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Drugs for otitis media in adults. Drops for ear pain during pregnancy. Treatment of internal otitis

Requires timely treatment, A ear drops- this is an excellent solution in this matter. The main advantage is the rapid transport of active substances to the site of inflammation. The drops can cause serious harm if the medication is used incorrectly. To quickly and painlessly cure otitis media, you need to follow the doctor’s recommendations and instructions for use.

All medications can be conditionally divided according to their effect into certain categories. This creates several key areas of treatment, which we will consider in more detail.

Anti-inflammatory monodrugs

Drugs that affect inflammatory processes are used for:

  • The occurrence of pain in the ear;
  • As aid to eliminate relapse of otitis media;
  • When swelling occurs as a result of viral otitis;
  • Inflammatory reaction due to.

The best means with anti-inflammatory effect:

  • And . The drug is based on lidocaine ( local anesthetic) and phenazone. They have anti-inflammatory and analgesic effects. Can be used during pregnancy and lactation. Contraindications include mechanical or infectious lesions eardrum, allergic reaction to the active substance. It is necessary to bury the ears 2-3 times a day. The cost of Otipax is 200-240 rubles. and Otirelax 180-210 rubles;
  • . The effect of the drug is ensured by choline salicylate, an active substance with an anti-inflammatory effect. The medicine has no analogues. Indicated for use in children starting at the age of 1 year. Not recommended for use during pregnancy or lactation. Contraindications are injuries to the eardrum, lactation, and an allergic reaction to the active substance. You need to use 4 drops every 5 hours. If the drug is prescribed before, then the number of doses is 2 times a day. Cost from 180 to 240 rubles;
  • Polydex. Efficiency is ensured thanks to the glucocorticoid dexamethosone and 2 active antibiotics. Release form: 10.5 ml bottles. Prescribed for the treatment of otitis media of various forms, as well as dermatological diseases around the outer ear. It should be used 2 times a day, 1-5 drops. The course of treatment is 6-10 days. Use with caution when the membrane is perforated. Price range from 210 to 300 rubles;
  • Sofradex. The medicine is based on dexamethasone and 2 antibiotics. Release form: 5 ml bottles. Used for, or, can also be prescribed for eye therapy. You need to be treated by instilling 2-3 drops of the drug into the ear every 6 hours. Use up to 7 days. It is forbidden to use Sofradex in the presence of a viral or fungal infection; perforated otitis media and intolerance to the components of the drug are also contraindications. The price of the product ranges from 250 to 333 rubles.

Antibacterial monopreparations

This type of medication is used in the treatment of inflammation accompanied by infection, which results in the formation of purulent otitis media. It is recommended to instill before and after surgery. Your doctor may prescribe medications to prevent infection.

  • Okomistin. The effect of the drug is provided by miramistin, which disinfects the area of ​​application. Alternative means not with miramistin. Can be given to children from 1 year of age; it will also not cause harm during pregnancy and lactation. The only factor in which Okomistin cannot be used is hypersensitivity to this substance. Instill 2-3 drops three times a day. The cost is 150-200 rubles;
  • Boric acid solution in alcohol. There are no analogues. The product is contraindicated for children, as well as for pregnant and lactating women. Other contraindications are perforation of the eardrum and allergies. It is worth using 2-3 times a day, 3-5 drops at a time. Cost 50-60 rubles;
  • Alcohol solution based on furatsilin. The product is based on nitrofural. There are no analogues. Contraindicated for pregnant and lactating women. You need to drip the medicine twice a day, a few drops. Cost from 50 to 60 rubles.

Combined drops with antibiotics

Drugs based on antibiotics are prescribed for:

  • Relapse of chronic otitis media;
  • Infectious lesions;
  • Prevention after surgical intervention and injury from foreign body penetration.

