ENT doctors in their practice often prescribe nasal drops with a vasoconstrictor effect, among which there is the drug Adrianol. But can it be used to treat children?
Release form
Adrianol is produced in liquid form in polyethylene bottles with a 10 ml dropper cap. The solution inside the bottle is transparent. It is usually colorless, but may have a slightly yellowish tint.
Composition
The main components in Adrianol drops are 2 compounds:
- Phenylephrine.
- Trimazolin.
Depending on the concentration of such substances, Adrianol is presented in two options:
- Nasal drops. Each milliliter of this drug contains 1.5 mg of trimazoline and 1 mg of phenylephrine.
- Nose drops for children. One milliliter of such a drug contains 0.5 mg of the above active substances.
Auxiliary components of both types of Adrianol drops are water, citric acid monohydrate, glycerol and methylcellulose, as well as sodium hydrogen phosphate and benzalkonium chloride.
Operating principle
Adrianol belongs to the group of vasoconstrictor drugs that are used topically. Its active components are adrenergic agonists - substances that activate adrenergic receptors in the human body (in particular, alpha-1 receptors of the nasal mucosa). Such compounds act on the vascular walls and their smooth muscles, as a result of which the vessels are narrowed.
Watch the issue of Dr. Komarovsky's program, which discusses the pros and cons of vasoconstrictor drops for children:
Under the influence of Adrianol, the production of secretion in the nasal cavity is reduced, and the swelling of the mucous membrane is eliminated, thereby facilitating breathing through the nose. In addition, blood flow to the sinuses is reduced. For such effects, Adrianol is referred to as anti-congestant drugs (decongestants).
Indications
Most often, Adrianol is prescribed for rhinitis and sinusitis. The remedy is recommended both for the acute form of these diseases and for chronic inflammation. Doctors also use Adrianol during surgical or diagnostic procedures in the nasal cavity, for example, when removing adenoids.
From what age is it allowed to take?
Adrianol nasal drops are not used in the treatment of children under 7 years of age. The children's version of drops with a reduced dosage of active ingredients is allowed to be used a little earlier - from the age of three. Up to 3 years, the use of Adrianol is not recommended.
Contraindications
The drug is not used in such cases:
- If there is an intolerance to any of its components.
- With atrophic rhinitis.
- With glaucoma.
- With severe renal pathologies.
- With thyrotoxicosis.
- If the child has a pheochromocytoma.
- With increased blood pressure.
It is not recommended to use Adrianol during pregnancy, as well as for nursing mothers. Studies of the effect of its active substances on the development of the fetus and newborn baby have not been carried out, therefore the risk of possible negative reactions of the infant is increased. At the same time, some doctors allow the use of Adrianol in the third trimester, emphasizing that the effect of the drug is only local.
Side effects
After the introduction of Adrianol into the nasal cavity, such a local reaction is possible:
- Swelling of the mucous membrane.
- A burning sensation.
- Pain in the nose.
- Sensation of dryness in the nose.
- The appearance of profuse discharge from the nose.
- Loss of gustatory sensitivity.
The instructions for use of the drug also informs about possible systemic adverse reactions, represented by headaches, rapid pulse, high blood pressure, allergies, nausea, and dizziness.
If you use Adrianol for too long, it threatens the appearance of nasal congestion and the development of rhinitis. Also, a side effect of using such a drug for more than a week is atrophy of the mucous membrane in the nasal cavity.
Instructions for use and dosage
- Adrianol drops for children are used over the age of 3 years at a dose of 2 drops in each nostril. The drug is injected into the nasal cavity three times a day.
- From the age of 7, you can use Adrianol nasal drops recommended for adults. Such a drug is administered 4 times a day, and a single dosage can be from one to three drops for each nasal passage.
- The drug should be used in the treatment of a cold or sinusitis for no longer than 7 days. This limitation is associated with a gradual decrease in the therapeutic effect. If the medicine is planned to be used further, nasal instillation can be continued after a few days, when the sensitivity to the active substances of Adrianol is restored.
Overdose
If you exceed the dosage of drops in childhood, this will lead to:
- Nausea.
- Dizziness.
- Tachycardia.
- Fatigue.
- Insomnia.
- High blood pressure.
- Increased temperature.
- Reflex slowdown of the pulse.
- Shock.
Interaction with other drugs
Adrianol should not be used in conjunction with MAO inhibitors, since this combination of drugs will increase blood pressure. For this reason, nasal dripping with Adrianol is not advised within ten days after the application of MAO inhibitors. Also, the risk of hypertension increases with the simultaneous use of Adrianol and antidepressants.
Terms of sale
To buy Adrianol drops in a pharmacy, a prescription from a doctor is not requiredbut specialist advice is advisable. The average price of a pack of drops for children is 110 rubles.
Storage conditions and shelf life
Adrianol should be used before the expiration date, which is 3 years. Store the drug at home at a temperature not exceeding + 25 ° C. The place where the medicine is stored should not be too humid. Do not keep Adrianol in direct sunlight. It is also important to ensure that the drug is not available to young children.
Reviews
In most cases, parents are satisfied with the use of Adrianol in childhood. Their reviews of the drug are mostly positive. Mothers confirm that Adrianol copes well with nasal congestion, which brings a lot of discomfort to a child with a runny nose.
The effect of the drug is noted almost immediately after the introduction of droplets into the nose, after which the child can safely eat and fall asleep without problems. The advantages of Adrianol include the low cost of the drug. As for the shortcomings, many mothers complain about the inconvenient dispenser in the bottle, as well as getting used to the drug, which is why the duration of treatment must be limited.
Analogs
You can replace Adrianol with drugs from the group of adrenergic agonists, which are also used to narrow the vessels in the nasal mucosa. An analogue of Adrianol can be called:
- Vibrocil... In addition to phenylephrine, this drug contains a histamine receptor blocker dimethindene, therefore it can be used for allergic rhinitis. The agent in drops can be prescribed from birth, and Vibrocil in the form of a spray - for children over 6 years old.
- Evkazolin Aqua. This spray containing xylometazoline has been used since the age of six.
- Nazivin... This oxymetazoline-based medicine is available in drops with different concentrations, as well as in the form of a nasal spray. Droplets of 0.01% are used from birth, the drug 0.025% can be used from 1 year, and drops and spray of 0.05% - from six years.
- Knoxprey... This medicine contains oxymetazoline and comes in the form of a spray. It is used in the treatment of children 6 years of age and older.
- Otrivin... Such a spray based on xylometazoline is approved for use from the age of 12.
- Dr. Theiss Nazolin. Such an aerosol, the main component of which is xylometazoline, is allowed from the age of 6. Due to the presence of eucalyptus oil in the composition, the drug additionally moisturizes the mucous membrane.
- Sanorin... The active component of such a drug is represented by naphazoline. Drops are used from the age of 2 years, and the spray - from the age of 15.
- Nazol Baby. Such drops contain phenylephrine and are prescribed from birth, and the drug with a higher concentration of phenylephrine Nazol Kids is used from 4 years of age.
Also, in the treatment of a common cold, you can use other medications that help to quickly eliminate such inflammation, for example, drops Aqua Maris Strong or Marimer.
