13 best treatments for sinusitis

Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.

Inside the bones of the facial skull of a person there are several cavities called sinuses. They lighten bone mass resonate, making sounds louder. They warm and moisturize air in them, and have heat-insulating properties. The largest are paired maxillary sinuses, or maxillary sinuses, which are named after their English doctor and anatomist Nathaniel Gaymor, received the same name name.

They are equipped with wide outlet openings that communicate with the nasal cavity. Almost a third of all diseases that are treated ENT doctors, one way or another, is associated with pathology of adnexa sinus sinuses, and, above all, with maxillary sinuses. Spicy, or chronic inflammation of the mucosa and submucosal tissue, lining the inside of the maxillary sinus, and is called acute or chronic sinusitis, respectively, or sinusitis.

The most common cause of sinusitis is inflammation of the nasal cavity – rhinitis, both acute and chronic, viral diseases – measles and flu, scarlet fever. Quite often, as a cause of sinusitis there is a odontogenic factor, or the presence of unsanitary teeth upper jaw.

Modern protocols for the treatment of acute and chronic sinusitis prescribe patients different pharmaceutical drugs as conservative therapy, and surgery related to decompression of the sinuses and their drainage, as well as the introduction into their cavity of various medicines. Consider the main drugs in different forms used for sinusitis, which can be purchased in over-the-counter access in retail and arrange them according to popularity and effectiveness rating.

Rating of the best remedies for sinusitis

Nomination a place Active substance / Product name price
The best intranasal drugs for sinusitis (adrenomimetics – anticongestants) 1 Naphazoline (Naphthyzinum, Sanorin) 30 rub
2 Xylometazoline (Galazolin, Fornos, Xylene, Xymelin, Rinorus, Rinostop) 25 rub
3 Oxymethazoline (Nazivin, Nazivin-Sensitive, Oxyphrine, Rinostop, Sialor) 145 RUB
4 Vibrocil (Bebifrin) 252 rub
The best local anti-inflammatory therapy for sinusitis (intranasal corticosteroids) 1 Fluticasone (Flixonase, Avamis) 469 rub
2 Beclomethasone (Nasobek) 168 rub
3 Mometasone (Nazonex, Nozefrin) 469 rub
The best antibacterial agents for sinusitis 1 Framycetin (Isofra) 301 rub
2 Polydex 333 rub
3 Miramistin 205 rub
The best mucolytics for sinusitis 1 Sinuforte 1 993 rub.
2 Libexin Muco (carbocysteine) 415 rub
3 Ambroxol (Ambrobene, Ambrohexal, Ambrosal, Bronhovern, Lazolvan, Medox) 123 rub
What can not be done with sinusitis, or instead conclusions

The best intranasal drugs for sinusitis (adrenomimetics – anticongestants)

Various drops to narrow the vessels, which lead to a decrease edema, in the initial stages of sinusitis can improve the message excretory duct of the sinus with nasal cavity. But the patient is important understand that this is a symptomatic means of improving drainage helps only in the very initial stages of acute sinusitis – sinusitis, or with an exacerbation of the chronic process.

The fact is that liquid medicines applied inside the nasal cavity on the mucous membrane, work only “on the one hand”, and often do not fall into the sinus, since the internal opening of the duct, leading into it, can be covered from the inside of the edematous mucosa. Since the drug does not penetrate into the sinus, these drops should be used only in the joint treatment of sinusitis along with antibiotics, and you should not rely only on them Effect.

Naphazoline (Naphthyzinum, Sanorin)

Rating: 4.9


Naphthyzine, (chemically – naphazoline) is a vasoconstrictor a medicine that has an effect with sinusitis alpha adrenergic agonist. The mechanism of influence of naphazoline is activation of alpha-2 adrenergic receptors. The result is a spasm vessels located in the submucosal layer of the nasal cavity, decreased mucus and redness, decreased exudative component. As a result, breathing is facilitated by the nose.

Indications for instillation of naphthyzin are all acute processes. in the nasopharynx, and chronic lesions, allergic and vasomotor components accompanied by edema. Naphthyzin is instilled one at a time a drop in each nostril, but not more often than 3 times a day. Naphthyzin, perhaps the cheapest treatment for sinusitis in the ranking. A 15 ml bottle will cost only 9 rubles, and a spray of the same volume – from 23 rubles. Domestic naphthyzin is produced pharmaceutical companies, for example, Slavyanskaya pharmacy, LLC Lecco.

