Medical expert of the article
New publications
Inhalation with miramistin in nebulizer for children and adults
Last reviewed: 04.07.2025

All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.

Currently, in pediatric pulmonology and phthisiology, there is an increasing need for antibiotic action aimed primarily at reducing the number of bacteria and fungi. Inhalations with miramistin are quite effective in this regard.
Do they do inhalations with miramistin?
They are done if it is necessary to reduce bacterial and fungal infections. They are prescribed mainly if the results of bacteriological culture show results of 10 to 5 or more CFU/ml. That is, the level of bacterial and mycotic flora should be violated towards an increase. This is approximately 3 units higher than the norm. Inhalations can be performed for both children and adults. They are recommended even for the elderly.
It is worth noting that such inhalations are aimed not only at reducing the bacterial load, but also indirectly contribute to the normalization of microflora. They also significantly stimulate the formation of immunoglobulin A (that is, a local agent that stimulates the state of the immune system of the mucous membranes). [ 1 ]
Indications for the procedure
The drug is recommended for people suffering from diseases of the upper and lower respiratory tract. These can be both typical bronchitis and pneumonia, and complicated pleurisy. Sometimes miramistin is prescribed as a preventive and therapeutic agent for tonsillitis, sinusitis, and even various dental diseases. In dentistry, it is used after tooth extraction and filling, for the treatment of stomatitis of any localization, for relieving the inflammatory process from the gums, tongue. Palate. It is also recommended for various immunodeficiency states for the prevention of oral thrush, other types of fungal and bacterial infections. It is prescribed for the treatment of candidiasis (thrush), including for newborns. For various injuries of the mucous membranes of the oral and nasal cavity.
Inhalation with miramistin for cough, dry cough, sore throat
Allows to eliminate the inflammatory process, spasm of smooth muscles of the bronchi in a relatively short time. This allows to remove shortness of breath, lack of oxygen, delay of inhalation and exhalation, allows to prevent an attack of an asthmatic nature, at the same time, normalizing the microflora, removing the degree of bacterial and fungal load.
Inhalations with miramistin for a runny nose
A runny nose is accompanied by the accumulation of a large amount of fluid in the upper respiratory tract. This can be an exudate of various natures, for example, bacterial or fungal, which includes both the remains of inflammatory components, dead cellular structures, and microorganisms themselves. A runny nose is accompanied by an inflammatory and infectious process, so it can be eliminated using an antifungal drug.
It is also worth noting that one of the main actions of this drug is to normalize the state of the microflora of the mucous membranes. It also stimulates the action of the protective mechanisms of the mucous membranes of the respiratory tract, including the colonization resistance of the microflora. All this contributes to the fact that local immunity increases, the body has greater resistance to infection, prevents its uncontrolled progression. Accordingly, recovery occurs much faster.
Inhalation with miramistin for sinusitis
Sinusitis is an inflammation of the maxillary sinuses, which is often a complication of various respiratory diseases. It is always accompanied by inflammation, congestion, which entails an infectious process. At the same time, it is worth noting that the main action of miramistin is aimed precisely at eliminating fungal infection and stimulating the protective components of the mucous membranes. It is due to these properties that the drug exhibits high activity in the treatment of sinusitis.
Inhalations with miramistin for bronchitis
It is an inflammatory process in the bronchi. The pathogenesis is based on the obstruction of the bronchi, spasm of the smooth muscles of the bronchi, bronchioles and alveoli. The action of miramistin is aimed at relaxing the muscles of the bronchi and other internal organs. Accordingly, the spasm is removed, congestion is prevented, and phlegm is removed faster.
Due to the antifungal and antibacterial action of the drug, the condition is also significantly alleviated by reducing the bacterial load and minimizing the intoxication factor. Additional factors of the body's defense are stimulated: local immunoglobulins, inflammation mediators, cytokines, anti-inflammatory enzymes. The hormonal background is indirectly stimulated and boosted, which also orients the body to maximum resistance to infection and normalization of the condition.
Inhalations with miramistin for adenoids
Adenoiditis is an inflammation of the adenoid tissue, accompanied by the growth of the adenoids themselves into the nasopharynx. The clinical signs of this process are tissue growth, accompanied by the development of an infectious process, inflammation. There is also excessive accumulation of fluid and exudate, inflammation.
