Miramistin - instructions for use, reviews, analogs and form of release (ointment, spray or solution) drug for the treatment of otitis, tonsillitis, sinusitis in adults, children and pregnancy. Rinsing and syringing

In this article, you can read the instructions for using the drug Miramistine. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Miramistin in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Miramistin analogues in the presence of existing structural analogues.Use for the treatment of otitis, tonsillitis, sinusitis, trauma and the prevention of sexually transmitted infections in adults, children, as well as during pregnancy and lactation. The rules for rinsing the throat and oropharynx and syringing.

Miramistine - antiseptic for external and local use. Miramistin has a pronounced bactericidal action against gram-positive and gram-negative, aerobic and anaerobic bacteria in the form of monocultures and microbial associations, including hospital strains with multidrug resistance to antibiotics.

The drug is more effective against gram-positive bacteria, acts on pathogens of sexually transmitted diseases (Chlamydia spp., Treponema spp., Trichomonas vaginalis, Neisseria gonorrhoeae), as well as herpes, human immunodeficiency viruses.

It has an antifungal activity, is active against Ascomigetus of the genus Aspergillus and the genus Penicillium, yeast fungi (Rhodotorula rubra, Torulopsis gabrata, etc.), yeast-like fungi (Candida albicans, Candida tropicalis, Candida krusei, etc.), dermatophytes (Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Trichophyton schoenleini, Trichophyton violacent, Epidermophyton Kaufman-Wolf, Epidermophyton floccosum, Microsporum gypseum, Microsporum canis, etc.), as well as other pathogenic fungi, eg Pityrosporum orbiculare (Malassezia furfur), in the form of monocultures and microbial associations, including a fungal microflora with resistance to chemotherapeutic drugs.

Effectively prevents infection of wounds and burns, activates regeneration processes.Has a pronounced hyperosmolar activity, as a result of which it stops wound and perifocal inflammation, absorbs purulent exudate, contributing to the formation of a dry scab. Does not damage granulation and viable skin cells, does not inhibit marginal epithelization. Does not have a local irritant effect and allergic properties.

Composition

Benzyldimethyl-myristoylamino-propylammonium chloride monohydrate (miramistin) + auxiliary substances.

Pharmacokinetics

With topical application miramistin does not have the ability to be absorbed through the skin and mucous membranes.

Indications

For use in surgery, traumatology:

• prevention of suppuration and treatment of purulent wounds;
• treatment of purulent-inflammatory processes of the musculoskeletal system.

For use in obstetrics, gynecology:

• prevention and treatment of suppuration of postpartum injuries, crotch and vaginal wounds, postpartum infections;
• prevention and treatment of inflammatory diseases (vulvovaginitis, endometritis).

For use in commubustology:

• treatment of superficial and deep burns 1 and 3 A degree;
• preparation of burn wounds for dermatoplasty.

For use in dermatology, venereology:

• treatment and prevention of pyoderma and dermatomycosis, candidiasis of the skin and mucous membranes, foot mycoses;
• individual prevention of sexually transmitted diseases (including syphilis, gonorrhea, chlamydia, trichomoniasis, genital herpes, genital candidiasis).

For use in urology:

• complex treatment of acute and chronic urethritis and urethroprostatitis specific (chlamydia, trichomoniasis, gonorrhea) and nonspecific nature.

For use in dentistry:

• treatment and prevention of infectious and inflammatory diseases of the oral cavity: stomatitis, gingivitis, periodontitis, periodontitis;
• hygienic treatment of removable dentures.

For application in otorhinolaryngology:

• complex treatment of acute and chronic otitis, sinusitis, tonsillitis, laryngitis.

Forms of release

Solution for topical application (including spray nozzle, spray type).

Ointment for local and external use.

Instructions for use and application diagram

When used in surgery, traumatology, combustiology with a prophylactic and therapeutic purpose, irrigate the surface of wounds and burns, loose wounds and fistulous swabs are typed, gauze swabs moistened with the drug are fixed.The treatment procedure is repeated 2-3 times a day for 3-5 days. The method of active drainage of wounds and cavities with a daily consumption of up to 1 liter of the drug is highly effective.

When used in obstetrics, gynecology for the prevention of postpartum infection is used in the form of vaginal irrigation (syringing) before childbirth (5-7 days), during labor after each vaginal examination and in the postpartum period 50 ml of the drug in the form of a tampon with an exposure of 2 h, within 5 days. When delivering women by caesarean section, immediately before surgery, the vagina is treated, during surgery - the uterine cavity and the incision on it, and in the postoperative period tampons moistened with the drug are injected into the vagina with exposure 2 hours for 7 days. Treatment of inflammatory diseases is carried out by the course for 2 weeks by intravaginal administration of tampons with the drug, as well as by drug electrophoresis.

For prevention of sexually transmitted diseases, the drug is effective if it is used no later than 2 hours after sexual intercourse. The contents of the vial with the help of an urological applicator to enter the urethra for 2-3 minutes: men (2-3 ml), women (1-2 ml) and the vagina (5-10 ml).Treat the skin of the inner surfaces of the hips, pubic area, genitals. After the procedure, it is recommended not to urinate for 2 hours.

In the complex treatment of urethritis and urethroprostatitis, injections into the urethra 2-3 ml of the drug 1-2 times a day, the course of treatment - 10 days.

With purulent sinusitis - during puncture the maxillary sinus is washed with a sufficient amount of the drug. Tonsillitis, pharyngitis and laryngitis are treated by rinsing the throat and pharynx and / or spraying with a nozzle-sprayer 3-4 times pressing 3-4 times a day. The amount of the preparation per 1 rinse is 10-15 ml.

With stomatitis, gingivitis, periodontitis, it is recommended to rinse the oral cavity 10-15 ml of the drug 3-4 times a day.

Side effect

Local reactions:

• a feeling of slight burning, which passes independently through 15-20 seconds and does not require the withdrawal of the drug.

System Action:

• allergic reactions.

Contraindications

• increased individual sensitivity to the drug.

Application in pregnancy and lactation

There is no data on the safety of the drug during pregnancy and lactation.

Use in children

Contraindicated in children under 3 years.

In acute pharyngitis and / or exacerbation of chronic tonsillitis, irrigation of the pharynx is carried out with the help of a spray nozzle. Children aged 3-6 years: a single press on the head of the spray nozzle (3-5 ml per irrigation), 3-4 times a day; children aged 7-14 years with a double tap (5-7 ml per irrigation), 3-4 times a day; children over 14 years 3-4 times pressing (10-15 ml per irrigation), 3-4 times a day. The duration of therapy is from 4 to 10 days, depending on the timing of the onset of remission.

special instructions

The drug is ready for use.

Instructions for use with spray nozzle (spray):

1. Remove the cap from the vial.
2. Remove the supplied nozzle from the protective packaging.
3. Connect the spray nozzle to the vial.
4. Activate spray nozzle by pressing again.

Drug Interactions

With simultaneous use with antibiotics, increased their antibacterial and antifungal effects.

Analogues of the drug Miramistin

Structural analogs for the active substance:

• Miramistin-Darnitsa;
• Okostistin;
• Septomirin.

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