Advantages and disadvantages

Naphthyzin was included in the rating of the most popular means for sinusitis, due to its cheapness, widespread distribution in pharmacies, and, alas, due to the low medical literacy of the population. Naphthyzine with prolonged use it can be addictive, and with continuous use of naphthyzin; mucosal atrophy occurs the shell of the nasal cavity and develops the so-called atrophic rhinitis. As a result, a constant dependence on Naphthyzine, and the patient is forced to use it almost constantly, because without this medicine it immediately blocks the nose. Besides, Naphthyzin has a short period of action, and alleviates the condition just 3 to 4 hours or less. Naphthyzin is able to cause effects of systemic action caused by general adrenomimetic action. This is a rise in pressure, the development of a heartbeat – tachycardia. In the 21st century, there have long been more effective and not so “rough” drops in the nose with sinusitis.

Xylometazoline (Galazolin, Fornos, Xylene, Xymelin, Rinorus, Rinostop)

Rating: 4.8


The next generation of anticongestants in drops with sinusitis represented a whole group of popular drugs that contain Xylometazoline. They are also available as a spray, there is a dosage for children – at a concentration of 0.05%, and for adults – 0.1%.

Xylometazoline is also an adrenomimetic, but it does not irritate the nasal moves, does not contribute to the development of addiction and atrophic rhinitis, and almost no systemic effect. Effect of applying this substances much longer – from 6 to 10 hours. Shown apply galazolin and other drugs on average about 2 times a day, morning and evening, sometimes an installation in the middle of the day is required.

Xylometazoline produces many different companies, but one of the most high-quality and effective medicine is the drug Otrivin manufactured by Novartis, Switzerland. So, a 10 ml adult bottle is available for 135 rub At the same time, domestic xylometazoline in the same dosage and the same volume, produced by Grotex LLC, can be purchased in total for only 19 rubles.

Advantages and disadvantages

First of all, xylometazoline is considered safer. means, it does not have systemic effects like naphazoline, its action is longer. In addition, there is a special, children’s dosage. But still an adrenergic agonist, even safer, can cause negative effects. Often, when the dosage is exceeded cephalgia and nasal burning develop, sometimes dryness appears in nose. You should also consider possible diagnoses, when at all the use of adrenergic agonists is contraindicated. This is glaucoma and thyroid pathology, hypertension and palpitations, pregnancy and age up to 2 years, even for children’s dosage, and also individual intolerance. In general, xylometazoline and its analogues are recognized as well-functioning, basic drugs for acute sinusitis.

Oxymethazoline (Nazivin, Nazivin-Sensitive, Oxyphrine, Rinostop, Sialor)

Rating: 4.7


The latest drugs to reduce internal swelling surfaces of the nasal cavity, – Oxyphrine and others, contain oxymetazoline. This compound has a dual effect. Low concentrations stimulate alpha-2 adrenergic receptors, and when high drug content also affects alpha-1 receptors. In case of use without overdose, oxymetazoline is not causes local irritation, and with a long period of treatment does not provoke redness of the mucosa.

Nazivin is indicated, in addition to sinusitis, also with allergic diseases of ENT – organs, with otitis media, with diagnostic manipulations to reduce the risk of bleeding.

Nazivin is applied 1-2 drops in the right and left nasal passages 3 once a day (0.05%). In newborns, the drug is used concentration of 0.01%. Nazivin is also available in the form of a spray, and shown in short courses, not more than 5 days. Launches Nazivin Merck company, Germany. The minimum cost of children’s nasal drops of 10 ml will be 116 rubles. and above, and nasal a spray for adults at a concentration of 0.05% will have the same cost.

Advantages and disadvantages

The main advantages of Nazivin and its analogues are more a favorable range of safety, as well as long and durable Effect. After one instillation, nasal breathing relief effect and reducing swelling of the mucosa can last up to 12 hours. However, if the drug was used in much more higher doses than recommended, systemic effects such as nausea, narrow pupils, palpitations, fever. It is also not recommended to continue the course. treatment with oxymetazoline-containing agents over 7 days. Despite their much higher safety, it may develop getting used to them, with a significant decrease in efficiency.

