Treating a child's sore throat with Lugol's solution - review. Instructions for the use of Lugol spray for treating the throat in adults and children, Lugol analogues, contraindications for use

Lugol spray is considered one of the best drugs for adults and children who have infectious and inflammatory diseases of the oropharyngeal mucosa. This remedy is often prescribed by doctors if the patient has a sore throat or stomatitis. In the local market, Lugol Spray has established itself as an excellent antiseptic medicine.

The molecular iodine included in the composition has a fairly strong and deep local irritating effect, which allows you to get rid of bacteria as quickly as possible. This allows you to remove a large number of problems such as ordinary or purulent inflammation, fungus or even various microorganisms. Symptoms disappear within a few days after starting treatment with this drug, which can improve a person’s quality of life during the period of infection.

The advantage of this tool is that that it does not affect the body strongly enough to produce any undesirable results. However, Lugol Spray will also not help with acute diseases or those that require serious intervention from doctors, so before starting treatment you should consult a specialist for advice.

Many buyers are very pleased with the loyal price of the drug - in pharmacies Lugol Spray costs an average of 100 rubles.

Effect of the drug on the body

The instructions for the product explain in great detail what components it contains and how it interacts with bacteria in the body. As already stated, the main active ingredient in Lugol Spray is molecular iodine. Once in the body, it begins to suck out the components that are similar in purpose and included in the composition, thus protecting the person from the development of the disease. Iodine dissolves and leaves the body through the kidneys.

Some diseases require long-term treatment with this drug because it has a mild effect on the body so as not to lead to negative consequences. So, often people who have staphylococcus are prescribed treatment with Lugol Spray from several weeks to a month - the gradual use of this drug allows you to suppress and neutralize the bacteria. Sometimes this medicine is also used for application to the superficial area of ​​the skin, because iodine can have a positive effect on metabolism and trigger some other reactions that are responsible for the high-quality absorption of certain components by the body.

Use and indications for use of the drug

All medicines such as Eucalyptus Lugol have an effect on bacteria and infectious diseases, and are used for local treatment when inflammation is detected in the oral cavity and pharynx. This remedy helps very well if the patient has a purulent sore throat. Doctors advise refraining from treatment with Lugol Spray during pregnancy, as some of the components included can negatively affect the health of the baby.

Besides, it is worth remembering that a child’s body is several times more sensitive than an adult, so some may experience individual intolerance to this drug. When breastfeeding, the use of this medicine is also not very advisable, however, sometimes doctors prescribe it if the expected results have more advantages and positive aspects than the negative effects on the body.

In the instructions you can see a separate paragraph that warns about the impossibility of using the drug with other agents that include thiosulfate, because this component cannot give a positive effect due to the effect of iodine. You should not use various ammonia solutions and essential oils because of the possibility of neutralizing the product - in such cases, the drug only has a negative effect on the body. Elevated temperature is also considered not a very favorable condition for the full effectiveness of the product, so Lugol Spray is usually prescribed only for not the most severe and developed forms of tonsillitis.

Contraindications

Cons of Lugol Spray

Like any medical product, Lugol Spray has a number of disadvantages, which you should pay attention to before starting treatment. Firstly, due to its specific smell and taste, the drug may cause reluctance in children to undergo treatment. Often contact with an area of ​​inflammation in the throat can cause a gag reflex and unpleasant pain in a child. Because of this, the child may be capricious, cry and refuse to take the drug.

Secondly, it is worth considering that although Lugol Spray does not have clear age restrictions, doctors still advise avoiding use for a child less than five or six years old. Sometimes this drug can cause side effects and the development of other diseases due to the inability of the child’s body to easily perceive the components included in Lugol Spray.

The drug itself has a not very convenient form - a viscous and nasty liquid, which can cause difficulty in lubricating inflamed areas, especially the throat. This often becomes a problem in children under 12 years of age.

Sometimes the effect of the drug can cause an allergic reaction. In extreme cases, this process occurs in the form of swelling, rashes and redness. If such a reaction is detected, you should immediately consult a doctor, as there is a threat to health due to the possibility of developing Quincke's edema.

Another quite significant disadvantage is the interaction of the drug with surrounding objects. Getting the medicine on clothing leads to the formation of a dark stain, which is almost impossible to remove with any chemical means - this is a significant disadvantage if it is necessary to treat children with this drug.

Lugol is an old, time-tested medicine that is most often used as an antiseptic for infectious and inflammatory diseases of the oropharyngeal mucosa in children and adults. That is, for chronic and acute tonsillitis, for sore throats and stomatitis.

The main active ingredient of Lugol's is molecular iodine, which has a local irritant, antiseptic, and bactericidal effect on both gram-negative and gram-positive bacteria and pathogenic fungi. Even the staphylococcal flora, which is more resistant, is also destroyed with long-term treatment. Potassium iodide, which is part of the drug, promotes the dissolution of iodine in water, and glycerol has a softening effect.

The use of this antiseptic is very effective at the onset of the disease in the complex treatment of sore throat. For high fever and severe inflammation, the doctor prescribes oral antibiotics. Otherwise, no one can guarantee that the patient will not get sick with rheumatism, glomerulonephritis or pyelonephritis in the next week.

Until recently, the pharmaceutical industry produced this product only in the form of a solution, but in recent years, Lugol spray can be purchased at the pharmacy. For sore throat, the use of a spray has greatly simplified treatment with this wonderful remedy.

For tonsillitis, the drug is used topically to irrigate the mucous membrane of the pharynx, mouth, and pharynx 2 to 6 times a day, depending on the severity of the disease. Spraying is done with one click on the spray head. Before injection, it is recommended to inhale and hold your breath. After irrigation, it is advisable not to eat or drink for 30 minutes. If the drug accidentally gets into the eyes, they should be rinsed well with a sufficient amount of water and then with sodium thiosulfate solution.

