Otitis is an inflammatory disease that affects different parts of the ear. The disease occurs among both men and women, regardless of their age.
The main signs of an inflammatory process in the hearing organs are:
- Pain in the ear.
- Increased body temperature.
- Noise in ears.
- Headache.
- Hearing impairment.
- Purulent discharge from the ear.
- Deterioration of general condition.
Symptoms vary and depend on which part of the ear is affected. Possible causes that can lead to otitis media include:
- Mechanical damage to the ear.
- Chemical injuries to the hearing organ.
- Pathogenic microorganisms such as bacteria, as well as viruses and fungi.
Otitis media often appears as a complication after acute respiratory illness and influenza. If the first symptoms of ear inflammation occur, you should immediately contact an otolaryngologist, who can make the correct diagnosis and prescribe the correct treatment. In the absence of proper therapy, unwanted complications can develop, including the development of a chronic form of the disease and complete hearing loss. What ear ointments are there?
Types of ointments
Elimination of otitis should be carried out under the supervision of a medical specialist. Ointment for inflammation has a positive effect when the outer ear is affected.
With otitis of the inner and middle ear, liniments are powerless due to the structural features of this organ. The inner and middle ear are located in the temporal bone and are surrounded by a membrane that has a protective function and protects the ear from the harmful effects of the environment.
Types of ointments for ears:
- Antimicrobial.
- Hormonal.
- Based on plants and other substances.
The ointment is prescribed by the doctor after making the necessary diagnosis, which may include a general examination, as well as a blood test, and so on. You can use liniments yourself, following the instructions of an otolaryngologist.
The main limitation to the use of ear ointments is the presence of a hole or rupture in the eardrum, which can allow the medicine to enter the middle ear and have a detrimental effect on the auditory nerve.
Self-medication and the use of traditional medicine for inflammation in the ear are strictly contraindicated.
Hydrocortisone ear drops for children
Hydrocortisone is a glucocorticosteroid drug that has a pronounced anti-inflammatory and antiallergic effect. Used as local and systemic treatment. In addition, it has a fast-acting decongestant, antitoxic and immunosuppressive effect.
Hydrocortisone: description of the drug
Hydrocortisone is a hormonal drug, therefore it is approved for use only on the recommendations of the attending physician. In practice, this medicine is prescribed for the treatment of various diseases. The decision is based on the patient's medical history and complaints.
Active ingredients: hydrocortisone acetate (depending on the form of release, the mass of the substance varies), lidocaine hydrochloride. Auxiliary components: sodium chloride, methyloxybenzoate, propylene glycol, petroleum jelly, benzyl alcohol. Has a long-lasting healing effect.
Providing a pronounced anti-inflammatory and analgesic effect, it is indicated for use in inflammatory diseases of the ears, such as:
- otitis of the external and middle ear;
- dysfunction of the auditory tube.
It is also prescribed for preventive purposes to people who use earplugs, hearing aids, and headphones for a long time.
In ointment format it is used for inflammatory processes on the skin:
In the form of intra-articular injections it is prescribed for:
- epicondylitis;
- acute bursitis;
- osteoarthritis.
Can it be used by children?
Treatment of children with hydrocortisone is carried out quite often. Depending on the form of the drug, the age of the patient and the type of disease, different volumes are prescribed. If necessary, under the supervision of a doctor, therapy is carried out from the age of three months.
Important: only a doctor can prescribe the permissible dosage and duration of treatment. You should not stop or interrupt the prescribed course of treatment on your own without discussing this with your doctor.
As a rule, the course for children using this drug does not exceed 14 days. Taking into account the age of a small patient, the daily dosage of medication varies from 5 to 30 mg, taking into account several doses.
Hydrocortisone drops in the ear
Today, the drug in question is increasingly used in the treatment of diseases of the upper and lower respiratory tract, nasopharynx, ears (otitis media, sinusitis, bronchitis, etc.). In the treatment of ENT diseases, the drug is used in the form of:
- inhalations;
- drops;
- suspensions.
Mode of application
Due to its fast-acting property of reaching the source of inflammation and destroying pathogens, drops in the ears are becoming increasingly popular. Due to the fact that one of the components of this product is a hormone, consultation with a doctor will be necessary before use.
At the age of 6 to 14 years, instill 1-2 drops once a day. For the youngest patients, the dosage is calculated based on the severity of the disease and body weight.
Contraindications
There are certain conditions under which the use of drops is contraindicated:
- children under 2 years of age;
- pregnancy, breastfeeding period;
- individual intolerance to components;
- renal failure;
- diabetes;
- severe hypertension;
- tendency to form blood clots;
- stomach ulcer;
- heart failure.
Precautionary measures
When treating with this drug in drop format, experts recommend adhering to the following precautions:
- Drops should not be used if the eardrum is perforated. In general, it is not advisable to use this drug for hearing injuries, since serious complications may develop.
- You should not stop the course of treatment on your own, or exceed the dosage prescribed by your doctor. If you think your child has fully recovered, consult your doctor about next steps.
