Nimesil granules for suspension 100 mg sachet 2 g 9 pcs ➤ instructions for use

Symptoms of acute tracheitis

Acute tracheitis is manifested primarily by attacks of coughing - dry, painful, quite rough and intrusive. It intensifies at night and in the morning, which is associated with the accumulation of sputum in the respiratory tract. A coughing attack during tracheitis can also be provoked by other factors: laughter, screaming, deep breaths, contrasting air temperature, strong aromas and smoke. In the first days, sputum is hardly formed or remains so viscous that it is difficult to pass away. Therefore, at the beginning of the disease, the cough is dry, annoying, and does not bring relief. As tracheitis develops and when the bronchi are involved in the inflammatory process, sputum production increases and it becomes thinner. At the same time, the cough becomes moist, more productive and less exhausting, and its attacks are repeated less frequently. The patient's well-being improves significantly.

In addition to cough, other symptoms of acute tracheitis are often observed:

• pain, a feeling of rawness and burning behind the sternum, especially pronounced after another coughing attack;
• changes in the frequency and depth of breathing;
• increased body temperature (usually up to 38°C), which is typical mainly for infectious and complicated tracheitis;
• headache;
• general weakness, fatigue, fatigue and other signs of general intoxication.

It is important to know!

The inflammatory process with tracheitis often spreads to neighboring areas of the respiratory system, because there is no clear boundary between them, the mucous membrane smoothly passes from one part of the respiratory tract to another. The drainage of sputum or its upward movement when coughing contributes to tissue irritation and the spread of the pathogen. When the bronchi are involved in inflammation, tracheobronchitis develops. This is accompanied by a deterioration in the patient’s condition: his body temperature rises, coughing attacks become more frequent, chest pain becomes stronger, shortness of breath may appear. If tracheitis is accompanied by laryngitis, you need to be prepared for hoarseness or even temporary loss of voice. And with accompanying swelling of the subglottic space of the larynx (it is located approximately under the vocal cords), acute respiratory failure may develop with difficulty inhaling and a feeling of fear.

Treatment of otitis media during pregnancy

If you experience ear pain during pregnancy, you should urgently see an ENT doctor. Remember that in this case you cannot apply heating pads or warm compresses to the sore spot! This can be very dangerous if purulent inflammation begins in the ear.

If the pain increases and greatly bothers a pregnant woman, and there is no way to see a doctor in the near future, you can take several independent steps. For example, you should put vasoconstrictor drops into your nose.

Why does acute tracheitis occur?

Infection

The development of the disease is most often caused by viral infections - influenza and other viruses that affect the respiratory tract and respiratory system. Bacteria can also be causative agents: pneumo-, strepto-, staphylococci and others. Often there is a so-called mixed infection, when inflammation is caused by several different pathogens at once. In this case, most often the bacterial infection is secondary; it complicates the course of ARVI.

Non-infectious factors

Acute tracheitis in an adult can also be non-infectious in nature, although this is less common.

• Mechanical injuries

  . Traumatic tracheitis is possible when foreign bodies enter the respiratory tract, for example, as a result of insufficiently careful endoscopic examination of the bronchial system and tracheal intubation during surgical anesthesia.

• Thermal effects - inhalation of cold or (less often) very dry hot air

  . In this case, the key point in the development of inflammation is not irritation of the walls of the trachea, but the vascular spasm that occurs in them. This leads to disruption of the functioning of the glands in the walls of the trachea and a decrease in the protective function of its mucous membrane.

• Chemical burns that occur when inhaling fumes from alkaline or acidic products

  . These can be aggressive household chemicals, industrial waste, paint and varnish products, petroleum products, chemical reagents. This type of tracheitis is especially difficult.

• Irritation of the mucous membrane of the respiratory tract by polluted, dusty or excessively dry air

  . Tobacco smoke, including passive smoking, is of particular importance.

• An allergic reaction in response to the entry of individually significant allergens into the respiratory tract

  . In this case, tracheitis is usually combined with laryngitis, obstructive bronchitis (complete obstruction of the bronchial tubes) or even pulmonary edema.

Sometimes tracheitis becomes an occupational disease, that is, its occurrence is associated with harmful factors at work. Therefore, workers in hot shops, farms, chemical and oil refineries, as well as miners and stonemasons are at risk.

