14 best nasal drops for adults and children

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

There are many topical preparations on the modern pharmaceutical market for the treatment of rhinitis caused by inflammation, allergies and other reasons. The variety of nasal drops is very large. There are vasoconstrictor drugs, saline laxatives with which to wash the nose, antiseptics and antibiotics, drugs for local immunity boosting, and anti-allergy drugs. There are many herbal nasal drops and sprays, and the formulations are often multi-component. To understand this variety, this rating of the best sprays and drops for instillation in the nose for children and adults was created.

Rating of the best nasal drops

Nomination	a place	Name of product	price
The best nose drops for a cold	1	Isofra	349 r
	2	Sialor – Protargol	241 RUB
	3	Nazivin	135 RUB
The best nose drops for allergies	1	Nazonex	RUB 690
	2	Fliksonase	754 RUB
	3	Allergodil	RUB 517
	4	Cromohexal	141 r
	5	Prevalin	408 RUB
The best vasoconstrictor nasal drops for a cold	1	Naftizin	RUB 30
	2	Galazolin	83 rbl.
	3	Nazol	237 r
Best nose drops for kids	1	Aqua Maris	289 r
	2	Pinosol	210 RUB
	3	Vibrocil	294 r

The best nose drops for a cold

And the rating opens several drugs that can be dripped into the nose with its stuffiness and runny nose, which is caused by a cold. These drops can be considered 'broad spectrum' drops.

Isofra

Rating: 4.9

Isofra drops contains the antibiotic framycetin from the aminoglycoside group, and is indicated for use in acute nasopharyngitis, which is a common cold rhinitis. Packaged as a nasal spray, it has a bactericidal effect, destroying many pathogenic microbes. Most cases of a banal rhinitis, in one way or another, are associated with a cold, with a sore throat, with malaise. And it is in this case, with acute rhinitis or rhinopharyngitis, that the use of this remedy is indicated. One dose is injected into each nasal passage from 4 to 6 times a day, and no more than 3 times for children. The course of treatment for a common cold lasts no more than 10 days, further use should be carried out only as directed by a doctor. You can buy 15 ml of the drug in the form of a nasal spray at a price of 270 rubles. Isofru is produced by the French pharmaceutical company Bouchard Recordati Laboratory.

Advantages and disadvantages

The advantages of these drops include a universal bactericidal effect, and the disadvantages include the ability to inhibit the normal microflora of the nasal mucosa with prolonged use. It is also not recommended to use this remedy in the early days with flu, with aching joints, with severe symptoms of intoxication, since in this case both rhinitis and rhinopharyngitis will be of viral origin. In such cases, Isofra should be used a few days later, when mucopurulent discharge appears from the nose, due to the development of a concomitant bacterial infection.

Sialor – Protargol

Rating: 4.8

Sialor is a universal bactericidal and hygienic preparation that contains a colloidal solution of silver (proteinate), the ions of which are bound to proteins. Silver proteinate has an astringent effect, prevents the development of microbial and viral invasion and protects the mucous membrane. Sialor produces a particularly pronounced protective effect against staphylococci, streptococci and various fungi. Silver compounds form a protective film on the nasal mucosa.

This remedy has been shown for various forms of rhinitis, including allergies, chronic diseases of the nasal cavity, with severe dryness of the nasal mucosa, and a runny nose. The tool can be used for prophylaxis during the epidemic season, for washing the nasal cavity and preparing for surgery. For use, you first need to prepare a solution by adding one tablet of the active substance to 10 ml of the ready-made solvent. First, a solvent is poured into the bottle, then a tablet is added, and shaken until dissolved. The drug is applied to the nasal mucosa, one drop 3 times a day for a week. The drug Sialor is produced by the domestic company Renovation, and you can buy one tablet with a solvent for a volume of 10 ml at a price of 210 rubles.

Advantages and disadvantages

The advantages of the drug include the ability to use it for prophylaxis, with increased dry air in rooms and in the presence of harmful working conditions. Sialor does not cause symptoms of an overdose, only in a small number of cases may there be a burning sensation and itching in the nose with individual intolerance. It should be borne in mind that while using Sialor, it is not recommended to drip vasoconstrictor drops containing Adrenaline.

