Antibiotics And Drops In The Ears For Otitis Media

2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43

Antibiotics and drops in the ears for otitis media

Otitis media is an inflammation that forms in one part of the ear. The disease is widespread in all age groups.

An otolaryngologist, or in other words, an ENT doctor, is engaged in the competent therapy of the disease. Local treatment of the disease consists in the use of special ear turundas impregnated with special medicines, drops, and also compresses. As a rule, in parallel with local treatment, the doctor prescribes broad-spectrum antibiotics for the patient, the so-called universal antibacterial drugs.

Content:

• List of ear drops from otitis media

  • Ear drops "Anauran"
  • Drops for ears "Sofradex"
  • Ear drops "Otipax"
  • Drops for ears "Otinum"
  • Normax (norfloxacin)
  • Drops for ears "Otofa"
  • Candibiotic

• Antibiotics for otitis media

  • Amoxicillin
  • Ampicillin trihydrate
  • Ciprofloxacin
  • Netilmicin

• Drops from otitis media for children

  • Neladex
  • Ciprofarm
  • Miramidez
  • Is otitis media treated without antibiotics?
  • Choosing an effective and safe drug
  • Method of application and duration of treatment

List of ear drops from otitis media

There are 3 groups of ear drops that are effective in fighting otitis media:

• Combined. They are based on glucocorticoids (polydex, garazone, sofradex, dexon, anauran).
• Drops, which contain one anti-inflammatory substance, the so-called monopreparations (otinum, otipax).
• Antibacterial drops (cypromed, otofa, fugetin, normax).

Ear drops "Anauran"

Anauran - antibacterial ear drops of complex effects from an Italian manufacturer. They are used in the case of an inflammatory process in the middle ear, in acute, as well as chronic otitis media. The medicine is injected into the ear with a special pipette. The drug helps to actively fight otitis media in adults (five drops in the morning and evening) and babies (three drops in the morning, lunch and evening). For women in position and for children under one year old, drops are prescribed extremely rarely, only in case of urgent need. Side effects from using the drug: peeling at the site of application of the drug, itching and burning sensation. The risk of developing other side effects is very low due to the small amount of medication used.

pros

Anauran effectively and quickly eliminates ear pain, relieves inflammation and promotes the resorption of pus. A few days after the start of treatment, you can forget about otitis media.

Anauran not only has an analgesic effect, it fights the cause of inflammation in the ear, namely, the bacterial flora. This is very important, because an excessively large accumulation of pus in the middle ear is dangerous by a breakthrough of the tympanic membrane and its spread to the cerebral cortex.

Another plus of the drug Anauran is that it acts locally, that is, it works only in the ear. In this case, the antibiotic does not enter the body.

The preparation contains broad-spectrum antibiotics - Polymyxin B sulfate and Neomycin sulfate. They are active against most gram-positive and gram-negative bacteria. With the help of ear drops, you can suppress the growth of fungi, staphylococci and streptococci.

The analgesic effect of Anauran is achieved due to Lidocaine, which is part of the drops. This is a time-tested anesthetic that relieves pain quickly and efficiently.

Anauran has many positive reviews from people who have used it for the treatment of acute and chronic otitis media. The drug is often prescribed by doctors to treat postoperative suppurative complications of the hearing organs.

The drops do not require any thorough preparation before using them. It is enough to clean the ear with a cotton swab dipped in hydrogen peroxide. For better processing, cotton wool can be left in the ear for 5 minutes.

It is convenient to use a bottle with a medicine, as it is equipped with a special dispenser, which allows you to accurately count the number of drops. As a rule, one package is enough for a full course of treatment for both children and adults. Children are instilled 2-3 drops, 3-4 times a day. Adults are instilled 4-5 drops 2-4 times a day. For pregnant women, only a doctor can choose the dosage.

The medicine has a thick consistency, so it is applied to the ear while lying down. Then, for a certain time, it is necessary not to change the position so that the drug is evenly distributed over the membrane. If a person does not have time for this, then you can apply drops on a cotton tourniquet and insert it into the ear canal. Thus, it will be possible to relieve acute pain and it will be possible to visit a doctor on your own.

The advantage of Anauran drops is that they have a rather long shelf life, which is 3 years and do not require placing them in the refrigerator. The drug can be stored in a home medicine cabinet at room temperature. It is noteworthy that even after opening, Anauran retains its therapeutic effect for another 3 months.

