Xymelin (Xymelin) nasal spray for children. Instruction, price, reviews

Xymelin is a medical product used in the treatment of inflammatory diseases of the nasal cavity. Spray for children has an affordable cost and high therapeutic effect.

Spray release form Xymelin

The medicine is manufactured in Denmark as a spray for intranasal use. The solution is a clear, colorless liquid, odorless, foreign inclusions. The product is contained in glass darkened vials and is packaged in cardboard boxes.

Composition of the preparation

The active ingredient is xylometazoline hydrochloride.

Additional composition:

• Trilon B;
• sodium chloride;
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• sodium hydrogen phosphate dihydrate;
• benzalkonium chloride;
• sodium dihydrogen phosphate dihydrate;
• filtered water.

Pharmacological properties

The drug belongs to the group of nasal drugs that have a local vasoconstrictor, anti-congestive and alpha-adrenomimetic effect. The systematic use of the drug leads to a narrowing of the vessels located in the nasal cavity.

The active ingredient of the drug leads to a decrease in the severity of the symptoms of various diseases of the nasal cavity - the removal of puffiness and hyperemia in the mucous membranes of the nose.

This, in turn, leads to better and easier nasal breathing. The therapeutic effect of the drug occurs after 5 minutes. after using it. This effect persists for the next 12 hours.

Pharmacodynamics and pharmacokinetics

The spray has local properties, due to which it is practically not absorbed into the hematopoietic system and does not lead to various systemic reactions.

The concentration of the active component in the blood has no clinically significant indicators.

Indications for use

Xymelin is a spray for children that has a wide range of applications and is often used for otolaryngological diseases.

Indications:

• ARVI, accompanied by a lingering rhinitis;
• an allergic form of rhinitis, occurring in an aggravated form;
• the presence of polyps in the nasal region or sinuses;
• sinusitis;
• salpingootitis (inflammation of the Eustachian tube);
• eustachitis (as a means of reducing swelling);
• prevention before conducting research related to the study of the nasal sinuses.

The medicine should be used only after consulting a doctor and confirming the diagnosis.

Contraindications

The drug has some limitations, in the presence of which you should refuse to take it, since this can complicate existing diseases or lead to the development of additional complications.

Contraindications:

• intolerance to the components;
• irregularities in the rhythm of the pulse (tachycardia);
• severe symptoms of atherosclerosis;
• intraocular pressure (glaucoma);
• atrophic form of rhinitis;
• thyrotoxicosis;
• high blood pressure;
• conditions after surgery;
• Inflammatory reactions, especially in the applied area;
• pregnancy;
• children's age (depends on the concentration of the solution).

For these violations, it is recommended to choose a different drug.

With extreme caution, the medication can be used in the presence of the following pathologies and conditions:

• diabetes mellitus (various forms and stages of the disease);
• severe course of cardiovascular pathologies, including ischemic disorders and angina pectoris;
• pheochromocytoma;
• sleep disorders (insomnia);
• hyperfunction of the thyroid gland (thyrotoxicosis);
• porphyrin disease;
• dizziness;
• lactation period;
• intolerance to the components;
• violation of heart rhythms;
• hyperplasia of the prostate;
• trembling all over the body (tremors);
• high blood pressure.

In the presence of these conditions, you should consult your doctor. When prescribing a drug for the conditions listed above, therapy should be carried out under the strict supervision of a physician. Before using the medication, you should make sure that you are not allergic to it. To do this, use the spray once and observe the reaction. If any negative signs develop, it is necessary to abandon its further use.

At what age can the drug be used?

The medicine can be used in childhood from 2 years old (for a drug with a concentration of 0.05%) and from 6 years old (with a solution concentration of 0.1%). Moreover, therapy in this case should be carried out under the strict supervision of a specialist, especially in preschool children.

Instructions for use, dosage

Xymelin is a spray for children that is for intranasal use only.

General dosing scheme: 1 irrigation for each nostril. The frequency of daily use should not exceed 3 times.

The duration of therapy is no more than 1.5 weeks.

If necessary, daily dosages can be adjusted downward.

With sinusitis

With the development of sinusitis, the drug is taken according to the general scheme. The duration of treatment is individual, according to the doctor's indications. Moreover, it should not exceed 1.5 weeks.

With sinusitis

For sinusitis, the remedy is used according to the standard (general) scheme or according to the doctor's recommendation. The duration of the course is 1-1.5 weeks.

