Sprays for maxillary sinusitis

Modern medicine offers quite a lot of innovative medications that are effective in the treatment of sinusitis. For example, a high-quality spray for sinusitis can save a patient from such an unpleasant and painful procedure as a puncture. The main condition for successful treatment is the competent selection of medications and an adequate individual scheme for their use. For this reason, medications should be used only after consultation with a doctor.

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Indications for use

Sinusitis is a rather complex disease, although many attribute it to a common cold. It is important to realize that ignoring the treatment of sinusitis is fraught with the development of complications such as meningitis, sepsis, and visual impairment.

The main indication for prescribing a spray for sinusitis is:

• the presence of discharge and swelling of the mucous tissue of the nasal sinuses;
• a feeling of pain and pressure inside the sinuses;
• development of an infectious reaction in the paranasal sinuses.

Depending on the goal and the focus of a particular drug, sprays for sinusitis can be divided into the following groups:

• anti-puffiness spray;
• spray that reduces the accumulation of mucus;
• antibiotics (sprays that destroy pathogenic microorganisms);
• painkillers and anti-inflammatory drugs;
• hormonal sprays that suppress the development of the inflammatory reaction.

Rarely can only one drug from any one group be prescribed. Often, complex treatment is used with the use of several drugs, and not only in the form of an aerosol, but also in the form of oral agents or injections.

Read also:

• Antibiotics for sinusitis
• Drops for sinusitis
• Physiotherapy for sinusitis
• Surgery for chronic sinusitis

Names of sprays for sinusitis

Spray names	Pharmacodynamics and pharmacokinetics	How to use sprays for sinusitis	Storage conditions Best before date
Hormonal spray for sinusitis
Polydex (P-polydex)	A combination drug based on the antibiotic neomycin and the corticosteroid hormone dexamethasone. There is no systemic absorption of the drug.	Spray into the nasal cavity twice a day: morning and evening.	Store at room temperature for up to 3 years.
Nasonex	Spray with mometasone - a synthetic corticosteroid with anti-inflammatory action. Has low bioavailability.	Apply 2 sprays into each nostril twice daily.	Store at temperatures up to +25°C for up to 3 years.
Sinusitis Spray with Antibiotic
Framycin	Spray with neomycin - a complex antibiotic with a wide spectrum of activity.	Use 1 spray into each nostril 4 times daily.	Store at room temperature for up to 3 years.
Framycetin	Antimicrobial spray that quickly kills pathogenic bacteria. Systemic absorption is low.	Spray into the nose up to 6 times a day. The course of treatment is about 1 week.	Store at room temperature for up to 3 years.
Bioparox	Antibacterial spray based on fusafungine. Has anti-inflammatory properties.	Administer into the nasal passages every 4 hours. The course of treatment is no more than 10 days.	Does not require specific storage conditions. Shelf life is up to 3 years.
Decongestant spray for sinusitis
Sinuforte	Decongestant containing lyophilisate of aqueous extract of cyclamen fruits. Does not have systemic effects.	Administer the drug once a day for one week.	Store in a cool place. Shelf life is 3 years.
Rinofluimucil	A sympathomimetic agent that eliminates swelling and redness of the mucous tissues of the nasal cavity.	Apply 2 presses into each nasal passage up to 4 times a day. Duration of therapy – up to 1 week.	Store at room temperature for up to 2.5 years. After opening, store the spray for no more than 20 days.
Nazol spray	Oxymetazoline-based sinusitis spray. The drug's action begins 10 minutes after injection and lasts for about 10 hours.	Use the drug 2 times a day, no more than 3 days.	Store at normal temperature for no more than 3 years.
Sprays that reduce mucus secretion
Fluditec	Spray that regulates secretory function. Reduces inflammation and stimulates immunity.	Use the drug three times a day for 8-10 days.	Store under normal conditions, out of reach of children. Shelf life is up to 2 years.
Mukodin	A secretolytic drug that stimulates the motor function of the respiratory tract. The active component is carbocysteine.	Apply 2-3 times daily.	At normal temperature, up to 3 years.
Fluimucil	A product that thins mucus and facilitates its separation. The active ingredient is acetylcysteine.	Apply once a day for 5-10 days.	Store at temperatures up to +25°C, shelf life is 3 years.
Anti-inflammatory and herbal medicine sprays for sinusitis
Chinese nasal spray for sinusitis Bi Tong Shuan	Plant spray. Ingredients: magnolia flowers, centipede, angelica and skullcap grass.	Spray into the nasal passages 2-3 times up to 4 times a day.	Store under normal conditions for up to 2 years.
Li Tong Spray	Natural herbal preparation. The composition is represented by centipede, angelica, mint, magnolia flowers, lily, white shea, cocklebur herb, etc.	Spray 1-2 sprays into each nostril, or onto a patch, which is then applied to the bridge of the nose.	Store at room temperature for up to 2 years.
Pinosol	An anti-edematous oil preparation based on plant components: pine, eucalyptus, thymol oil and vitamins.	Administer 2-3 drops several times a day. The duration of treatment is determined by the doctor.	Store in a dark place for up to 3 years.
Euphorbium Compositum	Homeopathic preparation, natural basis. Eliminates swelling, inflammation, has antiviral, immunocorrective and antiallergic effect.	Use 1-2 sprays in each nasal passage up to 5 times a day. Duration of treatment is from 14 to 40 days.	Store for up to 5 years at room temperature.

Using Sinusitis Sprays During Pregnancy

For pregnant women, the choice of the drug should be made by a doctor. It is better if the spray consists of natural ingredients, so in some cases it is permissible to use Pinosol, washing medications based on sea water (for example, Aquamaris, Humer), as well as homeopathic remedies (Euphorbium Compositum).

If the doctor deems it necessary, he may prescribe a vasoconstrictor spray in a pediatric dose, with a limited duration of use.

Contraindications for use and side effects

The spray for sinusitis is not prescribed if there is a tendency to allergies to the ingredients of the product, or if intraocular pressure is increased. The spray form itself is not recommended for use in treating children under 3 years of age, as this may provoke laryngospasm.

Sometimes side effects may occur:

• allergic reaction;
• irritability;
• tachycardia;
• trembling in the fingers;
• increased blood pressure;
• drying of the nasal mucosa.

Long-term use of vasoconstrictor sprays can affect the function of the mucous tissue of the nasal sinuses and also provoke a “habituation” effect.

Herbal and homeopathic preparations have the least number of side effects.

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Overdose and interactions with other drugs

When using excessive doses of the spray for sinusitis, an increase in side effects may be observed. Treatment of this condition is symptomatic, against the background of drug withdrawal.

The combined use of several vasoconstrictors can cause a “habituation” effect, as well as an increase in side effects.

The possibility of other drug interactions should be clarified in the instructions for a specific drug, since the combined effect is manifested depending on the active component of the spray.

Effective sprays for sinusitis are not those that are expensive or that are strongly recommended by friends and acquaintances. The effectiveness of each drug is assessed depending on the indications and characteristics of the disease in a particular patient. As you can see, there are many spray options, and they all have their own specific effects.

A spray for sinusitis is a practical remedy that covers almost the entire surface of the mucous tissues of the nasal cavity. It is convenient to use and dose. However, it is better to trust the choice of the drug to the doctor.