Previously, the traditional method of treatment was the removal of adenoids, but today it can be noted that this is far from the main method of treatment. At least, in most cases, such radical treatment can be avoided, since there is a simpler method - treatment with a nebulizer using a medicinal substance (miramistin). Thanks to the antifungal, antibacterial and anti-inflammatory action of the drug, it is possible to normalize the condition and not only relieve the acute phase, but also stimulate the immune system to independently combat the infectious and inflammatory process.
Miramistin inhalations for laryngitis
Laryngitis is an inflammatory-infectious process. The essence of this inflammatory process is that it covers the entire nasopharynx with a predominant lesion of the pharynx itself, nasal sections, maxillary, and sometimes even frontal sinuses. In this case, congestion develops, an infectious process develops, the state of the immune system decreases, and the microflora is normalized.
In particular, the number of pathogenic forms of microorganisms increases, and the number of representatives of normal microflora decreases. All this entails an increased degree of intoxication, tension of the immune system, an increase in the amount of fungal microflora and its imbalance.
Miramistin eliminates inflammation, relieves intoxication, eliminates congestion, normalizes microflora, eliminates fungal infection, prevents the development of bacterial infection. All this significantly accelerates recovery, alleviates the condition, relieves smooth muscle spasm.
Preparation
The procedure does not require any special preparation. The only thing required is not to eat for about 30 minutes before the procedure and for about 90 minutes after the procedure. This will create an optimal, maximally effective concentration of the drug on the mucous membranes of the respiratory tract. You should also correctly assemble the container for inhalation when performing it using a nebulizer. Also, a mandatory condition is compliance with the treatment regimen, all doctor's recommendations. Before the procedure, you should carefully read the instructions.
It is important that the clothes are not tight and do not constrict the throat. Inhalations should be performed in a sitting position. Therefore, a place for the procedure should be prepared in advance. This will require a table on which the nebulizer will stand and a chair at which the patient will sit. The advantage of this form of treatment is that such inhalations can be performed at home, and not only in a hospital or clinic.
Technique Inhalation with miramistin in nebulizer for children and adults
It is important to assemble the nebulizer according to the instructions. Then prepare the suspension for inhalation using the necessary medicine. Usually the drug is diluted with saline, but it can also be used in pure form. After that, it is placed on the table. It is important to place the device so that it is approximately at the same level as the person's nose and mouth. Then put on the mask. There are some nebulizers that are used without a mask, this should also be taken into account.
Children definitely need a mask, as it ensures tight contact with the nebulizer and ensures the penetration of the medicine into the respiratory tract. Inhale through the nose. Hold your breath for a few minutes, then exhale through the mouth. You can do the procedure in reverse order several times. After the procedure, you cannot drink or eat. The device should be disassembled and washed under running water.
How to do inhalations with miramistin?
Miramistin is available as a spray for irrigating surfaces and mucous membranes. At the same time, special solutions or suspensions for inhalation are not produced. It is important to choose the correct dosage of the drug. This should be done by a doctor. Before inhalation, you need to assemble the device. To prepare the inhalation mixture, take Miramistin in its pure form, or dilute it with saline. The nebulizer will independently turn it into a finely dispersed mixture, which, when inhaled, will provide the necessary therapeutic effect.
Inhalations with miramistin in a nebulizer
The most effective method of treatment is the use of a nebulizer, since it is extremely convenient to use and also allows for a targeted introduction of a precise dose of the drug into the body. In this form, the drug penetrates directly into the respiratory tract, exerting its main effect there (antifungal). The dosage is determined by the doctor, but usually inhalations of this kind are carried out no more than 2 times a day. The duration of treatment depends on the severity of the pathological process and usually does not exceed 7-10 days.
Inhalation of Miramistin with a compressor nebulizer
The peculiarity of this nebulizer is that the drug in it is in a condensed and compressed form. During the procedure, the necessary substance is injected into the body, opening up after a certain time, that is, after reaching the goal (in the respiratory tract, on the mucous membranes). It acts quickly and effectively. It remains on the mucous membranes for a long time, while continuing to exert its main effect.
