Preparations for inhalations with a cold
Last reviewed: 23.04.2024
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If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Above we considered inhalation treatment of the common cold with recipes of folk medicine and aromatic oils. But what can official medicine offer on this score? What drugs for inhalation in the cold usually prescribed by therapists and pediatricians?
First, let's pay attention to those drugs whose composition is close to the recipes of folk treatment, which many consider safer than synthetic drugs. This opinion was fixed in people, even in spite of the fact that during inhalation treatment the absorption of the latter is minimal, which means that the risk of developing side effects and negative impact on the body is small. In addition, natural and herbal preparations are considered more preferable for the treatment of children and pregnant women.
Fizrastvor
A physiological solution is 9% sodium chloride solution. In fact, this is a saline solution with an optimal concentration based on purified water. With a cold, its effect will be identical to that of a homemade salt solution, but there will not be any extra additives present in the tap water in the inhalation solution.
For inhalations with a cold, the sodium chloride solution is used in its pure form (undiluted), as well as with the addition of essential oils, "silver water", known for its antibacterial properties, or other components. In principle, saline can be considered as a basis for the preparation of various solutions for inhalation.
What is the use of saline solution? This composition at the expense of water and salt helps effectively moisturize the nasal mucosa, preventing drying and formation of crusts, removes the swelling of the mucous membrane, stops inflammation and reduces the amount of inflammatory exudates, prevents the development of complications of the common cold.
Fizrastvor is a liquid that is safe for the skin and mucous membranes, which does not cause tissue irritation. The concentration of salt in it corresponds to its content in the human blood, so inhalation with saline solution does not cause swelling, irritation, drying out of the nasal mucosa observed during the procedures with simple water or a more concentrated saline solution. The safety of the drug allows it to treat children and pregnant women.
Use saline for inhalations, regardless of the type of procedure. It is suitable both for treatment over a saucepan. So also for use in various inhalers. At the same time, steam inhalations (pot, kettle or steam inhaler) have a greater effect, which ensure complete settling of the particles of matter on the nasal mucosa.
By the way, physiological solution for inhalation in the rhinitis does not necessarily have to be bought at the pharmacy. It can be prepared at home, taking 1 liter of water for 1 tsp. Salt and carefully mixing the resulting composition. In this case, it is better to take the purified water, without foreign impurities. As a basis for homemade saline solution, it is also possible to take slightly alkaline mineral water.
Some authors advise for inhalations to use ready-made salt solutions purchased in pharmacies (Salin, Aquamaris, etc.). But how justified is this treatment? A bottle of a solution with a nozzle for washing the nose with small dimensions has a fairly high price. Easier on the basis of purified water, prepare for inhalation a 95th saline solution, using the salt or sea salt, and the medicines described above should be used for their intended purpose.
More effective are inhalations with Kalanchoe juice, which must be added to the prepared saline solution. The juice of this houseplant has a good local irritating and anti-inflammatory effect. In its pure form, it quickly causes sneezing, which contributes to the removal of mucus from the nasal passages. To reduce irritation of the mucosa during inhalations, the Kalanchoe juice is used in combination with a sodium chloride solution.
Juice for inhalations with a cold with the help of a nebulizer can be squeezed out independently and add 3-5 drops to 4 ml of saline. If the house does not have this useful plant with anti-inflammatory and wound-healing properties, the Kalanchoe juice can be purchased at the pharmacy.
Pharmacy preparation for inhalation is recommended to dilute as follows: one ampoule of the preparation containing 5 ml of juice is diluted with 9% sodium chloride solution in a ratio of 1: 1 or 1: 2. For one inhalation take 4-5 ml of the finished formulation. The remaining solution is stored tightly ukuporennym in the refrigerator, before use, heating to a temperature of not more than 37 degrees.
Balm "Asterisk"
Perhaps now few people already know about the existence of such a drug, which in Soviet times was considered a first aid medicine for colds and headaches. Kopecky on the basis of medicinal herbs quickly dealt with the first signs of colds, significantly easing the patient's health.
If you carefully read the instructions to the drug, you can see that the runny nose and headaches are just a small part of the indications in which this effective remedy can be used. But this issue we will discuss next time, and now we will talk about the treatment of the common cold.
