Drops for inflammation of the middle ear. Drops for otitis media in adults. Alcohol solution of boric acid

03.09.2016 91178

Otitis externa is a disease accompanied by inflammation in the outer ear.

Turning to medical statistics, it turns out that otitis externa is more common in people living in warm climates. It is also known that the disease becomes chronic in only 3-5% of patients. Children are susceptible to ear infections between the ages of 7 and 12 years.

Otitis externa is also called “a disease of divers and swimmers” because fluid regularly penetrates into the ear canals of these people.

In medicine, there are 2 types of disease:

limited type – (presented in the form of inflammation hair follicle- boil);
type diffuse nature– (with the disease, the area of the entire ear canal becomes inflamed).

The main cause of otitis externa is infectious lesion. The culprit in in this case The bacterium “staphylococcus” appears, due to which a boil forms in the area of the ear canal. Next reason the development of the disease is the fungus “candida”.

Bacteria and infections enter through abrasions and wounds. This environment is ideal for their reproduction and life. Bacteria can also “make their way” through the damp ear canal, which in this state loses its protective functions.

The reasons for the development of otitis include the presence of sulfur plugs, which many try to eliminate on their own. Such a rash act leads to complications in the form of otitis media.

Secondary causes of the disease may be:

otitis media of a chronic nature;
diseases that are accompanied by a decrease in the body’s protective functions;
the passage is too narrow.

Symptoms of inflammation of the outer ear are considered to be:

burning and itching in the ear;
gradually increasing pain;
partial hearing loss;
when touching auricle there is a sharp unbearable pain;
the lymph nodes in the ear area become inflamed;
discharge of purulent fluid.

Symptoms for limited inflammation of the outer ear:

when touched and pressed painful sensations increase in the ear;
swelling;
pain that worsens when chewing;
redness.

Ear suppositories for otitis media can damage the skin of the ear. Therefore, doctors do not recommend using them.

Ointments to combat otitis externa

Otitis ointment is considered effective and most used for this disease. The drugs are easy to use and have virtually no contraindications or side effects.

"Sofradex". Eliminates inflammatory processes, destroys bacteria and viruses, and has an antiallergic effect.

Levomekol. Levomekol ointment for otitis has also proven itself well. The drug includes methyluracil salt (responsible for tissue regeneration, fights viruses and infections), ethylene glycol (provides absorbent properties) and chloramphenicol (an antibiotic that kills pathogenic bacteria).

Levomekol is placed in the ear for otitis every day. The course of treatment is 7-11 days. The product is applied to the turunda and placed in the ear canal for 11-14 hours.

Vishnevsky ointment is also actively used for ear otitis. The medicine is intended to eliminate pain and inflammatory processes. The ointment is placed in the ear using cotton swab for 2-3 hours.

Otitis externa is used to heal inflammatory areas and kill bacteria.

Risk factors for the disease

If inflammation is not treated in time outer ear, then this could lead to:

to the transition of the disease to a chronic form with subsequent relapses;
infection of the external auditory canal, lymph nodes, cartilage, auricle;
mastoiditis, thrombosis, meningitis, osteomyelitis, cranial nerve palsy.

To avoid the occurrence of otitis externa, you must:

stop using for cleaning cotton buds, matches, etc. (it is enough to rinse the ear canals daily with your little finger);
after swimming in a pool, lake, or sea, rinse your ear with clean water;
Before visiting the pool, put a protective cap on your head;
dry your hearing organs with a towel rather than cotton swabs;
strengthen the body's protective functions;
Consult a doctor first.

Ear drops with phenazone and lidocaine, which have analgesic and anti-inflammatory effects. Prescribed for local therapy and pain relief for otitis media.

Contraindications for use: individual sensitivity to constituent substances, infectious or traumatic disruption of integrity eardrum.

After preliminary consultation with an otolaryngologist and only in case of urgent need, Otipax can be used by pregnant women and during pregnancy. breastfeeding. Can also be used for children during breastfeeding.

Method of administration and dosage – for children of any age, as well as for adults, instill in sore ear 4 drops up to three times a day. The course of therapy should last no more than 10 days, after which it is necessary to reconsider the method of therapy.

