Dexamethasone for allergies: application features

Dexamethasone is prescribed to children for the treatment of inflammatory and purulent eye diseases. Since it has a number of side effects and contraindications, it is sold from pharmacies with a prescription. To find out the specific effects of the drug, read the composition. The medicine is used for children over 6 years of age. Use at an earlier age is not recommended (parents are often interested in using the medicine for babies under one year old). Dexamethasone is an economy class drug. There are a number of similar products in a more expensive category.

Dexamethasone in a child's nose

For diseases of the nose and paranasal sinuses, local medications are most often prescribed in the form of nasal drops. However, sometimes the doctor recommends drips of medications, the instructions for which do not include such a method of use. One such medicine is Dexamethasone. Why is it dripped into the nose, can it be used for children?

Description of the drug

Dexamethasone drops are a topical agent that was originally used to treat eye diseases.
Ophthalmologists still widely use the drug for various problems with the organs of vision. The drug turned out to be a good assistant for otorhinolaryngologists; with its help, it became possible to treat severe ENT problems of the nose. Drops are used for many diseases that do not respond to the standard set of procedures.

Dexamethasone is completely transparent in appearance, odorless and uncolored. The drops are produced in 5 ml plastic bottles, which are already equipped with a dropper. The bottles are packaged in cardboard boxes, which must contain instructions for use. The drug has two more forms of release: in ampoules for injection and tablets.

The main active ingredient is the hormone dexamethasone, which is created artificially. Its main characteristics are similar to the natural hormones of the human body, cortisone and hydrocortisone.

Artificially created hormones have a more active effect, but their side effects are much more serious and occur much more often.

In addition to treating protracted ENT pathologies and ophthalmological problems, the drops also have the following effects on the body:

• antiallergic;
• antitoxic;
• immunosuppressive;
• anti-inflammatory.

But you cannot use such drastic treatment on your own; the drug must be prescribed by a doctor.

Composition and form

Dexamethasone is a glucocorticoid drug available in solution and tablets. ENT doctors sometimes prescribe this medication in liquid form, which is eye drops, to be dripped into the nose. It is produced in bottles with a transparent yellow or colorless solution.

One bottle contains 5 or 10 ml of medication with a concentration of the active compound of 0.1%. The active substance is dexamethasone sodium phosphate. The solution also contains benzalkonium chloride, disodium edetate, boric acid, sterile water and sodium tetraborate decahydrate.

What diseases does it treat?

Dexamethasone eye drops - when and how are they used? The main indication is allergic inflammation of the eyes - not a very pleasant situation. Especially if the problem arose in a child. Simple moisturizers are not able to relieve symptoms. Dexamethasone has established itself as a medicine with a rapid and pronounced effect.

The drug is available in dropper bottles of 5 and 10 ml. Dexamethasone is the main active ingredient. Additional components are: disodium edetate, water for injection, borax and benzalkonium chloride.

Ophthalmologists prescribe Dexamethasone for children as an anti-allergenic, anti-inflammatory and anti-purulent agent. Able to stabilize damaged areas and minimize areas of inflammation. Prescribed for the following diseases:

• Conjunctivitis - when the mucous membrane of the eyes becomes inflamed;
• Keratitis is an inflammatory process in the cornea, leading to clouding;
• Blepharitis - the edges of the eyelids become inflamed;
• Uveitis - the choroid of the eyes undergoes an inflammatory process.
• Optic neuritis.

Dexamethasone is also prescribed for children to prevent inflammation of the organs of vision. Used after eye surgery.

How does it work?

"Dexamethasone" in drops has an anti-inflammatory effect, since it is able to reduce the activity of the inflammatory process, preventing the penetration of immune cells into the affected tissues and blocking the production of inflammatory mediators. In addition, this medication has an anti-exudative effect by reducing the permeability of the vessel walls. The result of this effect will be a decrease in swelling of the mucous membrane and easier breathing.

Dexamethasone can be instilled into the nose if there is difficulty breathing and severe congestion, which is caused by an allergic reaction. In addition, this medication is in demand for adenoids and prolonged runny nose or sinusitis. It is important to remember that the medicine is hormonal, so using it in childhood without a doctor’s prescription can be dangerous.

It is permissible to drip the drug into the nose only after consultation with a pediatrician. In addition, Dexamethasone is often used as an emergency aid if it is necessary to eliminate an attack or cure a serious illness. This medication is not suitable for continuous use and for mild inflammatory processes.

