Rinonorm is a vasoconstrictor nasal spray used in ENT practice. Active ingredient: Xylometazoline.
Available as 0.05% and 0.1% nasal spray, intended only for local application. Packaged in 10 ml bottles, for ease of use the bottle is equipped with a dosing device.
Alpha adrenergic stimulant, narrows blood vessels mucous membrane of the nasal cavity, eliminating swelling and hyperemia of the mucous membrane. Facilitates nasal breathing during rhinitis.
The effect of Rinonorm nasal spray begins within a few minutes and lasts for several hours (up to 6-8 hours).
Restoring air patency of the nasopharynx improves a person’s well-being and reduces danger possible complications caused by stagnation of mucous secretions.
When applying the spray locally active substance minimally absorbed into the systemic circulation.
Indications for use
What does Rinonorm help with? According to the instructions, the nasal spray is prescribed in following cases:
- Acute viral or bacterial rhinitis;
- Acute allergic rhinitis;
- Acute sinusitis or exacerbation of chronic sinusitis;
- Spicy otitis media(to reduce swelling of the mucous membrane of the Eustachian tube);
- Preparing for diagnostic procedures in the nasal passages.
Instructions for use of Rinonorm spray, dosage
The spray is used exclusively intranasally (in the nose). For adults, a concentration of 0.1% solution is used, for children aged 2 to 10 years, a 0.05% spray is used.
Before administering the spray, it is advisable to clear the nasal cavity of accumulated secretions.
The maximum amount is 4 times a day. The interval between administrations is at least 6 hours.
Rhinonorm for children
The instructions warn that children can only use Rinonorm 0.05%. Children 2-10 years old are prescribed 1 dose (1 injection) into each nasal passage 1 to 3 times a day.
The duration of therapy should not exceed 7 days. Addictive.
Side effects
The instructions warn about the possibility of developing the following side effects when prescribing Rinonorm:
- Increased excitability;
- Headache;
- Increase blood pressure;
- Arrhythmia;
- Insomnia;
- Nausea;
- Irritation of mucous membranes;
- Burning or itching;
- Allergic reactions (rash, urticaria).
Contraindications
It is contraindicated to prescribe Rinonorm in the following cases:
- Age up to 2 years (0.05% spray) or up to 10 years (0.1% spray).
- Inflammation of the nasal mucosa, characterized by thinning and dryness (atrophic rhinitis).
- Angle-closure glaucoma.
- Condition after surgical removal parts of the pituitary gland (hypophysectomy).
- Pregnancy.
- Concomitant use of drugs pharmacological group tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs).
- Individual intolerance to any of the components of the drug.
With caution:
- Lactation period
- IHD (angina pectoris),
- Prostatic hyperplasia,
- thyrotoxicosis,
- Lactation period
- Diabetes,
- Childhood.
The nasal spray should not be used during pregnancy. Should be used with caution during breastfeeding.
Overdose
In case of overdose, the manifestation or intensification of side effects of the spray is observed. Treatment is symptomatic.
When taken orally, it may increase blood pressure, arrhythmia and loss of consciousness. It is recommended to rinse the stomach and give a laxative.
In severe cases, treatment is carried out in the ward intensive care with the use of artificial ventilation and the use of alpha-adrenergic receptor blockers.
Analogues of Rinonorm, price in pharmacies
If necessary, you can replace Rinonorm with an analogue of the active substance - these are the following drugs:
- For nose;
- Dr. Theiss Nazolin;
The cold season is traditionally considered the cold season, viral infections, flu. And closer to spring, many people begin to experience allergies, including a runny nose caused by this disease. Children catch colds and illnesses especially easily, so it is important for parents to know which drug can be taken so that their children recover quickly.
Release form
A well-known cure for the common cold is “Rinonorm”, which is available in the form of nasal remedies: drops, spray and gel. Moreover Manufacturers offer a special children's dosage with a reduced concentration of the active component. Parents can only choose a more convenient form (Rinonorm drops or spray 0.05%).
The drops are sold in dark glass bottles with a pipette cap of 10 and 15 ml and in spray bottles of 10 and 15 ml with a convenient spray cap that dispenses the injection.
Compound
Spray and drops are a solution of the main active ingredient (xylometazoline hydrochloride). Each milligram of nasal remedy for children contains 500 mg of this substance.