If your child gets worse after use, stop the course and seek immediate medical attention.
Hydrocortisone suspension
The drug in suspension format is most often used for injection. It is used to treat diseases such as rheumatoid arthritis, osteoarthritis, bursitis, etc.
Is it suitable for ear diseases?
In some cases, doctors decide to use this drug in the fight against inflammatory ear disease. A suspension of hydrocortisol can be added to the main antibiotic solution or used as an independent medicine.
Also used as a treatment for otitis of an allergic nature.
Directions for use and dosage
In the case when the patient does not have a perforation of the eardrum, and the inflammatory process is at stages 1 and 2, local treatment is aimed at suppressing the source of inflammation and reducing pain syndromes.
The suspension is used as one of the means of complex therapy:
- A warming compress is applied to the patient's ear.
- A turunda moistened with a solution of a suspension of hydrocortisone and 0.1% furatsilin alcohol is inserted into the ear canal.
- Drops of carbolic glycerin (1-2 drops) are instilled into the ear.
If the patient has a perforated eardrum, hydrocortisol is administered through the nostrils. Through the nasal passages, the product will also effectively reach the infectious source. The single dosage for an adult is 50 mg, for a child 2 mg per kg of body weight. The dosage may be changed at the discretion of the attending physician.
If the prescribed treatment does not have a positive result, and the inflammatory process continues to increase, the doctor decides to perform paracentesis or tympanopuncture of the eardrum. The method is a process of inserting a thin needle into the area of the inferior posterior quadrant, suctioning out the purulent contents and injecting a hydrocortisol suspension into the tympanic cavity.
Therapy is usually carried out on an outpatient basis. But, with a complicated course of the disease in young children, as well as elderly people, treatment is carried out in a hospital.
"Levomekol"
Ear ointment is popular and in demand in the treatment of hearing organs. Its structure includes the following substances:
- Chloramphenicol has an antibacterial effect, in particular against gram-positive microorganisms, as well as streptococci and Pseudomonas aeruginosa.
- Ethylene glycol has an absorbent and anti-edematous effect.
- Methyluracil helps the proliferation of pigmented epithelial cells, and also compensates for defects in the structure and structure of connective tissue.
The drug is used at all stages of otitis externa with accumulations of purulent exudate, carbuncles, and inflammation of the skin. In case of inflammatory lesions of the ear, a cotton swab with Levomekol is inserted into the outer ear for five to six hours.
Vishnevsky ointment"
The medication for inflammation of the hearing organs has a beneficial effect due to its pharmacological properties. Ointment for otitis media has antiseptic properties and helps improve blood microcirculation. The drug consists of:
- Tar has a specific aroma that actively fights microbes, heals wound surfaces, and relieves inflammation.
- The xeroform consists of two components: bismuth salt (oxidizes pathogens) and carboxylic acid (disturbs the structure of bacteria).
- Castor oil helps heal wounds and also has antibacterial effects.
The drug is used for the treatment of otitis media only in the absence of purulent exudate. In such a situation, a cotton swab moistened with medicine is inserted into the ear for about three hours. After this time, the tampon is removed and the skin is wiped with a napkin. The procedure is carried out three times a day.
Boric alcohol or acid for sulfur plugs
Previously, we already figured out what the solution helps with, but it can also be used to remove wax plugs. Let us remember that a wax plug is an accumulation of earwax with a dense consistency that gradually blocks the ear canal. If obvious symptoms appear - noise in the ear and congestion, decreased hearing, autophony - you can use a 3% solution of BC for 3-4 days to treat the ears.
It is important to understand that the drug does not remove the plug, but helps to soften it and helps liquefy it, due to which after some time it will come out on its own. This usually happens during chewing, when the movement of the jaw literally pushes the lump out.
If the cork's consistency was not initially dense, it will become liquid when exposed to boric acid.
The procedure is as follows:
- Place 2-3 drops of orthoboric acid into the ear and remove it with cotton wool after 10 minutes.
- 2 days after treatment, take a cosmetic stick, wrap cotton wool around it, soak it in the solution and gently, without pushing it deep into the ear, rotate it, as if winding a cork.
- Change chopsticks when they get dirty. Until it becomes completely clean.
- At the end of the procedure, it is advisable to treat the ear canal with camphor ointment.
In ENT practice, the plug is removed using a solution of furatsilin or chlorophyllipt, which is fed into the ear under pressure using a syringe. This is how the cork is knocked out. This method is carried out exclusively in a hospital setting. It is strictly forbidden to take risks yourself, otherwise you may get compression damage to the eardrum.
"Gyoksizon"
The medicine has a wide spectrum of action. Helps reduce inflammation, eliminates swelling and hyperemia.
Ointment for treating ears contains:
- Oxytetracycline is an antimicrobial substance that actively fights gram-positive and gram-negative pathogens.
- Hydrocortisone is a hormonal substance that eliminates swelling and burning and reduces the release of wax from the ears.
A cotton swab soaked in the preparation is inserted into the auricle for four hours. The procedure should be repeated four times a day. The duration of therapy is five days.