The most popular products that contain antibiotics:

  • Normax. It is based on the fluoroquinolone antibiotic Normfloxacin. There are no similar drugs with the same active ingredient; if you take into account antibiotics of the same group, you can use Tsipromed and Dancil. Contraindicated in children under 12 years of age. Pregnant and nursing mothers should not use. Other contraindications include kidney/liver disease, allergic reactions, epileptic seizures. Place 2-3 drops into ears 4-6 times a day.
  • Tsipromed. Antibiotic – fluorochirollone Ciprofloxacin. From this group it is worth highlighting Dancil and Normax; there are no direct alternatives. Tsipromed is contraindicated for children under 15 years of age, the same applies to pregnant women, breastfeeding women and people with allergies. It is worth instilling every 4 hours.
  • Dancil and Uniflox. The action is based on the fluoroquinolone Ofloxacin. Both drugs are considered analogues because they contain the same active substance. Tsipromed and Normax are not prescribed to children and pregnant women. Also contraindications are lactation, individual intolerance, liver/kidney diseases. The dose is 2-3 drops 4 times a day.

Drops that can be used for children

Neladex is a drug with a combined effect: anesthetic, anti-inflammatory and antibacterial. Use 1-5 drops for injection into each ear. Frequency of use – 2 times a day. The course of treatment is 1 week.

Cipropharm– based on ciprofloxacin. Has antimicrobial properties. For children, the dosage is 3 drops twice a day. Contraindications: allergy sufferers and children under 1 year. Pregnant and breastfeeding women should use with extreme caution.

Miramidez is an antiseptic that can be used for children over 1 year of age. A turunda moistened with the drug should be inserted into the ear (for otitis externa) and held for 10 minutes. The course of treatment should not exceed 2 weeks.

What drops can pregnant women use for otitis media?

Among the drugs already discussed during pregnancy, it is worth using Otipax, Otirelax, Okomistin. Self-medication during pregnancy is strictly prohibited.

How to put it in your ears correctly

Before instillation, you need to clear your ears of wax using cotton buds. Medicines must first be warmed to body temperature and the bottle should be shaken well. Then the patient should lie on his side so that the ear into which the medicine will be instilled is higher. Then the solution is drawn into a pipette and the ear is instilled in the required dosage.

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

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

Ear drops

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

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

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

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

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

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

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

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

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

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

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

Antibacterial agents in the treatment of otitis media

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

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

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

Medicines needed for chronic otitis media

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

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

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

Otitis – serious illness, which affects not only adults, but also children. Often the cause of otitis media is a simple draft. The disease manifests itself quickly and is associated with inflammation of the ear, accompanied by regular pain. The most reliable means combat this disease - special ear drops that help a short time get rid of signs of the disease. So, what symptoms indicate the appearance of otitis, and what drops should be used as the disease develops?

What is otitis media?

The disease itself involves an inflammatory process in one of the parts of the ear, which causes a number of discomfort, and with a serious form of otitis, even hearing impairment.

Otitis often occurs due to nasopharyngeal infection. In this case, the disease develops in the middle ear, causing constant pain, hearing impairment, deterioration general well-being. If the external auditory concha is damaged, a disease that causes hearing impairment can also occur.

Many doctors consider otitis one of the most dangerous diseases ear. A specialist can quickly identify the disease by collecting all the symptoms together, examining the ears and finding the source painful sensations. Treatment of otitis, in most cases, is conservative. This means that different different drops, as well as beta-lactams and macrolides. Treatment must be started immediately as soon as the disease was discovered.

Symptoms of the disease: how does otitis media manifest?

Knowing the symptoms of the disease helps to start fighting it in time. So, how does otitis media manifest, what signs of the disease cannot be ignored?

  • Regular pain in the area auricle;
  • A slight increase in temperature to a maximum of 38 degrees;
  • There may be discharge from the ear that may be bad smell and purulent consistency;
  • Hearing loss, as well as regular human complaints of ear congestion;
  • In many cases, otitis media is accompanied by a cough, runny nose, and sore throat.

All these signs help to identify the disease in time and begin to fight it. On early stages development of otitis, a person feels only pain in the ear area, and also suffers from a runny nose and cough. If your ears begin to become blocked, and your hearing gets worse and worse every day, you should immediately consult a specialist. Of course, there are also numerous traditional methods fight against otitis media, but they are not always effective.

The condition will improve much faster if you start using special ear drops.