In some cases, ENT doctors prescribe complex drops with Dexamethasone. They include other drugs, including antiseptics ( Dioxidin , Furacilin , Miramistin ), vasoconstrictor drugs ( Galazolin , Nazivin , Xilen ), antibiotics or antihistamines. The recipe for such multicomponent drops is selected individually, taking into account many factors, including the course of the disease and the age of the baby.

Cooking features

In the process of making a house, you must take into account the following recommendations:

• Check the expiration dates of the components used.
• To store the medicine, you must purchase a separate, factory-sealed bottle with a tight cap.
• It is mandatory to take into account the concentration of active components, depending on the patient’s age.
• If it is recommended to add the juice of a medicinal plant (for example, aloe) to the composition of the drug, it must be squeezed out before making the drops.
• If the drops will be stored in a bottle without a dropper, you must additionally purchase a pipette.
• Before starting to use Complex Drops, the nose is washed with saline or pharmaceutical preparations that contain sea water (Aqua Maris, Salin, Humer, etc.).
• After instilling the drug, it is recommended to remain in a horizontal position for several minutes.
• If the composition includes a component with a vasoconstrictor effect, the duration of treatment should not exceed 5 days - 1 week. Otherwise, there is a high probability of developing undesirable side reactions: drying out of the mucous membrane, fragility of capillaries). A “rebound effect” also occurs - the body gets used to the action of the drug and the symptoms of the disease (congestion, swelling) intensify.

This table can serve as an example of making Complex Drops, depending on the indications for their use.

Contraindications

The drug is not used for intolerance to any of its components, as well as for many other serious illnesses, including mental illness, kidney failure, fungal infection and others. If a child has any chronic pathology, the question of the advisability of using nasal drops should be decided by a specialist.

Contraindications and side effects

The drug is well tolerated by children. Possible local reactions:

• The occurrence of a burning sensation;
• lacrimation;
• Blurred vision.

If the drug is used for a long time, after 2 weeks there appears increased intraocular pressure, a decrease in visual acuity, and thinning of the cornea. Possible damage to the optic nerve. With severe intolerance to the drug, conjunctivitis or blepharitis develops.

With prolonged use of the drug the following develop:

• Steroid diabetes mellitus, adrenal suppression;
• Nausea, exacerbation of chronic pathologies of the digestive system;
• Arrhythmia, high blood pressure;
• Nervousness, headaches, sleep problems, dizziness.

Contraindications for use are:

• Fungal and viral eye pathologies;
• Trachoma - the connective membrane of the eyes becomes inflamed (caused by chlamydia);
• Suppuration of the eyes;
• Damage to the horny epithelium;
• Hypersensitivity to the components of the drug;
• Do not use eye drops in children under 6 years of age.

Dexamethasone is not intended for intraocular injection. If there are side effects, the medication should be stopped. When used topically, overdose is impossible.

Terms of purchase and storage

Dexamethasone drops are sold in pharmacies with a prescription and cost from 40 to 80 rubles per bottle (depending on the manufacturer). You can store the medication at home for the entire shelf life of 3 years, in a place hidden from sunlight and small children, where the temperature does not rise above +25 degrees. From the moment the bottle is opened, its contents must be used within 28 days.

There are quite a lot of positive reviews about the treatment with Dexamethasone. The medication is praised for its effective and rapid action, noting that it helps well with allergic diseases. If such drops are prescribed by a doctor and the dosage is not exceeded, then no side effects from such treatment are often detected.

However, many doctors (including Komarovsky) and parents are against the use of Dexamethasone in the nose, because with this treatment the medication is quickly absorbed and there is a fairly high risk of overdose.

For this reason, they prefer medications from the same group of glucocorticoids, but intended specifically for administration into the nasal passages. The concentration of the active substance in such drugs is lower, which makes them safer, but does not reduce the therapeutic effect.

Other hormonal local remedies can replace nasal drops with dexamethasone - for example, Nasonex , Nazarel , Desrinit , Flixonase or Avamys . They are produced in the form of a nasal spray and are used for allergic rhinitis, acute sinusitis, and chronic inflammation of the paranasal sinuses. Since their effect is ensured by different substances and each of them has its own characteristics of use, a doctor must select an analogue.