Among side effects Local allergic reactions, itching and redness of the skin may occur.

Guaranteed shelf life is 3 years and a month after opening the bottle. Store drops at temperatures up to 25 degrees in a dark place.

Otofa

An antimicrobial drug whose active element is rifamycin.

Pharmacodynamics: rifamycin has antimicrobial activity to most microorganisms that contribute to the development of infectious and inflammatory diseases of the middle ear. Rifamycin has no effect on Pseudomonas aeruginosa (Pseudomonas aeruginosa).

The drug is used in the treatment of acute purulent discharge from the ear after surgery, exacerbation of chronic otitis, isolated purulent lesion eardrum.

Drops are used topically, instilled into the external auditory canal of the affected ear twice a day. For adults it is recommended to instill 5 drops, for children – 3 drops, without any age restrictions.

Otofa is contraindicated in case of allergic reactions to the constituent components of the medication.

During breastfeeding and pregnancy, you can use the drug after consulting your doctor.

Since the medication has low absorption, an overdose is unlikely.

Among adverse reactions can be observed allergic rashes, bronchospasm, eczema.

Store at a temperature not exceeding 25 °C. After completion of treatment, do not save the opened bottle until re-use in the future.

Dancil

Antimicrobial agent with a broad spectrum of action. The active component of Dancil is ofloxacin. Recommended for the treatment of acute inflammatory processes in the ear.

Pharmacokinetics: after use, the components of the drop are easily and quickly absorbed. To a large extent it is excreted in its original form with urine, a small part is excreted in its original form with feces within 6-13 hours.

Do not use Dancil for lactating and pregnant women, as well as for children under 18 years of age if they are individually sensitive to ofloxacin.

If chronic otitis media - 10 drops twice a day for about 2 weeks.

Possible side effects include: nausea, diarrhea, dizziness, insomnia, urticaria, itching.

The shelf life of the drug is 2 years, after opening the bottle - one month.

Oil drops

The basis of such drops are natural extracts or oils that have antimicrobial, anti-inflammatory, analgesic and itching effects.

The use of such a drug is prohibited for those who have individual sensitivity to the components, with damage to the skin.

Oil drops are used in the form of moistened turundas, which are placed in the ear canal 3-4 times a day.

During breastfeeding, as well as during pregnancy, use the medicine only after prior consultation with a doctor.

Side effects may include itching, allergic reaction on the skin, rarely – contact dermatitis.

Anauran

Antimicrobial drops, the main components of which are polymyxin B sulfate, lidocaine and neomycin sulfate.

The use of this drug is indicated for chronic and acute forms of external otitis, moderate acute otitis media, purulent inflammatory complications after radical mastoidectomy in postoperative period, tympanoplasty.

Do not use Anauran in case of individual hypersensitivity to the active components of the drug.

For treatment, 4-5 drops are prescribed into the sore ear, 2 to 4 times a day for adults. Children who have reached 6 years of age - 2-3 drops up to 4 times a day, depending on the severity of the disease.

Among the unwanted side reactions of the body, local allergic rashes are possible. skin, peeling of the skin in the area of the external auditory canal.

It is forbidden to use the drug for pregnant and lactating women, as well as for children under 6 years of age.

The shelf life of the drug is 3 years; an open bottle of the drug should not be used for more than 3 months.

Drops for purulent otitis media

Purulent otitis - melting of the eardrum and release of purulent discharge. This form of otitis occurs in 1/3 of cases of otitis media.

At purulent otitis It is imperative to treat the ear canal with a solution of hydrogen peroxide or another agent with an antiseptic effect. For treatment, you can also use drops for purulent otitis: Otofa, Normax and Tsipromed.

Otofa, the active ingredient of which is rifamycin, has antimicrobial activity against most microorganisms that provoke the development of purulent otitis. It is recommended for adults to use 5 drops three times a day, for children, without age restrictions– 3 drops morning and evening.

The active component of Normax drops is the fluoroquinolone antibiotic norfloxacin. The drug is prescribed 2-3 drops 4 to 6 times a day, but when the case is more severe, it is recommended to drop it into the sore ear every three hours. Normax is not used during pregnancy and for children under 12 years of age.

