Instructions for use of complex nasal ointment. Complex ointment - conclusions. Overview of antivirals

09/08/2018

Combined ointments contain medicinal substances with different physical and chemical properties, which determines their technology. The main task of the pharmacist in the preparation of the ointment is a thorough grinding medicinal substances and their uniform distribution in the base

Technology of combined ointments

In pharmacy conditions, combined ointments are prepared in one mortar, if necessary, moving the previously obtained part of the ointment to the edge of the mortar.

Combined ointments are prepared in the following order: first, an ointment-suspension should be prepared, then an ointment-solution, and then an ointment-emulsion. At the same time, taking into account the presence of the resulting combinations, a different sequence of technological operations is possible, which should be rational.

The preparation of combined ointments is regulated by the same rules by which individual types of ointments are prepared. If the composition of the combined ointment includes medicinal substances that are insoluble neither in the base nor in water, then first of all, an ointment-suspension is prepared in a mortar ().

Liquids ( Vaseline oil or melted petroleum jelly) is used to dissolve hydrophobic substances, that is, an ointment solution () is obtained.

If water-soluble substances are prescribed in the preparation, then an ointment-emulsion is prepared ().

Ointment Sunoref

For symptomatic treatment rhinitis, a combined ointment prescribed by B.S. is very effective. Preobrazhensky. Ointment Sunoref is a combination sulfa drugs and ephedrine hydrochloride, the action of which is enhanced by the presence of camphor and eucalyptus essential oil.

Sunoref ointment was produced by pharmaceutical enterprises of the former socialist countries. In our time, due to the tightening of control over drugs containing psychotropic substances, its supply to Ukraine has ceased. Therefore, the extemporaneous preparation of an emulsion-based ointment by Kutumova () remains relevant.

The therapeutic effect of the components of the ointment

Ephedrine hydrochloride- vasoconstrictor
Eucalyptus oil- bactericidal and antiseptic
Camphor- anti-inflammatory and antiseptic
Streptocid, norsulfazol, sulfadimezin- antibacterial

Preobrazhensky Boris Sergeevich(1892–1970), Soviet otorhinolaryngologist, academician of the USSR Academy of Medical Sciences, Hero of Socialist Labor. In 1914 he graduated from the medical faculty of Moscow University. During the First World War, he served in the army as a junior doctor in Moscow hospitals. Then he was in charge of the ear department of the hospital in Podolsk, worked as an intern at the 1st Gradskaya hospital, at the same time he was a privatdocent of the pediatric faculty of the 2nd Moscow medical institute, since 1936 - professor at the 3rd Moscow Medical Institute, since 1941 - head of the Department of Ear, Nose and Throat Diseases at the 2nd Moscow Medical Institute. Since 1932 he was a scientific consultant, and since 1948 - the chief otorhinolaryngologist of the Kremlin's medical and sanitary department. He became one of the victims of the fabricated "Doctors' Case", in 1953 he was released. Created a school of otorhinolaryngologists. One of the organizers of the All-Union Scientific Society of Otorhinolaryngologists, an honorary member of the Czechoslovak Scientific Society. J. Purkyne, member of the International Committee of Otorhinolaryngologists

Rp.: Ephedrini hydrochloridi 0.2
Streptocidi
Sulfadimezini
Norsulfazoli ana 1.0
Camphorae 0.06
Olei Eucalüpti gtts IV
Basis emulsionis 20.0
M. ut fiat unguentum.
D.S. Ointment for the nose

Ninel Orlovetskaya, Ph.D. farm. Sciences,
Oksana Dankevich, Ph.D. farm. Sciences,
Ruslan Redkin, Ph.D. farm. Sciences,
National Pharmaceutical University, Kharkiv

“Pharmacist Practitioner” #7-8′ 2018

Send your good work in the knowledge base is simple. Use the form below

Students, graduate students, young scientists who use the knowledge base in their studies and work will be very grateful to you.

Posted on http://www.allbest.ru/

Introduction

1.1 Technology for the preparation of complex powders

1.4 Packaging and presentation

Conclusion

Introduction

Powders - a solid dosage form for internal and external use, consisting of one or more crushed substances and having the property of flowability.

According to the dispersological classification of A.S. Prozorovsky powders are a free, comprehensively dispersed system without a dispersion medium (free, because the particles are not interconnected; comprehensively dispersed, because the particles are crushed in all directions).

Powders are among the dosage forms used around 3000 BC. e., but have not lost their significance to the present day. The amount of powders in the extemporaneous formulation of pharmacies is quite high and ranges from 20 to 40% depending on the region (city, district, region, territory) and season.

The widespread use of powders can be explained by their advantages over other dosage forms:

high pharmacological activity associated with fine grinding of medicinal substances;

ease of manufacture compared to tablets, pills;

portability and greater storage stability compared to liquid dosage forms;

the versatility of the composition, may include inorganic and organic substances, including powders of plant and animal origin, as well as small amounts of liquid and viscous substances;

dosing accuracy;

ease of use.

Powders also have a number of disadvantages:

slower action of medicinal substances compared to solutions, since the stage of absorption must be preceded by the stage of dissolution;

the possibility of changing the properties of certain substances under the influence environment as a result: loss of water of crystallization (sodium sulfate, sodium tetraborate, etc.); absorption of carbon dioxide from the air and transformation into other compounds (magnesium oxide turns into magnesium carbonate, etc.); interactions with atmospheric oxygen (oxidation of ascorbic acid) and moisture (dampening of analgin, dry belladonna extract);

some medicinal substances in the form of powders can cause irritant effect on the mucous membrane (potassium and sodium bromides), which is not observed when they are used in the form of solutions;

substances with a bitter taste, odorous and coloring are inconvenient and unpleasant to take.

It should be noted that some of the disadvantages listed can be easily eliminated by appropriate packaging of the powders. Powders are classified according to the method of application, composition and nature of dosing. transfiguration medicinal powder

Chapter 1. Classification of powders and their characteristics, requirements for powders

1.1 Powder preparation technology

All powders are classified as follows.

By application:

1. Pulveres ad usum internum - powders for internal use. These include most powders with a dosage of 0.1 to 1.0 per dose. For this group of powders, a high degree of grinding is important, providing rapid dissolution of the powder in the gastrointestinal tract or close contact with mucous membranes and a high degree of absorption.

2. Pulveres ad usum externum -- powders for external use. These include:

powders (powders) - powders of fine grinding, as they are used to treat wounds, skin lesions and mucous membranes (especially in children). Powders are prepared under aseptic conditions. They may have anti-inflammatory, drying, antifungal, cooling effects;

smelling powders, the particles of which should not penetrate the bronchi and alveoli;

powders for injection into body cavities;

tooth powders used for brushing teeth, whitening, pain relief and other purposes;

powders for the manufacture of solutions at home or in a hospital (rinses, lotions, etc.).

By composition. There are simple powders (one-component Pulveres simplices), consisting of one substance, and complex (Pulveres compositus), including several ingredients.

By the nature of dosing:

divided into separate doses (Pulveres divisi), dosing is done in a pharmacy;

undivided (Pulveres indivisi), are released to the patient in the total mass, and he independently performs dosing.

Divided powders can be prescribed in a distributive way: medicinal substances are prescribed for 1 dose, the number of doses is indicated; when calculating the total mass of medicinal substances, their quantity prescribed per dose is multiplied by the number of doses.

Dosed powders are more often intended for internal use, undosed - mainly for external use.

According to the nature of the impact on the body, powders are divided into powders of general and local action.

Depending on the grinding, powders can be large, medium, medium-fine, fine, smallest, smallest.

powder requirements.

Powders should be uniform when viewed with the naked eye. The particle size should be no more than 0.160 mm. Powders should be well dosed, free-flowing, stable during manufacture and storage. Sometimes they must be sterile.

