Name of ear drops. Ear drops are inexpensive and effective. What are ear drops
Ear drops differ in their effect on the sore ear and the pathological microflora that caused the inflammatory process. If the causative agents of pyogenic processes in the ear are resistant to the drug, then the treatment will be ineffective. For adults, there are ear drops with one active substance that has an antibacterial or anti-inflammatory effect, or several. Mono drops for otitis may help in the initial stage of the disease, but will not be effective enough in complex advanced cases. For chronic diseases , striking inner ear
, use complex combination drugs that simultaneously have anti-inflammatory, antiallergic, and antibacterial effects on the hearing aid. Ear drops for otitis media are often useless if the pain is due to a perforated eardrum. Medicinal liquid, getting inside, irritates tympanic cavity
, and this leads to increased pain. Some antibacterial ear drops can help suppress microflora when the membrane is perforated, but the prescription should be made by an otolaryngologist after determining the reasons. Manufacturers produce a large number of drops for treatment different types
otitis, but they all have a specific purpose and contraindications, which the doctor takes into account.
Unpleasant sensations in a person’s hearing system can appear for various reasons; they are not always associated with an inflammatory process. When insects crawling along the sensitive eardrum enter the external auditory canal, it causes severe pain. The cause of pain in the left ear may be atypical form
myocardial infarction, although it is very rare.
When ear pain appears, you need to make sure whether there is an inflammatory process inside or whether it is a consequence of the irradiation of pain from other areas arising from irritation of the 5 pairs of nerves.
- Unpleasant sensations are caused by:
- trigeminal nerve, inflamed during toothache;
- large auricular nerve shooting into the ear due to inflamed joints of the cervical spine or lymph nodes located in the neck;
- facial nerve affected by the herpes virus;
- glossopharyngeal nerve, inflamed due to injury; nervus vagus, painful
in the ear during inflammatory processes in the larynx. pain symptom take painkillers from analgesics orally; acetylsalicylic acid and paracetamol tablets also help.
Ear pain occurs with otitis externa, when either inflammation occurs hair follicle in the ear canal and a boil forms, or the inflammatory process affects the entire ear canal.
Otitis media is often secondary; it develops against the background of acute respiratory viral infections.
For the same reason, eustachitis occurs, which passes almost painlessly. Pain or a feeling of ear congestion occurs when talking, chewing food, or opening the mouth. With inflammation, hearing acuity may decrease, and your own voice can be heard in the ears. Eustachitis is accompanied by a gurgling sensation in the ears. Internal otitis and eustachitis are so far removed from the external entrance that anti-inflammatory ear drops do not reach the source of inflammation and specific treatment is required for such diseases.
Acute perichondritis is treated only with antibiotics and antiseptics. To determine what is hurting in the ear, you need a doctor who should be contacted at the beginning of the acute process.
Mastoiditis is a complication of otitis media and is expressed by a slight increase in body temperature. There is suppuration from the hole and pain both in the ear itself and behind the auricle.
It is impossible for patients to find out the cause of ear pain on their own; they need to go to a doctor. If the cause of the disease is not clear, the doctor will use diagnostic equipment to prescribe treatment.
Simple Treatments
Ear drops for otitis at the beginning of the disease can be the simplest. Boric alcohol is a traditional antiseptic and antipruritic that can be used as ear drops for inflammation in the early stages. Before use, boric alcohol is heated to room temperature, dipping the bottle into hot water, moisten the turunda with it, which is inserted into the ear canal. Cover the passage from above with dry cotton wool so that the alcohol does not evaporate. After a few hours the cotton wool will dry. Usually this is enough for the inflammation to go away.
Instead of boric alcohol, you can use chloramphenicol, furatsilin alcohol or an alcoholic infusion of propolis.
These products can be dripped into the ears if there is limited redness without purulent contents. If the pain is caused by mechanical accumulation of wax in the ear, then the use of any alcohol solution will do more harm than good.
To relieve the first signs of inflammation, you can use miramistin or chlorhexidine. These are two universal antiseptics that quickly and effectively destroy pathogens without causing any harm to the body.
The use of simple traditional forms should be considered as a test for the danger of the disease. If the remedy does not help, there is no need to self-medicate.
Use of single drugs
Anti-inflammatory ear drops for otitis, containing one active substance, are used to treat inflammatory processes. They relieve pain and relieve tissue swelling. Such drops do not have an antibacterial effect; they will not be effective against infections accompanied by the formation of pus.
Otinum is the trade name for a solution of choline salicylate. This active substance is an analgesic and anesthetic and is a derivative of salicylic acid. It should not be used by persons intolerant to salicylates.
Otinum relieves pain and inflammation. It can be used in the initial stage of otitis, which has become a derivative of angina complications. These drops in the ears for otitis are used to relieve pain before washing the external auditory canal.