The main adverse reactions include allergic manifestations, as well as burning of the epidermis.
Ichthyol ointment
This ear medicine is used very often. Ichthyol ointment has an antimicrobial effect and prevents further development of the disease, and also has a positive effect on the upper layer of the skin, eliminates inflammation, and helps eliminate the keratinized layer of the epidermis. The drug contains:
- Ichthyol. Helps improve microcirculation, eliminates swelling, and is analgesic.
- Petrolatum. Promotes uniform distribution of the medication.
Melting under the influence of body temperature, ichthyol ointment forms a thin film that covers the area affected by the pathological process.
The medication is injected into the ear with a cotton swab for three hours for four to five days. The medicine is not recommended for use in case of allergies to substances included in its structure, and in case of purulent exudates from the auditory organ.
How to properly instill boric acid into the ear?
It should be noted that for the treatment of otitis externa, as well as other inflammatory processes that occur inside the auditory organ, a special solution of boric acid is used. Many patients are concerned about the question: how to use boric acid for ear pain?
The antiseptic effect of this drug allows the use of boric acid for the treatment of otitis media as ear drops. The drug is used only externally, as it has a strong level of toxicity. That is why boric acid must be stored out of the reach of children.
It is worth noting that boric acid is used only for otitis externa. Thus, in case of inflammation of the middle ear or Eustachian tube, the use of this drug is prohibited.
This is due to the fact that the drug can enter the bloodstream, which will lead to a severe overdose. Otherwise, you can greatly aggravate the situation, damage your body, and also disrupt the functioning of the heart, liver and blood vessels. In addition, the central nervous system will also be severely affected. In the most severe cases, death can occur.
Almost every person can use this remedy for treatment independently. But before using the medicine, it is recommended to read the instructions. To achieve the desired result, you must first prepare before using the solution.
The person takes a horizontal position and lies on his side. You need to take peroxide into a pipette and drop five drops into your ear. Before introducing the substance into the ear canal, it is recommended to hold the pipette in your hands for a while so that the liquid warms up.
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You need to instill drops into the ear canal, cover it with a small amount of cotton wool and lie down for 10 minutes. Next, turn over to the other side and repeat the described manipulations for the second ear.
Then carefully, using a cotton swab, you need to remove accumulations of wax and remaining peroxide from the ear canal. Afterwards you need to blot the sink with a cotton pad. When the cleansing activities are completed, you can use the medicine. The patient lies down on his side again.
After the first procedure, pain usually decreases. It is recommended to perform these actions daily for three weeks, morning and evening. If everything is done correctly, you can quickly get rid of the inflammatory process.
Before going to bed, you also need to place a turunda with boric acid in the ear canal. So the effect of its use will be maximum.
"Clotrimazole"
The drug is used only in a situation where an inflammatory ear infection was caused by a fungus in a person’s ears, which usually happens when using hormonal drugs for a long time. The main limitation is considered to be allergic manifestations, as well as the first three months of pregnancy and purulent skin diseases.
Clotrimazole ointment is applied to the damaged area, the medication is quickly adsorbed and forms a protective layer. The drug remains on the skin for five hours, and then it must be washed off well. This procedure is carried out three times a day. The duration of therapy varies from 21 to 28 days.
Boric acid for otitis media how to use
Regardless of the reasons that caused the inflammatory process of the auditory organ, before using boric acid to treat otitis media, you must be thoroughly familiar with safety precautions, as well as the correct treatment method.
- Initially, you need to thoroughly clean the outer ear. To do this, you can use special drops, for example Remo-Vax or Uhonorm. If you don’t have such means at hand, then hydrogen peroxide would be a good analogue;
- After cleaning the ear, it should be rinsed well with warm water and dried well;
- After the procedures, the patient needs to lie on one side;
- The jar of solution must be heated using your hands or in a steam bath. In this case, boric acid will reach its destination faster and will not irritate the skin of the ear as much;
- No more than three drops of solution should be instilled into the sore ear. Before doing this, it is recommended to consult with your doctor, who will be able to determine the exact dosage of the drug;
- After the drops have been dripped into the ear, the patient needs to spend another 15 minutes in a lying position on his side;
- Afterwards, the patient should be turned over to the other side, after placing a towel under his head. The instilled boric acid will flow out of the ear canal naturally. If bilateral otitis media has been diagnosed, then a similar procedure should be performed with the second ear;
- After the manipulations, the ears should be wiped well with a cotton swab.
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Basically, the procedure is repeated three times a day for five days. After each instillation, the ear should be covered with turunda for at least twenty minutes.
"Triderm"
The drug has a positive effect in the absence of purulent exudate. Its structure includes:
- Betamethasone – eliminates pain.
- Clotrimazole - eliminates many types of fungi.
- Gentamicin has a bactericidal effect.
Fungus in a person's ears can be cured with Triderm. This medication is used for fungal diseases, inflammation of the skin of allergic origin. It is not recommended for use in cases of tears or holes in the membrane that separates the outer and middle ears.
