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In the region of the facial skull there are special cavities – the paranasal sinuses. They begin to form after about 3 to 4 years of age, fully developing by adolescence. The sinuses are needed to lighten the mass of the skull, to resonate when talking, making the voice louder. In addition, they have thermal insulation properties, help to warm and humidify the air inhaled by the nose.
The largest and most famous sinuses are the maxillary sinuses, they also become inflamed more often than others, forming an extremely unpleasant disease – sinusitis. It often complicates colds, flu, or allergies, and can be acute or chronic.
Treatment of sinusitis is not an easy process, it is important to correctly determine its cause, select a set of drugs to completely suppress inflammation and clear the sinuses from the contents. To do this, you need to choose tablets from sinusitis, which have complex effects.
To date, the standards for the treatment of sinusitis, both in acute and chronic form, include two areas of therapy:
- conservative treatment with the appointment of various kinds of drugs, including tablets;
- surgical interventions, including the puncture of the sinuses and their washing, the introduction of drugs into the cavity of the sinuses.
In conservative therapy, various types of drugs are prescribed, both prescription and over-the-counter. Doctors today prefer oral forms of drugs in the treatment – tablets, syrups, powders or capsules. Injections are used less often.
It is difficult to unambiguously name the best sinusitis pills that would be effective and inexpensive, since therapy involves several areas of treatment at once. The main directions in treatment are the suppression of the growth of pathogenic flora with the help of antibiotics, the elimination of inflammation, the normalization of the outflow of mucus from the sinuses, the elimination of all symptoms (pain, fever, nasal congestion).
All medicines are prescribed only by an ENT doctor, they are taken under his strict guidance, according to the scheme. You cannot, at your own discretion, cancel drugs, reduce the course of treatment, or replace one pill with another.
Rating of the top 5 inexpensive and effective pills for sinusitis according to KP
In the treatment of acute and chronic sinusitis, doctors prescribe drugs of different pharmacological groups. We will discuss the most commonly prescribed sinus tablets used in adult practice or in adolescents.
1. Ambroxol
Available in the form of tablets, including dispersible (soluble), syrups, solutions for inhalation. Sold without a doctor’s prescription. The main active ingredient, Ambroxol, has a secretolytic effect, stimulates the separation of less viscous sputum, which is more quickly released from the paranasal sinuses. Helps eliminate nasal congestion, nasal voice, a feeling of pressure in the sinuses.
Shown:
- in the complex therapy of acute and chronic sinusitis to facilitate the outflow of secretion, its liquefaction;
- to enhance the action of antibiotics, anti-inflammatory drugs.
The drug is contraindicated during pregnancy (1 trimester), lactation and in children under 6 years of age, in patients with malabsorption of lactose and maltose. Caution should be taken with problems of the kidneys and liver, stomach ulcers and duodenal ulcers.
The drug is incompatible with alcohol, it is forbidden to prescribe it together with antitussive drugs – it can threaten with serious complications. Side effects include digestive problems, dry mouth, and headaches.
Main characteristics
| A type | expectorant mucolytic agent |
| Active substance | ambroxol |
| Mode of application | inside while eating |
| Released | without recipe |
2. ACC
Available in different dosages and forms: in the form of effervescent tablets, powders for solution, syrups for oral administration. Sold without a doctor’s prescription, the main active ingredient is acetylcysteine. The drug has a mucolytic effect, helps in thinning and actively removing thick mucus from the paranasal sinuses, which reduces congestion, swelling and inflammation.
Indications for admission:
- acute and chronic sinusitis with nasal congestion, accumulation of thick secretion in the sinuses;
- sinusitis with a hard-to-separate secret in the sinus cavity;
- complex treatment of pathologies of the paranasal sinuses.
The drug is contraindicated during pregnancy, lactation, in children under 6 years of age (for tablets and granules), against the background of an allergy to the components, with peptic ulcer of the stomach or intestines, blood with sputum, if pulmonary bleeding is suspected. Carefully need to use the medicine for bronchial asthma and hormonal disorders.
Incompatible with alcohol, forbidden to be taken together with cough suppressants due to the possibility of serious complications. It combines well with antibiotics, anti-inflammatory drugs, including herbal ones.
Main characteristics
| A type | mucolytic agent |
| Active substance | acetylcysteine |
| Mode of application | inside after eating |
| Released | without recipe |
3. Sinupret
The drug is available in tablets and drops. Sold in pharmacies without a specialist prescription. It belongs to the group of anti-inflammatory, secretolytic and decongestant drugs of plant origin with a combined effect. The basis of the medicine is a combination of extracts of medicinal plants – gentian root, primrose flowers, elderberry, sorrel herb and verbena.
