Prescribing a drug based on hormones (the scientific name of glucocorticosteroids) is a difficult task. As a rule, such drugs are used for a severe form of the common cold, if more gentle remedies did not give the expected effect. Hormone nose drops are most often prescribed to treat a runny nose caused by allergies or chronic forms of rhinitis.
Most popular remedies
Which hormonal nasal drops are best? Now in pharmacies you can find many drugs based on glucocorticosteroids for the treatment of the common cold. Sometimes it is not easy to navigate this diversity, so you need the help of a qualified specialist. The most popular and frequently appointed are:
- "Flixonase";
- "Nasobek";
- Nasonex;
- Aldecin.
Nose drops with hormones work as follows. After spraying the solution on the mucous membrane of the nasal sinuses, oppression occurs andstop inflammatory processes. As a result, the runny nose becomes less pronounced, nasal congestion is relieved, and the symptoms of tissue hyperemia also disappear.
No treatment
It is worth knowing that such drugs do not affect the cause of the disease, but only relieve symptoms, facilitating the course of allergies. The advantage of glucocorticosteroid drugs is a non-systemic effect, which allows hormones that enter the bloodstream not to change their composition. In order for the disease not to take a chronic form, it is necessary to correctly diagnose and eliminate the root cause of the pathological process. For example, vasomotor rhinitis occurs against the background of hormonal imbalance in pregnant women or pathologies of the endocrine system. In this case, hormone-based drops only temporarily make breathing easier. Let's take a closer look at the most popular types of glucocorticosteroid nasal drops.
Flixonase
Most often, funds with glucocorticosteroids are available in the form of sprays and aerosols. Nose drops with hormones are a rarer form and are quite difficult to find in pharmacies. "Flixonase" is one of the drugs in this group. It well relieves inflammation and swelling of the nasal mucosa, stops the development of allergic reactions. The effect of the use of this drug lasts up to 4 hours after instillation. The quality of life of patients prone to frequent allergies improves markedly due to the use of Flixonase, which helps to quickly and efficiently relieve the symptoms of allergic rhinitis. The drug prevents complications and quickly relieves nasal congestion.
Suitable for children from the age of two. Which hormonal drops in the nose are better to choose, you can check with your doctor.
"Flixonase" differs from other hormonal nasal preparations in that it does not affect the functioning of the hypothalamic-pituitary system. On the first day of use, the following side effects may occur:
- itchy nose;
- twitching in the nasopharynx;
- conjunctivitis symptoms;
- congestion and rhinorrhea may worsen.
In case of allergies, nose drops with Flixonase hormones are intended for intranasal use. To get the maximum effect from their use, it is necessary to strictly observe the dosing regimen prescribed by the doctor. It is best to carry out the procedure in the morning. Basically, two injections are prescribed in each nasal passage once a day.
In the acute course of the disease, the doctor may prescribe a double use of the drug. However, this is a short-term measure and after a few days you should return to the normal dosing regimen. Usually, the effect of treatment can be assessed after three days of using Flixonase. In children, the dosage is one injection in each nasal passage once a day.
Before using the drug, the bottle must be shaken. After the injection procedure, the applicator must be cleaned with running water.
Side effects
Side effects fromnasal drops with hormones can be expressed as follows:
- Headaches.
- Irritation in the nasopharynx.
- Burning sensation in the nose.
- Dryness of the nasal mucosa.
- Nosebleed.
- Nasal congestion.
- Bad taste in mouth.
It is also extremely rare to find a perforation of the nasal septum as a result of the use of the drug. If you notice swelling of the face and tongue, a rash on the skin or difficulty breathing, then it is quite possible that you are allergic to the components of Flixonase. A contraindication to the use of this drug, along with individual intolerance, is also children under four years of age.
Whether to use "Flixonase" during pregnancy, the attending physician decides. It all depends on the severity of the disease, the risk of disruption of the normal course of intrauterine development of the unborn child, as well as on the condition and well-being of the woman. Flixonase should be used with caution for those who have recently undergone surgery in the nasopharynx, as well as for people with diseases of an acute infectious nature.