Choosing the best inexpensive ear drops for otitis media

It has already been mentioned several times above that ear drops are the most reliable remedy in the fight against otitis media. Here it is important to take into account not only the composition of the drug, but also many of its other characteristics. So, what should you pay attention to when choosing drops?

  • Can be used for both children and adults;
  • Cost of drops;
  • It is better to choose anti-inflammatory or single drugs that effectively fight otitis media;
  • You need to use the products regularly, two or even three times a day until the signs of the disease completely disappear.

It is best to contact a specialist who will help quickly and efficiently identify the disease, and also prescribe the most effective drops in the ears with otitis. Here the doctor will take into account not only the degree of development of otitis media, but also the patient’s personal intolerance to certain components of the drug.

And yet, with such a wide variety of drops on the modern pharmaceutical market, it is necessary to tell about the most effective and popular of them.

Otofa: drops for otitis with antibiotic

The active substances contained in Otof drops help to quickly cope with otitis media, returning a person to normal hearing. Adults should use 5 drops three times a day, but children should limit themselves to using the drug 2 times a day, three drops. This reliable remedy helps to cope with otitis media in a maximum of 7 days. If after using the product, the disease has not completely disappeared, you should take a short break and after a couple of days continue using the drops as before.

If you have an allergic reaction to rifamycin, you should not use drops. Also among the disadvantages of the product, it can be noted that Otofa drops can cause allergic reaction, manifested in itching and skin redness.

The average price of such a product is 200 rubles per package.

Sofradex ear drops

This product must be used with caution, without violating the dosage, because this can cause a clear allergic reaction. The product should be used 3 or 4 times a day, three drops. Depending on the degree of development of otitis, the doctor may recommend other dosages.

Sofradex drops are not suitable for pregnant and breastfeeding women and newborns. The product should not be used when serious illnesses liver, since Sofradex can significantly worsen your health. In case of an overdose of the drug, obvious allergic reactions occur, for example, itching and redness. That is why you should not get too carried away with the reception.

The average cost of such a drug is 210-230 rubles.

Otipax ear drops

Otipax – excellent remedy, which is suitable for the treatment of otitis media early stages development of the disease. The drug contains lidocaine, which can cause a noticeable allergic reaction, so it is better to consult a doctor before use.

Clinical trials have proven that the drug can be used even by pregnant women and children from infancy. The most important thing is not to overdo it with the number of drops. It is recommended to use Otipax three times a day, three drops. It is better for children to instill the ears twice a day in the same dosage.

The average cost of drops varies between 180-200 rubles.

Prevention of otitis

Of course, the occurrence of otitis media can be prevented if you use a variety of preventive methods. Experts recommend regularly hardening yourself, keeping healthy image life. Also, otitis media of the auricle often appears due to improperly treated wounds. That's why it If wounds or abscesses appear in the ear, they must be carefully treated before the ears are exposed to the spread of infection.

Many people also seek to use drops as a prophylactic against otitis media. Of course, you should consult your doctor here. The specialist will tell you which drops have a preventive effect and how they should be used. Most often, drops are used for periods of 7 days, after which a break is taken. Such preventive method protection against otitis is suitable if a person communicates with people who are already sick. Experts recommend keeping your ears warm at all times so as not to catch a cold, because often it is a cold that causes otitis media.

So, what conclusions can be drawn from all of the above?

  • Otitis media must be treated as soon as symptoms of the disease are detected;
  • Drops are best suited for treating the disease;
  • Otipax drops are suitable for use by both adults and children. You can also use Sofradex and Otofa drops;
  • To prevent otitis media, you can use drops, but you should consult your doctor before doing so.

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

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

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

In medicine, there are 2 types of disease:

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

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

Bacteria and infections enter through abrasions and wounds. This environment is ideal for their reproduction and life. Bacteria can also “make their way” through wet ear canal who in this state loses his protective functions.

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

Secondary causes of the disease may be:

  1. otitis media;
  2. diseases that are accompanied by a decrease in the body’s protective functions;
  3. the passage is too narrow.

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

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

Symptoms for limited inflammation of the outer ear:

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

Accompanied by the following symptoms:

  1. the passage to the ear swells;
  2. itching and redness in the affected area;
  3. congestion in the ear;
  4. mild pain.