For a sore throat, it is most convenient to use tweezers with a cotton swab attached to it; you can simply wrap the cotton wool around a pencil and lubricate the oral cavity and tonsils. There is another old way to use Lugol - dip a sterile piece of cotton wool in the solution and suck on the cotton wool for several minutes.

Otolaryngologists use this antiseptic for washing supratonsillar spaces and lacunae, for purulent lesions of the tonsils in the amount of 4-5 procedures every 2-3 days.

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Disadvantages of Lugol:

• This drug has a rather specific taste and smell, and often lubricating the throat in children causes a gag reflex. After treatment or irrigation, the throat burns unpleasantly, which causes crying, whims, and reluctance to continue treatment in children.
• Pediatricians also warn about the dangers of using it in young children, since laryngospasm may occur during injection into the oral cavity.
• The solution is quite a thick liquid, so it is not convenient to lubricate the skin, especially for children.
• The spray sprays with a fairly powerful jet, which also does not provide uniform irrigation.
• There is an opinion that Lugol's solution for angina is not effective when there is a strong purulent process, since the thick solution prevents the release of lacunae from pus and does not have an effective effect.
• Many children, and even adults, have recently experienced allergic reactions; iodine and other ingredients included in the drug are no exception. Allergies can manifest themselves in the form of swelling of the respiratory tract, rash, and itching.
• If the drug gets on clothes, and when treating a child this is very difficult to avoid, it practically does not wash off, leaving dark marks, which is a significant drawback.
• Lugol should be used with caution for children with sore throat. When processing and when injecting, you should be very careful not to touch the back wall of the throat, because the reflexes in babies are unpredictable, and this can easily cause the child to vomit.

Side effects of Lugol:

• iodism - salivation, angioedema, urticaria, rhinitis, acne
• skin irritation
• tachycardia
• skin allergic reactions
• nervousness
• increased sweating
• sleep disorders
• diarrhea in people over 40 years of age

Lugol contraindications:

• adenomas
• sensitivity to iodine
• pulmonary tuberculosis
• nephrosis
• acne
• furunculosis
• pregnancy
• hemorrhagic diathesis
• chronic pyoderma
• hives
• with caution in children under 5 years of age, with decompensated liver and kidney diseases, with thyrotoxicosis

Lugol usually does not cause serious side effects, is well tolerated and helps many people cope with sore throat. If unwanted side effects of the drug occur, inform your doctor, who will replace it with another antiseptic.

The instructions for use of Lugol's solution and spray indicate that this product is intended for treating the nasopharynx, oral mucosa and skin damaged as a result of an infectious or inflammatory process. This is one of the most inexpensive and popular antiseptics, time-tested, which does not lose its relevance today.

Lugol spray and solution - description of the drug

Lugol's solution is an antiseptic intended for external treatment of skin lesions or for local use in the mouth, pharynx and hearing organs.

The active ingredient of the drug is molecular iodine, which provides a local irritant effect, works as a strong antiseptic and exhibits a bactericidal effect against pathogenic fungi and staphylococcal microflora. Auxiliary components are glycerol, which has a softening effect, and potassium iodide, which accelerates the dissolution of iodine.

When treating large surfaces, quite a lot of iodine is absorbed into the blood, which then accumulates in the thyroid gland. From the systemic circulation, the active substance can penetrate into breast milk.

Lugol is a transparent solution of red-brown color, which is packaged in dark glass bottles with a dropper or a special aerosol nozzle. The second option is especially convenient to use, since the solution is sprayed by aerosol and makes it possible to quickly treat inflamed mucous membranes. Thus, Lugol solution and Lugol spray are the same drug, differing only in the form of packaging.

In another way, the same remedy can be called Lugol with glycerin. This name only indicates that the antiseptic solution contains the emollient component glycerol. The advantage of an antiseptic is the lack of addiction to it and the ability to use the solution for a long time without negative consequences for health.

A doctor may prescribe Lugol's solution to treat the following conditions:

• for treating the mucous membranes of the oral cavity and pharynx for acute and chronic tonsillitis, laryngitis, pharyngitis, sore throat;
• atrophic rhinitis;
• purulent otitis;
• for treating wounds, infected or fresh thermal burns (1.2 degrees);
• for treating skin during infectious and inflammatory processes (furunculosis, festering cuts);
• for the treatment of trophic and varicose ulcers.

Otolaryngologists often prescribe Lugol for sore throat, since due to its pronounced antiseptic effect, the drug quickly stops the inflammatory process. For purulent sore throat, Lugol's solution is used simultaneously with antibiotics. In addition, Lugol is included in the complex treatment of myalgia, tertiary syphilis, and is taken orally for atherosclerosis as a preventive and therapeutic agent.

The instructions prescribe the use of an antiseptic for irrigation of inflamed mucous membranes of the pharynx, nasopharynx, oral cavity or treatment of affected areas of the skin.

The throat spray must be used with caution to avoid accidentally inhaling the solution during treatment. It is recommended to hold your breath when pressing the sprayer to prevent the solution from entering the bronchi and lungs. Do not treat a large area of ​​mucous membrane at a time.

Using the single-press method, you need to spray the solution, treating the affected area in parts. To do this, the bottle is held in a vertical position, the spray tube is directed to a certain area and the cap is pressed once, then the tube is moved to another affected area and the solution is injected once again, holding your breath each time.

After treatment, you must refrain from eating and drinking for 30-40 minutes so that the medication is absorbed and has the necessary therapeutic effect. If you accidentally swallow the solution, do not panic - it is not dangerous, since iodine from the stomach is quickly absorbed into the bloodstream and then excreted from the body in the urine. When treating atrophic rhinitis, the solution is sprayed into each nasal passage with a single press. For purulent otitis, the spray is injected into the ears, alternately spraying the solution into each auditory opening.

How many times a day can Lugol be used? Procedures must be done 4-6 times a day until complete recovery. Irrigation of the nasopharynx is performed every other day, for 2-3 months. To treat the ears, the drug is used for 2-4 weeks.