Vibrocil (Bebifrin)

Rating: 4.6


This preparation is of mixed composition, and the effect of the application is not only alpha adrenomimetic, which narrows arterioles, reduces swelling and redness in the nasal cavity. Vibrocil facilitates drainage from maxillary sinus, and it also acts as an antagonist receptors for histamine, which is anti-allergic act. Therefore, Vibrocil can be prescribed more widely, and in addition to sinusitis, it is prescribed to different patients with different manifestations allergies in the ENT clinic – diseases.

It is necessary to drip Vibrocil 2-3 drops three times a day, as children over 6 years old, and adults, in each nostril. Kids up to 1 one drop is enough in the left and right nasal passages with the same frequency of administration. Vibrocil is also available – spray, which emits a specially measured dose. Releases Vibrocil well-known pharmaceutical company Novartis (Switzerland), and a bottle – a dropper of 15 ml can be purchased at a price of 240 rubles.

Advantages and disadvantages

Vibrocil combines the high vasoconstriction effect caused by phenylephrine, with the allergic effect of dimethindene. All this together allows you to reduce the number of prescribed drugs, and instead two means to apply one, excluding polypharmacy. Cost of this medicine, of course, not small, but when you consider that Vibrocil is a two-in-one drug, then it is not too high.

The features of the application should also include the need short course, no longer than 7 days without a doctor’s prescription. More prolonged use in the form of self-medication, as in the case of other drops for sinusitis, may cause deterioration, due to the ricochet effect, in which swelling of the mucous cavity the medicine itself is already causing the nose. Also this drug has no bright severe overdose symptoms and serious side effects. IN in some cases, with severe abuse of Vibrocil, patients noted discomfort in the stomach and slight heartbeat.

The best local anti-inflammatory therapy for sinusitis (intranasal corticosteroids)

Known to be the most powerful anti-inflammatory and corticosteroid hormones have an anti-allergic effect, such as prednisone, dexamethasone, and their active derivatives, which are used in clinical practice. Of course, with acute and chronic sinusitis hormones are not always shown and not to everyone patients, but only with the violent nature of inflammation, with excessive intense exudation, which is accompanied by the accumulation of large amount of secretion in the maxillary sinus cavity, and causes severe clinical symptoms. In such patients it rises fever, bursting headaches, aches in the area faces, and other symptoms. Then intranasal come to the rescue forms of glucocorticosteroids.

Fluticasone (Flixonase, Avamis)

Rating: 4.9


The hormonal drug Flixonase only contains fluticasone, then is monocomponent, in its composition only glucocorticosteroid. This drug interacts with special hormone receptors on the nasopharynx, and inhibits everything cellular links of immunity. Reduces macrophage activity and neutrophils, mast cells cease to secrete inflammatory mediators, such as histamine, cytokines. It suppresses an allergic reaction and reduces symptoms of hyperemia and edema of the upper respiratory mucosa ways.

Flixonazase effectively fights symptoms such as nasal congestion and sneezing, itchy nose and lacrimation, pressure on the eyes and a feeling of fullness in the upper jaw associated with overflow of the sinus maxillary secret

Flixonase acts quickly, after an hour and a half, the patient feels relief of symptoms, the effect lasts a whole day after a single dose of fluticasone in the nose. Use Adults need flixonase by injecting two doses each nostril in the morning. As a result, the total daily dose will be 200 mcg. After alleviating the symptoms, you can halve the dosage. The maximum dosage is 400 mcg per day, that is, no more 4 instillations into each nostril during the day.

This company produces the British company GlaxoSmith Kline, 1 a bottle containing 60 doses of a hormone spray will cost 400 rub., in one sprayed dose contains 50 mg of active substances.

Advantages and disadvantages

Fluticasone is one of the mildest and most effective. hormonal drugs, it is subject to clinical recommendations does not cause overdose symptoms. However, there may be effects. interactions with other drugs taken at the same time, especially with antifungal agents and medicines for treating HIV infection. Therefore, at the first appointment of this medications if the patient takes these medications, Be sure to consult a doctor. This medicine may apply without clinical monitoring no more than a week, if it appointed for a longer period, it is necessary regularly check adrenal gland function.

