- Dosage for children and adults
- Features of application
A nasal spray intended for vasoconstriction, used in the ENT direction, Rinonorm, the instructions for use of which describe in detail all the main pharmacological properties of the drug, is recommended for diseases such as runny nose, sinusitis, otitis media.
The product is available in the form of a nasal spray for topical use. The main active ingredient is xylometazoline hydrochloride.
The solution is transparent, it is convenient to administer it using a special nozzle. When a vasoconstrictor drug is administered, its substances promote vasoconstriction, relieve swelling of the mucous membrane, and reduce mucus secretion. The action and effect of the medicine is observed within a few minutes after its administration, the effect lasts up to 6 hours. The patient immediately notices how much easier breathing becomes, nasal congestion disappears, the risk of complications disappears, and overall well-being improves.
Since the nasal drug is a topical drug, it is absorbed into the blood plasma in a minimal amount, which is not determined by tests. This means that the medicine does not have any harmful or toxic effect on the body.
Indications for use of the drug Rinonorm:
- bacterial rhinitis;
- acute rhinitis;
- viral rhinitis;
- allergic rhinitis in acute form;
- acute sinusitis;
- chronic sinusitis in acute form;
- otitis media in acute form;
- when preparing a patient for procedures and operations in the nose.
The effectiveness of the drug is high and therapeutic results are visible within a few minutes after administration of the drug. Pharmacological nasal spray is an analogue of various nasal drops, which have a local effect, are not absorbed into the blood, and therefore very rarely cause allergic and other adverse reactions. Therefore, it is calmly used when a child is sick in order to relieve nasal congestion.
Rinonorm is very easy to use, it is much easier to dose: there is no need to tilt your head back, just one click on the dispenser is enough and the required dose is delivered to the nasal sinus. Therefore, even children can use the nasal spray independently, but under the supervision of their parents. The effectiveness of the product is due to the fact that the spray, when injected, treats the mucous surfaces of the nasal sinuses more thoroughly than drops, irrigates them evenly and distributes the beneficial and therapeutic substances of the drug.
Important
Use for children under 2 years of age is not recommended, since when administered, the drug may enter the auditory tubes, because they are located closer to the nasal sinuses than in adults.
With age, their location changes, and at an older age you can take the drug to treat children's runny nose. Additionally, when you use sprays to treat a runny nose in children under 2 years of age, it may cause lung spasms. Cardiac arrest occurs, although very rarely.
Be careful before starting to use the drug Rinonorm; the instructions for use include the following contraindications:
- dry rhinitis;
- children under 2 years of age;
- children under 10 years of age if a nasal spray for adults is used;
- the patient's condition after hypophysectomy;
- angle-closure glaucoma;
- simultaneous treatment with tricyclic antidepressants and MAO inhibitors;
- hypersensitivity to the components of the drug.
With caution, the doctor may prescribe medication if the patient suffers from severe heart disease, diabetes, or arterial hypertension. Rinonorm may cause some side effects. The official instructions for use do not recommend exceeding the dose of the drug, so as not to cause a burning sensation in the nose, discomfort, dry nose, or irritation in the larynx.
In some cases, headache, irritation, increased blood pressure, nausea, vomiting and an allergic reaction in the form of skin rashes appear. Very rarely, Rinonorm can also cause cardiac arrhythmia and loss of consciousness. Instructions for use in these situations advise flushing the stomach, taking activated charcoal, and in the most severe cases, if the drug is accidentally ingested, contacting a medical facility for specialized measures.
Rinonorm nasal spray: dosage for children and adults
Rinonorm nasal spray should be used in the following dosage:
- Children over 10 years of age and adults: 1 dose (one press) into each nasal sinus no more than 3 times a day.
- Children aged 2 to 10 years: 1 dose, 3 times a day.
- The maximum permitted use of the drug per day is no more than 7 times. In this case, the interval between doses should be at least 6 hours.