Analogs and price

Intolerance to the components of the drug means that suitable analogues should be found. There are a number of similar drugs, each of which is prescribed after visiting a doctor. These need to be studied before using eye drops. Analogue drugs are used depending on the disease.

Similar eye drops are represented by the following drugs:

• Phloxal. The antimicrobial drug is used to treat conjunctivitis, corneal ulcers, blepharitis, and chlamydial eye infections. The average price of drops is 240 rubles.
• Stillavit. Moisturizes the cornea, is used to eliminate discomfort when wearing lenses, and can relieve fatigue during prolonged eye strain. Costs about 330 rubles.
• Mezaton. Eye drops are prescribed to children and adults for iritis - inflammation of the iris of the eye. The price starts from 29 rubles. The dosage is calculated by the doctor.

Dexamethasone is prescribed according to the doctor's decision and is sold in pharmacies only with a prescription.
Before one year of age and even at a later age, the medicine is prohibited for use (only from 6 years of age). Before choosing a specific remedy, the child is examined. The drug belongs to the “economy” price category. The average cost in Russia is 55 rubles. Rate this article:

Is it possible to drip Dexamethasone into the nose of children?

Post by Yulia-SPb » Sat Nov 12, 2005 09:47

I have a child, he is 10 months old. I would like to know what medications you need to have for injection at home, for emergency care, given that I am a doctor.

Answer: In my own first aid kit, which is always with me 24 hours a day, there are four injections: 1. Dexamethasone (allergoses, croup, meningitis, shock); 2. Cerucal (vomiting); 3. Suprastin or tavegil (allergosis); 4. Baralgin (spazmalgin, renalgan, spasmalgon) - pain, cramps, temperature.

Post by Natalya Borisovna » Sat Nov 12, 2005 16:59

Post by Elenka » Tue Nov 15, 2005 15:20

Post by Alex » Thu Sep 27, 2007 12:11

Dexamethasone drops 0.1%

Post by Fruttis » Fri May 25, 2012 08:04

Good day! I'll start from the beginning. From the 10th day after my daughter’s birth, her right eye began to turn sour. We went to an ophthalmologist, diagnosed dacryocystitis in the right eye and prescribed Fucithalmic drips for 10 days + rinsing with chamomile, tea leaves + eye massage. Did not help. The next appointment was the same, only Levomycetin drops. Did not help. They sent me to make an appointment for sounding in another city, because... They don’t do it here, we made an appointment until August 2 (they made an appointment.) In the meantime, they prescribed Tobrex... there is no improvement. They washed the nasolacrimal duct, the fluid passed well, some kind of plug came out, they said that there was no point in probing. At that time, they were digging up Tobrex, after a 4-day break. + on top of everything, I don’t know if it’s a coincidence or a consequence, on the 2nd day after washing, my daughter began to “grunt” and a runny nose appeared. No snot flowing, but nasal congestion. I called the pediatrician, she advised Nazivin for children to relieve the swelling. After reading the reviews, I reduced the dose to 1 time per day. I use an aspirator and Aqualor. Today we visited the ophthalmologist again, and the diagnosis of dacryocystitis was removed. But she prescribed Dexamethasone drops 0.1% + consultation with an ENT doctor. I immediately said that the drops are hormonal... Oh... but of two evils, as they say, we choose the lesser. At the pharmacy I read the instructions, contraindications for children under 6 years old. I'm confused. We won't get to the ENT specialist until next Monday, because... There is an appointment for a week in advance. + on top of everything, my daughter sneezes very often.

But at the moment the question is: how dangerous is it to give Dexamethasone to a 1.5 month old baby? Still, the drug is not weak, and it is also hormonal. The next drop was prescribed. scheme: 1 drop 4 times a day (3 days), 1 drop 3 times a day (3 days), 1 drop 2 times a day (3 days), 1 drop 1 time a day (3 days), i.e. to decrease. Thank you in advance!

Reviews

You can easily find any information and reviews on the Internet. So, reviews of Dexamethasone nasal drops can be easily found on many review sites. This drug is praised by many, mentioning that treatment with these nasal drops gives a quick and positive effect. Medical specialists also recommend this unique drug with great confidence.

