Which nasal rinsing sprays to choose?


In late autumn and winter, a seasonal epidemic of colds, acute respiratory viral infections and respiratory diseases begins. People try to get rid of a runny nose with nasal rinsing sprays. These medications clear the airways in the nose and help get rid of a runny nose. You can find many different nasal sprays in pharmacies. It is very important to choose the most effective and healing one.

Application

The drug is available for purchase in the pharmacy chain, so anyone can use it. But if treatment of respiratory pathology is necessary, then it is impossible to do without the intervention of a doctor. Like no one else, he will conduct high-quality diagnostics and determine the advisability of using drugs. Moreover, a spray with sea water is one of the components of the treatment, and what other products are needed will become clear after the consultation.

Method of use

Aqua Maris Plus spray is used intranasally. Before administering the solution, it is recommended to clear the nasal passages (blow your nose), remove the cap from the bottle and press the dispenser several times until a stable aerosol is obtained. Then the tip is inserted into the nostril and the required number of injections is made. The dosage is determined individually - taking into account the age and purpose of using the spray (shown in the table).

The duration of treatment is determined by the doctor, but if for an acute condition it is up to 10 days, then for chronic pathology a longer treatment will be required (up to a month). In the second case, the course can be repeated after a break. And for preventive purposes, the spray is used for a longer period of time.

Side effects

The spray is tolerated very well by patients. In some cases, allergic reactions can be expected. But there is a risk of their development in patients with the corresponding mood of the body - altered sensitivity to substances contained in the solution. No other side effects were noted during the use of the medicine, nor was there an overdose.

The drug has a very high safety profile, as evidenced by the minimum possible side effects.

How to apply sprays

The spray is very easy to use. After washing and blowing your nose, you need to close one nostril with your finger and inject the spray into the second, then repeat this procedure with the other nostril.

A small child should be placed on his side and the medicine should be injected several times into the nostril that is at the bottom. After 5–10 minutes, you need to turn the baby over on the other side and drip the drug into the other nostril.

The medicine should be used until the runny nose goes away completely.

Nasal sprays are very effective and safe; they contain only proven beneficial ingredients. They are inexpensive and are sold in every pharmacy.

Indications for use

  • for the treatment and prevention of atrophic and subatrophic rhinitis;
  • for cleansing and moisturizing the nasal mucosa in inflammatory diseases of the nasal cavity, sinuses and nasopharynx, including pregnant women and during lactation;
  • in the complex therapy of allergic and vasomotor rhinitis (especially for persons predisposed or suffering from hypersensitivity to drugs, including pregnant women and during lactation);
  • patients suffering from dry nasal mucosa and persons living and working in rooms with air conditioning and/or central heating, in order to preserve the physiological characteristics of the nasal mucosa in altered microclimatic conditions;
  • people whose mucous membrane of the upper respiratory tract is constantly exposed to harmful influences (smokers, vehicle drivers, people working in hot and dusty workshops, as well as those living in regions with harsh climatic conditions);
  • for elderly people to prevent age-related atrophic changes in the nasal mucosa.

Composition and properties

Nasal sprays containing saline solution have been around for decades. They contain additional substances that speed up healing.

Healing properties of nasal sprays:

  • cleanse the nose of mucous secretions;
  • relieve inflammatory processes;
  • improve a person's overall well-being.

Some drops for a runny nose constrict small blood vessels. This may cause your nose to feel extra dry. Sprays moisturize the sinuses well and relieve discomfort.

The main component and basis of all sprays is saline solution or sea water, which has many healing properties. It heals scratches and cracks, relieves swelling and inflammation, and has a beneficial effect on mucous membranes. Sea water is rich in useful substances: it contains iodine, sodium, chlorine and other minerals.

The saline solution is a 0.9% sodium chloride solution. It effectively flushes out all pathogenic microorganisms from the nasal sinuses and relieves swelling. Saline solution in its pure form helps perfectly in the first days of a runny nose.

