Adenoids produce immune cells that protect the child’s body from infections. With frequent infectious diseases, lymphoid tissues grow and cause serious complications if measures are not taken in time.
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Typically, such inflammatory processes appear in children, and by the age of 10 the problems disappear. But in some cases, the disease can last much longer, even observed in adult patients. Often, the occurrence of adenoid disease is associated with previous infectious diseases (flu, tonsillitis, sinusitis).
Removing adenoids is not always the best and correct choice of treatment for children. An experienced doctor will, if possible, use other means before prescribing surgery. One of the effective drugs used for this disease is Nasonex.
Composition and effect of the drug
Nasonex is available in the form of a spray of various capacities.
The medicine is presented in the form of a spray. It is sprayed or dropped into the nasal passages. The drug has a local therapeutic effect due to the following components:
- Mometasone furoate.
- Purified water.
- Lemon acid.
- Cellulose.
- Glycerol.
- Monohydrate.
- Sodium citrate.
The leading position in Nasonex is occupied by mometasone furoate. This is the active substance of the topical drug. It is this that has a powerful antibacterial effect.
It is customary to treat inflamed tonsils with Nasonex, as it is characterized by the following properties:
- Anti-inflammatory. The active component of the drug is responsible for this effect. It inhibits the processes that lead to the production of arachidonic acid. It is this that causes the development of inflammation in the human body. In addition, the substance inhibits histamine and serotonin, thereby increasing the level of prostaglandins.
- Decongestant. The drug affects the production of neutrophils and macrophages. It is these elements that retain moisture in the tissues, which leads to increased swelling.
- Antiallergic. The medicine does not allow the production of substances that occur in the body during allergic reactions. It also affects the level of leukocytes in tissues susceptible to inflammation.
Treatment with a local drug affects the symptoms of the disease. After using it, patients notice a decrease in headaches. This change is explained by the normalization of the process of oxygen entering the blood, which was impossible due to severe swelling.
Note! Nasonex is recommended for patients at stages 2 and 3 of adenoid development. It is at these stages that a person begins to be bothered by painful symptoms.
The medicine must be used in combination with other drugs, since it alone is not capable of providing a full recovery to a patient with inflamed adenoids.
When to take
Nasonex has antiallergic and anti-inflammatory effects. Using the drug requires the correct dosage.
Important! Of course, adenoids should be treated with a spray only under supervision and as prescribed by a doctor.
Children who have reached 12 years of age at the following doses:
- It is enough to spray twice into both nostrils.
- The procedure is carried out once a day.
- During this manipulation, approximately 200 mcg of the drug enters the body.
Usually, after starting treatment, the sick child’s condition improves. After this occurs, the injection dose should be reduced. The optimal dose is considered to be injection once into each nostril. In this case, the intake of the drug is reduced to 100 mcg per day.
The patient's condition should not be improved by increasing the dosage. The maximum permissible number of injections is up to four times in both nostrils.
We warn you! Do not self-prescribe and dosage for treatment with this drug.
Children from the age of two to 11 years.
- For such young patients, the permissible and clinically justified dose is 100 mcg per day.
- To do this, one injection is given to the child in each nostril.
- The effect of the drug may appear within 12 hours after its use.
When treating chronic sinusitis in children, starting from the age of 12, 2 injections are made into each nostril of the nose. The total prescription of Nasonex is 100 mcg twice a day. In this case, the total dose for a full day is 400 mcg.
An overdose of the drug can occur when injecting more than 800 mcg per day or more than four injections into each nostril. If the condition improves, the prescribed dose should be reduced.
How to use
Just like all drugs, before injection, the bottle with Nasonex must be shaken to ensure that the spray is saturated and evenly filled with medicinal substances.
Before the procedure, you need to clear the child's nasal passages of mucus. To do this, you can drip a large amount of alkaline table water or water with the addition of baking soda. This will soften dry crusts and make it possible to clear your nose. Additionally, you can use cotton wool to completely clean the surface of the nasal mucosa.