The medicine has a large number of positive reviews

Anna: “I was tormented by nasal congestion for 3 years. It was so congested that I couldn’t breathe at all. I didn’t part with the vasoconstrictor drops, nothing else helped. Doctors were unable to find out the cause. Once again, having visited the ENT specialist, I was prescribed Dexamethasone eye drops.

Dripped 3 times a day for no more than 5 days. The first few days were very difficult, as my nose could not breathe. Then it became easier, but by the 5th day my nose started breathing on its own. “Four years have passed since that time and during this time I have never used any drops.”

Alina: “For a long time I was haunted by residual effects after sinusitis: I get a little cold, and my nose immediately gets stuffy. And I noticed that my sense of smell began to disappear. I went to the doctor, who prescribed me this substance, but warned me that the drops were eye drops and hormonal. I instilled it according to the scheme: 5 days, 3 times, then 2 times a day, and then 1 time until all symptoms disappear. After completing this course, I got rid of nasal congestion, all the consequences of sinusitis and regained my sense of smell.”

"Dexamethasone" in the nose: instructions for use and reviews

ARVI and seasonal colds are always accompanied by a number of unpleasant symptoms, among which the most common is a runny nose. Due to nasal congestion, the patient experiences a lot of discomfort; his body does not have enough air, since he is unable to take a deep breath. There are many medicines on pharmacy shelves that will quickly eliminate symptoms, but sometimes the treatment does not have a significant effect. In such cases, the attending physician often prescribes Dexamethasone instillation into the nose. The drug is effective, but self-treatment with it is not recommended.

Indications and contraindications

The indications and contraindications of Dexamethasone, as a hormonal drug, must be taken seriously, since it has a strong one-time and prolonged effect on the human body.

Indications for the product include:

• ophthalmological diseases (infectious or allergic conjunctivitis, keratitis, blepharitis, corneal injuries, inflammation of the optic nerve);
• sinusitis;
• sinusitis;
• chronic or vasomotor rhinitis;
• laryngitis;
• severe allergic reaction, anaphylactic shock.

Form and composition

The drug is a glucocorticoid drug that is available in tablets and solution. ENT doctors in some cases prescribe a liquid form of the medication, which is essentially eye drops, for instillation into the nose. Dexamethasone is produced in vials and looks like a colorless or yellow solution. One bottle contains either five or ten milliliters of the drug with a concentration of the active component of 0.1%. The active ingredient here is dexamethasone sodium phosphate. The solution also contains benzalkonium chloride, sodium tetraborate decahydrate, disodium edetate, sterile water and boric acid.

Characteristics of the medicine

Dexamethasone can be used by injection for severe breathing problems. A single dose of the required dose of the drug helps not only eliminate unpleasant symptoms, but also prevent the development of relapses of the disease.

The release form of Dexamethasone is nasal and eye drops, which are indicated for the elimination of ophthalmic pathologies. Many specialists prescribe it for complicated forms of ENT pathologies. The drug is produced in plastic dropper bottles, which makes its use more convenient. Dexamethasone can be produced in the form of tablets and solution for injections.

The main component of the medication is dexamethasone, a hormone that is produced synthetically. It is an analogue of hormones that are produced in the body: hydrocortisone and cortisone.

Dexamethasone contains auxiliary components, and it has a varied effect on the patient's body. The drug eliminates protracted inflammatory processes and thereby promotes a speedy recovery.

In addition, the drug has a pronounced analgesic effect and takes an active part in the fight against pathological reactions in tissues.

Features of the action

Dexamethasone nasal drops have an anti-inflammatory effect, as they help reduce the activity of the inflammatory process, prevent immune cells from entering the affected tissues and block the production of inflammatory mediators. In addition, the drug has an anti-exudative effect by reducing the permeability of vascular walls. The result of this effect is a decrease in swelling of the mucous membrane, as well as easier breathing.

Side effects

The body to which Dexamethasone treatment is applied may resist, and this can manifest itself in different ways. The most common reactions observed are:

• burning;
• discomfort;
• hyperemia;
• slight tingling with an increasing effect.

They are localized at the sites of direct application; other organs and areas of the body are not affected by the drug.

• thinning of the cornea;
• significant increase in intraocular pressure;
• allergic reactions in the form of a rash;
• development of various infectious diseases of the organs of vision;
• blepharitis;
• conjunctivitis of various types.

If the medicine is dripped into the nose, the side effects will be characterized by burning and discomfort in the nasopharynx and sinuses; in addition, swelling of these organs is possible.