How to use Lugol's solution for rinsing? To do this, it is drawn into a syringe and, directing the stream to the inflamed area, the inflamed tonsils are irrigated. The course of treatment consists of 4-5 washes, between which there is a break of 2-3 days.

Lugol's solution is applied to the skin in two ways, taking into account the severity of the inflammatory process. When treating small festering wounds and scratches, the affected surface is first cleaned of pus, after which it is treated with an antiseptic and the wound is left open for 15 minutes so that the solution is completely absorbed. After this, the affected area can be covered with a bandage. The procedure is repeated 2 to 6 times a day.

For severe lesions (extensive burns, wounds, multiple boils), sterile napkins are soaked in Lugol's solution and then applied to the affected area. Then the napkins are periodically moistened with the solution, keeping them moist.

Lugol's solution should not be used in case of individual intolerance and a tendency to allergic reactions, during pregnancy and lactation. Relative contraindications are the following conditions:

• pulmonary tuberculosis;
• nephritis, nephrosis;
• thyroid adenoma;
• acne, chronic pyoderma;
• hemorrhagic diathesis, urticaria;
• pregnancy, lactation;
• children's age (up to 5 years).

When applied to the skin, Lugol's solution may cause irritation. If an antiseptic is used for a long time to treat large surfaces, manifestations of iodism are observed, which are expressed by a runny nose, the appearance of acne, hives, lacrimation, and increased function of the salivary glands. If you are intolerant to iodine, severe allergic reactions are possible, including Quincke's edema.

When taking Lugol's solution orally, symptoms such as increased nervousness, increased heart rate, profuse sweating, insomnia, and stool disorders (diarrhea) are observed. An overdose of the drug when applied topically can result in broncho- or laryngospasm, irritation or burn of the respiratory tract. If the solution is ingested in excess, manifestations of hemolysis and hemoglobinuria develop.

Many patients note that after treating the throat with Lugol's solution, a burning sensation and soreness appears that lasts up to 3 hours. The fact is that the antiseptic has a local irritant effect and greatly dries out the mucous membranes.

To alleviate discomfort, 30 minutes after treatment, you can lubricate your throat with sea buckthorn oil, rinse with herbal decoctions (chamomile, calendula), or buy and dissolve special throat lozenges with a soothing effect (for example, Isla-Moos).

Lugol's solution is an effective and safe drug that has been used for a long time to treat ENT diseases in children of any age. Pediatricians prescribe this antiseptic even to infants. Lugol is used for viral and bacterial infections to treat an inflamed throat, tonsils and pharynx.

For older children, it is more convenient to use the solution in the form of a spray, since the child can already be explained that he needs to hold his breath while injecting the medicine. In young children, for safety reasons, the drug is used only in the form of a solution, since there is a high risk of complications (including broncho- and laryngospasm) if the infant inhales air at the time the solution is sprayed.

Many parents are interested in what age can Lugol be used for children? The instructions for the drug indicate that the antiseptic can be prescribed only from 5 years of age. This is explained by the fact that children, trying to overcome the unpleasant taste of the solution, often swallow saliva, which can lead to excessive absorption of iodine and irritation of the digestive tract.

In practice, pediatricians prescribe Lugol to children from 12 months. Parents just need to approach the treatment procedure with extreme caution and try to explain to the baby that they need to be patient a little and the unpleasant taste in the mouth will soon disappear.

Good to know

The drug is not prescribed to children under one year of age, since iodine, penetrating into the systemic bloodstream, has a negative effect on the thyroid gland and can inhibit the mental and physical development of the child.

Can Lugol be used during pregnancy and breastfeeding? During these periods, the antiseptic is prohibited for use, since the active substance of the drug, penetrating into the bloodstream and accumulating in the thyroid gland, can negatively affect its functions and provoke miscarriage or intrauterine fetal death.

Lugol's solution is also not prescribed during breastfeeding, since iodine can penetrate into mother's milk.

When using Lugol's solution, it should be taken into account that direct sunlight and high temperature accelerate the breakdown of iodine. The active substance oxidizes metals, so it is necessary to avoid getting the solution on metal surfaces and objects.

The antiseptic activity of the drug weakens in the presence of pus, blood, acidic or alkaline environment, therefore wound surfaces are treated with Lugol only after preliminary cleansing. The antiseptic cannot be used simultaneously with ammonia solutions and essential oils.

Lugol has many analogues that have identical disinfectant and antiseptic effects. Among them:

• Agisept;
• Askosept;
• Inhalipt;
• Alcohol solution of iodine;
• Iodinol;
• Iodopyrone;
• Septolele;
• Strepsils;
• Tonzingol;
• Fucaseptol;
• Fukortsin.

Lugol's solution is produced by different pharmaceutical companies, so the price of the drug may vary and depend on the volume of the bottle and the form of release. Lugol's spray usually costs more than the solution, but in general the cost of this antiseptic is quite affordable and on average is:

1. Lugol solution (25ml) - from 25 rubles;
2. Lugol's solution (30ml) - from 45 rubles;
3. Spray Lugol - from 100 rubles.

Reviews about the use of Lugol's solution are mostly positive. Patients note the high effectiveness of the antiseptic; they say that its use helps to quickly relieve pain and inflammation in the throat and speed up recovery from respiratory and viral diseases (acute respiratory infections, acute respiratory viral infections, influenza).

One of the advantages of the drug is its wide range of application possibilities. The solution can be used for rhinitis (runny nose), otitis (ear inflammation), and used for antiseptic treatment of skin and wound surfaces. Negative reviews complain of irritation and dryness of the mucous membrane after treatment and the unpleasant taste of the drug, which limits its use in children.

Review #1

If I have a sore throat, I use Lugol spray. I have known the drug since childhood, only in the past, a solution was used to treat the throat, but now this antiseptic is produced in the form of an aerosol, which is very convenient. As soon as I feel that my throat is irritated, hurts, or has difficulty swallowing, I spray the solution in the evening, before bed.