Not everyone knows, but despite the emergence of many effective modern drugs, similar in indications to the "Star", balm is released to this day. So, it can be purchased at the pharmacy. The composition of the medicine includes camphor, menthol, cinnamon, clove, mint and eucalyptus oils, which provide the preparation with antiseptic, anti-inflammatory and antibacterial action.
The drug is available as an ointment (the most popular form), karasdash and solution. With the common cold, Osteoarthritis is often used, lubricating her with the wings of the nose, inhaling the vapors from the open jar with nasal congestion or applying for steam inhalation procedures.
Inhalations with the "Star" are as follows: 1 liter of hot water take a small pea of ointment, no more than 1 g, and, covering his head with a towel, inhale the medical pairs with his nose. The inhalation procedure is carried out for 10 minutes.
Despite the natural composition of the balm with it you need to exercise some caution. The content of camphor in it limits the use of the drug in children up to 3 years and pregnant women.
«Sinupret»
It is an effective drug for colds based on medicinal herbs. For inhalations, you need to take not a tablet, but a homeopathic solution (drops) with a name that contains the roots of gentian, elderberry and primrose flowers, sorrel grass and verbena. The active substance of the drug facilitates the passage of the mucous secretion from the nasal passages, relieves inflammation and swelling of the nasal mucosa, helps fight bacteria and viruses. It can be used for inhalations in the common cold (SARS, influenza, sinusitis, sinusitis) and coughing.
Most often the drug is used for inhalations in nebulizers, diluting it with saline. Since Sinupret is considered an officially registered drug, but there is no indication in its instructions for dosage for inhalation treatment, the issue of proportions should be discussed with the attending physician.
Most often, therapists recommend adhering to a ratio of 1: 1, i.е. Take Sinupret and saline in equal amounts. Pediatricians for children older than 6 years are recommended to perform inhalations with a composition containing 1 part of the drug and 2 parts of saline. And to children under 6 years on 1 part of a medicine take 3 parts of saline solution.
Inhalation with "Sinupret" is recommended to be performed three times a day. Usually 3 procedures are enough for the patient to sleep normally at night, refusing vasoconstrictive drops in the nose.
With regard to restrictions on the use of the drug, it is not recommended for children under 2 years of age and people with increased sensitivity to its components. Other contraindications to the drug (oral administration) are: diabetes mellitus, alcoholism, head trauma, epilepsy, liver failure. With these pathologies, the possibility of using the drug should be discussed with the doctor. It is also worth to do and pregnant women.
Side effects described in the instructions to the drug (headaches, dizziness, convulsions, visual disturbances, respiratory disorders and disruptions in the digestive system), with inhalation treatment, the crane rarely appears.
«Rotokan»
This is another phytopreparation effective for cold and colds. Usually the drug is prescribed for internal reception or rinsing of the sore throat. But "Rotokan" can be used with a cold and in the form of inhalation. For such procedures, in which herbal formulations are used, the nebulizer is well suited, better than the compressor type.
Like the previous product "Rotokan" is a water-alcohol infusion of herbs. It includes extracts of yarrow, chamomile and calendula. Chamomile provides the drug with a pronounced anti-inflammatory effect, and calendula and yarrow help fight the pathogens of the disease, in parallel, facilitating the departure of sputum from the nasal passages.
Despite the fact that the instructions to the drug do not have information about its use in inhalation procedures, doctors agree that it is the inhalation administration of the drug for coughing and runny nose that is most effective and quick results.
Before the inhalation, "Rotokan", like Sinupret, is diluted with saline, but the dosages are slightly different. Adult patients, pregnant women and children are encouraged to dilute the drug with saline in a ratio of 1: 4. The procedure can be carried out 2 to 3 times a day.
Children younger than two years of inhalation with the "Rotocanus" should be conducted by qualified medical personnel who can prevent bronchospasm, the probability of which in young children is much higher.
Contraindications to the procedure can be considered hypersensitivity to the components of the drug and allergic rhinoconjunctivitis. In this case, there is a high probability of allergic reactions of varying severity.