Beclomethasone (Nasobek)

Rating: 4.8


The active substance of this hormonal spray for treatment sinusitis is a potent beclomethasone corticosteroid. This medicine is an odorless white suspension, It has a pronounced decongestant, anti-allergic and anti-inflammatory effect in the nasal cavity and mouth of the excretory ducts of the maxillary sinuses.

The mechanism of action of beclomethasone is standard for glucocorticosteroid hormones. In addition to acute and chronic sinusitis, a medicine indicated for the treatment of vasomotor allergic rhinitis, including with seasonal exacerbations due to hay fever. The drug is administered intranasally, in adults – one dose of 50 mcg, but not more than 4 times a day in each nasal passage, followed by a dose reduction during normalization well-being. Launches Czech pharmaceutical Nasobek Teva’s enterprise, and it costs quite a bit: 200 doses in one spray bottle can be purchased for 151 rubles. Thus, with the maximum daily dose of 400 micrograms of this bottle is enough for 25 days, or for a whole month of continuous treatment.

Advantages and disadvantages

Unlike other hormonal drugs and vasoconstrictors drops, relief from taking Nasobek does not appear immediately, but accumulates and becomes noticeable in a few days, but after taking the drug, it also acts in for several days. If the dosage is observed, then the side virtually no effect, sometimes a slight irritation of the sensation of dryness in the nose. In the event that the drug taken in a dosage four times higher than the maximum recommended then only then systemic effects fraught adrenal insufficiency. This medication can be used in pregnant if very necessary, although not recommended by standard considerations – avoid any prescribing to pregnant women, except vital.

In general, Nasobek is a reliable drug that can reduce exacerbation symptoms in chronic sinusitis, and improve quality of life in the acute process in the sinuses.

Mometasone (Nazonex, Nozefrin)

Rating: 4.7


The third representative of intranasal glucocorticosteroid hormones for the symptomatic and pathogenetic treatment of acute and chronic sinusitis is represented by Nazonex, with the current Mometasone furoat. The mechanism of action of mometasone, standard for all corticosteroids. It reduces release histamine and arachidonic acid metabolites, reduces migration neutrophils and macrophages in the focus of inflammation, reduces allergic symptoms due to blockade the release of histamine and other mediators.

Nasonex is indicated for the treatment of exacerbations of chronic sinusitis, while it should be used in combination therapy with antibacterial drugs. Nasonex is also good at deal with the symptoms of allergic rhinitis, and especially seasonal, caused by hay fever. Nasonex may be used for prevention, for example, at the beginning of flowering herbs. Assigned Nasonex for adults according to the standard scheme: two doses each nostril containing 50 mcg twice daily. As for others intranasal hormone sprays, daily dosage should not exceed 400 mcg. Produces Nazonex Famous Pharmaceutical Schering-Plow company (Great Britain). 60-dose vial can be purchased in major Russian cities in retail at a price starting from 386 rubles.

Advantages and disadvantages

The advantages of Nazonex include extremely small absorption in the blood, and the complete absence of systemic effects. therefore the official instructions do not even contain a description pharmacokinetics, that is, the pathway of the active substance in the blood. Even in if a certain amount of this drug is swallowed inside, then from the gastrointestinal tract of mometasone is absorbed into blood is an extremely small amount. That’s why it’s not worth it afraid to swallow excess medicine that accidentally gets into the throat after injecting into the nose. Despite the high security, Still, it is not recommended to use it in pregnant and lactating women. women for general contraindications. Mometasone may have side effects actions, but only local. This is a burning sensation in the nose, periodic irritation, occasionally a mild form of the nasal can occur bleeding. They always stop on their own, and arose in each of 20 patients.

The best antibacterial agents for sinusitis

Perhaps the fastest way to recovery and decrease all symptoms of acute sinusitis and exacerbation of the chronic process direct injection of antibiotic solutions into the cavity maxillary sinus during puncture and washing. But not always the patient manages to immediately see a doctor, and does not always succeed to conduct this minimally invasive surgery.