Minuses

Anauran is not a completely harmless drug and can only be used as directed by a doctor. Drops are used with caution to treat children and pregnant women.

Drops cannot be used simultaneously with drugs such as Gentamicin, Amikacin, Streptomycin, Monomycin, Netilmicin.

Another disadvantage of Anauran is the inability to use it in all patients. The fact is that drops have certain contraindications. Among them: age under one year, the period of pregnancy and lactation (prescribed extremely rarely).

The use of drops can provoke the development of allergic reactions. An allergy can be suspected by itching in and around the ear, the skin of the outer ear may turn red and peel off. In this case, you cannot continue to use the drops.

Anauran is not instilled into the ear if the eardrum has ruptured. This is dangerous by the development of inflammation and the spread of the drug to the auditory nerve.

Another disadvantage of drops is that viruses and bacteria can develop resistance to it. Although most often this happens with too long a course of treatment. Therefore, it is not recommended to use the drug for more than a week.

Drops for ears "Sofradex"

Sofradex - ear drops for the treatment of otitis media with an antibacterial component in the composition. They are used not only in otolaryngology, but also in ophthalmology. This drug has an effective anti-inflammatory, anti-allergic and antibacterial effect. The recommended dose in cases of otitis media is 3 drops four times a day. It is strictly forbidden to exceed this norm. Side effects from the use of Sofradex drops are local allergic reactions (painful sensations in the ear canal, itching, burning). Contraindications: the drug is not recommended for use by pregnant and lactating women, children under one year old, people with renal or hepatic insufficiency.

pros

The first advantage of Sofradex drops is that it is a combined action drug. Therefore, if after the treatment of otitis media, drops remain in a person, then they can be used to get rid of sinusitis, adenoids, barley and other diseases of the eyes or nose.

It is noteworthy that drops are produced by such a well-known pharmaceutical corporation as Sanofi, which has been operating in this market for several decades.

The undoubted advantage of Sofradex drops is the presence in the package of a special pipette, which is put on the bottle with the drug. This allows you to accurately dose the drug.

The advantage of Sofradex drops is their complex effect on the sore ear. So, the drug acts as an anti-inflammatory, antibacterial and antihistamine agent. As a result, pain disappears in a person, swelling and itching in the ear decreases, bacteria that caused the disease die.

The components included in the drug (Gramicidin and Framycetin) are able to destroy even such dangerous pathogens of infection as Staphylococcus aureus, Streptococcus and E.coli.

Due to Dexamethasone, an antiallergic effect is achieved, the severity of inflammation decreases, swelling subsides and pain goes away. This is very important for otitis media, since the pain is sometimes quite intense.

Separately, it is worth noting such a positive effect from the use of drops as the elimination of ear congestion.

Another advantage of the drug is the possibility of using it for the treatment of otitis media not only in adults, but also in children. This is very important, since it is in childhood that otitis occurs especially often. However, there are some nuances here. If the drug is directly instilled into the ear for an adult, 2-3 drops in each passage, and then closed with cotton wool, then the drug should be administered to children a little differently. So, drops are applied to a cotton turunda, which is carefully inserted into the ear canal. Turundas are changed every 3 hours.

The advantage of the drug Sofradex in the treatment of otitis media is that it practically does not cause side effects, subject to the dosage and timing of treatment.

Minuses

The disadvantage of drops is their short shelf life, which after opening the bottle is only 30 days. After this time, the unused part of the drug must be disposed of.

Another disadvantage of the drug is that bacteria are able to develop resistance to its components. Therefore, it is not recommended to continue treatment for more than 10 days. If you use the drug for 14 days, then the risk of a fungal infection increases significantly, which is associated with an imbalance of the microflora in the ear.

The disadvantages of Sofradex drops include the fact that they are capable of provoking the occurrence of unwanted reactions. It can be an allergy with redness and itching of the skin.

Although ear drops are approved for the treatment of children, the drug can be used under the age of one year only under medical supervision. It is strictly forbidden to use them for the treatment of otitis media, accompanied by a violation of the integrity of the tympanic membrane. This can lead to the drops falling into the middle ear and in the future the person will develop persistent hearing impairment in the form of hearing loss.