If the eardrum is damaged, the drug is contraindicated. Drops in this case may cause hearing loss or deafness. Analogues of this drug are:
- Brotinum;
- Mundizal;
- Sahol;
- Holikaps.
Otipax - drops for otitis, representing a mixture of lidocaine and phenazone. This is an analgesic, antiseptic, anesthetic and anti-inflammatory agent that can be used in the initial stage for acute purulent and unspecified moderate inflammation hearing aid. When used, phenazone blocks the inflammatory process, and lidocaine disrupts the course of the pain symptom. The drug has an analogue - drops Otirelax, Droplex, which use the same components. Anti-inflammatory drops have contraindications, which include an allergic reaction to the components and mechanical damage to the eardrum
Drug therapy
Antibiotic drops are designed to treat and relieve symptoms of a purulent form. They should not be used for allergic reactions caused by active substances, or for pregnant and nursing mothers.
Normax is an Indian medicine from a well-known company with the active ingredient norfloxacin, which belongs to the fluoroquinolone group of antibiotics. These otitis drops are recommended for adults only.
Normax has a wide range antibacterial action, its active substance is low-toxic because it is almost not absorbed into the bloodstream. It affects pathogenic microflora that are actively reproducing or are in a dormant state.
The drug is suitable for the treatment of any secondary otitis caused by infection. It can be used for:
- prevention of infectious otitis before and after medical interventions;
- for injuries;
- foreign body entering the external auditory canal.
Analogs are ear drops containing antibiotics:
- Nolitsin;
- Norbactin;
- Norfloxacin;
- Tsipromed.
Otofa is a drop containing the active substance rifamycin, which belongs to the broad-spectrum antibiotics from the ansamycin group. This dosage form can be used for purulent and unspecified otitis media, for isolated purulent lesions of the tympanic membrane and its perforation. The drug suppresses microbial cell synthesis and restores mucous tissue. This antibiotic is prescribed for advanced purulent otitis, when penicillins and cephalosporins do not help. Similar action Rifamycin and Rifogal drops have.
Combination medications
Combination drugs include drugs that contain antimicrobial, anti-inflammatory or hormonal components. These drops are produced by companies according to original recipes and there are no analogues to them. Action of antibiotics broad action basically the same, this allows manufacturers to produce a large number of original forms, so that when the microflora gets used to one antibacterial substance, they can switch to another solution. Drops should not be used if the integrity of the eardrum is damaged.
One of the widely used combination drugs is Sofradex, which has no analogues. This drug, used only for otitis externa, has several active ingredients. It includes the antimicrobial substances gramicidin C, framycetin and the glucocorticosteroid dexamethasone. The medicine relieves itching, allergic reactions and promotes rapid disappearance inflammatory process. The drug will not help if the pathogens were of viral or fungal origin. Therefore, it should be used only on the recommendation of a doctor who has made an accurate diagnosis.
Dexona contains dexamethasone and the antibiotic neomycin, which will help cope with any unspecified otitis media, but the drug cannot be used for tuberculous lesions of the ears.
Polydexa is an ear drop similar in action and composition to Dexona, but enhanced with polymyxin. The combination of two antibiotics expands the spectrum of action of the pharmaceutical form. Infected eczema of the external auditory canal has been added to the indications.
Anauran is a drug that combines the antibiotics neomycin and polymyxin and adds the analgesic lidocaine to relieve pain in the first days of treatment. The product is quite strong and is used to treat middle ear.
Candibiotic – drops for adults and children, starting from 6 years. These are complex drops that contain corticosteroids in combination with antimicrobial drugs, which allows the product to be used for all types of otitis media and for the prevention of inflammatory processes after surgery.
It includes:
- chloramphenicol;
- beclomethasone dipropionate;
- clotrimazole;
- lidocaine hydrochloride;
- glycerol;
- propylene glycol.
The drug is effective against candidiasis, relieves tissue inflammation, has an anesthetic and antiallergic effect, and fights opportunistic microflora.
Auricularum contains corticosteroids to fight inflammation and antibiotics against infection.
The human ear is an organ that has a complex structure and is quite vulnerable to infections. The infection can enter the hearing organ from the outside, often when traumatic injuries, as well as from neighboring organs with which different parts of the ear communicate. Colds, rhinitis and sinusitis, unfavorable external factors type sharp changes pressure, low temperature, which contributes to hypothermia, can cause inflammatory processes in the ear, localized in various areas. Usually they are accompanied by intense excruciating pain, which quickly takes on a diffuse character and radiates to various areas heads.
Treatment of inflammatory processes in the ear is aimed at fighting the infection that caused the disease and eliminating symptoms, relieving pain, and relieving inflammation. Therapy should be comprehensive and combine a variety of treatment methods, the list of which often includes the use of ear drops with different actions, including anti-inflammatory.