A common runny nose cannot be treated with this drug; in the process you can get serious complications, including asphyxia.

Indications for use

In the official instructions for use of the drug "Dexamethasone" it is not described as nasal drops; it is used in the ophthalmological field. Drops effectively eliminate:

• symptoms and causes of keratoconjunctivitis, keratitis, non-purulent conjunctivitis;
• allergic in origin keratoconjunctivitis and conjunctivitis;
• blepharitis;
• episcleritis and scleritis;
• superficial disorders of the cornea of ​​various types;
• the process of inflammation in the back of the eye;
• sympathetic ophthalmia;
• iritis.

The drug is often used during the recovery period after inflammatory processes, as a preventive measure after injuries and operations of varying complexity.

The drug "Dexamethasone" in the nose is used in exceptional cases when other procedures and means have not had the desired effect.

The drug is especially effective for sinusitis, if pus deposits do not come out for a long time, and surgical intervention cannot be performed.

Use of the drug

Having dealt with the question of whether it is possible to drip Dexamethasone into the nose, we will consider in detail how to do it correctly.

sinusitis; rhinitis; nasopharyngitis; hay fever with a strong pronounced reaction of the body, which antihistamines cannot cope with.

The duration of action of the drug is from 4 to 8 hours. At the same time, it is well absorbed by the nasal mucosa, after which it enters the systemic bloodstream.

It is better not to treat yourself with this remedy; the prescription should be made by a qualified specialist.

The drug cannot be used alone

Sinusitis

For prolonged sinusitis, Dexamethasone can be used

Sinusitis is an inflammatory process that affects not only the nasal passages, but also the maxillary sinuses.

The disease is very unpleasant, accompanied by a large number of symptoms: toothache and headache, nasal congestion, pain in the paranasal sinuses.

If treatment is not started in time, pus will begin to accumulate in the sinuses, which will only intensify the unpleasant symptoms.

Otherwise, the pathology may become chronic or threaten serious complications.

Mild form - drug treatment and procedures. Severe form - surgical puncture to remove purulent masses.

If the standard set of therapeutic actions does not help, and sinusitis periodically returns or worsens, then the attending physician can prescribe these drops, which will serve as a powerful reinforcement to the main treatment.

"Dexamethasone" for sinusitis is allowed to be dripped no more than 3 times a day. The course of treatment is 7 days. The dosage is selected individually, based on the nature of the disease and its stage.

It is worth saying that many doctors prefer another form of such medications, which are more convenient to use, more effective and, importantly, safer. Dexamethasone can be replaced with any hormonal nasal spray.

Among such medications, one can highlight sprays such as Nasonex, Flixonase, and Avamys. It is better to make such a replacement on the advice of a doctor.

Runny nose

A runny nose is not an indicator for using the drug

If you have a common cold, there is no need to rush to take complex medications.

It is clear that you want to quickly get rid of this annoying and exhausting sore.

https://www.youtube.com/watch?v=nR4LQPsZIHU

However, “Dexamethasone” for a runny nose is not a solution, since the drug is very serious, like all hormonal drugs. In inept hands and ignorance of proper use, it can cause significant harm to the body.

For these purposes, there are countless means: from safe ones based on sea water or interferon, to complex combined ones that can perform several types of effects simultaneously.

The remedy in question should still be left as a last resort, when the treatment of a runny nose has been delayed and there is no improvement. But even in this case, its use is advisable after visiting a doctor.

Dexamethasone is allowed to be used to treat complex pathologies of the nasal cavity that cannot be eliminated for a long time. However, even in such a situation there must be good reasons for using Dexamethasone.

Instructions for use determine the purpose of the medication for therapy:

• inflammation of the maxillary sinus
• runny nose
• rhinopharyngitis
• hay fever with a reaction in the body that antihistamines cannot cope with.

The medicine acts within 4-8 hours, while it is quickly absorbed by the nasal mucosa and penetrates the systemic bloodstream.

Dexamethasone for sinusitis is allowed to be dripped no more than 3 times a day, and the entire course of drug therapy is no more than a week. The dosage of the medicine is selected individually by the doctor, taking into account the nature of the disease and its neglect.