In order to avoid the occurrence of complications, namely disorders in the work of the adrenal glands, it is necessary to carry out therapy under the supervision of a specialist. It is not worth it to self-prescribe drugs of the glucocorticosteroid group, since these drugs have a number of contraindications.
Nasobek
This name of nose drops with hormones is familiar to many. The drug "Nasobek"common and often prescribed by physicians. It is intended for the relief of inflammatory processes and allergic reactions. The therapeutic effect is manifested in the following:
- Decrease tissue swelling.
- Decreased secretion.
- Increased mucosal immunity to external stimuli.
The result of using the Nasobek spray can be observed four days after the start of treatment. The maximum effect is observed after a week. A drug is prescribed for the treatment of vasomotor rhinitis, with hay fever, as well as seasonal or chronic allergies.
Nasobek is used by intranasal spraying, two doses in each nasal passage twice a day. The doctor may, under certain circumstances, change the dosage regimen to one injection four times a day. The maximum daily dosage is 8 sprays. If the effect of therapy is absent within 20 days after the start of treatment, it is necessary to cancel the drug. Shake the bottle before the procedure. After spraying, the applicator is washed with running water.
In the first trimester of pregnancy, hormonal nasal drops for adults are strictly prohibited. The decision to prescribe "Nasobek" is subsequently made by the attending physician. This rule also applies to the period of breastfeeding. Steroid spray increases the effectiveness of beta-agonists when taken simultaneously.
Side effects
Side effects from the use of "Nasobek" can be:
- Dryness of the nasal mucosa.
- Pain in the nasopharynx.
- Cough.
- Worse cold.
- Sneeze.
- Nosebleed.
- Perforation of the nasal septum.
- Ulcers where the spray hit.
- Decrease in visual acuity as a result of increased intraocular pressure.
The indicated hormonal nasal drops and sprays can be bought at any pharmacy.
More rarely, the following adverse reactions from the use of "Nasobek" are possible:
- Drowsy.
- Headaches.
- Conjunctivitis.
- Skin rash.
- Spasm in the bronchi.
- Change in taste sensations.
With prolonged use of corticosteroid drugs, or exceeding the dosage, the development of nasopharyngeal candidiasis and a delay in the physical development of the child.
Contraindications
Contraindications to the use of "Nasobek" are:
- Hemorrhagic diathesis.
- ARVI.
- Increased sensitivity to components.
- Pulmonary tuberculosis.
- Predisposition to nosebleeds.
- Children under 6 years old.
Patients with glaucoma should use "Nasobek" with extreme caution. The presence of damage to the nasal mucosa is also a reason for the careful use of the drug. Exceeding the prescribed dosage can cause the development of pathology in the work of the hypothalamus and pituitary gland. Human consciousness is not inhibited by the drug, so it can be used by people whose field of activity is related to concentrationattention.
Nanozeks
Only by the name of a nasal drop with hormones, it is difficult to understand whether the drug belongs to the group of glucocorticosteroid drugs. Therefore, it is always important to consult a specialist and carefully read the instructions for use.
Another nasal hormonal spray is Nanozeks. It is prescribed for topical use, has an antihistamine and anti-inflammatory effect. Does not cause systemic side effects when used correctly. Not available in drop form, so dosage regimen depends on the number of sprays.
Indications for the appointment of "Nanozex" are:
- As a prophylaxis of allergic rhinitis during periods of seasonal exacerbations. A nasal preparation is prescribed approximately two weeks before the period of mass flowering of plants.
- Treatment of chronic allergies.
- For the treatment of chronic rhinitis as part of complex therapy.
The injection procedure is performed once a day, two sprays into each nasal passage. Sometimes the disease is severe. In this case, it should be remembered that the maximum daily dose of the drug is eight sprays. As soon as the desired effect is obtained from the use of the drug, the dosage is halved. Positive dynamics is observed 12 hours after the first use of Nanozeks. Shake the bottle before use.