Inflammatory diseases of the hearing organ
The presence of different parts of the ear makes it possible for inflammation to be localized in various ways, the process affecting both the outer part - the auricle and the auditory canal that opens in it, as well as the cavities of the middle and inner ear, which have a complex structure. Inflammation of any part of the ear is called otitis media; according to localization, they are divided into:
- external (external) otitis, covering the ear canal and pinna, accompanied by pain of varying intensity and discomfort. It usually develops due to injury and infection. Find out in detail about;
- average- inflammation of the tympanic cavity (middle ear), the most common type of otitis, accompanied by severe pain, unpleasant sensations of congestion, tinnitus, fever and general malaise. Most often develops as a complication of colds;
- interior Otitis - inflammation of the labyrinth (inner ear) - the least common, but the most serious type. In addition to ear pain and hearing loss, it is accompanied by vestibular and autonomic disorders. A secondary disease that develops as a complication of otitis media or meningitis.
Treatment depends not only on the location, but also on the stage of the disease; there are 2 stages of otitis media - catarrhal and purulent.
Inflammatory processes of the hearing aid also include:
- eustachitis or tubootitis– inflammation of the mucous membrane auditory tube communicating with the nasopharynx;
- perichondritis– inflammation of the perichondrium of the auricle, caused by a primary (caused by injury) or secondary infection.
In what cases are anti-inflammatory ear drops prescribed?
Ear drops have different effects; they are divided into the following groups:
- anti-inflammatory, usually containing analgesic components;
- antibacterial aimed at eliminating infection;
- combined action, consisting of a steroidal anti-inflammatory drug and one or more antibiotics.
Indications for the use of anti-inflammatory drops are:
- otitis media, especially initial stage inflammatory process;
- otitis externa;
- acute catarrhal inflammation of the ear, external and middle parts;
- otitis of different origins, both infectious and caused by barotrauma (pressure drop), irritation from prolonged contact with water (“swimmer’s ear”). Read about how to remove water from your ear;
- pain syndrome;
- sulfur plugs.
Single-drug anti-inflammatory drops are used for symptomatic treatment, have a local anesthetic effect, reduce swelling. But they do not affect the infection, and are ineffective for purulent processes; in these cases, it is necessary to use drops with antibiotics or combination drugs that simultaneously affect the cause and alleviate the symptoms.
It must be taken into account that the purulent form of otitis media usually passes into the perforative stage, in which pus is released through the holes formed in the eardrum. Most ear drops with such holes are contraindicated because their components irritate the tympanic cavity. At this stage, only some antibacterial drops can be used, but not anti-inflammatory ones. How it is carried out.
For internal otitis and eustachitis, anti-inflammatory drops in the ear are not effective, since the source of inflammation is removed from the external passage where they are instilled, and for perichondritis, antibiotics and antiseptics are indicated.
What ear drops are most effective for inflammation?
The most effective drugs for treating inflammation
- Otinum(choline salicylate), sold in polyethylene bottles with a 10 g dispenser, containing 2 g of active ingredient. Other trade names are Brotinum, Holikaps.
Shown for acute catarrhal forms of external and otitis media, as well as in preparation for removal sulfur plugs by washing, has anti-inflammatory and analgesic effects, softens sulfur. Applicable per day 3-4 times x 3-4 drops.
Contraindications– perforated otitis (hearing impairment up to deafness is possible), hypersensitivity to salicylates. This medicine for inflammation of the ears is not recommended for use by pregnant and breastfeeding women; a preliminary examination by an otolaryngologist is required to check the integrity of the eardrum.
Price range: 155-216 rub. - Otipax(phenazone + lidocaine), ear drops for inflammation, are sold in 16 ml (15 g) bottles, 1 g of the drug contains 10 mg of lidocaine and 4 mg of phenazole.
Shown in the acute form of otitis media, otitis caused by complications of influenza, barotraumatic edema. Phenazone combines anti-inflammatory and analgesic effects, lidocaine is one of the strongest local anesthetics. The drug provides fast and intense pain relief and a long-lasting effect. Applicable per day 2-3 times x 3-4 drops, course up to 10 days.
Contraindications– allergy to lidocaine, hypersensitivity to other components, perforation. Athletes may have a positive reaction during doping control.
Price range: 198-274 rub. - Otirelax- an analogue of Otipax, slightly different from it in auxiliary components, 15 ml bottles.
Shown with external otitis, otitis media to the perforated stage, barotraumatic otitis to eliminate symptoms. Apply 2-3 times per day x 3-4 drops, maximum 10 days. Maintain an interval of at least half an hour when used in combination with other ear drops.
Contraindications– sensitivity to lidocaine, pyrazolone derivatives, damaged eardrum(if it enters the systemic circulation it can cause complications). Not recommended during lactation, and during pregnancy can be prescribed only for serious indications.Price range: 96-247 rub. These are relatively cheap anti-inflammatory ear drops.
