Rinonorm Teva: Instructions for use, analogues and reviews, prices in pharmacies of Russia. Rinonorm - Instructions, Application, Indications, Contraindications, Action, Side Effects, Analogs, Dosage, Composition Rinonorm Side Effects

Rinonorm is a nasal spray spray used in LOR-Practice. The active ingredient is xylometazoline.

Available in a form of 0.05% and 0.1% nasal spray, intended only for local applications. Fasted in 10 ml bottles, for ease of use, the bottle is equipped with a dosing device.

Alpha-adrenostimulator, narrows blood vessels of the mucous membrane of the nasal cavity, eliminating swelling and hyperemia of the mucous membrane. Facilitates nasal breathing at rhinitis.

The action of the spray for the nose rinonorm comes in a few minutes and continues within a few hours (up to 6-8 hours).

The restoration of the nasopharynk air maintenance improves human well-being and reduces the risk of possible complications caused by the stagnation of the secrecy.

With the local application, the spray the active substance is minimally absorbed into the systemic blood flow.

Indications for use

What helps rinonorms from? According to the instructions, the spray for the nose is prescribed in the following cases:

• Acute viral or bacterial rhinitis;
• Acute allergic rhinitis;
• Acute sinusitis or aggravation of chronic sinusitis;
• Acute average otitis (to reduce the edema of the mucous membrane of the Eustachius pipe);
• Preparation for diagnostic procedures in nasal strokes.

Instructions for the use of rinonorm spray, dosage

Spray is used exclusively intranasally (in the nose). For adults, a concentration of 0.1% solution, children aged from 2 to 10 years, is used 0.05% spray.

Before the introduction of spray, it is desirable to clean the nasal cavity from the accumulated secretion.

Maximum number - 4 times a day. The interval between the introduction is at least 6 hours.

Rinonorms for children

The instruction warns that children can only be used by rinonorms 0.05%. Children 2-10 years old are prescribed 1 dose (1 injection) in each nasal stroke from 1 to 3 times a day.

The duration of therapy should not exceed 7 days. Addictive.

Side effects

The instruction warns the possibility of developing the following side effects when prescribing rinonorms:

• Increased excitability;
• Headaches;
• An increase in blood pressure;
• Arrhythmia;
• Insomnia;
• Nausea;
• Irritation of mucous membranes;
• Burning or itching;
• Allergic reactions (rash, urticaria).

Contraindications

Contraindicated to assign rinonorms in the following cases:

• Age up to 2 years (0.05% spray) or up to 10 years (0.1% spray).
• Inflammation of the mucous membrane of the nasal cavity, characterized by its thinning and dryness (atrophic rhinitis).
• Clothing glaucoma.
• Status after surgical removal of the pituitary part (hypophysometer).
• Pregnancy.
• Related use of drugs of the pharmacological group Tricyclic antidepressants and monoaminoxidase inhibitors (MAO).
• Individual intolerance to any of the components of the drug.

C care:

• Lactation period
• IBS (angina),
• Prostate hyperplasia,
• thyrotoxicosis
• Lactation period
• Diabetes,
• Childhood.

The spray for the nose should not be applied during pregnancy. Caution should be used during breastfeeding period.

Overdose

When overdose, there is a manifestation or strengthening side effects of the spray. Treatment is symptomatic.

When taking inside it is possible to increase blood pressure, arrhythmia and loss of consciousness. It is recommended to rinse the stomach, give a laxative.

In severe cases, treatment is carried out in the ward of intensive therapy using artificial ventilation of the lungs and the use of alpha-adrenoreceptor blockers.

Rinonorm, price in pharmacies

If necessary, it is possible to replace the rinonorms on an analogue of the active substance - these are drugs:

1. Manual;
2. Dr. Taiss Nazolin;

Do you know what medicines are the most sold? These are xylometazoline-based vessels. Not surprised? Still would! After all, everyone knows how difficult it is to live with a runny nose, and they eliminate him quickly and for a long time. Their number includes rinonorms. What does it help, why is buyers in demand and what can be dangerous?