The preparation of powders consists of the following technological operations:

calculation of the amount of powder ingredients;

weighing powders;

grinding and mixing;

dosing;

packaging and clearance for vacation;

execution of a written control passport;

powder quality assessment.

Depending on the composition of the powder, some stages may be omitted (sifting, sterilization) or combined, some are always and in any case mandatory (packaging, design). According to these factors, different requirements are placed on powders in terms of the degree of grinding, the method of preparation, packaging and dispensing.

In addition to their composition and method of administration, powders also differ from each other. state of aggregation(crystalline and amorphous), density, hardness, color, odor and other properties.

Animal powders and plant origin, as a rule, are amorphous and differ from powders of mineral origin in a lower density.

Some substances prescribed in powders change under the influence of light, oxygen, carbon dioxide and air moisture (chlorpromazine, apomorphine hydrochloride, yellow mercury oxide, cortisone acetate, etc.), hygroscopic (adrenaline hydrochloride, sodium chloride, urea, hexamethylenetetramine, etc.) , quite easily lose water of crystallization (sodium sulfate, magnesium sulfate), volatile (camphor, menthol, chloral hydrate, phenyl salicylate, etc.).

Sometimes, as a result of mixing several powdered substances, a chemical interaction between them can take place, a change in a number of the above physical properties composition, in some cases the formation of explosive mixtures, etc.

Calculation of the amount of powder ingredients. At distributive way Attribution to calculate the amount of ingredients, you need to multiply the single doses indicated in the recipe by the number of doses.

With the separation method of prescribing powders, you should take the quantities of ingredients indicated in the recipe.

Weighing out the ingredients. The calculated amounts of ingredients are weighed on hand-held scales such as BP-1, BP-5, BP-20, BP-100 or technical pharmacy scales of the VA type, depending on the weight. In accordance with the weight of the powder ingredient to be weighed, a balance should be selected that has a minimum and maximum load respectively, no more and no less than the mass of the weighed substance. Medicinal substances are weighed by pouring them directly onto the right scale pan. Medicinal substances are transferred to the scales directly from the bar, adding them in small portions.

Grinding and mixing of medicinal substances in a pharmacy is carried out in mortars or various devices that allow mechanizing the process of preparing powders. Very often, both of these technological operations are performed simultaneously.

Grinding solid medicinal substances intended for powder preparation has a dual purpose:

this is necessary for a faster and more complete achievement of the therapeutic effect;

finely ground substances mix better, stratify less when dosing, and when examining a mixture of such substances with the naked eye, individual particles of ingredients are not detected, the presence of which is completely unacceptable.

The fulfillment of all these requirements is achieved by the fact that a decrease in the particle size of a substance during grinding leads simultaneously to an increase in the surface area of the particles of this substance, which is called the total surface for short.

When calculating the total mass of powders, which include light (easy-moving, "dusty", with a low bulk density) medicinal substances, the number of the latter is doubled.

In the absence of special instructions in private pharmacopoeial articles, medicinal substances, in accordance with the requirements of SP XI, are crushed to a particle size of not more than 0.160 mm.

When mixing, fairly homogeneous mixtures are obtained when the amount of one ingredient does not exceed the amount of the other by 20 times (ratio 1:20). Therefore, when mixing at the same time, this ratio must be taken into account. If it is exceeded, the ingredient prescribed in more, in the process of preparation, are placed in the mortar first and in parts so that the ratio of 1:20 is not exceeded.

Dosing. Dividing the powder mass into individual doses is one of the critical operations in the technological process. Dosing of a mixture of medicinal substances is carried out by its mass using manual pharmacy scales. Before dosing, the entire powder is collected at the bottom of the mortar and visually checked for homogeneity. The weighing is carried out by adding the powder to the weighing pan using a capsule, a celluloid scraper or a scoop rolled out of paper.

Packing and decoration for the holiday. Powders not divided into doses are released in jars, bags and boxes; if they contain volatile, odorous, hygroscopic and weathering substances in jars sealed with corks.

The divided powders are usually dispensed in white writing paper capsules; powders with hygroscopic and weatherable substances - in waxed or waxed capsules, with volatile and odorous substances - in parchment capsules.

Hygroscopic substances are packed in waxed (charta cerata) or waxed (charta paraffinata) paper capsules, oily, volatile, odorous and adhesion-prone powders are packed in parchment paper capsules (charta pergamenta). Powders packaged in capsules are released to patients in cardboard boxes or flasks. Powders containing toxic substances are specially designed.

Preparation of the finished dosage form. In the manufacture of dosage forms according to individual prescriptions, written control passports are filled out. The passport indicates: date, prescription number, taken medicines and their quantity, number of doses; the signature of the person who manufactured, packaged and tested the medicinal product is put.

All calculations are made before the manufacture of the dosage form and are recorded on the back of the passport. The entry in the passport is made in Latin from memory immediately after the manufacture of the dosage form in accordance with the manufacturing technology. Passports of written control are stored in the pharmacy for two months.

The quality of powders is assessed according to the following indicators:

a) analysis of documentation;

b) correct packaging;

c) the correct design of the dosage form;

d) organoleptic control;

e) uniformity of powders;

e) flowability;

g) deviations in the mass of individual powders.

Konchalovsky - powders Pulveres Kontschalowsky

Theobromine sodium with sodium salicylate 0.5;

Phenobarbital 0.02;

Papaverine hydrochloride 0.03;

10 powders.

Application and doses

With spasms of blood vessels, hypertension, 1 powder 2-3 times a day.

complex powders. Basic rules for the manufacture of complex powders

Powders may consist of medicinal substances with different physicochemical properties. The quantitative ratios of ingredients in complex powders often vary widely. In this regard, in the manufacture of such powders, various tricks, providing maximum uniformity and accuracy of dosing of the mixture (see above).

It should be recalled that grinding in a mortar begins with a therapeutically indifferent ingredient (for grouting the pores of the mortar) or with the component, the loss of which during grinding is less. First, coarse-grained substances are triturated, and then finely crystalline ones.

If the ingredients in the composition of the powders are prescribed in different quantities, then the mixing begins with the preparations included in smaller quantities, gradually adding the remaining components. If available in prescription only potent substances first grind the substance prescribed in the largest amount.

Lightweight substances are introduced into the mixture last to avoid their loss due to spraying.

1.2 Basic ways to overcome incompatibility

The problem of preventing pharmaceutical incompatibility of powders is part of the general problem of drug stabilization. The main ways to prevent incompatibility:

a) the use of technological methods without changing the composition of the recipe;

b) the introduction of excipients into the prescription of the medicinal product or a change in the composition of the prescription;

c) replacement of certain medicinal substances;

d) replacement of the dosage form.

a) This method is reduced to a certain sequence of dissolution (mixing) of the ingredients of a complex preparation. For example, a certain sequence of dissolution of components is recommended in the manufacture of mixtures, which include salts of alkaloids or synthetic, nitrogenous bases (salts of weak bases and strong acids) in combination with substances with alkaline reaction environment. In some cases, it is possible to avoid precipitation of alkaloid bases if the other components are added in the form of solutions in ascending order of their pH value.

Separate dissolution of medicinal substances in the part of the solvent, their separate mixing with part of the base or other components of the drug and the subsequent combination of the parts are used to prevent incompatibility in powders, liquid preparations for internal and external use, ointments, suppositories, injection solutions, eye drops, etc. LF.

b) Most cases of incompatibility are prevented by the use of various excipients as solvents, emulsion stabilizers, antioxidants, pH adjusters, moisture absorbers, ointment bases, etc.

c) Overcoming incompatibility by replacing: KBr >NaBr; codeine > codeine phosphate; caffeine > sodium benzoate > caffeine; sodium tetraborate > boric acid; liquid phenol > crystalline phenol; eufillin > theophylline.

d) Overcoming incompatibility by replacing potions with powders; drops on medicines; powders for medicines.