Tsipromed drops contain ciprofloxacin, which helps actively fight infection. The dose of medication for adults is 5 drops into the sore ear canal three times a day. Treatment lasts from 3 to 5 days. Drops should not be used by children under 15 years of age, as well as during pregnancy and lactation.

Drops for otitis media

Otitis media is inflammatory process in the middle ear, often occurring in childhood, Consequently colds, acute inflammatory pathologies ENT organs of various etiologies.

For the treatment of otitis media, you can use Sofradex and Otipax drops.

Sofradex is the active substance framycetin sulfate, which has bactericidal effect on microorganisms, causing disease middle ear. Drop 2-3 drops into the sore ear 3-4 times a day for adults and children over 7 years old. Therapy should not last more than a week.

The active component of Otipax phenazone has analgesic, anti-inflammatory and analgesic properties. The daily dose of Otipax is 4 drops, 2-3 times. Treatment with the drug for up to 10 days.

Drops for catarrhal otitis

Catarrhal otitis – acute catarrh middle ear mucosa ( tympanic cavity, mastoid process, eustachian tube), accompanied by acute pain, which intensifies when coughing, sneezing, swallowing. If you do not pay attention to these signs, then there is a possibility of developing acute purulent otitis media.

For treatment, drops are used for catarrhal otitis Anauran, Otinum.

Anauran is a broad-spectrum aminoglycoside antibiotic. It has a bactericidal effect on gram-positive and gram-negative microorganisms. The sore ear must be instilled 2 to 4 times a day, 4-5 drops. Drops are not recommended for use in children under 6 years of age, as well as during pregnancy and breastfeeding.

The active component of Otinum is choline salicylate. This salicylic acid derivative has an anti-inflammatory and analgesic effect. The recommended dose of the drug for adults is 3-4 drops up to four times a day. Pregnant and lactating women, as well as children, are not recommended to use these drops.

Nasal drops for otitis media

In order to reduce signs of swelling in the pharyngeal opening area eustachian tube possible use vasoconstrictor drops for otitis, such as Sanorin, Galazolin, Otrivin, Tizin.

After using these medicines signs of edema, hyperemia, and exudation are reduced, which leads to the opening and expansion of the outlet ducts of the paranasal sinuses and auditory tubes, improves the removal of secretions and protects against the deposition of microbes.

Drops for otitis with antibiotic

Antibiotic drops are prescribed for the treatment of otitis media in cases where other substances do not provide desired effect: Levomycetin, Normax.

Normax – active ingredient norfloxacin has a wide range of antimicrobial effect. To treat otitis media, it is recommended to instill 5 drops into the sore ear canal three times a day for adults and children over 15 years of age. Before instillation, it is necessary to clean the ear canal, and after the procedure, close it with a turunda. Side effects may include itching and an unpleasant taste in the mouth.

One of the fairly common ENT diseases is undoubtedly otitis media. This disease is a fairly severe inflammation that is localized in a certain part of the ear. Both children and older patients are equally susceptible to the development of this disease.

Maximum effective treatment for otitis, only a specialist can prescribe. Treatment in most cases consists of the use of antibacterial drugs, as well as the use of ear compresses, turundas or drops.

Ear drops

Drops used in the treatment of a disease such as otitis media can be divided into several basic categories:

Drops containing several active substances(sofradex, dexona, as well as anauran and garazon)

Mono-drops, the main active substance of which is anti-inflammatory non-steroidal drug, such as Otinum or Otilax

Antibacterial agents, which may contain otofa, tsipromed, as well as normax and fugentin.

Anauran drops, costing 281 rubles, are prescribed in the presence of inflammation located in the middle ear, acute or even chronic forms of otitis. These droplets are used using a pipette, which is instilled into the ear. This type drops can be used to treat young children (three drops, three times a day) and adult patients (five drops, twice a day). At an early age, as well as during pregnancy, drops are prescribed in exceptional case. This type of drops has a side effect, which consists of burning, slight peeling and itching of the skin in the ear.