Action

It is quite natural that the effects of the drug are due to its composition. Water cleanses the nasal passages well of mucus and foreign particles (germs, dust, allergens). It moisturizes the epithelium and nourishes it. The mucus thins and the secretion of goblet cells is normalized.

Microelements contained in the saline solution stimulate the activity of ciliated cells, which means they enhance the protective properties of the mucous membrane against pathogens. The regenerative potential of the epithelium increases, and thanks to trophic support, damage heals faster.

Dexpanthenol, as mentioned above, is a derivative of vitamin B5 (pantothenic acid). This is the main part of coenzyme A, an essential substrate for various metabolic chains. Therefore, it helps to normalize metabolic processes in the cells of the mucous membrane, softens it, increases regenerative properties, and even has some anti-inflammatory effect.

Thanks to the inclusion of dexpanthenol in the spray, the therapeutic effects of the drug are enhanced, which allows you to quickly cope with a runny nose.

Contraindications

The drug should not be used if you are aware of intolerance to individual components. In addition, contraindications include children under 1 year of age. But doctors sometimes ignore this prohibition and prescribe Aquamaris Plus to infants; in this case, the dosage may be reduced. The spray is not considered a toxic drug, so the ban on the use of the medicine in infants may be due to the lack of sufficient practice in treating such patients with sea water.

Aquamaris Plus is a relatively safe medicine, but you can start using it only as prescribed by a doctor.

Instructions for use of Aqua Marisa Plus

pharmachologic effect

Aqua Maris Plus is a sterile isotonic solution containing sea water and dexpanthenol.

Dexpanthenol is a derivative of pantothenic acid. Pantothenic acid, a water-soluble B complex vitamin, is an integral part of coenzyme A. Dexpanthenol stimulates the regeneration of the mucous membrane, normalizes cellular metabolism, and has a regenerative and weak anti-inflammatory effect.

When injected into the nasal cavity, Aqua Maris Plus moisturizes the mucous membrane, stimulates regeneration and has a trophic effect on the cells of the nasal mucosa. The drug helps to liquefy mucus and normalize its production in the goblet cells of the nasal mucosa.

The trace elements included in the drug improve the function of the ciliated epithelium, which increases the resistance of the mucous membrane of the nasal cavity and paranasal sinuses to the introduction of pathogenic bacteria and viruses.

"Humer"

A medicinal preparation made from isotonic sea water helps both adults and infants from 1 month. It can be used by pregnant and nursing mothers. “Humer” is an excellent drug for the prevention of any disease that causes nasal congestion. It will protect against viral and bacterial infections, as well as allergic manifestations.

Sprays for the treatment of runny nose have a simple composition and have a gentle effect on the nasal mucous membranes. They relieve nasal congestion and saturate the sinuses with micronutrients. The small bottle is convenient to carry with you.

Pharmacokinetics

Release form, composition and packaging

Nasal spray

in the form of a colorless, odorless, transparent solution.

Excipients

: dexpanthenol 75L (not less than 75% dexpanthenol)* - 1.33 g, purified water - 73.67 g. Does not contain preservatives.

30 ml - dark glass bottles (1) with a spray device and a protective cap - cardboard packs.

* Dexpanthenol 75L is an aqueous solution containing at least 75% (R)-panthenol stabilized with approximately 1% D-pantolactone.

Dosage regimen

For medicinal purposes:

- children aged 1 to 7 years: 4 times/day, 2 sprays into each nasal passage;

- children aged 7 to 16 years: 4-6 times/day, 2 injections into each nasal passage;

- children over 16 years of age and adults: 4-8 times a day, 2-3 sprays into each nasal passage.

The course of treatment in all cases is 2-4 weeks (at the discretion of the attending physician). It is recommended to repeat the course in a month.