Types of otitis

Depending on the direction of the pain, it is customary to distinguish 3 types of otitis: external, middle and internal otitis.

Otitis externa most often appears as a result of mechanical damage to the auricle or external auditory canal. The following symptoms are characteristic of external otitis of the ear: aching, dull pain, swelling of the ear, and a slight increase in temperature.

Otitis of the middle ear is an inflammatory disease of the air cavities of the middle ear: the tympanic cavity, the auditory tube and the mastoid process.

Internal otitis is untreated otitis media of the middle ear. With internal otitis, inflammation of the inner ear occurs and the entire vestibular apparatus is damaged.

What contributes to the development of tracheitis?

Tracheitis does not develop in all people who have an acute respiratory viral infection, have been in contact with irritating substances, or have been frozen. The risk of tracheal damage increases in the presence of predisposing factors. First of all, these are any background diseases of the upper respiratory tract, accompanied by impaired nasal breathing. A runny nose of any nature, sinusitis, severe curvature of the nasal septum lead to the fact that a person begins to breathe through the mouth. As a result, insufficiently warmed and humidified air enters the larynx and trachea, which irritates the mucous membrane and increases the risk of inflammation during infection. Predisposing factors include heart disease, accompanied by chronic heart failure with stagnation in the pulmonary circulation. The resulting swelling of the mucous membrane leads to a decrease in its barrier function. Lack of vitamins and nutrients, decreased immunity, excess toxins in the body - all this also increases the risk of inflammation of the trachea in response to the introduction of a pathogen or hypothermia.

Indications

Nimesil is prescribed to reduce pain and inflammation during the treatment of the following diseases and symptoms:

• acute muscle and musculoskeletal pain;
• toothache;
• pain during the treatment of osteoarthritis;
• dysalgomenorrhea.

In addition, the drug is actively used as an antipyretic for the treatment of acute respiratory viral infections and colds of varying degrees of complexity.

Effect on the body

The drug easily overcomes histohematic barriers and is absorbed from the gastrointestinal tract within 2-3 hours after administration. About half of the drug taken is eliminated by the kidneys. Experimental studies involving patients with clinically confirmed renal failure and healthy volunteers showed that the concentration of nimesulide was within the acceptable range. However, only patients with mild and moderate stages of renal failure were allowed to participate in the study. The next time Nimesil was used, no accumulation of the active substance in the body was detected.

Treatment of acute tracheitis

Acute tracheitis must be treated under the supervision of a specialist. In some cases, additional examination is required to clarify the cause and nature of the disease.

The main objectives are:

• impact on the cause of the disease. This includes stopping an allergic reaction, eliminating an infection, removing a foreign body, avoiding the action of provoking factors;
• relief of coughing, transformation of a dry cough into a wet one;
• reducing the severity of inflammation;
• elimination of background and aggravating conditions of tracheitis: lack of vitamins, exhaustion, weakened immunity;
• reducing the severity of intoxication and (if necessary) lowering body temperature. It is important to remember that fever is a natural mechanism to fight infection. Therefore, you should not abuse antipyretics. They can improve your well-being, but do not affect the course of the disease.

Uncomplicated forms of tracheitis can be treated on an outpatient basis. But severe cases of the disease may require hospitalization. Particular attention is paid to the treatment of weakened and elderly patients, especially if they are unable to move independently for health reasons, because tracheitis in them quite easily turns into tracheobronchitis and even pneumonia. Treatment is carried out comprehensively, using medications and non-drug methods. You should not interrupt therapy after the condition improves; you must follow the time limits for taking medications recommended by your doctor.

Contraindications

Nimesil is contraindicated in the following cases:

• children under 12 years of age;
• pregnancy and lactation;
• alcohol and drug addiction;
• high sensitivity of the body to the drug or components included in the drug;
• hyperergic and hepatotoxic reactions;
• simultaneous use of Nimesil and drugs with potential hepatotoxicity;
• any inflammatory processes of the gastrointestinal tract, perforation, peptic ulcer, bleeding;
• after undergoing coronary artery bypass surgery;
• febrile attacks and high temperature during ARVI;
• bronchial asthma, recurrent polyposis of the nose and sinuses, accompanied by intolerance to NSAIDs;
• the presence of hemorrhages and bleeding, as well as the presence of diseases accompanied by them;
• if you have problems with blood clotting;
• acute heart, liver and kidney failure.