The next day everything is fine, there are no unpleasant sensations. The treatment needs to be done every other day; a few applications are usually enough for me to forget about my sore throat. It’s just that the solution has a specific, unpleasant taste, but I’ve already gotten used to it. Another plus is the inexpensive price, the spray costs about 100 rubles, Lugol’s solution is even cheaper.

Olga, Moscow

Lugol's solution was used to treat a festering cut that he received during a hiking trip. It so happened that the only antiseptic in the medicine cabinet was found, but it turned out to be very effective.

Every day I applied it to the wound with a cotton swab, waited until the solution was absorbed, then bandaged my hand. After the second treatment, the purulent discharge disappeared, the inflammation decreased, the wound dried out and began to heal quickly.

Peter, St. Petersburg

Review #3

The pediatrician prescribed Lugol spray to her daughter for laryngitis at the age of 3, although the instructions indicate that this remedy can only be used from the age of 5. I was very afraid to spray the drug, as it is difficult to explain to a small child that he needs to hold his breath and then endure the unpleasant taste in his mouth.

As a result, after the first use, the daughter vomited, then she could not calm down for a long time, she said that her throat was itchy, apparently irritation appeared. I don’t understand why such old remedies need to be prescribed, because there are quite safe syrups and drops for children with a pleasant taste.

Sofia, Samara

Lugol spray is a budget medicine for the treatment of inflammation of the throat mucosa. Judging by consumer reviews, the product has both positive aspects and is not without some disadvantages.

Let's take a closer look at the instructions for using Lugol spray, and also compare it with other similar products.

The spray, presented in Russian pharmacies, is produced by two pharmaceutical manufacturers: Russian (Lekar) and Lithuanian (Valentis). Domestic medicine can be purchased in bottles of various capacities - from 25 to 60 g. Lithuanian Lugol is available in a volume of 50 ml.

The composition and appearance of the drugs are similar to each other.

Composition of Lugol spray:

• Iodine (1%);
• potassium iodide;
• glycerol;
• water.

It is a liquid of a viscous consistency (due to glycerol) of a brown color with a characteristic iodine odor.

The Lugol bottle is equipped with a spray tube. When pressed, a certain dose of the drug is released. The product is sprayed in a stream using mechanical spraying. When sprayed, a fine mixture is not formed, like most sprays.

1. Before you start using the bottle, remove the cap and put on the spray nozzle.
2. In the future, it is not recommended to remove the nozzle, even if the drug is not intended to be used for a long time. Otherwise, the product remaining inside the nebulization system will dry out and the medicine will become unusable.
3. You should unpack the bottle and prepare it for use carefully: iodine leaves stains on clothes and hands.
4. When spraying the drug, always hold your breath: the product should not enter the lower respiratory tract.
5. Lugol is sprayed up to 6 times a day.
6. For proper spraying, point the spray tube at the affected area of ​​the mucous membrane and press the spray nozzle once.
7. If necessary, spraying is repeated as many times as required.
8. You should not drink or eat food for 30-60 minutes after injecting the product.

It should be borne in mind that after spraying the drug, a person swallows reflexively, as a result of which the drug spreads throughout the mucous membrane of the throat more evenly. Therefore, there is no need to spray Lugol many times at one time.

Lugol is used for children according to the same rules as for adults. Since the spray nozzle releases the liquid pointwise to the required areas, the injection of the drug must be carried out by an adult.

Follow the following instructions for using Lugol spray for children:

1. Before spraying, inspect the child’s throat and decide where exactly the drug should be applied.
2. Ask your child to hold his breath.
3. Point the spray tip at the desired area and press once.
4. If necessary, repeat spraying, changing the direction of the tip.
5. Make sure that the child does not drink or eat anything after taking the drug for at least 30 minutes.

This medicine does not have a very pleasant taste and sometimes causes a burning sensation. Mom should keep this in mind and be prepared for the possible whims of the child.

Instructions for use of Lugol throat spray do not impose age restrictions on the use of the drug.

It is known that iodine is an essential element for the body. As part of the thyroid hormone, it affects numerous metabolic processes and is required for proper development and to ensure thermoregulation.

Data on children's daily iodine needs:

• Up to 1 year – 0.05 mg;
• up to 2 years – 0.1 mg;
• over 2 years – 0.15 mg.

1 dose of Lugol contains approximately 1 mg of iodine. Despite the fact that the absorption of the drug from the mucous membrane is insignificant, some of it often enters the digestive system with saliva, where it is well absorbed and then stored in the thyroid gland. For this reason, many parents are distrustful of this drug.

One way or another, in accordance with the instructions for using Lugol's spray, the only limitation for its use is the child's inability to hold his breath.

Thus, this remedy is not suitable for treating small children.

The drug poses a danger to the fetus during the entire period of pregnancy.

Instructions for use of the spray Lugol does not recommend using the product for pregnant women for more than 4 days in a row.

When absorbed in the digestive system, iodine penetrates well into the blood and then into breast milk. It is highly likely to affect the thyroid gland of an infant. Instructions for use of the spray Lugol recommends using the product during lactation only after consulting a doctor.

Everyone is well aware of the antiseptic properties of iodine. It has a toxic effect on most bacteria, as well as fungi and viruses. By binding to proteins, iodine causes them to coagulate, making the microorganism unviable.

The instructions for use of Lugol spray note that the product is moderately effective against staphylococci (80% with long-term use) and ineffective against Pseudomonas aeruginosa. But since staphylococcus and Pseudomonas aeruginosa rarely cause inflammation of the throat, Lugol is indicated for:

• Pharyngitis;
• sore throat;
• stomatitis and other inflammatory diseases of the oral cavity;
• surgical operations on the pharynx and mouth and in the postoperative period.

