed to children in the following cases:

1. Allergic rhinitis is an inflammation of the nasal mucosa, which manifests itself in mucous discharge, difficulty breathing and sneezing. It appears under the influence of various allergens. Most often this is plant pollen, animal hair, house dust, and fungal spores. It happens seasonally, usually appears during the flowering of birch, poplar, ragweed and other allergenic plants. Year-round rhinitis lasts several months and becomes chronic. The product is allowed to be used starting from 2 years of age.
2. Sinusitis is an inflammation of the mucous membrane of one or more sinuses. Depending on the location, there are several types of the disease. Sinusitis is inflammation of the maxillary paranasal sinus. Ethmoiditis is inflammation of the anterior cells, and sphenoiditis is inflammation of the posterior cells of the ethmoid labyrinth. Frontitis is inflammation of the frontal sinus. According to the etiology, it can be infectious, allergic or vasomotor, in which a violation of the tone of blood vessels occurs. Nasonex is often used as an additional medication as part of antibacterial therapy. Allowed for use from 12 years of age.
3. Adenoids are a hypertrophied tonsil in the pharynx, which is formed due to hyperplasia of lymphoid tissue. With adenoids, a child has difficulty breathing and has difficulty hearing.
4. Prevention of allergic rhinitis. For annual allergic reactions, preventive use of the spray is allowed starting from 12 years of age.
5. Nasal polyposis is hypertrophy of the nasal mucosa. A polypoid mass usually occurs in the sinuses and is accompanied by an allergic runny nose. Polyps are antrochoal, which form in the maxillary sinus, and ethmoidal, which arise in the ethmoidal labyrinth.

Desrinit or Nasonex – which is better?

Desrinit is a structural analogue of the Belgian drug, therefore it contains the same active ingredient - mometasone furoate monohydrate. Moreover, even the dosage in wallpaper sprays is the same, which makes them practically interchangeable. Insignificant differences in excipients do not affect the effectiveness in any way. The release form in the form of a spray for intranasal administration allows you to cover the entire nasal cavity and distribute the medicine evenly.

Mometasone furoate monohydrate is a synthetic glucocorticosteroid that has anti-inflammatory, antiallergic, antipruritic and vasoconstrictor effects. The product is used topically, therefore minimizing the risk of systemic effects on the body. As a result, both drugs can be used in the treatment of adenoids.

Desrinit is prescribed for:

• seasonal and chronic rhinitis of an allergic nature (including for the prevention of occurrence);
• acute and chronic sinusitis (together with antimicrobial therapy);
• acute rhinosinusitis in the absence of complications;
• enlarged adenoids;
• the presence of polyps that interfere with nasal breathing and sense of smell.

Table - existing forms of the drug Dezrinit with prices *