We are accustomed that imported medicines are expensive. But in this row there are pleasant exceptions. One of the inexpensive and high-quality drugs produces the German Pharmaceutical Company "Merclet GmbH". This is a rinonorm. What does he help?

These are drops for the nose produced in the form of spray. They belong to vesseloring drugs for local applications, which are widely used in the treatment of ENT diseases. "In scientific" is alpha adrenomimetics. And this means that its active component is caused by the vessels to fall into the mucous nose, reduces the swelling, reduces the separated secret (simply speaking, snot). It acts very quickly: the nose begins to breathe after 15-20 minutes, and the effect is saved from 6 to 8 hours, which makes it appropriate to use the spray at night.

Restoring the passability of the nasopharynx, the medicine not only improves the health of the patient, but also prevents complications associated with stagnation of mucous drugs. The main component in the composition of drugs - xylometazoline in the amount of 5 mg in the drug for children and 10 mg - for adults.

He is released without a recipe. Registration This remedy passed back in 2004. For 13 years, it has managed to earn a good reputation in practitioners and patients.

When to apply it?

This is a symptomatic medicine, that is, it is suitable for the treatment of acute states, but is not suitable for getting rid of chronic LOR pathologies. Here are the main indications for the use of Rinonorm:

• rhinitis of allergic, viral or bacterial nature;
• sinusitis;
• middle Otitis (in order to reduce eternal edema);
• polleoz.

The drug is also used at the preparation stage for diagnostic procedures in the nasal cavity.

Who can he harm?

Contraindications for the use of rinonormors are related to the fact that it has a strong vesseloring effect and overcourses the mucous membrane, and with long use it can even cause its burn. Taking into account these features, the tool is prohibited in such pathologies and states:

• children's age up to 2 years;
• pregnancy, breastfeeding;
• treatment with antidepressants or Mao inhibitors;
• rinitis with mucous atrophy;
• clotted glaucoma;
• diabetes;
• rehabilitation after a pituitary operation.

Important! With great care (only with the permission of the doctor), the spray can be used in hypertension, diseases of the kidneys and SCCs, inflammation of the prostate gland.

How safe is it?

Rinonorms produces a quick effect, but it, like other means based on adrenomimetics, is able to provoke adverse reactions. Most often it is:

• signs of irritation of the mucous - tingling, burning, dryness, strengthening of the secretion of mucus, sneezing;
• rashes on skin cover;
• headache, pulse, increase blood pressure, sleep problems, excessive excitability.

How to use spray?

Rinonorm spray is very convenient to use. According to the instructions for use, it should be done like this:

• patients with 10 years and adults are suitable for 0.01% solution. It should be injected at 1 dose in each nasal pass no more than 3 p. per day with a 6-hour interval between procedures. The maximum number of applications is 7 times. At one press on the piston in the nose, 0.14 ml of the composition falls;
• children from 2 to 10 years old should be used 0.05% nasal spray in this way: 1 injection up to 3 p. A day with a gap at 6 o'clock.

Important! To avoid complications, addiction and addiction, the therapy cannot be carried out longer than 7 days.

Xilomeazoline "Relatives" of the drug

The spray has an affordable price - from 50 to 60 rubles, and the children's form of the drug costs somewhat more than adult - about 80 rubles. A variety of rinonormal analogues with exactly the same composition are much more expensive. If they are released in drops, they are contraindicated to kids up to 6 years, and the described means can be used from 2 years. Therefore, it is hardly advisable to look for analogs. The only remark that is presenting some patients to this medicine is a short shelf life. But this is explained by the fact that it does not contain preservatives. Taking into account the low cost, it can be purchased with each new disease.

