Sialor is a silver-based remedy for the treatment of runny nose in children under one year of age.

Effective nasal drops Sialor Protargol will help cure a runny nose due to a cold or infection. They are prescribed for acute or chronic rhinitis. Most often, the solution is recommended for children. But to obtain a positive result of therapeutic manipulations, it must be administered according to the instructions, following the doctor’s prescription sheet.

The annotation for the medicine indicates that it is available in tablet form. The package contains a bottle with a dropper or spray and an ampoule of purified water. It is prohibited to use any other solvent.

What is Protargol Sialor: description of the drug

The medication contains Protargol and polyvinyl-N-pyrrolidone. The active ingredient, silver proteinate, dries, disinfects the mucous membrane and covers it with a protective film.

After its distribution throughout the ciliated epithelium, pathogenic microorganisms, even penetrating inside the nasal cavity, cannot damage the cells of the secretory layer for a long time.

The release form of the drug is convenient in that each patient can dilute the tablet independently and immediately use the prepared medication.

The antibacterial properties of the unused diluted product last for about an hour. Then it no longer acts as an antimicrobial component.

Pharmachologic effect:

Sialor is a hygienic product for topical use.

Sialor solution has an astringent effect with a pronounced antiseptic and protective effect. Silver ions, which are part of Sialor, have a bactericidal and bacteriostatic effect on most microorganisms that cause infectious and inflammatory diseases of the nasal cavity and paranasal sinuses, and also have the ability to suppress the proliferation of various bacteria, fungal flora, and prevent the penetration of microbes and bacteria into the skin and mucous membranes , contribute to their destruction.

Protargol stimulates the immune system, which also enhances its antiviral effect. In addition, the solution gently reduces swelling of the mucous membrane and forms an elastic protective film on its surface, which promotes rapid tissue healing.

Sialor nasal drops: indications for use

Prescribing nasal drops is advisable for diseases of the nasopharynx caused by pathogenic microbes. They destroy the infection that has already settled on the mucous membrane, and also prevent their reproduction for a long time after insertion into the nose. That is why the medication is recommended for use in the treatment of prolonged rhinorrhea.

What does an antiseptic treat:

• Adenoids;
• Vasomotor rhinitis;
• Sinusitis;
• Allergic rhinitis;
• Preoperative preparation and postoperative rehabilitation of the nasal cavity;
• For the prevention of colds.

When a solution with chemical element ions is prescribed, patients must strictly adhere to the instructions, since it can cause side effects.
Important to remember

The viral infection is resistant to the action of the active substance, so there is no point in prescribing it for ARVI with non-bacterial rhinitis.

In addition to the bottle with a dropper, the manufacturer provides Sialor spray; from what age and whether children can inject it into the nose, you should ask your treating pediatrician.

But spraying any medicinal liquid with a spray nozzle is recommended for children aged 5-6 years. At this age, the nasal passages are formed, and the pressure from the procedure will not cause discomfort or complications in the child.

Analogues of the drug

The most popular analogues of Sialor (Protargol) drops are:

• Otrivin – the main active ingredient is xylometazoline. The medicine is available in the form of nasal drops 0.05% and spray 0.1%. There is also Otrivin spray 0.1%, which contains essential oils of peppermint and eucalyptus. This spray can be used for children over 6 years old if they are not allergic to plant components;
• Galazolin – the active ingredient is xylometazoline, available in the form of drops of 0.05% and 0.1%;
• Rinostop - the active ingredient xylometazoline, is available in the form of intranasal drops and spray, approved for use in pediatric practice for children over 2 years of age.

The therapeutic effect of the listed drugs is the same as that of Sialor, but the composition of these drugs does not include silver. It is this component that has a detrimental effect on viruses and pathogenic bacteria, dries out the mucous membrane, reduces the amount of pathological discharge and eliminates cough.