Along with monopreparations based on non-steroidal anti-inflammatory substances, they also help in inflammatory processes. combined agents, which are allocated to a separate group. They are more effective and can be used even during purulent processes, but only before perforation.
- Candibiotic(contains the corticosteroid beclomethasone, as well as an anesthetic, antibiotic, and antifungal component), available in 5 ml bottles.
Shown for allergic and infectious inflammations ear, external and otitis media, including purulent. Apply per day 3-4 times x 4-5 drops, course 7-10 days.
Contraindications– intolerance to any components, pregnancy, lactation, age up to 6 years, perforated stage of otitis.Price range: 215-321 rub.
- Polydexa(glucocorticoid dexamethasone and 2 antibiotics), available in 10.5 ml bottles.
Shown for otitis, external and acute form of medial, dermatological diseases outer ear. Use 2 times a day x 1-5 drops, course 6-10 days.
Contraindications– membrane perforation, individual intolerance.
Price range: 209-299 rub.
- Sofradex(dexamethasone and 2 antibiotics), available in 5 ml bottles.
Shown for external otitis, acute and chronic, also used in ophthalmology. Instill in the ear 3-4 times x 2-3 drops, no more than a week.
Contraindications: viral and fungal infections, perforated otitis, individual hypersensitivity to components.
Price range: 250-333 rub.
Any anti-inflammatory ear drops should be prescribed by a specialist; the maximum course duration should not be exceeded. Before instillation, it is recommended to warm the bottle in your hands, carry out the procedure while lying on your side, after which it is advisable to lie in the same position for 3-5 minutes.
Drops for children: safe products
Many anti-inflammatory ear drops can be used to treat children because they have a local effect and do not enter the systemic bloodstream (if the eardrum is not damaged). The dosage in most cases is the same as for adults, but it is better to stick to the minimum dosage and in no case exceed the maximum. The following drops are indicated for children:
- Otipax, Otirelax - from birth;
- Otinum – for children from 1 year;
- Of the combination drugs with an anti-inflammatory effect, Candibiotic can be used from 6 years of age, Garazon from 8 years of age. The decision on the admissibility of treatment for young children steroid drugs based on dexamethasone (Sofradex, Polydex) should be taken by a doctor and monitor the treatment process, for children infancy these drugs are not recommended.
Anti-inflammatory ear drops for ear inflammation are one of the main means of complex treatment of external and internal otitis of various origins. Non-hormonal monomedicines have a symptomatic effect; steroidal anti-inflammatory substances in combination with antibiotics are more effective, but only against bacterial infections.
Anti-inflammatory ear drops for all people should only be prescribed by a doctor: a remedy that can help with one form of the disease will be ineffective or even dangerous with another. During the course of treatment with drops, regular examinations by an otolaryngologist are necessary for timely detection of perforation of the eardrum: both non-steroidal and combined anti-inflammatory drops are contraindicated if it is damaged.
According to statistics, 60% of children under the age of seven have suffered from otitis media at least once. This disease is indeed very common and often develops in childhood. But even among the adult population, there is a large number of people who have suffered from ear inflammation. Anyone who has encountered this problem knows that due to untimely and incorrect treatment, serious complications can develop, the most harmless of which is hearing loss. Therefore, it is very important to choose the right ear drops in time to get rid of the disease within a week.
The range of drops with different mechanisms of action is wide: some contain antibiotics, others contain anti-inflammatory or painkillers. Only some of them can be used in the treatment of otitis media in children, while the rest are intended for adults.
Characteristics of the disease
Otitis is a general name for all inflammatory processes in the ear that may have different reasons. Inflammation is usually caused by microorganisms: viruses, pathogenic fungi and bacteria. Of the bacteria, the most common causative agents of otitis are streptococci, staphylococci and pneumococci. They can enter the ear from the external environment, but much more often they penetrate there from the nasal cavity and pharynx. That is why it is extremely important to treat a runny nose and ARVI in a timely manner, without leading the process to complications. In the same way, migration of pathogens occurs in reverse side, so ear inflammation can lead to infection spreading to the nasopharynx. In a child, the disease may be associated with measles, diphtheria, whooping cough or scarlet fever.
In order to understand the types of otitis media, it is necessary to imagine how the human ear works. It is conventionally divided into external, middle and internal. The outer ear is the auricle itself and the external auditory canal, that is, everything that is in contact with external environment up to the eardrum. But behind it begins the so-called middle ear, where the auditory ossicles are located. This is where inflammatory processes most often develop. In inner ear there are organs of perception of sounds and balance.
