Nasonex With Adenoids - Indications, Pros And Cons

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-07 17:49

Nasonex with adenoids

Adenoids are one of the most common diagnoses that are heard in the otolaryngologist's office. The disease is characterized by abnormal proliferation of the lymphoid tissue of the nasopharyngeal tonsil, which leads to breathing difficulties, voice changes, prolonged runny nose, and nighttime snoring. Adenoids not only worsen the patient's quality of life, but also increase the risk of developing otitis media, hearing loss, contribute to the formation of a malocclusion, etc. Most often, children aged 3-7 years encounter the disease, although adults can also suffer from adenoiditis.

Treatment with conservative methods is possible only in the early stages of the development of the disease, if the adenoids grow to impressive sizes, then they must be removed. Therefore, you should seek qualified medical help as early as possible.

Nasonex is a drug with a pronounced anti-inflammatory effect. It is often prescribed to treat adenoids that are triggered by an allergic component.

Content:

• General information about the drug nazonex
• Effects of treatment with nasonex
• How to use Nasonex for adenoids?
• Potential harm
• When you can not use Nasonex
• Important information
• Pros and cons of Nasonex

General information about the drug nazonex

Nasonex is a metered dose nasal spray, the main active ingredient in which is mometasone furoate. Also, the preparation contains auxiliary components (glycerol, cellulose, polysorbate 80, etc.), but they do not have any significant effect on the course of the disease. Mometasone is a hormonal substance from the group of glucocorticosteroids.

Inside the bottle, equipped with a dispenser, there is a suspension of white color and a uniform consistency. You can buy the drug for 60 doses and 120 doses.

Effects of treatment with nasonex

Nasonex quickly and effectively relieves hyperemia and swelling from the nasopharyngeal tonsil. The drug helps to suppress the production of inflammatory mediators, which are produced by the body itself, thereby preventing the destruction of lymphoid tissue, as well as its further growth.

This allows you to achieve the following effects:

• Reduce tissue swelling, facilitate patient's nasal breathing.
• Normalize a person's sleep, relieve him of apnea.
• Reduce the volume of mucus from the nasal passages.
• Get rid of otitis media as a complication of the disease.
• Get rid of allergy symptoms, itching in the nose and increased secretion of inflammatory exudate.
• Release the opener and choanae, improve aeration at the mouth of the auditory tube.

Sometimes Nazonex allows you to avoid surgery, even if it was prescribed to a patient with the third stage of adenoids.

The spray is applied topically, which makes it possible to create a high concentration of the drug in the nasal sinuses and nasopharynx. Due to this, the therapeutic effect is achieved in the shortest possible time, and the person does not develop complications associated with the use of systemic glucocorticosteroid drugs.

How to use Nasonex for adenoids?

Nasonex is a preparation for nasal cavity irrigation. You will not need to dose the drug yourself, since the bottle is already equipped with a built-in dispenser.

Before irrigating the nose, it is imperative to cleanse the sinuses and passages. It is best to use saline for this. This procedure improves the effectiveness of the treatment and accelerates recovery.

If the drug is used for the first time after opening the package, then it must be "adjusted". For this, 10 pressings on the dispenser are performed. In this way, a stereotyped drug delivery is established. For one irrigation, about 100 mg of the drug is injected, which contains 50 μg of mometasone. Further use of the spray does not require calibration, but it will need to be thoroughly shaken each time before the next dose.

If the drug has not ended, but it has not been used for two weeks, then the above setting of the bottle should be repeated.

For the treatment of adult patients and adolescents over 12 years of age, it is recommended to perform 2 injections into each nostril once a day. When it is possible to bring the symptoms of the disease under control, the dose may be reduced to 1 injection in each nostril 1 time per day.

If the initial dose of 2 injections does not allow a therapeutic effect to be achieved, then it may be increased to 4 injections per day. However, the dosage increase process should be monitored by a physician.

For the treatment of children aged 2 to 11 years, 1 inhalation is administered into each nostril once a day. This process must necessarily take place under the strict supervision of an adult.