[5]
Alcohol tincture of calendula
It is also a pharmaceutical drug that can be used in inhalation procedures. Calendula has a pronounced anti-inflammatory and antimicrobial effect, useful in the common cold caused by bacteria and viruses. True, the alcohol composition will have to be diluted much more (for 40 drops of saline solution we take 1 drop of the drug).
In acute conditions of inhalation should be carried out in the nebulizer at least 3 times a day.
Propolis tincture
Pharmacy preparation, the use of which is indicated in acute inflammatory pathologies of the upper and lower respiratory tract. Tincture is both an antibacterial and a regenerating agent for the nasal mucosa. Dilute the tincture with saline in a ratio of 1:20, i.е. 20 drops of saline solution take 1 drop of the drug.
Inhalations with pharmacy tincture of propolis are carried out 3 times a day. Such treatment is not prescribed to people with an allergy to beekeeping products. To treat children in this manner should be extremely cautious.
"Chlorophyllipt"
This popular antiseptic based on the extract of eucalyptus leaves in the form of an oily and alcoholic solution, as well as a spray and tablets is often prescribed by doctors for diseases of the throat and nose. And it is not surprising if you recall the useful properties of eucalyptus, which makes it the number one agent in the treatment and prevention of colds, especially those caused by staphylococcal infection. In this case, the drug is suitable for the treatment of acute and chronic pathologies.
A liquid antiseptic in addition to gargling and nasal rinsing can be used for inhalation procedures. In nebulizers use predominantly alcohol solution, because not all devices are able to spray oil particles.
For steam procedures, any kind of solution is suitable. Such a procedure of up to 2 minutes is recommended as an allergic test. For steam inhalation with a cold, 5 ml of a liquid antiseptic is taken on a glass of hot water.
In the inhaler you need to fill in the alcohol composition, diluted 1:10 saline. The volume of inhalation composition per procedure is usually 3-4 ml. We perform the procedure for 10 minutes (inhalations in children take 5 minutes, so take less ready-made solution) several times a day.
Do not perform inhalation only in case of hypersensitivity in chlorophyll eucalyptus. Special care is taken when treating children and pregnant women.
Another plant preparation that doctors can prescribe for a common cold, complicated by a bacterial or viral infection, is called "Ciprocept". This medicine based on grapefruit seeds combines the properties of an antiseptic, an antibiotic, an antifungal drug and an immunostimulant. It is especially effective at the initial stage of the disease.
The drug is produced in vials with a dispenser, which helps to carry out inhalations. In the nebulizer, the drug is used in the form of a solution together with sodium chloride, adding 2-3 drops of the drug to 3-4 ml of saline. Inhalation is carried out 3 times a day. Additionally, you can rinse your nose with a solution from the vial.
The drug is not recommended for use during pregnancy and during breastfeeding. Allowed for use in children, if not causing the child allergic reactions.
Before the first use of any herbal preparations, it is recommended to conduct an allergy test to avoid the appearance during the course of and after the procedure of allergic reactions, because some of them may even pose a danger to the life of the patient.
Synthetic medicines for inhalations with a cold
Herbal preparations and saline, although effective remedies for the common cold, doctors do not always consider their action sufficient, so prescriptions may include synthetic drugs from mucolytics, antiseptics and antibiotics.
So, with severe nasal congestion, which significantly complicates nasal breathing and prevents the removal of mucus from the nasal passages, inhalations with vasoconstrictive drugs and mucolytics are indicated. The first will remove the swelling of the nasopharynx, and the second - will make the mucus less viscous, so it was easier to blow it off.
As a vasoconstrictor, "Naphthyzin" most often appears, but other drops in the nose can be prescribed. These drugs can be instilled in the nasal passage of 1-2 drops or used for inhalations, implying a deeper penetration of the drug into the respiratory tract.
Let's consider an example of inhalations with vasoconstrictive preparations on an example of "Naftizina". For use in inhalers, the drug is diluted in equal amounts with saline. Inhalations in the cold run for 3 minutes. Children enough and two-minute procedure. The frequency of inhalation should not exceed 3 times a day.
The use of such drugs requires strict dosage and frequency of procedures. The use of vasoconstrictive drugs in the form of inhalations is possible only according to the doctor's prescription.