Here are the most famous analogues of this nasal spray:

• cheaper - Galazolin (Poland, about 33-3-38 rubles);
• in the same price category - xylene (domestic medicine, 66-68 rubles), xylometazoline (60-62 rubles), Rinorus (Russia, 71-80 rubles);
• somewhat more expensive - rhinostop (Russian, 90 rubles), Infpostad Reno (German spray, from 85 rubles), fornasses (India, 95-104 rubles), Tizin Ksilo (98-103 rubles);
• dear - Snup (Germany, 119-139 rubles); Orivin (Switzerland, 153-167 rubles); Ximeline (produced by the Danish and Norwegian branches of the company "NIKOMED", 190-230 rubles.)

And the active ingredient, and its concentration in these drugs is the same. A minus, regardless of the manufacturer, too, in all the same: all vasoconsturing during long-term use cause the opposite effect - hypertrophy of the mucous membrane and chronic nasal congestion. Popular deryvin complex acts faster, as it also contains the bromide, but it is allowed only from 18 years.

Rinonorm is a remedy for the Western European manufacturer, so you can count on its high quality. In addition, it is not distinguished by the transcendental price and guaranteed to save the nose to silence. But it must be remembered that the elimination of mucus with ritin is not an end in itself. The main thing is to cure the disease, and not to remove an unpleasant symptom. In addition, it is possible to apply rinonorms only a limited period.

The cold season is traditionally considered a cold season, viral infections, influenza. And closer to the spring, many of the manifestations of allergies begin, including the runny nose caused by this disease. Children are especially easy and ill, therefore it is important to know the parents, which drug can be taken to make kids quickly correct.

Form release

A famous medicine from a cold is "Rinonorm", which is produced in the form of nasal means: droplets, spray and gel. Moreover manufacturers offer a special children's dosage with a reduced concentration of the active ingredient.Parents remain only to choose a more convenient form (drops or spray "Rinonorm" 0.05%).

Drops are sold in dark glass bottles with a pipette cover of 10 and 15 ml and in spray-in cylinders with a volume of 10 and 15 ml with a comfortable spray with a spray, dosing injection.

Structure

Spray and drops are a solution of the main operating component (xylometazoline hydrochloride). Each milligrame of nasal means for children contains 500 mg of this substance.

Xylometazoline hydrochloride - alpha-adrenomimetics of local application, which has a vasoconstrictor effect on the nasal mucosa. Rubber need to begin to treat as early as possible. Here the nasal funds "Rinonorm" come to the rescue. The vessels narrows, swelling will fall, and the child can breathe freely again.

As auxiliary components in Rinonorm preparations include stabilizers, including citric acid, glycerol. The basis of the solution is distilled water.

Operating principle

If a viral or bacterial infection is hit on the mucous membrane, the pathogenic organism is introduced into its cells. First, dryness and burning in the nose appear, and then there is swelling of the mucous membrane. Simultaneously with the swelling, active isolation begins, nasal is concluded.

Some parents believe that the cold is not caused by infection, so it does not need to be treated. In itself, supercooling, which, as a rule, leads to a cold, is indeed not a disease. But the disease that we call the cold occurs when the immunity of the child weakens due to supercooling. At this moment, children are more vulnerable to bacterial infections.

Rubber - not a completely harmless disease. Humped respiration leads to a decrease in blood oxygen concentration. The internal organs and cloth of the child begin to experience its flaw. This condition is called hypoxia. Long-term hypoxia adversely affects the health of children.

When using the "rinonorm" alpha adrenomimetic, falling on the mucous membrane, contributes to the narrowing of the arteriole (small arteries in the nose). The tide of blood to the mucosa is reduced, the edema will fall, the redness also becomes less pronounced. When restoring breathing, children begin to feel better, letters lethargy, drowsiness, accompanying difficulty breathing.

The action of the nasal means "Rinonorm" lasts up to 6-8 hours. Therefore, if you give them to a child before bedtime, it is guaranteed calmly sleep all night.