For allergic nasal congestion

With nasal congestion, which has an allergic nature of origin, the medicine is used according to the general scheme.

Chicken duration is 5-7 days. In case of longer use, it is recommended to consult a doctor first.

Side effects

Adverse reactions occur extremely rarely and are associated with the individual characteristics of the patient's body and the influence of active components.

Side effects:

• Immune disorders: rashes on the skin, itchy elements, angioedema.
• Central nervous system: migraines, depression, convulsions, hallucinations. Occasionally, there was a feeling of anxiety, fatigue and the development of paresthesias.
• Violations in the sense organs: blurring of objects, blurry vision.
• Cardiovascular disorders: increased blood pressure, feeling of own heartbeat, abnormal heart rhythms.
• Disturbances in the respiratory organs: dryness of the mucous membranes of the nose, burning sensation, frequent sneezing. In more rare cases, hyperemia and nosebleeds develop, and edema also occurs.
• Local manifestations: burning and uncomfortable sensations at the sites of application of the drug.

In the event of the development of these signs, as well as other symptoms not noted in the instructions, it is recommended to stop further taking the drug and seek the advice of a specialist.

If necessary, symptomatic treatment is carried out and another remedy is prescribed.

Overdose

Xymelin, if the dosage prescribed by a specialist is exceeded, can lead to the development of various undesirable reactions, especially in preschool children, therefore, the spray must be applied according to the established one-time and daily norms.

Overdose:

• psycho-emotional disorders - agitation, apathy, general malaise and fatigue;
• constriction or dilation of the pupils of mydriasis);
• hyperhidrosis (increased sweating);
• excessive pallor of the skin;
• disturbances in rhythms and heart rate (up to complete cardiac arrest);
• rise in body temperature;
• alternating increase / decrease in blood pressure;
• depression of the respiratory system, including apnea;
• shock;
• swelling in the area of ​​the lungs.

With the development of such symptoms, further use of the medication should be canceled and a doctor should be consulted for symptomatic therapy. At the same time, constant supervision by a specialist is required for several hours. In case of cardiac arrest, resuscitation measures are carried out. The duration of such actions should be at least 60 minutes.

special instructions

The medicine should not be used for more than 1.5 weeks. This will eliminate all the risks of developing addiction or dependence.

When using the drug for more than 10 days, the so-called withdrawal syndrome may develop and, as a result, the emergence and exacerbation of existing diseases.

The medication does not have a negative effect on the psyche and visual functions of a person, therefore it is allowed to drive a car or carry out other work that requires the speed of psychomotor reactions.

Drug interactions

The spray can react with other medicines. Thus, it is not recommended to use it in conjunction with tricyclic antidepressants and MAO inhibitors. You should also refuse to use the solution within 2 weeks after stopping the intake of these groups of drugs.

It is not recommended to simultaneously use the medication with sympathomimetics and antidepressants, as this can lead to an increase in sympathomimetic action.

When using other drugs during the period of administration of the spray, you should inform the treating person about this in advance. doctor, which will avoid drug incompatibility and, as a result, prevent the development of negative reactions.

Analogs

Xymelin is a spray for children, which in some cases can lead to the development of intolerance reactions. In the event of such manifestations, it is recommended to replace the drug with another drug that is similar in indications and action.

The selection of generics should be carried out by the attending physician, taking into account the severity of the course of the disease, the condition and other physiological characteristics of the patient.

It is not recommended to prescribe and use substitutes on your own, since an incorrectly selected drug can worsen the condition and cause the development of additional complications.

Polydexa

This product is manufactured in France in the form of a nasal spray, the active substances of which are polymyxin B, neomycin, phenylephrine and dexamethasone.

The drug helps to cope with gram-negative and gram-positive microorganisms, relieves swelling and inflammation, and facilitates nasal breathing.

The medicine is used in the treatment of infectious and inflammatory processes developing in the area of ​​the mucous membranes of the nose and sinuses.

Recommendations for use:

• various forms of sinusitis;
• lingering rhinitis (exacerbated or chronic course of pathology);
• rhinitis and rhinopharyngitis (acute and chronic type of the disease).

Dosing scheme: 1 injection into each nostril from 3 to 5 times a day. The duration of the course is from 5 days to 1.5 weeks.

You should not take the medication for more than 10 days, as this can lead to the development of drug dependence and worsen the course of existing diseases.

Age restrictions - for children over 2.5 years old.