With ordinary rhinitis, there is no need to use complex medications. Dexamethasone for a runny nose is not a solution, because the medication is considered quite serious, like all hormonal medications. For uncomplicated rhinitis, it is best to use safe products based on sea water or interferon. In addition, treatment can be carried out using complex combination medications that have a diverse effect on the body.

In what cases is the drug used for instillation into the nose?

The drug in the form of drops is successfully used in the ophthalmological field for the treatment of eye pathologies, namely: damage to the cornea, iritis, scleritis, conjunctivitis and blepharitis. However, the drug can be used in otolaryngology for the treatment of diseases of the ENT organs. Dexamethasone in the nose is often used in the treatment of allergic and inflammatory diseases. It is not advisable to use a hormonal remedy for a runny nose. Dexamethasone is used exclusively for the treatment of severe diseases of the nasal cavity. The hormonal drug is instilled into the nose in the following cases: severe congestion; sinusitis; vasomotor rhinitis. The product is also effective for severe nasal congestion and difficulty breathing caused by an allergic reaction. "Dexamethasone" can be used for severe allergic reactions, when there is no result against the background of long-term nasopharyngitis and rhinitis. In addition to the use of complex nasal drops with dexamethasone, it is allowed to carry out inhalation procedures with an injection solution for pharyngitis and laryngitis.

Homeopathic remedies

This is a group of modern herbal preparations with high efficiency. They thin out thick nasal discharge, speed up its release from the sinuses, stimulate the immune system, relieve inflammation and destroy viruses.

More often used:

• cinnabside, treatment with cinnabside for one month reduces the risk of the disease returning, prevents the latent course of the disease;
• sinupret;
• gelomyrtol;
• traumeel S.

The mega-popular drug Sinupret deserves special attention. Sinupret has successfully passed clinical trials and is often used in the treatment of sinusitis, in particular sinusitis, in children and adults. It is hypoallergenic, consists only of gentle substances, and significantly reduces the duration of the disease and the frequency of exacerbations of chronic sinusitis.

Note!

1. In pediatrics, any medicine used for sinusitis should be selected strictly depending on the weight and age of the child.
2. Most drugs are contraindicated during pregnancy.
3. Check the instructions for use for information about drug interactions if you are taking any medications for another disease.

Treatment of sinusitis should only take place under the supervision of a doctor. He will select the right medications, taking into account the individual characteristics of the patient. Proper treatment will help you forget about the disease and protect yourself from surgery.

Dosage and specifics of use

Dexamethasone is instilled into the nose of a child and an adult for 3-7 days. Its dosage is 1-2 drops three times a day. If there is congestion in only one nostril, the solution is not instilled into the second. Before instillation into the nasal passages, the nasal cavity must be cleared of mucus. For this purpose, you should rinse your nasal passages with saline solution. You can buy it at the pharmacy or prepare it yourself. The hormonal agent can only be instilled into the cleaned passage.

If you follow the method of using a hormonal drug for diseases of the ENT organs, you can achieve a positive result. The duration of treatment is determined by the doctor. You must strictly adhere to the prescribed dosage, since this hormonal drug and an excess of the active ingredient can cause side effects. When treating sinusitis and other purulent nasal diseases, it is not advisable to simultaneously use Dexamethasone and other medications. Only a specialist can choose the right treatment regimen. It must be remembered that the combined use of Ephedrine, Theophylline, Phenytoin, Phenobarbital with Dexamethasone will reduce the concentration of the latter. Simultaneous use with diuretics and Amphotericin B can cause heart failure in the patient.

Briefly about the drug

Suprastin is an antihistamine, which is prescribed for the treatment of a variety of allergic reactions, as well as as a preventive measure during the season of acute exacerbations.

The specificity of this antiallergic medication lies in the ability of suprastin to influence both the cough center in the brain and block H-receptors, and to have an effect on the entire peripheral nervous system.

Naturally, different doses of the drug and different administration systems are used to treat a child and an adult. An allergic cough can be relieved either in tablet form or by injection.

Contraindications

The drug "Dexamethasone" is a strong medicine, so you need to know in what cases its use is contraindicated. Hormonal medication should not be used in the following situations:

• mild form of ENT infections;
• hypertension;
• heart pathologies (arrhythmia, tachycardia);
• diabetes;
• blood and pus in sputum;
• lactation and childbearing.

An allergic reaction to the composition of the drug is also a contraindication. If there is a history of mental disorders, this is also a contraindication to the use of the medicine. The drug "Dexamethasone" cannot be used to treat minor children.