Reviews from mothers who used this medicine to treat their babies confirm that the drops are truly highly effective and help to quickly overcome the disease at the initial stage of its development. When using the drug as part of complex therapy in the treatment of adenoiditis, many managed to avoid surgical intervention thanks to Protargol.

The cost of the medicine is about 245 rubles per bottle, which is significantly lower than its analogues, which do not contain silver extract.

Sialor for children instructions for use: how to dilute?

If your doctor has prescribed Sialor Protargol, the instructions for use tell you how to prepare it at home. But before diluting the tablet, you will need to clear the nasopharynx of mucus, exudate and dry crusts.

Modern Protargol Sialor is prepared as follows:

1. Open the blister containing the tablet.
2. Take out an ampoule with purified water and dip the compressed powder into it.
3. Close the container and shake well until the powder is completely dissolved.
4. Pour concentrated 2% water into a bottle with a dropper or spray and begin treatment.

The method of application depends on the age of the patient and the complexity of the disease. It is not recommended to prescribe it for a child two years old or younger.

However, if the drug has already been purchased, then before use it should be checked for possible allergies. How to do this is described below. Therapy should begin at 4 years of age. Despite the fact that parents often buy it for babies, it is better to trust a qualified specialist and not self-medicate.

Attention

The ENT specialist will tell you how many days you can take the medicine. But usually the treatment course lasts 5 days. The procedures are repeated again after 30-60 days, not earlier.

Remember, in cases where the medication does not help in a short time of physiatry and the development of adenoids threatens, the course of therapy is extended to two weeks. But the patient must be under the supervision of an otolaryngologist.

How to store the prepared solution after dilution?

Silver ions are very sensitive to direct sunlight and air, so their properties are quickly lost if the medication is not stored correctly. The shelf life after opening and diluting the tablet is one month, but only if placed in the refrigerator.

There is no point in using it after 30 days of storage, since the medication will become a useless liquid. It needs to be prepared right before instillation. An expired composition will not harm a person or cause intoxication, but becomes powerless to help in the treatment of ENT diseases.

The medication should be stored in the dark bottle that comes with the kit. Transparent bottles are not suitable for this purpose.

Carefully

In patients with increased intraocular pressure, suffering from diseases of the cardiovascular system (arterial hypertension, coronary heart disease, chronic heart failure, tachycardia, arrhythmias), impaired carbohydrate metabolism (diabetes mellitus), impaired thyroid function (hyperthyroidism), pheochromocytoma, chronic renal insufficiency, prostatic hyperplasia (urinary retention), severe atherosclerosis, porphyria, pregnancy, breastfeeding, as well as patients taking tricyclic antidepressants and bromocriptine.

For children under one year old: from how many months can you start dripping?

Some doctors claim that the antiseptic is allowed in the treatment of infants and even newborns. All this is true, but first nasal drops for children need to be tested for sensitivity.

To do this, carry out a simple test. A drop of the dissolved mixture is applied to the elbow joint and checked for skin irritation. If redness occurs or a rash appears, then Sialor cannot be instilled into the nose.

But usually children do not experience hypersensitivity or intolerance reactions. Whether the medication can be instilled in each specific case should, if possible, be determined by an ENT specialist.

1

First way. A one-year-old child is advised to instill one drop of medication with a concentration of 1% three times a day. He should be in a supine position. Residues are sucked out of the spout with an aspirator.

2

Second way. If parents are afraid that the medicine will get into the throat and stomach, then it is possible to lubricate the nasal passages with a cotton swab soaked in it, twisted independently. It is worth remembering that the narrow airways and delicate mucous membrane of the baby can easily be damaged by strong pressure.

Therefore, when the child is 1 year or younger, the tampon is inserted slowly, not deeply, and the spout is carefully lubricated. Before manipulation, clean with saline solution.

Sometimes after the administration of the active substance, children have a stinging sensation in the nose. This is one of the minor adverse reactions.

Composition per 1 ml:

For babies and newborns

You can buy a nasal antiseptic without a prescription, but this does not mean that it is approved for self-medication. Especially if they want to buy it for runny noses in babies.