Ear drops "Otipax"

Otipax - ear drops with Lidocaine and Fenazone. They have a pronounced analgesic and anti-inflammatory effect. Recommended for use by adult patients, including pregnant women, as well as children. Most effective at the very beginning of the development of the disease. Side effects include an allergic reaction to the drug lidocaine. Also, the disadvantages of this drug include the lack of a local antibacterial component in it.

pros

The main advantage of the drug is that it effectively and quickly eliminates pain in otitis media, and also relieves inflammation in the ear. It can be used to treat otitis media and suppurative otitis media with an acute or chronic course, as well as for the treatment of eustachitis.

Another advantage of the drug is that it can be used to treat children. Moreover, pediatricians and pediatric otolaryngologists most often prescribe Otipax for otitis in a child. The components included in its composition act in a complex manner, which allows you to get rid of the disease in the shortest possible time. Otipax can be used to treat even newborn babies.

The speed of achieving an analgesic effect when using Otipax drops is very high. So, the pain almost completely disappears after 15-30 minutes.

The drug is absolutely safe for the treatment of not only adults but also children, since when used topically, it does not enter the systemic circulation.

The drug is very convenient to use, as the medicine bottle is equipped with a transparent long pipette. Therefore, a person sees how many drops he injects into the ear. It is recommended to instill 3-4 drops in each ear canal, 2-3 times a day.

The drug, when used correctly, does not give side effects, but before using it, you need to consult a doctor. Before instillation, the drug must be held in the palms of your hands to warm it.

Otipax can be used to treat nursing and pregnant women, which is its undoubted advantage.

Another advantage of Otipax drops can be considered their long shelf life after opening the bottle. So, the unused substance will need to be disposed of only six months later from the moment the integrity of the package was violated.

The drug can be used in combination with other drugs, since there is no data on its interaction.

Otipax drops do not require compliance with a certain temperature regime for storage, so they can be taken with you to work or on a trip, which is very convenient. The main thing is that the ambient temperature does not exceed +30 ° C.

Minuses

The drug can not be used alone, without a preliminary medical examination. This is very important, since when the tympanic membrane is perforated, the drops can penetrate into the deep parts of the ear and cause damage to the auditory nerve, which will further lead to the development of hearing loss.

Sometimes allergic reactions occur on Otipax, which is also a disadvantage of this drug. Therefore, if you experience a burning sensation or itching in the ear, you must stop using it and consult a doctor.

The drug should not be used for more than 10 days, as this threatens the development of an addictive organism. As a result, the effect cannot be obtained.

The drops lack an antibacterial component, which can also be attributed to disadvantages.

Drops for ears "Otinum"

Otinum are ear drops from the NSAID group. Recommended for patients with middle ear inflammation. The optimal dose of medication is three drops three times a day. The occurrence of allergies during the use of Otinum is very rare. These drops are not recommended for use by patients with disorders in the tympanic membrane. This is due to the fact that salicylic acid in the composition of the drug, when it comes into contact with the damaged surface, can provoke hearing impairment.

pros

The main advantage of the drug is its pronounced analgesic and anti-inflammatory effect. It also acts as an antiseptic, combating fungi and microbes. Thus, we can conclude that Otinum is a drug with complex effects.

It is noteworthy that drops can be used to treat not only otitis media, but it is also prescribed for other infectious diseases of the middle ear, mucous membranes of the oral cavity and nasopharynx. The drug quickly helps to get rid of sulfur plugs. Due to its antiseptic properties, Otinum is used to cleanse the ears of children. All these qualities can be attributed to the advantages of the drug.

The bottle with drops is equipped with a dispenser, so it will be easy to instill the drug in the ear canal. Moreover, the drug should be dispensed in drops (4 drops, 4 times a day).

The advantage of the drug is that it can be used to treat children, but only after the age of one year.

Minuses

Otinum is not used for more than 10 days, as hearing impairment is possible, which is a disadvantage of the drug.

The disadvantages of the drug can also be attributed to its weakly expressed anesthetic effect. Otinum relieves pain, but in moderation.

Another disadvantage of the drug is its short shelf life. So, after opening, Otinum can be used only for 28 days, but no more. Therefore, if a person has an unused substance, he will have to dispose of it. There will be no effect of treatment with an expired drug.

It is worth noting another drawback of drops: they can be used to treat only a limited group of patients. Otinum should not be used in children under one year old, in pregnant women and nursing mothers.

Otinum is not a drug for self-medication. It is important that a doctor examines the patient and makes sure that the eardrum of the ear canal is not damaged. Otherwise, the drug can provoke the development of hearing loss.

