Miramistin: instructions for use for the throat in children under 1 year of age

Indications for use

The medicine is widely used in various branches of medicine. Miramistin for a sore throat in a child not only helps get rid of the infection, but also prevents its spread to other organs.

When to take the medicine:

treatment and prevention of suppuration in surgery;
elimination of STIs, prevention of inflammation in the female reproductive system in gynecology;
treatment of burnt skin surfaces;
various skin diseases;
treatment of urethritis in urology.

Miramistin is also intended for complex therapy of pharyngitis or tonsillitis in children. The medicine can be used for children from the age of three. It is not recommended to treat a baby, especially without the permission of the pediatrician.

Miramistin for stomatitis in children

In the oral cavity, foci of infectious inflammation are treated with Miramistin in children from infancy. Areas affected by pathology:

children from 3 to 7 years old are treated 4 times a day (every 4-6 hours) by pressing the spray once;
From the age of 7, the oral cavity can be rinsed with a solution of Miramistin and drinking water in equal parts - the procedure is repeated up to 6 times a day, alternating with rinsing with a soda solution.

Treatment with medicine:

stops the spread of infection and inflammation;
adsorbs pus;
will restore damaged areas of glandular epithelial tissue.

Side effects

Patients and doctors note the high degree of safety of the drug. Serious side effects from its use are rare.

However, this only applies to the case when the drug is used externally. It should be remembered that Miramistin is not an antibiotic and cannot be taken orally. The instructions for the drug do not say anything about whether accidental ingestion of the drug is dangerous, for example, if the patient gargles with it. Most likely not, but you shouldn’t do it intentionally. It is unknown how the gastrointestinal tract may react to the substance entering it. Irritation of the mucous membrane of the esophagus or stomach is possible.

However, in some cases, Miramistin can cause allergic reactions, redness of the skin, and burning at the site of application.

If a burning sensation is observed for 15-20 seconds and then goes away on its own, then discontinuation of the drug is not required. If unpleasant symptoms do not go away, then use of the drug must be stopped.

Another advantage of the drug is its lack of odor. But regarding the taste of the drug (when used to treat oral infections), opinions are divided. Some argue that the drug has no taste, others claim that the drug has a not very pleasant, but still not unpleasant, aftertaste. This may be due to the fact that the drug can cause a temporary disturbance in the sense of taste.

Miramistin is also gentle on the skin and mucous membranes, does not cause irritation, and does not change their color, unlike many other antiseptics. However, here it is necessary to remember to comply with the doctor’s instructions. If the drug is used systematically for a long time (more than 10 days), for preventive purposes, the patient may develop dysbiosis and associated inflammation of the mucous membranes or skin.

In addition, the standard Miramistin solution is not intended for instillation into the eyes. For this purpose, there is a special drug containing Miramistin - Okomistin.

Preliminary description of the solution

Before you figure out whether it is possible to rinse your nose with Miramistin, you should find out important information about the drug itself. It contains a complex chemical compound. It has antiseptic, antiviral, antimicrobial effects. Miramistin solution is odorless and tasteless. It is effective against even those bacteria that are resistant to antibiotics.

The drug is available in different forms and volumes. You can buy it at the pharmacy without a prescription. The medicine costs 175, 350 and 800 rubles, respectively, for 50, 150 and 500 milliliters of the finished drug.

Release form and composition

The medicine is presented as a clear solution that does not have any odor, taste or color. Such a liquid includes only two ingredients - the active substance, also called miramistin, and purified water. The concentration of the active compound is 0.01%.

In pharmacies you can see different packages of Miramistin, differing in both volume and attachments. In childhood, a bottle of 150 ml of medication is most often recommended, to which a nebulizer can be attached. But for the youngest patients, smaller packaging is also suitable - bottles of 50 ml of solution, which have two nozzles (urological and spray).

The shelf life of the medicine is 3 years and after its expiration the medicine should be thrown away. Storing the solution does not require any special regime - it is recommended to keep the package of medicine out of the reach of children at room temperature. You do not need a prescription to purchase Miramistin at a pharmacy. The average price of 150 ml of the drug is approximately 350 rubles.

Miramistin in a child's nose

Miramistin for children is used in the nose by drip, using a sterile medical pipette, 1-2 drops in each passage twice a day. The average duration of treatment with the drug is 5-7 days. If the medicine is administered into the nose using the spray included in the original packaging, the risk of the inflammatory process moving from the nose to the middle ear increases.