There is a practice when antiseptic is administered to newborns in the maternity hospital. To do this, take a one percent concentration and drop it into the eyes. But the procedure is carried out under the supervision of a doctor.

An ordinary solution of Protargol from a pharmacy should be prescribed by an ENT specialist. If it is prescribed to a child with a beginning runny nose or prolonged infectious rhinitis, then instill 1 drop once or twice a day. The physiatry course lasts about 5 days.

The exact dosage is selected by the pediatrician. The liquid is instilled into children in a supine position. You need to lay him on his back and gently drip the drops into both nostrils. After manipulation, the residues are removed with an aspirator.

A medicine with bactericidal properties is very effective against green snot caused by staphylococci and streptococci. It is also prescribed for otitis media and eustacheitis.

For older children, an antibacterial component is recommended for the development of adenoids. In many cases, it helps to get rid of inflammation and enlargement of the tonsils without surgery.

Sialor for adenoids in children relieves inflammation, destroys infection, and prevents the development of complications.

If a baby has an allergic reaction to the mixture, then it is canceled and another, safe composition is selected.

When is it prescribed?

According to reviews from parents, pediatricians recommend using Sialor drops for therapeutic and preventive purposes for diseases of the upper respiratory tract. This:

• acute rhinitis (viral, allergic or some other nature);
• chronic nasal diseases;
• enlarged adenoids.

Drops are also used for rinsing the nasal sinuses - hygienic and prophylactic, in preparation for and after surgical operations.

The drug is antiviral and bactericidal , has a healing effect and protects the mucous membrane of the sinuses.

However, a doctor must give the go-ahead to use the drug; the principles of self-medication in relation to young children can have negative consequences.

Sialor for adults

The drug is produced in the form of a spray for injecting the active component into the nasal cavity. The composition is the same as in the children's 2% version.

Sialor spray is prescribed for diseases of the nasopharynx of infectious origin. It helps to cope with nasal congestion, persistent runny nose, and is recommended even for sinusitis and other types of sinusitis.

Important

Adults are often advised to inject this antiseptic drug if they work in enterprises where, due to the nature of their work, they have to inhale harmful particles that irritate the mucous membranes of the nasopharynx.

It is also recommended for nasal congestion without snot, swelling of tissues caused by the development of adenoids (this rarely happens, but adenoiditis should not be considered exclusively a childhood disease).

How to apply the spray?

1. First, preparations are made from the tablet and purified water, shaking the liquid in a spray bottle.
2. Then spray one dose into each nostril.
3. Repeat the procedure three times a day.
4. The therapeutic course is continued from five to seven days.

Many people ask what is the difference between children's Sialor and adults? There aren't that many differences. Both options are prescribed for thick snot, provoked by an inflammatory process and the penetration of a bacterial infection. But a spray for adults is a 2% concentration of the active element, children's drops are 1%.

Interaction with other drugs

When used concomitantly with monoamine oxidase inhibitors (including a period of 14 days after their discontinuation), tricyclic antidepressants or other drugs that increase blood pressure, an increase in blood pressure may occur. The drug slows down the absorption of local anesthetic drugs and prolongs their effect.

Co-administration of other vasoconstrictor drugs increases the risk of side effects.

If you are using the above or other medications (including over-the-counter medications), consult your doctor before using Sialor®rino.

Contraindications and side effects

In rare cases, during therapy, patients develop allergies as a side effect of the active component. It manifests itself in the form of a rash, redness of the skin, and itching.

An exception to the rule may be a high temperature, without any other symptoms. Signs of side effects disappear after discontinuation of the medication, and they are not dangerous.

Remember that overdose is also possible with long-term uncontrolled treatment. Then people experience congestion and swelling of the nasal mucosa. That is why it is important to comply with the physiatry deadlines indicated in the annotation.

If hives appear after using these drops, you will most likely need to see an ENT specialist. He will select another medicine and also determine whether it is necessary to prescribe an antiallergic drug or not.

