Lugol description. Use Lugol spray according to instructions for children and adults. Lugol in children's practice

Lugol spray: instructions for use and reviews

Lugol spray is an antiseptic for topical use in ENT practice.

Release form and composition

The drug is produced in the form of a spray for topical use: a viscous, transparent, red-brown liquid, with the odor of iodine (25, 30, 50 or 60 g in a polymer/orange glass bottle, sealed with a cap with a dispenser; in a cardboard box, 1 bottle included with a spray bottle and instructions for use of Lugol spray).

Composition of 100 g spray:

• active ingredient: iodine – 1 g;
• additional components: glycerol, potassium iodide, purified water.

Pharmacological properties

Pharmacodynamics

The main active substance of the drug is molecular iodine, which has antiseptic and local irritant properties. It demonstrates a bactericidal effect against gram-negative and gram-positive microflora, and also causes the death of pathogenic fungi (including yeast). Bacteria Staphylococcus spp. are more resistant to iodine, however, with prolonged treatment with an antiseptic, inhibition of staphylococcal flora is recorded in 80% of cases. Pseudomonas aeruginosa is resistant to the action of the drug. If Lugol's spray is applied to large areas of the skin and mucous membranes, iodine can have a resorptive effect - take part in the production of triiodothyronine (T3) and thyroxine (T4).

The potassium iodide included in the preparation promotes the dissolution of iodine in water, and glycerol has a softening effect.

Pharmacokinetics

If the spray is used in recommended doses, there is a slight resorption of iodine through the mucous membranes of the oral cavity or skin. During contact with mucous membranes, the active substance is converted to iodides by 30%. If accidentally swallowed, iodine is quickly adsorbed and penetrates well into organs and tissues, accumulating in the thyroid gland.

The drug is excreted mostly by the kidneys and in smaller quantities with sweat and feces. Found in breast milk.

Indications for use

Contraindications

A contraindication to the use of the spray is hypersensitivity to iodine or other components of the product.

Lugol spray should be used with caution in the following diseases/conditions:

• dermatitis herpetiformis;
• decompensated liver and kidney diseases;
• hyperthyroidism (thyrotoxicosis);
• age up to 12 years.

Lugol spray, instructions for use: method and dosage

The drug is applied topically.

It is recommended to irrigate the mucous membrane of the mouth, pharynx, pharynx 4-6 times a day, injecting the spray with one click on the spray head. When administering the Lugol spray solution, you should hold your breath.

Do not allow the drug to come into contact with the eyes. If this does happen, you should rinse your eyes with sodium thiosulfate solution or plenty of water.

Lugol spray is not recommended for long-term (over 14 days) course of therapy. If after 2-3 days of treatment it is not possible to reduce the severity of the symptoms of inflammation or an increase in the symptoms is noted, you should consult a doctor.

Side effects

During treatment, allergic reactions may develop. With long-term therapy, symptoms of iodism may occur: lacrimation, rhinitis, salivation, acne, urticaria, angioedema. If you experience this or any other side effect when using the spray, you should consult a doctor.

Overdose

Symptoms of a drug overdose include irritation of the upper respiratory tract(including burn and laryngobronchospasm). In case of accidental oral ingestion, irritation of the mucous membranes of the digestive tract, the development of hemoglobinuria, and hemolysis may occur; the lethal dose is approximately 3 g of iodine, which corresponds to ~ 300 ml of Lugol's spray solution.

In case of overdose, gastric lavage is prescribed with solutions of sodium bicarbonate, 0.5% sodium thiosulfate solution, and 30% sodium thiosulfate is administered intravenously in a dose of up to 300 ml.

special instructions

The breakdown of active iodine is accelerated by sunlight and temperatures above 40°C.

It is necessary to avoid regular use of the spray in patients with hyperthyroidism (thyrotoxicosis).

Lugol's spray may interfere with laboratory results when testing thyroid hormones.

Use during pregnancy and lactation

It is not recommended to use Lugol spray during pregnancy.

Since iodine passes into breast milk, it can affect the thyroid gland in infants. The use of the drug during lactation is possible only on the recommendation of the attending physician, in the case when the expected benefit of therapy for the mother significantly exceeds the possible threat to the health of the child.

