Dexamethasone in child's nose
For diseases of the nose and paranasal sinuses, local medicines are most often prescribed in the form of nasal drops. However, sometimes the doctor recommends to drip medicines, in the annotations to which this method of use is absent. One of these drugs is Dexamethasone. Why does it drip in the nose, can I use it for children?
Composition and form
"Dexamethasone" is a glucocorticoid medicine, produced in solution and tablets. ENT doctors sometimes prescribe this medicine to be dripped into the nose in liquid form, which is an eye drop. It is produced in bottles with a clear yellow or colorless solution.
One vial contains 5 or 10 ml of the drug with a concentration of the active compound of 0.1%. Such an active substance is dexamethasone sodium phosphate. There is also benzalkonium chloride, edetate disodium in the solution, boric acid, sterile water and sodium tetraborate decahydrate.
How does it work?
“Dexamethasone” in drops has an anti-inflammatory effect, as 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 a counter-exudative effect by reducing the permeability of the vessel walls. The result of this effect will be a reduction in the edema of the mucous membrane and ease breathing.
Instilling "Dexamethasone" in the nose is possible with breathing difficulties and severe congestion, the cause of which is an allergic reaction. In addition, such a drug is in demand for adenoids and a prolonged run of a cold or sinusitis.It is important to remember that the medicine is hormonal, therefore, it can be dangerous to use it in childhood without a doctor's prescription.
Drip the drug in the nose is permissible only after consulting with a pediatrician. In addition, Dexamethasone is often used as an emergency aid if you need to eliminate an attack or cure a serious illness. For continuous use and for light inflammatory processes, this medication is not suitable.
In some cases, ENT doctors prescribe complex drops with Dexamethasone. They include other drugs, including antiseptics («Dioxidine», "Furacilin", «Miramistin»), vasoconstrictor drugs («Galazolin», "Nazivin", «Xylen»), antibiotics or antihistamines. The recipe for such multi-component drops is selected individually, taking into account many factors, including the course of the disease, and the age of the baby.
The drug is not used in case of intolerance to any of its components, as well as in many other serious diseases, including mental illness, renal 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.
Instructions for use
Before the introduction of the drug into the nose, the mucous membrane should be cleaned of secretions or crusts. The doctor prescribes the number of drops and the mode of their use for each child individually.
Terms of purchase and storage
Drops "Dexamethasone" are sold in pharmacies by prescription and cost from 40 to 80 rubles per bottle (depending on the manufacturer). It is possible to keep 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 of opening the bottle its contents must be used within 28 days.
On the treatment of "Dexamethasone" found a lot of positive feedback. The drug is praised for its effective and fast action, noting that it helps well in allergic diseases. If the doctor prescribed such drops, 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 drug is quickly absorbed, and there is a fairly high risk of overdose.
For this reason, they prefer drugs from the same group of glucocorticoids, but intended specifically for introduction into the nasal passages. The concentration of the active substance in such preparations is lower, which makes them safer, but does not reduce the therapeutic effect.
Other hormonal local products can be used to replace drops in the nose with dexamethasone - for example, «Nasonex», "Nazarel", "Disrinit", "Fliksonaze" or «Avamys». They are produced in the form of a nasal spray and used for allergic rhinitis, acute sinusitis, as well as chronic inflammation of the paranasal sinuses. Since their action is provided by different substances and each of them has its own peculiarities of application, the doctor should select an analogue.
Brief information about "Dexamethasone" in a small video. Visually, quickly and affordably.