In order to avoid allergic reactions, you first need to do preliminary tests on the skin in the area of ​​the elbow.

Overdose

If the drug is accidentally ingested or overdose, the following symptoms may appear: anxiety, restlessness, hallucinations, convulsions, decreased body temperature, lethargy, drowsiness, coma, constriction or dilation of the pupils, fever, sweating, pallor, cyanosis, palpitations, bradycardia, arrhythmia, cardiac arrest, increased blood pressure, decreased blood pressure, nausea, vomiting, respiratory depression, respiratory arrest.

Treatment: symptomatic. In case of accidental ingestion, gastric lavage and administration of activated charcoal. Vasopressor drugs are contraindicated.

What is the difference between Protargol and Sialor?

Practically, this is the same active substance, which has an antibacterial effect, relieves swelling and reduces the inflammatory process.

The main difference between them is that Protargol is prepared in the prescription departments of pharmacies, and it is impossible to buy it without a prescription. And Sialor is sold complete with all the components necessary for independent breeding at home.

We have already looked at where and how to drip Sialor to a child. The same instructions for use apply to the prescription composition. As for the shelf life of dilutions, it is also the same - 30 days.

What does the first and second drug help with? They are prescribed for pathologies of the nasopharynx with infectious etiology. Also prescribed for allergic reactions manifested as rhinitis and conjunctivitis.

Another difference is that the analogue is given in a regular bottle without a dropper, so the patient will have to buy an additional pipette. But it will be more difficult to get a bottle with a spray.

Sialor price

The medicine Sialor for children and adults is sold at any pharmacy. Its price depends on the release form. The average cost of the product in Moscow is:

Questions for the doctor

Many people want to know how to combine medicine with other nasal agents with antibacterial or vasoconstrictor effects. What to do if unexpected situations arise with children? Let's try to answer frequently asked questions.

Isofra or Sialor, which is better? Both formulations have antimicrobial properties. They are prescribed for yellow snot, green discharge, mucopurulent exudate. Is it possible to administer Isofra to children without consulting a doctor? Of course not, because it causes serious side effects.

In addition, this antiseptic is difficult for small children to tolerate, since after instilling it in the nose there is a burning sensation and a strong sting. Not everyone will agree to such treatment. If you are looking for an alternative, then Polydex is preferable to Isofra.

Derinat or Sialor, which is more effective? Derinat does not belong to antimicrobial drug mixtures. It is used to enhance local immunity and has a greater antiviral effect. What kind of snot is Derinat prescribed for? From liquid, transparent, non-bacterial origin. It is completely useless for thick green or yellow discharge. Is it a vasoconstrictor or not? In its pure form, colloidal silver does not constrict blood vessels, as decongestants based on xylomethozoline, oxymetazoline, etc. do. It slightly relieves swelling, but does not help with severe congestion. It is necessary to instill other vasoconstrictors first. Can Sialor and Vibrocil be used together? Yes, but not at the same time. How often? It is advisable to drip Vibrocil in combination with a time difference of one and a half hours. It is also recommended to administer the decongestant at night so that the child sleeps well and breathes through his nose and not his mouth. But it does not get rid of the root of the disease, but only temporarily eliminates the symptoms. In addition, Vibrocil is prohibited from dripping for more than 3-5 days, because its active component is addictive and contributes to even greater congestion. To avoid “naphthyzine addiction”, it is important to use it only in the acute stages of the disease. And for mild cases of the disease, rinsing with salt water is advisable. If a child drinks Sialor, what should I do? It is very important to keep the liquid out of the reach of children. They are active in relation to all unidentified objects, especially when teething, they begin to gnaw on what gets into their mouth.

If suddenly the baby drinks a silver composition, then the famous children's doctor Evgeniy Komarovsky in this case recommends washing the stomach so as not to cause serious poisoning. Heavy metal is dangerous in high concentrations; it is deposited in all cells and tissues of the body and provokes argyrosis.

