Throat antiseptics for children, during pregnancy, adults with pharyngitis, tonsillitis, sore throat. List in tablets, spray, solutions

Diseases of the upper respiratory tract are among the most common. Symptoms of Acute Respiratory Disease throats can cause significant discomfort that requires immediate relief. The effectiveness of antiviral drugs of systemic action may not appear immediately, so methods of "emergency" treatment are useful.

Preparations for the throat of local action - antiseptics, are prescribed for both adults and children. However, in order not to aggravate the condition, a competent approach to the choice of a drug is required.

Classification

The pharmacies offer a wide range of antiseptic preparations for the treatment of throat infections. Many of these are available over the counter because they are considered relatively safe. However, each of them has its own characteristics in application and indications, which must be taken into account when choosing.

Medicines for the symptomatic treatment of throat come in several forms:

• spray. Possesses high pharmacological activity and fast therapeutic effect. Most of these drugs are characterized by slight adhesion, concentrating on the mucous membrane. Have fewer side effects compared to other forms;
• lozenges, lollipops. They allow the active substances to stay in the oral cavity longer without being washed out with saliva. They often contain flavors, sweeteners and colors that can cause an allergic reaction. Usually not indicated for children under 6 years of age, as babies can choke on them, or swallow them without dissolving;
• lozenges. They have a pronounced therapeutic effect. Does not contain sweeteners;
• tablets for solution preparation.

Preparations can have one or more therapeutic effects, which depend on the composition of the active and auxiliary substances.

In addition to its direct - antiseptic action, the medication can additionally:

• relieve inflammation, swelling;
• anesthetize;
• moisturize;
• freshen your breath.

Throat antiseptics - for children and adults, are most often found with a combined effect.

The most common remedies for relieving symptoms of tonsillitis, pharyngitis and sore throat are shown in the table below:

Drug category	Name	Active substance	Release form	Price, rub
For children under 6 years old	Hexoral (children from 2 years old)	hexetidine	spray	200
Ingalipt (from 5 years old)	sulfanilamide, sulfathiazole, thymol, eucalyptus oil, mint oil	spray	139
Orasept (from 2 years old)	phenol	spray	279
Miramistin (from 3 years old)	benzyldimethyl	spray	230
Tantum verde (from 3 years old)	Benzydamine hydrochloride	spray	350
For pregnant	Cameton	chlorobutanol, racemic camphor, levomenthol, eucalyptus oil	spray	40-80
Hexoral	hexetidine	spray	200
Lugol	iodine	spray	50-90
Lizobact	lysozyme, pyridoxine	pills	200
Faringosept	ambazon	pills	240
For adults with IVP throat (pharyngitis, tonsillitis, sore throat)	Gramicidin	gramicidin C	pills	230
Grammidin Neo	cetylpyridinium, gramicidin C	pills	280
Stopangin 2A / Teva	benzocaine, tyrothricin / hexetidine	pills	700
Septolet Total	benzydamine, cetylpyridinium	spray	260
Sebidine	ascorbic acid, chlorhexidine	pills	200
Ajisept	amylmetacresol, dichlorobenzyl alcohol	pills	130
Strepsils	amylmetacresol, dichlorobenzyl alcohol	pills	280
Neo-angin	amylmetacresol, levomenthol, dichlorobenzyl alcohol	pills	180
Falimint	acetylamino-nitropropoxybenzene	Dragee	216
Faringosept	ambazon	pills	240
Jocks	allantoin, povidone-iodine	spray	295
Furacilin Avexima	nitrofural	tablets for solution preparation	127
Angilex	hexetidine, choline salicylate, chlorobutanol hemihydrate	spray	200
Proposol	propolis	spray	177

Throat antiseptics for children with the most suitable dosage form are sprays. They are safe and easy to use. For other categories of patients, the form of the drug is selected based on the individual characteristics and recommendations of the therapist (otolaryngologist).

Top 10 drugs from the pharmacy

Throat preparations differ in composition, in particular, in the main active ingredients. Therefore, for several patients, the same remedy can provide varying degrees of effectiveness. However, there are a number of antiseptics whose efficacy has been tested over the years (if the use is consistent with the indications).

Hexoral

The spray has a pronounced effect against gram-positive bacteria, fungi of the genus Candida and viruses: predominantly group A, herpes simplex type 1 and respiratory syncytial virus, which causes an infection of the lower respiratory tract. The drug suppresses oxidative reactions in the metabolic processes of pathogens, thereby inhibiting their vital activity.

The effect is due to the main active ingredient - hexetidine, whose content in the preparation is 2% of the total volume. It also has mild anesthetic properties. The excipients contain levomenthol and eucalyptus oil.

Hexoral is not absorbed into the blood, but can stay on the surface of the gum mucosa for up to 65 hours.

