Rating: 5 / 5
Dekasan for inhalation with a nebulizer is prescribed for the treatment and prevention of colds and viral diseases. It is used as an independent remedy, as well as as part of complex therapy. It is combined with many medications prescribed for the treatment of dry, wet cough, runny nose, and sore throat. Refers to combination products. Produced by YURIA PHARM LLC, Ukraine.
Pharmacological properties of the drug Dekasan
Decamethoxin ([1,10-Decamethylene-(N,N-dimethylmentoxycarbonylmethyl) ammonium dichloride]) is an antiseptic, bis-quaternary ammonium derivative. Concentrating on the cytoplasmic membrane of the microbial cell, it binds to the phosphatidic groups of membrane lipids and disrupts its permeability. Decamethoxin has a pronounced bactericidal effect on staphylococci, streptococci, diphtheria and Pseudomonas aeruginosa, capsular bacteria and a fungicidal effect on yeast fungi, pathogens of epidermophytosis, trichophytosis, microsporia, erythrasma, some types of mold fungi (Aspergillus, penicillium), antiprotozoal effect on Trichomonas, Giardia, viricidal effect on viruses. Highly active against microorganisms resistant to antibiotics (penicillin, chloramphenicol, tetracyclines, streptomycin, monomycin, kanamycin, neomycin, novobiocin, erythromycin, oleandomycin, etc.). The formation of decamethoxin-resistant forms of microorganisms with long-term use occurs slowly. Bacteriostatic (fungistatic) concentrations of the drug are close to its bactericidal (fungicidal), viricidal, antiprotozoal concentrations. During treatment with Decasan, the sensitivity of antibiotic-resistant microorganisms to antibiotics increases. When used externally in the form of rinses or lotions, the drug is practically not absorbed through intact skin, mucous membranes and wound surfaces.
Features of the action
The medication is a combination drug, although according to the instructions it is classified as an antiseptic drug. Intended for topical use. For diseases of the respiratory system it is prescribed by inhalation.
Properties of the medicine:
- antiseptic;
- antiviral;
- anti-inflammatory;
- antifungal;
- antimicrobial;
- antibacterial.
Indications for use are:
- flu;
- acute respiratory infections;
- ARVI;
- COPD;
- bronchitis;
- pneumonia.
The drug can be used at home after consultation with specialists.
Indications for use of the drug Decasan
Pustular bacterial and fungal skin diseases, microbial eczema, purulent-inflammatory lesions of soft tissues (abscess, carbuncle, phlegmon, boil, infected wounds, felon). The drug is prescribed for diseases of the oral cavity (stomatitis, ulcerative necrotizing gingivitis, dystrophic-inflammatory form of periodontal disease I–II degrees in the acute phase). Decasan is also used for lung abscess, bronchiectasis, cystic hypoplasia of the lungs, complicated by suppuration, chronic bronchitis in the acute phase, chronic tonsillitis, tonsillitis, carriage of staphylococci and diphtheria bacilli, nonspecific ulcerative colitis, paraproctitis. For surgical infectious and inflammatory diseases of the abdominal cavity (peritonitis of various etiologies) and in pulmonology, Decasan is used for washing the abdominal and pleural cavities. In urology, the drug is used for urethritis (for instillations into the urethra), balanaposthitis (for baths), prostatitis (for microenemas), cystitis (for instillations into the bladder), and for irrigation of the bladder in the postoperative period. In gynecological practice, Dekasan is used for the treatment of candidiasis of the vaginal mucosa, inflammatory diseases of the external genitalia of microbial etiology, prenatal sanitation of the birth canal, and treatment of postpartum endometritis. Decasan is used to disinfect the skin of medical staff's hands and rubber gloves when examining patients and performing medical procedures, small-scale surgical interventions, pre-sterilization disinfection of medical instruments and diagnostic equipment made of metal, rubber, polymeric materials and glass.
Note!
The description of the drug Decasan on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.
Use of the drug Decasan
For purulent and fungal skin lesions and infected wounds, the solution is used for rinsing and lotions. To wash the bladder, decamethoxin solution is used after preliminary dilution 1:7 with purified water in an amount of 500–600 ml (7–20 washes per course of treatment). For the treatment of proctitis and ulcerative colitis, a warm solution is administered as an enema, 50–100 ml 2 times a day until the symptoms of exacerbation of the disease are completely eliminated. Fistulas with chronic paraproctitis are washed with Decasan daily for 3–4 days. For lesions of the oral mucosa, it is used in the form of applications of 25–50 ml for 10–15 minutes or rinses (100–150 ml). In the dystrophic-inflammatory form of periodontal disease I–II degrees in the acute phase, irrigation with a warm solution of pathological gum pockets (50–70 ml) or applications to the gums is carried out until the severity of inflammatory phenomena decreases. Patients with candidiasis of the oral mucosa and ulcerative-necrotizing gingivitis are prescribed mouth rinse (100–150 ml) 4 times a day for 5–10 days. Treatment of candidiasis of the palatine tonsils and chronic tonsillitis is carried out by washing the lacunae of the palatine tonsils (50–75 ml per rinse). When carrying staphylococcus or diphtheria bacillus, sanitation is carried out by rinsing the pharynx with solution, washing the lacunae, irrigating the nasopharynx and tonsils. Lacunae are washed 3-5 times every other day. For lung abscess, bronchiectasis, cystic pulmonary hypoplasia complicated by suppuration, chronic bronchitis in the acute phase, Decasan is administered endobronchially:
- through a microtracheostomy - 25–50 ml 1–2 times a day;
- through a transnasal catheter - 5–10 ml once a day;
- by ultrasonic inhalation - 5-10 ml 1-2 times a day;
- using lavage of the tracheobronchial tree - in a volume of 100 ml.