Use in childhood

Caution is required when prescribing Lugol spray for children under 12 years of age. It is recommended to consult a pediatrician before starting treatment.

For impaired renal function

In the presence of decompensated kidney disease, the drug should be used with extreme caution.

For liver dysfunction

In the presence of decompensated liver diseases, the drug should be used with extreme caution.

Drug interactions

Iodine is inactivated by sodium thiosulfate.

The iodine included in the spray oxidizes metals, which can cause damage to metal objects that come into contact with the solution.

The drug is pharmaceutically incompatible with ammonia solutions, essential oils.

An acidic/alkaline environment, the presence of blood, pus, and fat reduce the antiseptic activity of the spray.

If Lugol spray is accidentally ingested, the effect of medications leading to suppression of thyroid function may be weakened, as well as changes in the indicators of the latter. Iodine preparations can aggravate the irritating effect of a number of drugs (including acetylsalicylic acid) on the mucous membrane gastrointestinal tract.

Analogs

Analogs of Lugol's spray are Lugol's solution with glycerin, Lugol's, Maxicold Lor, Miramistin, Iodinol, Hexoral spray, Stopangin spray, etc.

Terms and conditions of storage

Store out of reach of children, protected from light, at a temperature not exceeding 25 °C.

Shelf life – 3 years.

1 ml contains 12.5 mg of Iodine. Auxiliary components: potassium iodide and glycerol. Lugol Vialine additionally contains sea ​​salt, kelp extract, triclosan and sodium saccharinate.

The solution is available in dark glass bottles. Also in the cardboard pack there is a special applicator for spraying and instructions from the manufacturer for the Lugol spray.

It is produced in the form of a spray and solution with glycerin. Lugol's spray contains 10% calcium iodide, 5% iodine and 85% water. The glycerin solution includes 1% iodine, 2% potassium iodide, 3% water and 94% glycerin.

Sold in dark glass bottles complete with a special applicator for spraying. The dosage form "Lugol Vialine" additionally includes sea salt, kelp extract, triclosan and sodium saccharinate.

During pregnancy, the use of Lugol's solution is not recommended. Despite the fact that extensive studies of the safety of the drug for women and fetuses have not been conducted, there is evidence of the negative effect of the drug on the formation of the thyroid gland in the unborn baby.

During breastfeeding the use of the product is permitted only after examination by a doctor and in compliance with all the precautions described above.

The main substance of the drug is iodine, which has a bactericidal effect against gram-positive and gram-negative microflora and pathogenic fungi. Once on the mucous membrane of the sore throat, iodine affects local metabolic processes in relation to pathogens, and is also absorbed into the mucous membrane and takes part in the production of thyroid hormones (T3 and T4).

The drug contains excipients - purified water, potassium iodide and glycerin. Iodine dissolves in water with the help of potassium iodide. Glycerin creates a protective film at the site of inflammation and relieves tissue swelling.

The drug is available in the form of a spray and solution. When choosing its specific form, you need to consider who it is intended for. medicine. If Lugol is used to treat a child, then it is better to give preference to a spray, since not all children calmly respond to lubricating the throat - many develop a gag reflex and a persistent aversion to such treatment.

It should be noted that Lugol's solution is more effective than a spray. But the spray is more convenient and pleasant to use. When treating the throat with a spray, tiny droplets of the drug fall on the mucous membrane, but this does not always happen evenly.

When lubricating the throat with Lugol's solution, the source of inflammation is treated more thoroughly, the drug lies on the mucous membrane in an even layer. Therefore, if it is possible to choose a drug in the form of a solution, then it is better to give preference to it.

Lugol is a popular antiseptic and bactericidal agent for adults and children. It refers to cheap drugs. It is a viscous brown liquid solution. 1 ml contains 12.5 mg of iodine. In addition to iodine, Lugol's contains potassium iodide and distilled water. Glycerin may be added to enhance the antiseptic properties.

Lugol will be offered to the buyer in every pharmacy if they hear a question about how to treat a child’s throat during illness. Lugol's is sold over-the-counter as a solution or spray. The solution is stored in a 50 ml glass bottle. The spray is in a spray bottle. All necessary information is contained in the attached instructions.

The solution is suitable for use for 3 years. It is stored in a cool, dry, dark place, away from children. The drug is a component of therapeutic action.

