To successfully cure sinusitis, you must first get rid of the infection that covers the area of the maxillary sinuses. When the drainage is restored, the outflow of purulent and mucous discharges will become faster, thereby speeding up the healing process.
The choice of treatment for this disease depends on its shape, as well as the severity. Usually, tablets are used against sinusitis, which are combined with methods of local treatment - washing the nasal cavity, using drops, as well as inhalation.
Indications of the tablets from a genyantritis
Tablets are prescribed for acute, subacute and chronic forms of sinusitis (right-sided, left-sided or bilateral type) of various types: viral, fungal, bacterial.
The Sinupret tablets contain plant elements that allow the medicine to have a complex effect on the patient's body. The drug contributes to the elimination of bronchospasm, and also dilutes sputum. In addition, the drug has anti-inflammatory, antiviral, as well as immunostimulating properties.
Cinnabsin is a homeopathic remedy with immunostimulating and anti-inflammatory properties. This drug reduces the swelling of mucous membranes in the paranasal sinuses and nasal cavity, thereby facilitating the process of breathing through the nose.
The drug Sinuforte is prescribed for inflammatory processes in the paranasal sinuses. It is made from vegetable components - juice, as well as an extract of European cyclamen.
The medicine has anti-edema properties - stimulating glandular goblet cells in the nasal cavity, it contributes to significant dehydration of the mucosa. Has a combined effect (also causes reflex hypersecretion), thereby expanding the natural connections between the sinuses and the nasal cavity - this allows you to clear the way for the removal of pus and mucous secretions from the sinuses into the nasopharynx.
Mucolytic drug Guafenizin stimulates the secretory cells of bronchial mucosa, which secrete neutral polysaccharides. In addition, it dilutes sputum and increases its volume, leads to depolymerization of acidic mucopolysaccharides, activates the work of the ciliary apparatus. All these effects help to simplify the process of sputum production, as well as the transition of cough into a productive form.
Flumucil - tablets with mucolytic properties. This drug helps to dilute sputum accumulated in the nasal cavity, increases its volume, and also simplifies the process of its departure. Assign this mucolytic to facilitate the process of deducing secretion in sinusitis.
Mukodin has expectorant and mucolytic properties. It is included in the category of stimulants of respiratory function and secretolitics. The drug activates enzymes located in the goblet cells of the bronchial mucosa, and also stabilizes the quantitative proportion of neutral and acidic sialomucins contained in the bronchial secretion. In addition, Mucodin helps restore the elasticity and viscosity of mucus.
Antibiotics for sinusitis in tablets
Most often with prolonged sinusitis, doctors prescribe antibiotics. Often, for a complete destruction of the infection, one treatment course is enough - this avoids the procedure of nasal sinus puncture.
The most effective antibiotics in tablets in the treatment of sinusitis are new-generation drugs (such as Cephalosporin, Augmentin, and Azithromycin). If the patient is intolerant of drugs from the penicillin category, macrolides or tetracyclines can be prescribed.
Basically, with genyantritis appointed Macropenus or Augmentin. Since these drugs are multicomponent, they have a very wide range of antibacterial effects. This allows to completely destroy the bacteria, and not just prevent their reproduction, as often happens in the case of less effective drugs.
Amoxicillin is a semisynthetic antibacterial drug from the penicillin group. The drug effectively eliminates the bacteria that contribute to the development of the inflammatory process in the nasal sinuses, and besides it prevents their reproduction and growth, has a bactericidal and bacteriostatic effect.
Macroben - an antibacterial drug from the category of macrolides. It actively counteracts the majority of gram-negative and gram-positive bacteria, and besides it destroys various intracellular microorganisms (such as mycoplasma, chlamydia and legionella).
For sinusitis, this medicine is prescribed for adults and children who are allergic to drugs from the penicillin group, or in cases when it is revealed that the pathogens are sensitive to Macroben.
Often in the case of purulent maxillary sinusitis due to the multiplication of bacteria, the drug Augmentin is prescribed - an antibiotic from the group of semisynthetic penicillins of the 3rd generation (amoxicillin). It also contains clavulanic acid.
Augmentin is very effective in sinusitis, as its composition suggests a wide range of effects, allowing the drug to be used in a variety of types of flora (aerobic, as well as anaerobic) with Gram-positive and Gram-negative bacteria.