Rinse the child's nose with Miramistin

It is a mistake to believe that rinsing the nose means abundantly irrigating the sinuses with a solution from a factory bottle, because:

the size of the nozzle is not suitable for children;
it is impossible to regulate the amount and pressure of the supplied liquid;
the process is not effective due to the structural features of the nasal septum in children under 5 years of age.

Rinsing the nasal sinuses with medication occurs in the otolaryngologist’s office using an ENT machine. To rinse your child’s nose at home, you need to:

tilt the child's head over the sink;
take 10-15 ml of Miramistin solution into a syringe without a needle;
inject the contents of the syringe into one nostril at medium speed;
wait until the medicinal substance flows out of the other nostril along with mucus.

The procedure is recommended for children aged 5-6 years, provided that the child is not afraid of such medical manipulations. It is important to warn the small patient that the solution gets into the pharynx when rinsing.

Can Miramistin be used for children under 1 year of age?

The instructions for use of the medication contain information that it can be given to children over 3 years of age. For this reason, many parents have a question about whether it can be used when most pediatricians prescribe Miramistin to newborns and children up to one year old. This purpose is due to the fact that the drug is harmless to the health of the child. Doctors often recommend that parents use Miramistin for painful throat conditions in children, including children under 1 year of age and newborns.

Even a small amount of medicine can alleviate the child’s condition. For babies under 1 year of age, it is used topically. Immediately after use, it reduces the inflammatory process in the throat mucosa. Unlike other medicinal liquids, it cannot be given to infants. Pediatricians only recommend spraying it so that it dissolves throughout the mucous tissues in doses that are safe for the small body.

Miramistin has an active antifungal and bactericidal effect. It is a fairly powerful antiseptic that can be used by babies from the first months of life. The range of application of the drug is very extensive:

the first manifestations of colds and acute respiratory viral infections;
thrush;
damage to the skin;
conjunctivitis;
stomatitis;
gingivitis;
pneumonia;
laryngitis;
angina.

To treat infected wounds for children under one year of age, apply the solution to a napkin or gauze and apply a compress to the affected area. A big problem is applying the product to the throat mucosa of a newborn. There is no need to dilute the product before use, since it is already ready to actively combat harmful bacteria and microbes.

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There are several ways in which Miramistin can be administered to infants in the throat:

It is recommended to spray the solution on the pacifier and give it to the baby; it, along with saliva, will fall on the mucous membrane of the throat;
you can wrap gauze soaked in Miramistin on your finger or spatula and then wipe the mucous membrane;
For treatment, cotton swabs soaked in a solution of the medicine are also used, but a single dose should not exceed more than 5 drops of the product;
instillation into the nose should be performed once a day and only after rinsing the nasal passage with saline or saline;
using a spray bottle, if the baby manages to insert the tip of the bottle into his mouth.

In severe cases of gingivitis and stomatitis, it is necessary to apply the medicine directly to the affected areas. It is best to perform the procedure immediately after feeding the baby. You need to prepare the oral cavity by treating it with water and then apply the product 3-4 times a day. To treat the respiratory system, it is good to use the medicine using an inhalation nebulizer.

Failure to comply with the dosage can lead to increased dryness of the baby's mucous membranes. Immediately after treatment, a slight tingling sensation appears, which often causes discomfort for infants. If you are hypersensitive to the main substance, it is not recommended to use Miramistin.

Despite the fact that the drug is practically safe, it can cause an allergic reaction in a child if his body is too sensitive. If parents know about this, they should notify the pediatrician in advance. Hypersensitivity is the only contraindication to the use of Miramistin.

Almost always, the child’s body reacts positively to the use of the product. Its effect can be noticed after 4-5 procedures. If the baby accidentally swallows the permissible dose of the solution, nothing terrible will happen. It settles in microscopic drops in the nasopharynx and does not cause poisoning.

Miramistin – baby is one month old

At the age of one month, when treating the nose or throat, doctors do not recommend using a spray - a powerful jet of the drug will push mucus and pus deeper into the depths of the physiological passages and aggravate the situation. A large amount of the substance can damage the baby's ear canals if it enters the ears through the sinuses. When instilling the nose, the medicine is injected into the nose using a pipette: 1 drop into each sinus. Irrigation of the throat is also not carried out for children at 1 month of age; gently wiping the tonsils and the surface of the oral cavity from the inside with sterile gauze soaked in an antiseptic substance.