In addition to the antiseptic effect of iodine, the drug has the ability to relieve swelling of tissues by preventing water retention in them. This property is due to the presence of glycerol in the composition, which, in addition to what is noted, having a viscous consistency, is capable of enveloping the surface and forming a protective film.

Due to the locally irritating effect of iodine, the drug has a mild analgesic effect and is indicated for relieving sore throat.

The drug can be used for angina as an adjuvant.

Sore throat in most cases is caused by streptococci, which are sensitive to iodine. However, the product that gets on the tonsils acts locally, without penetrating into the tonsils themselves. Thus, Lugol, like other antiseptics, fights bacteria located on the mucous membrane. For this reason, the aseptic effect of the drug must be complemented by the use of antibiotics that penetrate the tissue and fight inflammation more thoroughly.

The instructions for using Lugol's spray draw attention to the fact that the aseptic activity of iodine decreases in the presence of pus and blood. It is no coincidence that when iodine is used externally to treat wounds, the product is applied, avoiding getting into the wound itself.

Thus, with severe purulent plaque on the tonsils, this spray is less effective than other antiseptics.

Lugol spray Vialine

Lugol Vialine spray is produced by the Ukrainian manufacturer Flory Spray. The drug is not related to the drug discussed in this article.

Composition of Lugol Vialine spray according to instructions for use:

• Triclosan;
• glycerol;
• sea ​​salt;
• seaweed extract;
• potassium iodide;
• sweetener;
• water.

As you can see, Vialine spray does not contain iodine. The antiseptic effect is provided by triclosan, an antibiotic widely used in the production of antibacterial soap, some types of toothpastes, and deodorants.

The solution is produced by Russian (EKOlab, Yuzhfarm) and Latvian (Rigas pharmaceutical factory) companies. The composition of the solution is similar to a spray (1% iodine + excipients). It is used to lubricate the mucous membrane when this method of applying the drug is more appropriate: for example, in dental practice. In addition, bottles with Lugol's solution are equipped with:

• Spray;
• sprayer with tip;
• dispenser;
• dropper cap.

This allows you to use the solution in the way necessary in each specific case.

Iodinol is a Russian-made drug, produced in the form of a solution for lubrication and rinsing, as well as a spray.

• alcohol;
• potassium iodide;
• water.

The presence of alcohol in the medicine slows down and prolongs the antiseptic effect of iodine.

The antimicrobial activity of Iodinol is the same as that of Lugol. However, unlike the second, Iodinol does not form a glycerol film on the mucous membrane, which reduces its anti-inflammatory and analgesic effect.

In accordance with the instructions for use for angina, the tonsils are washed with Iodinol, using 50 ml of solution per wash.

In terms of price, Iodinol is several times cheaper than Lugol.

The drug Yox-Teva is produced by an Israeli pharmaceutical company in the form of a spray and solution for topical use.

Iodine in Yox is contained in a complex with polyvinylpyrrolidone (povidone-iodine). Upon contact with the mucous membrane, iodine is released. By damaging the shell of microorganisms, it leads to the coagulation of their proteins and death. That is, it acts in the same way as Lugol.

Iodine from a complex with polyvinylpyrrolidone is released more slowly than from alcohol complexes (eg, Iodinol). Interaction with biological material occurs over a longer period of time.

Additionally it includes:

• Allantoin (anti-inflammatory substance);
• levomenthol (gives mild pain relief);
• medical alcohol (additional antiseptic effect);
• flavoring additives;
• water.

As you can see, Yox is characterized by a richer composition and a wider spectrum of action. The antiseptic activity of iodine is supported by the alcohol included in the preparation. The additional analgesic component makes Yox preferable to Lugol. However, the cost of Yox is 2 times higher than Lugol's.

When deciding whether to use Yox or Lugol, you need to take into account that the first drug has more contraindications, including that it is not used for children under 8 years of age.

In this article you can read the instructions for use of the drug Lugol. Reviews of site visitors - consumers of this medicine, as well as the opinions of specialist doctors on the use of Lugol's solution in their practice are presented. We kindly ask you to actively add your reviews about the drug: whether the medicine helped or did not help get rid of the disease, what complications and side effects were observed, perhaps not stated by the manufacturer in the annotation. Lugol's analogues in the presence of existing structural analogues. Use for the treatment of sore throat and tonsillitis in adults, children, as well as during pregnancy and lactation. Composition and method of use (how to properly smear the solution on the throat).

Lugol- the main active ingredient is molecular iodine, which has an antiseptic and local irritant effect. It has a bactericidal effect against gram-negative and gram-positive flora, and also acts on pathogenic fungi (including yeast); Staphylococcus spp. more resistant to iodine, however, with long-term use of the drug, suppression of staphylococcal flora is observed in 80% of cases; Pseudomonas aeruginosa is resistant to the drug. When applied to large surfaces of the skin and mucous membranes, iodine has a resorptive effect: it participates in the synthesis of T3 and T4.

Potassium iodide, which is part of the composition, improves the dissolution of iodine in water, and glycerol has a softening effect.

Pharmacokinetics

When the drug is used in recommended doses, iodine resorption through the skin and mucous membranes of the oral cavity is insignificant. Upon contact with mucous membranes, 30% is converted to iodides. If accidentally swallowed, iodine is rapidly absorbed. The adsorbed part penetrates well into tissues and organs and accumulates in the tissues of the thyroid gland. It is excreted by the kidneys (mainly), to a lesser extent with feces and sweat. Penetrates into the milk of lactating women.

Indications

• infectious and inflammatory diseases of the mucous membrane of the oral cavity and pharynx in adults and children (angina, acute and chronic tonsillitis);
• atrophic rhinitis;
• purulent otitis;
• trophic and varicose ulcers;
• wounds;
• infected burns;
• fresh thermal and chemical burns of 1-2 degrees;
• prevention and treatment of atherosclerosis;
• tertiary syphilis.

Release forms

Solution or spray for topical use 1%.