Dosage, proportions
The dosage of the drug should be selected exclusively by a doctor, since it is determined by many factors, including the individual characteristics of the patient. The severity of the disease, the degree of the pathological condition. It is worth noting that the drug can be used both in pure and diluted form.
For example, when treating diseases of the upper and lower respiratory tract, it is used as a mixture in a 1:2 ratio with saline. Usually, 4 ml of miramistin and 4 ml of saline are taken. You can also use the drug in its pure form, which is more preferable when conducting therapy for adults. For children, it is recommended to use the drug in a diluted form. For children under 12 years of age, it is better to dilute 2 times. For children under 12 years of age, dilute 3 times.
The duration of the procedure varies from 2 minutes for small children to 15 minutes for adults. In case of tuberculosis, other infectious diseases, severe spasms, it is used for 20-25 minutes.
Inhalations with saline and miramistin
Miramistin is used as the main active ingredient, which is used directly for therapeutic purposes. As for the physiological solution, it is used to dilute the medicine. For example, pure miramistin is too concentrated for children and requires a decrease in concentration. Usually diluted 2 times (approximately 2 ml of the drug and the same amount of physiological solution). But the dosage may be different, depending on the recommendations of the attending physician.
Inhalations with miramistin for children
The procedure differs from that for adults in that it requires the mandatory use of a mask, which helps the drug penetrate directly into the respiratory tract and not get lost in the environment. This is facilitated by the features of the anatomical structure and physiology of the human respiratory system. It is also worth noting that the dosage of the drug is also significantly lower compared to that for adults. It is not recommended to take the drug in its pure form, especially for children under 12 years old. This is due to the fact that it is very concentrated and can cause swelling or burning of the mucous membranes. An overdose may also occur, which is often accompanied by bronchospasm and an attack of suffocation. It is imperative to consult a doctor. And it cannot be used for a long time (longer than 14 days), since the child may develop a habit or addiction.
The procedure is quite simple. You need to assemble a special inhalation device - a nebulizer. It allows you to convert the drug into a suspension of a finely dispersed drug substance. Then these substances penetrate the respiratory tract and are evenly distributed along them, forming a thin layer. The advantage of this form of treatment is that it penetrates deeply into the bronchial and pulmonary tissue, prevents compression of the lungs, stimulates the alveoli and bronchial tree.
Inhalations with miramistin during pregnancy
One of the few drugs and forms of treatment that can be used for treatment during pregnancy. Miramistin is widely used to treat various diseases in pulmonology, otolaryngology, phthisiology, pediatrics, therapy, and gynecology. The main effect of the drug is an antiseptic effect, the essence of which is to reduce the bacterial, fungal and viral load on the body. Of course.
The drug should be used only if the risk of developing an infectious process increases, if immunity is significantly reduced. This is also a threat to the fetus. Accordingly, the use of the drug in this case is justified. In other cases, it is not recommended to take it, because despite the fact that it is a relatively safe drug, it still has numerous side effects, and can also cause complications, allergies. You should always remember about precautions and not self-medicate. You can take any drug only after consulting a doctor.
It is also necessary to take into account that the dosage during pregnancy should be reduced. It is highly not recommended to use the pure preparation; it should be diluted with saline. The ratio depends on many factors, including the state of immunity, the severity of the disease, individual tolerance of the drug, and the characteristics of the course of pregnancy. Sometimes inhalations are prescribed using miramistin diluted 2 or 3 times.
Contraindications to the procedure
The drug is contraindicated in case of individual intolerance to both the drug itself and individual components that are part of this drug. It is also worth noting that in some cases the drug may be contraindicated during pregnancy, especially if it occurs with complications, risk to the mother and fetus. Impaired normal kidney function can also cause contraindications, since often most of the drug is excreted through the kidneys, which significantly increases the load on them.
Inhalations may be contraindicated for newborns, children under one year (individually). It may also be contraindicated for people with serious immune system disorders, including people with a tendency to allergic reactions, especially if they occur as an immediate type. A history of anaphylactic shock, Quincke's edema, other acute allergic reactions and crisis conditions is also considered a direct contraindication. Contraindications include a tendency to autoimmune aggression, immunodeficiencies. A tendency to suffocation of any genesis is a contraindication. It is also not recommended for people with mental disorders, bronchial asthma and pulmonary obstruction.