Now let's move on to the drugs that can be used in inhalation procedures as a mucolytic that facilitates the withdrawal of the snot. Such procedures will be necessary for severe forms of rhinitis and gaithoritis.
"Lazolvan" and "Ambrobene" are two well-known drugs that we used to use in the treatment of non-productive cough, when the carcass removal is strained due to its increased viscosity. Not many people know that these same medications on the basis of ambroxol (mucolytic with strong and rapid action) can be used to treat a common cold with thick snot and sinusitis. Medications in this case are used inhalation in nebulizers. Such inhalations make it possible for patients to breathe normally and prevent stagnant phenomena.
Dilute the above preparations with saline in a ratio of 1: 1. The only difference is the amount of solution needed for inhalation in different age periods. Babies up to two and a half years old enough 2 ml of inhalation, older children will need to take 3-4 ml of ready-made solution, adults can be prescribed 5-6 ml.
Inhalation is carried out twice a day. The ready inhalation solution should have a temperature of about 37 degrees. Duration of procedures in children is no more than 3 minutes, adults can breathe a medicinal solution for about 5 minutes. The treatment is continued for 3-6 days.
Preparations based on ambroxol have few contraindications. Inhalations are not prescribed for hypersensitivity to the drug. Future and nursing mothers about the safety of such procedures need to consult a doctor.
To facilitate the departure of the secretion of the mucous membrane of the nose, a popular mucolytic such as "Fluimucil" can also be used. The main indications for the use of drugs are pathologies characterized by difficulty in sputum discharge from the bronchi and lungs. Nevertheless, in the official instruction there is an indication and on genyantrites, sinusitis, otitis, i.e. Pathology of ENT organs, in which there is a risk of stagnant phenomena.
Inhalations with "Fluimucil" in the usual runny nose in adults are rarely prescribed. But with complications in young children who do not know how to remark well, the drug will bring real benefits, making it easier for parents to remove mucus from the child's spout.
The drug is available in ampoules. Each ampoule contains 3 ml of a ready-made solution for inhalation. On 1 procedure it will be necessary to take from 1 to 3 ampoules. If a compressor nebulizer is used, which is more effective for treating the common cold, as it gives larger particles, usually 6 ml of solution are taken.
The number of inhalations per day varies from 2 to 4. The duration of the procedure is 10 to 20 minutes.
In pharmacies, you can also find a drug with a similar name, which is directly intended for the treatment of rhinitis. It is called "Rinofluimacil". Like "Fluimutsil", it has an active substance acetylcysteine. But the action of mucolytics in the preparation "Rinofluimucil" is enhanced by the vasoconstrictor component of tuamine-heptane, which reduces swelling and redness of the nasal mucosa, facilitates nasal breathing.
The drug is produced in a vial with a nebulizer, which is very convenient for carrying out inhalations prescribed for various forms of rhinitis, sinusitis and sinusitis, accompanied by a thick mucous secretion from the nose. Children for inhalation enough to inject 1 dose of medication, adults are prescribed 2 doses in each nostril. Procedures should be administered 3 or 4 times a day. The course of treatment should not exceed 7 days, otherwise there is a risk of developing medical rhinitis.
Inhalation drug can be carried out and using a nebulizer, which ensures the penetration of drug particles to a depth inaccessible during the usual spraying in the nasal cavity, which is especially important for sinusitis. In one dose of the drug contains 1 ml of drug solution. For inhalations in the nebulizer, add 3 ml of saline solution to this amount of the drug. Inhalation with a nebulizer is sufficient to carry out twice a day.
The drug "Rinofluimucil" according to the manufacturer's instructions can be used for inhalation treatment in the common cold in patients older than 3 years. Studies of the effect of the drug on the organism of young children were not conducted.
Sometimes for the treatment of the common cold, doctors prescribe another drug, which is usually used for inhalations with severe cough and obstructive bronchitis. It's about the drug "Berodual", which combines the action of spasmodic and mucolytics. It is clear that such a medicine can be prescribed only in the case of a complicated course of the disease with a difficult cough and nasal congestion, which carry the danger of hypoxia.