Instructions for use and method of use

The drug is applied topically 4-6 times a day to irrigate the mucous membrane of the mouth, pharynx, pharynx, spraying the spray with one press of the spray head. It is recommended to hold your breath at the moment of injection. Do not allow the drug to get into your eyes. If this occurs, the eyes should be rinsed with plenty of water or sodium thiosulfate solution.

Topically used for washing lacunae and supratonsillar spaces - 4-5 procedures at intervals of 2-3 days, for irrigation of the nasopharynx - 2-3 times a week for 2-3 months, for instillation into the ear and rinsing - for 2-4 weeks; in surgical practice and for burns, gauze napkins applied to the affected surface are moistened as needed.

If you use the solution, you can use tweezers with a cotton swab attached, which can be used to lubricate the oral cavity and pharynx.

Side effect

• skin irritation;
• iodism (rhinitis, urticaria, Quincke's edema, salivation, lacrimation, acne);
• skin allergic reactions;
• tachycardia;
• nervousness;
• sleep disorders;
• increased sweating;
• diarrhea (in patients over 40 years of age).

Contraindications

• hypersensitivity to iodine;
• pulmonary tuberculosis;
• jades;
• nephrosis;
• adenomas (including thyroid gland);
• furunculosis;
• acne;
• chronic pyoderma;
• hemorrhagic diathesis;
• hives;
• pregnancy;
• children under 5 years of age.

Use during pregnancy and breastfeeding

The use of the drug during pregnancy is not recommended. Use during breastfeeding is possible if the expected benefit to the mother outweighs the potential risk to the child. You should consult your doctor.

special instructions

Sunlight and temperatures above 40°C accelerate the breakdown of active iodine.

Drug interactions

Iodine is inactivated by sodium thiosulfate. The iodine contained in the drug oxidizes metals, which can lead to damage to metal objects. Pharmaceutically incompatible with essential oils and ammonia solutions. An alkaline or acidic environment, the presence of fat, pus, and blood weaken the antiseptic activity.

Analogues of the drug Lugol

Structural analogues of the active substance:

• Lugol's solution with glycerin.

Analogues in terms of antiseptic and disinfectant effect:

• Agisept;
• Anti-Angin Formula;
• Aseptolin plus;
• Askosept;
• Astrasept;
• Acerbine;
• Bemilon;
• Gorpils;
• Dentamet;
• Drill;
• Inhalipt;
• Iodine alcohol solution;
• Iodinol;
• Iodonate;
• Iodopyrone;
• Koldakt Lorpils;
• Laripront;
• Lidochlor;
• Lysobacter;
• Balsamic liniment (according to Vishnevsky);
• Metrohex;
• Neo-angina;
• Rinza Lorsept;
• Sebidin;
• Septogal;
• Septolete;
• Strepsils;
• Terasil;
• Tonsilgon N;
• Travisil;
• Lessons;
• Faringopils;
• Fucaseptol;
• Fukortsin.

If there are no analogues of the drug for the active substance, you can follow the links below to the diseases for which the corresponding drug helps, and look at the available analogues for the therapeutic effect.

A baby's sore throat is always a cause for concern for parents. Every mother wants the medicines that will have to be used to treat the disease to be not only effective, but also time-tested. For example, Lugol, known to everyone since childhood, will soon celebrate his bicentennial. According to reviews, it copes well with infection, rarely causes side effects and is well tolerated by young patients. Whether the old proven remedy really helps with sore throat and other acute respiratory infections, and whether it is safe for children, we will consider in our review.

Lugol is an antiseptic for topical use.

Composition and properties of Lugol

The active ingredient in Lugol's composition is molecular iodine, which has:

• antiseptic;
• local irritant;
• antimicrobial;
• antifungal effect.

Due to its versatility, the product is active against gram-positive and gram-negative bacteria (including streptococci - the main causative agents of sore throat), as well as pathogenic fungi.

Like alcoholic iodine applied to a wound, Lugol acts locally, destroying bacteria and fungi on the surface of the mucous membranes of the tonsils. Its absorption into the blood and systemic effect on the body as a whole, when used correctly, is minimal.

Release forms and manufacturers

Lugol is a liquid dosage form based on iodine. The drug is produced by several domestic companies (Moscow, Tula, Tver pharmaceutical factories). There are two types of medicine: a solution for topical use and a spray.

A solution with glycerin allows you to cope with a sore throat in a few days.

In addition to iodine itself (at a dosage of 1%), the solution contains:

• potassium iodide- iodine salt, which improves the solubility of the molecules of the active substance;
• glycerol- fatty alcohol, which softens inflamed mucous membranes, prevents fluid retention and tissue swelling, and forms a protective film.

The drug is a thick, transparent, dark brown liquid with a characteristic odor of iodine. A dark glass bottle containing 25 grams of solution is supplied with instructions for use and packed in a cardboard box. Its average price is 50 rubles.

The composition of the spray is identical to the composition of the solution(except for lower concentration of glycerol). The main feature of this dosage form is the presence of a nebulizer, which allows you to evenly treat a sore throat. A spray in a 50 ml glass bottle costs 100-120 rubles in pharmacies.

To treat infections in children, it is better to buy Lugol in the form of a spray, because spraying the medicine is much more convenient than trying to treat the throat with a swab dipped in the solution.

However, according to the instructions, the spray cannot be used for children under 5 years of age. They do not yet know how to hold their breath, and inhaling the smallest particles of the medicine is strictly prohibited: its components can cause spasm of the larynx or even respiratory arrest. From the age of five, of course, it is more convenient to use a spray (only after consulting a doctor).

Doctors do not recommend using the spray to treat children under 5 years of age.

For some time, a special children's form of the product was produced and popular, but it is currently discontinued.

Indications

Instructions for use () suggest several areas of use of Lugol for children:

• Local application(treatment of skin and mucous membranes):

After 6 years you can already gargle.