The main indications for use are:

• gum disease;
• pharyngitis;
• tonsillitis;
• angina, incl. Plauta - Vincent and angina of the lateral pharyngeal ridges;
• glossitis;
• prevention of infectious diseases before and after surgery, as well as injuries.

Most often prescribed for children over 6 years old. 1 injection 2 times a day after meals. Children from 3 to 6 - after consultation with a specialist (pediatrician, or otolaryngologist).

Side effects are extremely rare. These are mainly hypersensitivity reactions, loss of taste, nausea, vomiting.

During use by pregnant women and during lactation, no negative effects of the drug were observed. However, there is still no sufficient laboratory data that could show the degree and nature of the effect of the drug on the fetus and breastfed baby.

Faringosept

Throat antiseptics are also available for younger children. Pharyngosept acts mainly on streptococci that affect the oral cavity and pharynx: S. haemolyticus, S. viridans, Pneumococcus.

It reduces the ability of bacteria to reproduce by inhibiting protein synthesis. This action is due to the presence of ambazon in the preparation, which has a maximum effect 3-4 days after the start of treatment. Each tablet weighing 1 g contains 10 mg of active ingredient.

Pharingosept is prescribed for acute and chronic inflammatory processes caused by pathogenic microorganisms. Side effects from its use are extremely rare and are caused by hypersensitivity to the drug, or to its individual components.

In particular, hereditary intolerance to fructose, or lactose, can cause bloating and diarrhea. Faringosept is not recommended for patients with similar disorders.

The course of treatment is 3-4 days. Children from 3 to 7 years old are shown 1 tablet 3 times a day. Keep in mouth until completely absorbed. Adults - 1 tablet 4-5 times a day. Do not eat food within 3 hours after dissolving the drug to maintain the therapeutic effect.

Septolet Total

The preparation contains two active ingredients at once - cetylpyridinium chloride and benzydamine. Together, they have a wide range of effects, inhibiting gram-positive, some gram-negative bacteria, as well as a large number of viruses.

The active ingredients may be effective against some fungi. Thus, benzydamine is able to influence the mechanism of building the cell wall of fungi, in particular Candida albicans, and inhibit their reproduction.

In addition to the bacterio- and fungistatic effect, Septolete has anti-inflammatory and analgesic properties due to the action of benzydamine. It, being an NSAID, directly affects cell membranes, inhibiting the production of prostaglandins.

The drug is available in several forms:

• spray. Indicated for adults and children over 12 years old. It is recommended to irrigate the oral cavity every 2 hours for no more than 7 days. Apply after meals;
• lozenges. Children's age - from 6 years old. Take 1 tablet every 3-6 hours until completely absorbed. The maximum allowable course is 7 days.

Septolet is designed to eliminate acute symptoms of throat and oral cavity diseases. Adverse reactions are rare and can manifest themselves in the form of an allergy to one of the components of the drug and bronchospasm.

Ingalipt

The effectiveness of the drug against bacteria and fungi is due to the presence of norsulfazole and streptocide in the composition. They, disrupting the synthesis of folate in the cell wall of the pathogen, inhibit its vital activity, relieve inflammation and have a mild analgesic effect. And eucalyptus and tea tree oils enhance the effect.

The drug is indicated for adults and children over 6 years of age, in the absence of hypersensitivity to its components. Side effects in the form of allergic reactions are possible, but their likelihood is extremely low. Not recommended for pregnant women and during lactation.

For the purpose of symptomatic treatment of acute and chronic infectious diseases of the ENT organs, it is necessary to irrigate the oral cavity 3-4 times a day. Refrain from eating and drinking for at least 30 minutes after each procedure. The course of treatment is no more than 7 days.

Miramistin

The preparation contains water and benzyldimethyl, a substance with a broad antimicrobial effect. Miramistin is used in many branches of medicine, including otorhinolaryngology.

It is effective against:

• bacteria. Gram-positive (streptococci, staphylococci, pneumococci) and gram-negative (Pseudomonas aeruginosa, Escherichia coli), aerobic and anaerobic;
• mushrooms. Yeast, yeast-like, dermatophytes;
• viruses. Including representatives with complex organization, such as the herpes virus and HIV.

Throat antiseptics, especially for children, are rarely suitable for everyone. However, Miramistin, along with adults, is suitable for babies from 3 years old, pregnant women and women during breastfeeding. No adverse reactions were observed when used correctly.

For diseases associated with damage to the upper respiratory tract by a pathogen, children from 3 to 7 years old are prescribed 1 injection 3-4 times a day. At the age of 7-14 years - 2 injections, over 14 years old - 3 injections 3-4 times a day. The course is 4-10 days, depending on the etiology of the disease.