If the inflammatory process has spread to the eardrum, then the person complains of transparent discharge and hearing loss.

Medicines for the treatment of otitis externa at home

Treatment of otitis at homecarried out after consultation withdoctor. Independent and wrong choicedrugsmay make the situation worse.

Often, when the disease occurs, anti-inflammatory drugs containing steroid components or antibiotics are prescribed. Such medications are produced in the form of ointments, gels and drops. The purpose depends on the form of inflammation and its development.

So, treatment of otitis at home is carried out with the help. Most often used:

  • drops containing glucocorticoids (Garazon, Polidexa, Anuaran);
  • drugs that have an antibacterial effect (“Normax”, “Tsipromed”);
  • single-drug products that contain anti-inflammatory non-steroidal components (Otipax, Otinum).

« Normax" Most doctors recommend treating ear otitis with this drug. Medicine . "Normax" is intended for the treatment purulent inflammation external ear, as well as chronic diseases.

« Otipax" The drug has anti-inflammatory and analgesic effects. The medicine has a minimum of side effects, so doctors recommend starting treatment at home, as well as in pregnant women, with the use of Otipax.

« Anuaran" The drug is approved for adults and children. Has anti-inflammatory properties.

Medicines are actively used to treat the disease local application. Among them " Dimexide" Dimexide for otitis media is also often recommended by doctors. The drug has an anti-inflammatory and analgesic effect. "Dimexide" is able to penetrate into the tissue and eliminate bacteria.

For inflammation of the outer ear, the drug is diluted with water (according to the instructions). Turunda (or cotton wool) is dipped into the prepared solution and inserted into the ear canal for 30-40 minutes. Use "Dimexide" in pure form not recommended as you may get burned.

At severe pain use Naproxen, Aspirin, Acetaminophen, Nurofen for otitis media.

Treatment with antibiotics

Treatment of otitis media with antibiotics in adults is carried out with severe form diseases. In other cases, you can get by medicines with a softer effect.

Antibiotics suppress the activity of microbes, eliminate the inflammatory process and have an analgesic effect.

So, what drugs are used to treat otitis externa?
  1. « Nystatin" The medicine is available in tablet form. Allowed for children over 1 year old. "Nystatin" suppresses the proliferation of Candida fungi.
  2. « Ampicillin" Intended for oral administration.
  3. « Azithromycin" Has an antibacterial and analgesic effect. Available in tablet form.

Ear drops for external otitis with antibiotics are also used in treatment. This is “Candibiotic” (one of the most effective medicines in the fight against disease). The drug is aimed at eliminating fungi and microbes. Not allowed for use by children under 6 years of age.

In case of chronic forms of the disease, Sparflo and Avelox are used. They are prescribed in parallel antifungal drugs. The course of treatment and dose is determined by the attending physician.

The drug based on the antibiotic “Ciprofloxacin” has a detrimental effect on both active and inactive microbes. Available in tablet form.

How to treat with folk remedies?

Treatment of otitis media in adults folk remedies also quite effective. It is carried out along with drug therapy prescribed by doctor.

Kalanchoe and aloe leaves can do this. To do this, a small piece of one of the plants is cut into small pieces, wrapped in gauze and inserted into sore ear.

Geranium is suitable for the same purposes. The leaf of the plant is finely crushed, wrapped in cloth or gauze and placed in the area of ​​the auricle. The product will relieve pain and eliminate inflammatory processes.

Treatment of the disease is also carried out with the help of lingonberry decoction. To do this, throw 7-10 berries into boiling water (3 cups) and leave for 30 minutes. The decoction is taken orally before meals.

Will help in the fight against. The product is baked in the oven, cooled and placed in the ear. The procedure is carried out 3-4 times a day.

Propolis tincture is also suitable for these purposes. A cotton swab is soaked in the product and inserted into the ear for 24 hours. The course lasts a month.

Turunda is moistened in boric alcohol and inserted into the sore ear. A cotton wool is placed on top. The procedure is done at night.