Duration of treatment is 2–4 weeks. For the treatment of microbial, fungal and trichomonas vaginitis, Decasan is used in the form of douching (50–100 ml of the drug heated to 38 °C 3 times a day). In the same way, prenatal sanitation of the birth canal is carried out once. Treatment of postpartum endometritis is carried out by washing the uterine cavity with a warm preparation (150–200 ml) 2 times a day. Disinfection of the skin of hands and rubber gloves is carried out by applying 5–10 ml of the drug to a previously washed surface, evenly distributing it over the entire surface to be disinfected for 5 minutes. Cleaned medical instruments, mouthpieces, tubes and equipment are disinfected by immersion in the solution for 30 minutes.
Analogs
The drug has no direct analogues. The active substance is decamethoxin. Means with similar effects:
- Miramistin;
- Saline solution;
- ACC;
- Dioxidine;
- Furacilin.
Each medicine has indications and contraindications. The issue of replacing one medication with another should be discussed with a specialist.
For children
The nebula medicine gently and carefully eliminates diseases of the respiratory tract, envelops the mucous membrane, and protects against the onslaught of pathogenic microorganisms. This is why Decasan is often prescribed by pediatricians. The active components from the nebulizer solution, unlike other nasal drops for disinfection, will be delivered precisely to the affected layers of the bronchial tree. At the same time, children can do their usual activities and move actively during the procedures.
This method allows you to prevent possible adverse effects of therapy, because The mucous membrane in children up to a certain age is not fully developed. Of course, procedures should be carried out only after consulting a qualified pediatrician and the dosage should be observed.
Important! The solution for inhalation for children must be diluted more strongly than for adults, starting with 1/2 a single dosage.
Reviews
As a rule, patients who have undergone a course of conservative treatment with this pharmaceutical drug leave positive reviews on thematic forums. It is interesting that information about the medicine and reports on the completion of appropriate therapy can be found in various fields of medicine, because Decasan enjoys a good reputation in gynecology, surgery, urology, internal medicine and pediatrics.
Separately, it should be noted reviews related to the elimination of respiratory nosological entities using this pharmaceutical drug. Of course, most grateful patients advocate for the nebulizer form of the medicine, because in this way the course of conservative sanitation becomes much more convenient and takes less time. The period of manipulation itself is also characterized on the positive side; patients can calmly work at the computer or engage in other extraneous activities.
special instructions
Let's look at the special instructions you need to know before using Decasan. The instructions for use describe the following instructions:
- Decasan is an absolutely non-toxic antiseptic. Does not affect concentration or speed of psychomotor reactions. Allowed for use when driving vehicles or complex mechanisms.
- It is recommended to check the medicine for individual intolerance to the active substance, i.e. carry out skin tests before use in bronchial practice, for abdominal irrigation.
- It is worth warming the solution before use to enhance the therapeutic effect.
How to rinse correctly
For a course of treatment to be effective, it is not enough to just calculate the dose. You also need to rinse correctly, following the instructions:
- pour Dekasan into a glass ( it is important to choose a glass that you won’t mind using for a while only for rinsing and that no one else in the family will take - this is necessary to prevent the possibility of infection);
- rinse your mouth thoroughly with it so as to wash away the infection from the tongue and cheeks from the inside;
- take a little medicine into your mouth and tilt your head back;
- open your mouth and, holding your throat so as not to accidentally swallow Dekasan, begin to pronounce some long vowel sound - “a-a-a”, “o-o-o”;
- continue for about thirty seconds - in order to determine the time, you can count to yourself to thirty or sing a verse of your favorite song to yourself;
- lower your head and spit out the medicine.
You need to continue until the Dekasan in the glass runs out.
It is very important not to do everything too quickly, otherwise the drug will not have time to have any beneficial effect.
Composition and release forms
Decamethoxin is the main active ingredient in the composition. Additionally, sodium chloride and water for injection are included. Dekasan is supplied to pharmacies in a clear solution. Capacity:
- bottles (glass, plastic), dosage – 50, 100, 200, 250, 400, 1000 ml;
- nebulas (plastic bottles) 2 ml.
Packaging – polymer bags or containers.
Interaction
The main active ingredient has cationic surfactant properties , which partly determines its therapeutic effect, and therefore is not compatible with pharmaceuticals that exhibit anionic activity (for example, soap).
A non-drug interaction is an increase in the sensitivity of resistant strains of microorganisms to various types of antibiotics , which implies abundant use of the drug in surgical practice.