Inhalations are carried out with the help of a nebulizer, as in the case of coughing, but you need to breathe with your nose. Like the above-described means, it is first diluted with saline in a volume of 3-4 ml. The dosage of the drug itself should be prescribed by the attending physician, usually 1-2.5 ml. The infant dose is calculated from the ratio of 1 drop for every 2 kg of the baby's weight.
Inhalation procedures are performed no more than 4 times a day for 3-7 days. The duration of the procedure usually does not exceed 5 minutes. Repeated drug solution is not used, prepare the composition immediately before the procedure.
With a strong inflammatory process in the nasal passages, inhalations with a hormonal preparation " Pulmicort " based on the glucocorticosteroid budesonide can be prescribed . The drug removes muscle spasms of the upper and lower respiratory tract, effectively fights inflammation and edema of the nasal mucosa, reduces the production of mucous secretions. In childhood, it is used in 6 months for acute pathology of the respiratory system.
"Pulmicor" for adult patients is most often prescribed for allergic and vasomotor rhinitis.
For inhalations, "Pulmicort" is most convenient to purchase not in powder, but in nebulas containing a ready solution. This solution is recommended to dilute physicians with saline solution. For 1-2 ml "Pulmicorta" usually add 2 ml of saline.
Inhalation is carried out for 5-10 minutes 2-4 times a day. The duration of treatment is established by the attending physician. "Pulmcort" is better not to use in ultrasound devices that violate the structure of the drug.
Since the common cold usually occurs against the background of viral and bacterial infections, there is a need for effective clearance of the mucosa from pathogens, which is possible with the help of antiseptics. These same substances are used to prevent the development of a secondary infection in an allergic rhinitis, because allergy indicates a malfunction in the immune system, and against this background, even conditionally pathogenic microorganisms present in the body almost always can actively multiply and support the inflammatory process.
Most often in the inhalation procedures use Miramistin. This relatively safe antiseptic with a minimum of contraindications and side effects is used to combat fungal, viral and bacterial infections.
Inhaled with miramistin, doctors prescribe for rhinitis and sinusitis, as well as for a strong rhinitis caused by viruses that get into the respiratory system. Antiseptic is not an antiviral agent, but prevents the attachment of a bacterial and fungal infection.
Usually the drug is used to wash the nose. And this treatment many doctors consider more effective than inhalations, because hot water destroys the structure of the medicine, and nebulizers do not allow particles to settle on the nasal mucosa, pushing them into the lower respiratory tract.
Other doctors say that you just need to choose the nebulizer correctly, which will break the composition into particles larger than 5 microns. They advise that inhalations should be carried out with an undiluted ration or a formulation consisting of half of the saline solution. One procedure consumes from 1 to 3 ml of the prepared solution.
Inhalation is carried out at room temperature for 5-10 minutes 2 to 3 times a day.
The possibility of inhalation with "Miramistin" in children under 1 year should be discussed with the pediatrician. To older children, inhalations should be carried out for 5 minutes, filling the nebulizer with 1-2 ml of the solution.
Another popular antiseptic with a pronounced antimicrobial effect, which can be used for inhalations in infectious and inflammatory diseases of the upper and lower respiratory tract, is Furacilin. For steam inhalations use tablets, dissolving them in hot water and cooling the liquid to the desired temperature (1 tablet per 1 glass of water). Inhalations in a nebulizer are carried out with an undiluted prepared 0.02% aqueous solution of "Furacilin".
The aqueous solution for the nebulizer can be prepared independently by dissolving the tablet or contents of the capsule with an antiseptic in 80-100 ml of saline or distilled water. The solution is well stirred and insisted until the drug is completely dissolved, after which it is further filtered through a folded in several layers of gauze.
Inhalation is carried out 2-3 times a day for 10-15 minutes. If after 5 days of relief does not come it is worth thinking about changing the medication. "To use" Furacilin "for a long time is undesirable, because there is a risk of developing neuritis and disturbance of microflora in the nasopharynx.
If the mucus that accumulates in the nose is thick and greenish or yellow-green, then it's a bacterial infection. To combat it, antiseptics and antibiotics can be prescribed. The second is usually used for complicated pathologies and sinusitis.