Compatibility with other drugs

The use of Nimesil with other drugs from the glucorticosteroid group, as well as with antiplatelet inhibitors, selective inhibitors can cause bleeding and provoke the formation of ulcerative inflammation in the gastrointestinal tract. It is also possible to increase anticoagulants, which will provoke the same consequences. If treatment without the use of Nimesil and the listed drugs is unavoidable, it is important to carefully monitor the intake.

When taken simultaneously with diuretics, the components of Nimesil can weaken the effect of the latter by reducing the excretion of sodium and potassium from the body. That is why the use of the drug is not recommended for people with heart and kidney problems. The effect of antihypertensive drugs can also be reduced when taken simultaneously with Nimesil.

Blood pressure medications are also combined with Nimesil with extreme caution. This is especially true for elderly patients. It is important to monitor proper kidney function while taking the drug and regularly drink enough fluids.

The drug can reduce the clearance of lithium. As a result, the concentration and toxicity of the element in the blood plasma increases significantly. If the patient is forced to simultaneously take lithium preparations and Nimesil, it is necessary to strictly monitor lithium levels in the blood plasma.

There was no interaction between Nimesil and antacid drugs, as well as digoxin, theophylline, and cimetidine.

During the research, it was possible to establish that Nimesil can be displaced by salicylic and valproic acids from the sites of their binding to each other. However, this relationship does not affect the overall effect of taking these drugs together.

Drug treatment of tracheitis

The drug treatment regimen for acute tracheitis is drawn up taking into account the nature of the disease and the severity of the patient’s symptoms.

Impact on the cause

If the causative agent is a particular virus, antiviral agents are usually used, as well as immunostimulants (for example, preparations based on echinacea). For severe and protracted tracheitis of a bacterial nature, the doctor may introduce antibiotics into the treatment regimen. If the disease proceeds without complications, it is usually possible to cope with it without these remedies. But the decision on the rationality and duration of antibiotic therapy should be made only by a doctor. In some cases, with tracheitis, a bacteriological examination of sputum is carried out before starting treatment with antimicrobial agents. It is sown on nutrient media to determine the type of pathogen and its sensitivity to the main groups of drugs. This will help you choose the most suitable antibiotic.

Treating coughs and clearing the airways

When treating acute tracheitis, great attention should be paid, of course, to cough, the main symptom of the disease. For a dry, debilitating, nonproductive cough, medications that suppress the cough reflex are used. This measure may be necessary in the first days of tracheitis. At the next stage of the disease, the main goal of treatment is to clear the airways of the mucus that forms. To do this, it is necessary to facilitate its passage with the help of mucolytic and expectorant agents. But they cannot be used simultaneously with antitussive drugs. It is also unacceptable to suppress a wet cough. This is fraught with stagnation of sputum and the transition of inflammation to the underlying parts of the respiratory system, up to the development of bronchopneumonia.

Maintenance therapy

Herbal remedies may be helpful to relieve the symptoms of tracheitis. For tracheitis, they can be used in the form of decoctions and infusions. But a more convenient and reliable method of treatment is the use of ready-made herbal products with a carefully selected and balanced composition. For example, in a complex treatment regimen for tracheitis, you can include Doctor MOM® cough syrup, which contains extracts of licorice, elecampane, Vasiki adatodes, Indian nightshade and other medicinal plants - 10 medicinal plants in total. It is suitable for both adults and children over 3 years old. This remedy helps thin mucus and helps remove it from the respiratory tract, and also relieves inflammation. For adults, there are also herbal cough lozenges Doctor MOM® based on extracts of licorice, ginger and Emblica officinalis. They also soften coughs and have anti-inflammatory and expectorant effects. Such lozenges can be used as an aid in the treatment of tracheitis. They help cope with coughing attacks and ease the course of the disease.

Release forms and dosages

The drug is produced in granules, from which a suspension is prepared for oral administration. The granules are placed in sealed bags of 2 g. You can buy Nimesil in packages of 9, 15, 30 sachets. The drug is prescribed only to adults. For elderly people, the dosage is selected individually based on the severity of the disease and the effectiveness of the drug. Take the medicine only after meals.