Shown at:
- acute and chronic sinusitis with difficulty in removing mucus;
- enhances the effect of antibiotics and anti-inflammatory drugs.
Prohibited for admission in children under 6 years of age, pregnant and lactating, as well as allergies to the components of the drug. Side effects include digestive disorders and allergic rashes.
Main characteristics
| A type | anti-inflammatory, secretolytic agent of plant origin |
| Components | gentian root, primrose flowers, sorrel herb, elder flowers, verbena herb |
| Mode of application | inside with water |
| Released | without recipe |
4. Amoxiclav
The drug is available in the form of dispersible, conventional tablets, powder for suspension, powder for solution for injection. Dropped from pharmacies by prescription. The active ingredients are amoxicillin with clavulanic acid.
A drug from the group of protected penicillins, an antibiotic with a wide spectrum of antimicrobial activity, is effective against most pathogens that usually provoke sinusitis. It has a bactericidal effect on microbes, provokes the destruction of the cell wall.
Shown:
- with acute sinusitis with swelling of the sinuses, accumulation of mucus and suppuration;
- with chronic sinusitis in the acute stage;
- with infectious lesions of the nasopharynx, complicated by damage to the paranasal sinuses.
Contraindicated in case of allergy to antibiotics of the penicillin group, up to 2 years, with suspected infectious mononucleosis, lymphocytic leukemia, with cholestatic jaundice. The drug should be prescribed only by a doctor, after determining the infectious nature of the inflammation. The dosage and mode of administration, the duration of the course is determined by the specialist.
The drug is incompatible with alcohol, with the simultaneous use of bacteriostatic antibiotics, the effect can sharply decrease. Among the side effects leading are digestive disorders, headache, general weakness.
Main characteristics
| A type | antibiotic |
| Active substance | amoxicillin + clavulanic acid |
| Mode of application | inside at the beginning of a meal |
| Released | on prescription |
5. Sumamed
The drug is available in tablets and capsules, powders for suspension. It is released from pharmacies by prescription, the main active ingredient is azithromycin, an antimicrobial drug from the macrolide group. They have a bactericidal effect, actively suppress the growth of pathogenic microflora in the nasopharynx and paranasal sinuses, have a prolonged effect, which allows to reduce the course of treatment to 3-5 days.
Indications for admission:
- acute sinusitis, pansinusitis caused by flora sensitive to azithromycin;
- exacerbation of chronic sinusitis with edema, difficulty in nasal breathing, purulent contents of the sinuses;
- complications of respiratory infections with the development of sinusitis.
It is contraindicated in case of allergy to macrolide antibiotics, in severe pathologies of the liver and kidneys, and damage to the digestive tract. Only a doctor should prescribe the drug, taking into account the sensitivity of microbes to antibiotics.
The drug is incompatible with alcohol, side effects include digestive disorders, allergies, headaches.
Main characteristics
| A type | antibiotic |
| Active substance | azithromycin |
| Mode of application | by mouth one hour before or two hours after meals |
| Released | on prescription |
How to choose pills for sinusitis
When choosing medicines, the doctor is guided by several criteria. The best tablets for sinusitis should be effective and safe, have minimal side effects and have antimicrobial activity, suppress inflammation, normalize mucus secretion, help improve its outflow from the sinuses and reduce swelling of the mucous membranes.
Therapy is carried out with several drugs at once, which are combined with each other depending on the underlying cause. These can be antibiotics, non-steroidal anti-inflammatory drugs, sputum thinners and sputum removers, antihistamines, inhalations. Additional measures recommended by the doctor are also necessary, which enhance the effect of the drugs.
Popular questions and answers
We asked questions about the methods of treatment of sinusitis, the appointment of drugs general practitioner, endoscopist, head of the organizational and methodological office Lidia Golubenko.
Why can there be sinusitis?
Sinusitis is possible with the spread of microbes from the affected teeth in the upper jaw. Rarely, sinusitis occurs as a primary disease, in which the infection initially occurs in the sinus cavity.
Allergic, non-infectious inflammation is also possible. It is associated with edema and secretion retention in the cavity of the maxillary sinuses.
In any case, if the outflow of mucus from their sinuses is disturbed, conditions are created inside them for the development of microbial secondary inflammation.