• External use: like an alcohol solution of iodine, Lugol is an excellent antiseptic that is successfully used for infectious and inflammatory skin diseases, wounds, and abrasions.

Note! Lugol's solution is not prescribed orally for children. There are experimental methods for treating syphilis, atherosclerosis and thyroid diseases, in which you need to drink a certain amount of medicine several times a day, but such methods are not used in childhood.

How to use Lugol for sore throat

The most common reason for prescribing Lugol's solution or spray to a child remains sore throat - acute inflammation of the tonsils, which is manifested by severe pain when swallowing, high body temperature and other symptoms of intoxication. The drug quickly copes with bacteria actively multiplying in the oropharynx, and the inflammation goes away in a matter of days.

The course of treatment and dosage will be prescribed by the doctor depending on the patient’s age, type and severity of the disease.

Lubricate with solution

When treating a child’s neck with a solution, use a simple algorithm:

1. Prepare everything you need: a bottle of medicine, sterile cotton wool or bandage, a pencil.
2. Make a tampon by wrapping cotton wool around the tip of a pencil (instead, you can use any long stick of small diameter or even your own finger).
3. Dip the resulting tampon into the medicine and squeeze lightly.
4. Calm your baby if he is fussy and ask him to open his mouth.
5. Quickly insert the swab into the oral cavity and, with confident movements, treat the inflamed tonsils and arches of the pharynx with the solution. Ask your child to remain still and breathe deeply throughout the procedure.
6. If you see abundant white or grayish purulent plaque on your tonsils, try to remove it. You may have to change the tampon to a new one several times.
7. If the child has a hard time with the procedure due to the specific taste and smell of the medicine, as well as the gag reflex that occurs, stop and let him take a few deep breaths.
8. After treating the tonsils and pharynx, it is advisable that the baby does not eat or drink anything for 30-40 minutes. This way the medicine will work better.
9. Repeat the procedure 2-3 times a day. The course of treatment is determined by the doctor individually, but should not exceed 10 days.

Give the drug to infants only under the supervision of the attending physician.

The instructions for use do not provide for the use of Lugol's solution for the treatment of children under 5 years of age. In practice, pediatricians often prescribe medicine to preschool children and even babies under one year old. But you still shouldn’t use it without a specialist’s recommendation.

Spray with spray

The spray is much easier to use:

1. Shake the medicine bottle.
2. Insert the tip of the sprayer shallowly into the child’s mouth, ask the child to take a deep breath and hold his breath for a few seconds.
3. Press the spray head 1-2 times, evenly irrigating the oropharynx and tonsils with the medicine.
4. After the procedure, also do not let the child eat or drink for half an hour.
5. Irrigation of the tonsils is carried out 3-4 times a day, the course of treatment is 5-7 days.

To prevent viral and bacterial throat infections, a solution or spray is not used.

Contraindications and unwanted effects

Despite its apparent harmlessness, Lugol's solution can cause serious side effects. These include:

• reaction from the digestive system: nausea, vomiting;
• phenomena of iodism (iodine poisoning) - metallic taste in the mouth, salivation, swelling and inflammation of the nasal mucosa, skin rash;
• tachycardia (increased heart rate);
• sweating;
• nightmares, insomnia;
• allergic reactions (skin itching, rashes, Quincke's edema).

Dr. Komarovsky prefers not to prescribe Lugol's solution to young patients. He believes that the effectiveness of the drug has not been proven in any clinical trials, and side effects are quite real and occur quite often.

The iodine-based drug is contraindicated for:

• individual intolerance;
• hypersensitivity to iodine;
• tuberculosis;
• chronic kidney diseases, nephrosis;
• furunculosis;
• hemorrhagic diathesis;
• diseases of the thyroid gland, accompanied by an increase in its function (hyperthyroidism).

Don't risk your baby's health! Do not treat it yourself!

Drug interactions

Sodium thiosulfate completely “turns off” all the medicinal effects of iodine, so this remedy is used in case of an overdose of Lugol’s solution or if it gets into the eyes.

The simultaneous use of the drug and essential oils is prohibited(including as part of aerosols and throat lozenges - carefully look at their composition).

Analogs

When treating angina, Lugol's can be replaced with other effective remedies. Despite their different composition, all local antiseptics have a similar effect: they cleanse the tonsils and oropharynx of bacteria, relieve swelling and inflammation, and reduce pain. Popular analogues are presented in the table below.

Name	Active substance	Release form	Features of use in children	average price
Yox	Povidone-iodine Allantoin	Topical aerosol and gargle solution	Allowed for children over 6 years old	250 rub.
Iodinol	Iodine	Solution for topical use	Allowed for children over 6 years old	70 rub.
Chlorophyllipt	Eucalyptus leaf extract	Solution for external use	If prescribed by a doctor, it can be used to treat babies older than 1 month.	300 rub.
Miramistin	Antiseptic of chemical origin	External solution and spray	Allowed for children over 3 years old	220 rub.
Hexoral	Hexethidine	Topical solution and aerosol	Allowed for children over 3 years old	290 rub.

Lugol's analogue is Hexoral.

The drug has been familiar to many since childhood; during this time it has not changed its composition and the instructions for use of the Lugol spray, like the solution, have remained the same. You should read it carefully so as not to harm yourself or your child, but to cure it. Before using honey. It is also advisable to consult a doctor for the drug, due to the presence of contraindications.

Release form, composition

Lugol is available in two forms - spray and solution. The box contains Lugol's drug instructions for use, a nebulizer with a tip and/or a bottle of medication.

Active ingredient: molecular iodine, thanks to which the drug has:

• antiseptic,
• antifungal,
• local irritant effect.

Indications for use

Lugol's solution is more effective than a spray

The drug has a number of indications for its use. It is prescribed when the following symptoms occur:

1. infectious or inflammatory skin lesions;
2. wounds and injuries of various types;
3. tonsillitis;
4. rhinitis;
5. ulcers of various types;
6. 1st and 2nd degree burns, as well as when they become infected.