1.3 Physical and chemical incompatibility and ways to overcome it

Chemical incompatibilities are such incompatibilities that are accompanied by unforeseen chemical reactions of simultaneously prescribed drugs. This type of incompatibility is based on chemical reactions of varying intensity, resulting in the formation of inactive or inactive substances, and often poisonous ones. The nature of the interaction between medicinal substances can be very different and depends on the physicochemical properties of the substances, the type of dosage form, the pH of the dispersion medium and its ability to react with medicinal substances or promote interaction reactions.

Chemical incompatibilities can be caused by a wide variety of reactions, the rate of which depends especially on the type of dosage form and temperature regime. The greatest difficulty is the preparation of multicomponent injection solutions and eye drops that require heat sterilization, which speeds up slow reactions hundreds of times and often makes combinations compatible at room temperature incompatible.

Dampness and loss of flowability of complex powders are due to two main reasons:

1) the hygroscopicity of a mixture of substances is usually greater than the hygroscopicity of its constituent ingredients;

2) release of water as a result of a chemical reaction.

The first type of incompatibility is observed when the water vapor pressure of a mixture of powdered substances becomes less than the water vapor pressure of the environment. As a result, the mixture begins to attract moisture from the air. moreover, the mixture becomes more hygroscopic than each of its components separately. The dampening of complex powders is influenced by the following factors: the moisture content of the initial ingredients, the nature of their mixing, the relative humidity of the air in the room and the packaging material. The most significant influence is exerted by the relative humidity of the air in the room. Most damp mixtures lose their flowability and are moistened at a relative humidity of 50-60% and higher.

1) Diphenhydramine

sodium bicarbonate

if diphenhydramine, sodium bicarbonate and glucose are ground in a mortar wiped with glucose, then the mass will be moistened in 10-15 minutes.

Can dampen many complex powders, which includes aminophylline (double salt of theophylline with ethylenediamine). It is hygroscopic and, when combined with acidic substances, interacts with them. At the same time, the mixtures blur and often turn yellow. Eufillin is incompatible with ascorbic acid, salts of weak bases and strong acids - diphenhydramine, dibazol, spasmolytin, etc.

To prevent dampening of powders with eufillin, it is proposed to add 3-5% of aerosil to them. The protective effect of aerosil is due to a mechanical obstacle to the interaction of reacting particles and the absorption of moisture by aerosil, which is formed during the interaction of the mixture components.

Rp.: Coffeini-natrii benzoatis 0.05

Hexamethylentetramini 0.3

Natrii salicylatis 0.5

Misce, fiat pulvis

Da tale doses no. 10

Powders prepared according to this recipe from dry ingredients are damp only the next day. If, however, hexamethylenetetramine with a moisture content of 3–5% is introduced into the recipe, then the mixture loses its flowability already in the mortar.

Rp.: Dimedroli 0.05

Natrii hydrocarbonatis 0.25

Misce, fiat pulvis

Da tale doses no. 12

signa. 1 powder 2 times a day

If diphenhydramine, sodium bicarbonate and glucose are ground in a grouted glucose mortar, then the mass will be moistened in 10-15 minutes. Since the main component that causes dampening is sodium bicarbonate, it is rational to grind diphenhydramine with glucose, and then carefully mix with sodium bicarbonate. In this case, the powders retain flowability for 3-4 days.

Rp.: Phenobarbitali 0.025

Acidi ascorbinici 0.2

Misce, fiat pulvis

Da tale doses no. 12

signa. 1 powder 3 times a day

Immediately after preparation, the powders become damp, forming a sticky mass. If, with the consent of the doctor, aminophylline is replaced by an equivalent amount of theophylline (0.12 g), the powders do not become damp within 10 days even at a relative humidity of 75--80%.

1.4 Packaging and presentation

For the packaging of dosed powders, in most cases, paper capsules are used from white smooth paper, factory-made or cut as needed (ex tempore) in the form of rectangles measuring 7.5X10 cm.

Hide if necessary bad taste drugs (such as quinine), remove the staining properties of the drug (such as methylene blue or activated carbon), to protect the medicinal substance from the damaging effects of gastric juice, metered powders are dispensed in starch or gelatin capsules, which are supplied to pharmacies as containers for medicinal substances from chemical and pharmaceutical enterprises (their production is described in part three "Technology of factory-produced drugs").

Powders packaged in capsules are released to patients in cardboard boxes or bottles. If the powder contains volatile components, it is dispensed in bottles with tightly screw caps with a polyethylene liner or in glass test tubes with a sealed stopper. Powders containing toxic substances are specially designed.

Undosed powders are released in paper bags, bags, boxes, as well as in glass, plastic and tin cans.

1.5 Ways to prescribe powders

Undosed powders are prescribed in only one way: the doctor lists the medicinal substances, indicating their mass:

No. 1. Rp.: Streptocidi

Norsulfazoli aa 1.5 Benzylpenicillini natrii 25,000 ED Ephedrini hydrochloridi 0.05

M.f. pulv. subtil.

S. Draw in or blow into each nostril 3-4 times a day

No. 2. Rp.: Magnesii oxydi 20.0

D.S. By L-lk teaspoon 2 times a day

Dosed powders are prescribed in two ways: the doctor prescribes medicinal substances total weight, and then specifies the number of doses into which they should be divided:

No. 3. Rp.: Phenobarbitali 0.12 Amidopyrini 1.8

M. f. pulv. Divide in partes aequales N. VI. S. 1 powder 3 times a day

This method of prescribing powders is called dividing, since the expression "divile in partes aequales" means "divide into equal shares" (number 6). When preparing powders prescribed by the separation method, the pharmacist must carefully check the dosage of each medicinal substance by dividing its amount by the number of doses indicated.

At present, powders are prescribed much more often in a different way - distributive.

No. 4. Rp.: Phenobarbitali 0.02 Amidopyrini 0.3 M. f. pulv. D.t. d. N. 6 S. 1 powder 3 times a day

This method of prescribing is more convenient, because the prescribed amounts of medicinal substances coincide with those usual single doses that the doctor operates in everyday work.

simple powders. Every year, single-ingredient powders take up less and less space in pharmacy formulations. If 10 years ago, simple powders accounted for about 25% of all powders produced in a pharmacy, now this amount has decreased to 10% of extemporaneous powder formulations.

The technology of these powders is very simple. Unmilled, those substances are released that the patients dissolve before use and which by their nature are quite finely dispersed (kaolin, lycopodium, starch, sodium bicarbonate, etc.). In all other cases, medicinal substances are crushed as described in the general part.

Dosed powders:

No. 5. Rp.: Streptocidi 0.5 D. t. d. No. 12

S. 1 powder 3 times a day

Streptocid is a crystalline substance, poorly soluble in water, therefore, for better absorption, the drug must be ground into a fine powder.

No. 6. Rp.: Magnesii peroxydi 0.25 D. t. d. No. 12

S. 1 powder 3 times a day

Since the drug is intended mainly to reduce the acid reaction of the contents of the stomach, it is advisable to grind it finely in order to increase the reactivity.

No. 7. Rp.: Pulv. Secalis cornuti 0.5

D.t. d. N. 12 in charta pergamenta S. 1 powder 3 times a day

Due to the poor preservation of ergot alkaloids and rancidity in it fatty oil the powder is only prepared ex tempore. They are released, as indicated in the recipe, in parchment paper capsules, since waxed or waxed paper lets fatty oil through.

Undosed powders, depending on the purpose, are released in a coarse-grained, unground state or pre-ground.