Xylometazoline hydrochloride is a topical alpha-adrenergic agonist that has a vasoconstrictor effect on the nasal mucosa. A runny nose should be treated as early as possible. This is where Rhinonorm nasal remedies come to the rescue. The blood vessels narrow, the swelling subsides, and the child can breathe freely again.
Rinonorm preparations include stabilizers, including citric acid and glycerol, as auxiliary components. The basis of the solution is distilled water.
Operating principle
If you get a viral or bacterial infection on the mucous membrane, the pathogenic organism invades its cells. First, dryness and burning appear in the nose, and then swelling of the mucous membrane occurs. Simultaneously with the swelling, active discharge begins and nasal congestion appears.
Some parents believe that colds are not caused by an infection and therefore do not need to be treated. Hypothermia itself, which, as a rule, leads to a cold, is indeed not a disease. But the disease we call a cold occurs when a child's immunity weakens due to hypothermia. At this point, children are more vulnerable to bacterial infections.
A runny nose is not a completely harmless disease. Difficulty breathing leads to decreased oxygen concentration in the blood. Internal organs and the child’s tissues begin to lack it. This condition is called hypoxia. Prolonged hypoxia negatively affects the health of children.
When using "Rinonorm", the alpha-adrenergic agonist, when it gets on the mucous membrane, promotes the narrowing of arterioles (small arteries in the nose). The flow of blood to the mucous membrane is reduced, the swelling subsides, and the redness also becomes less pronounced. When breathing is restored, children begin to feel better, and the lethargy and drowsiness that accompanies difficulty breathing disappear.
The effect of nasal preparations "Rinonorm" lasts up to 6-8 hours. Therefore, if you give them to your child before bedtime, he is guaranteed to sleep peacefully throughout the night.
In addition, timely treatment will help avoid various complications in which inflammation can spread to the mucous membrane of the pharynx and larynx. This can cause diseases such as sinusitis, laryngitis, pharyngitis, and otitis media.
If the appearance of a runny nose is associated with a seasonal exacerbation of allergies or contact with an allergen, then the action of “Rinonorm” will also alleviate this condition. In this case, the product should be used in combination with anti-allergenic drugs.
Indications
Rhinonrom nasal remedies can be taken if a child has a runny nose, regardless of its cause: viral, bacterial infection or allergy. "Rinonorm" is indicated for acute sinusitis, i.e. inflammation of the paranasal cavities, as well as during exacerbation chronic stage of this disease.
If a child develops a runny nose, you can use children’s “Rinonorm” even before consulting a doctor, since it is important to “catch” the disease at the very beginning and prevent it from developing. But it is imperative to consult a doctor if your child is sick. Parents can write down the names of all medications they gave to the child, and the doctor, based on the symptoms and individual indicators child’s health, can adjust the treatment method.
"Rinonorm" is also successfully used in the composition complex therapy in the treatment of otitis media. The drug relieves swelling and alleviates the child’s condition. But you should not immediately use “Rinonorm” if a child has an earache. It is better to first consult a doctor who will prescribe the appropriate treatment.
"Rinonorm" is also indicated when preparing children for various manipulations, procedures and surgical operations in the nose.
At what age is it prescribed?
Even in pediatric dosage, doctors do not recommend giving Rinonorm to a child under 2 years of age. This is due to the characteristics of young children, in whom many physiological processes in the body proceed differently than in adults and older children. Babies under the age of one year are especially vulnerable in this sense.
The appearance of a runny nose small child who cannot breathe through his mouth is very dangerous. Parents should immediately consult a doctor who will recommend an approved drug. Pharmacists in pharmacies are also qualified to advise the medicine that is suitable for your baby.
Contraindications
Strict contraindications to the use of Rinonorm drugs are increased individual sensitivity to the components. It is also not recommended to use an alpha-adrenergic agonist if there is damage to the mucous membrane in the child’s nose: wounds, scratches, crusts.
Alpha-adrenergic agonists are not used simultaneously with inhibitors and tricyclic antidepressants.
The use of nasal preparations "Rinonorm", intended for adults, is contraindicated for children under 10 years of age. In the absence of a medicine with a child dosage, many parents decide to give their child an adult “Rinonorm”. But doctors believe that this is not necessary. Using a drug with a higher concentration of the active ingredient may lead to overdose symptoms and worsening the child’s condition.