In addition, timely, the treatment will allow to avoid various complications in which inflammation can spread to the mucousness of pharynx and larynx. This may cause diseases such as sinusitis, laryngitis, pharyngitis, otitis.

If the appearance of a runny nose is associated with seasonal exacerbation of allergies or contact with an allergen, then the action "Rinonorm" will also facilitate this state. In this case, the tool must be used in a complex with anti-allergenic drugs.

Indications

Nasal means "Rinonom" can be taken if the child has a runny nose, regardless of its cause: viral, bacterial infection or allergies. "Rinonorm" is shown in acute sinusitis, that is, the inflammation of the apparent cavities of the nose, as well as with the exacerbation of the chronic stage of this disease.

When a runny nose in a child, children's "rinonorms" can be applied to the doctor, because it is important to "capture" the disease at the very beginning and not to give it to develop. But to advise with the doctor if the child fell ill, it is necessary. Parents can record the names of all the medicines that they gave the child, and the doctor, based on the symptoms and individual indicators of the child's health, can adjust the treatment method.

Rinonorms are also successfully used as part of complex therapy in the treatment of otitis of the middle ear. The drug removes swelling and facilitates the child's condition. But immediately apply "Rinonorm", if the child got sick ear, it is not worth it. It is better to first consult a doctor who will appoint a suitable treatment.

The "Rinonorm" is shown and in the preparation of children to various manipulations, procedures and surgical operations in the nose.

From what age are prescribed?

Even in the children's dosage to give a child under 2 years old "Rinonorm" doctors do not recommend. This is due to the peculiarities of small children who have many physiological processes in the body proceed differently than in adults and older children. Especially vulnerable in this sense are kids under the age of the year.

The appearance of a runny nose of a small child who does not know how to breathe mouth is very dangerous. Parents need to immediately consult a doctor who recommends the allowed drug. Pharmacists in pharmacies also have the necessary qualifications to advise the medicine suitable for the baby.

Contraindications

Strict contraindications to the use of rinonorm preparations is an increased individual sensitivity to components. The use of alpha adrenomimetics is also not recommended if there are damage to the mucous membrane: wounds, scratches, crusts.

Alpha adrenomimetics are not used simultaneously with inhibitors and tricyclic antidepressants.

The use of nasal drugs "Rinonorm", intended for adults, children under 10 years old, is contraindicated. In the absence of medicines with a child dosage, many parents decide to give the child an adult "Rinonorm". But doctors believe that it is not necessary to do that. The use of a preparation with a higher concentration of the current component can lead to symptoms of overdose and deterioration of the child's condition.

Only under the constant supervision of the doctor "Rinonorm" give children suffering from diabetes mellitus, severe heart disease.

Side effects

In some cases, after applying the nasal preparations, Rinone may have a local reaction in the form of a feeling of dryness or burning in the nose, and sometimes mucosa, larynx. Children may complain about headaches, poor sleep, sometimes parents note the increased excitability and poor child well-being, and there can sometimes be an increase in pressure. In the hardest cases may appear nausea and rash on the skin.

If one of these symptoms is seen, even if there is a chance that its appearance is not associated with the "rinonorm", you need to suspend treatment with the drug and consult with your doctor. If the treatment continue, the symptoms may be aggravated, and the child's condition is worse.

Instructions for use

Before intranasal administration of the drug, it is necessary to clean the nose of the child from the accumulated mucus.

When using a spray for a child aged 2 to 10 years, it is recommended to do one injection up to 3 times a day. One bump corresponds to 0.14 ml of solution. At the same time, there must be at least 6 hours between the two techniques.

For children over 10 years old, apply an adult form of a spray with a concentration of 0.1%. Also enough one injection into each nasal course is not more than 3 times a day. The total duration of treatment is no more than 7 days.

The application of the "Rinonorm" drop for children from 0 to 6 years is allowed 1-2 times a day for 1-2 drops. For this age category, droplets "Rinonorm" 0.05%. Children over 6 years old give drops "Rinonorm" 0.1% of 2-3 drops to 4 times a day.