Side effects
Side effects of using nose drops with hormones for sinusitis and other diseases can be:
- Burning in the nasopharynx.
- Nosebleeds.
- Sore throat.
- Headaches.
- Irritation of the mucous membrane of the nasopharynx.
- Sneeze.
- In rare cases, septal perforation and increased intraocular pressure may occur.
Can these hormonal nose drops be used for children? Not always, there are a number of contraindications.
Contraindications for use
"Nanosex" is contraindicated in the following categories of patients:
- Children under the age of two.
- Patients with an acute stage of the development of an infectious disease.
- People who have recently had trauma or surgery in the nasopharynx.
- Patients with hypersensitivity to the components of the drug.
The expediency of using Nanozex during pregnancy is determined by the attending physician. However, due to the fact that this drug enters the circulatory system in a very small amount, the period of bearing a child does not apply to a number of absolute contraindications. If Nanozex was still used during pregnancy, then after the birth of a child, it is necessary to keep the functioning of his adrenal glands under control. During the entire therapy with hormonal drugs, it is necessary to be observed by an otolaryngologist in order to avoid changes in the microflora of the nasopharynx.
Aldecin
Thishormonal drops in the nose of a new generation. This drug has a strong antihistamine, anti-inflammatory and immunomodulatory effect. It is shown under the following conditions:
- Rhinitis caused by allergies.
- Vasomotor rhinitis.
- Polypos.
- In complex therapy in the treatment of bronchial asthma.
- Potentiation of xanthine action.
The drug is administered intranasally. Shake the vial before use. When spraying, the applicator should not touch the mucous membrane. In the standard version, one dose is prescribed in each nasal passage 4 times a day. The maximum possible daily dosage is 16 sprays for an adult and 8 for a child. After treatment of the mucous membrane, it is necessary to rinse the mouth.
Adverse reactions
In case of exceeding the doses prescribed by the doctor and violating the instructions for use, or with prolonged use of the drug, the following side effects may develop:
- Skin rash (allergic).
- Itchy feeling.
- Bleeding from the nose.
- Sneeze.
- Nausea.
- Nasal candidiasis.
- Dizziness.
- Increased heart rate.
Nose drops with hormones for children, see below.
Rarely, there may be an increase in the hypoglycemic index (increased blood glucose levels), as well as symptoms of osteoporosis, cataracts and arterial hypertension.
When the drug is contraindicated
These nose drops with hormones are contraindicatedfor children under six years of age and in the following situations:
- Tuberculosis in the respiratory tract.
- Acute infectious diseases.
- Increased sensitivity to the components of the drug.
- Hemorrhagic diathesis.
- Asthma paroxysmal.
- Regular nasal bleeding.
Aldecin is contraindicated for use in the first trimester of pregnancy. If treatment takes place during lactation, then breastfeeding should be discontinued for the period of therapy. An overdose during pregnancy may cause dysfunction of the adrenal cortex in the child.
Overdose can also be expressed in dyspeptic disorders, glaucoma, hypertension and shortness of breath. There may also be a malfunction of the adrenal glands and the entry of a steroid drug into the circulatory system.
Patients suffering from hypertension should also be careful when using Aldecin. The same applies to liver failure, glaucoma and hypofunction of the thyroid gland. Do not combine the drug with antibiotics.
The following hormonal drops can be used for children: Nasobek, Avamys, Nasonex, Aldecin. But it is important to understand that it is necessary to carry out treatment under the supervision of a doctor.
Nose drops with hormones: reviews
These preparations have earned mostly positive reviews. They are well tolerated, quickly help, rarely causeside reactions. It is necessary to start using them at the first symptoms. Read the instructions before use.
At the same time, many parents are wary of nose drops with hormones and antibiotics when it comes to treating a child. It is for this reason that self-medication is unacceptable. The doctor should select the drug.
