Diseases of the oral cavity and nasopharynx are a common occurrence in the practice of therapists, pediatricians and some specialized specialists (otolaryngologists, dentists, infectious disease specialists). Their occurrence may be associated with airborne and sexually transmitted infections, complications of surgical operations, hypothermia and other factors.
Antiseptics, analgesics and anti-inflammatory drugs are used in the treatment of dental and otolaryngological pathologies. Miramistin and Tantum Verde have a complex effect and are often prescribed for treating the oral cavity and irrigating the throat.
Characteristics of Miramistin
The drug Miramistin, containing the active substance of the same name, affects the outer membrane of the cells of bacteria, fungi and other microbes. This leads to complete destruction of the membrane and death of the microorganism. In addition to the bactericidal effect, Miramistin stimulates tissue restoration and healing of microtraumas in the area of application, activates local immune reactions and relieves inflammation.
Miramistin is a drug that stimulates tissue restoration and healing of microtraumas in the area of application.
The antiseptic properties of the drug apply to staphylococcal and streptococcal flora (including pneumococci), Klebsiella, Escherichia coli, pathogenic fungi, pseudomonas, STI pathogens (chlamydia, gonorrhea, trichomoniasis, syphilis) and some viruses (HIV, herpesviruses, measles virus, etc.).
The action of Miramistin is manifested incl. in relation to microbial associations, hospital strains of bacteria insensitive to antibiotics, and fungi resistant to chemotherapeutic drugs.
The antiseptic interacts well with local antimycotics and antibiotics: when Miramistin is used together with drugs from these groups, their effectiveness increases.
Indications for the use of Miramistin are:
- infectious and inflammatory diseases of the respiratory tract (otitis, tonsillitis, laryngitis, acute pharyngitis, tonsillitis, etc.);
- inflammation of the gums and oral cavity (stomatitis, periodontitis, gingivitis, etc.);
- prevention of infectious complications of operations and dental procedures;
- skin treatment for tissue trophic disorders due to diabetes mellitus (diabetic foot);
- purulent inflammation of the musculoskeletal system, skin and mucous membranes;
- prevention of STIs after unprotected sexual intercourse;
- inflammation of the female reproductive system (vaginitis, endometritis), trauma and birth damage to the vagina;
- urethritis, urethroprostatitis;
- preparation of burned tissues for skin transplantation;
- treatment of fistulas, burns, wounds and other damage to the skin;
- oral hygiene, removable and non-removable dental implants.
Depending on the indications, Miramistin is prescribed in the form of a solution or ointment with a concentration of the active ingredient of 0.01% and 0.5%. A solution of the drug is used for irrigation and gargling, treatment of the oral cavity, mucous membranes and skin lesions.
When Miramistin is applied to the skin and mucous membranes, side effects may occur: a slight burning sensation that stops after 20-30 seconds, or more severe allergic reactions. A short-term burning sensation does not require cessation of therapy.
Contraindications to treatment with Miramistin are individual sensitivity to the drug and age under 3 years. There are no data on the safety of the drug during breastfeeding, so it is prescribed to lactating women with caution.
Antiseptic sprays - 5 best drugs
Antiseptics are means to combat pathogenic microorganisms. The drugs prevent the development of the inflammatory process and prevent the infection from descending into the bronchi and lungs.
Effective antiseptics for treating throat:
- Hexoral. It acts quickly, pain and signs of inflammation disappear on the third day of treatment. The spray helps with tonsillitis, pharyngitis, fungal and bacterial infections. Safe for pregnant women and children over 3 years of age. Advantages - adverse reactions occur rarely; it is enough to use the medicine twice a day. Disadvantages: price, unpleasant taste.
- Chlorophyllipt. The best remedy for treating sore throats and sore throats based on eucalyptus oil. It has antibacterial and antiviral effects and thins mucus. Advantages - natural composition, quick therapeutic effect, convenient dispenser, suitable for treating children. Disadvantages: specific taste.