Only under the constant supervision of a doctor is Rinonorm given to children suffering from diabetes and severe heart disease.
Side effects
In some cases, after using Rinon nasal medications, a local reaction may occur in the form of a feeling of dryness or burning in the nose, and sometimes in the mucous membrane of the mouth and larynx. Children may complain of headaches bad dream, sometimes parents note increased excitability and bad feeling child, sometimes there may be an increase in blood pressure. In the most severe cases, nausea and skin rashes may occur.
If one of these symptoms is noticed, even if there is a possibility that its appearance is not associated with Rinonorm, you should stop treatment with the drug and consult a doctor. If treatment is continued, the symptoms may worsen and the child’s condition may worsen.
Instructions for use
Before intranasal administration of the drug, it is necessary to clear the child’s nose of accumulated mucus.
When using the spray for a child aged 2 to 10 years, it is recommended to do one spray up to 3 times a day. One injection corresponds to 0.14 ml of solution. In this case, at least 6 hours must pass between two doses.
Used for children over 10 years of age adult form spray with a concentration of 0.1%. Also, one spray into each nasal passage no more than 3 times a day is sufficient. Total duration treatment is no more than 7 days.
The use of "Rinonorm" drops for children from 0 to 6 years is allowed 1-2 times a day, 1-2 drops. For this age category, Rinonorm drops 0.05% are used. Children over 6 years old are given Rhinonorm drops 0.1%, 2-3 drops up to 4 times a day.
Rhinonorm nasal gel can only be given to children over 7 years of age. The gel is placed in the nose up to 4 times a day, including before bedtime.
Overdose
When treated with Rinonorm drugs, overdose is observed in rare cases. Symptoms include increased blood pressure and arrhythmia. With a large overdose, loss of consciousness is possible.
If a child accidentally takes a large amount of the drug orally, you should urgently call ambulance» . If for some reason it is impossible to call specialists, you should do gastric lavage yourself. This is not the most pleasant procedure. The child should be given from 150 ml (for newborns) to 600 ml of water (for children over 7 years old). Then you need to induce vomiting in the child.
It is important to note that gastric lavage is effective only for one to two hours after taking the medicine.
In any case, after washing, or if it was not possible to do it, you need to give the child Activated carbon or any sorbent, as well as a laxative. This will help remove unwanted substances from the body as quickly as possible.
Doctors advise taking an alpha-agonist overdose seriously, since it is a strong vasoconstrictor.
Interaction with other drugs
It is known that simultaneous use with MAO inhibitors leads to an increase in blood pressure, and when combining treatment with Rinonorm with tri- or tetracyclic antidepressants, the effect of the drug increases, which can cause overdose symptoms.
Terms of sale and storage
Rinonorm drugs are classified as over-the-counter drugs. After purchasing from a pharmacy, the bottle or canister should be stored at an air temperature of no higher than 25 C. If the container is kept closed, the shelf life is 3 years from the date of issue. After opening, the medicine can be used for one year. The production date is always indicated on the packaging.
Rinonorm: instructions for use and reviews
Rinonorm is a vasoconstrictor that reduces hyperemia and swelling of the mucous membranes of the nasopharynx. Used in ENT practice.
Release form and composition
Dosage form – nasal spray dosed 0.05% (for children) and 0.1%: transparent colorless solution (15 ml in dark glass bottles, equipped with a dosing device and a nasal attachment, 1 bottle in a cardboard pack).
Active substance: xylometazoline hydrochloride – 0.5 or 1 mg per 1 ml.
Auxiliary components: citric acid monohydrate, glycerol 85%, sodium citrate dihydrate, water for injection.
Pharmacological properties
Rinonorm is characterized by a clearly expressed anti-congestive effect on the human body.
Pharmacodynamics
The active component of the drug, xylometazoline, is an adrenergic agonist that promotes constriction of arterioles. This has a beneficial effect on the condition of the mucous membranes of the nasopharynx, reducing swelling and eliminating hyperemia. Rinonorm improves cross-country ability eustachian tubes, openings of the sinuses and nasal passages, and also reduces the risk of complications associated with prolonged stagnation of secretions.