As an effective antibiotic for inhalation, "Fluimucil-IT" can be used. Unlike mucolytic "Fluimutsila" this preparation contains 2 components: acetylcysteine (active substance "Fluimutsila") and antibiotic thiamphenicol, which inhibits the growth of most bacteria that can cause inflammation in the nasal passages and paranasal sinuses.
The drug is available in vials of powder, to which an ampoule of water for injections is attached. The contents of the vial and ampoules are combined together, shaken carefully and poured into a nebulizer. If necessary, a fourth of the water for injection is replaced with saline. The ready solution should have a temperature of about 20 degrees, it is impossible to heat it more, as it is to keep it in the open air for a long time.
For 1 procedure in an adult, half the dose is enough, and the baby has ¼ dose, so mix the drugs better in a sealed container, pouring water for injection with a syringe into a hermetically sealed bottle of powder, removing only the metal sheath from the lid. The remaining solution should be stored in the refrigerator, before the procedure, heating to room temperature.
Usually, doctors prescribe 1 or 2 inhalation procedures per day, but in severe cases it may be necessary to perform even 3-4 procedures, which is permissible with the permission of the doctor.
Another antibiotic, which is often prescribed for infectious and inflammatory diseases of the ENT organs with the release of purulent sputum, is Dioxydin. The drug has a wide spectrum of antimicrobial activity, covering almost all pathogens of inflammatory pathologies of the respiratory system, therefore it is used when a bacterial infection is suspected.
With a cold, the drug is used to instill and rinse the nasal passages, as well as as inhalations in the complicated course of the disease and in sinusitis. The drug is one of the strongest, so it is prescribed in the absence of a good effect from the use of more sparing antibiotics. Such treatment is possible in patients older than 2 years (unofficially, because the instructions say that this is an adult drug), but it should be prescribed by the attending physician.
For inhalations use a solution of the preparation, which is prepared as follows: 1 ml of "Dioxydin 0.5%" diluted with 2 ml of saline, to dilute 1% solution of antibiotic take 4 ml of sodium chloride. This will help reduce the toxic effect of the drug when inhaled.
Adults for one inhalation in the nebulizer use 3-5 ml of the prepared solution, the children have enough 2 ml. Inhalation with "Dioxydin" in children is better conducted under the supervision of a doctor.
The duration of procedures with an antibiotic should be increased gradually. The first sessions should have a duration of no more than 3 minutes, then you can inhale the drug pairs for 6-7 minutes. Procedures are usually carried out once a day.
Inhalations with Dioxydin can be combined with such drugs as Berodual and hormonal agents (Dexamethasone, Hydrocortisone). Glucocorticosteroids are taken in an amount of 0.5 ml per procedure, adding to the finished formulation of saline and antibiotic. Such treatment will be effective in the allergic nature of a disease complicated by a bacterial infection.
However, to treat allergic rhinitis only by local means is useless. It is important to identify and remove the allergen that causes irritation and swelling of the mucosa, as well as to reduce the sensitivity of the body to the effects of allergens, which is possible only by taking antihistamines (Tavegil, Diazolin, Loratadin, etc.).
But we must understand that inflammation and edema of the nasal mucosa under the influence of the infectious factor is also a kind of allergic reaction, because in the case of pathogens and in the situation with allergens, we are talking about the reaction of the immune system to the stimulus. This explains the fact that even with the infectious nature of the inhalation disease with mucolytics, antiseptics and antibiotics, doctors are prescribed in parallel with Tavegil or another antihistamine.
So, "Tavegil" in tablets appoint 1 piece 2 times a day (morning and evening). Children older than 6 years of age, the doctor can appoint twice a day for ½-1 tablet. For children from 1 to 6 years of age, the drug can be administered in the form of intramuscular injections.
Apply the drug in the complex therapy of inflammatory pathologies of the upper respiratory tract, but not the lower parts of the respiratory system. When pregnancy and lactation for the treatment of allergic reactions need to select other means.
But back to our antibiotic. "Dioxydin" - a strong antibacterial drug, which is able to exert a toxic effect, so inhalation with it is not carried out in pregnant women and nursing mothers, people with severe kidney and liver pathologies. In the treatment of children, special care must be taken.