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The antiseptic owes its secret to a quick effect to a number of substances. For 1 ml medicinal product there are 12.5 mg of iodine, which is considered the main active component of Lugol. In addition, the composition of the well-known medicine includes such auxiliary substances as purified water, potassium iodide, which promotes the complete dissolution of iodine in water, and glycerol for a softening effect. Lugol's solution with glycerin contains a minimal amount of water; it is replaced by a viscous transparent liquid.

The components of the drug determined not only the properties of the antiseptic, but also the possible forms of release. The pharmaceutical industry has long produced medicine in the form of a solution for external use. More recently, another convenient form of release has become available for the treatment of sore throat - Lugol spray.

Currently, Lugol is produced in a single dosage form - a solution for external (for the skin) and local (for mucous membranes) oral cavity, pharynx and nose) application. The solution is poured into dark glass bottles equipped with a dropper or a spray nozzle.

or mucous membrane quickly and accurately by simply pressing the existing mechanism. And Lugol in a bottle with a dropper must first be applied to a cotton swab, which is then used to lubricate the affected areas of the mucous membranes or skin, which is certainly not as convenient as using a spray.

The drug, which is officially called “Lugol”, is often referred to in everyday life by several different names, such as “Lugol solution”, “Lugol spray” and “Lugol with glycerin”. All listed names refer to the same drug - Lugol.

The name “Lugol's solution” is used to refer to the drug packaged in a bottle with a dropper. The name "Lugol spray" is used to refer to the drug packaged in a bottle with a spray nozzle. That is, in fact, there are no differences between “Lugol solution” and “Lugol spray” except for packaging.

The name “Lugol's with glycerin” is widespread, but, in fact, does not reflect any particularity of the drug and does not refer to a separate type of drug. The fact is that Lugol's solution always contains iodine as an active component, and glycerin as an auxiliary substance.

Therefore, the name "Lugol's with glycerin" is an example of excessive specification that is completely unnecessary. That is, “Lugol” and “Lugol with glycerin” are the same drug, designated by different names. But since the name “Lugol’s with glycerin” is widespread, it is actively used by patients, pharmacists, and doctors.

In the further text of the article we will refer to this drug as “Lugol”. However, you need to know that all the information provided applies to both “Lugol’s solution”, “Lugol’s spray”, and “Lugol’s with glycerin”, since these are the names of the same drug.

Lugol's composition includes iodine in dissolved form as an active component. Glycerin was added to the solution as the main auxiliary substance, which provides a milder effect of iodine. Other excipients of Lugol's are the following:

• Potassium iodide, which ensures better dissolution of iodine;
• Water in which iodine is dissolved.

Currently, Lugol is available in two dosages - with an iodine concentration of 1% and 1.25%.

The solution and spray are available in dark glass bottles of 20 ml, 25 ml, 30 ml, 40 ml, 50 ml and 60 ml. Lugol's solution is a translucent, thick liquid colored bright orange-brownish.

The composition of 100 grams of solution includes 94 g of glycerin, 3 g of water, 2 g of potassium iodide and 1 g of iodine.

Lugol's solution with Glycerin is available in dark glass bottles of 25 g. The cardboard pack contains the bottle and instructions from the manufacturer. Lugol's ointment with glycerin is not available.

Indications for use of Lugol's

External use of Lugol's solution with Glycerin:

• wound lesions;
• infectious and inflammatory lesions of the skin;
• traumatic lesions;
• myalgia.

Age limit – up to 5 years.

The price of the medicine in Russia is 10-15 rubles. The cost of the drug in Ukraine (Lugol's roses with glycerin) is 3 UAH.

• 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 drug, inform your doctor, who will replace it with another antiseptic.

It is a big problem for people who often suffer from sore throat to find an effective and inexpensive remedy for the disease. Is Lugol effective for sore throat? This question is truly pressing, since the statistics on the incidence of sore throat in our country are disappointing. It affects both adults and children at different times of the year. What is Lugol like? How to use it for sore throat? Will it give the desired effect? Can it be used for children and how to do it correctly?

First things first.