An infusion of celandine will relieve severe pain. Prepare the product yourself or purchase it at the pharmacy. A cotton swab soaked in the tincture is inserted into the ear daily (10 days).

Garlic and vegetable oil. The garlic is crushed and mixed with oil. The mixture is infused for 10 days in the sun, then filtered and a few drops of eucalyptus oil or glycerin are added. Using a pipette, instill the medicine into the sore ear (3-4 drops). Course – 3 weeks.

If you are sure that the eardrum is not damaged, then the ear canals can be washed with a mixture of clean water and white vinegar (the proportions are the same).

The temperature of all products used must be at least 37 degrees.

You can warm your ear during otitis media, but you should be extremely careful. Apply to the painful area dry heat or a heating pad. It should be noted that when exposed to heat, sulfuric fluid may be released from the hearing organ.

You should not carry out the procedure at night due to the likelihood of burns. Also, ear warming is not recommended for children.

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

Ointments to combat otitis externa

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

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

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

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

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

Tetracycline ointment for otitis externa is used to heal inflammatory areas and destroy bacteria.

Risk factors for the disease

If inflammation of the outer ear is not treated in time, it can lead to:

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

To avoid the occurrence of otitis externa, you must:

  • stop using cotton swabs, matches, etc. for cleaning (passes with your little finger are enough);
  • after swimming in a pool, lake, or sea, rinse your ear with clean water;
  • Before visiting the pool, put a protective cap on your head;
  • dry your hearing organs with a towel rather than cotton swabs;
  • strengthen the body's protective functions;
  • At the first symptoms of otitis, consult a doctor.

In order to remove congestion or inflammation in diseases of the eyes, ears and nose, use different shapes medications: sprays, tablets, drops. Local reliever ear pain and congestion in adults or children - these are drops for treating ears. They are indicated for acute or chronic otitis media, but appoint specific remedy the doctor still has to. Not every drop can be beneficial, although they are considered a safe medicine. They can also cure suppuration, infections, inflammations and even injuries. Depending on the problem, drops with a specific effect are selected. These may be drugs from the group of antibacterial, antifungal, anti-inflammatory, antiseptic or combination drugs.

What are ear drops

This is a means for local therapy by instilling a solution of the drug into the ear canal. They can be prescribed for otitis media, which is manifested by pain and congestion in the ears, itching, tissue inflammation, the appearance of pus, and sometimes an increase in body temperature. If these symptoms occur, you should contact an otolaryngologist, who will confirm the diagnosis and prescribe treatment.

Advantages

Drops are a very convenient form of release, especially for the treatment of otitis media in different parts of the ear cavity. The medicine has the following advantages:

  • does not have a systemic effect on the body;
  • act directly on the affected area of ​​the ear tissue;
  • quickly relieve inflammation and others unpleasant symptoms diseases or at least reduce their severity;
  • have very few contraindications and do not cause side effects;
  • have an affordable price;
  • sold without a doctor's prescription;
  • economically used due to small dosages.

Kinds

Classification is based on differences in composition, pharmacological action and indications. Based on the number of drugs in the composition, they are divided into combination and single drugs. The first contain several components. Monopreparations include only one medicinal substance. Regarding the principle of operation, the following main groups are distinguished:

  1. Anti-inflammatory, reducing the manifestations of inflammation and having analgesic and drying effects. This includes non-steroidal drugs and medications with the glucocorticoid hormone. It is prescribed with caution, because it is a powerful anti-inflammatory substance and is used strictly according to indications. Contraindicated for use for a long time.
  2. WITH antimicrobial effect . They have an antibacterial effect.
  3. Antiseptic. Preparations with antimicrobial effect, used in the presence of purulent inflammation. This includes hydrogen peroxide, drugs based on miramistin, boric and furatsilin alcohol.
  4. Antifungal. Helps with fungal and inflammatory infections.
  5. Vasoconstrictors drops. Prescribed for a feeling of congestion in the ears, but no pain.

