How and how much to use Vibrocil for children?

Pharmacological properties of the drug Vibrocil

Vibrocil is a combination drug containing phenylephrine and dimethindene. The drug reduces nasal discharge and helps cleanse the nasal passages without disturbing the physiological functions of the ciliated epithelium and nasal mucosa. Phenylephrine belongs to the sympathomimetic amines. It is used as a nasal decongestant with a moderate vasoconstrictor effect, selectively stimulates α-adrenergic receptors in the cavernous venous tissue of the nasal mucosa. In this way, swelling of the nasal mucosa and paranasal sinuses is quickly and permanently eliminated. Dimetindene, an H1 receptor antagonist, has an antiallergic effect, is effective when used in low doses, and is well tolerated. Vibrocil is applied topically, so its activity does not correlate with the concentration of active substances in the blood plasma. With accidental oral absorption, the bioavailability of phenylephrine decreased and was about 38%, the half-life was about 2.5 hours. The systemic bioavailability of dimethindene after oral administration in solution was about 70%, the half-life was about 6 hours.

First aid and overdose treatment

An overdose of Vibrocil in a child requires first aid.
What to do if you are poisoned by drops? Since a serious overdose of Vibrocil occurs mainly during internal use, gastric lavage and the use of sorbents are necessary for detoxification.

Sequencing:

• Gastric lavage. The victim is given 3-4 glasses of water, after which vomiting is provoked by pressing on the root of the tongue. For complete cleansing, repeat the procedure 2-3 times.
• Then the patient is given enterosorbents (Enterosgel, Atoxil, Polysorb, Smecta). These medications capture Vibrocil particles and prevent their absorption into the gastrointestinal tract. After taking sorbents, a person’s well-being improves significantly.
• The final stage of first aid is drinking. During the day, the victim is given warm boiled water. At this stage of treatment, tea, coffee, milk and other drinks should not be used for drinking, so as not to disrupt the recovery process of the stomach and not to provoke new attacks of vomiting.

If there are any signs of severe poisoning, it is important to provide prompt medical attention. In case of an overdose of Vibrocil, it includes detoxification and maintenance therapy (intravenous infusions of saline solutions and taking hepatoprotectors).

Indications for use of the drug Vibrocil

Symptomatic treatment for colds, nasal congestion, acute and chronic rhinitis, seasonal (hay fever) and year-round allergic rhinitis, acute and chronic sinusitis, vasomotor rhinitis. Additional therapy for acute otitis media. Preparation for surgery in the nasal area and elimination of swelling of the nasal mucosa and paranasal sinuses after surgery. Vibrocil nasal gel is indicated in case of dry nasal mucosa, in the presence of crusts due to trauma to the nose, as well as to prevent nasal congestion at night during sleep.

Vibrocil analogues

Pharmacies have a large selection of drugs with similar effects.
These are a variety of nasal sprays and drops that have vasoconstrictor and antihistamine properties. If for some reason the drug is not suitable, you can always choose a substitute. We recommend: What to do in case of an overdose of acetylsalicylic acid (aspirin)

Analogues of the drug:

1. Nazol advance. This is a spray that contains oxymetazoline and additional components (camphor, menthol, eucalyptol). This combination of substances provides anti-edema, vasoconstrictor, antiseptic, moisturizing and anti-inflammatory effects of the drug.
2. Adrianol. The drug is a vasoconstrictor with a pronounced anti-edematous effect. Quickly normalizes nasal breathing and improves the general condition of the patient.
3. Eucazolin. Drops and nasal spray are available with xylometazoline hydrochloride as the main substance. The drug begins to act quickly, and the therapeutic effect lasts for a long time (up to 10 hours). At the same time, swelling of the mucosal tissues is reduced by local vasoconstriction, nasal breathing is normalized, and discharge and inflammation of the mucous membrane are reduced.
4. Sanorin. A drug based on naphazoline nitrate. Shows anti-inflammatory and anti-edematous effects. Improves nasal breathing by local vasoconstriction.
5. Knoxprey. Nasal spray with oxymetazoline hydrochloride as the main component. It has a vasoconstrictor and anti-edematous effect. It acts for up to 10 hours, providing hydration of the mucous membrane, reducing mucus secretion, and restoring nasal breathing.
6. Rinofluimucil. The spray is indicated for copious mucous secretion and congestion. The components of the drug are acetylcysteine ​​and tuaminoheptane. The product effectively restores lost nasal breathing by thinning thick mucus and removing it.

Before using analogues, you should read the instructions for use of the drug, since the dosage and frequency of administration may vary significantly. Contraindications and side effects depend on the active ingredients of the drug.