Nasal gel "Rinonorm" can only be given to children over 7 years old. The gel is laid in the nose up to 4 times a day, including before bedtime.

Overdose

In the treatment with Rinonorms preparations, an overdose is observed in rare cases. Symptoms are an increase in blood pressure, arrhythmia. With a great overdose, loss of consciousness is possible.

If the child accidentally accepted a large amount of drug inside, it is necessary to urgently call the "ambulance". If for some reason it is impossible to call specialists, it should be washed with a stomach on their own. This is not the most pleasant procedure. The child needs to be given from 150 ml (for newborns) to 600 ml of water (for children from 7 years). Then you need to call the child with vomiting.

It is important to consider that the washing of the stomach is effectively only for one or two hours after taking medication.

In any case, after washing, or if it could not be done, you need to give a child activated carbon or any sorbent, as well as a laxative. This will help as quickly as possible to remove unwanted substances from the body.

Doctors advise relate to the an overdose of alpha adrenomimetics seriously, since it is a strong vasoconstrictor.

Interaction with other drugs

It is known that simultaneous reception with Mao inhibitors leads to an increase in pressure, and when combining treatment with "rinonorm" with three or tetracyclic antidepressants, the effect of the drug is enhanced, which may cause symptoms of overdose.

Terms for sale and storage

Preparations "Rinonorm" are attributed to the means of non-prescription. After buying in a pharmacy, the bottle or can be stored at air temperature not higher than 25 C. If the capacity is stored in a closed form, then the shelf life is 3 years from the date of release. After opening, the use of the medicine can be within one year. Production date is always indicated on the package.

Form release

Structure

Active ingredient: xylometazoline HydroxyloroidsMiructive substances: lemonic acid monohydrate; sodium citrate dihydrate; glycerol 85%; Water for injection. Concentration of the active substance (mg): 1 mg

Pharmacological effect

Alpha adrenomimetics for local use in LOR-Practice. Prior to local use of xylomezoline causes the narrowing of the arteriole, leads to a decrease in hyperemia and edema of the nasopharmaceous mucous membranes and a decrease in the separated secret. The distinct local action of the drug is revealed in a few minutes and is preserved for several hours (up to 6-8 hours), manifested in the restoration of the patency of the nasal strokes, holes of the sinuses and Eustachius pipes. The restoration of the nasopharynk air maintenance improves the patient's well-being and reduces the risk of possible complications caused by the stagnation of the secrecy.

Pharmacokinetics

When local use, xylometazoline is practically not absorbed, therefore, the concentration in the blood plasma is very small (are not analytically determined).

Contraindications

Increased sensitivity to xylometazoline or other components of the drug. The skin's skin, the nasal mucosa and the crust formation (dry rhinitis). Replacement after hypophysometer. Application in children up to 2 years. Recruitment of glaucoma. Inhibitors of monoaminoxidase (MAO) and tricyclic antidepressants.

Application in pregnancy and breastfeeding

The effect on the ability to driving vehicles and managing the mechanism on the ability of transport and the management of machines and mechanisms is not marked.

Method of application and dose

Adults and children over 10 years old: Rinonorm, spray nasal dosage, 0.1% - 1 dose in each nasal course no more than 3 times a day. Maximum multiplicity of application should not exceed 7 times a day. The interval between the administration of the drug should not be less than 6 part 1 of the dose (one press on the piston device) \u003d 0.14 ml of solution. In order to avoid complications in the form of resumption of symptoms of the disease, the duration of continuous use of the drug should not exceed 7 days. Perfor the use of the drug Rinonorm It is recommended to free the nasal move from the secret, and during the introduction of the drug it is necessary to make a light breath through the nose.

Side effects

The simultaneous reception of three or tetracyclic antidepressants can increase the systemic effects of xylomezoline. When simultaneously receiving the drug with Mao inhibitors, the risk of increasing blood pressure is possible.