- Miramistin. The drug has a broad spectrum of action, is safe, and acts quickly. The spray fights microbes, accelerates the recovery of damaged mucous membranes, and reduces the risk of complications. Advantages: neutral taste, suitable for treating children. Disadvantages - can be used for no more than 10 days, so as not to provoke the development of dysbiosis of the oral cavity.
- Oralcept. Pain reliever and antiseptic, safe for children over 3 years of age. Advantages – price, convenient dispenser. Disadvantages - the drug relieves pain well, but it copes poorly with swelling and other manifestations of inflammation.
- Lugol. The cheapest antiseptic for treating the throat based on iodine. Prevents the proliferation of microbes, activates regeneration, and after use a protective film is formed on the mucous membrane. Advantages – price, safety. Disadvantages - you need to use the spray 5-6 times a day.
Antiseptic sprays have only a local effect. If the temperature rises to 38 degrees and lasts longer than 3 days, purulent rashes appear on the mucous membranes, the cough intensifies, you should consult a therapist or ENT specialist.
How does Tantum Verde work?
Tantum Verde exhibits antiseptic, anti-inflammatory and mild analgesic properties. The active component of the drug is benzydamine, which is able to penetrate the cell membrane and damage important microbial structures that directly affect the rate of growth and reproduction of pathogens.
Tantum Verde is a drug with antiseptic, anti-inflammatory and moderate analgesic effects.
The analgesic effect is associated with the membrane-stabilizing and anti-inflammatory effects of the drug. It has been established that benzydamine has approximately 50% of the local anesthetic potential of tetracaine, which is used for superficial surgical interventions. The average duration of pain relief when applying the drug is 1.5 hours.
The antimicrobial effect of the drug extends to aerobic and anaerobic pathogens, incl. staphylococci, streptococci and antimycotic-resistant strains of Candida fungi, which often cause infections of the ENT organs and oral cavity.
The use of this antiseptic is indicated for the following pathologies:
- infections of the oral mucosa (gingivitis, periodontitis, glossitis, etc.);
- candidal stomatitis of the oral cavity (in combination with systemic antimycotics);
- infectious and non-infectious inflammatory processes in the ENT organs (tonsillitis, acute and indolent pharyngitis, laryngitis);
- periodontal disease;
- calculous sialadenitis (inflammation of the salivary gland).
Periodontal disease is one of the indications for the use of Tantum Verde.
The drug is also prescribed to prevent bacterial complications from operations in the oral cavity, dental procedures, injuries of the jaw and face.
The medicine is presented in 3 forms of release: a solution for rinsing the mouth and throat, tablets and an aerosol. The concentration of the active substance in the solution is 0.15%, and its dosage in 1 tablet or spray is 3 mg and 0.255 mg.
When using the medicine according to the instructions, local adverse reactions may occur (dryness, numbness of the oral cavity, burning at the site of application).
The appearance of a rash indicates the development of an allergy and the need to change the drug.
For patients with a tendency to allergic reactions and bronchial asthma, drugs with benzydamine are prescribed with caution due to the risk of broncho- and laryngospasm.
Contraindications to drug therapy are:
- allergies to substances present in the aerosol, tablets and solution (including phenylketonuria and fructose intolerance);
- children's age (up to 3 years - for aerosol, up to 6 years - for tablets, up to 12 years - for solution).
Description of Tantum Verde
Tantum Verde does not exactly belong to the group of antiseptics; it is a non-steroidal anti-inflammatory drug that has antiseptic, antibacterial and antifungal properties when used topically.
Indications for use of tantum verde: infections accompanied by throat diseases, inflammatory processes in the oral cavity. The active ingredient in the composition is benzydamine. This is an indazole derivative, which is good at suppressing local intense pain syndrome, since benzydamine blocks the release of prostaglandins, reaching the surface of the mucous membrane. If there is candida yeast fungus in the mouth, then tantum verde is good for dealing with it, since there is strong activity against this particular type of fungus. Available in oral solution, topical spray and lozenges. The average cost in Russia is 235 rubles per package. The drug may cause adverse reactions such as laryngospasm, allergies, burning sensation, and dry mouth.