The last minus of drops is the presence of side effects, including: allergic reactions, acute rhinitis, urticaria, bronchial asthma, nasal polyps.

Normax (norfloxacin)

Normax - antibacterial ear drops belonging to the group of fluoroquinolones, which has a wide antibacterial area of action. Drops are effective in the fight against otitis externa, otitis media, which are chronic or purulent. Side effects include small rashes on the skin, unpleasant itching and burning sensations at the place of use of the medicine, Quincke's edema. The development of any allergies while taking the drug implies an immediate cessation of its use and a visit to a doctor.

pros

The main advantage of Normax drops is that they have a pronounced antibacterial effect and help to effectively fight various gram-positive and gram-negative bacteria.

Another advantage of Normax drops is that they are used not only for otitis media, but also for eustachitis, to prevent ear infections after surgery, or after removing a foreign body from the ear canal. That is, Normax is a drop with high antibacterial activity.

Conveniently, there is a plastic dropper cap in the package with drops, which allows you to dispense the drug without problems. This is important because the maximum single dose is only 1-2 drops. It is noteworthy that the cap can be removed and disinfected.

The drug is easy to take with you and use outside the home, since it does not require maintaining a certain temperature regime even after opening the bottle.

Minuses

The main disadvantage of the drug is its toxicity, although insignificant.

Another disadvantage of the drug is that it cannot be used to treat children and adolescents under the age of 18. Also, the drug is not prescribed for pregnant and lactating women.

The disadvantages of Normax drops are that they cannot be combined with physically and chemically unstable drugs with a pH of 3-4.

A significant disadvantage of Normax drops is the presence of contraindications, including: allergic reactions, including Quincke's edema, headaches, sleep disturbances, dizziness, increased irritability, nausea, heartburn, diarrhea and abdominal pain.

The last disadvantage of Normax drops can be considered a short shelf life after opening, which is only a month.

Drops for ears "Otofa"

Otofa - antibacterial drops from the rifamycin group. A very effective antibacterial drug used in the case of acute and chronic diseases of the middle ear. Drops have a wide area of action and can be used in case of perforation (violation of the integrity) of the tympanic membrane. The drug has no analgesic properties, is not recommended for use by pregnant women and during lactation.

pros

The main advantage of Otofa drops is that they have a broad spectrum of antibacterial activity. Thanks to this, otitis media is treated quickly and efficiently.

The bottle is equipped with a convenient pipette that allows you to accurately dose the medicine.

The drug has a minimal set of side effects, which is its undoubted advantage. Only in rare cases does it cause allergic reactions.

Another positive property of drops is that they are practically not absorbed into the systemic circulation when used topically. This means that the drug is harmless to children and pregnant women. However, it is necessary to consult a doctor before starting treatment.

Separately, it is worth noting such a plus of drops as their long shelf life. It is three years old. In this case, the drops remain usable throughout the specified time, regardless of whether they were opened or not. This means that the drug can be reused.

Another advantage of Otof's drops is that they can be used for perforating the eardrum.

Minuses

The disadvantage of Otofa drops is that they are not able to reduce pain in otitis media, since they do not contain either an anesthetic or anti-inflammatory component.

The disadvantages of the drug include the fact that they are not allowed to be used to treat pregnant and lactating women.

The drug should not be used for more than 7 days, as bacteria will develop resistance to it.

Another disadvantage of the drug is that it leaves yellow stains on clothing.

Candibiotic

Candibiotic is a drug for the complex treatment of otitis media. Drops effective in the fight against otitis media and otitis externa. The medicine contains a number of substances effective in the treatment of otitis media: beclomethasone dipropionate, lidocaine hydrochloride, chloramphenicol, clotrimazole. The last antifungal element, clotrimazole, is an important feature of this drug. Side effects include the possible occurrence of allergic reactions. Not recommended for use by pregnant women, women during lactation, and children under 6 years of age.

pros

The main advantage of the drug is that it contains all the components that are necessary for the effective treatment of otitis media. Thanks to chloramphenicol, an antibacterial effect is achieved, since this substance has a wide spectrum of action and is active against both gram-positive and gram-negative bacteria. There is a glucocorticosteroid in the drops, which has an anti-allergic and anti-inflammatory effect.

During treatment with Candibiotic, a fungal infection will not develop, since the drug contains Clotrimazole, which effectively fights against mycotic microorganisms. This is another advantage of the drops.