Overdose

Local reactions: a feeling of burning and dryness of the mucous membrane of the nasal cavity; Rarely - irritation of the mucous membrane of the nose, oral cavity and larynx. CNS side: headache; Insomnia, increased excitability. The side of the cardiovascular system: arrhythmia, an increase in blood pressure: rarely - nausea; Skin reactions.

Interaction with other drugs

Precautions

special instructions

Symptoms: In rare cases of overdose arising mainly in children, arrhythmias can be observed, an increase in blood pressure, in some cases - loss of consciousness. Treatment: Symptomatic therapy under observation is shown. In serious cases, non-selective alpha-adrenoblockers can be applied to reduce blood pressure, as well as intubation and IVL. Vasomotoring drugs are contraindicated. In case of random reception of a moderate or large amount of drug inside, activated carbon and a laxative (for example, sodium sulfate) should be taken, make a stomach wash.

Drug Treatment Rinonorm Promotes the escape of the blood vessels of the mucous membrane of the nasal cavity, eliminating swelling and hyperemia of the mucous membrane. Rinonorm facilitates nasal breathing at rhinitis. The action occurs in a few minutes and continues within a few hours.

Indications for use

Rinonorm prescribed for the treatment of acute allergic rhinitis, ARZ with phenomena of rhinitis, sinusitis, half aulinosis; Middle Otita (to reduce the edema of the nasophack mucosa). Preparation of a patient for diagnostic manipulations in nasal strokes.

Mode of application

Rinonorm Apply intranasal. Drops for nasal for adults and children over 6 years old - 2-3 cap 0.1% solution or one injection from the sprayer in each nasal stroke, usually enough 4 times a day; For breasts and children under 6 years old - 1-2 cap 0.05% solution in each nasal course 1 or 2 times a day; It should not be used for more than 3 times a day. Nasal gel (for adults and children over 7 years old) - 3-4 times a day laid a small amount of gel as much as possible in each nasal stroke. The last time the gel is usually laid shortly before sleep.

Contraindications

Hypersensitivity, arterial hypertension, tachycardia, pronounced atherosclerosis, glaucoma, atrophic rhinitis, thyrotoxicosis, surgical interventions on cerebral shells (in history), pregnancy, children's age (up to 12 years - for 0.1% solution) .C caution. Lactation period, IBS (angina), prostate hyperplasia, thyrotoxicosis, diabetes, children's age (for 0.05% solution - up to 2 years old, for gel - up to 7 years).

Side effects

With frequent and / or long-term use Rinonorm - irritation and / or dryness mucous membrane sheath, burning, paresthesia, chihanne, hypersecretion. Rarely - swelling of the mucous membrane of the nasal cavity, heartbeat, tachycardia, arrhythmia, increased blood pressure, headache, vomiting, insomnia, violation of vision; Depression (with long-term use in high doses). Decode. Symptoms: Strengthening side effects.

Special instructions:
Before use Rinonorm It is necessary to clean the nasal moves. Children, up to 2 years old, generally accepted clinical doses are not designed (use only 0.5% solution). It should not be used for a long time, for example, in chronic rhine. With "" cold "diseases in cases where peels are formed in the nose, it is preferable to assign in the form of a gel. Missed dose: to use for 1 hour at once, later 1 h not to use; Dose do not double.

Interaction with other drugs:
Incompatible with Mao inhibitors and tricyclic antidepressants.

Form release

nasal gel, nasal drops, nasal droplets [for children], spray nasal, spray nasal [for children], spray nasal dosage, spray nasal dosage [for children], spray nasal dosage [with menthol and eucalyptus]

Structure

10 ml spray Rinonorms 0.05% Contain:
Xylometazoline (in the form of hydrochloride) - 5 mg;
Additional ingredients.

10 ml spray Rinonorms 0.1% Contain:
Xylometazoline (in the form of hydrochloride) - 10 mg;
Additional ingredients.

Main settings

Name:

Rinonorm