Pharmacokinetics
When Rinonorm is applied topically, the amount of secretion in the nasopharynx decreases within a few seconds after xylometazoline enters the body. The effect of the drug lasts for another 3-4 hours.
Indications for use
Symptomatic treatment:
- Acute sinusitis and exacerbation of chronic sinusitis;
- Acute rhinitis of bacterial and viral origin;
- Acute allergic rhinitis;
- Acute otitis media (to reduce swelling of the mucous membrane of the Eustachian tube).
According to the instructions, Rinonorm can also be used during the preparation of the patient for diagnostic procedures in the nasal passages.
Contraindications
- Children under 2 years of age - for 0.05% spray, up to 10 years - for 0.1% spray;
- Atrophic (dry) rhinitis;
- Conditions after hypophysectomy;
- Angle-closure glaucoma;
- Concomitant use of tricyclic antidepressants or monoamine oxidase inhibitors;
- Pregnancy;
- Hypersensitivity to any component of Rinonorm.
Carefully:
- Lactation period;
- Diabetes;
- Hyperthyroidism;
- Severe heart disease;
- Arterial hypertension;
- Concomitant use of bromocriptine.
Instructions for use Rinonorma: method and dosage
Rinonorm nasal spray is used intranasally.
Adults and children over 10 years of age are prescribed a 0.1% spray - 1 dose in each nasal passage up to 3 times a day.
Children 2-10 years old are prescribed a 0.05% spray - 1 dose in each nasal passage up to 3 times a day.
1 dose corresponds to 1 press of the piston and is 0.14 ml of solution.
The interval between administrations should be at least 6 hours. The maximum frequency of use of the drug is 4 times a day.
The duration of continuous treatment is no more than 7 days.
Before instilling the spray, you should clear the nasal passages of secretions.
During administration of the drug you need to do light breath through the nose.
Side effects
- Local reactions: burning sensation and dryness of the nasal mucosa; rarely - irritation of the mucous membrane oral cavity, nose and/or larynx;
- From the outside of cardio-vascular system: extremely rare (less than 1 case out of 10,000) – violations heart rate, increased blood pressure;
- From the central nervous system: rarely - headache; extremely rarely - increased excitability, insomnia;
- Other: rarely – nausea; extremely rarely - skin reactions.
Overdose
Cases of drug overdose have been reported mainly in children and are expressed in arrhythmia, increased blood pressure, and in some cases, fainting.
Symptomatic therapy under the supervision of a specialist is recommended as treatment. In severe cases, non-selective alpha-blockers are used to lower blood pressure, and they also resort to intubation and artificial ventilation. The use of vasoconstrictors is prohibited. If you accidentally take Rinonorm in moderate or large quantities orally, you must take a laxative (for example, sodium sulfate) and activated charcoal, and do a gastric lavage.
The drug "Rinonorm Teva" is an alpha-adrenomimetic and vasoconstrictor intended for topical use. Next, let's look at its instructions for use. We will also get acquainted with analogues of this medical product and find out what consumers say about it in their reviews.
Release format and composition of this medicinal product
According to the instructions for use for "Rinonorm Teva", dosage form This medication is a nasal spray (15 milliliters in bottles equipped with a dispenser). One cardboard box contains one bottle. Active substance Xylometazoline hydrochloride is used. And the auxiliary components are water for injection along with sodium citrate dihydrate, citric acid monohydrate and glycerol.
Pharmacological properties of the drug
Xylometazoline is an adrenergic agonist used locally in otolaryngological practice. The mechanism of its action is due to the ability to lead to a narrowing of arterioles, as a result of which hyperemia with swelling of the nasopharyngeal mucosa is reduced, and the amount of secreted secretion is also reduced. A distinct effect of the drug develops, as a rule, within a few minutes, persisting for six to eight hours and manifested by free patency of the Eustachian tubes, nasal passages and sinus openings. As a result of all this, the well-being of patients significantly improves, and the risks of developing complications caused by stagnation of mucous secretions are reduced. Next, we will find out in what cases this medication is usually prescribed to patients.
Indications for use and contraindications
"Rinonorm Teva" is intended for symptomatic treatment the following conditions and pathologies:
- In the presence of acute allergic rhinitis.
- Against the background of severe bacterial and viral rhinitis.