Comparison of Miramistin and Tantum Verde
Despite a number of similar indications for use, these drugs are not analogues and do not have common components in their composition. For bacterial infections of the pharynx and oral cavity, the combined use of both drugs may be prescribed.
Similarities
In addition to the indications for use, the drugs are similar in the specifics of their effects (the presence of an antiseptic effect), side effects (in both cases, a burning sensation in the mucous membrane is possible after use) and safety for vulnerable groups of patients (both drugs are allowed to be used during pregnancy and childhood).
What is the difference
The difference between the two means is observed in the following aspects:
- mechanism of action;
- release form of the drug;
- range of applications in various fields of medicine.
Which is cheaper?
The price of Miramistin (150 ml bottle of solution) starts from 385 rubles. The cost of Tantum Verde starts from 229 rubles (for aerosol), 278 rubles (for solution) or 234 rubles (for tablets).
Taking into account the recommended duration of treatment and therapeutic dose of drugs, Miramistin is a more expensive drug.
Which is better: Miramistin or Tantum Verde
Both antiseptics have their own advantages, which determine their preferred use for various indications.
Miramistin has a wider spectrum of action and high antimicrobial activity. It is used in various fields of medicine, so it is a universal remedy for a home medicine cabinet. In addition, this drug enhances the effect of more effective antibacterial and antifungal agents. Treatment with Miramistin is recommended for bacterial infections, incl. provoked by STIs, hospital and atypical microflora.
Compared to Tantum Verde, Miramistin has a wider spectrum of action and high antimicrobial activity.
The activity of Tantum Verde as an antiseptic is lower than that of Miramistin, but it has a good anti-inflammatory and analgesic effect. The drug is prescribed for severe pain in the area of inflammation (throat, tongue, larynx, gums, etc.) and viral etiology of infection. All 3 forms of release of the product are convenient for the treatment of diseases of the throat and oral cavity.
The choice of Miramistin or Tantum Verde for treatment, as well as the decision to replace the drug, should be made by the attending physician, who takes into account the results of laboratory and instrumental studies, complaints and medical history of the patient.
For children
Both drugs are safe for patients over 3 years of age.
For children under this age, these antiseptics are prescribed according to strict indications and under the supervision of a doctor.
Comparison of Miramistin with Tantum Verde
It should be noted that the selection of medications in case of a sore throat, taking into account the individual situation, should only be carried out by the attending physician. Regarding the cost, both products cost almost the same, but Tantum Verde is a little more expensive. Miramistin causes side effects much less frequently, but its pharmacological effect regarding the treatment of sore throat and infections in the mouth is lower, since its initial focus is somewhat different. In terms of release forms, tantum verde wins, since there are several times more of them. This drug should not be prescribed to children under 12 years of age, but they can take Mirastin calmly from the age of three, or even earlier, but under the supervision of a specialist. In general, both products are good and cope well with their pharmacological properties as antiseptics.
Patient reviews
Tatyana, 33 years old, Minsk
Miramistin is the best drug for protecting against infections and preventing suppuration of wounds. I treat any damage on the skin of children only with it, because... it is quite effective and does not cause discomfort, like iodine or peroxide.
Miramistin is convenient to use for throat inflammation: it quickly brings relief and does not have any chemical aftertaste.
The medicine is completely worth its cost.
Olga, 21 years old, Tomsk
For another pharyngitis, the therapist prescribed Tantum Verde. After reading the reviews, I was skeptical, but decided to follow the doctor’s recommendation. I was pleased with the drug: it instantly relieved all the unpleasant symptoms, allowed me to eat calmly for the first time in all the days of my illness, and softened my throat.
It is necessary to clarify that this medicine is not exactly the same as other antiseptics: its active ingredient is more of an anti-inflammatory agent, therefore it helps well with pain.