Another plus of the drug is the rapid elimination of pain. This is possible due to the fact that Candibiotic contains Lidocaine, which is a strong anesthetic.

It is very convenient that the drug is equipped with a pipette that allows you to dose the drug.

A significant advantage of Candibiotic drops is that they can be used in combination with other drugs. In addition, the drug can be treated for two years, this is its shelf life. It does not matter whether the integrity of the medicine bottle has been compromised.

Minuses

A significant disadvantage of the drug is the presence of side effects, among which allergic reactions are most common.

Also, the disadvantages of Candibiotic drops include restrictions on their use. The drug is not used for the treatment of pregnant and lactating women, as well as for the treatment of children under 6 years of age.

Self-administration of the drug is unacceptable, since it cannot be buried in case of violation of the integrity of the tympanic membrane. Therefore, the patient's ear must be examined by a doctor.

Antibiotics for otitis media

In order to achieve the most positive effect of treatment, it is recommended to combine ear instillation with antibiotics. At the same time, antibacterial drugs, like drops in the ears, are prescribed exclusively by a doctor after a thorough examination of the patient and his diagnosis. Which medicine will be prescribed depends on the localization of the inflammatory phenomenon in the ear.

In the fight against acute otitis media, medications are involved:

• Amoxicillin is a universal antibiotic with pronounced bactericidal and antibacterial properties. The capsules of the drug are used on the recommendation of the attending physician, as a rule, three times a day after meals. The average duration of taking the medicine is 7 days. Possible negative consequences caused by the drug are the manifestation of allergies, the occurrence of superinfections.
• Ampicillin trihydrate is an antibacterial drug that belongs to the group of semi-synthetic penicillins. Release form - capsules, powder, tablets. Not recommended for pregnant women, nursing mothers, patients with renal insufficiency. Also, the drug can provoke the appearance of allergic reactions, headaches, diarrhea. Very rare, but still recorded cases of anaphylactic shock.

To combat chronic otitis media, the following are involved:

• Ciprofloxacin is a universal antibiotic that belongs to the fluoroquinolone group. Quite common in the practice of doctors in many European countries. The medicine should not be taken by children and pregnant women. The use of the drug during lactation implies the abolition of feeding for the period of taking the drug. Possible side effects: insomnia, fatigue, diarrhea, urticaria, nausea, dizziness, candidiasis, tachycardia.
• Netilmicin is an antibacterial drug belonging to the aminoglycoside group. Method of application - local ear injections. The duration of taking the drug is determined by the attending physician and directly depends on the degree of development of the disease (on average, no more than 14 days). Possible side reactions are various manifestations of allergies. The medicine is not recommended for use by the elderly, pregnant women, and lactating women.

Do not forget that all of the above drugs can provoke dysbiosis, in this regard, it is recommended to use probiotics in parallel with antibiotics.

Amoxicillin

Amoxicillin is a broad-spectrum antibiotic that is effective against most bacteria that cause otitis media. It belongs to the antibiotics of the penicillin series.

pros

Amoxicillin is a time-tested antibiotic. It is a safe drug that is widely used in pediatric practice. Otolaryngologists also often recommend using it for the treatment of chronic and acute otitis media in children and adults.

Another advantage of Amoxicillin is the possibility of its use for the treatment of otitis media in children. For pregnant and lactating women, the drug is prescribed with caution.

The advantage of Amoxicillin in the treatment of otitis media is that it needs to be taken only three times a day, since the drug has a prolonged bactericidal effect.

Conveniently, you can select the appropriate form of the drug for different ages. So, the drug is available in powder form for the preparation of a suspension, in the form of tablets and capsules.

Minuses

A significant drawback of Amoxicillin in the treatment of otitis media is that many strains of bacteria have developed resistance to it and do not respond to therapy. As a result, it will not be possible to get rid of the disease.

Another disadvantage of Amoxicillin is the presence of contraindications to its oral administration. For example, it is not prescribed for bronchial asthma, for severe infections of the gastrointestinal tract, for allergic diathesis and for other diseases.

It is worth noting separately such a lack of Amoxicillin in the treatment of otitis media, as the likelihood of side effects. After all, the drug will have to be taken orally, which means that it will have a systemic effect on the entire body. Possible undesirable effects include severe allergic reactions, various disorders of the gastrointestinal tract.