For preventive purposes:

- children aged 1 to 7 years: 1-3 times/day, 1-2 sprays into each nasal passage;

- children aged 7 to 16 years: 2-4 times/day, 2 injections into each nasal passage;

- children over 16 years of age and adults: 3-6 times a day, 2-3 sprays into each nasal passage.

Overdose

No cases of overdose have been reported.

Drug interactions

Since the drug does not have a systemic effect on the body, no interactions with other drugs have been noted.

Possible simultaneous use with other drugs used to treat rhinitis.

Indications

- for the treatment and prevention of atrophic and subatrophic rhinitis;

Aqualor or Aquamaris which is better?

Aqualor is the closest substitute drug for Aquamaris in composition, which differs slightly in price - the original is 40 rubles cheaper.

Manufacturers use sea water as active substances: Aqualor contains Atlantic water.

The active component is diluted to isotonic concentrations and sterilized.

Sea water is rich in salts and microelements, zinc, magnesium, iodine, selenium. There are no preservatives or dyes in the composition.

Aqualor, like Aquamaris, is presented in several forms:

  • Baby – recommended for newborns.
  • Soft (from six months) - helps to cope with dry nose and allergic runny nose.
  • Norm (from six months) – prescribed as part of a comprehensive treatment of colds.
  • Forte (from 12 months) – helps to cope with severe nasal congestion.
  • Extra Forte (from 2 years) – for prolonged and chronic runny nose.

However, the Aqua Maris line is wider and includes Aqua Maris Plus with additional dexpanthenol content, as well as Aqua Maris Ectoin, which is prescribed for allergic rhinitis.

The indications, contraindications and therapeutic effect of the drugs are similar; both solutions are equipped with comfortable, safe physiological tips.

A suitable dosage form is selected taking into account the patient’s age: drops are prescribed for infants, sprays and aerosols are prescribed for adults. Good tolerability is noted; in rare cases, the development of allergies has been reported.

Aqualor is a more profitable analogue in terms of volume and shelf life. The manufacturer suggests using Aqua Maris for 100 days, while Aqualor can be used until the expiration date of the bottle with the solution.

"Aqualor"

The bottle with the nozzle is very convenient; you can take it with you to study or work. "Aqualor" contains sea water and useful components for moisturizing the mucous membranes of the nasal cavity. It is absolutely harmless, does not cause allergies, so it can be used to treat small children.

Types of the drug:

  1. “Baby” - spray or drops for babies;
  2. “Soft” - useful for eliminating allergy symptoms, does not irritate mucous membranes, and moisturizes dry skin. The composition includes sea water (isotonic), so the drug has a gentle effect on the sinuses.
  3. "Forte" - a drug based on hypertonic sea water is necessary for the treatment of severe runny nose and infectious diseases. The medicine is prescribed to children over 2 years of age.
  4. "Extra Forte" - a spray with a hypertonic solution of sea water contains chamomile and aloe extract. Thanks to its composition, it destroys infection and strengthens the immune system.

Depending on the age and well-being of the patient, you can choose the most suitable type of Aqualor.

Safety of Aquamaris during pregnancy

Aquamaris isotonic solution in the form of drops and spray is recommended for pregnant women during colds, exacerbation of chronic runny nose or manifestations of allergic rhinitis.

As for sinusitis and other sinusitis, in this case Aquamaris during pregnancy is one of the safest remedies, often allowing the treatment of these serious diseases to be reduced to local therapy. The gentle and effective action of the Aquamaris solution has become the reason for its enormous popularity.

During pregnancy, Aquamaris is best used in the form of a milder isotonic solution, but if necessary, you can use the “Strong” version or the hypertonic “For the throat” version.

Aquamaris instructions for use

For adults

Aqua Maris sprays are used during periods of illness or exacerbation of allergies 4-6 times a day. As a general rule, when nasal congestion occurs, you should first relieve swelling of the mucous membrane with a vasoconstrictor and only then rinse. This rule does not apply to Aquamaris for the throat and ears.

