Short description Miramistin complete with spray nozzle The spray is used to irrigate mucous membranes and skin. This form is used to treat wounds, burns and infectious and inflammatory diseases. Compound Solution for topical application 0.01% colorless, transparent, foaming on shaking. 1 lbenzyldimethyl-myristoylamino-propylammonium chloride monohydrate 100 mg Excipients: purified water - up to 1 l .. pharmachologic effect antiseptic Indications Otorhinolaryngology: complex treatment of acute and chronic otitis externa, sinusitis, tonsillitis, pharyngitis, laryngitis. Dentistry: treatment and prevention of infectious and inflammatory diseases of the oral cavity: stomatitis, gingivitis, periodontitis. Hygienic treatment of removable dentures. Surgery, traumatology: prevention of suppuration and treatment of purulent wounds. Treatment of purulent-inflammatory processes of the musculoskeletal system. Obstetrics and gynecology: prevention and treatment of suppuration of postpartum injuries, perineal and vaginal wounds, postpartum infections, inflammatory diseases (vulvovaginitis). Combustiology: treatment of superficial and deep burns of II and IIIA degrees, preparation of burn wounds for dermatoplasty. Dermatology: treatment and prevention of pyoderma and dermatomycosis, mycoses of the feet, candidiasis of the skin and mucous membranes. Venereology: individual prevention of sexually transmitted diseases (syphilis, gonorrhea, chlamydia, trichomoniasis, genital herpes, genital candidiasis). Urology: complex treatment of acute and chronic urethritis and specific urethroprostatitis (chlamydia, trichomoniasis, gonorrhea) and non-specific etiology. Method of administration and dosage The drug is ready for use. Instructions for using the spray pack: 1. Remove the cap from the bottle, also remove the urological applicator from the 50 ml bottle. 2. Remove the supplied spray nozzle from the protective packaging. 3. Attach the spray nozzle to the bottle. 4. Activate the spray nozzle by pressing again. Directions for use of the 50 ml or 100 ml pack with a gynecological attachment: 1. Remove the cap from the bottle. 2. Remove the enclosed gynecological attachment from the protective packaging. 3. Attach the gynecological attachment to the bottle without removing the urological applicator. Directions for use of the 100 ml, 150 ml, 200 ml packaging with a measuring cup: To use the preparation in the form of a rinse, the amount of the preparation required for one rinse should be measured using the supplied measuring cup. Otorhinolaryngology Adults and children For sinusitis: during puncture, the maxillary sinus is washed with a sufficient amount of Miramistin. In acute and chronic otitis externa: up to 5 drops of the drug are instilled into the external auditory canal with a pipette 4 times a day or, instead of instillation, a gauze turunda moistened with the drug is gently injected into the external auditory canal 4 times a day. The course of treatment is 10 days. Tonsillitis, pharyngitis, laryngitis: Children 3-6 years old: by pressing once on the head of the spray nozzle or 3-5 ml per rinse, 3-4 times a day; Children 7-14 years old: by double pressing the head of the spray nozzle or 5-7 ml for one rinse, 3-4 times a day; Children over 14 years old and adults: 3-4 times pressing the head of the spray nozzle or 10-15 ml for one rinse, 3-4 times a day. The duration of therapy is from 4 to 10 days, depending on the timing of the onset of remission. Dentistry Adults and children For stomatitis, gingivitis, periodontitis, it is recommended to rinse the mouth with 10-15 ml of the drug, 3-4 times a day. If it is impossible to rinse, local application of gauze or cotton swabs moistened with a solution of Miramistin is allowed. Surgery, traumatology, combustiology Adults and children In order to treat and prevent secondary infection of wounds, the surface of the wound is irrigated with a solution of the drug Miramistin. Gauze tampons moistened with a solution of Miramistin are fixed on the surface of the wound. If necessary, it is possible to plug the wound and / or sinus tracts during surgical procedures. It is possible to carry out active drainage of wounds and / or cavities. The daily consumption of the drug Miramistin is up to 1 liter of the drug. Obstetrics, gynecology Adults Prevention and treatment of suppuration of postpartum injuries, perineal and vaginal wounds, postpartum infections: the drug Miramistin is used in the form of vaginal irrigation before childbirth (5-7 days), during childbirth (after each vaginal examination). In the postpartum period, Miramistin is administered using tampons moistened with 50 ml of the drug, with further exposure of the tampon for 2 hours for 5 days. When women are delivered by cesarean section immediately before the operation, the vagina is treated, during the operation - the uterine cavity and an incision on it, and in the postoperative period, tampons moistened with Miramistin are inserted into the vagina with an exposure of 2 hours for 7 days. Treatment of inflammatory diseases is carried out by the course of 2 weeks by intravaginal administration of tampons with Miramistin, as well as by the method of drug electrophoresis. Complex treatment of inflammatory diseases in gynecology (vulvovaginitis): in the form of vaginal irrigation or the introduction of a tampon moistened with Miramistin, with an exposure of 2 hours, for 7-14 days (the duration of treatment and the frequency of administration are determined by the doctor's prescription). For the convenience of vaginal irrigation, the use of a gynecological nozzle is recommended. Insert the contents of the bottle into the vagina with the help of a gynecological nozzle and irrigate. Children The method of administration, duration of treatment and frequency of administration are determined according to the doctor's prescription. Dermatology Adults and children Treatment and prevention of pyoderma and dermatomycosis, candidiasis of the skin and mucous membranes, mycoses of the feet: Miramistin is applied to the affected area of ??the skin by rubbing with sterile gauze swabs, abundantly moistened with the drug. Miramistin is applied 3 times a day on the affected skin areas. Venereology Adults Prevention of sexually transmitted diseases: the use of the drug Miramistin is effective within 2 hours after intercourse. Introduce the contents of the vial with the urological applicator into the urethra for 2-3 minutes: Men: 2-3 ml of the drug; Women: inject 1-2 ml of the drug into the urethra and 5-10 ml into the vagina (for convenience, the use of a gynecological nozzle is recommended). Treat the skin of the inner surfaces of the thighs, pubis, genitals. After the procedure, it is recommended not to urinate for 2 hours. Urology Adults In the complex treatment of urethritis and urethroprostatitis, 2-3 ml of Miramistin is injected into the urethra 1-2 times a day, the course is 10 days. Children The method of administration, duration of treatment and frequency of administration are determined according to the doctor's prescription. If after treatment there is no improvement or symptoms worsen, or new symptoms appear, you should consult your doctor. Use the drug only according to the method of administration and in the doses indicated in the instructions. Side effects Local reactions: in some cases - a slight burning sensation, which disappears on its own in 15-20 seconds and does not require discontinuation of the drug. Possibly: allergic reactions. Contraindications Hypersensitivity to the active substance. The use of the drug in the form of a spray for irrigation of the throat and tonsils is not recommended for children under 3 years of age due to the risk of reactive laryngospasm Overdose Cases of drug overdose with local or external use have not been registered. special instructions The use of one vial of the drug by more than one person can spread the infection. According to the available data, the use of the drug during pregnancy and during breastfeeding is possible, because the drug does not have a systemic effect when used in accordance with the instructions, but remains at the discretion of the physician. Interaction with other drugs With simultaneous use with antibiotics, an increase in their antibacterial and antifungal properties was noted. Storage conditions The drug should be stored out of the reach of children at a temperature not exceeding 25 C. Shelf life is 3 years.