Consequences after the procedure
The procedure leads to normalization of the tone of the smooth muscles of the respiratory tract, as a result of which it is possible to eliminate an attack of suffocation, normalize well-being, relieve spasm, cough. The drug also penetrates directly into the bronchial and pulmonary tissue. Accordingly, this makes it possible to quickly relieve the inflammatory process and prevent the development of an infectious process. The main effect of the drug is realized - antiseptic, the essence of which is to prevent the development of an infectious process, reduce bacterial, viral and fungal load, normalize dysbacteriosis. It is worth noting that with proper treatment, there are no adverse effects.
Complications after the procedure
Rarely observed, but an attack of suffocation, bronchial spasm may occur if used by children or people prone to developing allergic reactions. Also, complications include possible deterioration of the condition, development of cough, burning, sore throat, runny nose. Sometimes there is a sore throat, ear, nasal congestion. With a tendency to immediate hypersensitivity reactions, edema and anaphylactic shock may develop. Urticaria, dermatitis, skin pathologies may also appear.
Reviews
If we analyze the reviews, we can conclude that inhalations with miramistin generally have a positive effect on the body. They allow you to quickly overcome respiratory diseases. Side effects are rare, mainly with an overdose or improper use of medicinal components, with non-compliance with the dosage. Cases of overdose are also rare. Only in one case did a woman write about an overdose (the child was given an inhalation with pure, undiluted medicine). The overdose was manifested by lethargy, dry cough, deterioration of the condition. Nausea, vomiting, drowsiness also appeared. After discontinuing the drug within 2-3 days, the condition returned to normal. Otherwise, they note that inhalations make it possible to quickly relieve inflammation. A visible effect is noted after 2 days. Full recovery occurs in a period of 3 to 5 days. It also helps to quickly cure stomatitis, gingivitis, relieves pain and bleeding gums.
What can replace inhalations with miramistin?
The closest analogues are such drugs as berodual, pulmicort, chlorhexidine, stopangin, bioporox. These drugs are used in a similar way, in the form of a solution for inhalation using a nebulizer. You can also use traditional methods based on the use of medicinal herbs, homeopathy. The method of carrying out such inhalations is simpler - you will need a basin and a towel. Hot water is poured into the basin. A medicinal substance or herbal decoction is added to it. Bend over the basin. Cover yourself with a towel from above. Inhale through the nose, exhale through the mouth. Duration - no more than 15 minutes. Such procedures are contraindicated in diseases of the heart and blood vessels, with a tendency to hypertension and migraines. Also, they cannot be carried out at elevated body temperature. Let's consider available recipes (tested by experience).
- Recipe No. 1.
It is recommended to add special oil to the water for inhalation. When evaporated, it has a healing effect on the mucous membranes of the respiratory tract. About 100 grams of butter is taken as a base for preparing the oil. All this is melted until liquid oil is formed. A mixture of the following plant components is prepared in advance in a fireproof dish: crushed nettle leaves and rhizomes, chamomile flowers, walnuts, common datura (approximately a tablespoon of each component per 100 grams of oil)
Heat the oil over low heat (do not bring it to a boil). As soon as the oil has heated up enough, but has not yet boiled, remove it from the heat and pour in the previously prepared herbs. Mix, cover with a lid, and leave in a dark place for 24 hours (at room temperature). Add to hot water immediately before inhalation.
- Recipe No. 2.
As a base, take a mixture of cocoa butter, butter, add 2-3 drops of eucalyptus (has an antiseptic effect). Stir. Add 2 drops of the following essential oils to the resulting mixture: plantain, coltsfoot, cypress, thuja, juniper. Mix thoroughly. Add about a tablespoon of the product to 5 liters of hot water. Allow to dissolve, then proceed to inhalation.
- Recipe No. 3.
Take any shower gel. It is better to take a children's hypoallergenic one, which has no smell. Add a tablespoon of water or alcohol infusions of sweet clover, black elderberry, chamomile, raspberry roots, red rose. You can add 1 gram of sea salt and a teaspoon of soda. Mix everything until smooth. After that, dissolve about one tablespoon of gel in 5 liters of water until foam forms. Inhalation is carried out for about 15 minutes.