Use of the drug Vibrocil

Before administering the drug, you should thoroughly clean your nose. Nasal drops . Children under 1 year of age (as recommended by a doctor): 1 drop in each nasal passage 3-4 times a day. Children aged 1 to 6 years: 1-2 drops in each nasal passage 3-4 times a day. Adults and children over 6 years of age: 3-4 drops in each nasal passage 3-4 times a day. Nasal gel. Adults and children over 6 years of age: a small amount of gel is injected as deep as possible into each nasal passage 3-4 times a day. It is recommended to apply the last application of the gel before bedtime. Nasal spray. Adults and children over 6 years of age: 1-2 sprays into each nasal passage 3-4 times a day. The bottle should be held vertically, with the sprayer facing up. Keeping your head straight, insert the tip of the bottle into the nasal passage, squeeze the sprayer once with a short sharp movement and, pulling it out of the nose, unclench it. During injection, it is recommended to inhale lightly through the nose. The duration of treatment should not exceed 7 days and depends on the severity of the disease.

"Vibrocil" for children in gel form

• The drug in this form moisturizes the mucous membrane, so it is often prescribed for dryness of the latter or injuries to the nose. The big advantage of the gel is its long duration of action, so it is best to use it before going to bed. This will allow the child to breathe fully throughout the night. However, this form can be used only when the child reaches 6 years of age.
• Method of using the gel: first clean the nose, inject the product as deep as possible into the nasal passages. It is optimal to use it before bed. If necessary, use up to 4 times a day.
• The big advantage of Vibrocil is that all forms of release have a long shelf life: drops and gel - 3 years, spray - 2 years.

Special instructions for the use of the drug Vibrocil

Vibrocil should not be used for more than 1 week. Prolonged or excessive use of the drug can cause tachyphylaxis and rebound effect (rhinitis medicamentosa). As with the use of other vasoconstrictors, the recommended dose of the drug should not be exceeded. Excessive use of Vibrocil, especially in children and the elderly, may cause systemic effects of the drug. The drug should be prescribed with caution to patients with cardiovascular diseases, patients with hypertension (arterial hypertension), with diseases of the thyroid gland and persons with angle-closure glaucoma. During pregnancy and breastfeeding. The drug is not prescribed. Impact on the ability to drive vehicles and operate machinery . Does not affect.

When should I stop taking the drug?

There are few contraindications to treatment, but they must be taken into account, especially when it comes to children whose age is calculated in months. Drops are prohibited when:

• hypersensitivity to the components of the drug (including excipients);
• atrophic rhinitis, which is accompanied by foul-smelling discharge;
• taking MAO inhibitors and in the next 2 weeks after their discontinuation;
• under one year of age.

Before saving your little one from a runny nose with Vibrocil, don’t forget to ask your local doctor what he thinks about this. From experience we can say that ENT doctors allow it, but pediatricians do not.

These drops should be used with caution if the baby has heart problems, thyroid disease, or diabetes.

Overdose of the drug Vibrocil, symptoms and treatment

No serious side effects have been reported from casual use of the drug by small children. Most cases were asymptomatic; Very rarely, fatigue, stomach pain, mild tachycardia, increased blood pressure, agitation, insomnia, and pale skin were reported. Treatment: use of activated carbon, laxatives in young children (gastric lavage is not required); Adults and children are prescribed large amounts of liquid to drink.

Main manifestations of overdose

An overdose of Vibrocil usually occurs due to an increase in the frequency of use and exceeding the recommended amount of the drug. It is important to use the product according to the instructions or doctor's prescription, without overusing drops and without increasing the duration of treatment.

There are known cases of children being poisoned by drops when ingested. To avoid this, you need to store all medications in inaccessible places.

We recommend: Overdose of baclosan - consequences and lethal dose

If the drug is swallowed, symptoms of overdose will occur within 20 minutes. Usually they are mild and do not lead to a serious condition, much less death.

Signs of an overdose of Vibrocil:

1. Loss of coordination, headache.
2. Feeling of pressure in the eyeballs.
3. Paleness of the skin and mucous membranes.
4. Lethargy, drowsiness.
5. Cardiopalmus.
6. Hypertension.
7. Nervous excitement, anxiety.

The occurrence of symptoms associated with damage to the gastrointestinal tract (abdominal pain, nausea or vomiting) is possible only if the dosage is significantly exceeded. For example, if a child drank a whole bottle of drops.

Adverse reactions

When taking Vibrocil, adverse reactions are sometimes observed. They are mainly associated with individual intolerance. Local reactions are also possible.

Side effects of drops:

• Dryness of the nasal mucosa. This sensation is caused by vasospasm. May be accompanied by discomfort in the nasal cavity.
• Nose bleed. The drug dries out the mucous membrane and leads to damage to blood vessels. This complication occurs in people with fragile blood vessels.

We recommend: Overdose of amoxicillin in a child and an adult - what to do, what are the consequences

An overdose of Vibrocil does not lead to serious consequences in adults, since the substances are contained in the drops in minimal quantities. Minor symptoms of intoxication (nausea, dizziness, tachycardia) are possible. They pass quickly, so you don’t have to worry about the long-term consequences of poisoning.

In the event of an overdose in a child, the situation is more serious. If you accidentally ingest a whole bottle of drops, the functioning of blood vessels and the heart is disrupted. Therefore, if a baby is intoxicated with Vibrocil, it is necessary to urgently take the victim to the hospital.