Attachment of secondary infection may be the reason for prescribing inhalations with Isofra, which is less toxic than Dioxydin, and is therefore officially approved for use in patients older than 1 year. The antibiotic is available as a spray. You can irrigate the nasal passages by doing just 1 injection into each nostril. But if the infection has crept deeper, it is better to resort to inhalations in the nebulizer.
In this case, you need to prepare 2-3 ml of saline and add the antibiotic in the amount that is released during one injection. The duration of inhalation with an antibiotic can be from 5 to 10 minutes, the course of treatment is not more than 1 week. Multiplicity of procedures is the same as for irrigation - 2-3 times a day.
The combined preparation "Polidex", which is a combination of vasoconstrictive (phenylephrine), anti-inflammatory (corticosteroid dexamethasone) and antibacterial (neomycin and polymyxin) components, has the same application for inhalations. The drug is prescribed for acute and chronic rhinitis associated with a bacterial infection, for irrigation of the nose.
As in the case of Izofra for use in a nebulizer, it is diluted with saline solution in the same proportions. Adults can perform inhalations with the drug up to 5 times a day, the children are treated three times a day. The course of treatment varies from 5 to 10 days.
Inhalations with the drug "Polidex" is not carried out with suspicion of closed-angle glaucoma, proteinuria, hypersensitivity to the components of the drug. They are not shown to children up to 2 and a half years old, pregnant women and nursing mothers. If you suspect a viral nature of the disease, "Polidex" is not assigned.
If a mixed microflora is suspected in the nose (bacteria and fungi) inhalations can be prescribed in the runny nose with the Bioparox preparation. The drug is available in a vial with a nozzle that allows you to perform inhalation treatment without the use of special equipment. The instruction recommends that adult patients be given 2 doses (2 clicks per cap) in each nostril, and children 1-2 doses. During the introduction of the medicine, you need to breathe deeply through the nose. The mouth and the second nostril must be closed.
The drug can cause laryngospasm in children younger than 2.5 years, so it is not used to treat such babies. It is not suitable for patients who are hypersensitive to the components of the drug.
Inhalation Immunotherapy
Runny nose, especially chronic, like any other violation of human health, is a strong blow to the patient's immunity. The struggle with the disease requires strength, and the longer this struggle lasts, the less strength remains, the weaker becomes the body's immune defense against bacteria and viruses. That's why doctors recommend during the illness to take special medications - immunostimulants that support immunity at a high level. In this case, the body will try to defeat the disease itself, and the medicines prescribed by the doctor will only help him, speeding up the recovery process.
But we talked about general immunity. And what about local immunity, the protective function of the skin and mucous membrane? This is not the best way. Mucous with a long-lasting runny nose is very inflamed, changes occur in it, do not allow performing protective functions at the same level, the disease progresses.
How to restore local immunity, so that the fight against the disease was more effective? Of course, with the help of topical application of immunostimulants as inhalation formulations. To increase local immunity, you can use preparations "Interferon", "Derinat", "Laferobion", etc.
"Interferon" is a drug used to prevent and treat acute viral infections of the respiratory system. Its active substance is produced in the human body. It is the interferon that helps in the fight against viruses. If immunity is lowered or he needs help with "attacking" viruses, interferon is prescribed in the form of a drug.
It is believed that the first signs of acute respiratory viral infection, influenza and other viral diseases will be most effective inhalation treatment. Sprayable particles of the drug will settle throughout the course of the nasopharyngeal mucosa and increase local immunity, preventing the introduction of the virus into the blood.
For inhalations in nebulizers make a solution of 3 ampoules of dry interferon powder and 10 ml of purified water or saline (1 ampoule per 3 ml of water). Water should be preheated, but its temperature should not exceed body temperature (37 degrees). Carry out inhalations 2-3 times a day with an interval of at least 2 hours.
Such inhalations are considered effective in the first 3 days of the disease, while the pathogen is mainly on the nasal mucosa. In this case, the nebulizer should be selected in such a way that the size of the particles sprayed by it is not less than 5 μm. If there is no suitable device, the drug should be buried in the nose diluted 5 drops into each nostril. Dilute it as follows: for 1 ampoule of medicine take 2 ml of water or saline.