The drug is able to interact with other drugs and lead to the development of serious complications. So, when combined with Metronidazole, the development of vomiting, anorexia, hepatitis, etc. is possible. Therefore, its independent use is unacceptable. You must first consult with a doctor.

Ampicillin trihydrate

Ampicillin trihydrate is an antibacterial drug with a wide spectrum of action. Ampicillin trihydrate belongs to beta-lactam penicillins. With otitis media, it suppresses the synthesis of bacterial cell walls, which provoked the development of the disease.

pros

The drug has a wide spectrum of action, therefore it can help with otitis media caused by gram-positive and gram-negative strains of bacteria. This is its main advantage. If the pathogenic flora is sensitive to the drug, then the patient's condition improves after a day. The drug is used to treat acute purulent and prolonged chronic otitis media.

The second significant advantage of Amoxicillin is that it can be used to treat children over the age of 4 years. As for pregnant women, the drug is prescribed to them only if absolutely necessary.

The third advantage of the drug is its low price. So, tablets can be purchased for 65-100 rubles.

Minuses

One of the disadvantages of the drug is that it is not effective against penicillin-forming bacteria, since it itself is destroyed by the action of penicillinase. Therefore, treatment may not be effective.

Another drawback of the drug is the presence of an extensive list of side effects. Treatment of otitis media may be accompanied by the development of allergic reactions, fever, joint pain, eosinophilia. Manufacturers of the drug do not exclude that the patient may even have anaphylactic shock. This also includes nausea, vomiting, dysbiosis, pseudomembranous colitis, interstitial nephritis and some other complications.

The third drawback of Ampicillin trihydrate is its drug interaction with other drugs, against which side effects may increase. For example, the likelihood of a skin rash increases with the simultaneous use of Ampicillin with Allopurinol. The toxic effect of Ampicillin is enhanced when combined with Probenecid.

Ciprofloxacin

Ciprofloxacin is an effective antibiotic fluoroquinolone for the treatment of otitis media. The drug belongs to a broad spectrum of antimicrobial agents. The drug acts on the bacteria that cause otitis media in such a way that they disrupt the synthesis of cellular proteins and DNA replication, as a result, the microorganisms die.

pros

The main advantage of the drug Ciprofloxacin is that it quickly and effectively kills the bacteria that cause otitis media. The drug equally destructively affects not only the pathogenic flora at rest, but also multiplying microorganisms. Due to this, the therapeutic effect is achieved very quickly.

Another advantage of the drug is its increased activity against gram-negative bacteria, since Ciprofloxacin belongs to the second group of fluoroquinolones.

It should be noted such a plus of Ciprofloxacin, as the presence of various dosage forms. It can be used for parenteral administration and taken orally. Moreover, Ciprofloxacin is successfully used to treat the elderly with concomitant diseases.

It should be noted such an important advantage of the drug as its high bioavailability when taken orally. The drug is generalized exactly in the place of inflammation, due to which the recovery from otitis occurs very quickly.

It is necessary to note such a plus of the drug as its low price. It varies from 21-30 rubles.

Minuses

A significant disadvantage of the drug Ciprofloxacin is that it is not effective against gram-positive microbes and against microbes resistant to methicillin. Therefore, if otitis media is caused by this group of pathogenic microorganisms, then the therapeutic effect will not be achieved.

Another disadvantage of Ciprofloxacin is the presence of side effects. Most often they are expressed in disorders of the digestive tract and central nervous system, allergic and phototoxic reactions. But the incidence of most adverse reactions does not exceed 10%.

It is worth noting such a lack of Ciprofloxacin as the tendency that has emerged in recent years towards the development of resistance to the drug of staphylococci and gram-negative bacilli. Therefore, if there is no effect in the treatment of otitis media with Ciprofloxacin for 3 days or more, it is necessary to change the antibiotic.

To the disadvantages of the drug, it is necessary to add the fact that it cannot be used to treat children, therefore, it is not used in pediatric practice to get rid of otitis media. It remains a reserve drug exclusively used for severe life-threatening infections. Do not prescribe the drug to pregnant and lactating women.

Netilmicin

Netilmicin is an antibacterial drug belonging to the aminoglycoside group. Its effectiveness in otitis media is achieved by inhibiting the normal protein synthesis of sensitive flora.

pros

The main advantage of the drug Netilmicin comes down to its fast and powerful bactericidal effect on the body.