The course of treatment usually lasts up to 7 days. If stable therapeutic results are not observed within a week, the use of Rinonorm nasal spray should be stopped and replaced with another drug, but only on the recommendation of a doctor.
note
Before using the nasal spray, be sure to clear mucus from your sinuses to facilitate administration of the drug and speed up its therapeutic effect.
With the help of the medicine, the nasal mucosa is freed from mucus, breathing becomes easier, swelling of the mucous tissue is relieved, each nasal sinus is freed and the general condition of the patient improves.
Please note that Rinonorm nasal spray is not used during pregnancy and lactation. Even though this drug is available without a prescription, you should not use the medicine without a doctor’s prescription, both for children and adults.
Since the drug has an effect on blood vessels - it narrows their walls, it can also have the same effect on the blood vessels of the placenta during pregnancy. As a result of such exposure, the natural movement of blood decreases and its flow to the vessels of the placenta decreases, which can cause disruption of the development and growth of the fetus in the womb. The amount of nutrients supplied to the fetus through the blood also decreases.
Analogues are cheaper than Rinonorma
There are many nasal drops and sprays on the market that contain xylometazoline. Let's list some:
- Galazolin;
- For nose;
- Otrivin;
- Xymelin;
- Rhinostop;
- Tizin Xylo;
- Snoop;
- And so on;
Many analogues cost the same as Rinonorm, a little cheaper or a little more expensive. This ratio depends on the specific pharmacy. For example, it may be more profitable to buy Galazolin or Xylometazoline drops.
Rhinonorm nasal drops and features of their use
Rinonorm nasal drops are not used together with antidepressants, MAO inhibitors, as they can cause an increase in blood pressure.
The price of Rinonorm can range from 65 rubles. up to 72 rub.
Rinonorm nasal drops have effective analogues:
- Xymelin has the same active ingredient and a similar dosage regimen. Unlike Rinonorm, the period of therapeutic action is longer - up to 8 hours. The main therapeutic result is the drying of the nasal mucosa, therefore, in order not to cause unwanted drying of the nasopharynx, you should not take the medicine for children.
- Aquamaris is an effective remedy based on sea salt, rich in minerals and other beneficial substances. In addition to the therapeutic effect on the mucous membranes of the nose, it moisturizes them so as not to cause overdrying and discomfort when taking the drug.
- Fornos - has a similar spectrum of local action, not recommended for use by children under 6 years of age, during pregnancy and lactation, as it has a high concentration. The effectiveness of the product is confirmed by doctors, and many notice that the medicine helps even with very severe nasal congestion.
- Otrivin - with the same active ingredient, is recommended for the treatment of the same diseases.
- Nazivin is a very effective medicine, it quickly has a therapeutic effect, the effect lasts up to 6 hours. During pregnancy and lactation, the doctor prescribes the nasal remedy carefully. The course of treatment should not last more than 7 days, as the drug can be addictive.
- Rinostop is not used to treat children under 2 years of age, is not used during pregnancy or while breastfeeding, and is prescribed very carefully. The course of treatment should not be more than 7 days, since exceeding the duration of the course leads to the exact opposite results: swelling of the nasal mucosa occurs and nasal congestion increases.
- Nesopin - has a milder effect on the mucous membranes of the nose than other analogues of Rinonorm. Swelling of the mucous membrane is relieved within 15 minutes and is effective for 6 hours.
- Tizin reduces the sensitivity of the nasal mucosa and reduces the risk of developing allergic rhinitis. This drug is prescribed for severe nasal congestion with a runny nose, as well as for acute respiratory viral infections, when the disease begins to cause pain in the ear area. The medicine is not prescribed for children under 2 years of age; for children over 6 years of age and for adults, the course of administration is similar to Rinonorm. Side effects are expressed in a similar way, so you should not exceed the recommended dosage of the medication.
- Grippostad Rino is an equally effective remedy, available in the form of a gel.
Many patients report effective therapeutic results from treatment. First of all, ease of use, dosing, compactness of the bottle with the solution, and affordable cost are noted.