Is it possible for children to swallow Miramistin?

In the instructions, manufacturers do not indicate the likelihood of swallowing the product and the possible consequences. But it would be advisable not to allow large amounts of the drug to enter the stomach. As for the dose of medicine that gets inside during rinsing and irrigation, it is so insignificant that it is safe even for children. The drug does not cause a burning sensation or redness after use, even on the mucous membranes.

Despite the safety of the ingredients, this does not mean that you can use the product thoughtlessly or leave it unattended. The instructions mention that, like any medicine, it should be stored out of reach of younger family members. This could be the top section of a cabinet or a high-hanging shelf.

It’s good if the storage location is locked with a key. In addition, storage conditions must be observed in accordance with the instructions. Namely: it should be a room with a temperature not exceeding +25 degrees. Therefore, you should avoid storing in places close to central heating or in direct sunlight during the summer months.

Contraindications to the procedure

Like any other medicine, a drug with an antiseptic effect has its contraindications. The solution should never be used if the patient is hypersensitive to it. It is manifested by an allergic reaction: rash, itching, swelling and other symptoms. If you experience them during treatment, you should urgently stop therapy and consult a specialist.

Washing is not recommended for otitis media. Manipulation can be especially dangerous for children. Often expectant mothers have a question: is it possible to rinse the nose with Miramistin during pregnancy? Doctors allow such manipulations. Doctors say that the active substance of the drug is not absorbed into the blood, therefore, it cannot negatively affect the development of the embryo. At the same time, such prevention will protect the woman from the disease.

Contraindications Miramistin

There is no prohibition on the use of this antiseptic in pregnant and lactating women, since the drug has no resorption and the active component will not be passed on to the child. Miramistin also does not have an impressive list of contraindications: only individual intolerance, which will be expressed by an allergic reaction of the skin.

It is advisable for children to follow the precautions specified in the instructions

Terms of sale and storage

Miramistin can be freely purchased at any pharmacy (the only difficulty is purchasing the ointment); it is dispensed without a doctor's prescription. The bottle with the solution (both the spray and the classic version) should be stored in a cool place - the air temperature should not exceed 25 degrees. The shelf life is 3 years, the date of opening does not matter.

Is it possible to rinse a child’s nose with Miramistin?

The instructions for the drug do not indicate the possibility of rinsing the nose of children with a spray. In addition, parents should know that if the child does not improve within a week of using Miramistin, they should inform the doctor and reconsider the appropriateness of the prescribed remedy.

As for rinsing the nose with the product, indeed, sometimes this method is used if the following diagnoses are present:

Sinusitis in acute or chronic stages.
The presence of an infectious process that causes a runny nose.

Washing can be done for children from the age of five. Children under 5 years of age may swallow the liquid through saliva.

The procedure is not pleasant, although the substance does not have any taste, but during rinsing the child may experience itching and burning.

Miramistin for children

If we consider the list of the safest medicines that have antiseptic properties and are approved for use even in infants, Miramistin will take the first place. It is used in almost all medical fields:

gynecology;
otolaryngology;
dentistry;
dermatology;
venereology;
surgery;
urology;
combiustiology.

The only point that continues to cause controversy among doctors is the degree of effectiveness. According to official data, the Ministry of Health conducted only 1 clinical trial aimed at assessing the safety of the drug when used as part of vaginal suppositories (for the treatment of thrush). However, this does not negate the possibility of using the drug in children of any age, since there are no worthy analogues.

Composition and release form

Initially, pharmacies offered only a solution in plastic bottles with a long narrow spout, which could be used to squeeze out the drug drop by drop. Afterwards, pharmaceutical companies released 2 more versions:

Spray differs from solution only in the presence of a removable sprayer, as can be seen from the photo. The concentration is the same (0.01%), the liquid is colorless. If you shake the bottle, the solution will foam. The spray comes in volumes of 50, 150 and 300 ml.
Ointment - sold in small tubes of 15 and 30 g. It is difficult to buy this form in Russia, since the manufacturer is Ukraine.

