Nasonex for adenoids in children: how to properly spray, treatment regimen

Nasonex for adenoids in children is one of the drugs that is used today as a drug of choice. The effectiveness of this drug is studied in many studies and proven in practice. To explain the effect of the drug, it is important to know the mechanism of its action and indications.

What are adenoids and how does nasonex work?

Adenoids are a chronic disease characterized by an enlargement of the pharyngeal tonsil, which leads to difficulty breathing through the nose and other similar symptoms. This condition constantly bothers the child, and during viral infections the tonsil enlarges even more, which disrupts the child's normal breathing. The tonsil is a cluster of lymphoid tissue that reacts to an infectious agent and is part of the body's local immune defense. It is very difficult to influence the child's immune system, so treating adenoids has always been difficult.

Today, it is recommended to start treatment of adenoids with intranasal corticosteroids. Several mechanisms are proposed to explain the reduction of adenoids under the influence of these drugs: direct lympholytic action, suppression of inflammation with a decrease in concomitant edema of the adenoids, as well as an indirect effect on the nature of the adenoid microflora. It has now been proven that intranasal corticosteroids can reduce the symptoms of adenoids, regardless of the child's atopic status. And even if the child does not have allergic rhinitis, the use of such treatment can reduce the degree of hypertrophy of the pharyngeal tonsil.

For the purpose of such local treatment, many intranasal hormonal preparations can be used, one of which is Nasonex. The mechanism of action of this preparation for adenoids is to reduce swelling and reduce sensitization of the pharyngeal tonsil. This leads to a decrease in its activity and, accordingly, its reduction in size.

Indications Nasonex for adenoids in children

Nasonex is a drug whose active ingredient is the hormonal drug mometasone furoate. It is a glucocorticoid in the form of a local agent for the treatment of adenoids and other pathologies of the ENT organs. Indications for the use of Nasonex are not limited to adenoids. The drug is also indicated in the complex treatment of acute sinusitis and allergic rhinitis, as well as for the prevention of exacerbations in seasonal allergic rhinitis.

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Release form

The drug is available in a nasal spray with a special detachable nozzle. One bottle of spray contains 120 doses of the drug. This form of release allows it to act specifically in the nasopharynx and reduces the risk of systemic manifestations from the use of the hormonal agent.

The names of the drug may be “Nasonex” or “Nasonex sinus”, they are identical drugs.

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Pharmacodynamics

The pharmacodynamics of Nasonex is its local action on the mucous membrane of the nasal cavity. The drug is a synthetic hormone, which, when it gets on the mucous membrane, reduces the synthesis of leukotrienes and other inflammatory mediators. This in turn reduces the manifestations of allergic hypersensitivity in the nasal cavity.

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Pharmacokinetics

Pharmacokinetics – the drug is absorbed into the blood in minimal quantities if accidentally inhaled. The remainder of the drug is excreted from the intestines through bile and kidneys. No systemic effects of Nasonex have been identified with proper use and precise dosing.

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Dosing and administration

The method of application of the drug is only intranasal. Doses for children from the age of two years are 50 micrograms per application. The drug is used once a day by inhalation into the nose of one dose of spray, which corresponds to 50 micrograms. The course of treatment with the drug should be three to four weeks.

Contraindications

Contraindications to the use of Nasonex are limited to those cases when the child has undergone surgery in the nasal cavity or if there were allergic reactions to a similar drug in the past. The drug should also not be used for children under two years of age. In the presence of an acute purulent process in the nasal cavity, Nasonex should also not be used without treatment with other drugs, since it inhibits the inflammatory process.

Side effects Nasonex for adenoids in children

Side effects are more common in the form of local manifestations due to the lack of systemic influence. Such side effects include nosebleeds, itching and irritation in the nasal cavity, sneezing, nosebleeds. Systemic manifestations include headache, which is the most common. With prolonged use of the drug and excess dosage, a decrease in local immunity and a tendency to form ulcers of the mucous membrane are observed.

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Overdose

Overdose of the drug is very rare, as only local application of the spray is provided, which minimizes systemic effects. If the drug was taken incorrectly or there was an accidental overdose, then adrenal insufficiency may develop.

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Interactions with other drugs

Interaction with other drugs shows that the use of Nasonex with local and systemic anti-allergy medications does not affect the metabolism of both groups of drugs. The use of other groups of drugs together with Nasonex has not been studied.

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Storage conditions

The storage conditions for the medicine are no different from those for storing any other medicines - it is recommended to store at room temperature and not freeze the bottle.

Shelf life

The shelf life is limited to three years, but there may be individual storage conditions, which depend on the manufacturer, so you need to check the instructions.

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Reviews

Reviews of Nasonex in the treatment of adenoids are only positive. Many parents say that the symptoms are reduced after the first course of treatment. Very often it is possible to reduce the degree of enlargement of the tonsils by one gradation, which sometimes makes it possible to avoid surgery.

Nasonex for adenoids in children can be used as a drug of the main line of treatment. The drug, due to its anti-inflammatory and antiallergic properties, reduces the sensitivity of the tonsil and it decreases in size. If you combine treatment with Nasonex with other conservative methods, the effect and prognosis of treatment are very good.