No. 8. Rp.: Natrii sulfatis 25.0

D.S. Accept at ; ed. I.I. Krasnyuk, G.V. Mikhailova. 3rd ed., revised. and additional - M., 2007

12. Workshop on the technology of dosage forms: tutorial/ I.I. Krasnyuk, G.V. Mikhailova, O.N. Grigorieva and others; ed. I.I. Krasnyuk, G.V. Mikhailova. M., 2006

Hosted on Allbest.ru

Description and composition of the Preobrazhensky ointment

The ointment includes many components that together provide a pronounced therapeutic effect. It consists of:

norsulfazol- drug with antibacterial action, is active against gram-negative and gram-positive bacteria. In its action, it inhibits the growth and reproduction of pathogenic bacteria.
Ephedrine hydrochloride- a drug that has a vasoconstrictor effect. In recent years, ointments have been made without ephedrine, it is replaced by another vasoconstrictor.
Sulfadimezin – antimicrobial agent from the group of sulfonamides.
streptocide- a well-known bactericidal agent a wide range actions.
Camphor and eucalyptus oil – herbal remedies have antiseptic and anti-inflammatory effects. In addition, the oils in the ointment prevent the drying of the mucous membranes of the nose.

All of the above components in the manufacture of the drug are added in a certain ratio, a lack or excess of one element can not only reduce the effectiveness of the drug, but also lead to side effects.

Ointment according to Preobrazhensky's prescription has the following therapeutic properties:

reduces swelling and irritation of the nasal membranes;
removes the inflammatory process;
destroys microbes and bacteria;
facilitates breathing;
moisturizes and softens the nasal membranes.

The combined mixture is often prescribed to children, pregnant women and those who are contraindicated in taking antibiotics and vasoconstrictor drops. The main advantage of the compound tool is its local impact- the content of the medicine acts only in the area of application, does not flow down the throat and does not enter the patient's stomach. The components of the composition allow you to increase the time therapeutic effect, so the mixture does not need to be applied several times a day.

Application area

Important! Only a highly qualified specialist should make the product, so doctors do not recommend making such a medicine on their own.

Instructions for use of the Preobrazhensky ointment

Instructions for Preobrazhensky's ointment are quite simple.: before applying the nasal ointment, rinse the nostrils thoroughly, if necessary, use vasoconstrictor drops. Next, you need to take cotton swabs and twist them into small thin sticks.

Gently dip each stick in the ointment, wait a bit until the medicine is absorbed into the cotton, then insert the sticks deep into the nostrils. The mixture will gradually melt and be absorbed by the nasal membranes, so it is recommended to breathe through the mouth for the first 10-15 minutes.

The course of treatment depends on the severity of the disease. Its duration is no more than 10-12 days. The instructions for use of Preobrazhensky's ointment for the nose indicate that it is better for children to apply such a remedy at bedtime, so the mixture is better absorbed and the maximum therapeutic effect is achieved.

The dosage of the drug depends on the age of the patient:

for adults - insert tampons with ointment 2-3 times a day and keep for 15-20 minutes;
for children - insert cotton swabs twice a day for 10-15 minutes or 1 time a day at bedtime.

For prevention colds in children and adults, the drug is applied once a day to the wings of the nose.

Shelf life of the medicinal mixture:

in finished form - up to 6 months;
freshly prepared mixture - no more than 10 days in the refrigerator.

Reviews of Preobrazhensky's ointment for the nose

Reviews about the use of the drug are mostly positive.

Doctors actively use the remedy in a hospital, and also prescribe treatment with an ointment at home.

There are few patient reviews about the drug, this is due to the fact that most people use nasal drops to treat a runny nose, and there are few patients who are prescribed combined drug mixtures.

Ekaterina, 28 years old, Rostov-on-Don: “We always drip drops to the child, because when the nose “flows” and swells, only they can help. Preobrazhensky's ointment was advised to us by the therapist, he said to use it instead of drops for small discharge from the nose. I smeared it several times a day, it really became easier for the child to breathe, and the nose was cleared for 4-5 hours.

Valeria, 32 years old, Tyumen: "The most cheap ointment. She saved me from tubootitis, when she did not cure sinusitis in time. Now, even with a cold, I try to get it. ”

Evgenia, 26 years old, Omsk: « good remedy, but it only helps me when I am almost “healthy” and there is no runny nose. And at the beginning of the disease, with a very stuffy nose, I only drip drops.

Thus, the compound ointment according to the prescription of Dr. Preobrazhensky is a unique drug for the treatment of the common cold. various etiologies(viral, allergic, bacterial). The main advantages of the drug are its safety, low cost, use in different population groups (children, adults, pregnant women).

The only drawback is the inaccessibility - the mixture is prepared only in the prescription departments of large pharmacies. Reviews about the drug are positive both among doctors and patients, but most people know little about this dosage form, so only a few use this mixture.

Complex ointment for the nose

Diseases of the nasal cavity of a purulent-inflammatory nature require special treatment. In otolaryngological practice, the appointment of various combined drugs. These include complex nasal ointment. In the production of pharmaceutical companies, such a tool is not produced in the final version.

It is made in a pharmacy by mixing various components, which are taken as individual drugs. A mixture of components of medicinal substances, combined in a certain ratio, ensures the achievement of the maximum effect. A complex ointment is most often used to treat sinusitis, frontal sinusitis, sinusitis.

Composition and properties

The antibacterial component is the main component of a complex nasal ointment. Without this component, it is impossible to cope with the diseases for which it is intended. This remedy can be used to treat pregnant women and children, despite the presence of an antibiotic in the composition, as this is a safer option compared to similar systemic drugs.

In the classic version, the composition of a complex nasal ointment is as follows:

Levomethicin. It is a broad-spectrum antibiotic, and is active against a variety of pathogenic microorganisms that can cause infectious and inflammatory diseases of the nasopharynx.
Dimedrol. Renders antihistamine action, eliminates swelling of the nasal mucosa.
Novocaine. It is used as a local anesthetic.
Petrolatum. Used to moisturize the nasal mucosa.
Menthol. Eliminates nasal congestion.

A complex ointment in the nose may have a different composition. For example, if a patient has an individual intolerance to Levomethicin, then it can be replaced with an antibiotic from the macrolide group - Erythromycin. A complex ointment in the nose, including such components as:

erythromycin - has an antibacterial effect;
lidocaine - eliminates soreness inside the nose;
vaseline - moisturizes the mucous membrane;
lanolin - has a softening effect;
menthol - provides free breathing.

The presence of Dimedrol in the composition should not be embarrassing, since its dose is selected in such a way that there is no side effects. Therefore, it is considered safe and can be used for children, except in cases where the patient has an individual intolerance to this component.

There is a recipe with the inclusion of silver elements, in particular, Protargol. It has a pronounced antimicrobial action and reduces signs of inflammation. Streptocide is added to the ointment containing Protargol.

Complex therapy purulent diseases nasal cavity, namely sinusitis, often includes an ointment according to Simanovsky's prescription. This remedy has an active anti-inflammatory effect. The drug has a multicomponent composition and includes lanolin, menthol, vaseline oil, cocaine hydrochloride and zinc oxide. The last 2 substances have antiseptic properties. Simanovsky's ointment eliminates nasal congestion and anesthetizes.

The use of a complex ointment helps to eliminate nasal congestion and swelling, facilitates nasal breathing reduces the severity of inflammation. If you choose and use such an ointment in the treatment of diseases of the nasopharynx correctly, you can avoid surgery. Due to its effectiveness, the product has positive reviews by the people who use it.

How is it applied?

There is no single instruction for the use of a complex nasal ointment, since it is not available as a separate drug. The doctor who prescribed similar treatment, will acquaint the patient with the features and general recommendations for its use. The ointment is applied by introducing turundas into the nasal passages.