- With exacerbation of chronic sinusitis.
- As part of preparing patients for a diagnostic procedure in the nasal passages.
- In addition, the medicine is used for otitis media in order to reduce swelling of the mucous membrane of the Eustachian tubes.
This is described in detail in the instructions.
The considered medical product “Rinonorm Teva” cannot be used for treatment in the following cases:
- At atrophic rhinitis(inflammation of the skin and nasal mucosa during the formation of a crust).
- During periods after hypophysectomy.
- Against the background of angle-closure glaucoma.
- In case of severe atherosclerosis.
- Within surgical interventions on meninges(in history).
- With the development of hyperthyroidism, arterial hypertension, tachycardia.
- In case of simultaneous use of MAO inhibitors or tricyclic antidepressants (for example, Monoamine oxidase).
- In childhood up to two years of age.
- On the background hypersensitivity to any of the components of the drug.
Instructions "Rinonorm Teva" for children and adults
The medicine must be used strictly according to the instructions. 0.05% nasal spray is prescribed to children from two to ten years old, one dose in each nasal passage three times a day with intervals between doses of at least six hours. Spray 0.1% is prescribed to children from ten years of age and adults, one dose in each nasal passage three times a day. In this case, an interval between administrations is required, which should be at least six hours.
In accordance with the instructions for use for the “Rinonorm Teva” spray, one dose is called pressing the piston of the bottle. This pressure usually amounts to 0.14 milliliters of medicinal solution. The duration of therapy should not exceed seven days. Before administering the spray, it is recommended to clear the nasal passage of all secretions. Immediately upon administration, you should inhale lightly through your nose.
Side effects from using this medicine
During the use of "Rinonorm Teva" various adverse reactions in patients. Local manifestations include dryness of the nasal mucosa along with a burning sensation. It is extremely rare that irritation of the mucous membrane of the larynx and oral cavity may occur. Nervous system can respond to receiving this medicinal product increased excitability, insomnia, headache. And heartfelt and vascular system usually react with increased blood pressure and arrhythmia. Other things side effects include skin reactions with nausea.
Overdose
Symptoms of an overdose from Rinonorm-Teva occur very rarely, and this mainly occurs in children. As a rule, signs usually manifest themselves in the form of increased blood pressure, arrhythmia, and in some cases loss of consciousness. If an overdose occurs, patients should be under the strict supervision of their doctor. Symptomatic treatment will also be required.
In severe episodes, alpha-blockers are prescribed to lower blood pressure, and intubation with artificial ventilation lungs. The use of vasoconstrictors is contraindicated. In case of accidental ingestion of a moderate or excessive amount of the drug, it is recommended to take activated charcoal with a laxative (for example, sodium sulfate), and, if necessary, perform gastric lavage.
Use during pregnancy and childhood
Drug interactions
As the instructions for "Rinonorm Teva" indicate, tetracyclic antidepressants, when used simultaneously, can increase the systemic exposure of xylometazoline. With the combined use of MAO inhibitors, it is likely that blood pressure may increase in patients.
Analogues
Analogues of the medicine called "Rinonorm Teva" are medicines in the form of “Galazolin”, “Grippostad”, “Dlyanos”, “Doctor Theis”, “Rinotayssa”, “Influrin”, “Xylene”, “Xylometazoline”, “Xylometazoline-Betalek”, “Xylometazoline-SOLOpharma”, “Xymelin” , “Xymelina EKO”, “Xymelina EKO” with menthol, “Otrivina”, “Rinomarisa”, “Rinonorm”, “Rinorusa”, “Rinostop”, “Sanorina-Xylo”, “SNUPa”, “SOLOXYLOMETAZOLIN”, “Suprima- NOZA, Tizina, Tizina Xylo, Tizina Xylo Bio and Eucasolina Aqua. A doctor should select a replacement.
Shelf life
The shelf life of this medicine is usually three years. The medication must be stored at temperatures up to twenty-five degrees, protected from light, and, moreover, out of the reach of children. Conditions of release: without prescription. Now let's move on to reading the reviews and find out what people think about it medical device and how effective they think it is.
Description and instructions: to " RINONORM-TEVA, nasal spray 0.05% 20ml"
Release form, composition and packaging.