Depending on the affected part and the nature of the inflammation, several types of this disease are distinguished. Diffuse purulent external otitis develops due to mechanical damage skin of the outer ear, for example, due to scratching. His hearing is not impaired. It is treated by washing the ear with a three percent solution boric acid or furacillin solution 0.05%. This disease is rare. Much more often, children and adults are bothered by the symptoms of otitis media: acute serous or purulent, chronic or tubo-otitis.
Acute serous otitis media
This form is caused by bacteria, fungi or viruses that enter the middle ear from the upper respiratory tract. This happens if adequate treatment for ARVI, influenza and other infections is not carried out. In response to the penetration of microorganisms in the middle ear, as well as in the nasal passages, a larger amount of fluid begins to form than normal. Edema is added to this process. As a result, due to the accumulation of mucus and swelling, pressure on the walls of the middle ear cavity increases. High blood pressure causes pain. And due to the fact that the fluid filling this part of the ear transmits worse sound vibrations, hearing impairment occurs.
Do not forget that the course of any otitis media is noticeably aggravated by nasal congestion. If you have an ear infection, be sure to use vasoconstrictor drops or nasal sprays: Nazivin, Naphthyzin, Tizin and others.
As a result, the patient suffering serous otitis, complains mainly of hearing loss, congestion in the ear and a feeling of fluid transfusion in the ear area when tilting the head. The pain is present, but not too intense.
It is this version of the disease that can be cured using only drops. In this case, products that do not contain antibiotics may be effective:
- Otipax
- Otinum
They will relieve inflammation and symptoms that bother the patient, but will not affect the cause of the disease. For serous inflammation this may be sufficient, but in each individual case the result of treatment depends on the condition immune system specific patient, so you should definitely consult your doctor about the choice of drops. Those containing antibiotics may also be needed.
Acute purulent otitis media
This is, in fact, the stage of development of otitis media, following serous one, if it is not treated. During this stage, the fluid in the middle ear turns into pus due to the body's immune response to the infection. Just like serous purulent otitis, it is caused by various pathogenic microorganisms. Of these, staphylococci are more likely than others to cause purulent inflammation.
In addition to the spread of bacteria from the nose and throat, there are other ways of development purulent process. It may occur after surgical interventions on ENT organs, for example, after tonsillectomy - removal of tonsils. This is due to a local decrease in immunity due to surgery. Bacteria can also penetrate from the outside if the eardrum ruptures: not related to infection, but traumatic.
This version of the flow is different from the previous one sharp increase patient temperature. It can rise to 38-39 degrees. At the same time, very intense pain in the ear begins. It has a stabbing, shooting, drilling or pulsating character. Pain can cover the entire half of the head, intensify when swallowing, and can be felt in the area of the jaws and teeth. Other signs of otitis media do not go away - congestion in the ear and decreased hearing acuity.
If all these symptoms occur, you should immediately call a doctor, and he will definitely prescribe antibiotics: local in drops and systemic in the form of tablets. Antibiotic ear drops:
- Otofa
- Tsipromed
If left untreated, pus accumulates in very large quantities and ruptures the eardrum from the inside. This relieves pain but leads to possible hearing loss. Therefore, therapy should be started in a timely manner.
How to bury your ears correctly?
In order for the medicine to reach the source of inflammation, it is necessary to use drops in accordance with the following algorithm:
If a rupture of the eardrum, called perforation, has already occurred and the doctor advises the use of drops, then they are used differently. A cotton swab is carefully inserted into the affected ear and the medicine is dripped onto it. If you do not use cotton wool and instill in the same way as before the rupture, hearing loss may develop.
Drops for adults
Medicines in the form of drops, depending on the composition, may have the following properties: antibacterial, anti-inflammatory and analgesic. There are drugs that have only one of these effects, and there are combination drugs that combine two or three actions at once.
Adults can use any of the drops on the market. Therefore, when treating adult patients, doctors give preference to the most powerful means: those that have several mechanisms of action on the disease. When using any drops with antibiotics, it is important to remember about possible side effects in the form of allergic reactions, especially in people who have already suffered from allergies at least once in their lives.
Candibiotic
These drops belong to combined means. They are unique in some way: their impact is aimed at several possible reasons illness immediately. This is ensured by a complex composition. The basis is chloramphenicol - it is a broad-spectrum antibiotic, that is, it is active against both gram-positive bacteria (staphylococci and streptococci) and against gram-negative ones (Escherichia coli). By contacting these microorganisms, it suppresses protein synthesis in them, that is, the construction of new structural elements of the microbial cell. Such antibiotics are rarely used in the production of ear drops; usually even antibacterial drops act unidirectionally. It also contains clotrimazole, an antifungal substance directed against various types of pathogenic fungi that could cause otitis media.