Before proceeding directly to the use of the ointment, it is necessary to free the nasal passages from the accumulated mucus. To do this, the nose is washed with a disinfectant solution, saline solution, Furacilin, herbal decoctions. Then it is recommended to drip nose vasoconstrictor. Turundas from sterile cotton wool are plentifully dipped in ointment and injected into each nostril.

The duration of the treatment procedure depends on the age of the patient and the symptoms of the disease. It is also important to observe such a condition that when the turundas are in the nostrils, the patient must breathe through the mouth. At the end of the procedure, you can blow your nose, but gently, without zeal. Usually turundas are kept in the nasal passages for about 20 minutes.

AT rare cases adverse reactions may occur after using the ointment. They appear at the site of application of the drug:

redness;
peeling;
nose bleed.

These symptoms are more likely to occur in people who are prone to allergic manifestations. If the patient has the above symptoms, it is recommended to stop using this remedy. It is advisable to carry out before the first use allergic test: on the skin in the inner part of the arm is not applied a large number of means and a local reaction is observed within a few hours.

If itching, peeling or redness does not appear, then you can use the ointment for treatment. A complex ointment can be combined with taking other drugs, it does not have any effect on their actions. For the treatment of children, this remedy is allowed to be used only as directed by a doctor.

How to prepare a complex nasal ointment

Benefits of ointments

Use for treatment inflammatory processes nasal cavity ointments, has a number of undeniable advantages over other forms of medicines.

Due to the viscous consistency, the medicine does not get into the throat and allows you to have the maximum effect at the site of application.
The drug does not enter ear canals therefore, the use of ointments minimizes the likelihood of developing otitis media.
Most often given form drugs in their composition include components that have a moisturizing effect on the nasal mucosa, preventing drying out and the formation of crusts.

A complex nasal ointment in its composition includes substances that can eliminate or minimize the main signs of the disease. So the use of ointments allows:

cure the disease without surgery;
relieve swelling and congestion, facilitate nasal breathing;
reduce the severity of inflammation.

Main types

Based on the diagnosis, the doctor may prescribe one or another type of ointment. The main differences are in the composition of the product and the way it is used. It should also be noted that each of the types of ointments has various contraindications for use, it all depends on the components that make up the drug. That is why it is impossible to find unambiguous instructions for the use of complex ointments.

Most often included in complex means includes an antibacterial component, however, there are options made on the basis of plant components, for example, cyclamen root.

Standard Recipe

Often a complex ointment is prepared according to the generally accepted basic recipe:

vaseline oil as a base;
novocaine as a local anesthetic;
diphenhydramine, as an antihistamine component;
menthol;
Levomycetin as an antibacterial drug.

depending on the type of infection and individual features the patient's body, it is permissible to replace levomycetin with another antibacterial agent - erythromycin. In this case, a complex ointment will have the following composition:

Vaseline oil;
menthol;
erythromycin;
lanolin as a fatty base;
lidocaine, as an anesthetic component.

Recipe with silver ingredients

Often the composition of the product includes components containing silver ions, for example, protargol. Thanks to such additives, the ointment has a pronounced antibacterial effect, reduces inflammation. Products with silver ions have a composition similar to the classic version, including streptocide as an antibacterial component and protargol.

Diphenhydramine, which is part of this type of ointment, most often does not have side effects in the absence of individual intolerance. Therefore, when correct dosage and following the instructions, the use of the ointment is safe even for children.

Simanovsky's recipe

This recipe multicomponent drug used in the treatment of purulent inflammatory processes localized in the nasal cavity. The drug is prepared in special pharmacies by prescription. The composition of the Simanovsky preparation includes:

cocaine hydrochloride as a local anesthetic;
lanolin;
menthol;
Vaseline oil;
zinc oxide as a disinfectant component.

Before using the ointment for the treatment of diseases of the nasal cavity, rinse the nasal passages alternately with solutions of furacilin or chamomile, and then eliminate congestion with vasoconstrictor drugs(Nazivin, Nazol). After that, cotton turundas soaked in ointment are placed in the nostrils.

Instructions for use

If a complex nasal ointment is prescribed, instructions for use should be included with the prescription. The use of such ointments involves the following mandatory steps.

Washing the nasal passages using saline solution, a decoction of chamomile or sage, a solution of furacilin and other disinfectants.
After washing, vasoconstrictor drops are instilled into each nasal passage.
Then cotton turundas with a small amount ointment is necessary in a circular motion put in the nasal passages.

Important! The duration of exposure to the drug is determined individually, based on the type of infection, the age of the patient, the type of ointment, and individual indicators.

It should also be remembered that during the procedure you should breathe through your mouth, this will avoid the drug draining into the oral cavity.
After removing the cotton wool from the nasal passages, you must carefully blow your nose.

Features of use

Despite the fact that complex ointments contain antibiotics in their composition, which are usually prescribed only in situations where other treatment is ineffective, they are used both in pediatrics and for the treatment of pregnant and lactating women.

When the patient develops bacterial infection, inflammatory in the nasal cavity, and taking antibiotics is highly undesirable, a multicomponent ointment is more safe option treatment compared with oral antibiotics.

In pediatrics, such ointments are used only as directed by a doctor, adjusting the composition and duration of use, taking into account the age of the child and the characteristics of the disease.
Despite the components included in the composition, the use of the drug does not affect the reaction, therefore it is allowed to drive a car during treatment.
The use of the drug does not affect the work of other drugs, therefore, such ointments are prescribed in the complex treatment of diseases.

It should also be remembered that, despite the relative safety of complex ointments, there is a risk of adverse reactions. After using these funds, you can most often observe:

redness at the site of application, court;
bleeding from the nose due to drying of the nasal mucosa;
peeling and hyperemia of the skin near the nasal passages.

This kind of symptoms occur in people prone to allergic reactions. After the appearance of even one of the above signs, you should stop using the ointment and consult a doctor.

If there is no redness, itching or peeling at the site of application, then the ointment can be used in the complex therapy of an infectious disease.

Complex nasal ointment - instructions for use and general principles

Sinusitis is becoming an increasingly common group of diseases. Accordingly, all more people wish to get acquainted with the developments of medicine on the treatment of such an ailment and, one of the rather interesting questions is a complex ointment for the nose. In recent years, it has really begun to be used more often, but at the same time there are quite a lot of formulations - how specific drugs should be used and whether there are restrictions.

Complex ointment

Presented drugs for the treatment of diseases of the nose and paranasal sinuses are made according to the prescription in specialized pharmacies, but are not produced by pharmaceutical companies.

The specific is due to the fact that their composition is rather unstable - this limits the shelf life of such a medicine.

Undoubtedly, like any remedy that is a mixture, complex ointments have a fairly extensive composition, which makes it possible to achieve a certain effect. Their use gives the following positive effects:

decrease in swelling of the mucous membranes of the nasopharynx;
increased outflow of accumulated mucus in the nose;
leveling of the inflammatory process due to the influence on the pathogenic flora;
increase the chances of recovery without the use of surgery.

In addition to the above, it is also possible to indicate the factor that the use similar drugs drug exposure can avoid the use of many pharmaceuticals that have a rather strong effect on the body. This allows you to treat sinusitis and other diseases of the nasopharynx for pregnant women and children, avoiding negative effects.

Types of ointments

There is a fairly large number of varieties of complex ointments, the composition varies depending on the characteristics of the disease in each case.

The recipe for such a remedy as a complex ointment in the nose and instructions for use indicating the required dosages are determined exclusively by a specialized specialist.

Accordingly, in pharmacies where such products are made, no one provides any instructions. If we consider the most applicable compositions of such ointments, then it is possible to indicate several of the most commonly used recipes, excluding the actual dosage of each of the components:

The recipe, the composition of which is considered a classic:

Undoubtedly, quite a lot of people may be interested in the question side effects ointments mentioned above. The composition of each of them may cause some concern, but they are completely unnecessary.