In addition, Triderm cannot be used for otitis media, as well as allergies to substances included in the structure of the drug. Liniment is inserted into the ear using a cotton swab twice a day for six hours. The duration of treatment is one week.
How to treat otitis media while breastfeeding?
Self-medication of otitis media while breastfeeding is contraindicated. Complications from otitis media can lead to deafness or partial hearing loss .
Treatment of otitis media during breastfeeding involves gentle medications. But such therapy takes much longer than with standard treatment of otitis media.
They mainly use drops and ointments such as “ Erithomycin ” or “ Akriderm ”, antipyretic and anti-inflammatory tablets “ Ibuprofen ”, “ Paracetamol ”.
If the pain in the ear intensifies, but at the same time you do not have a violation of the integrity of the eardrum, boric alcohol . It contains antiseptic solutions. Boric alcohol is a very effective and affordable medicine. Place four drops of the warmed preparation in each ear twice a day.
Hydrocortisone ointment
Liniment perfectly eliminates swelling. Hydrocortisone ointment is also used for allergies and to reduce swelling after insect bites. The drug is applied to the ear canal with a cotton swab four times a day. The procedures are repeated for seven days in a row.
Longer use of the medication can lead to the appearance of fungal diseases with all the ensuing consequences. Ear ointment is contraindicated for use in the first trimester of an “interesting situation”, as well as for babies under one year of age. In addition, it is prohibited to use liniment for persons who suffer from diseases of the adrenal glands, as well as in case of allergic manifestations to the components included in the structure of the pharmacological agent.
The pharmacological course of any medication is prescribed individually, depending on the causes of the disease. You must strictly follow the recommendations of a medical specialist, adhering to all his prescriptions.
How long does it take for boric alcohol to take effect?
As already noted, boric acid is used extremely rarely for the treatment of otitis media in children.
On the advice of the Pharmacological Committee in the USSR, the use of boric acid for the treatment of otitis media in children and pregnant women has been prohibited since 1987. Even if your doctor has prescribed the use of this drug, you must do the following:
- Using cotton swabs, get rid of sulfur accumulations and purulent discharge. If a sulfur plug has formed, then use hydrogen peroxide;
- The water-vinegar solution must be drawn into a pipette;
- Place 1 drop of solution into the sore ear, with the patient lying on his side;
- After 5 minutes, remove excess moisture using a dry turunda.
The use of boric acid in children is allowed only in the early stages of otitis media, when the eardrum is still in a pre-perforated state. In simple words, if the accumulated fluid has ruptured the eardrum, it is prohibited to use boric acid to treat otitis media in adults and children. Before perforation of the eardrum, boric acid treatment must be approved by a qualified specialist.
Boric acid for ears is a special solution containing three percent ethanol. This product has antiseptic and disinfectant properties. Its use is advisable for various diseases of the hearing organs and in the treatment of skin diseases. The active ingredient is boric acid.
The antiseptic effect lies in the fact that the solution has the ability to neutralize the protein structures of the cells of pathogenic microorganisms, thereby stopping the growth and development of pathogenic microflora.
If boric alcohol is used in the ear, the instructions say that this product has an antibacterial, antifungal, antiparasitic, anti-pediculosis, astringent, and fungistatic effect. The drug is used to treat the following diseases:
- weeping eczema;
- pyoderma;
- diaper rash;
- otitis media of various origins.
The active components of the drug coagulate the protein and enzyme structures of microbial cells. This disrupts the permeability of cell membranes. The composition is absorbed into damaged skin and mucous membranes, accumulates in tissues and organs. Elimination is slow. The drug has an irritating effect on mucous membranes and tissues.
If boric alcohol is used in a child's ear, rapid penetration of its active components into the tissues and mucous membranes is noted.
This medication is not used for children under one year of age. At older ages, doctors rarely prescribe boric acid, since there are currently more effective drugs for the treatment of otitis media in children.
Usually after the first procedure the patient experiences relief. After three days of regular use of the medicine, the pain and other symptoms that accompany the development of otitis media should decrease. Otherwise, it is recommended to consult a doctor to adjust the treatment regimen.
"Sofradex" for ears
There is no ointment; the medicine is produced only in the form of drops. For inflammatory and infectious lesions of the ear, the drug is instilled into the external auditory canal, 2 drops four times a day. If necessary, you can moisten a cotton swab with the solution and insert it into the inflamed ear for 15 minutes. In addition, the drug is used to treat eye diseases.
The annotation says that the duration of therapy is about one week, but if during this time the patient has not noticed any positive dynamics, then you should contact the doctor again; perhaps the treatment was prescribed incorrectly or the diagnosis was made incorrectly.
Despite the fact that Sofradex is used topically, a small part of the drug is still absorbed into the general bloodstream and can have a general effect on the body, especially if the medicine is used for a long period. Women during pregnancy are not given medication therapy, since there is no clinical experience with the use of drops.
Hydrocortisone suspension, ointment and drops in the ear - method of application, dosage and contraindications
Hydrocortisone is one of those drugs that can be said to be applicable for many, often unrelated, pathologies.