Then you need to insert the tip of the bottle into the nostril and inject. You should pay attention that the tip is directed towards the back wall of the nose and under no circumstances towards the septum. If the child is not too small, then try to explain to him that at the moment of injection he must take a deep breath. At this time, the second nostril should be closed with a finger.
Attention! If you want to quickly cure sinusitis, then our articles will help you with this.
Before using the bottle for the first time, try to inject the drug into the sink in advance to understand how much force you need to apply to achieve effective squeezing.
Indications for use
Nasonex fights nasal congestion caused by various reasons
The medication may only be used if the patient has appropriate indications. These include:
- Enlargement of the adenoids, in which there is no need for surgical intervention.
- An acute form of rhinitis that bothers a person seasonally.
- Exacerbation of sinusitis.
- Disorders of smell and respiratory function in children of the older age group.
- Exacerbation of allergies.
In most cases, children are prescribed medication to treat adenoids. This treatment option is effective only at the initial stages of the development of the pathological process.
Need to know! A local drug is prescribed for diagnosing pathologies of the ENT organs that require conservative treatment.
Indications include the need to prevent re-exacerbation of the disease, in which adenoids need to be treated.
How to use Nasonex for adenoids
Nasonex is used for adenoids in children and adults. It must be used in accordance with the instructions, which are necessarily attached to the medicine. Also, this point should be discussed with the attending physician at the time of prescribing a course of therapy.
The specialist selects the dosage of the drug and the frequency of its use. He also decides on the duration of therapy for adenoids.
The instructions offer their own method of using the remedy:
- It is necessary to tilt the child's head to one side.
- Afterwards, shake the bottle.
- You need to make 1-3 injections of the medicinal composition into each nostril.
The otolaryngologist can increase the initial dosage of the drug if the need arises, proven by diagnostic results. It is forbidden to change the dose on your own. You should definitely consult your doctor about this.
If the spray is not used for a long time, then before the next use you will need to rinse its nozzle.
Properties of the drug
Usually, second-degree adenoid disease is treated with Nasonex and the condition of the sick baby is stabilized. But if the doctor still insists on removing the adenoids, then you should listen to his advice.
During treatment with Nasonex, the formation of mucus stops, nasal breathing improves, and snoring disappears (children with enlarged adenoids may snore during sleep). Injecting an aerosol into the nose allows the healing substances to come into direct contact with the inflamed adenoids. At this point, patients feel a burning sensation from the drug.
Contraindications
Cannot be used if the child is under two years old
Nasonex should be given to a child with extreme caution. This is because the drug has a large number of contraindications for use.
It is necessary to refuse treatment with a local remedy if the following contraindications exist:
- Individual intolerance to substances contained in the medicine.
- The presence of a local infection that has not been completely cured.
- Recent surgery on the respiratory system.
- Age restrictions.
Diagnostics in the clinic under the supervision of a doctor allows you to check whether a patient has any contraindications to treatment with Nasonex.
Side effects of the drug
Nasonex can cause unwanted reactions in patients. Although doctors convince us that such situations are extremely rare.
In most cases, children complain of burning and dryness in the nasal cavity when using the spray.
During the treatment course, side effects may occur:
- Nose bleed.
- Headache.
- Coughing and sneezing.
- Inflammation of the posterior wall of the larynx.
- Bronchial spasms.
- Dyspnea.
- Impaired hearing and taste perception.
Occasionally, doctors diagnose severe complications in children treated with Nasonex spray. They are explained by the use of the drug in an increased dosage, which is unacceptable. The individual characteristics of the child’s body are also taken into account.
Use of Nasonex in combination with other drugs
Nasonex spray is usually used as part of complex therapy aimed at eliminating inflammation of the adenoids. Given this feature, it is necessary to first study the compatibility of the drug with other medications that the patient should take.
Note! The issue of Nasonex's compatibility with other medications is important. That is why it is forbidden to independently introduce drugs into a course of therapy that have not been approved by a specialist. Such actions are fraught with low effectiveness of treatment and the development of adverse reactions.