The antibiotic has a wide spectrum of action, rarely causes allergic reactions and has a detrimental effect not only on bacteria in the resting phase, but also on multiplying microorganisms. All these characteristics are very relevant for the treatment of purulent otitis media.

Another plus of the drug Netilmicin is that it belongs to the third generation aminoglycosides. It is distinguished by a higher antibacterial activity and a wider spectrum of antibacterial action in comparison with drugs of previous generations. To him, resistance of clinical strains of microorganisms is less often observed.

Netilmicin can be used to treat children after 3 years of age. It is prescribed with caution to the elderly.

The drug can be combined with Cephalosporins and Penicillins.

Minuses

The main disadvantage of Netilmicin is that it can only be administered parenterally.

Another drawback of the drug is its high price. The cost of one package is 400 rubles and more.

The third disadvantage of Netilmicin is the presence of an extensive list of side effects. Disorders from the central nervous system, from the kidneys, digestive organs, liver and cardiovascular system are possible. Also, the development of allergic reactions, Stevens-Johnson syndrome and toxic epidermal necrolysis is not excluded. Therefore, Netilmicin is not the first choice for otitis media. It cannot be used to treat pregnant and lactating women with auditory neuritis.

Self-medication with Netilmicin is unacceptable, since it interacts with other drugs, which leads to a mutual increase in the side effects of the drugs. For example, an increase in the nephrotoxicity of a drug occurs when it is simultaneously administered with drugs such as: Methotrexate, Vancomycin, Acyclovir, Tenofovir, etc.

Drops from otitis media for children

Neladex

Neladex - drops from otitis media for children, containing an antibacterial and anti-inflammatory component. It contains Neomycin, Polymyxin B and Dexamethasone.

pros

The drug has an important advantage - with otitis media, it is able to have a complex effect. After instillation, the inflammatory process quickly subsides due to the glucocorticosteroid included in the composition, and antibiotics at the same time effectively fight against the bacterial flora that caused otitis media. Since the drops contain two antibacterial components with different mechanisms of action, the pathogenic flora is completely destroyed.

Another plus of the drug is its low absorption when applied topically. This means that the main active ingredients will not enter the bloodstream and will not have a systemic effect on the body as a whole.

The drug is often prescribed for the treatment of bacterial otitis media, since it is with local instillation in the ear that side effects do not develop.

The drug can be used to treat children, but only over 12 years old.

Minuses

The main disadvantage of the drug is that it does not contain an anesthetic component, and with otitis media, the pain is quite intense.

After using Neladex drops, there is a risk of developing a fungal infection, which often happens when using drugs containing a glucocorticosteroid and an antibiotic. Therefore, it is possible that the addition of antifungal drops to the ear will be required.

After opening the drug, its shelf life is only a month, which can also be attributed to the disadvantages of drops.

Another drawback of Neladex is that it cannot be used to treat pregnant and lactating women. Do not use it for viral and fungal ear diseases, as well as against the background of tuberculosis.

It is unacceptable to use the drug Neladex for self-treatment, since if the integrity of the tympanic membrane is violated, the risk of toxic effects on the vestibular and hearing apparatus increases.

Ciprofarm

Tsiprofarm - ear drops with an antibacterial effect. The drug belongs to the group of fluoroquinolones. The drug that is part of the drops effectively inhibits the growth and division of bacterial cells that cause otitis media.

pros

The main advantage of Ciprofarm drops is effective treatment of otitis media, provided that it is caused by gram-negative strains of bacteria that are resistant to other antibiotics.

The advantages of the drug include the fact that it acts locally, is not absorbed into the systemic circulation, and extremely rarely provokes the development of side effects.

The undoubted advantage of Ciprofarm drops is that it accumulates in the ear tissues and cleanses them of pathogenic microorganisms.

The price of the drug is not high and is about 100 rubles, which is also an advantage of Ciprofarm drops.

Minuses

One of the disadvantages of Ciprofarm is that anaerobic bacteria are resistant to it, viruses and fungi are not sensitive. Therefore, you need to make sure that the otitis media was caused precisely by gram-negative flora, or by those bacteria that are sensitive to this type of antibiotic.

The drug does not contain anti-inflammatory and analgesic components, so there will be no quick relief. However, if the flora reacts to drops, then the improvement can be noticed already 6-8 hours after the first installation.

The disadvantages of the drug include the fact that there is a risk of side effects, including: allergic reactions, ringing in the ears, soreness of the eardrum, itching in the ear canal.