Anti-inflammatory

Drops in the ear for inflammation are used in different cases. More often they are prescribed as part of complex therapy with other drugs for acute moderate or edematous acute otitis media. Inflammation resulting from sharp increase or reduction atmospheric pressure which causes damage to the ear canal. These ear drops are prescribed for ear pain to reduce it. These include:

  • Ototone;
  • and its analogues Holikaps and Brotinum;
  • Droplex;
  • Oticaine;
  • Otosporin;

In case of prolonged illness or complications, the doctor prescribes combined anti-inflammatory or non-steroidal drugs. The latter include lidocaine, which has an analgesic effect. TO hormonal drugs relate:

  • Garazon;

Antibacterial

Good antibiotic ear drops contain antimicrobial agents wide range actions, for example, chloramphenicol, erythromycin, rifampicin. Such drugs have an antibacterial effect, so they are indicated for diseases caused by bacteria entering the ear canal. This often happens with a cold, the complication of which is otitis media internal, media or external. The disease is an inflammation accompanied by the discharge of pus from the ear canal.

Drops in the ears for otitis media are almost always prescribed. They help stop infection, prevent pus formation and possible damage eardrum. To the list of the most effective drops With strong antibiotics includes:

  • Fugentin;
  • Riphonat;
  • Dancil.

Single drugs

This special means with one active ingredient in the composition. They are indicated to eliminate the source of infection. Along with this, they have complex analgesic and anti-inflammatory effects, but they cannot be used for perforation of the eardrum. Among these, the drugs Otinum and Otipax stand out. They are able to reduce the synthesis of prostaglandins that accompany the pathogenic process. For this reason, Otipax or Otinum are the first to be used. In addition, they have a gentle effect, so they are prescribed to pregnant and lactating women.

Combined

Drops from this category have a wide antibacterial spectrum of action. Although they are not prescribed for every disease, they provide a good analgesic and antiviral effect and help destroy infections. At catarrhal otitis or inflammation of the outer ear, the drug Anauran is popular. Although suspicion of perforation of the eardrum may be an indication for discontinuation of such a drug. Other prominent representatives of this group are Sofradex and Garazon drops.

With antiseptics

In treatment and prevention purulent otitis antiseptic drops are prescribed. They are often used before and after ear surgery. A prominent representative of this group is Miramistin, which belongs to the group of cations. This drug has an anti-inflammatory and antimicrobial effect. The following antiseptics are similar in principle of action:

Antifungal

In the antiseptic group, there are several drugs with an antifungal component in their composition. Such remedies cope with the treatment of fungal and inflammatory diseases. These include:

  • Candibiotic;
  • Fugentin;
  • Sangviritrin.

Drops for children

IN childhood From each group of drugs listed, only some can be used. Drops for ear pain from infancy - Otipax. Otinum can only be used for children over one year of age. To save a child from ear plugs, it is recommended to use Aqua-Maris Oto (from 1 year) and A-cerumen (from 2.5 years). Already from birth it is allowed to bury infants Remo-vax. In the treatment of otitis, the following medications are also used from a certain age:

  • contain antibiotics– Tsipromed (from 15), Nomrax (from 12), Otofa (from 5);
  • anti-inflammatory– Sofradex (from 7), Garazon and Anauran (from 6), Polydex (from 5);
  • antiseptic– furacilin alcohol (with 6), Okomistin (with 1).

Drops for ear pain during pregnancy

Especially safe medicines should be during pregnancy. Otitis during this period can be caused hormonal imbalance and reduced immunity. It must be treated with medications minimal risk for a child. The following are considered dangerous during pregnancy:

  • Otofa;
  • Polydex;
  • Anauran;
  • Normax.

Sofradex contains a hormonal substance, so it is also not safe. If the ears hurt, and otitis media is not complicated by perforation of the eardrum, then Otipax drops are used for treatment. This is one of the few products that is considered safe for pregnant women. At purulent form Otipax should not be used for otitis under any circumstances. In case of membrane perforation, antibacterial therapy with and in drops. Otitis externa is treated with drugs containing hydrocortisone, which is not toxic to the fetus.

Effective drugs for treating inflammation

For ear inflammation of any nature, they are more effective. local remedies. Moreover, they are easy to use. Among antiseptic, anti-inflammatory and antibacterial drugs, several of the most effective ones can be identified. These are the following means:

  • Orlavax;
  • Flavaco;
  • Panotile;
  • Otinum;
  • Otipax.