In addition to directly affecting the cause of the disease, Candibiotic fights the processes occurring in the ear during the period of illness. Due to its glucocorticosteroid content, it suppresses inflammatory reactions. But because of this same component, it is undesirable to use it for more than ten days or regularly throughout life. Since a patient with otitis, especially purulent one, is most concerned about pain, the medicine should cope with it too. To do this, lidocaine, which has analgesic properties, is added to it.
The main disadvantage of this powerful drug is that it is strictly forbidden to be used by children under 6 years of age, and it is at this age that otitis media most often occurs. Contraindications also include a previously ruptured eardrum. Pregnant and lactating women should consult their doctor before using Candibiotic, and if possible, it is better to do without it. Clinical researches There have been no studies on its use in this group of patients. Because of large quantity Candibiotic components are slightly more expensive than other drops: prices start at 218 rubles.
Adults and children over 6 years old instill 4-5 drops into the ear canal three to four times a day. Improvement in well-being usually occurs after three to five days, but the course of treatment must be continued until the symptoms disappear completely. It occurs on average after a week or ten days.
Tsipromed
This drug is not a combination drug: it contains only the antibiotic ciprofloxacin. Therefore, its action will be aimed exclusively at the bacteria that caused otitis media. Such targeted treatment is good in cases where the doctor knows exactly what pathogen caused the development of the disease. In this case, a potent remedy against specific microorganisms will speed up the healing process. Ciprofloxacin, which these drops are made of, is also a broad-spectrum antibiotic, and bactericidal. This means that it not only stops the proliferation of microbes, like Chloramphenicol, but also kills all existing bacteria.
Tsipromed can be used for both otitis media and external otitis. Contraindications include pregnancy and lactation due to the lack of research on this topic. These drops are suitable exclusively for adults and older children: they can only be used from 15 years of age. A separate advantage of this medicine is that they are the cheapest among ear drops, and at the same time they are not inferior in effectiveness to their analogues. The minimum price for Tsipromed is only 76 rubles, while all other ear drops cost about two hundred and differ in cost from each other by no more than 30 rubles.
According to the instructions, it is recommended to instill 5 drops of this medicine into the ear canal three times a day. After the symptoms of otitis media completely disappear, treatment must be continued for another 48 hours to ensure that the disease does not recur.
Otinum
Another drug for the treatment of otitis, recommended for adult patients. Its main active ingredient is choline salicylate. It belongs to non-steroidal anti-inflammatory drugs. Once at the site of inflammation, it blocks the enzyme responsible for the construction of inflammatory mediators. These are chemical compounds that cause all manifestations of inflammation: swelling, redness, pain. As a result, two effects of this medicine are realized - anti-inflammatory and analgesic.
For otitis, Otinum is instilled into the ear in the amount of three to four drops 3-4 times a day. It should be used within ten days. Except inflammatory diseases, these drops have another indication for use - softening hardened earwax before the procedure of its mechanical removal. To do this, instill 3-4 drops into the ear with a “wax plug” twice a day for 4 days.
This drug is absolutely contraindicated in all children, pregnant women and nursing mothers. The same applies to patients with a perforated eardrum. A separate contraindication is the presence of a diagnosis of status asthmaticus. It includes intolerance to acetylsalicylic acid, nasal polyposis and bronchial asthma. If all these signs are present, you should consult a doctor to select therapy.
Medicines for children
Most often, otitis media, both serous and purulent, develops in children under seven years of age. Therefore, many manufacturers of ear drops focus specifically on them. Pediatricians recommend these drugs because they are the safest and have been involved in the most clinical trials, which means they have proven their effectiveness.
Otipax
These drops have the following effect: children's analogue Otinuma. But their components are different. Otipax contains two substances. The first is phenazone. It is responsible for relieving inflammation and pain in the ear. The second is lidocaine hydrochloride, that is, a local anesthetic. It reduces the local sensitivity of receptors, including pain ones, helping the main active ingredient fight pain. Like other anesthetic drops, this medicine can be used not only in cases of otitis media, but also when pain in the ear area is caused by injury.
The main undeniable advantage of Otipax: it is prescribed even to newborns. That is, it can be used at any age, of course, including adults too. During pregnancy and breastfeeding, the use of this drug is permitted under the strict supervision of a doctor and only if there are serious indications. It is not used only in cases where the eardrum is damaged. Athletes should keep in mind that the drug gives a positive doping test result.
Patients of any age are prescribed 3-4 drops of this substance into the ear canal two to three times a day. Therapy is continued for ten days, during which time the symptoms of the disease cease. If this does not happen, other ear drops are prescribed.
Otofa
These children's drops are designed to destroy the causative agent of otitis media; their only mechanism of action is antibacterial. For acute purulent otitis, this is exactly the treatment that the child needs immediately. They contain ansamycin, an antibiotic from the rifampicin group. This group differs from others in that it was introduced into clinical practice relatively recently, so pathogenic species of bacteria have not yet had time to develop resistance (insensitivity) to it. The more often people use a particular antibiotic, the less effective it becomes as populations of microorganisms develop resistance to it.