If you look at the essence of the issue, then most cases of certain problems with such means are caused by two factors: individual intolerance to any of the components and violation of the recommended method of use.

General instruction

When considering the issue of the method of using medicines similar to ointments of individual manufacture, it is possible to note some general nuances. They will allow you to avoid harm as much as possible, although the instruction of a specialist is a priority. The actual rules are:

Immediately before using the ointment in the nose, it is necessary to perform a washing procedure. Specific will get maximum effect from impact.
Depending on the individual indicators may require the use of vasoconstrictor agents.
Direct application of the ointment is carried out using cotton swabs. They are lubricated with the composition, gently rotating movements are placed in the nasal passages.
To prevent the ointment from getting into the larynx, it is better to breathe through your mouth.
After removing the tampons with the agent, you should blow your nose.

From the video you will learn the recipe for an ointment that helps to cope with colds and nose diseases:

People who are prescribed a remedy of this type should also remember the factor that the time during which tampons can be in the nose is prescribed only by a specialist.

Antiseptic Complex Nasal Ointment Review

Complex nasal ointment for children and adults. Ingredients, where to buy, how much.

I have written more than once that my child is often sick. In October-November, he fell ill again. We cured the cough pretty quickly, which is rare for us ((By the way, vigorous Ascoril helped then. We went out into the garden, walked around for a week and snot again. Those who have kindergarten children will understand me (If you constantly watch at home and make you blow your nose when snot flowed a little, then no one is watching in the garden. back wall and starts coughing. In short, a vicious circle. And the problem is in the snot.

It turns out that we dripped Nazivin's nose for a week, then a few days of a break and again snot. And quite quickly they began to thicken, turn yellow, in addition, the child began to complain of pain in the bridge of the nose. I got scared and we ran to the lore. Fortunately, there was no sinusitis yet, they realized it in time. But the doctor advised putting a complex ointment in the nose. I remembered this remedy from childhood)) Then I was cured of sinusitis.

Where to buy complex ointment

But this is difficult, like the name of the ointment. You can buy it only in those pharmacies where medicines are prepared. I don’t know where, how, but we don’t have any special recipes not required. This ointment is almost always in stock.

Price 58 UAH (2 dollars, 150 rubles)

Shelf life 10 days

The composition of the complex ointment

In general, the composition may be different. The pharmacy usually asks either for a prescription, or you can choose from those that are already ready, but in any case, you need to know exactly what composition you need.

That's what was in my ointment

novocaine, chloramphenicol, diphenhydramine, menthol, vaseline

Everything seems to be. Unfortunately, I don't have a photo. You understand, it wasn’t before when you spin all day like a squirrel in a wheel with a sick child ((

I will say that, of course, at first the composition confused. But then she calmed down. Novocain relieves pain, levomycetin - inflammation, diphenhydramine - swelling, menthol breaks through a little, petroleum jelly, of course - to bring the whole thing to a homogeneous viscous consistency.

I don’t know what the ointment of my childhood was made of, and my mother, of course, doesn’t remember. He only remembers that the effect was good and the consistency was not the most pleasant)

The color of the ointment that we bought recently is light, yellowish. The ointment of my childhood was marsh-colored.

Complex ointment for sinusitis

I was 10 years old when I got a sore throat, and the sore throat gave a complication - sinusitis. And then one elderly ENT prescribed a complex ointment. I remember that my mother made me lie with turundas in my nose))

The ointment itself is rather nasty to the touch - thick, the smell is so-so, although quite tolerable. I remember that after it, sorry, the snot was brownish in color, but it flew out just like that.

Complex ointment during pregnancy

When I was pregnant for the first time, I managed to get sinusitis on early term. I was lucky with the doctor and I was cured without antibiotics by washes and cuckoos. But my grandmother, I remember, got me with this complex ointment. But the doctor then said that it was better for a pregnant woman to refrain from it. To be honest, I was even surprised that they still make such an ointment)

When I was pregnant for the second time, I again overcame my nose, I suspected sinusitis, but it turned out to be sinusitis. And again the doctor said that I didn’t need this complex ointment, it’s better without it. So I don’t recommend it to pregnant women, unless the doctor prescribes it.

Complex ointment for sinusitis in a child

Let's go back to our time and to my son, He, of course, would also need to do turundas 3 times a day, that's exactly what the lore prescribed for us. But my naughty 4-year-old child flatly refused to lie with them. Therefore, I simply collected the ointment on a cotton swab and smeared it in his nose, inside the nostrils.

How to apply a complex ointment, instructions

1. As I said above, you need to twist turundas out of cotton wool or a bandage, dip them liberally in ointment and put them in your nostrils for 10 minutes. At this time, lie quietly. If it doesn’t work with turundas, then a simple spread is enough.

2. IMPORTANT! First you need to rinse your nose with saline solution! Than you can - rinsing, spray, drops. But the bottom line is that you need to rinse and, if possible, remove the snot. And in a more or less free nose, already lay the ointment.

The effect of a complex ointment

Of course, I remembered from childhood that the ointment - effective remedy. But looking at my child, I was only surprised - the snot came out so much that I could not even think that there were so many of them! And we have a problem - he does not know how to blow his nose. Sometimes we help as an aspirator, sometimes he succeeds on his own. With this ointment, he himself coped well with blowing his nose.

Treated with ointment for 5 days. On the second day, the snot became less, they began to lighten. By the fifth day, they were practically gone. For a few more days, saline was used.

Ointment all, of course, we did not use. But I usually do not throw away such funds until the expiration date. And this time, she was right. My husband got sick and his nose was constantly stuffy. We decided not to buy anything new, but to smear the rest of the ointment on it) An adult can lie with turundas, albeit only a couple of times a day. And it really helped. The rest of the ointment was enough for my husband's nostrils for three days, but that was enough. During this time, the snot became liquid and disappeared completely in a couple of days.

Complex ointment - conclusions

So what do we have? Complex ointment helps with a bang, the effect is excellent.

The disadvantages include the fact that it is difficult to buy it. For example, we need to go to a pharmacy, which is inconveniently located. And also the fact that she is quite fat, she smears everything, in the sense of smearing. But I can’t lower the score for this, because these are such trifles when sinusitis or sinusitis has already begun.

I will refer the composition to the controversial points. However, I don't think it's terrible. After all, we do not eat this ointment with spoons. We use it for 5 days, locally. So, the effect of it is much more important than the mythical harmfulness.

For the treatment of various pathological processes accompanied by the development of purulent inflammation in the nasal cavity, a complex ointment can be prescribed. Most often, a complex nasal ointment is prepared in a pharmacy, since pharmaceutical companies do not produce this kind of drugs. This tool is a mixture of various components, combined in a certain ratio to achieve maximum therapeutic effect.

Benefits of ointments

The use of ointments for the treatment of inflammatory processes in the nasal cavity has a number of undeniable advantages over other forms of medicines.

Due to the viscous consistency, the medicine does not get into the throat and allows you to have the maximum effect at the site of application.
The drug does not enter the ear canals, so the use of ointments minimizes the likelihood of developing otitis media.
Most often, this form of medication in its composition includes components that have a moisturizing effect on the nasal mucosa, preventing drying out and the formation of crusts.

Complex in its composition includes substances that can eliminate or minimize the main signs of the disease. So the use of ointments allows:

cure the disease without surgery;
relieve swelling and congestion, facilitate nasal breathing;
reduce the severity of inflammation.

Main types

Based on the diagnosis, the doctor may prescribe one or another type of ointment. The main differences are in the composition of the product and the way it is used. It should also be noted that each type of ointment has various contraindications for use, it all depends on the components that make up the drug. That is why it is impossible to find unambiguous instructions for the use of complex ointments.

Most often, the composition of the complex agent includes an antibacterial component, however, there are options made on the basis of plant components, for example, cyclamen root.