When drawing up a treatment plan, it is necessary to take into account the following features of the interaction of the drug with Nasonex spray:
- The drug is characterized by a pronounced vasoconstrictor effect. For this reason, it is not advisable to use it simultaneously with medications that contain naphazoline or xylometazoline. As a rule, they come in the form of a spray and nasal drops.
- Upon completion of the treatment course, it is necessary to use medications for some time to help prevent the thinning of the vascular walls.
- The Nasonex treatment regimen allows for the simultaneous use of drugs with antihistamine action. This combination allows you to achieve a powerful anti-inflammatory and anti-edematous effect. Thanks to this, the problem of proliferation of lymphoid tissue is solved.
- The medication can be combined with solutions that are intended for rinsing the oral and nasal cavities. It is recommended to carry out similar procedures before using the spray. Due to this, it will be possible to increase the level of absorption of the active components of the local medicine by the mucous membranes.
It is necessary to avoid the simultaneous use of several drugs that contain hormonal components. Parents must inform their child’s doctor that he or she is already taking such a drug. Knowing this information, he will be able to correctly adjust the course of drug treatment, which will eliminate the inflammatory process in the nasopharynx. If you neglect this recommendation, the patient will have difficulty avoiding an overdose of hormones. This condition is fraught with serious complications, including dysfunction of the adrenal glands.
Features: how to use the drug correctly
Nasonex should be taken under medical supervision, with regular examinations of the patient by an otolaryngologist.
Nasonex helps reduce the allergic reaction, which is always present with chronic inflammation, swelling, and reduce mucopurulent discharge.
Along with Nasonex, you can use antiallergic and antibacterial agents, as well as preparations based on sea water. It is not recommended to use Nasonex together with vasoconstrictor drops or herbal medications.
If no positive dynamics are observed after treatment with the drug, it may be necessary to change the drug.
In case of a single overdose of the drug, monitoring of the patient is necessary. If there are no adverse effects, you can continue to use the drug at the prescribed dose.
Drug analogues and their cost
The dosage is determined by the doctor strictly individually, based on the patient’s age.
Not in all cases, Nasonex allows you to achieve a lasting therapeutic effect of treatment. In such situations, it makes sense to select another medication, which is also aimed at eliminating the inflammatory process in the nasopharynx.
If the patient has contraindications to Nasonex, the doctor will offer him a suitable analogue of the drug. It is forbidden to independently look for a replacement for the prescribed drug, as this is fraught with low effectiveness of therapy.
Spray analogues include medicines that contain similar active substances. They are also identical in their therapeutic effect. The main substitutes for the drug are:
- Avecort (from 170 rubles).
- Rinoklenil (from 400 rubles).
- Aldecin (from 130 rubles).
Children from the age of two can be prescribed Dezrinit, Nasobek and Avamis. They are also part of the group of Nasonex analogues, which have identical effects. The drugs are actively used for diseases of the ENT organs, including adenoids.
Parents whose children were prescribed this medication are interested in its cost and availability in regular pharmacies. You can purchase the product at many points of sale where medications are sold. The average price of such a spray is in the range of 800-850 rubles. It is the inflated cost that often forces parents of young patients to ask the doctor to choose a more affordable analogue.
Analogues and substitutes
Since Nasonex nasal spray is considered an expensive drug, pharmacies often ask for cheaper analogues. There is a fairly large list of drugs with a similar mechanism of action and indications, but different costs and features of use.
Avamis
The drug Avamis is considered the closest analogue of Nasonex, since it corresponds to it in terms of the mechanism of action, and the list of indications and contraindications is almost the same. It is considered an effective medicine - it reduces adenoids, the severity of symptoms and does not dry out the nasal mucosa. There are practically no side effects, so it can be used in childhood (after 2 years), as well as during pregnancy, but use for preventive purposes is prohibited.
Flixonase
Flixonase and Nasonex contain similar active ingredients, so the instructions for use are almost the same. Flixonase has a pronounced anti-inflammatory effect and relieves allergy symptoms, so it does not require additional use of antihistamines.
