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Harmless Decongescents and Provident Application of Decongescents


Authors: J. Vokurka;  D. Kalfeřt;  K. Zborayová
Authors place of work: Klinika ušní, nosní a krční LF UK a FN, Hradec Králové přednosta doc. MUDr. J. Vokurka, CSc.
Published in the journal: Otorinolaryngol Foniatr, 59, 2010, No. 3, pp. 136-141.
Category: Original Article

Summary

The alpha- 2 sympatomimetic drops are the most frequent medicaments improving the nasal passage. Only short time of application (one week) is recommended, because too long usage can induce so call medicamentous rhinosinusitis which could be therapeutically problem. Systemic sympatomimetic drugs have not similar undesirable local effect but they have another adverse effect. This is a possibility to use different local medicaments like local corticosteroids or hypertonic saline. Proper combination of drugs from mentioned groups could support each other and improved efficacy of their ordinary drug. Saline proved to be beneficial in humidifying mucosa, douching nose and thus could suppress undiserable effects another drugs. Their application is more provident.

Key words:
nasal lavages, nasal douche, sympatomimetics, nasal patency.


Zdroje

1. Aust, R., Drettner, B., Falck, B.: Studies of the effect of peroral fenylpropanolamin on the functional size of the human maxillary ostium. Acta Otolaryngol, 88, 1979, s. 455.

2. Caenen, M., Hamels, K., Deron, P., Clement, P.: Comparison of decongestive capacity of xylometazoline and pseudoephedrine with rhinomanometry and MRI. Rhinology, 43, 2005, s. 205.

3. Fokkens, W. et al.: European position paper on rhinosinusitis and nasal polyposis. Rhinology (Suppl.), 20, 2007.

4. Rabago, D., Zgierska, A., Jundy, M., Barrett, B., Bobula, J., Maberry, R.: Efficacy of daily hypertonic saline nasal irrigation among patients with sinusitis: a randomized controlled trial. J. Fam. Pract., 51, 2002, 12, s. 1049-1055.

5. Vokurka, J.: Od alergické rýmy k chronické rinosinusitidě. Alergie, 12, 2010, 2, s. 95-98.

Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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