Nazivin

Rating: 4.7

Drops Nazivin is available in various concentrations (0.05% – for adults, 0.025% for children, 0.01% for newborns), and can be included in the rating for different groups: as a vasoconstrictor drug, as a drug indicated for use in children and in adults and for the treatment of allergies. This versatility made it possible to place it on the list of the best remedies for the treatment of the common cold. The active ingredient is oxymetazoline, which is an alpha-adrenergic agonist. This agent promotes vasoconstriction, reduces swelling of the mucous membrane, and does not irritate it.

Nazivin is indicated not only for various forms of rhinitis and for a cold, but also for sinusitis, for example, sinusitis, as well as for inflammation of the auditory tube (eustachitis). The drug is applied 1-2 drops in each nostril up to 3 times a day. In order to facilitate the dosage, each bottle of Nazivin has a graduated pipette. You can use the drug in the form of a nasal spray, or treat the nasal passages of babies with a cotton swab moistened with Nazivin. The course lasts no more than 5 days.

The drops are produced by the German pharmaceutical company 'Merck'. You can buy Nazivin for all ages in a volume of 5-10 ml, on average, for 130 rubles.

Advantages and disadvantages

The advantages of the drug include ease of use and breadth of indications, low price, and the possibility of using drops in pregnant women and nursing mothers, but only as prescribed by a doctor. The negative aspects include the occurrence of burning and a feeling of dryness of the nasal mucosa, sneezing. In the case of a pronounced overdose of Nazivin, a systemic effect of adrenergic agonists may occur – an increase in pulse rate and blood pressure. Long-term courses of Nazivin should be avoided if possible, since the abuse of vasoconstrictor drugs contributes to atrophy of the nasal mucosa, and reactive rhinitis occurs.

The best nose drops for allergies

Allergic rhinitis comes on very quickly and can significantly impair the quality of life in a healthy person in a matter of minutes. Allergic rhinitis disrupts nasal breathing so much that it leads to sleep disorders, a sharp decrease in working capacity, and psychological discomfort. Typically, symptoms of allergic rhinitis are frequent sneezing, itching in the nose, a sharp decrease in the ability to breathe through the nose, and abundant translucent or transparent discharge from the nasal passages. In severe cases, allergic rhinitis is combined with Quincke's edema, urticaria, or even bronchospasm. In this case, an urgent need to consult a doctor. The rating includes several popular remedies that are 'first aid' for allergic rhinitis.

Nazonex

Rating: 4.9

Drops Nasonex can be considered the 'heavy artillery' among antiallergic drugs, as it contains a powerful antiallergic agent – the glucocorticosteroid hormone mometasone. One dose of nasal spray contains 50 mcg of this substance with a pronounced anti-inflammatory and antiallergic effect. In the vial of Nazonex, you can see an opaque solution, and a white suspension. When applied to the mucous membrane, the drug dramatically reduces the release of inflammatory mediators, which leads to the normalization of the function of the mucous membrane and a decrease in exudation.

In addition to allergic rhinitis, hay fever, Nasonex can also be used to prevent allergies, for example, 2 weeks before the expected start of flowering of herbs and the appearance of pollen in the air. Nasonex is indicated in complex therapy for the treatment of exacerbations of sinusitis, frontal sinusitis, and other sinusitis. The medicine is applied by inhalation of a dose into each nostril, but not more than 2 times a day. The desired maintenance dose is no more than one inhalation in each nostril daily. Nasonex drops are produced by the well-known Belgian pharmaceutical company 'Schering-Plow', and you can buy one bottle containing 60 doses, on average, calculated for 1 month of optimal maintenance therapy, for 400 rubles.

Advantages and disadvantages

The advantages of Nasonex include its high activity and the absence of atrophy of the nasal mucosa even after a year of daily use. The negative aspects of the application include various side effects, such as light nosebleeds, the appearance of a headache, or a burning sensation in the nose. But the incidence of side effects is dose-dependent, and when the recommended dosage was observed, they were practically not observed.