Despite the fact that this medicine is hormonal and is recommended for use only with a doctor's prescription, the latter can prescribe it for many diseases. The doctor’s final decision, as a rule, depends on the patient’s medical history and current complaints.
Let's see in what form hydrocortisone is produced, for what ailments it can be used, and also what contraindications exist for the use of this medicine.
Types of otitis
The name "Otitis" translated from Greek means "ear". Obviously, this is why the disease, characterized by inflammation of the ear tissues, was named so. The form (type) of this disease depends on the tissues in which painful pathological changes occur. This can be tissue from the outer, middle or inner ear. Therefore, there are three main types (forms) of the disease:
- labyrinthitis;
- otitis media;
- otitis externa
Although children are more susceptible to the disease, adults also get it. The most common form of the disease is middle ear disease . It is noteworthy that most children at the age of three develop this disease at least once.
Otitis externa
With external otitis, the disease can progress in the form of furunculosis (inflammation of the hair follicles and skin) or occur on the basis of advanced chronic purulent otitis, which occurs due to the entry of pathogenic microorganisms or fungal infections into the subcutaneous layer. This inflammatory process often affects the thin membrane separating the areas of the middle and outer ear (tympanic membrane).
The cause of the disease is often acute infectious lesions of the skin of the external auditory canal, but the infectious nature of the disease is also possible.
However, it is worth noting that there is malignant otitis externa, which occurs due to serious endocrine diseases such as diabetes mellitus, as well as when the patient has a chronic inflammatory process in the body.
Otitis media
With otitis media, inflammation of the tissues of the middle ear occurs. It is a cavity located between the inner ear and the eardrum. Improper treatment of acute otitis media often leads to chronic otitis media. As mentioned above, this form of otitis is most often found among patients.
Labyrinthitis
Labyrinthitis is characterized by inflammation of the inner ear. The exact cause of this disease has not yet been identified.
Possible causes are bacterial infections, middle ear tuberculosis, or acute chronic processes occurring in the middle ear.
To treat any disease, it is best to use complex therapy. This approach has also proven itself in the treatment of otitis media.
Drug interactions
It is prohibited to mix Hydrocortisone with barbiturates when treating patients diagnosed with Addison's disease. The effectiveness of the drug decreases when used in combination with Rifampicin and Phenylbutazone.
When taken together with medications for the treatment of diabetes, it is necessary to adjust the dosage of all medications. Reduced therapeutic effect or weakened anticoagulant effect when used simultaneously with anticoagulants. Increased risk of hypokalemia when used with salicylates.
Oral contraceptives lead to an increase in the concentration of corticosteroids in the blood.
Hydrocortisone: ear drops
Doctors often prescribe hydrocortisone drops as local therapy, which have a powerful anti-inflammatory effect. In addition to drops, the drug is available in the form of ointment, cream, tablets and suspension (solution for injection).
In particular, the drug is used in the form of drops for otitis media of the middle and external ear.
The most common method for treating any ear disease is ear drops. Thanks to the drop formula, the drug quickly penetrates the inflamed tissues of the ears and successfully destroys pathogenic organisms .
The active ingredient of the drug is Hydrocortisone - the hormone of the same name. In the body, it is produced by the adrenal cortex and belongs to the group of glucocorticoids.
The substance is used in medications in the form of a hormone or its esters.
Synthetic Hydrocortisone itself is a white powder, odorless and quite bitter in taste. In certain volumes it is soluble in water, methanol, ethanol, acetone, propylene glycol, chloroform and ether.
In addition, the drug belongs to the group of fairly effective anti-inflammatory drugs, as well as antiallergic drugs, immunosuppressants, antipruritic, anti-shock and anti-exudative drugs.
It should be emphasized that since the drug belongs to hormonal drugs, namely glucocorticosteroids, instilling Hydrocortisone into the ear can effectively combat tissue swelling.
For the same reason, before using it, it is necessary to have instructions for use with you. There you can find information about in what cases and how its use is permissible.
Drops, for example, are indicated only for topical use.
When the drug is taken orally (in tablet form), it is very quickly absorbed, penetrating the mucous membranes and overcoming histohematic barriers. Metabolism of the substance occurs in the liver. Hydrocortisone is excreted primarily by the kidneys.
Pharmacological forms
A liquid solution of the hormone is used to instill the nose. In general, the drug Hydrocortisone is available only in several basic forms:
- ampoules of 2.5 ml;
- lyophilized powder for preparing solutions;
- pills.
In Russia, Hydrocortisone ampoules are common, known in pharmacy chains as Hydrocortisone Acetate. There is an option with lidocaine in the drug, which is called Hydrocortisone-Richter (made in Hungary).
Indications for use of the drug
Hydrocortisone ear drops are used when the patient has:
- infectious diseases;
- malfunction of the auditory tube;
- allergic reactions;
- otitis externa;
- otitis media of the middle ear.