Also, the disadvantages of the drug include the fact that it cannot be prescribed for the treatment of children under the age of 15 years, for the treatment of pregnant and lactating women.

Miramidez

Miramidez is an antiseptic solution based on miramistin. This antiseptic acts on the lipids of the membranes of microorganisms and destroys them, which contributes to the disinfection of the ear in case of otitis media.

pros

The main advantage of the drug is that it acts selectively, destroying the cells of pathogenic microorganisms, but does not affect the membranes of human cells.

Another plus of Miramidez is that it effectively fights not only bacteria, but also fungi, viruses and even hospital infectious strains.

An important advantage of the drug is its ability to have an anti-inflammatory effect. It strengthens local immunity, activates regeneration processes.

The drug is not absorbed into the systemic circulation, it has an exclusively local effect. Therefore, it is allowed to be used to treat children over a year old. After consulting a doctor, the drug can be used to treat pregnant and lactating women.

The drug has practically no contraindications for use, with the exception of individual intolerance. This can also be attributed to its pluses.

The shelf life of the drug is three years, it can be used throughout this time, regardless of the date of opening the package.

Minuses

Miramidez does not have an anesthetic component in its composition, therefore, it will not be possible to eliminate pain in otitis media with its help.

Miramidez is more often used in combination with other antibacterial drugs for the treatment of otitis media, and not as a mono-agent, since its main purpose is antiseptic treatment.

Another disadvantage of the drug can be considered that after using it, a burning sensation may appear. However, after 15-20 seconds it should disappear.

Is otitis media treated without antibiotics?

Otitis media is a general name for a list of inflammatory processes in the ear cavity. In this case, both viruses and bacteria or fungi can become the cause of the disease.

Most often in children, otitis media occurs as a result of a cold, ARVI. And in the case when the bacterial environment also joins this disease, the recommendations for taking antibacterial drugs are quite logical and justified. However, the doctor must first figure out which pathogen is the cause of the inflammatory process.

One of the most common among children is acute purulent otitis media. Even then, doctors do not always prescribe an antibiotic.

According to statistics, the use of antibacterial drugs is justified only for 1% of children.

Choosing an effective and safe drug

As a rule, when otitis media occurs in infants, antibacterial drugs are prescribed immediately.

Especially if the following symptoms are observed during the diagnosis:

• acute painful sensations, sharply negatively affecting the sleep and eating of the baby;
• high temperature;
• pallor of the skin and other characteristics.

Most often, in acute otitis media, it is impossible to identify the pathogen that provoked the disease.

The most common semisynthetic drug with an extensive range of action is amoxicillin. The drug has a reasonable price, is available in capsules, tablets, and, which is especially important for parents of small children, in syrups.

Amoxicillin is found in flemoxin solutab, amosin, augmentin and amoxiclav. The last two drugs are almost identical. In their composition, they contain not only amoxicillin, but also clavulanic acid, which enhances the effect of the main active ingredient. However, almost a third of the bacteria known to physicians are resistant to the effects of amoxicillin on them. Allergic reactions to this medicine have sometimes been observed.

It is widely used in the treatment of otitis media and flemoxin solutab. This drug is safe for the microflora of the children's intestines, and in terms of its effectiveness it is higher than the penicillin group.

Amosin is a drug similar to flemoxin. Both substances work well against many types of bacteria.

Another group of effective antibiotics is macrolides (clarithromycin and roxithromycin). The latter is not used when treating children under 4 years of age.

Method of application and duration of treatment

Any of the above drugs implies an individual approach, and therefore an independent treatment that is not agreed with the doctor is, to put it mildly, incorrect.

Amoxicillin is used 3 times a day (morning, afternoon and evening) after meals. The amount of drug used is determined by the doctor, taking into account the weight and age of the patient.

Unlike amoxicillin, treatment with flemoxin solutab does not depend on food intake. However, the amount of the drug is also determined according to the patient's weight and age.

As a rule, after taking antibiotics, a noticeable positive effect of treatment is observed after 2 days. However, in most cases, the minimum duration of antibacterial treatment should not be less than 5 days.

The author of the article: Lazarev Oleg Vladimirovich | ENT

Education: In 2009, he received a diploma in the specialty "General Medicine" at the Petrozavodsk State University. After completing an internship at the Murmansk Regional Clinical Hospital, he received a diploma in Otorhinolaryngology (2010)