One of the key differences between the drugs is that Flixonase is used only from the age of 4 - when treating adenoids in young children, it is necessary to choose a different drug.
Nasobek
Nasobek nasal spray belongs to the same pharmacological category as Nasonex - corticosteroid (hormonal) drugs. It has a pronounced effect on the body, stops inflammatory processes and is considered one of the most effective medicines used for diseases of the ENT organs of an allergic nature.
When using Nasobek, you should carefully study the instructions for use, since its list of contraindications is quite wide. These include fungal infections, frequent nosebleeds, age less than 6 years, respiratory pathologies and glaucoma.
Nazarel
The drug is available in the form of a nasal spray based on synthetic corticosteroids and is considered a complex remedy. The effect of use is noticeable within a few hours and lasts quite a long time. The mechanism of its effect is as follows:
- vasoconstriction;
- reducing the amount of nasal discharge;
- elimination of swelling;
- relief of inflammatory processes;
- suppression of the immune response to allergens.
The disadvantage of Nazarel is the ability to cause side effects, which include irritation and dryness of the mucous membrane, nosebleeds, rash, cataracts, changes in taste in the mouth, and headaches.
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Nosephrine
The Russian-made drug is a structural analogue of Nasonex, and its effect is based on a similar substance - mometasone furoate. It is used to treat chronic and acute sinusitis, rhinitis of allergic origin, adenoids and other conditions accompanied by a runny nose, swelling and inflammation of the ENT organs.
The differences between the drugs lie in the list of additional components, and Nasonex includes phenylethyl alcohol.
If you are prone to allergies to chemicals, you should choose a drug for the treatment of adenoids carefully, after studying the list of additional components.
During clinical studies, Nasonex showed a longer and more pronounced effect, passed all clinical trials and proved its safety. Nosephrine is considered a cheap generic drug, but of sufficient quality and effectiveness.
Desrinitis
Desrinit nasal spray is produced by an Israeli manufacturer and has a list of indications and contraindications similar to Nasonex. There are minor differences in composition - the action of the drugs is based on mometasone furoate, but the additional ingredients are slightly different. They are sold in pharmacies in the form of a spray and are good at relieving the main symptoms of allergic diseases, including adenoids.
The only difference is the cost - Desrinit is an order of magnitude cheaper than Nasonex, so it is often chosen as an effective substitute for the drug.
Momat Reno
In addition to the main active component mometasone furoate, Momat Rino contains azelastine, an antihistamine that enhances the therapeutic effect. The drug is used for the symptomatic treatment of rhinitis of allergic origin, and has a mechanism of action similar to Nasonex.
There are no significant differences between Momat Rino and Nasonex, but the first drug contains an additional component, so its list of contraindications and side effects is wider. Nasonex, in turn, is considered a safer and more effective drug that has a quick effect and long-lasting effects.
Polydexa
A combination drug produced in France, which contains dexamethasone, phenylephrine, polymyxin, neomycin. It cannot be called a complete analogue of Nasonex, since the compositions of the drugs are different, but their mechanism of action is practically the same.
Due to the content of additional components, Polydexa has a wider list of indications, has an anti-edema, vasoconstrictor and antibacterial effect, and does not require additional use of drops and antibiotics. At the same time, the list of contraindications for the drug is also longer than for Nasonex - in particular, the spray can only be used after 15 years.
Tafen Nazal
The main active ingredient of Tafen Nasal is budesonide, a glucocorticosteroid hormone, which by its mechanism of action is almost identical to mometasone. It has anti-inflammatory and decongestant effects, relieves the symptoms of allergic rhinitis and adenoids.
Unlike Nasonex, the therapeutic effect of using Tafen Nasal occurs only after 2-3 days, while Nasonex begins to act after 12 hours.
The advantage of Tafen Nasal is that it is considered a safer and milder remedy, so it can be used for several months to treat non-allergic rhinitis.