Standard Recipe

Often a complex ointment is prepared according to the generally accepted basic recipe:

vaseline oil as a base;
novocaine as a local anesthetic;
diphenhydramine, as an antihistamine component;
menthol;
Levomycetin as an antibacterial drug.

Depending on the type of infection and the individual characteristics of the patient's body, it is permissible to replace levomycetin with another antibacterial agent - erythromycin. In this case, a complex ointment will have the following composition:

Vaseline oil;
menthol;
erythromycin;
lanolin as a fatty base;
lidocaine, as an anesthetic component.

Recipe with silver ingredients

Diphenhydramine, which is part of this type of ointment, most often does not have side effects in the absence of individual intolerance. Therefore, with the correct dosage and following the instructions, the use of the ointment is safe even for children.

Simanovsky's recipe

This prescription of a multicomponent preparation is used in the treatment of purulent inflammatory processes localized in the nasal cavity. The drug is prepared in special pharmacies by prescription. The composition of the Simanovsky preparation includes:

cocaine hydrochloride as a local anesthetic;
lanolin;
menthol;
Vaseline oil;
zinc oxide as a disinfectant component.

Before using the ointment for the treatment of diseases of the nasal cavity, it is necessary to alternately rinse the nasal passages with solutions of furacilin or chamomile, and then eliminate congestion with the help of vasoconstrictor drugs (Nazivin, Nazol). After that, cotton turundas soaked in ointment are placed in the nostrils.

Instructions for use

If a complex nasal ointment is prescribed, instructions for use should be included with the prescription. The use of such ointments involves the following mandatory steps.

Washing the nasal passages using saline, chamomile or sage decoction, furacilin solution and other disinfectants.
After washing, vasoconstrictor drops are instilled into each nasal passage.
Then cotton turundas with a small amount of ointment must be placed in a circular motion in the nasal passages.

Important! The duration of exposure to the drug is determined individually, based on the type of infection, the age of the patient, the type of ointment, and individual indicators.

It should also be remembered that during the procedure you should breathe through your mouth, this will avoid the drug draining into the oral cavity.
After removing the cotton wool from the nasal passages, you must carefully blow your nose.

Features of use

In the event that a patient develops a bacterial infection that causes inflammation in the nasal cavity, and antibiotics are highly undesirable, a multi-component ointment is a safer treatment option compared to oral antibiotics.

In pediatrics, such ointments are used only as directed by a doctor, adjusting the composition and duration of use, taking into account the age of the child and the characteristics of the disease.
Despite the components included in the composition, the use of the drug does not affect the reaction, therefore it is allowed to drive a car during treatment.
The use of the drug does not affect the work of other drugs, therefore, such ointments are prescribed in the complex treatment of diseases.

It should also be remembered that, despite the relative safety of complex ointments, there is a risk of adverse reactions. After using these funds, you can most often observe:

redness at the site of application, court;
bleeding from the nose due to drying of the nasal mucosa;
peeling and hyperemia of the skin near the nasal passages.

This kind of symptoms occur in people prone to allergic reactions. After the appearance of even one of the above signs, you should stop using the ointment and consult a doctor.

If there is no redness, itching or peeling at the site of application, then the ointment can be used in the complex therapy of an infectious disease.

Against viruses, antibiotic treatment is useless, which is why an antiviral nasal ointment is used. Viruses are non-cellular life forms and only show signs of life when they enter the host.

Features of using ointment for the nose

The use of antiviral nasal ointments has a number of advantages and disadvantages due to the use of such a dosage form of the drug.

The main benefits are:

Due to the consistency, the drug will not be able to drain down the throat, but will act at the site of application.
The tool will not be able to get into the auditory canals and provoke an inflammatory process in them.
The basis of ointments always contains components that are able to nourish and moisturize the nasal mucosa, avoiding its drying out.
The special base allows the ointment to stay on the mucosa much longer than drops, and therefore the effect of the ointment becomes longer, which increases the effectiveness of the product.

Despite the obvious advantages, the use of antiviral ointment also has certain disadvantages:

The impossibility of complete treatment of the entire surface of the nasal mucosa, which leads to the fact that the agent acts only at the site of application.
The use of cotton swabs to apply ointment to the mucous membrane in the depth of the nasal passages is not recommended - this can lead to injury.
Excessively oily texture long time not be removed from the nose even after the end of the action of the medicinal component - this can become a breeding ground for pathogenic microorganisms.

Prevention and treatment of influenza

Influenza is a viral disease that can be fatal if infected by an overly weakened person and if left untreated. Therefore, in the season of exacerbation of the disease, in order to avoid infection, preventive measures can be taken.

To prevent infection with the influenza virus, oxolinic ointment and ointments containing viferon are used.

These ointments should be applied to the nasal mucosa before leaving the house. When using these agents, the viruses that settle on the mucosa cannot enter the body and cause infection.

Often you should not use these funds - this is due to the peculiarities of the active components of the ointment. So, for example, oxolinic ointment contains tetraoxo-tetrahydronaphthalene, which has a drying effect. Vaseline, which is part of the composition, does not have a moisturizing effect - it simply retains moisture at the site of application.

If you abuse the use of such an ointment, you can dry out the nasal mucosa, which can lead to a decrease in its natural protective properties.

Fighting herpes

Absolutely anyone can become a carrier of the herpes virus, but not everyone can manifest the disease. This is due to the individual susceptibility of the organism to the virus.

Often the nose becomes the site of localization of the virus. Such vesicles usually differ from the vesicles on the lips - they are covered with a denser shell, itching is more pronounced and appearance look like small abscesses.

Also, herpes can be localized near the nose - such rashes will not differ much in appearance from a rash on the lips.

In general, when nasal herpes occurs, specialized treatment may not be required if the immune system is strong enough. However, medications can be used to speed up healing and achieve remission more quickly.

If we influence the place of localization on early stages diseases, there is a chance to suppress the disease at an early stage.

For drying, zinc ointment can be used.

Treatment is carried out using ointments based on acyclovir:

Zovirax;
Acyclovir;
Panavir.

To soften and accelerate healing, sea buckthorn and rosehip oils can be used, which also have an excellent antiseptic effect.

Treatment of runny nose and colds

To cure inflammation of the mucous membranes of the nose, in addition to complex treatment ointments are used. The local effect of the ointment directly at the site of the localization of the disease helps to achieve a therapeutic effect faster.

For the treatment of the common cold can be used:

Antiviral agents that are made on the basis of interferon, for example, Viferon ointment.
It is also possible to use oxolinic ointment for the treatment of the common cold.
In addition to antiviral ointments for a cold, antiseptic, combined and homeopathic remedies can be used.

Antiseptics include:

Vishnevsky ointment;
tetracycline ointment;
Betadine.

Ointments have a combined effect:

Levomekol;
Pinosol;
zinc ointment.

Homeopathic preparations usually do not contain active medicinal components and are used to relieve symptoms:

balm "Asterisk";
ointment "Doctor MOM";
ointment "Brionia".

Such ointments are used only on the skin - it is not recommended to apply them to the mucous membrane, as they can cause a burn.

Overview of antivirals

Most often, antiviral ointments are used for the nose, which have a combined effect and are effective in the treatment of not only viral, but also bacterial diseases.

Complex nasal ointment

This is an ointment that is made directly in the pharmacy.

It usually contains:

diphenhydramine;
novocaine;
menthol;
Levomycetin.

The basis for such an ointment is most often vaseline. She has high efficiency in the event of frontal sinusitis or sinusitis.

However, this ointment has one significant drawback - it must be stored only in the refrigerator and no more than 10 days.

Application of complex ointment:

does not provoke addiction;
causes constriction of the vessels of the nasal mucosa;
relieves the feeling of congestion;
the ointment does not dry out the mucous membrane.