The main advantage of Otofa is that it is allowed and even prescribed after a ruptured eardrum, unlike most other drops. The range of diagnoses for which this remedy helps is very wide: these include serous and purulent otitis media, otitis externa, chronic inflammation ear. This medication is prescribed to all children, but there is not yet enough scientific evidence for use in pregnant and breastfeeding women, so doctors recommend it to these patients only as a last resort.
The dosage for adults is 5 drops three times a day. There is another way to use: drops are poured into the ear canal for a few minutes twice a day. Children are prescribed 3 drops into the ear canal three times a day. This therapy is continued for seven days, during which time the signs of the disease regress.
Anauran
These are the only ear drops for children that are a combination drug. It contains two antibiotics that are designed to fight different bacteria. As a result, their total effectiveness is greater than when used separately. The first of these substances is neomycin sulfate, a broad-spectrum bactericidal antibiotic that destroys many types of microbes and cannot fight only streptococci. The second is polymyxin B, which is effective only against gram-negative bacteria - Escherichia, Shigella, Salmonella. In addition to these two substances, Anauran contains lidocaine for quick removal. pain syndrome.
For chronic otitis media, both external and medial, this drug can be used. But for acute otitis, it, like many other remedies, is used only at the stage before the tympanic membrane ruptures. Pregnant women and children under one year of age are prescribed Anauran, but only under the strict supervision of a doctor and if absolutely necessary. In addition to local treatment, antibiotic tablets are needed in most cases. But it is extremely important to remember that Anauran cannot be combined with some of them. This will lead to side effects in the form of toxic effects on the ear. Such drugs include:
- Netilmicin;
- Amikacin;
- Gentamicin;
- Monomycin;
- Streptomycin.
Adults are prescribed 4-5 drops of Anauran two to four times a day. Children's doses depend on the severity of the disease in a particular child and are individually selected by the pediatrician. They range from three to four applications per day, each of which involves placing 2 or 3 drops into the ear canal.
General information
All of the listed drugs differ in composition, treatment effect and age groups to which they can be used. A brief comparison of them is provided in the table:
| Name of ear drops | Presence of antibiotic | Anti-inflammatory effect | Anesthesia | Use in children |
| Candibiotic | Yes, against bacteria and fungi | Eat | Eat | Contraindicated under 6 years of age |
| Tsipromed | Eat | No | No | Contraindicated under 15 years of age |
| Otinum | No | Eat | Eat | Contraindicated in all children |
| Otipax | No | Eat | Eat | Allowed from birth |
| Otofa | Eat | No | No | Allowed from birth |
| Anauran | Yes (two different ones) | No | Eat | Applicable from 1 year |
This information will help you understand the range of ear drops on the market, but only the attending physician, who is well acquainted with the characteristics of the patient’s body, can select the correct therapy in each specific case.
Inflammatory process in the ear cavity, or - a common occurrence among children and adults. Acute ENT disease can occur in any part of the ear and cause many painful and discomfort. To treat the inflammatory process, doctors usually prescribe special ear drops that have antibacterial, analgesic and anti-inflammatory effects.
Cautions
But, despite the proven effectiveness of many ear drops, it is important to understand that this is a rather serious remedy that can only be prescribed by a highly qualified specialist.
Uncontrolled use of any remedy for otitis media can be extremely dangerous, so if symptoms appear that indicate inflammation in the ear cavity, it is better to immediately consult a doctor and undergo an examination.
After all, many patients require complex treatment; not only ear drops for otitis media can be prescribed, but also others medications, and in some cases, physiotherapeutic procedures.
Inattention to one's health and lack of therapeutic measures to eliminate the pathology in question can lead to neglect of the disease, as well as to the occurrence of severe and hazardous complications. After all, otitis media develops very quickly, affecting various parts of the ear.
Approximate treatment plan
Based on the established diagnosis, the doctor prescribes effective therapy individually for each specific patient. The patient’s age, stage of the disease, features of its course, etc. must be taken into account.
Treatment of otitis media in adults and children usually follows the following scheme:
- Ear drops with or without antibiotics, depending on the characteristics of the pathology.
- Drops in the nose, since otitis media is often accompanied by a runny nose.
- Antiallergic drugs.
- Antipyretic medications for fever, as well as for pain relief.
- Antibiotics to eliminate infection from the body.
- The use of physiotherapeutic procedures, such as heating, various compresses, etc.
For inflammation in the ears, in addition to the listed methods, you can use some folk recipes, but the main condition here is to avoid replacing the therapy prescribed by the doctor with unconventional method treatment. It is important that the attending physician is aware of all measures taken to eliminate the symptoms of otitis media.