- Recipe No. 4.
To prepare the ointment (added to water for inhalation), take propolis as a base, melt it in a water bath or over low heat until dissolved, stirring constantly. Add 2 tablespoons of thyme, blue cornflower, eyebright, chamomile and stone bramble to the resulting mass. Mix everything until a uniform consistency is formed. Remove from heat and allow to harden.
- Recipe No. 5.
"Vegetable oil" added to water for inhalation has also proven itself well. About 100 grams of butter is taken as a base for preparing the oil. All this is melted until liquid oil is formed. A mixture of the following plant components is prepared in advance in a fireproof dish: plantain infusion, Kalanchoe juice, rosehip, raspberry, bird cherry decoction (at the rate of about 2 tablespoons of each herb per 100 ml of oil). The oil is heated over low heat (without bringing to a boil). As soon as the oil has heated up enough, but has not yet boiled, remove it from the heat and pour in the previously prepared herbs. Stir, cover with a lid on top, and leave in a dark place for 24 hours (at room temperature). Add 1-2 tablespoons to the water immediately before inhalation.
- Recipe No. 6.
Propolis is used as a base, 2-3 drops of eucalyptus and castor oil are added. Mix. 2 ml of concentrated extracts of the following herbs are added to the resulting mixture: hyssop, calamus, bergenia, elecampane. A teaspoon of bee venom is also added. Mix thoroughly, a tablespoon is added to the water for inhalation.
Inhalations with mineral water
They are carried out in the event that a person is recovering from an illness and is suffering from a cough, as well as with a dry cough that causes inconvenience and discomfort to a person, causes a sore throat and burning, becomes a cause of anxiety, lack of sleep at night. Inhalations with mineral water are also used mainly to provide moisture, prevent the development of an inflammatory process. It can be used for allergic reactions, to alleviate the condition in the inter-attack period in bronchial asthma, asthmatic bronchitis.
Inhalations with berodual
Berodual is an effective anti-inflammatory and anti-infective agent used to treat pulmonary diseases. It is distinguished by its ability to exert local action and act in a relatively short time. This drug eliminates pus, exudate, inflammation, stops the development of infection, and normalizes the condition of the mucous membrane. It differs from miramistin in that it can and even should be used by people who are prone to allergic reactions, since it has an anti-allergic and antihistamine effect. In addition, it is worth emphasizing the ability of this drug to provide an immunomodulatory effect on the body.
It normalizes local immunity by stimulating the production of secretory immunoglobulin A, as well as by normalizing the microbiological status of the mucous membrane, which entails the body's ability to resist a number of infections. Colonization resistance and endurance of the body also increase significantly. It has the ability to affect the main biochemical processes, so it has a more prolonged effect.
Due to the ability to inhibit the synthesis of enzymes, tissue basophils, histamine and mediators, it has a pronounced ability to prevent the development of exudates, edema, quickly relieves inflammation, and has the ability to resist infection. Due to the decrease in the general level of sensitization, the reactivity of the bronchi decreases, respectively, coughing fits and suffocation are observed much less frequently.
Inhalations with saline solution
Inhalations with pure saline are ineffective, since it is not an active substance. It can only be used to relieve dryness, to prevent irritation and sore throat, to soften and moisturize mucous membranes during the recovery period after infectious diseases, colds, inflammations. Reduces sensitivity in severe spasms and allergic reactions.
Basically, physiological solution is used to dilute the main active substance, for example, in a mixture with miramistin or berodual. It is also often used to reduce the concentration of potent and concentrated drugs. This is necessary for children and the elderly. Adults need it in special conditions, during pregnancy, as prescribed by a doctor.
Inhalation with chlorhexidine in a nebulizer
It is an antiseptic that effectively eliminates and prevents infectious processes, in particular, bacterial, fungal and viral infections. It is used to treat respiratory tract diseases, oral cavity diseases. It is not recommended for children, as it can have side effects, including allergic reactions, dysbacteriosis. The peculiarity is that when using chlorhexidine, you should rinse your mouth to remove excess substance from the mucous membranes. This will reduce the sensitization of the body. It is not recommended to take during pregnancy (during this period, it is still better to do inhalations with miramistin).