The suppositories mentioned above, which are used in gynecology, are a combination medicine containing miramistin and methyluracil, and therefore are not included in the list of the main forms of release of this antiseptic. The composition of the solution is as simple as possible - only benzyldimethylmyristoylaminopropylammonium chloride monohydrate and pure water. The ointment has a large number of ingredients:

Active components (per 1 g)	Excipients
Miramistin (5 mg)	Propylene glycol
Edetate disodium
Macrogol 500, 1500, 6000
Proxanol 268
Water

Effect of the drug

The official instructions classify Miramistin in the group of antiseptics and note that it has pronounced antimicrobial qualities: it can even influence nosocomial strains of pathogenic bacteria that are resistant to antibiotics. Miramistin mainly works against:

gram-positive microorganisms (streptococci);
gram-negative bacteria;
aerobic/anaerobic pathogens;
penicillin fungi;
yeast/yeast-like fungi;
dermatophytes;
herpes virus and human immunodeficiency;
causative agents of sexually transmitted diseases.

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This antiseptic drug is also capable of preventing infections in the area of a burn or open wound and stimulating skin regeneration. This is explained by the activation of the digestive and absorbing functions of phagocytes and the monocyte-monophagal system. The use of Miramistin is also relevant in the presence of purulent inflammation, since it absorbs pus. Absorption through the skin and mucous membranes does not occur when applied topically.

Indications for use

In patients of all ages - from infants to adults - Miramistin solution can be used to carry out antiseptic treatment of the mucous membrane or skin in the treatment of wounds and burns, or:

for fungal skin diseases (especially candidiasis, dermatomycosis);
for the treatment of stomatitis, gingivitis, periodontitis;
for the treatment of runny nose, sinusitis, external otitis, purulent tonsillitis, pharyngitis;
for chronic tonsillitis (part of complex therapy);
for sexually transmitted infections;
for the treatment of conjunctivitis (in young children);
as a prevention of purulent inflammation after childbirth;
in case of acute urethritis.

Miramistin ointment has a smaller spectrum of action - instructions for use for children and adults indicate the possibility of its use only in dermatology, surgery and combustiology. It is used to treat burns and wounds, bedsores, fistulas, ulcers; it can be effective for skin diseases and fungal infections, frostbite and during preparation for skin grafting.

Compound

The active ingredient of the drug is miramistin, and also contains purified water.
The active component has a powerful bactericidal effect directed against some gram-positive and gram-negative bacteria, and an antifungal effect. Miramistin enhances local immunity - the ability of mucous membranes to resist pathogenic microflora. The composition of the drug is safe, which makes it possible to use it for rhinitis in adults and children.

Action

When you have a cold, a runny nose is common. Some people do not consider it necessary to get rid of rhinitis, believing that the discharge will go away on its own. But sometimes it is necessary to select a separate treatment to eliminate this symptom; Miramistin is an effective remedy.

The drug helps to cope with a runny nose at any stage:

First. It is characterized by dryness of the mucous membrane, a constant burning sensation and itching appears in the nose. At the first symptoms of a runny nose, difficulty breathing is observed. Timely use of Miramistin is a good way to prevent the development of the disease.
Second. Copious mucus is released from the nose, you have to breathe through your mouth, which causes discomfort. Usually, with the development of a runny nose, the symptoms of the disease worsen: a headache appears, pain in the ears, and body temperature rises.
Third. Copious discharge becomes purulent - acquires a yellow-green color. This stage occurs a week after the onset of a runny nose. In this case, Miramistin alone is not enough to alleviate the condition; complex therapy is prescribed.

The use of the drug is possible due to its antimicrobial and anti-inflammatory effects. For sinusitis, Miramistin can be prescribed not only for treatment with local remedies, but also after puncture - surgical intervention.

Dosage: general data

Infancy is a problem when a child gets sick, so any mother worries about how to treat and what medications can be used.

Miramistin, being an antiseptic, is produced for external use. Its components can relieve the inflammatory process that affects the baby’s mucous membranes and skin.

Due to the fact that a few drops of this remedy are enough to improve the patient’s condition, it is prescribed for the treatment of babies, in particular, children under one year old. Its range of applications is wide:

This drug perfectly treats various ENT diseases.
It is used to disinfect a child's dirty hands.
It is used to treat inflamed body folds.