Doctors also observe the effectiveness of the drug and prescribe it to children and adults, although the drug does not eliminate the causes of the disease, but only removes the symptoms. Therefore, you cannot cure an allergic reaction, a cold, or a viral disease, you can only eliminate the symptoms. In some cases, the medication does not help with acute sinusitis, and doctors recommend replacing the drug with a more effective medicine.
Important
Rinonorm nasal drops for children and adults are always used only as prescribed by a doctor, having first read the instructions. Do not forget that the nasal spray can cause complications in diseases of the heart and blood vessels; you should not use the medicine if you are hypersensitive to certain components of the drug.
Most often, the medicine is used three times a day and this number of doses is enough to eliminate the symptoms of a runny nose.
If nasal drops are used for children, then it is advisable to administer Rinonorm to parents so that children cannot exceed the dosage.
The shelf life is indicated on the packaging and after its expiration it is strictly prohibited to take it.
As soon as the first symptoms of side effects appear (headache, burning sensation in the nose, increased dryness of the nasopharyngeal mucosa), immediately stop taking the medication. Be sure to consult your doctor to replace the drug with another drug.
The drug is discontinued immediately after therapeutic results are achieved. If the doctor considers it necessary to continue treatment with this particular remedy, then a break is taken for 3 to 4 days and then Rinonorm is used again. If the patient suffers from chronic rhinitis, then before taking the medicine you should consult a doctor, and during therapy you should be observed by a doctor, as swelling of the nasal mucosa may develop.
Important
Vasoconstrictor drugs should not be used for a long time.
Doctors recommend taking such drugs only when the nose is very stuffy, breathing is almost blocked and the general condition of the patient worsens. When the first signs of a runny nose appear, they can be stopped with milder medications that do not dry out the mucous membranes of the nasopharynx so much. If there is no other option, then use vasoconstrictor medications for the nose at night: the period of action of such drugs lasts from 6 to 8 hours, which promotes restful sleep and the absence of accumulated mucus in the sinuses.
But in general, doctors recommend using such medications as rarely as possible and never exceeding the permissible course of treatment, since some drugs cause severe drying of the nasal mucosa, others can cause increased swelling of the mucous tissues, addiction, and still others will generally cause the development of allergic reactions. reactions.
As soon as you notice a pronounced therapeutic effect from taking Rinonorm, stop using it immediately. As ENT practice shows, Rinonorm is an effective remedy in the fight against the runny nose.
Reviews about Rinonorma
A runny nose is one of the most common diseases. And many are sure that for this reason you should not see a doctor. The use of vasoconstrictor drops has also become generally accepted:
“My nose is so swollen that I can only sleep after injecting Rinonorm.” I like this spray best. It does not dry out the mucous membranes.
— I tried different drops and sprays with xylometazoline. Perhaps Rinonorm works best.
But many people are already beginning to understand that they should be more careful with such medications. Reviews about Rinonorma often talk about this:
— I try to drip into my nose as little as possible. Let the mucous membrane cope on its own. I rinse more and try to breathe on my own.
There is one more point: pregnant women sometimes believe that if using an adult spray is contraindicated for them, then a child’s dosage will not harm. This is some strange trick. On the one hand, a couple of times, in case of urgent need, you can use 0.1% drops or spray. But, on the other hand, during this period it is worth looking for other ways to restore nasal breathing. The “children’s” dosage of the substance should not calm you down - xylometazoline should not be used during pregnancy in any quantities.
Pharmacological action of Rinonorm
Rinonorm is an alpha-adrenergic agonist for topical use . According to the instructions, Rinonorm reduces swelling of the mucous membranes of the nasopharynx, hyperemia and secretions. The pronounced local effect of the drug appears a few minutes after its use and persists for 6-8 hours. The patency of the nasal vessels, Eustachian tubes and sinus openings is restored. The patient’s well-being improves due to the restoration of air patency of the nasopharynx, and the risk of possible complications caused by stagnation of mucous secretion is reduced.