Contraindications:

• pregnancy;
• lactation period;
• intolerance to the components;
• kidney disease, including kidney failure;
• angle-closure glaucoma;
• viral pathologies.

Extremely carefully and only under the supervision of a doctor, the drug can be used with high blood pressure, ischemic heart disease, and also in the presence of thyrotoxicosis.

Terms of sale - over the counter.

The price of a medicine in public and private pharmacies in Russia is 310-650 rubles.

Rhinorus

This substitute is produced by a domestic manufacturer of drugs in the form of drops or spray for intranasal use. The active ingredient is xylometazoline hydrochloride. The drug has a pronounced decongestant, vasoconstrictor and vasoconstrictor effect of a local nature. It is used in the treatment of various diseases of the nasal cavity and paranasal sinuses.

Application area:

• acute forms of the common cold caused by ARVI;
• sinusitis;
• inflammation of the Eustachian tube (salpingotitis);
• otitis media (combination treatment);
• diagnostic procedures (as preparation).

Dosing rules (for spray): children from 2 to 6 years old - 1 irrigation of each nasal cavity 1-2 times a day; children over 6 years old - 1 irrigation of each nasal cavity 3 times a day. The maximum daily dosage is no more than 3 times. The duration of treatment should not exceed 5-7 days. Repeated courses are possible after a break of several days.

Contraindications:

• intolerance to the components;
• hyperfunction of the thyroid gland;
• pregnancy;
• lingering rhinitis (atrophic form of the disorder);
• children under 2 or 6 years of age (depending on the concentration of the solution);
• glaucoma;
• high blood pressure (chronic type of disorder);
• atherosclerotic lesion (pronounced course);
• increase in heart rate more than 90 beats per minute.

During the lactation period, the medication should be used under the strict supervision of a physician and only with his permission. In this case, it is necessary to take into account the potential danger and the expected benefits of such therapy. Vacation conditions - over-the-counter. The cost of the drug in regional and regional pharmacies in Russia is 20-25 rubles.

Sialor Aqua

Xymelin is a spray for children, which should be replaced with similar drugs, taking into account the child's age, physiological characteristics, and the degree of tolerance of various medicinal components.

Sialor Aqua is produced in Russia in the form of drops or solution for intranasal use. The active ingredient is sea water, which contains various macro- and microelements.

The drug helps to normalize the physiological state of the nasal membrane and is used in the treatment of various infectious and inflammatory diseases. At the same time, it prevents the penetration of pathogenic microorganisms and enhances the work of local immunity.

Application area:

• various forms of rhinitis, including an allergic type of illness;
• preventive treatment for seasonal epidemics;
• pathology of the nose, pharynx, as well as nasal sinuses (chronic forms of disorders);
• prophylaxis before or after surgery;
• the presence of adenoids;
• hygienic care of newborn children.

Dosing regimen:

• children from 1 to 6 years old - 1-2 drops in each nostril from 1 to 3 times a day;
• children under 16 years old are prescribed 2-3 drops of solution from 4 to 8 times a day.

The duration of therapy varies from 2 weeks to 1 month. If necessary, therapy can be repeated after a break of 1 month.

The medicine should not be used if it is poorly tolerated.

Drops can be used during pregnancy and breastfeeding. However, treatment in this case must be carried out under the strict supervision of a physician.

The way of implementation is over-the-counter.

The cost of a medicine in commercial and state pharmacies in Russia is 130-250 rubles.

Terms, conditions of sale and storage

• The medicine should be stored in a dark and dry place at temperatures up to 25 ⁰C.
• The shelf life is 24 months from the date of issue.
• Do not use after the expiration date stated on the package.
• Sale mode - over the counter.

Price

Spray prices may vary slightly depending on the region of sale and the area of ​​sale. Its cost may also depend on the retail pharmacy chain.

Region / region	Dosage form / dosage	Price
Moscow, Moscow region	Spray, 0.1%, 10 ml	RUB 85-200
St. Petersburg	Spray, 0.05%, 10 ml	RUB 70-95
Saint Petersburg (suburbs)	Spray, 0.1%, 10 ml	90-205 rub.
Leningrad region	Spray, 0.05%, 10 ml	75-100 rub.
Novgorod region	Spray, 0.1%, 10 ml	RUB 95-185

Before using Xymelin, you should first consult with a specialist and carefully study the instructions for using the spray. It is also recommended to read the reviews of parents who have used the drug in children. You can find out the exact cost and purchase the medicine at any private or public pharmacy located in your place of residence.

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