Due to their restless nature, some mothers are afraid to drop Miramistin into the baby’s throat and nose, fearing that he will swallow the product.

Effect of the drug

Miramistin effectively acts on the cellular tissues of pathological microflora. Upon contact with it, various bacteria, viruses and fungi instantly die. For example, if you lubricate a baby’s folds, which are easily inflamed, with it, the result will not be long in coming. The skin quickly restores its original appearance.

To the surprise of all doctors, miramistin, once in the auditory section of the ear, destroys the microflora, quickly bringing a therapeutic effect. As soon as the sprayed product enters the ear, it immediately begins its action, and the inflammation stops in a matter of hours. This remedy has long shown good results in pediatrics.

Doctors, having become convinced of the effect of miramistin in practice, began to actively recommend it even in the treatment of infants. It treats ARVI and candidiasis very effectively and helps relieve severe nasal congestion. Especially if you rinse your sinuses with it.

As a preventive measure, this drug can be used if there is a risk of contracting a venereological disease that can be transmitted through household contact to a newborn from his mother.

This remedy helps to increase the protective qualities of the immune cells of the child’s body and at the same time enhances the positive results of treatment with other antimicrobial drugs. Thanks to this, miramistin is combined with various therapeutic agents.

Application situations

Miramistin, produced for infants, is considered one of the universal medicines that must be in every family medicine cabinet. Doctors and patients appreciate its broad effect and fairly low cost, because, while exerting a local effect, it does not have any effect on the body as a whole. Its effective effect has been tested in the treatment of:

Colds: if a runny nose begins, you need to urgently drop it into your nose and treat your throat.
Thrush: constantly treat the oral cavity.
Fungal diseases.
Conjunctivitis (dropped into the eyes).
Bruises, abrasions, burns, insect bites (used as compresses).
Laryngitis, sore throat, pneumonia (irrigate the throat or use in a nebulizer).
Stomatitis, gingivitis (with a cotton swab, wipe spots covered with pus on the oral mucosa several times a day.

If there is a threat of becoming infected with bacteria, use it to disinfect hands as a preventive measure. Miramistin is convenient for treating infants because it has neither smell nor taste. It can be used from the very first days of the baby’s life.

Release form

Miramistin is available in the form of ointment, solution, spray and drops. The bottle comes with a spray bottle to use the spray. The volume of the bottle for the solution is 150 ml, for the ointment – 15 g. An important factor in the availability of the medicine is its low cost: from 150 to 300 rubles, depending on the consistency.

What is Miramistin usually used for?

Since this drug is a fairly strong antiseptic, it is in demand for treating skin lesions and purulent wounds.

Miramistin affects both bacteria and some fungi, protozoa and viruses. It is prescribed for frostbite, bedsores, trophic ulcers, fistulas, lichen, burns and fungal infections of the skin. It is safe for the human body, as it acts locally and has virtually no side effects.

For a more detailed description of the drug, see the video:

Analogs

Other medications from the antiseptic group can serve as a substitute, for example:

Yox

This spray based on povidone-iodine and allantoin is used for sore throat and stomatitis from the age of 8, and the solution is prescribed from the age of 6.

Hexoral

This hexethidine preparation in the form of an aerosol or solution is used from 3 years of age. It is in demand for infections of the throat and mouth.

Hexasprey

This aerosol containing biclotymol is used for patients over 6 years of age. It is prescribed if a child has stomatitis, tonsillitis, glossitis and other bacterial lesions of the oropharynx.

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These eye drops are used for bacterial eye infections - for children over 3 years of age.

Kameton

This combination remedy, which contains camphor, menthol, chlorobutanol and eucalyptus oil, is prescribed from the age of five. The aerosol helps get rid of rhinitis and sore throat.

Lysobacter

This tablet drug is used for pain and inflammation in the mouth and throat - from 3 years of age. It includes lysozyme supplemented with pyridoxine.

Betadine

This solution, containing povidone-iodine, can replace Miramistin during surgical procedures, skin infections, wounds, burns, and so on. For children it is used from 4 weeks of age.

Vinylin

The effect of this solution is provided by polyvinox. The drug is recommended for skin infections, open wounds, bruises, diaper rash, chickenpox, stomatitis and many other lesions. Doctors prescribe it to children of different ages.