As a prophylactic agent, Aqua Maris sprays are used depending on the need and type:

Sprays for the nose and throat – 1-2 times a day; ear spray – 2 times a week or less.

Instructions for use of Aquamaris do not limit the period of use (except for Strong spray). Despite the fact that these products are exclusively natural in their composition, they should not be used constantly unless necessary.

For children

The Croatian manufacturer produces a separate children's Aquamaris baby, which differs from the adult version of Norm in its small volume and a nozzle that is more convenient for insertion into a child's nose. Spray "baby" is indicated for use in children from 3 months. Aquamaris baby has no fundamental difference in composition.

Starting from 2 years of age, the manufacturer recommends using standard sprays aimed at adults. In accordance with the instructions for use of Aquamaris, children can use the products in this series as often and in dosages similar to adults.

Aquamaris for newborns

For the hygiene of newborns' noses, starting from the first day of life, the company Jadran Galenski Laboratories produces special drops for regular care and prevention of runny nose.

During pregnancy

Aqua Maris, as well as its analogues - Aqualor, Dolphin, Quix - is an ideal remedy for mitigating the symptoms of rhinitis in pregnant women. In case of heavy nasal discharge, it safely cleanses the nose and gently stimulates the immunity of the nasal mucosa, naturally increasing the body's defenses. For nasal congestion, Aquamaris Strong with an anti-congestant effect is the only alternative to unauthorized vasoconstrictor drops.

When breastfeeding

All products in the Aqua Maris series are completely natural and can be safely used by breastfeeding women without any restrictions.

"Marimer"

If nasal congestion does not go away for a long time, or your nose is constantly running, you need a strong cleansing spray. A liquid containing sea water is useful not only for diseases. "Marimer" can be used in a number of cases:

  • for prevention if there is a high risk of contracting respiratory infections;
  • during spring flowering, when there is a lot of pollen (a potential allergen) in the air;
  • if there is a lot of dust or moisture in the air;
  • after procedures and operations.

Marimer can be given to children. It is very important to strictly follow the instructions and not exceed the dosage.

Description

The active ingredient of the medicine is isotonic sea water. The medicine is sold from pharmacies in the form of a spray. “Aquamaris” with dexpanthenol contains such useful substances as:

  • potassium;
  • magnesium;
  • chlorine;
  • sulfur.

The drug is supplemented with additional components:

  • water;
  • dexpanthenol.

“Aquamaris” with dexpanthenol is produced in sterile dark glass bottles, thirty milliliters each. Each tube is equipped with a sprayer, which is tightly closed with a plastic cap.

The shelf life of the drug is twenty-four months. Once opened, it only needs to be used for sixty days. The medication should be kept in a cool and dark place, preferably in the refrigerator.

Before each use, the can should be warmed in your hands to room temperature.

"Aquamaris Plus"

Dexpanthenol and isotonic sea water are the active ingredients of the drug. You can rinse your nose with it 8 times a day (but not more often) for 30 days.

Useful properties of Aquamaris Plus:

  • heals injuries of the nasal mucosa;
  • useful for sinusitis;
  • relieves inflammation;
  • effective for the prevention of sinusitis and rhinitis.

The medicine can be used by absolutely all patients, even small children, as well as pregnant and nursing mothers.

Contraindications

Aquamaris, which does not contain additives, is absolutely safe and has no contraindications for use, including during pregnancy. You should follow the doctor's recommendations and the instructions in the medication instructions and do not use the spray (use may cause injury to the mucous membrane or other complications) to treat children under one year of age.

You cannot use Aquamaris Plus if you are hypersensitive to the substance d-panthenol. Side effects (usually complications in the form of eustachitis) are possible only if the drug is used incorrectly. To prevent this from happening, it is necessary to follow the rules of instillation for young children, and if necessary for very old children, use a special device that prevents the solution from entering the Eustachian canal - Aquamaris home.

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