Nasonex for adenoids in children: reviews, application, analogues
The content of the article:
- Action of Nazonex
- Release form and application
- Features: how to use the drug correctly
- Contraindications
- Possible side effects
- Analogue of Nazonex
- Video
Nasonex for adenoids in children is a fairly effective drug, but it requires accuracy in use and exact adherence to the dosage.
Nasonex is a topical steroid hormonal drug effective for adenoids
Adenoids, or adenoid vegetations (adenoid growths) are hypertrophied tissue of the nasopharyngeal tonsil. Their formation is associated with a chronic inflammatory process and the immaturity of the child's immune system. This is a common pathology, which, however, in a neglected state, can lead to serious complications, since the significantly overgrown tonsil tissue blocks the nasal passages and makes nasal breathing impossible. In this case, the question of surgical removal of the adenoids may arise. In other cases, the disease is treated with conservative therapy, and the earlier adenoid vegetations are detected and treatment is started, the easier it is to achieve a result.
The treatment regimen is selected by the ENT doctor, self-medication is strongly discouraged, as it is fraught with numerous complications.
Drug therapy is carried out mainly by means of local action (safer for children), which are delivered to the focus by rinsing the nose, instilling it, using inhalation, and electrophoresis. Chronic processes, and adenoids are just such, respond to therapy worse than acute, conventional non-steroidal anti-inflammatory drugs are not enough to eliminate inflammation. In this case, it becomes necessary to use hormonal anti-inflammatory drugs. Such hormonal drugs of local (intranasal) action include Nasonex.
Action of Nazonex
Nasonex is a topical glucocorticoid that is used to treat diseases of the respiratory tract. The preparation contains a synthesized adrenal hormone (mometasone furoate), which has a powerful anti-inflammatory, antiseptic, anti-allergic and anti-edema effect.
Nasonex helps to reduce the allergic reaction, which is always present in chronic inflammation, swelling, and a decrease in mucopurulent discharge. As a result of the elimination of inflammation and the associated edema, adenoid vegetation decreases, nasal breathing is restored, and nasal nasal disappears.
The use of Nazonex improves the patient's quality of life, improving his well-being. Restoring breathing through the nose, in turn, improves the supply of oxygen to the body. Painful drowsiness and fatigue disappear, cognitive abilities (memory, attention) improve, night sleep improves, the child becomes calmer and at the same time more active. Discomfort from drying out the throat passes, the mucous membrane restores its functions, children are less likely to suffer from respiratory diseases.
Usually, Nasonex is used in combination with other means, for example, with saline lavages, as well as during the preparation of the patient for the surgical removal of the adenoids. The drug demonstrates especially high efficiency in adenoid growths provoked by frequent relapses of allergies.
According to parents, when using Nasonex, it becomes easier for a child to breathe through the nose, night sleep improves, and snoring disappears. Side effects are usually absent even with prolonged use, the drug is well tolerated by patients. Dr. Komarovsky recommends Nasonex for adenoids in children as the drug with the highest safety profile.
Timely and adequate treatment of adenoids with Nasonex makes it possible to cure the disease without surgery, to prevent the development of complications. A noticeable improvement in the condition of a child with second-degree adenoids, as a rule, is noted after a month of therapy.
Release form and application
The drug is available in the form of a spray in a plastic package. With a single press, 50 μg of the active ingredient is released. One bottle of the drug is designed for 60–120 injections. The bottle with Nasonex spray comes with a spray bottle and a protective cap, as well as detailed instructions for using the drug.
When adenoids are usually prescribed:
- patients from 2 to 12 years old - one injection of Nasonex into each nasal passage once a day;
- over 12 years old - 2 doses in each nostril once a day.
This drug can be used for a year without the risk of atrophy of the nasal mucosa.
Features: how to use the drug correctly
Reception of Nazonex should take place under medical supervision, with regular examinations of the patient by an otolaryngologist.
Along with Nasonex, you can use antiallergic and antibacterial agents, as well as preparations based on sea water. It is not recommended to use Nasonex together with vasoconstrictor drops, herbal medicines.
If after treatment with the drug there is no positive trend, it may be necessary to replace the drug.
In the event of a single drug overdose, the patient must be monitored. In the absence of adverse effects, you can continue to use the drug at the prescribed dose.
Contraindications
Reception of Nazonex is contraindicated in case of individual intolerance to its components, acute inflammatory process in the nasopharynx, infectious diseases of the eyes, as well as in children under two years of age. The drug is not used after a nose injury or immediately after an operation (the drug slows down wound healing). In the late postoperative period, the use of the drug is allowed.
Possible side effects
Potential side effects include headache, nasal discomfort, sneezing, nosebleeds, and very rarely, nasal septum perforation and increased intraocular pressure.
You should immediately stop spraying the drug on the child and consult a doctor if the patient has a loss of appetite, weight loss, unmotivated fatigue, fainting, muscle weakness, abdominal pain.
With the combined use of different hormonal agents, as well as with prolonged use of Nasonex in high doses, the hormonal system of the body may be suppressed (in particular, the functions of the pituitary gland, hypothalamus and adrenal glands).
According to doctors, side effects when using Nazonex occur with about the same frequency as when taking a placebo, which indicates the safety of this drug.
Analogue of Nazonex
If it is impossible for one reason or another to use Nasonex, other drugs with a similar effect can be used. One of such agents is Avamis, a glucocorticosteroid for local use, which is prescribed in the complex therapy of adenoids, sinusitis, allergic and vasomotor rhinitis.
The main active ingredient of Avamis is fluticasone (fluticasone furoate), which has antiallergic, anti-inflammatory and anti-edema effect. Just like Nasonex, Avamis is produced in the form of a nasal spray, the bottle is equipped with a dispenser and a spray bottle.
Avamis is similar to Nazonex in terms of effect, but not identical to him
The recommended dosage is the same as that of Nasonex: for children 2-12 years old - one inhalation in each nostril once a day, for patients over 12 years old - two inhalations in each nostril daily. The duration of treatment and the exact dose is determined by the attending physician. With adenoids in children, the course of treatment is usually several months, after which they take a break, then the course is repeated. Avamis should be used regularly at about the same time throughout the course of treatment.
Avamis is contraindicated if the patient is allergic to the components of the drug, it is not recommended for use in children under 2 years of age.
Possible side effects of the drug include headaches, allergic reactions, burning and dryness in the nose, nosebleeds, ulcers, and erosion of the nasal mucosa.
With prolonged use, the drug usually dries out the nasal mucosa, for this reason, the drug is usually prescribed in combination with oil drops in the nose (peach, almond, olive), which allows you to prevent or reduce this undesirable effect.
Despite this similarity, Avamis is not an absolute analogue of Nazonex, as it differs in composition, indications and contraindications. So, Avamis can be used in the presence of damage to the nasal mucosa until the moment of healing, replacing Nasonex during this period. Thus, the answer to the question of which is better for adenoids, Nasonex or Avamis, depends on the individual indications available.
Video
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Anna Aksenova Medical journalist About the author
Education: 2004-2007 "First Kiev Medical College" specialty "Laboratory Diagnostics".
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