Clinical practice shows that almost all patients begin take antibacterial drugs on your own, and just with aim to avoid surgery. In this section we do not we will consider modern and powerful antibiotics that administered intramuscularly or intravenously, i.e. parenterally. Consider their main representatives who apply to treatment of ENT diseases. There are currently a number of high effect antibacterial agents that are used topically, and applied to the nasal mucosa.

Framycetin (Isofra)

Rating: 4.9


Isofra is the commercial name for the highly effective an antibiotic – aminoglycoside (framycetin). Framycetin acts in as a highly soluble sulfate, it is commercially available intranasal spray. In addition to bactericidal action, the drug also has a bacteriostatic effect, that is, it is not only prevents the multiplication of various pathogens, but and contributes to their destruction. When accumulating sufficient the concentration of the drug on the surface of the nasopharynx at the beginning bacteriostatic activity is manifested, and then destruction pathogens. It affects the most common pathogens. ENT – infections and upper respiratory tract.

Isofra is applied by injecting one dose per day into the right and left nasal passages, 4-6 times per day, the number of injections children reduced to 3. The maximum period of use of Isofra without specialist advice – no more than a week. This one is released drug by the company “Laboratory of Bouchard Ricordati”, France, and one bottle of spray (15 ml) is 255 rubles.

Advantages and disadvantages

The advantages of Isofra include a wide range antibacterial activity, relatively infrequent use inside the day, a rare development of side effects in the form of mild skin allergic reactions. Only unpleasant fact that accompanies prolonged use the drug is the destruction of the natural biocenosis and the appearance of dysbiosis of the upper respiratory tract. Also a long reception may contribute to the emergence of drug microorganisms sustainability, therefore the ideal duration of treatment is 5 to 7 days.


Rating: 4.8


Polydex is a highly effective antibacterial a drug for alternative treatment regimens, if the patient for example, according to the results of bacteriological crops separated from maxillary sinuses and swabs from the walls of the nasal cavity revealed strains resistant to framycetin. In this case, the drug is indicated. Polydex, which contains two antibiotics – polymyxin B and neomycin. This combination allows you to significantly expand the range antibacterial action against microorganisms that cause inflammation of the maxillary sinuses, as well as the structures of the external and secondary ear. Polydex also contains dexamethasone, which suppresses concomitant inflammation, and reduces symptoms of pain and swelling.

To avoid confusion, it must be mentioned that there are two forms of medicine: a drug that is buried in the ears for otitis media, and Polydex nasal drops with phenylephrine, which, in addition to antibacterial and anti-inflammatory effect, cause symptomatic relief of breathing due to vasoconstriction and alpha adrenomimetic action.

Adding Polydex to adults in the nose is necessary from 3 to 5 times, injecting into each nasal passage. Children under the age of 15 the number of injections daily should not exceed three doses. The average course of treatment with the drug lasts from 7 to 10 days. Bottle Polydex with Phenylephrine 15 ml can be purchased for 270 rub., and the French company also produces this drug “Laboratory of Bouchard Ricordati”.

Advantages and disadvantages

Polydex is a multicomponent drug that acts immediately and powerfully on inflammation, on various strains microorganisms that cause sinusitis, including those resistant to monocomponent antibacterial drugs, as well as vasoconstrictor – phenylephrine. It allows the medicine quickly cope with uncomplicated sinusitis in the first days of appearance unpleasant symptoms.

Contraindications include age up to 2.5 years, severe heart and kidney diseases, hypertension. Also a drug may cause allergic reactions that will be expressed burning and discomfort on the nasal mucosa. The drug should be used for several days, but not more than 10 days without the consent of the attending physician.


Rating: 4.7


Some pride is the fact that such a highly effective antiseptic drug developed in the Russian Federation. Not we will call here the chemical name of the drug, it is very complicated. Suffice it to say that the current antiseptic substance refers to ammonium compounds.

Miramistin has been used successfully in all forms of inflammatory lesions of the nasopharynx and oropharynx, including in chronic and acute sinusitis. In addition to irrigation of the nasal passages, and nasopharynx and oral cavity as a means of disinfection, Miramistin is also indicated as a first-line drainage agent. and washing of the maxillary sinuses. This medicine is highly effective. against various kinds of pathogens like gram-positive and gram-negative. Miramistin destroys protozoa, viruses and pathogens of fungal infections.