Fliksonase

Rating: 4.8

Fliksonase is another modern hormonal drug for the treatment of allergic vasomotor rhinitis. It contains fluticasone propionate at a dosage of 50 micrograms per metered spray. The mechanism of action of the drug is generally accepted for glucocorticosteroid hormones. It suppresses the production of inflammatory mediators and interrupts the allergic reaction. Flixonase helps to reduce itching in the nose, eliminate nasal congestion and runny nose, heaviness in the nose and stop sneezing.

Already after 2 – 3 hours after the first application, significant relief occurs, and after a single injection of 2 doses into each nostril, this persistent effect lasts for a day. Fliksonase is recommended for adults and children from 12 years of age. To start treatment, you need to inject 2 doses into each nasal passage, once a day, preferably in the morning. After improvement, the dose is halved. But in any case, you cannot use the drug for more than 4 injections into each nostril during the day. Fliksonase drops are produced by the English pharmaceutical company 'GlaxoSmithKline', and you can buy a nasal spray designed for a month of use and containing 60 doses for 415 rubles.

Advantages and disadvantages

The advantages of the drug include its high activity, ease of use, and the absence of overdose symptoms. Side effects include rarely observed dryness and irritation of the nose and restrictions on the use of the drug in pregnant women. Special precautions should be taken when used together with some antiviral and antifungal agents, as they can change the concentration of the hormone in the blood plasma.

Allergodil

Rating: 4.7

Drops Allergodil deserves one of the first places in the rating for anti-allergic effectiveness. The active ingredient is azelastine hydrochloride, each dose contains 140 micrograms of this agent. Azelastine blocks histamine receptors, stabilizes mucosal cell membranes, and reduces capillary permeability. When applied topically, Allergodil is able to quickly relieve all allergy symptoms – nasal congestion decreases, itching, sneezing disappears. Allergic translucent mucus ceases to stand out from the nose.

The drops act quickly, within 15 minutes after a single use, significant relief occurs, which lasts 12 hours or longer. The remedy is indicated not only for allergic rhinitis, but also for conjunctivitis (in the form of eye drops), as well as for vasomotor disorders in the nasal mucosa. Allergodil is used, starting from the age of six and older, one dose in each nasal passage twice a day. The product is produced by the German company 'Meda Pharma'. The nasal spray can be purchased for 490 rubles, the bottle contains 10 ml of the drug.

Advantages and disadvantages

The advantage of the remedy is its fast action and relatively affordable price, the ability to use the remedy in complex therapy with other local drugs for instillation into the nose, and the absence of overdose symptoms. A negative point is a slight irritation of the nasal mucosa as a side effect, dizziness and weakness very rarely occur, and the drug is contraindicated for use in children under 6 years of age, during pregnancy and lactation.

Cromohexal

Rating: 4.6

Drops of cromohexal, the active ingredient of which is cromoglycic acid, has long been widely used in various forms for the treatment of atopic bronchial asthma, and the topical form is also in demand in the treatment of allergic rhinitis. The tool prevents the start of an allergic cycle in the nasal mucosa, but it is best to use Cromohexal for prophylaxis, since a noticeable improvement occurs not in minutes or hours, but in a few days, and even several weeks after administration. This unique property is rarely found in nasal drops, which is why Cromohexal has earned its place in the ranking.

With pollinosis, allergic rhinitis, this remedy can be used in conjunction with other remedies. It can be used in adults and children over 5 years old, and you need to dose it one inhalation of the spray into each nostril 4 times a day, and increase it up to 6 times if necessary, for example, with prolonged contact with potential allergens. The course of treatment is a month. Cromohexal is produced by the pharmaceutical company Sandoz, Switzerland. You can buy one 15 ml bottle of spray for 150 rubles, especially if you use the service for ordering medicines via the Internet.

Advantages and disadvantages

Cromohexal, as well as other drugs containing cromoglycic acid, has one feature: it must be canceled gradually, within 1 week, so as not to get the opposite effect, and this is not very convenient. But this remedy is 'long-lasting', and after correct cancellation, it continues to work. Side effects include coughing, occasionally nosebleeds, and in rare cases headache occurs. This remedy is contraindicated in pregnant and lactating mothers, as well as in children under 5 years of age. But the positive point is its unique ability to reliably 'cover' the mucous membrane against the background of the use of other means, and an affordable price with Swiss quality.