The antibiotic helps to destroy the cells of bacterial agents by integrating into their structure. The combination of two active substances in one preparation allows to achieve an effective result, affecting also the resistant strains of bacteria.
Cefalexin is a medicine from the category of cephalosporins, which has powerful bactericidal properties. The drug is resistant to penicillinases of gram-positive bacteria, but it is destructively affected by lactamases of gram-negative microorganisms.
Azithromycin is a semisynthetic antibiotic that has a chemical bond with substances such as clarithromycin and erythromycin. The use of the drug in sinusitis helps to stop the growth of bacteria, as it interferes with the production of proteins necessary for them.
Homeopathic tablets from sinusitis
The most popular homeopathic tablets for the treatment of chronic sinusitis are Mercurius Solubilis, Silicea, Kalium Bichromicum, and Kalium Yodatium. In cases where inflammation of the paranasal sinuses is accompanied by bloody discharge of a viscous viscous consistency, the Hydrastis drug is used, and when there is severe pain in the sinuses of the nose and a copious discharge of pus, Gepar Sulfur is used.
Homeopathic remedies include only natural substances, so they almost never cause adverse reactions and do not have contraindications. But there are a few recommendations on how to use it. Since the officinal drugs neutralize the effect of homeopathic medicines, when using them, one must observe the following rules:
to refuse reception of antibiotics and physiotherapeutic procedures;
do not drink strong black tea, coffee and soda water, and do not eat bitter chocolate.
Anti-inflammatory tablets with genyantritis
NVPs usually have antipyretic and analgesic properties, and therefore help reduce the manifestations of certain symptoms.
Analgesics commonly used to eliminate symptoms of inflammation in the maxillary sinuses are Ibuprofen, Aspirin, and Acetaminophen. The daily dosage of such drugs depends on how intense the pain is. But under any circumstances, you should not take them for more than 7 days in a row, without consulting in advance with a doctor.
The main principle when taking pain medication is the use of small doses. First you should drink 0.5 tablets, and only if the desired effect has not been obtained, it is allowed to use the second part. This rule should be followed by all, and especially the elderly, children and those who have a low weight.
Tablets Ibuprofen in the case of sinusitis is used as a symptomatic anti-inflammatory drug in addition to the main treatment course. The medicine is used to eliminate pain, and also as an antipyretic.
With the disease of the paranasal sinuses and the nasal cavity, the drug helps to remove puffiness, thus freeing airway through the respiratory organs. As a result, breathing through the nose becomes easier, mucus is released more freely, incl. And from clogged nasal sinuses. In addition, the preparation can relieve the pain and raspiruyuschee sensation that occur with advanced sinusitis (while a filled nasal cavity presses on the nearby tissue, irritating the nerve endings).
Paracetamol and Aspirin
Paracetamol, analgin and aspirin contribute to the elimination of moderate and mild pain, and in addition act as an antipyretic and anti-inflammatory agent. These drugs will quickly get rid of discomfort and pain until the main methods of treatment have begun to work.
The main properties of tablets from sinusitis are examined using the example of preparations Ibuprofen and Augmentin.
Ibuprofen achieves an anesthetic effect by inhibiting the synthesis of PG, which act as conductors of the inflammatory process and uncomfortable sensations. The use of the medicine makes it possible to change the sensitivity of painful ends, as a result of which the pain recedes.
Anti-inflammatory properties of the drug are caused by a decrease in the level of vascular permeability and elimination of the pathogen of inflammation, a reduction in the total swelling of the tissues.
The antipyretic effect of ibuprofen, which is a derivative of phenylpropionic acid, is less pronounced. The high temperature is lowered due to a decrease in the excitability of the centers located in the brain, which are responsible for the process of heat regulation.
After oral administration, both active components of the drug are rapidly absorbed from the digestive tract. When using Augmentin in a dosage of 375 mg, the maximum saturation in the blood plasma of amoxyslicin will be 3.7 mg / liter, and clavulanic acid 2.2 mg / liter; at a dosage of 625 mg amoxicillin will reach a concentration of 6.5 mg / liter, and clavulanic acid is 2.8 mg / liter.