Sofradex drops, which cost 205 rubles, can be used for both eyes and ears. This type of drops is often prescribed for severe inflammation, localized in the middle ear. They have antibacterial, hypoallergenic properties, and can also relieve inflammation. The drops must be used 4 times a day, three drops each. If the dose prescribed by a specialist is exceeded, symptoms may occur side effects, such as strong burning sensation, pain in the ear. Often, signs of overdose include: severe itching. This medicine strictly prohibited for patients early age, people suffering from liver disease or renal failure, as well as pregnant women.

Otilax drops, which cost RUB 177, have anti-inflammatory and analgesic effects. This type of drops is the safest and can be used to treat pregnant patients and infants. The disadvantages of these drops include the presence of ice caine, which can cause the development of allergies, as well as the complete absence of an antibacterial component. This medicine is ideal for effective therapy otitis media early stage its development.

Otinum, in the form of drops, costs 156 rubles, is prescribed for inflammation located in the middle ear. Drops are used three times during the day, three drops each. When using such drops, the development of allergies is unlikely. Otinum is contraindicated in patients who have a membrane defect. The reason for this limitation lies in the fact that these drops contain salicylic acid, which, when it comes into contact with damaged tissues, causes their further destruction, which leads to hearing loss.

Otofa, drops, cost 190 rubles. Such drops are especially effective in the treatment of chronic or acute form otitis media, since they contain a strong antibacterial drug. These drops can be used for various membrane defects. Not recommended for lactating and pregnant patients. There are no pain-relieving components in the composition.

Candibiotic drops, the cost of which is 245 rubles. This type of drops gives an excellent effect in the treatment of external or otitis media. The effectiveness of the drops lies in the combination of several types of antibiotics. In addition, the drug is able to have an antifungal effect due to the content of clotrimazole. In some cases it causes allergies. Not used to treat pregnant patients, as well as children under six years of age.

When choosing the most suitable drops, you must consult an ENT doctor, since self-treatment may lead to unpleasant consequences.

Antibacterial agents in the treatment of otitis media

To achieve the most complete and rapid effect in getting rid of otitis media, a combination of drops and antibacterial medications is encouraged. Choice antibacterial drug It should also be entrusted to a specialist, who is appointed only after examination and diagnosis. Usage certain type antibiotic caused individual localization inflammatory process. For example, when treating an acute form of otitis, with inflammation localized in the middle ear, drugs such as:

Ampicillin trihydrate. This medicine belongs to the category of artificial penicillins. Available in capsules, sachets or individually packaged tablets. The product is not recommended for use by pregnant patients, as well as people suffering from liver failure. When using the drug, side effects may occur such as: development of allergies, headache, severe dysbacteriosis and even anaphylactic shock.

Amoxicillin. This antibiotic characterized by the presence of a pronounced antibacterial effect. Negative effect: severe allergic reaction. The medicine is prescribed three times a day, always after eating.

Medicines needed for chronic form otitis

Netilmicin. This antibiotic is used locally. Injections are given twice a day in the ears. Maximum period of use similar drug cannot be more than two weeks. The drug is not recommended for older people or during pregnancy. In some cases it causes the development of allergies.

Ciprofloxacin. The drug is antibacterial with a wide spectrum of action. Not used in the treatment of pregnant women and minors. Possesses big amount side effects include nausea, diarrhea, fatigue, dizziness, hives and insomnia.

Long-term use of an antibacterial drug can provoke the development of dysbacteriosis. To avoid its development, it is recommended to combine treatment with the use of probiotics.

Tsipromed

The drug is used in the treatment of otitis media, as well as external. The course is no more than two weeks, five drops in the sore ear three times a day. It is recommended to cover the ear canal with a tampon after the procedure to prevent the medicine from leaking out.

Normax

These drops will help even with purulent otitis media. They can also be prescribed to children, but only if the child is already 12 years old. Drops are able to fight germs and bacteria that cause pathogenic processes in the ears. The product is quite effective quick effect, well tolerated. And its inexpensive cost has made Normax one of the most popular drops for otitis media.