What if it gets in your eye? The bactericide is intended for the treatment of conjunctivitis, so accidental contact with the eyes will not be dangerous for the patient. It can cause a burning sensation, and the brown tint is frightening with its color; many people think that their eyes quickly become inflamed. But that's not true. If a large amount of antiseptic gets into the organ of vision, then rinse with boiled cold water.

Dosage form, composition

The dosage form of Sialor is tablets for the preparation of a medicinal product 2%. Round, flat-cylindrical tablets can be dark brown or black. Their uneven coloring is allowed.

Composition per 1 tablet:

• active ingredient: silver proteinate (protargol) – colloidal silver;
• auxiliary component: povidone K 30 – polyvinylpyrrolidone.

The branded cardboard pack contains one tablet, a solvent in an ampoule, one 10 ml dark glass bottle with a pipette cap and instructions that provide a detailed description of the medication. Manufacturer: Russian pharmaceutical company Echo NPK ZAO, PFC Update.

Sialor Rhino drops (1%) for children are another affordable form of the drug. They contain a ready-made solution intended for instillation into the nose.

Reviews

It was a discovery for me that this solution needs to be prepared independently. But there was no need to be afraid of this, everything is very simple. Everything is written in detail in the instructions and on the box. Remember that before use you need to check the product for side effects. To do this, place 2-3 drops on the skin and wait 10-15 minutes. If there is no burning, itching or redness, then the medicine can be used without fear. Anna Vladimirovna, 43 years old

We resort to this drug only in the case of a protracted, prolonged runny nose in a child that does not go away for a long time, more than a week. I have only positive impressions from treatment with Sialor; it helps already on the third day. Before instilling, be sure to rinse your child’s nose. We drop one drop three times a day. I store the opened bottle in the refrigerator. Sergey, 36 years old

If you store the prepared solution in the refrigerator, then warm it at least in your palms before use. The drug treats a runny nose really well; for children it is better to use drops, and for adults a spray. The downside is the feeling that it dries out the nasal mucosa a little, when you blow your nose there will be brown snot, and even after recovery there is still a lot of product left that has nowhere to put it. Svetlana, 27 years old

Previously, I bought regular Protargol at the pharmacy, which is prepared to order. Its price is 70 rubles. But this time we decided to try the factory analogue - Sialor, the price of which in Moscow is almost 270 rubles. Having tried both this one, I came to the conclusion that both are almost identical in effectiveness.

The only difference is the cost and the fact that you have to run around to look for the first one, while the second one is sold in almost every pharmacy. Both are antibacterial drugs; when instilled, a slight burning and tingling sensation is observed in the nasopharynx. Ekaterina, 32 years old

Sialor was prescribed to us by our pediatrician. After being ill for more than a week, I had to see a doctor. It turns out that this drug is the usual Protargol, which our grandmothers used to treat. I don’t know about you, but the product didn’t help my son at all. Neither congestion nor snot could be eliminated.

There was practically no therapeutic effect observed. I was even afraid that my runny nose might turn into sinusitis. He recovered only after a prescribed course of antibiotics. It is possible that this remedy will come in handy as a preventative or as an auxiliary, in combination with antibiotics or vasoconstrictors. Yulia, 40 years old

Directions for use and dosage

Before starting to use drops or solution, you should carefully prepare your sinuses and clear them of accumulated secretions. The child should be laid on his back, his head slightly turned to one side, and 1-2 drops should be placed in each nasal passage. The drug is used 2 times a day. The duration of therapy is determined by the doctor strictly individually, but usually does not exceed 1 week. A 1% solution can also be used for diseases of the conjunctiva, in particular for the treatment of conjunctivitis of various origins. 1-2 drops of solution should be instilled into the inner corner of the eye 2 times a day. The duration of treatment is no longer than 3 days. A 2% solution is used for diseases of the middle ear, urinary tract infections, and the need to rinse cavities with an antiseptic.