Instillation of the product into the nose of small patients is only possible after consultation with a pediatrician. In addition, Dexamethasone is often used for emergency treatment when it is necessary to eliminate an attack or get rid of a serious illness.

This medicine is not suitable for constant use and for mild inflammation. ENT doctors in some cases prescribe complex nasal drops with Dexamethasone for children. They also include other drugs, including antiseptics (Miramistin, Furacilin, Dioxidin), vasoconstrictors (Xylen, Nazivin and Galazolin), antihistamines and antibiotics. The recipe for these multicomponent drops is selected individually, many factors are taken into account, including the age of the child and the course of the disease.

Complex nasal drops with dioxidine and dexamethasone may contain:

• Antiseptic liquid, saline solution or boiled cold water.
• Pharmaceutical vasoconstrictor: “Nazivin”, “Naphthyzin” or “Galazolin”.
• Antihistamines (Diphenhydramine, Suprastin and Tavegil).
• Antibacterial pharmaceuticals (“Penicillin”, “Lincomycin”, “Cefazolin”).
• Glucocorticosteroids (you can replace Dexamethasone with Hydrocortisone, Bordisone or Prednisolone).

Also, when mixing nasal drops with dioxidine and dexamethasone, it is allowed to use essential oils, plant extracts, and vitamins in the form of solutions as additional components. These substances can have an antioxidant effect, fight inflammation and soften the nasal mucosa well.

Review of nasal drops for allergic rhinitis

Behind the wide variety of trade names for nasal drops that the average person encounters, there is a classification of all drugs according to their mechanism of action. But it is the choice of the group of the drug, and not its “brand,” that is fundamental in prescribing therapy.

Drops for allergic rhinitis are divided into:

• moisturizing;
• vasoconstrictors;
• antihistamines (this group includes the combined drug Vibrocil);
• homeopathic.

It is important to note that hormonal drops for allergic rhinitis are not available, and drugs such as Flixonase, Avamys, Nasonex, etc. exist only in spray form

Irrigating drops

This section includes children's Aqua Maris, Sialor Aqua and regular saline solution, which can be instilled using a pipette. The purpose of administration is to moisturize the mucous membrane, mechanically wash out the allergen, and reduce the intensity of swelling.

This category also includes the drug Pinosol, which softens the mucous membrane.

Antihistamines

The main topical antihistamines - Allergodil, Gistimet, Tizin Alergy - are available in the form of sprays. And among the drops there is only one drug that contains dimetindene, an antihistamine, Vibrocil. The second ingredient is a vasoconstrictor component.

So, the drops have:

• decongestant,
• antipruritic effect,
• relieve congestion and rhinorrhea.

Anticongestants

Vasoconstrictor drops are the first drug you reach for when you have a runny nose. However, it is worth remembering that these drops are not the only ones that cannot be used for longer than 10 days without getting used to it.

In addition, for allergic rhinitis they are ineffective, since they do not eliminate the cause of rhinitis and have little effect on the pathogenetic mechanism of development of the condition.

Name of the drug Sanorin Nazol Baby Active ingredient Naphazoline Phenylephrine Rules of use, dosage 1-2 drops 2-3 times a day with breaks of at least 4 hours

up to 1 year, 1 drop no more than 1 r/6 hours, 1 year - 6 years, 1-2 drops 1 r/6 hours, >6 years, 3-4 drops 1 r/6 hours

Use during pregnancy, breastfeeding In case of emergency, half dose for no more than 3 days in a row Allowed with caution for no more than 3 days in a row in a pediatric dose Use in children From 2 years Up to 6 years with caution Contraindications Chronic rhinitis, arterial hypertension, atherosclerosis, glaucoma, diabetes mellitus Hypertension, thyrotoxicosis, diabetes mellitus Price 164 rubles per 10 ml 223 rubles per 10 ml Reviews

The advantages include a quick effect, low price, and good tolerability. The downside is that it needs to be combined with irrigating preparations.

There is a long-lasting effect, the downside is the possibility of a burning sensation after instillation

Homeopathic remedies

Drugs in this group have not undergone a sufficient number of clinical trials. To be considered effective and safe.

However, they are used quite widely. Among the most popular homeopathic drops is Rinitol Edas-131. Its cost is 124 rubles for 15 ml.