Normax should not be used in the following cases:

during pregnancy and breastfeeding child;
for epilepsy;
with liver and kidney failure;
if there are cerebral circulation disorders;

As you can see, the list of contraindications is quite serious, so it is recommended that before purchasing and using Normax, you should be examined by a doctor.

The drug has a strongly expressed antibacterial component, but completely lacks anti-inflammatory and analgesic components. However, even these few disadvantages do not prevent many buyers from classifying Normax as one of the most effective local funds with otitis.

Otofa

This product contains an active substance - rifampicin, which can destroy bacteria of any type. This explains the effectiveness of these drops. Active substance effectively fights harmful microbes and bacteria that cause pathological process in the ear. Thanks to potent rifamycin, the drug copes even with advanced chronic otitis media. It is also effective when acute manifestations diseases.

This drug compares favorably with many of its analogues in that it can be used even in the case of a perforated eardrum. Otofa can even have a beneficial effect on its recovery. The drug also fits this description and must be read before use.

But there are also disadvantages here: due to complete absence painkillers Otofa will not help with severe ear pain. There are also no anti-inflammatory components in the drug. But antibacterial effect on high. Some consumers consider the rather high cost of this drug to be a disadvantage. What are the instructions for using Otofa drops? Information will help you understand

Before using the drug, it is necessary to warm the bottle in your hands to ensure greater effectiveness of the product and the absence of unpleasant sensations during the procedure. The course is no more than a week: five drops three times a day. The drug can also be used in pediatric therapy: in this case, a one-time dosage is 3 drops.

This drug has an interesting, and many irritating, feature. Otofa is a liquid Pink colour, which stains the eardrum and ear canals. If the medicine gets on clothes or bedding, it will leave pinkish stains that are difficult to remove. Some doctors claim that staining of the membrane and inner ear make diagnosis of otitis media difficult.

But to summarize, we note that the effectiveness of this drug is truly unique. In addition, Otof drops have no side effects.

Candibiotic

One of the most effective remedies for otitis media today. Candibiotic has such a diverse composition that it can truly provide complex impact. Can also be used to treat children after six years of age. The product perfectly relieves pain, and in a short period of time - sometimes such an effect is invaluable.

Candibiotic

The drug contains:

lidocaine;
clotrimazole;
beclomethasone dipropionate;
chloramphenicol.

Thanks to lidocaine, it has an analgesic effect, and the clotrimazole content provides an antifungal effect. Beclomethasone and chloramphenicol have a pronounced antibacterial and anti-inflammatory effect. Keep in mind that this drug is not freely available: it can only be purchased with a prescription. However, there are. But what reviews about Candibiotic ear drops exist and how positive they are are described in this

Sometimes this drug causes allergic manifestations of a local nature. If you notice a rash, irritation of the skin of the ear, itching, burning, you should consult a doctor to prescribe another drug.

Contraindications include the following cases:

pregnancy and lactation;
children under 6 years of age.

It will also be interesting to know what antibiotics are taken for otitis media and should be used first:

Treatment of children

Which antibiotic products are allowed to be used in the treatment of children. Keep in mind that they can also be used by adults, perhaps at a different dosage.

Otipax

Safe, but at the same time effective remedy, approved for use even by infants.

The remedy eliminates the following ailments:

acute otitis;
otitis media of the middle ear;
otitis caused by trauma.

The course is no more than 10 days, four drops three times a day. But how to use Otipax for ear pain in a child is described in this

Sofradex

This effective product contains three active ingredients:

dexamethasone;
gramicidin C;
framecitin.

Thanks to such a powerful composition, the product has a complex effect and quickly eliminates inflammation in the ear.

Sofradex

Sofradex is capable of producing three types of effects:

antibacterial;
antihistamine;
anti-inflammatory.

Thus, these drops can destroy microbes and relieve swelling ear canals, eliminate the inflammatory process. Drops help with acute otitis of the middle ear and with external chronic. Course - up to a week: two to three drops three times a day. Learn more about eye and ear drops Sofradex, you can read the contents of this

The product also has a number of contraindications. These include:

perforation (rupture) of the eardrum;
the presence of a fungal or viral infection;
tuberculosis.