Orlavax

This tool Today it is very difficult to buy from an online store or order from a regular pharmacy. Orlavax is considered an analogue of Otipax, so it has almost the same indications. The dosage is also the same. The medicine itself belongs to the combination category and is based on lidocaine and phenazone. The medicine has several actions:

  • local anesthetic;
  • anti-inflammatory;
  • antiseptic;
  • disinfectant.

Flavaco

Ear drops for colds or otitis from the combined group. The drug contains antibiotics that complement each other, a local anesthetic and a steroid substance. The latter has anti-inflammatory and antiallergic effects. Along with them, the anesthetic helps reduce pain. You need to drip 4-5 drops into each ear up to 3 times throughout the day. Repeat the procedure throughout the week. Indications for use of Flavaco are:

Panotile

This is another analogue of Otipax. Panotile is tradename of this drug in pharmacy catalogs abroad. It is popular not only in Europe, but throughout the world. The difference between the medicine is the absence age restrictions. Panotile is allowed even for the youngest patients. Mild inflammation They are treated by instilling 2 drops into each ear. For adults, the dosage should not exceed 4. Indications for the use of Panotile are rehabilitation after surgery and the prevention of inflammatory diseases.

Otinum

Main active substance Otinuma is a choline salicylate. The drug belongs to the group of non-steroidal anti-inflammatory drugs. It has analgesic and inflammation-reducing effects. Indications for use are:

  • softening the wax in the ear canal before washing or cleaning;
  • acute non-perforated otitis media;
  • myringitis;
  • otitis externa

To treat inflammatory processes in the middle or outer ear, adults need to instill 3-4 drops up to 4 times daily. The course of treatment is about 2 weeks. A burning sensation may be felt upon injection. Otinum should not be used for perforated otitis media. In the future, this can lead to hearing loss. Children are not recommended to use Otinum, as there is no data on the effect of the drug on them.

Otipax

Active component Otipaxa is an anesthetic lidocaine and an anti-inflammatory substance phenazone. This drug due to its safety, it is allowed for children from the first day of life and pregnant women. Contraindication is traumatic or infectious damage to the eardrum or an allergy to the components in the composition. Indications are barotraumatic, moderate or complicated after influenza otitis. The drug is instilled 3-4 drops up to 3 times a day.

How to put drops in your ears

When using ear drops for otitis or other inflammation, you must first warm them in a water bath or hold them in a clasped hand for a couple of minutes. This is necessary to warm the drug to body temperature, which will help avoid vestibular reactions. You need to drip the medicine according to the following instructions:

  • lie on your side with your affected ear facing up;
  • pull up, out and back the upper pole of the auricle;
  • instill the medicine in the amount indicated in the instructions; it is better to administer it with a pipette;
  • press on the tragus, massage so that the substance can be evenly distributed;
  • lie down for 10 minutes, plug the ear canal with a cotton swab, which will absorb the remaining oily liquid.

How to choose

The medicine is selected depending on the characteristics of the treatment and the cause of the disease. No less important factor here is how the patient will use the drug, how correctly he will do it. It is necessary to select drops according to their indications and the cause of inflammation. If it is caused bacterial infection, then a drug with antibiotics is required, and if it is a fungus, then antifungal. You should not prescribe your own medicine. It is better to leave this to the doctor, who, depending on the symptoms, can prescribe the right drugs.

Price

The cost of drugs is determined by the manufacturer, pharmacological action and place of purchase. The cheapest ones are boric acid and hydrogen peroxide solution. Inexpensive drugs are Ciprofloxacin, Auridexan, Norfloxacin. Sofradex, Othiorelax, Otinum drops are available to the general population. Their cost is slightly higher compared to others. You can find out more about the prices of different ear drops from the table.

Place of purchase

Name of medicine

Bottle volume

Price, rubles

Pharmacy IFC

Sofradex

Otinum 20%

Polydexa

Candibiotic

ZdravZone

Sofradex

Otinum 20%