Prevalin

Rating: 4.5

Prevalin is a drug with a barrier action. This means that it does not contain any hormones, substances that affect the mechanism of inflammation and the allergic cascade of reactions. Simply, when applied to the nasal mucosa, this tool mechanically covers it from the effects of allergens. In the vial, Prevalin is liquid, and once on the mucous membrane, it turns into a gel, and allergens cannot overcome this gel barrier. That is why this remedy is very well suited for prophylaxis until the allergens hit the mucous membrane, but it is much less suitable for the treatment of Prevalin. The product contains bentonite, or clay, glycerin stearate, mint and sesame oil, and inorganic phosphates.

It is desirable to use this remedy either in complex treatment, when the patient is taking antihistamines by mouth, and they have a systemic effect, or for the prevention of allergic rhinitis and hay fever. The standard dose is 2 sprays into each nostril three times a day. Reliable protection of the mucosa after administration lasts up to 6 hours. Prevalin is produced by the German pharmaceutical company 'Incufarm', and you can buy one spray bottle in a volume of 20 ml for an average of 390 rubles.

Advantages and disadvantages

There are no synthetic chemicals in Prevalin, no signs of overdose and no side effects. Prevalin is an almost ideal remedy for protecting the mucous membrane, and if it is used for this reason, then allergic rhinitis develops much less frequently. The negative aspects of the admission include its low efficiency already against the background of severe allergic symptoms. This spray should be in the medicine cabinet of every allergy sufferer and should be used before going out into the countryside, before meeting with allergens, but not to relieve symptoms.

The best vasoconstrictor nasal drops for a cold

A runny nose of any etiology always leads to vasodilation of the nasal mucosa. As a result, mucus production increases and the nose becomes blocked. Vasoconstrictor drops affect adrenergic receptors embedded in the nasal vessels, and the vessels spasm. As a result, their area decreases, the edema passes, and the nose begins to breathe freely. These drugs are very popular because they give relief after a few minutes.

But you need to remember that these funds should be used as rarely as possible. Most ENT doctors do not recommend using them for longer than a week, and it is best to limit themselves to one or two days, since addiction develops very quickly to these funds, and an increasing dosage is required, since the vessels stop responding to the medicine. But that's not the whole problem. The walls of the vessels gradually become thin, the mucous membrane of the nasal cavity atrophies, an addiction to drops arises, and soon the patient discovers that even without any cold it is necessary to constantly drip Naphthyzine into the nose so that it is not blocked. The result is chronic, atrophic rhinitis, frequent nosebleeds and painful dependence of the nasal mucosa on these drugs.

Of course, nothing terrible will happen if the drugs included in the rating are used in short courses or sporadically, in this case they will help a lot.

Naftizin

Rating: 4.9

Perhaps the simplest, rude, but the cheapest and most effective remedy, popular and beloved among the broad masses, is Naphtizin. It contains naphazoline. Drops are a stimulant of alpha-adrenergic receptors, and everything said in the introduction to this section of the rating fully applies to it.

It is indicated for various rhinitis, with nasal congestion, with sinusitis, with swelling of the mucous membrane of various etiologies. Naphthyzine is produced in a children's dosage – 0.05 g. It is necessary to instill Naphtizin no more often than 3 drops 4 times a day, it is better – one drop three times a day. It must be remembered that after 5 days of admission, addiction and a decrease in the effect of the medication begin, so you need to take a break for several days, and best of all, switch to other means altogether. Naphtizin is produced by a large number of domestic pharmaceutical companies, and at a low cost it breaks records. So, 10 ml of the drug in an adult dosage can be bought at a price of 9 rubles.

Advantages and disadvantages

The disadvantages of Naphthyzin include addiction and reduced effectiveness, as well as local and general side effects. The nasal mucosa can be irritated, and even swell with prolonged use, in case of an overdose, blood pressure can rise and the pulse quickens, nausea and headache appear. This drug should not be used together with monoamine oxidase inhibitors, with some antidepressants, and therefore it is advisable that a doctor prescribes Naphthyzin. On the positive side, it is possible to name the rapid action of the drug at the very beginning of its use and its extreme cheapness and availability.