Miramistin-Darnitsa

A drug based on miramistin with the same name is available (in the form of an ointment). The product has a disinfectant effect and is in demand in the practice of surgeons and traumatologists.

It is used:

for the treatment of purulent wounds;
to prevent secondary infection of wounds;
in the treatment of severe burns;
with keratomycosis;
with candidiasis of the mucous membrane or skin;
with onychomycosis;
with streptoderma;
when the skin is damaged by staphylococcus;
with a fungal skin infection.

The medicine is released in tubes containing 15 g of a homogeneous light substance. The concentration of miramistin in the ointment is 5 mg/1 g. This active ingredient is supplemented with propylene glycol, macrogol, disodium edetate, purified water and poloxamer.

The only contraindication to the use of such a drug is hypersensitivity to any component of the ointment. This drug is not prescribed to children, since its effect on the children's body has not been studied. But in fact, the drug is used because it extremely rarely causes side effects and acts mainly locally.

More information about this drug is in the video below.

Miramistin spray - instructions for use for children

Miramistin can be sprayed into the nose of children aged 7 years and older - before this age, the spray nozzle simply will not fit the child’s nose. From 7 to 14 years of age, treatment is carried out by pressing the spray cap once into each nostril twice a day. The nozzle is put on the factory bottle like this:

remove the factory cap or installed urological attachment from the tank;
release the spray nozzle from the protective packaging;
attach the element to the neck of the bottle;
Make a test press 1-2 times until fine sprays of the medicine appear.

Children's dosages for irrigation of damaged membranes:

from 3 years to 6 years – 3 times a day, 3-5 ml (1 press);
from 7 years to 14 years – three times a day, 5-7 ml (2 presses);
from 14 years to 18 years – every 6 hours, 10 ml (3 presses).

Miramistin spray for children – price

The substance is not available in a special children's format, therefore, for convenience when treating a child, purchase a minimum volume of a bottle of the drug with a volume of 50 ml. Average price of 1 bottle of Miramistin solution with a spray nozzle:

in Russia – 260 rubles;
in Ukraine – 100 UAH;
in Kazakhstan – 950 tenge.

Can Miramistin be used for children under 1 year of age?

Instructions for use of Miramistin for infants

the first manifestations of colds and acute respiratory viral infections;
thrush;
damage to the skin;
conjunctivitis;
stomatitis;
gingivitis;
pneumonia;
laryngitis;
angina.

Very often, this remedy is used for preventive purposes when there is a risk of contracting viral infections.

There are several ways in which Miramistin can be administered to infants in the throat:

It is recommended to spray the solution on the pacifier and give it to the baby; it, along with saliva, will fall on the mucous membrane of the throat;
you can wrap gauze soaked in Miramistin on your finger or spatula and then wipe the mucous membrane;
For treatment, cotton swabs soaked in a solution of the medicine are also used, but a single dose should not exceed more than 5 drops of the product;
instillation into the nose should be performed once a day and only after rinsing the nasal passage with saline or saline;
using a spray bottle, if the baby manages to insert the tip of the bottle into his mouth.

Contraindications and application features

This universal remedy always copes with many diseases that children are often exposed to. It should always be in the home medicine cabinet of a family with children.

Miramistin - instructions for use for a one-year-old child

At the age of 12 months and older, children already know how to hold their heads upright, which means the risk of choking with excess drug during drip administration is reduced.

Dosage for a one-year-old child:

when instilled into the nose - 1-2 drops in both nostrils once per 24 hours;
when treating the throat, gently wipe the lymphoid tissue in the throat with a napkin containing the drug twice a day.

Spray application diagram:

remove the nozzle from the bottle;
remove the spray nozzle from the packaging and put it on the bottle, securing the cap well;
Before use, shake the bottle and make 1-2 presses into the air;
apply the drug to a napkin and wipe the lymphoid tissues.

From the same container with the spray, you can put drops in the child’s nose using a pipette, because the spray nozzle is inconvenient for putting drops in the nose:

remove the nozzle from the bottle and unscrew the cap on the medicine:
take a pipette and take the required amount of medicine and apply.

Before using the drug for the first time, it is recommended to conduct a tolerance test by placing 1 drop on the child’s skin. If after 15-20 minutes there is no redness or rash, the medicine is used as directed.