A little about sore throat

Sore throat (acute tonsillitis) is an acute inflammation of the tissues of the pharynx, as well as the tonsils. The disease is infectious in nature, its causative agents are bacteria, viruses, and fungi of the genus Candida. For the disease to begin to develop, predisposing factors are needed. These include:

• hypothermia or acute viral infections;
• general decrease in immunity;
• prolonged inflammation in the oral cavity and pharynx;
• difficult nasal breathing.

Sore throat is very easy to diagnose. She has the following clinical manifestations:

• sore throat when swallowing;
• swelling and redness of the tonsils;
• general malaise;
• purulent plaques and ulcers on the surface of the tonsils;
• increase in body temperature to 39-40 degrees;
• enlarged lymph nodes.

Purulent plaque on the tonsils, as well as swelling and tenderness of the lymph nodes are the main indicators that distinguish a sore throat from manifestations of respiratory infections. Therefore, even at home, a therapist or pediatrician can make the correct diagnosis. But a trip to the clinic still cannot be avoided: you will need to get tested to find out which microorganism caused the sore throat.

Doctors have adopted a classification of the disease. There are catarrhal, follicular, fibrinous, lacunar, phlegmonous tonsillitis. Each of them has its own characteristics of manifestation and requires specific treatment tactics.

As a rule, upon hearing the diagnosis of “angina,” the patient immediately begins to ask questions about how to treat it. Treatment depends on the causative agent of the sore throat. Based on this, the doctor may prescribe an antifungal, antiviral, or antibacterial drug. Doctors also prescribe antiseptics, which very often need to be used to treat the throat. Such remedies include good old Lugol or “Glukol”, as it is affectionately called among the common people.

Composition and action of Lugol

Lugol is sold in pharmacies in the form of a solution or spray. The main active substance in it is iodine. It has a bactericidal effect, destroying pathogenic microflora on the laryngeal mucosa. With long-term use of the drug, it is possible to suppress even staphylococci, which are considered very tenacious.

The drug is contraindicated for patients with liver and kidney diseases, people with increased sensitivity to iodine, as well as to patients suffering from thyrotoxicosis and dermatitis, tuberculosis and furunculosis.

How to be treated with Lugol

IN Lately The drug also appeared in pharmacies in the form of a spray. Previously, it was produced only in the form of a solution. The spray is more convenient to use.

Lugol should be applied topically: irrigate the mucous membranes of the mouth and throat with an aerosol or lubricate with the solution 5-6 times a day. If an aerosol is used, before injecting the medicine, you need to inhale, hold your breath and make one injection into the oral cavity towards the pharynx. For half an hour after this, you should not eat or drink: the drug must “do its job” on the mucous membrane of the throat. Avoid getting Lugol in your eyes.

If Lugol's solution is used for treatment, it can be applied in the following ways:

1. Wrap sterile cotton wool around the blunt end of a pencil and secure it with thread. Then dip the resulting device in Lugol's solution and carefully lubricate the oral cavity and tonsils with it.
2. Take a small piece of sterile cotton wool and dip it in the solution. Place the cotton wool in your mouth and suck on it for several minutes.

The second method is less effective, since the Lugol concentration will be reduced by saliva, and it will not have the maximum effect on the affected mucosa. Therefore, it is better to purchase a spray: this form easily dispenses the medicine, and it is very suitable for use in children.

It is advisable to use the drug at the very initial stage of the disease. If the sore throat has turned into a purulent form, that is, the disease is “at its height,” then Lugol is ineffective. This will definitely require the use of antibiotics.

How to use Lugol for children

IN Soviet times, when there was not such an abundance of drugs on pharmacy shelves as there is now, Lugol was used everywhere. Mothers treated their children's throats only with it. Pediatricians still warn that it is better not to use this drug for children under 5 years of age: unpredictable reactions to it are possible. But for older children, Lugol will be a good help in recovery. Parents should not forget that no matter how effective the drug is, consultation with a pediatrician is required before using it.

In children, the following side effects are possible from the use of Lugol: sleep disturbances, increased sweating, nervousness, skin allergies. If a child experiences severe reactions to the drug, stop using it and consult a doctor immediately.

The drug is approved for use in nursing mothers. But here you need to act very carefully: at first, use it no more than 2 times a day. If the baby does not have any new reactions to mother’s milk, treatment can be continued. In some nursing mothers, Lugol can cause inhibition of milk production. Therefore, it is not recommended to use the drug without consulting a pediatrician about treating a nursing mother with Lugol.