It is worth emphasizing that only drops are suitable for treating ears, despite the fact that the drug is available in the form of an ointment or suspension. Therefore, it is correct to use Hydrocortisone drops for otitis media. Before instilling drops, it is worth restoring the integrity of the skin of the ears (if there is damage) using any specialized preparation in the form of an ointment.
Of course, you shouldn’t select it on your own - you need to consult a doctor.
Depending on the progression of the disease, the drug is used differently. In particularly acute conditions it is prescribed intravenously. In this way, the hormone quickly enters the bloodstream and accelerates the effect.
Typically, otitis does not require intravenous administration, since the course of the disease in most cases does not require such emergency measures.
Only in a special, extreme case, when the patient suffers from malignant otitis externa, is it possible to administer Hydrocortisone into a vein.
Most other forms of otitis are treated with hydrocortisone. However, it is not recommended to use drops without a doctor's prescription. The specialist must assess the patient’s condition and prescribe the necessary medicine in combination with other drugs.
For what diseases is it used?
The medicine is prescribed to patients with pancreatitis, blood oncology, mononucleosis, anemia. Actively used in transplantology. The drug was evaluated by patients with rheumatism of varying severity.
The ability of hydrocortisone to remove inflammation and relieve pain is used in pulmonology. Inhalation of the suspension helps eliminate painful sensations and accelerate recovery from ailments:
- bronchial problems;
- asthma;
- pulmonary hamartoma;
- pulmonary hypertension;
- tracheobronchitis;
- laryngitis;
- acute respiratory infections with cough and sore throat;
- runny nose.
Inhalations effectively help with these diseases. An inhalation solution should be used to relieve an acute attack. Within a few minutes relief comes. The focal effect of the drug quickly relieves symptoms. With an allergic cough, spasms disappear, sputum is cleared better, and breathing is normalized.
The effect of the medicine lasts a long time. Problem areas are gradually freed from the virus.
Contraindications to the use of the drug
In addition to the impressive list of indications, there is an equally impressive list of contraindications.
Hormonal drugs have some toxicity, so they should be used to treat children two years of age and younger only under the supervision of a doctor.
There is evidence that the drug can be used in a certain dose and form from the age of three months, but only on the recommendation of a specialist. The drug is not indicated in cases where there is:
- personal intolerance to the components of the drug;
- recently had a vaccination;
- perforation of the eardrum;
- fungal diseases;
- tuberculosis;
- diabetes;
- there are ulcers and acute inflammation of the skin in the ear cavity;
- pregnancy;
- A woman breastfeeds her baby (lactation period).
Analogs
The price of a bottle of hydrocortisone drops is extremely affordable. On average, a 5 ml bottle will cost the patient no more than 120 rubles. But in some cases it is necessary to replace this product with an analogue:
- Dexamethasone. The active component of these ophthalmic drops of the same name suppresses the functions of tissue macrophages and leukocytes. As a result, lysosomal membranes are stabilized, and the level of proteolytic enzymes in the area of active inflammatory process decreases sharply. Capillary permeability also decreases. This component also suppresses the uptake of glucose by fat cells, which means gluconeogenesis is stimulated. In high doses, the active substance increases the excitability of brain tissue, which can be dangerous for patients with a high degree of convulsive readiness. The drug has a huge list of diagnoses and conditions for which its use is contraindicated. This list must be familiarized with in advance, before the start of the therapeutic course. In particular, this includes skin manifestations of syphilis, tuberculosis, as well as any mechanical damage to the tissues of the eye and eyelids. As for the therapy of pregnant women, it is undesirable to use Dexamethasone drops in the first trimester, since during this period the main formation of organs and systems occurs. With long-term therapy at any stage of pregnancy, there is a possibility of impaired fetal growth in the womb. The cost of a bottle of the product is up to 50 rubles.
- Pharmadex. These drops are also based on a hormone-like component. Glucocorticosteroids prevent the development of allergic and other inflammatory reactions at the site of application. This ophthalmic drug may be useful for patients with allergies, conjunctivitis, and in the postoperative period. The treatment regimen depends on the diagnosis. So, if you have allergies, you need to instill the solution every 3-4 hours. In case of inflammatory processes, this period can be increased to 6 hours. In severe cases and severe manifestations, you can instill the medicine every 1-2 hours. In some patients, the composition of the drug, in particular additional components (sodium tetraborate, benzalkonium chloride, disodium edetate) may cause irritation. In these cases, it is necessary to stop the instillation procedures and consult your doctor. The cost of these eye drops is also affordable for most consumers. On average, a bottle of the product does not exceed 80 rubles.
Side effects of the drug
Before proceeding to use the drug, it is worth considering the list of side effects of the substance Hydrocortisone. Here are the most basic of them:
- fluid retention in the body;
- hyperglycemia;
- excess weight;
- dysfunction of the adrenal glands;
- suppression of growth hormone production;
- disruption of the menstrual cycle;
- Possible deterioration of the condition with latent diabetes mellitus;
- high blood pressure;
- heart failure;
- muscle weakness;
- weight loss;
- osteoporosis;
- the likelihood of a steroid ulcer (occurs while taking corticosteroid drugs);
- bloating;
- exacerbation of pancreatitis;
- pronounced gag reflexes and even vomiting;
- decreased appetite;
- acne;
- sweating;
- increased intracranial pressure;
- headache;
- blurred vision;
- intraocular pressure;
- allergies (as well as various dermatitis and urticaria);
- burning, numbness and pain may be observed at the injection site;
- hypopigmentation;
- skin lesions;
- dry skin;
- skin irritation (redness).