Galazolin

Rating: 4.8

Galazolin contains xylometazoline as an active agent. It is weaker than naphazoline, which is part of Naphthyzin. Naphthyzine is an extremely powerful drug, all others are not as powerful, but safer. Galazolin is addictive and the development of atrophic rhinitis is half as often as the use of Naphthyzin. Xylometazoline acts milder, but Galazolin should be instilled three times a day, since it acts about 6 hours after administration. It is important that Galazolin is available not only in nasal drops, but also in the form of a nasal gel, a standard dosage of 0.1%, and 0.05% (for children). The drops begin to work after 5 minutes.

The desired dosing regimen in adults and children is 2-3 drops of the solution in each nostril 2-3 times a day. As for the gel, one drop is enough three times a day in each nostril. The maximum duration should not exceed 2 weeks of admission. Nasal drops can be purchased for 34 rubles, and nasal gel is much more expensive – about 110 rubles. per bottle of 10 ml. The product is produced by the Polfa company, Poland.

Advantages and disadvantages

The advantages of Galazolin include a milder effect, cheapness and a more rare development of addiction than that of Naphtizin, but it is advisable not to use this drug for drivers, and for those people whose profession is associated with increased concentration of attention. The product should not be dripped more often than 3 times a day. From side effects, dryness of the mucous membrane and headache may occur, with an overdose – tachycardia and increased blood pressure. Galazolin is contraindicated in people with glaucoma, arterial hypertension, thyrotoxicosis, diabetes mellitus, and while taking monoamine oxidase inhibitors. Of course, it is best if the doctor prescribes this remedy after a comprehensive assessment of the condition.

Nazol

Rating: 4.7

Nazol contains the next generation of active adrenergic agonists – oxymetazoline. There is a whole family: just Nazol, Nazol Advance, Aqua, Baby, Kids. All of these drugs differ in different dosages, and are intended for adults and children of different ages – from toddlers to adolescents. Oxymetazoline is indicated for various forms of the common cold, acute and chronic sinusitis, and also for the treatment of acute upper respiratory tract infections. Drops belong to adrenergic agonists, begins to act after 10 minutes, and the effect lasts for 12 hours.

It is necessary to prescribe it for adults and children, two to three drops in each nostril twice a day, and for children – 1 drop twice a day, if we are talking simply about the drug Nazol. You can buy Nazol in the form of a spray in 10 ml at a price of 130 rubles. The drops are produced by the German concern Bayer.

Advantages and disadvantages

The advantages of the remedy include greater softness, in comparison with Naphthyzin and Galazolin, the ability to choose the right dosage, but with prolonged use, nasal breathing may be difficult, and symptoms of atrophic rhinitis may occur. Therefore, it is not recommended to use these drops for more than 7 days without a doctor's prescription. Nazol can not be used in children under 6 years old, there is a special dosage for babies – this is Nazol Baby. The agent is not indicated for use in pregnant and lactating mothers, in patients with diseases of the cardiovascular system. Therefore, prior consultation with a doctor is desirable.

Best nose drops for kids

Children are not as well adapted to changing environmental conditions as adults, so they have a harder time with a cold. The airways are narrower in them, and if the child is an infant, then he may simply not be able to breathe through his mouth. Therefore, a runny nose for babies is always a more dangerous condition than for adults. However, the child's body is more demanding on active substances, and they often cannot be prescribed nasal drops, which are used for adults. The rating of popular drops for colds in children includes various drugs, we present them to your attention.

Aqua Maris

Rating: 4.9

The first of these products is AquaMaris Baby, which contains natural sea water. In fact, this is just pure seawater without any impurities, and it is intended for irrigation and washing the nasal cavity of a child. The product does not contain any chemical additives or preservatives. It is known that seawater contains a small concentration of salt (on average, 33 ‰), and a salt solution applied to the mucous membranes draws out excess fluid from them, reduces edema. This reduces the risk of spreading infection, reduces nasal congestion and irritation of the mucous membranes, and helps with a cold.