Anaurin

This drug contains the following substances:

lidocaine;
neomycin;
polymyxin B.

Lidocaine is known to many as an effective local anesthetic, so the drops are excellent in eliminating pain in acute otitis media. The product also helps with rehabilitation in the postoperative period. Before use, we recommend that you familiarize yourself with.

Contraindications

Adults with normal tolerance medicines can use any suitable ones. If a woman is pregnant or breastfeeding, then many of the antibiotic products will be prohibited. But a drug like this will help safely. Be sure to read before use.

With children the situation is more complicated. Many drugs are not allowed if the child is under one year old, some of them can be used only after 6 years, and some after 12. Let’s give a short review of antibiotics, depending on the child’s age

Otipax - possible from birth;
Otofa - from the infant period;
Otinum - from a year;
Candibiotic - from six years;
Garazon - from 8 years old;
Normax - from 12 years old.

Otitis is inflammatory disease ear, which is based on tissue damage by infectious agents, physical or chemical factors. Inflammation is a typical defensive reaction and occurs through certain stages:

Alteration is damage and death of living cells, accompanied by the release of intercellular space biologically active substances and remains of cellular organelles.
– a vascular reaction that develops under the influence of biologically active substances of cells. Permeability increases vascular wall for leukocytes and the liquid part of blood - plasma, these components go into damaged tissue with the development of edema.
Proliferation – healing with full restoration damaged cells or through scarring.

The main symptom of otitis is pain in the affected ear, which is associated with swelling of its tissues, bacterial toxins and biologically active substances of cells. It occurs at the alteration stage and subsides during healing. Treatment of otitis media is aimed at eliminating the damaging factor, limiting the inflammatory response and accelerating healing. Below are drugs that can achieve the indicated effects.

Antibiotics

In most cases, pathogenic bacteria become. They enter the ear cavity from the outside (for example, with water from swimmers) or from the nasopharynx through auditory tube. The latter option most often develops as a complication of acute respiratory infections, regardless of whether bacteria or viruses caused primary disease. Viruses tend to reduce local immune protection, which facilitates the introduction of other pathogenic microorganisms.

Ciprofloxacin– contain the same antibiotic wide range action, it is active against the most common pathogens of otitis media. Drops can be used for perforation of the eardrum.
Anauran is a combination drug that contains the antibiotics neomycin and polymyxin B. It also has an analgesic effect due to lidocaine, the effect of its use develops 10 minutes after administration.
Candibiotic– has the widest spectrum of action of all similar drugs. It contains an antibiotic, antifungal agent clotrimazole, anti-inflammatory component beclamethasone, analgesic lidocaine. Candibiotic can be used for perforation of the eardrum in children over 6 years of age.

Anti-inflammatory and painkillers

Drugs in this group block the action of biologically active substances at the site of inflammation, thereby stopping the development of swelling of the ear tissue. Accordingly, pain impulses from the damaged area are also reduced. The pressure of edematous tissues on sensitive tissues stops nerve endings ear and the patient leaves unpleasant feeling swelling and stuffing of the ear. Exudation is most pronounced in children, so the pain from otitis media is most acute in them.

Anti-inflammatory drugs for otitis media:

Otinum– it contains a derivative of aspirin, which has a pronounced local action. In a high dose, the drug has antimicrobial activity.
Otipax – combination drug. The anti-inflammatory component phenazone is enhanced by the analgesic lidocaine, the drug develops 3-5 minutes after use. The drug is suitable for use in children.
Sofradex– the product has a powerful anti-inflammatory effect due to the glucocorticoid dexamethasone. It is combined with two broad-spectrum antibiotics (framycetin and gramicidin), thereby eliminating not only the symptoms, but also the cause of otitis media.

The analgesic lidocaine for pain relief for otitis media is produced in the form of a spray (xylocaine) and a solution in ampoules. Xylocaine-adrenaline has a longer effect, since adrenaline constricts blood vessels, reduces the absorption of the analgesic into the blood and its subsequent removal from the body.

Ear ointment for otitis media

The ointment is used to treat inflammation of the external auditory canal -