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Flucinar ointment: instructions for use, price and reviews
For external otitis, the doctor may recommend the use of Flucinar. The drug is produced in the form of a gel and ointment for external application in fifteen gram tubes. Apply to the damaged area of the skin twice a day. The maximum concentration of the active ingredient should not exceed two grams.
The drug has anti-inflammatory, as well as antipruritic and anti-exudative effects. In addition, Flucinar is used for allergic reactions, according to the instructions for use and reviews.
The price of Flucinar ointment ranges from 270 to 400 rubles. The shelf life of the medicine is sixty months. For external otitis, the drug must be used in the form of turundas, which are impregnated with the drug. The recommended duration of treatment varies from seven to ten days.
It is necessary to take into account that during therapy with Flucinar, vaccination and immunization cannot be carried out.
Prohibitions:
- Increased sensitivity.
- Age up to two years.
- Pregnancy.
- Skin infections.
- Lactation.
- Wound surfaces at application sites.
How to insert a turunda with ointment into the ear. How to make turundas in the ears
Turunda is a gauze or cotton tourniquet that is used for insertion into hard-to-reach cavities - the external auditory canal, nasal passages, fistulas, etc.
Tampons are made exclusively from hygroscopic materials, which facilitates the process of cleaning cavities from serous and purulent accumulations.
They can be impregnated with medicinal solutions that have disinfectant, anti-inflammatory and regenerating properties.
Turunda in the ear is intended to eliminate local manifestations of external otitis and myringitis. Regular use of tampons helps cleanse the ear canal of purulent exudate and pathogens. Using gauze and cotton cords, you can make anti-inflammatory lotions, which are relevant in the treatment of diffuse and limited otitis.
Purpose of turunda
Hygroscopic tampons are dense bundles twisted in a spiral. Sterile cotton wool, cotton pads, gauze or bandages are used as raw materials for the manufacture of turundas. A simple device is moistened in a medicinal solution and inserted into the inflamed ear to accelerate the regression of catarrhal processes in the affected tissues. According to otolaryngologists, gauze and cotton tourniquets are more effective in treating otitis media than ear drops.
Tampons soaked in medicine are in constant contact with inflamed mucous membranes, which speeds up the healing process. Systematic use of turundas promotes:
- drawing out purulent masses;
- eliminating liquid exudate;
- normalization of the outflow of serous secretions;
The key advantage of medical tourniquets is the large area of interaction of the drug with inflamed tissues. It is for this reason that they are often used to prepare intra-ear lotions with antiphlogistic and disinfectant effects.
Reviews
There are a lot of reviews on the Internet about ear ointments. There are mixed reviews about Flucinar. Patients report that the medication is very helpful at the initial stage of therapy. In addition, you can come across reports that the drug helps to eliminate unpleasant symptoms, but after stopping treatment they recur with renewed vigor. When Flucinar ointment is not used for some time, itching begins again, as well as peeling and redness.
According to reviews of medical specialists about Clotrimazole, it is known that the patient must undergo a full course of therapy, and also not forget and not be lazy to clean the ear of purulent exudate. You need to maintain ear hygiene and do not use headphones often, as they can harbor fungus.
"Gyoksizon" has more negative reviews than positive ones. Most often we are talking about the time after which the medication begins to “work” - for some, a partially positive effect appears only after ten days of use, although the effect is promised on the second or third day. In addition, patients report greasy yellow marks that remain at the site of liniment application.
What is better “Levomekol” or “Vishnevsky” ointment? According to patient responses, both drugs effectively cope with inflammatory ear infections. They perfectly eliminate pain, and also fight pathogens and help speed up the healing process.
Traditional medicine recipes for the treatment of otitis media
Boric acid is a therapeutic agent that has a high disinfecting effect and has been used in medicine for a very long time. For ear pain, boric acid is used as ear drops. It is also used to treat various dermatological problems.
It is worth noting that boric acid as an antiseptic is prescribed mainly only to adult patients for ear pain and only after a thorough examination by a specialist. Boric acid is used quite rarely for otitis in children, since a large amount of it leads to the accumulation of harmful substances in the body that can cause poisoning.
In pharmacies this drug is presented in different pharmaceutical forms:
- Alcohol solution;
- Crystalline powder.
An alcohol solution is more common, and therefore it is used to treat ear diseases. In addition, an aqueous solution of the powder of this drug is also used. When used adequately, such a drug can literally overcome an infection in just a few days, which other similar drugs cannot cope with.
Modern experts consider the method of treating otitis media with boric acid to be outdated. In any case, it is still used today, but its effectiveness is manifested only in individual cases. It is worth understanding that boric acid is a toxic substance, and therefore it is not recommended for use in the treatment of ear diseases in children, pregnant women, and the elderly.