Dosed nasal spray (for children) 0.05% in the form of a clear, colorless solution.
xylometazoline hydrochloride 500 mcg
Excipients: citric acid monohydrate, sodium citrate dihydrate, glycerol 85%, d/i water.
10 ml - dark glass bottles (1) with a dispensing device and a nosepiece - cardboard packs.
15 ml - dark glass bottles (1) with a dispensing device and a nosepiece - cardboard packs.
Clinical and pharmacological group: Vasoconstrictor drug for local use in ENT practice
Pharmacotherapeutic group: Anticongestant - vasoconstrictor (alpha-adrenergic agonist).
Indications
Rinonorm is used as symptomatic therapy for the following diseases and states:
Acute viral or bacterial rhinitis;
Acute allergic rhinitis;
Acute sinusitis or exacerbation of chronic sinusitis;
Acute otitis media (to reduce swelling of the mucous membrane of the Eustachian tube);
Preparing the patient for diagnostic procedures in the nasal passages.
Dosage regimen.
The maximum possible use of the drug is no more than 7 times a day. The interval between drug administration should not be less than 6 hours.
The amount of liquid entering the patient’s nasal passage (1 dose) is 0.14 ml of solution.
To avoid complications in the form of resumption of symptoms of the disease, the duration of continuous use of the drug should not exceed 7 days.
Before using the drug, you should clear the nasal passages of secretions. During administration of the drug, you should take a light breath through the nose.
Side effect.
Local reactions: burning sensation and dryness of the nasal mucosa; rarely - irritation of the mucous membrane of the nose, mouth and larynx.
From the side of the central nervous system: rarely - headache; rarely (< 1/10 000) - бессонница, повышенная возбудимость.
From the cardiovascular system: extremely rare (< 1/10 000) - аритмия, увеличение АД.
Other: rarely - nausea; rarely (< 1/10 000) - кожные реакции.
Contraindications for use:
Atrophic (dry) rhinitis;
Angle-closure glaucoma;
Condition after hypophysectomy;
Simultaneous use of MAO inhibitors and tricyclic antidepressants;
Children under 2 years of age (for spray for children);
Children under 10 years of age (for adult spray);
Hypersensitivity to xylometazoline or other components of the drug.
The drug should be used with caution in case of arterial hypertension, serious illnesses heart, hyperthyroidism, diabetes mellitus and patients taking bromocriptine.
Use during pregnancy and breastfeeding.
The drug should not be taken during pregnancy.
The drug should be used with caution during breastfeeding.
Use in children.
Children aged 2 to 10 years are prescribed Rinonorm nasal spray for children 0.05%, 1 dose (1 press on the piston device) in each nasal passage no more than 3 times a day.
Adults and children over 10 years of age are prescribed Rinonorm nasal spray 0.1%, 1 dose (1 press on the piston device) in each nasal passage no more than 3 times a day.
Contraindication: childhood up to 2 years (for spray for children), children up to 10 years (for spray for adults).
Special instructions.
Impact on the ability to drive vehicles and operate machinery
There was no effect on the ability to drive vehicles or control machines and mechanisms.
Overdose.
Symptoms: in rare cases of overdose, occurring mainly in children, arrhythmia, increased blood pressure, and in some cases loss of consciousness may be observed.
Treatment: symptomatic therapy under supervision is indicated. In serious cases, non-selective alpha-blockers can be used to lower blood pressure, as well as intubation and mechanical ventilation. Vasoconstrictor drugs are contraindicated. If you accidentally ingest a moderate or large amount of the drug, you should take activated charcoal and a laxative (for example, sodium sulfate), and do a gastric lavage.
Concomitant use of tri- or tetracyclic antidepressants may increase the systemic exposure of xylometazoline.
When taking the drug simultaneously with MAO inhibitors, there may be a risk of increased blood pressure.
Storage conditions and periods.
The drug should be stored out of the reach of children at a temperature not exceeding 25°C. Shelf life - 3 years, after opening the bottle - 1 year.
Conditions for dispensing from pharmacies.
The drug is approved for use as a means of OTC.
- - Descriptions and photographs in product cards may differ from what is presented in the pharmacy. Please check information with operators before placing an order.
- - This product cannot be exchanged or returned on the basis of Resolution 55 of January 19, 1998.