According to the instructions for use, a complex ointment in the nose should be applied two to three times a day (depending on the concentration of active substances and the severity of the disease). After applying the ointment to the nasal membrane, the effect appears within a few minutes.

Effective ointment of Preobrazhensky

As part of the Preobrazhensky ointment, a large number of active ingredients:

streptocide;
sulfadimezin;
ephedrine hydrochloride;
norsulfazole;
camphor and eucalyptus oils.

This makes it a fairly effective treatment for viral infections.

has a vasoconstrictive effect;
helps relieve the symptoms of a runny nose;
acts as a powerful antiseptic.

Contraindications to the use of ointment are:

hypertonic disease;
heart damage;
hyperthyroidism;
sleep disorders;
atherosclerosis.

With an overdose of active ingredients, an increased nervous excitement, circulatory disorders.

Means based on interferon

Viferon is one of the most popular ointments with interferon in the composition. Extremely effective in the treatment of viral and microbial diseases. Active ingredients also help restore and strengthen local immunity.

Proven drug Levomekol

Popular combined remedy which contains methyluracil and chloramphenicol. It has a pronounced healing and antimicrobial effect. The ointment is effective in diseases of a viral nature.

Cannot be applied:

children under 6 years old;
pregnant women;
lactating women.

This is due to the presence of chloramphenicol in the composition.

Advantages and disadvantages compared to other forms of medication

First you need to say that an experienced and competent doctor will prescribe an ointment for sinusitis. Here's the thing, aerosols and drops are much more convenient to use. Moreover, the effectiveness of the ointment is much inferior to these forms, although their composition may be the same. Some say that ointments can be bought cheaper, but the difference in price is so small that this fact should not be taken into account at all.

The first step is to understand the shortcomings, because their number makes the scales lean in their direction.

We list the main disadvantages of this form:

Most of the ointments produced are very greasy in consistency. Therefore, when applied to the skin, they close the ciliated epithelium, thereby delaying harmful secretions in the nose. But this factor is not something terrible, since few people will be able to smear the entire surface of the nasal cavity with ointment.
Ointment will not be able to treat the entire inflamed area. After applying ointment to your finger, try to insert it into your nose as deeply as possible, most likely it will be very inconvenient and ineffective, and even more so in the case of children. Of course, you can use cotton buds to get to the right places, but most likely it will be unpleasant and even painful.
It is possible to prepare a mixture based on essential oils, but they are contraindicated in children and pregnant women.
Complex ointments are very effective, but it is very difficult to prepare them at home. This is due to the composition, the right ingredients are difficult to get.

Now we can talk about positive aspects, or even about the side, because of the positive you can find only one. Due to its composition and properties, the ointment cannot enter the throat or stomach. Because of this, ointments are popular in the treatment of children. There is even an opinion that the use of an ointment as an antiviral agent can prevent the agent from entering the ear cavity.

Needless to say, complex ointments against viruses cannot be used. They can, only when treating a patient in a hospital, and the drug is applied using the right device, these procedures give a good effect.

Not taking into account the very large distribution of antiviral ointments, not everyone has the desired effect. That's why the best option will - use medicines in the form of drops or sprays. Since their treatment will give much great results. It is allowed to use complex ointments only after consulting a doctor in a hospital, only in this case you can see good results.

Help of folk remedies for this pathology

Since ancient times, sinusitis has been treated with laundry soap, which was considered almost a real source of life.

Many recipes have been invented that have been passed down through many generations, capable of curing a large number of diseases. One of these diseases is sinusitis, it is very common and quite difficult to treat.

Laundry soap ointment. It helps people very effectively in the treatment of sinusitis, consider the recipe, all the ingredients described must be taken in the same amount:

onion juice;
beet;
dark laundry soap;
propolis tincture;
unrefined oil.

All this in a water bath must be boiled and mixed. The recipe couldn't be easier. For even more efficiency, you can enter about 3 drops of squeezed radish, then screw tampons with ointment into your nose for 10 minutes. This procedure should be done for 5 days.

Ointment from laundry soap with onions.

Required Ingredients:

soap;
baking soda.

It is required to mix all the components and apply to the inflamed area or dip the turundas from the nose for 15 minutes.

Ointment with celandine and aloe, based on laundry soap. Highly effective remedy from sinusitis, helps to heal in as soon as possible, recipe:

aloe juice;
celandine juice;
laundry soap;
black radish juice.

All components must be mixed with a blender, boiled and left to infuse for a day. After that, it is required to soak the turundas with ointment and insert into nasal cavity for 20 minutes. Treatment should continue for about a week.

Treatment with ointment for crusts in the nose

To date, doctors cannot give an exact answer why a crust forms in the nose. For a simple reason, this problem is very little studied. Many disagree, some believe that the problem lies due to congenital defects in the nasal cavity. It is believed that the cause may be an increased width of the nostrils and poorly developed paranasal sinuses, as a result of which crusts can form.

To treat this problem, special ointments and oils are usually used, which have the function of softening the crust, this helps it to lag behind and peel off. But such drugs in no case can contain corticosteroids, or substances that will irritate the nasal mucosa or dry it. The most ideal option is sea buckthorn or even apricot oil. You can drip your nose with them, or you can moisten cotton swabs in oil and insert them into the nasal openings, and walk with them for at least half an hour.

If the cause of the appearance of crusts in the nasal cavity is a dry mucous membrane, the ointments will be very effective way treatment. Experts advise using the "Rescuer" or "Flemming" ointment. At the same time, it is necessary to additional actions, for example, rinse the nose, and smear the mucosa with ointment before going to bed and after waking up. In just a week you will feel a positive result, the crusts will most likely leave you, and your breath will become pleasant and clean.

In addition, a new injection containing aloe extract can help with the problem of crusts in the nose. You need to use it for a month, 1 milliliter daily.

Ointment for blackheads on nose

The best remedy for acne and pimples on the nose is - Ichthyol ointment. In the process of treating all the hated black spots and inflammation on the skin, the main thing is to stop the spread harmful bacteria to healthy areas.

This ointment is very affordable and is not in short supply in pharmacies, it is also a proven remedy that has healing and antiseptic properties. In addition, it has an anti-inflammatory effect for some bacterial groups and fungi. The mother consists of medical vaseline and ichthyol - a product of the distillation of shale rocks. Ointment can be used in the following cases:

Instructions for use of complex nasal ointment. Complex ointment - conclusions. Overview of antivirals

Technology of combined ointments

Ointment Sunoref

The therapeutic effect of the components of the ointment

Send your good work in the knowledge base is simple. Use the form below

Similar Documents

Description and composition of the Preobrazhensky ointment

Application area

Instructions for use of the Preobrazhensky ointment

Reviews of Preobrazhensky's ointment for the nose

Complex ointment for the nose

Composition and properties

How is it applied?

How to prepare a complex nasal ointment

Benefits of ointments

Main types

Standard Recipe

Recipe with silver ingredients

Simanovsky's recipe

Instructions for use

Features of use

Complex nasal ointment - instructions for use and general principles

Complex ointment

Types of ointments

General instruction

Antiseptic Complex Nasal Ointment Review

Complex nasal ointment for children and adults. Ingredients, where to buy, how much.

Benefits of ointments

Main types

Standard Recipe

Recipe with silver ingredients

Simanovsky's recipe

Instructions for use

Features of use

Features of using ointment for the nose

Prevention and treatment of influenza

Fighting herpes

Treatment of runny nose and colds

Overview of antivirals

Complex nasal ointment

Effective ointment of Preobrazhensky

Means based on interferon

Proven drug Levomekol

Advantages and disadvantages compared to other forms of medication

Help of folk remedies for this pathology

Treatment with ointment for crusts in the nose

Ointment for blackheads on nose