Lugol can be prescribed to adults for the prevention and treatment of atherosclerosis and certain forms of syphilis.

Contraindications

Lugol's drug should not be used if the patient:

• increased sensitivity to the components of the product;
• for tuberculosis it cannot be used internally;
• for nephritis, nephrosis, adenoma, do not use orally;
• for acne, urticaria, pyoderma, furunculosis;
• children under 5 years of age are not allowed to take it orally;
• with thyroid diseases;
• for kidney and liver diseases.

Features of using the spray

The drug is often used among adults and children. Spray product more convenient to use, as it is easier to regulate the dosage and there is a greater likelihood of it hitting the desired area.

Spray Lugol: instructions for use

Instructions for use of Lugol spray for children do not differ from adult instructions, but in most cases the dosage is prescribed by the attending physician.

1. To use Lugol in the form of a spray, press the dispenser once 4-6 times a day.
2. Correct use: injection of the drug should be targeted and, if possible, be directed exclusively to the site of inflammation. Avoid irrigating the entire mouth.

Lugol spray for children can only be used when they reach 5 years of age and in the absence of contraindications.

• Depending on the severity of the disease and age, 2 to 6 irrigations are prescribed.
• 1 irrigation equals 1 press of the sprayer.
• During the injection, the child should hold his breath.
• After the procedure, you should not drink or eat for 30 minutes.

If the spray gets on the mucous membrane of the eyes, they should be washed immediately with plenty of water!

Features of using the solution

It is acceptable to use the solution from 5 years of age

The solution is used to treat diseases of the oral cavity, larynx,. For example, with a sore throat.

Lugol's solution, instructions for use, to which allows its use for burns and skin diseases. Often used in surgical practice.

In some cases, it is prescribed for oral administration. However, this is not practiced when treating diseases in children.

Additionally, the solution contains glycerin. It has a softening effect.

Lugol's solution, instructions for burns

• Apply a bandage soaked in the solution to the affected surface.
• After the bandage dries, it must be changed.
• The duration of treatment is determined individually.

Use for throat diseases

• For the treatment of purulent tonsillitis, 3 to 5 procedures are prescribed, with an interval of 2-3 days.
• For ear diseases, 2-3 procedures are required every 7 days for 24 weeks.
• For irrigation – 2-3 procedures per week, course – 2-3 months.

The effectiveness of Lugol for angina in children

The effectiveness of any drug depends on proper use

The use of solution and spray for the treatment of sore throat in children is highly effective.

When choosing between a spray and a solution, in terms of efficiency, the second is in the lead, and in terms of ease of use, the first is.

Extensive purulent formations, blood and mucus will prevent its penetration.

It should be noted that the drug is effective for treating mild cases of tonsillitis.

The use of spray and Lugol's solution is prohibited, as stated in the instructions for use, simultaneously with drugs containing thiosulfate, iodine and its derivatives. Simultaneous use with drugs containing ammonia and essential oils is not recommended.

Adverse reactions

With frequent use, if the mucous membrane is irritated or when using the product for certain diseases (urticaria, swelling of the glands, rash, hemorrhages and angioedema), the child may experience adverse reactions.

Adverse reactions include the following:

• lethargy;
• muscle weakness;
• increased salivation;
• skin irritation in the form of itching, rash and swelling.

If adverse reactions occur, stop giving the drug to your baby. and consult a doctor to eliminate them.

Overdose, what to do

If, while taking the medicine, a child develops burns and irritation of the respiratory tract (upper), as well as the gastrointestinal mucosa, hemolysis and hemoglobinuria, this means an overdose has occurred. Contact a medical facility to provide him with first aid.

At home, gastric lavage can be done using solutions of sodium thiosulfate (0.5%), sodium bicarbonate and with intravenous (intravenous) administration of sodium thiosulfate (30%). You should not perform intravenous lavage on your own in children.

Lugol analogues

Name/form of release	Indications	Contraindications	Directions for use/dosage	Approximate price (RUB)
INGALIPT (aerosol)	Tonsillitis; Pharyngitis; aphthous	Intolerance to components; Pregnancy; Children under 3 years of age; Kidney disease; Blood diseases	For topical use. 3 times a day	40-65
IODINOL (solution)	Lesions of the mucous membrane and skin; Burn; Tonsillitis; Atrophic rhinitis;	Intolerance to components; Furunculosis; Acne rash; Tuberculosis; Nephritis; Children under 5 years of age; Hives	For oral use, the dosage is prescribed individually. For external use, 4-5 treatment procedures per week are prescribed.	70-80
LARIPRONT (lozenges)	Gingivitis; Laryngitis; Tonsillitis	Component intolerance	The tablet is placed under the tongue until completely dissolved. 1 tab. every 4 hours	120-140
SEBIDIN (lozenges)	Gingivitis; Periodontitis; Aftakh is chronic, recurrent; Periodontopatitis	Increased sensitivity	Take up to 5 times a day	120-130
STREPSILS (lozenges)	Diseases and inflammatory processes in the oral cavity and pharynx; ENT diseases	Intolerance to components; Children under 5 years old	Dissolve 1 tablet until completely dissolved. Take up to 10 times a day	180-200
FUKORTsIN (solution)	Purulent and fungal skin diseases; Cracks; Ulcers on the mucous membrane and skin	Increased sensitivity	The solution is applied using a cotton swab. The procedure is performed 4 times in 24 hours	40-50

An analogue of the Lugol Ingalipt spray costs an average of 35 rubles less, and lozenges do not give such a quick effect and cost an order of magnitude more.

The cost of the Lugol spray itself ranges from 100 rubles. The solution can be purchased at a pharmacy at a price of 12 rubles per bottle.

Anyway the use of Lugol or its analogues should be agreed with the attending physician. Especially if the child has a tendency to take honey. drugs.