Benefits of ear drops
Drops for otitis in adults and children are very popular because they perfectly cope with pain, eliminate the inflammatory process, cleanse, destroy pathogenic flora and generally have a positive effect on the functioning of the ear.
One of the most important advantages of ear drops is their effective local effect, which manifests itself very quickly, immediately after they are used. But you should remember that drops in the ear are the same medical supplies which have certain contraindications and side effects.
And, despite the extensive range of various ear medications available in pharmacies, it is important to realize that only an experienced ENT doctor can choose the most effective remedy. Self-medication is unacceptable in any case, as this can negatively affect the general health of the patient.
Classification of drugs
Ear drops for otitis in adults and children are divided into several groups, depending on the main active components included in their composition and determining the mechanism of action of these drugs.
- Anti-inflammatory and analgesic medicine for otitis, for example, Otipax, Otinum.
- Antibiotic ear drops, such as Fugentin, Normax, Dancil, etc.
- Medicines containing hormonal glucocorticoid substances that have a very strong anti-inflammatory effect.
- Antiseptic drops intended for both treatment and prevention of otitis media. Representatives - boric alcohol, miramistin,.
- Means for dissolving and preventing the formation of ear plugs.
- with otitis.
Technique for using ear drops
In order for anti-inflammatory drugs to have the expected and positive effect, you need to know how to use them correctly. First of all, you need to take care of the sterility of the pipette or dropper included with the medication.
Then you need to lie on your side, with your sore ear facing up. To perform the procedure, you will need the help of another person, since the patient himself cannot cope with it. To instill medicine for otitis media for children, you need to pull the earlobe down and back, and for adults, on the contrary, up and back.
Myself medicinal solution should be at room temperature, since cold products cannot be used to prevent ear irritation. It is necessary to insert the tip of the dropper into the ear hole and squeeze out as much medicine as the instructions require. After drip manipulations, the patient should lie on his side for ten or fifteen minutes, and then repeat the procedure with the other ear.
Some medications for otitis need to be applied to a cotton wool flagellum, which is inserted into the ear opening. The main condition here is that the cotton wool used is completely sterile, as well as reading the instructions and following them.
It is important to know that ear drops for adults and children are not the main treatment against the inflammatory process. Sometimes doctors also prescribe special tablets for otitis media, antibiotics, cold medicine, etc.
Medicines containing antibiotics
There are many different antibiotic ear drops for otitis media. Their appointment is advisable in the following cases:
- The eardrum is damaged and there is purulent discharge.
- The acute stage has arrived.
- Was held surgery, a foreign body entered the ear, causing serious injury to the auditory organ.
All this can provoke the development of otitis media, so antibiotic drops are used for preventive purposes.
Examples of the most famous and effective ear drops that have an antimicrobial effect.
The active ingredient is ciprofloxacin. The drug is popular because it is wonderful medicine from otitis media in adults. But its use is contraindicated:
- persons under fifteen years of age;
- pregnant women;
- lactating women.
A medicinal product in the form of drops for the ears, acceptable for use in childhood, but only after five years. The active ingredient is rifampicin. Treatment with this drug is not recommended during pregnancy and lactation, as well as in case of hypersensitivity to the active substance.
Ear drops containing the antibiotic norfloxacin. Contraindications include:
- severe kidney pathologies;
- tendency to allergic reactions;
- liver diseases;
- epileptic seizures;
- pregnancy;
- lactation.
Drops characterized by the presence of two antibiotics at once: polymyxin and neomycin. In addition, the remedy contains the hormonal substance dexamethasone. When using the drug, rapid recovery is observed, as it has a pronounced antimicrobial and bactericidal effect. Within a few days, the symptoms of otitis media completely disappear.
Another good medicine containing dexamethasone, as well as two antibiotics gramicidin and framycetin. When used, the growth of pathogenic flora is suppressed and swelling is relieved.
Used to treat otitis in children, but only those who have reached the age of twelve.
Contains:
- Polymyxin;
- Neomycin;
- Dexamethasone.
Has anti-inflammatory and antibacterial effects when used.
Anti-inflammatory and antiseptic ear drops
Medicines belonging to this group are used for, as an additional remedy with exacerbation of otitis media, with inflammation caused by viral infection etc. The most popular drops.
Contains lidocaine and phenazone, copes well with pain, relieves inflammation, and disinfects. The main advantage of the medication is that it can be used from the first day of life, as well as when carrying a child. Contraindications: individual intolerance and damaged eardrum.
A drug made on the basis of miramistin and approved for use in children from one year of age.
An anti-inflammatory drug whose active ingredient is choline salicylate. The medication can be used not only to treat otitis media, but also to remove wax plugs.
All medications, without exception, have their contraindications and have side effects, therefore their use is permissible only after consultation with a specialist.