Strepsils

The tablets are intended to eliminate the acute symptoms of an infectious process in the throat and oral cavity. The main active ingredients - amylmetacresol and dichlorobenzyl alcohol - eliminate perspiration, pain and relieve inflammation. They destroy proteins and lipids in the cell membrane of the pathogen, thereby slowing down their metabolism and reproduction.

Strepsils are produced with different tastes and effects:

• with honey and lemon;
• with menthol and eucalyptus;
• with vitamin C;
• Intensive honey-lemon / orange. Has a significant analgesic and antipyretic effect;
• with a warming effect;
• express. Contains lidocaine;
• sugarless.

Designed for adults and children over 6 years old. Take tablets every 2-3 hours until completely absorbed. The duration of treatment should not exceed 3 days.

Orasept

The medicine is produced in the form of a cherry-flavored spray and is intended to treat:

• inflammation of the tonsils;
• inflammation of the pharynx;

  

• sore throats;
• stomatitis;
• gingivitis.

In addition to relieving symptoms of infection of the mouth and larynx, Orasept is used after manipulations that have a damaging effect, including dental procedures.

The main active ingredient is phenol, the content of which in 1 ml of the drug is 14 mg. It rarely causes side reactions, and those that occur are due to intolerance to the components of the drug. Possible symptoms include hives, itching, and swelling of the mucous membranes.

For the treatment of children from 2 to 12 years old, it is necessary to irrigate the oral cavity every 2-4 hours by pressing the sprayer three times. Adults and children over 12 years old will need 5 injections every 2-4 hours. The course of treatment is no more than 5 days.

Throat antiseptics (for children and adults) with a similar composition are contraindicated in case of increased sensitivity to components, severe disturbances in the activity of the liver and kidneys and inflammation epiglottis. It is absorbed into the blood.

Stopangin Teva

The main active ingredient is hexetidine, which has aseptic, analgesic and calming effect. Affects both bacteria and yeast-like fungi. Among the auxiliary components are essential oils of tea tree, eucalyptus, peppermint, anise.

To treat infectious lesions of the oral cavity, it is necessary to irrigate the oral cavity by pressing the spray bottle twice. Repeat the procedure 2-3 times a day after meals. Not recommended for children under 8 years of age. This is due to the fact that during the administration of the drug, it is necessary to hold your breath for 1-2 seconds so that the vapors do not enter the respiratory tract.

Stopangin is not prescribed for women in the 1st trimester of pregnancy and during breastfeeding. It is also contraindicated in dry atrophic pharyngitis and hypersensitivity to compound substances.

Angilex

The spray is intended for the treatment of diseases of the mouth and throat caused by an infection of a bacterial or fungal nature.

The composition includes several main components, each of which performs its own function:

• hexitidine (1 mg). Affects various types of bacteria. However, in relation to aerobic, it has an exclusively bacteriostatic effect, while on anaerobic it has a bactericidal effect. Blocks the growth and reproduction of the pathogen due to its similarity with thiamine, which is successfully replaced in metabolic reactions;
• choline salicylate (5 mg). Relieves inflammation, has antipyretic effect and mild pain reliever;
• chlorobutanol (2.5 mg). Acts as an analgesic.

The drug is approved for the treatment of children over 6 years old. The mucous membrane is irrigated 2-3 times a day by pressing the spray bottle once. For adults and children over 15 years old - 4-6 times a day.

During the procedure, it is necessary to avoid contact with the eyes, otherwise, immediately rinse them with plenty of water.

Angilex is not recommended to be used for more than 5 days, since there is a high probability of microbial imbalance on the surface of the mucous membrane of the mouth and throat.

Use with caution in patients with epilepsy, since the drug can lower the epileptic threshold.

Pregnant and lactating women - the drug is prescribed after prior consultation with a doctor.

Lugol

The main component of the drug is iodine. It has the ability to precipitate proteins in tissues, in as a result, it has a number of therapeutic effects at the site of the lesion:

• disinfects;
• eliminates inflammation, edema;
• accelerates healing.

At significant concentrations, it has an irritating effect in the spray areas. Through the mucous membrane, it is partially absorbed into the blood, excreted through the kidneys, intestines and exocrine glands.

For use in adults and children over 12 years of age. For the treatment of infectious and inflammatory diseases of the oral cavity and throat, one injection 4-6 times a day is enough. The spray is directed exactly to the affected area. Lugol is prescribed during pregnancy in cases where the benefits of the drug outweigh the possible risk to the fetus.

Many symptomatic medications are highly irritating and can cause bronchospasm in babies. However, there are throat antiseptics that are safe for children, including young toddlers. Among them are Miramistin, Bioparox, Geksoral and Orasept, allowed from 2 years old.

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