Composition and active substance

The main active ingredient of Nimesil is Nimesulide. One two-gram sachet of the drug contains one hundred milligrams of the active substance. Nimesulide is supplemented with other components - sucrose, ketomacrogol, anhydrous citric acid, maltodextrin and orange flavor.

General tips on how to help the body cope with illness

For any disease of the respiratory tract, including tracheitis, you should follow some simple rules.

• Drink more warm liquids: fruit drinks and heated mineral water without carbon, decoctions of rose hips, raspberries and linden blossoms. This will not only help relieve intoxication, but will also help thin the sputum.
• Eat high-calorie, vitamin-rich foods. During illness, the body needs nutrients to repair tissue and maintain the functioning of the immune system.
• Stop smoking and ask family members to smoke only outside the home.
• Eliminate irritating factors: smoke, dust, strong odors. During illness, it is advisable not to use household chemicals and temporarily stop using perfumes and eau de toilette.
• Ventilate the room and maintain a sufficient level of humidity. Dry air irritates the mucous membrane of the respiratory tract and provokes coughing attacks.

With timely treatment, tracheitis resolves within 10–14 days, without leaving any consequences and without subsequently limiting the ability to work.

How to take Nimesil

Usually a twice daily dose is prescribed. A single dose is equal to one sachet of Nimesil. The drug dissolves in about one hundred milliliters of warm water. The suspension is drunk all at once after meals. The prepared solution cannot be stored and consumed after some time. Based on the results of monitoring the effectiveness of treatment and the severity of the patient’s condition, the dose may be increased.

Nimesil and pregnancy

Nimesil is not prescribed during pregnancy or lactation; it is contraindicated for a number of reasons. The drug provokes pregnancy complications and significantly inhibits the development of the fetus. Even small doses of Nimesil can lead to miscarriage and abnormal development of the fetus with serious consequences for the future health of the mother.

Nimesil and childhood

The drug is also contraindicated for children under 12 years of age. After 12 years, Nimesil is prescribed in the same dosage as for adults.

Nimesil in the elderly

Nimesil is prescribed to elderly patients with extreme caution. This category of patients is more susceptible than others to side effects from taking medications. In addition, older patients often already have a number of serious diseases, and taking the drug can only worsen the condition. Therefore, Nimesil is prescribed to older people in individual dosages. The treatment takes place under the strict supervision of a doctor.

Nimesil and chronic diseases

In the presence of a number of chronic diseases (heart, liver and kidney diseases), Nimesil is contraindicated. In other cases, in the presence of chronic diseases and the need to take the drug, treatment also takes place under the strict supervision of a doctor and regular laboratory tests of blood parameters and others. Nimesil is regularly prescribed for chronic rheumatic diseases.

Nimesil is one of the most effective medicines today. In addition to a pronounced analgesic effect, the drug is actively used for colds and ARVI as an antipyretic. Plus, clinical studies have found that even with an impressive list of contraindications, Nimesil is easier to tolerate, and the risk of side effects is much lower than other non-steroidal anti-inflammatory drugs.

What is prohibited for otitis media

• Under no circumstances should foreign bodies be introduced into the ear (geranium leaves, ear phyto-candles). This will make diagnosis difficult and may lead to a worsening of the condition (for example, leaves that have not been removed begin to rot and become a source of infection).
• If the pain is severe, do not apply a heating pad to your ear or apply warm compresses. This is dangerous if purulent inflammation has begun in the ear. Compresses can only help at stages 1-2 of the disease.
• You should not put melted oil in your ear: if there is a perforation, the oil will end up in the tympanic cavity.
• You should not put camphor oil or camphor alcohol into your ear - it can burn the walls of the ear canal and irritate the eardrum, which will increase ear pain.

At MedicCity you will be denied professional help for otitis media and other ENT diseases. Our otolaryngologists will conduct a comprehensive examination of the patient and prescribe a treatment regimen, depending on the cause and stage of the disease. However, the success of treatment depends no less on the patient himself: the sooner he consults a doctor, the more effective the result will be and the lower the likelihood of complications. It is also important to follow preventive measures. So, in the cold season, to prevent otitis media, it is important to wear a hat, protect your ears from drafts, and of course, boost your immunity!