The course of treatment can be quite long and last about a year. If possible, breaks should be taken, that is, the patient receives therapy for one or two months, followed by a rest period of 1-3 months.

Potential harm

Most often, the drug is well tolerated by patients and they do not have complaints related to its use. However, the risk of side effects should not be ruled out.

In the first place in terms of frequency of occurrence are nosebleeds. Moreover, we are talking about both the obvious discharge of blood from the nose and the appearance of nasal mucus, in which there are blood clots and streaks.

Other side effects that can be triggered by the use of the drug Nasonex:

• Headaches;
• A burning sensation in the nose;
• The appearance of ulcers on the nasal mucosa;
• Shortness of breath and bronchospasm are extremely rare;
• Even less common is a severe allergic reaction (angioedema and anaphylactic shock), perforation of the nasal septum, and increased intracranial pressure.

In the course of clinical trials of the drug, it was found that nosebleeds stop on their own and do not differ in abundant discharge.

When you can not use Nasonex

The drug is not prescribed for pregnant women, mothers who are breastfeeding. It is contraindicated in children under the age of two.

You can not use Nasonex to treat patients who have recently undergone surgery on the nasal passages, or have received a nose injury. Individual hypersensitivity to the components of the drug is a contraindication to the administration of the spray.

Important information

The drug is practically not absorbed into the systemic circulation when used topically. This allows it to be successfully used for the treatment of adenoids and to minimize the risk of side effects. When using the drug in acceptable dosages, its substances in the blood are not determined.

An overdose of Nasonex with its topical application is almost impossible. However, if a dose is administered that significantly exceeds the indicated values, then it is necessary to seek medical help and spend some time under the supervision of specialists. In general, minor drug overdose is not associated with any complications.

It is not recommended to combine Nasonex with other glucocorticosteroids, as this increases the risk of side effects and can lead to inhibition of adrenal function. No interaction with other drugs was found.

When the treatment of adenoids with Nasonex is delayed for a long time, it is necessary that the otolaryngologist monitor the patient's nasal mucosa. Although no cases of nasal tissue atrophy have been reported, the use of hormonal agents is associated with this complication.

During the course of therapy, local immunity is suppressed. This increases the risk of infection in the upper respiratory tract. Therefore, the patient should minimize contact with people suffering from viral or bacterial diseases. If the patient's body temperature rises, there is pain on one side of the face, or a toothache is worried, then you should immediately consult a doctor for advice. In this case, the doctor must be informed that the person is using a hormonal drug for treatment.

If, against the background of Nasonex therapy, the patient develops a mycotic infection of the nasopharynx, then the drug should be abandoned.

After opening, the medicinal product retains its qualities for two months. Then it must be disposed of. If the tightness of the plastic bottle has not been broken, then the shelf life of the drug is 2 years.

After use, the dispenser must be closed with a cap, which will prevent dust and other contaminants from entering the bottle.

Pros and cons of Nasonex

Pros of the drug Nasonex:

• The medicinal product is equipped with a built-in dispenser, which avoids the administration of too large or too small doses.
• Nazonex has a pronounced anti-inflammatory effect, which occurs already 12 hours after the first application.
• The drug acts locally, without exerting a systemic effect on the body, which is especially important when treating with hormonal agents.
• Nasonex makes it possible not only to get rid of the symptoms of the disease, but also to treat it (if the pathology was provoked by the allergization of the body).
• For some patients, Nasonex allows you to avoid surgery for the removal of the overgrown tonsil tissue.
• The therapeutic effect can be felt already 12 hours after the first injection of the drug.

Cons of the drug Nasonex:

• The drug cannot be purchased without a prescription.
• The drug is capable of giving side effects, and it also has a number of contraindications.
• Nasonex inhibits local human immunity, which increases the risk of developing an infection caused by pathogenic flora.
• The drug is not capable of destroying bacteria, fungi or viruses.
• After opening, the drug can be stored for no more than 2 months.

Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist

Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".