Apply Miramistin for irrigation of the nasal passages and for rinsing throat is necessary for sinusitis three times a day. Buy Miramistin it is possible in bottles in the form of a spray, on sale there are bottles from 50 up to 500 ml in volume. The average cost of a 150 ml spray bottle is 270 rubles. Produces Miramistin domestic scientific Enterprise Infomed K.

Advantages and disadvantages

Miramistin does not irritate the mucous membranes of the mouth and nasal passages. it slightly foaming liquid that has no taste or smell. Miramistin is not able in most cases to cause allergies, for exception of rare individual intolerance. Miramistin is not has a systemic effect, it is not absorbed through the skin and mucous membranes, and acts only where it was applied. To destination Miramistine there are virtually no contraindications, and he used to treat acute and chronic sinusitis almost without limits. By the ratio of antimicrobial effect and security profile – this tool is one of the most profitable for acquisition and for treatment in the present rating. At the same time, the cost of Miramistin is more than democratic.

The best mucolytics for sinusitis

Consider another very important group of drugs that must be taken into account, especially with chronic sinusitis, when the secret inside the maxillary sinus becomes thick, viscous, and ceases to stand out on its own in the nasal cavity. In order to improve the rheological properties of this secrets, increase its fluidity, and split too long mucin mucin molecules into shorter fragments, apply mucolytic drugs. They are usually prescribed in various forms. bronchitis and pulmonary pathology, but they are also used for therapy for sinusitis when it is necessary to restore drainage function and improve mucus excretion. Consider the most popular and effective drugs that are widely used in domestic and world practice.


Rating: 4.9


Sinuforte is perhaps the most amazing drug which is presented in the rating for the treatment of sinusitis. His high efficiency is based on the ability of the famous and beautiful cyclamen flower, or rather its tubers, cause abundant secretion of mucus into the nasal cavity from all sinuses of the bones of the facial skull. This excessive secretion of mucus is called hypersecretion, and with this makes the mucus very thin. Its viscosity becomes very low, and the mucus starts to move on weekends channel from the sinus cavity into the nasopharynx. In this case, no selective action only on the maxillary sinuses in there is no drug. Of all the sinuses, active outflow begins and drainage function is normalized. Along the way, the drug enhances capillary blood supply to the sinus mucosa, i.e. microcirculation. The tool acts quickly, after a few minutes its effect begins, which lasts up to two hours. This drug is indicated for all types of sinusitis, as acute, so chronic. In addition to sinusitis, it is used to treat ethmoiditis, frontal sinusitis and other similar diseases.

Sinuforte is applied by introducing a spray dispenser into each nasal passage and spraying 2-3 drops of the product. Use medicine for sinusitis is necessary once a day, daily or every day. With daily use, the average duration of treatment should not exceed 1 week, and if Sinuforte is injected through day, then the duration of the course can be doubled and be two weeks. Produced by Sinuforte of the Spanish pharmaceutical company Pharma Mediterranea, and Invar. Sinuforte is quite an expensive drug. The bottle costs 1820 rubles. and higher. At this dried, lyophilized concentrate is diluted in 5 ml liquids. In each milliliter there are 10 drops, respectively, with daily use of two drops, one package is enough for 25 days of treatment, or two full courses.

Advantages and disadvantages

The great virtue of Sinuforte is its unique action. on the ability of the sinuses to synthesize a large amount of mucus, which is a cleansing procedure, and may well with uncomplicated cases, replace the puncture of the maxillary sinus. But the drug Sinuforte there are contraindications.

So, in the case of cysts or polyps in the maxillary sinuses, if clogging occurs, or obstruction with their tissue ducts, then the resulting excess secret will not be able to find exit. This is fraught with serious deterioration: the appearance of persistent headaches, a feeling of fullness in the face, rise in blood pressure, and other unpleasant symptoms.

In this case, the ambulance will be urgent bilateral puncture of the maxillary sinuses to remove the secret. Therefore, before you apply it yourself and for the first time, expensive and highly effective tool, you need to be sure of that the path for the resulting secret into the nasal cavity does not have no obstacles. And this can only be detected by an ENT doctor. therefore The conclusion is: before spending almost 2000 rubles. at Sinufort, a full consultation with a doctor is necessary.