Contraindications for the drug is not, so this treatment is suitable for adults and children.
"Laferobion" - another analogue of human interferon, which has the same antiviral effect. This preparation also has a suitable form of release and can be used in the form of inhalations, and the nebulizer will help deliver the medicine directly to the affected area.
Inhalations in the common cold with "Laferobionum" contribute to the simultaneous moistening of the mucosa and enhancing its protective properties. But the drug, like "Interferon", is used for inhalations in a diluted form. To dilute 3 bottles of the drug requires 5 ml of purified water or saline. For inhalation, 4 ml of the final formulation is sufficient.
The procedure usually takes 10-15 minutes, during which the entire solution is consumed. The use of solutions containing human interferon is allowed even in ultrasonic nebulizers.
"Derinat" is a slightly different drug. Its active substance is sodium deoxyribonucleate. This substance stimulates the processes of cellular and humoral immunity, helps to fight against viruses, bacteria and fungi, and also promotes the regeneration of mucosal tissues.
The medicine is produced in the form of a solution used for local treatment. With a cold, it can be buried in the nose or inhaled in a nebulizer with a previously diluted solution. If you take drops for external use, which are shown in infectious diseases of the respiratory system and have a concentration of 0.25%, then they are bred in physiological proportion in equal proportions. A solution for injections with a concentration of 1.5% is prescribed for viral pathologies, diluting 1 ml of the drug in 3 ml of saline.
Inhalations with Derinat doctors recommend to spend 2 times a day for 5 minutes. The duration of inhalation therapy is usually 5-10 days. If it is a question of sinusitis, then it will be necessary to dig in 3-5 drops to 6 times a day for 1-2 weeks. As an ARVI prevention physician can prescribe the instillation of the drug in the nose 2 drops 3-4 times a day for a month.
Sometimes with colds and runny nose, doctors prescribe drugs that can somewhat embarrass the uninitiated in some aspects of the patients' medication. Such an unusual drug is "Aminocaproic acid", which many know as an effective blood-stopping agent, often used in surgery. But at what here a rhinitis?
The fact is that the ability to stop bleeding is not the only beneficial property of the drug. As such a side effect, a good immunostimulating effect was revealed, in connection with which the medicine began to be used in the treatment of colds, SARS, influenza, allergies. The drug interferes with the interaction of viruses and sensitive cells of the body, in connection with which the cells of the virus die without finding a host cell in which they could parasitize.
In parallel, aminocaproic acid reduces permeability of capillaries, which means that edema and inflammation of tissues gradually go away, prevention of ulceration on the nasal mucosa proceeds. The anti-allergic action of the drug also contributes to the removal of edema and tissue irritation.
Another useful action of the drug is its ability to excrete toxins, formed as a result of the vital activity of pathogens. This facilitates the course of bacterial and viral pathologies, removing the symptoms of intoxication.
For inhalations, a 5% solution of the drug sold in vials is suitable. A solution for inhalation in a nebulizer is prepared by mixing 2 ml of the drug with the same amount of saline.
Inhalation treatment with this drug is suitable for adults and young children, since the drug is considered quite safe and at the recommended dosage does not cause negative side effects.
I must say that not all doctors support the idea of using aminocaproic acid for the treatment of colds and colds, because the drug initially had a completely different purpose. Nevertheless, the instructions to the drug have clear indications of its usefulness in the treatment of respiratory viral pathologies. In this case, the manufacturers note that, in addition to inhalation treatment, you can bury the drug in the nose or put in it turundas, moistened with aminocaproic acid solution.
According to the instructions, the drug can be used in the treatment of children, even the first year of life. True, during pregnancy and breastfeeding, its use by women is considered undesirable. Other contraindications to treatment with aminocaproic acid are: propensity to thrombosis, increased blood coagulability, renal dysfunction, hematuria, cerebral circulation disorder, IHD occurring in severe form, hypersensitivity to the drug components.
As you can see, the possibility of inhalation treatment for rhinitis and cold is quite wide, but any, even the most effective inhalation with a cold may require some caution during the preparation and conduct of the procedure.