The drug is excreted mainly through the kidneys. With a single oral intake of 1 table. Volume of 375 mg (of which 125 mg of clavulanic acid and 250 mg of amoxyllicin) or 625 mg (in this case part of amoxyslicin increases to 500 mg), about 60-70% of amoxicillin, and 40-60% of clavulanic acid in the first 6 hours after consumption they leave unchanged together with urine.
On average, the half-life of these substances after taking a single tablet of Augmentin at a dosage of 375 mg will be 1 hour for amoxyllicin and 72 minutes for clavulanic acid. At a dose of 625 mg, this period will be 78 and 48 minutes, respectively.
Use of the tablets from a genyantritis during pregnancy
In case of genyantritis during pregnancy, only a doctor can prescribe medicines. It is absolutely necessary that the benefits of the medicine will exceed the possible health risks. Usually, antibiotics are not prescribed in such cases, doctors try to use gentle methods of therapy. But nevertheless there are some medicines which are authorized to appoint or nominate in case of a genyantritis at pregnancy: it Augmentin, Azithromycin and Cephalosporins of III generation. In severe cases, Spiramycin may also be prescribed.
Also, pregnant women are allowed to use Sinupret - this remedy is a safe and effective medicine that liquefies the accumulated pus and mucus secretions in the sinuses and simplifies the process of its excretion.
Antiguyritis antibiotics have some contraindications. They are forbidden to take if the patient is prone to allergic reactions, as well as violations in the work of the kidneys or liver. During pregnancy and lactation, antibiotics are also mostly banned.
Mucus is contraindicated when the patient has a hypersensitivity to the main elements of the drug. Also, they can not be used by children under the age of 18. In addition, such tablets from sinusitis are prohibited in the following cases:
Diseases of the gastrointestinal tract (stomach ulcer or duodenal ulcer);
Renal or hepatic insufficiency.
The use of pain medication is prohibited in such cases:
With ulcers of 12 duodenum or stomach;
Children under 12 years of age.
Side effects of the tablets from a genyantritis
Most often when using tablets from sinusitis can occur such adverse reactions:
Sneezing with a cough;
Problems with the functioning of the digestive system;
Unpleasant aftertaste and drying in the mouth;
Edema and redness of the organs of vision;
Rashes on the skin;
Vomiting with nausea;
Loss of appetite.
Dosing and administration
Tablets Sinupret should be swallowed whole, without chewing, washing them with water. Dosage for adults - 2 tablets. Three times a day; for children of school age - 1 tab. Three times a day. The course lasts approximately 7-14 days. If the symptoms persist after 7-14 days or periodically worsen later, you should consult your doctor.
Macrofen is taken before meals. For adults, dosage is 400 mg three times a day. In a day, you can consume no more than 1.6 grams of medication. For children in the event of severe or moderate infections, the daily dose is 30-50 mg / kg for 3 uses. If the infection occurs in an easy form, this dosage can be twofold. The course lasts approximately 7-10 days.
Interactions with other drugs
Azithromycin should not be used in combination with magnesium or aluminum-containing antacids (these are Maalox or Milanta preparations), since the latter can interfere with the absorption of Azithromycin in the digestive tract.
Combined use of Macrofen with carbamazepine or ergot alkaloids reduces the process of metabolism of these substances in the liver, and also increases serum saturation. Therefore, it is necessary to take these drugs with caution in combination. Macropen does not affect the pharmacokinetics of theophylline. If you take this medicine at the same time with anticoagulants (such as warfarin) or cyclosporine, the process of excretion of the latter will be slow.
Patients taking Augmentin had an increase in prothrombin time, as well as a bleeding period. Use of Augmentin in combination with anticoagulants should be done with caution. The combination of this drug with oral hormonal contraceptives can reduce the effectiveness of the latter.
Keep anti-haemorrhoid drugs in standard conditions - a temperature of no more than 25 degrees Celsius, in a place that is closed from sunlight.
Tablets from sinusitis can be used for 2-3 years from the time of manufacture.
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Medical expert editor
Portnov Alexey Alexandrovich
Education: Kiev National Medical University. A.A. Bogomolets, Specialty - "General Medicine"
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To simplify the perception of information, this instruction for use of the drug "Tablets from sinusitis" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.
Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.
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