A child is shown to rinse his nose with seawater for various rhinitis and sinusitis, with a cold, with atrophic rhinitis, as well as in the complex treatment of respiratory viral infections. For the purpose of prevention, each nasal passage is washed on average 3 times a day, and for treatment the number of washes increases up to 6 times. Drops are available in cylinders. First, you need to tilt the baby's head to one side, insert the tip of the balloon into the upper nasal passage, and irrigate the nasal cavity for a few seconds. After that, you need to ask the child to blow his nose, then turn his head. You can buy a spray with a 50 ml bottle for 255 rubles. The pharmaceutical company “Yadran” produces, more precisely, packs seawater, and the manufacturer indicates that seawater is taken from the Adriatic Sea, in ecologically clean areas.

Advantages and disadvantages

The advantages of this drug include its prophylactic focus and complete safety, the absence of side effects, contraindications, and the possibility of overdose. The drug can be used for a variety of diseases and in babies of different ages, including healthy children. The disadvantages of the remedy include the impossibility of using it as a monotherapy for severe nasal congestion in a child, and yet the negative side is the relatively high price – 250 rubles for a quarter glass of sea water is still a bit too much.

Pinosol

Rating: 4.8

Pinosol is available in the form of drops, in the form of a nasal spray, and even an ointment for the nose, and this drug got into the rating, since it belongs to herbal remedies that are effective at any age, but it is most often used in children due to its gentle effect on the mucous membrane . Pinosol contains eucalyptus and pine oil, vitamin A, peppermint oil, and other components. The tool has an antiseptic and anti-inflammatory effect. It is shown to use Pinosol in children with acute and chronic rhinitis, various inflammatory diseases of the mucous membrane in children, as well as after operations on the ENT organs.

For children, the remedy is instilled 3 times a day, one or two drops in each nostril, or use a cotton swab for this. The term of treatment for a cold is no more than a week. Pinosol drops are produced by the Czech company Zentiva, you can buy a 10 ml spray for 200 rubles, drops of the same volume – for 125 rubles, and a nasal ointment of the same volume – for 215 rubles.

Advantages and disadvantages

The advantages of Pinosol include its good tolerance, the content of natural ingredients, and various forms for nasal administration. It can be used for prophylaxis during the epidemic season. The disadvantages of the remedy include its ineffectiveness for allergic rhinitis in a child, since with allergies, an antiseptic and antibacterial effect is not required at all.

Vibrocil

Rating: 4.7

Vibrocil refers to complex drugs. It contains an anti-allergic histamine receptor blocker and an alpha-adrenergic vasoconstrictor. These are, respectively, dimethindene maleate and phenylephrine. The product is available in the form of a gel, drops and spray. It has a vasoconstrictor and antiallergic effect, it is remarkable for fighting the common cold. Vibrocil is shown for all variants of acute and chronic rhinitis, including with allergic nasal congestion in a child.

Drops can be prescribed to the baby, starting from the neonatal period – one drop 3-4 times a day in each nasal passage. In older children, the dosage is gradually increased, and children over 6 years old are prescribed three to four drops in each nasal passage 3-4 times a day. Nasal gel and spray are only used in children over 6 years old. Vibrocil is produced by the pharmaceutical company 'Novartis', and a 15 ml bottle of drops can be bought for 250 rubles.

Advantages and disadvantages

Drops have a complex effect and are intended for a wide range of indications, it gently affects the nasal mucosa of the child. There are many convenient application forms. Contraindications include the presence of atrophic rhinitis, which, however, is very rare in children and the use of monoamine oxidase inhibitors, which children also rarely take. Side effects of Vibrocil are rare – mainly, it is a burning sensation and dryness in the nose, which quickly pass. AquaMaris Baby can be used to combat these side effects.

Above, the main popular drugs for topical use for rhinitis of various etiologies in children and adults were considered: drops, sprays, nasal gels and ointments. The rating was compiled on the basis of sales volumes in various regions of the Russian Federation for 2016-17. But no matter what active and complex drugs are offered to the consumer in pharmacies, the main specialist who can weigh all the benefits and possible harm from use is the attending physician. Therefore, first of all, you need to get the advice of a specialist, and only then start treatment.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.