Despite all the side effects from the use of boric acid, the attending physician may prescribe the use of aqueous or alcoholic solutions for the treatment of otitis media. In this case, the specialist initially studies all possible risks with a positive effect and only after that makes a final decision. Basically, the degree of susceptibility of the body to this drug is determined, as well as the presence of allergic reactions.
Symptoms of otitis media include the following:
- Decreased appetite. This most often occurs in young children and is caused by severe pain that is the result of changes in pressure in the middle ear;
- Increased irritability;
- Disturbance of healthy sleep;
- Increased body temperature, fever;
- Headaches and dizziness;
- Purulent discharge from the ear canal. Purulent discharge may be white, brown, or yellow in color and indicates that the eardrum has been ruptured;
- Significant decrease in hearing, up to its complete loss.
It’s worth noting right away that boric acid in undiluted form has a very strong effect, and therefore can aggravate the situation rather than help with ear pain. The drug may leave behind burns on the surface of the ear. That is why boric acid for ear pain must be diluted with water in a 1:1 ratio before use.
There are several types of boric acid:
- Powder;
- 70% composition;
- 3% aqueous solution.
The best treatment for otitis in adults with boric acid occurs when using a 3% solution. All other types of boric acid can be harmful to health and make the situation worse. In addition to treating otitis media, boric acid can also be used to treat the following diseases:
- Inflammation of the outer ear;
- Formation of ulcers;
- Colds;
- For preventive purposes.
We suggest you familiarize yourself with: Instilling boric acid into the ear
It is very simple to independently prepare a solution based on boric acid, which will later be used as ear drops. To do this you will need:
- 1 tablespoon of crystallized boric acid should be mixed in 120 ml of pure distilled water;
- Add 1 tablespoon of 6% vinegar to the resulting solution;
- The resulting solution must be mixed well.
The preparation of such a solution for both adults and children is the same. The only difference is the dosage of drops that will need to be instilled into the ears.
In addition to boric acid, a lot of folk recipes are used to treat otitis and other inflammatory processes of the auditory organ.
- Bay leaf. A decoction of bay leaves will help quickly relieve ear inflammation. It contains a lot of vitamins and useful minerals. In addition, bay leaf is used as a natural antiseptic. That is why it is used to treat otitis media and other infectious diseases. Can be used both as drops and for oral administration. To prepare, you need to pour 4-5 leaves with 0.200 liters of water. After boiling, the broth must be kept in a closed container for up to two hours. The resulting solution is used as ear drops. Just 3-4 drops three times a day are enough to get rid of unpleasant symptoms and overcome the disease.
- Camphor oil and garlic. This recipe will help cope with otitis externa, as well as all its manifestations. Thanks to these components, you can get rid of ear pain, as well as relieve inflammation and overcome furunculosis. For treatment, you need to chop 2-3 cloves of garlic and mix with camphor oil. The resulting mixture must be heated to 36 degrees, wrapped in a gauze swab and inserted into the sore ear.
- Zelenka and iodine. These components are used for disinfection during external and otitis media. Iodine can boast good effectiveness in the treatment of otitis media in adults. In the case of children, it is better to use a solution of brilliant green. These drugs can also be used without a prescription from your doctor. A cotton swab should be dipped in iodine or brilliant green, and then applied to the inner walls of the ear canal. When itching begins to appear, this will mean that the remedy has begun to act. The procedure must be repeated every day for one week. In the early stages of the disease, such a remedy will help get rid of the infection. But if the situation is neglected, then this method will be useless. This recipe can also be used in the case of chronic otitis media in adults. If no effect is observed, then you should move on to other treatment methods.
In any case, it is recommended that before using traditional methods for treating otitis media, you consult with a qualified specialist.
If you have recently had a cold or other ENT infections, carefully monitor the signs. It is possible to notice the formation and type of otitis media with characteristic features. For example, partial congestion or the onset of complete deafness. Discomfort, pain in the ear and intensification of discomfort when tilting the head are also characterized as symptoms of otitis media.
Many breastfeeding women wonder how to treat otitis media while breastfeeding. First of all, contact a professional and describe the problem. The otolaryngologist will formulate a course of treatment based on your situation. If you have any additional questions, please direct them to your current pediatrician. He will advise you about the prescribed medications.
In this case, you should worry about the safety of the child’s health and breastfeeding should be abandoned for the period of treatment. When treatment for otitis in a nursing mother is completed, with the right approach, you can safely resume breastfeeding.
The otolaryngologist will create a holistic course of treatment for a harmless treatment for the nursing mother.
Next, the ear is washed. This is a well-known method of washing out pus with antiseptics and disinfectants from an inflamed ear.
Modern medicine allows you to quickly get rid of otitis using therapeutic techniques based on magnetic therapy and laser therapy.
When breastfeeding, self-medication and traditional medicine methods can become more dangerous than taking antibiotics. And also like warming up the ears and using certain tinctures poured into the sore ear.