Indications for use
for adults
The drug is used for the following diseases:
- acute rhinitis of viral, bacterial, allergic etiology;
- acute sinusitis or chronic in the acute stage;
- acute inflammation of the middle ear (spray is used to reduce swelling of the mucous membrane of the Eustachian tube).
In addition, Rinonorm is prescribed to prepare the nasal passages for diagnostic procedures.
for children
A spray in a dosage of 0.05% can be used according to indications in children over 2 years of age, a medicine in a dose of 0.1% is allowed for patients over 10 years of age.
Rinonorm is contraindicated during pregnancy. The spray can be used with caution by breastfeeding patients.
Rinonorm should not be used if the patient has:
- individual intolerance to the composition of the spray;
- atrophic rhinitis;
- condition after surgical destruction or removal of the pituitary gland;
- angle-closure glaucoma.
Rinonorm is contraindicated in patients undergoing treatment with MAO inhibitors and tricyclics.
The drug should be prescribed with caution if the patient has:
- arterial hypertension;
- severe heart pathologies;
- thyrotoxicosis;
- diabetes.
Patients taking Bromocriptine should use Rinonorm with caution.
Rinonorm is designed to eliminate nasal breathing problems - restores the proper functioning and condition of the organ, eliminates excessive accumulation of blood in the vessels when:
- Vasomotor and allergic rhinitis
- Inflammation of the middle ear accompanied by a cold
- Exacerbation of chronic sinusitis
- Inflammation of the auditory tube
- Acute nasopharyngitis.
The drug is also recommended during the preparation of patients for diagnostic operations performed through the nasal passages.
Rinonorm sprays cannot be used:
- If there is individual hypersensitivity to the components
- For dry rhinitis (inflammation with crust formation)
- For angle-closure glaucoma
- After hypophysectomy
- If treatment is carried out with MAO inhibitors or therapy was carried out 2 weeks before
- For children: up to 2 years (for spray 0.05%), up to 10 years (for 0.1%).
The use of sprays for arterial hypertension, severe heart defects, diabetes mellitus, and overactive thyroid gland (hyperthyroidism) is not prohibited, but it must be carried out for medical purposes and under supervision. People taking Bromocriptine should also exercise caution when instilling Rinonorm and monitor for changes in health status.
Composition of the drug
The active ingredient in the medicinal nasal spray is xylometazoline hydrochloride. Manufacturers have provided two pharmaceutical forms - for children and adults, in which the main component of the drug is given in different concentrations:
- Rinonorm spray (for adults): 10 ml of solution contains 10 mg of active substance (equivalent to 140 mcg in one injection).
- Children's spray: 10 ml - 5 mg of active ingredient (or 70 mcg in one dose).
The composition of the auxiliary components of the two products is the same: they contain citric acid (in the form of monohydrate), glycerol (85%), sodium citrate dihydrate, water.
Contraindications
The instructions for Rinonorm indicate the following contraindications:
- angle-closure glaucoma;
- children under two years of age (nasal spray 0.05%);
- children under ten years of age (nasal spray 0.1%);
- atrophic rhinitis;
- hypersensitivity to the active substance of the drug;
- condition after hypophysectomy.
Prescribe Rinonorm with caution according to the instructions for:
- diabetes mellitus;
- severe heart disease;
- arterial hypertension;
- hyperthyroidism.
According to reviews, Rinonorm cannot be combined with tricyclic antidepressants and MAO inhibitors . Caution should be exercised when combining the drug with bromocriptine.
Release form and storage rules for the drug
Spray "Rinonorm" is a nasal drug that is available in liquid form, in bottles of 10 and 15 mg. There are two types of the drug: for children (0.05%) and for adults (0.1%). The drug is available in dark glass bottles, which are equipped with a special spray nozzle and a protective cap. Additionally, the product is packaged in a cardboard box, which includes instructions for use.
In order for the drug to maintain its effectiveness for a long time, it must be stored correctly, observing the terms of use. After opening the bottle, the product is good for 12 months. But it is important to store the drug at a temperature of 15 - 200C.
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