Libexin Muco (carbocysteine)

Rating: 4.8

Libexin Muco

Carbocysteine ​​is a modified acetylcysteine ​​molecule. Its task is to thin and break down the mucus glycoproteins, which located inside the maxillary sinuses. Of course, basically he used for bronchitis, but, when taken internally, carbocysteine able to influence all secreted mucus that is produced in organism. Carbocysteine ​​activates the sialic transferase enzyme. This causes the normalization of the acid-base composition of the mucus, which leads to its liquefaction. It is very important that carbocysteine contributes to the secretory maxillary sinus entering the cavity immunoglobulins A that perform a protective function.

It is necessary to take this drug for persistent chronic sinusitis, when the drainage of mucus and discharge into the nasal cavity is impaired. Libexin Muko is available in syrup form, and for an adult the patient needs to take it three tablespoons three times a day. Libexin Muco is produced by the French pharmaceutical Sanofi company, and a bottle of 125 ml costs from 400 rubles. and higher.

Advantages and disadvantages

The main advantage of carbocysteine ​​is a high degree of dilution a secret not only with sinusitis, but also with other sinusitis: ethmoiditis, frontal, with the defeat of the ethmoid labyrinth. This one there are contraindications to the drug, for example, in patients with exacerbation of gastric ulcer and duodenum, in the presence of acute cystitis, and damage glomerular apparatus of the kidneys – with glomerulonephritis. Not applicable it is in pregnant and lactating women, as well as in babies up to two years old age.

Ambroxol (Ambrobene, Ambrohexal, Ambrosal, Bronhovern, Lazolvan, Medox)

Rating: 4.


This drug is very popular in pulmonology and the treatment of ENT – diseases, as evidenced by a large number of diverse commercial analogues. Ambrobene is one of the most high-quality and highly effective drugs containing Ambroxol. It is produced by the German company Merkle. Chemical name – benzylamine. In the event that with chronic sinusitis exists thickening of the secret in the sinus, then after taking Ambrobene already after 30 minutes begins the process of intensive dilution of this secret.

Ambrobene is indicated mainly for chronic sinusitis, since in the acute form of the disease most often obstacles to there is no liquefaction of the inflammatory secret, and he moves away by yourself. But when the process is chronic, thickening often occurs a secret. Ambrobene is available in a variety of forms: in capsules, in syrup, in tablets, and even in a solution for intravenous administration, in emergency situations in pulmonology.

Ambrobene for sinusitis is most often used in syrup, or in pills. Dosage – depending on the severity of the condition and goals therapy.

You can buy syrup in a 100 ml bottle for 100 rubles. Ambroxol does not exist in nature, it is synthesized artificially, and to him, although rarely, but, nevertheless, sometimes side effects develop effects. Most often, this is dry mouth and nasal cavity, with overdose possible nausea and perversion of taste. Not recommended take drugs containing Ambroxol in the first trimester pregnancy, and patients with severe renal impairment and the liver. But, despite the side effects, a big plus remains fast liquefaction of the sinus secretion, which allowed to include Ambroxol in the rating of the means for the treatment of sinusitis.

What can not be done with sinusitis, or instead of a conclusion

In this rating, the main groups of medicinal products were considered. drugs that are used to treat various acute and chronic sinusitis, and, first of all, sinusitis, which leads in the frequency of occurrence among all sinusitis.

In conclusion, I must say that it can harm the condition health in a patient with sinusitis, especially in the early days when a visit to the ENT doctor has not yet been completed, and various self-medication attempts. In acute sinusitis categorically thermal procedures and warming in the first days are contraindicated. IN acute phase causes swelling and pain, and when you try to warm this place edema and pain will only intensify, and if the outflow of secretion from sinus is broken, this will lead to the need for prompt interventions.

The second mistake can be called the beginning of treatment, in which immediately strong antibiotics are used in tablets, or, worse, by intramuscular injection. Such self-designation of potent drugs, and even leading them into the systemic circulation, can cause only intestinal dysbiosis, and is unlikely to help with sinusitis. At best, the symptoms will subside a little, inflammation will become chronic, and microorganisms, which led to the occurrence of sinusitis, will be able to purchase drug resistance to such a single administration of antibiotics. Therefore, first of all, you need to visit a doctor, and perform only his prescriptions.

Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.

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