Advantages and disadvantages of the drug in the treatment of angina

Like any other medicine, Lugol has both advantages and disadvantages. Among its advantages are the following:

1. Low cost: you will have to pay about 20 rubles for the solution at the pharmacy, the spray will cost 60-120 rubles (depending on the dosage of the bottle).
2. High efficiency of the drug: on early stages illness, it promotes rapid recovery.
3. At the same time, the medicine also prevents thyroid diseases, as it contains iodine.

Lugol also has disadvantages:

1. Unpleasant taste and smell, which creates difficulties when treating children with Lugol.
2. In pediatrics, this drug should be used with caution: when irrigating the larynx with a spray, a child may experience laryngospasm.
3. Allergic reactions to the drug are possible.
4. The medicine is difficult to remove from clothing and interior items if it is not used carefully.

Almost all medicines have similar disadvantages. Nevertheless, Lugol for sore throat is considered a very effective and proven remedy.

Are there fake Lugols?

Lugol has another significant advantage: there are no counterfeits in pharmacies. Today, when the pharmacy market is flooded with low-quality counterfeit drugs, the patient cannot be sure of the effectiveness of any pill or mixture. Lugol is practically not counterfeited: for those who want to profit from someone else’s health, it is simply unprofitable, since the drug is very cheap.

Lugol has many analogues. Analogue means a similar effect, but completely different substances in the composition of the drug. Pharmacists often say in pharmacies that there is no Lugol, but there is another drug with the same effect. And they offer to buy a spray for 300 - 400 rubles. There is no need to succumb to such provocations. If Lugol is not in this pharmacy, it means that he is in another.

A sore throat cannot be ignored: it gives very serious complications in the form of otitis media, cervical lymphadenitis, acute laryngitis and other diseases.

It must be used before the disease becomes purulent. This should be done carefully, in consultation with your doctor. The medicine is also suitable for children over 5 years old. The mother just needs to watch the child’s reactions a little more carefully.

There is no need to fall for the tricks of pharmacy marketers and buy “super” drugs for sore throats for large sums. In the arsenal of pharmaceutical developments there is a huge number of the most effective drugs at a cheap price. Lugol is one of these drugs.

There are a large number of different substances and components in nature for human health, on the basis of which pharmacological agents are produced. At the same time, a group of diseases such as throat diseases is quite common. There are a large number of forms and types of such ailments, for the treatment of which local medicinal preparations can be used.

For example, since time immemorial, Lugol's solution has been used for sore throat and pharyngitis. Today, therapy using the described product is also common and popular. However, the question of whether such treatment is effective and safe remains open.

It must be remembered that Lugol's solution is a common drug that is used for a variety of purposes. Because of this, you can find the drug on pharmacy shelves with different concentrations and compositions. The solution is found in two forms: aqueous and glycerin. Depending on the solvent, not only the specific action of the product changes, but also its consistency. Thus, a glycerin product has a thicker composition, while an aqueous product is, accordingly, liquid.

Hypersensitivity to iodine or other components of the drug.

Use with caution in patients with decompensated liver and kidney diseases, thyrotoxicosis, and dermatitis herpetiformis.

• acne;
• hives;
• furunculosis;
• chronic pyoderma;
• neuroses and nephritis;
• adenomas;
• pulmonary tuberculosis;
• hemorrhagic diathesis;
• pregnancy.

Drug interactions

• 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

The drug has antiseptic, antifungal and local irritant properties. Spray and solution "Lugol", the instructions for use indicate this, is active against most gram-positive and gram-negative microorganisms, pathogenic fungi, like its analogue Fukortsin.

Potassium iodide improves and accelerates the dissolution of iodine, while glycerin has a softening effect on the affected areas.

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

Instructions for use of the antiseptic contain full information about the medicine. How does the drug work? Does the patient's age affect the possibility of using an antiseptic in the treatment regimen? The iodine included in Lugol's composition is converted into iodides upon contact with the mucous membrane, the latter are absorbed into the tissues in small quantities, after which they accumulate in the thyroid gland. Iodides have positive properties if the dosage is not violated, and the medicine is excreted through the kidneys, sweat glands, and rectum.

A pharmaceutical drug that has an antiseptic effect has a number of features. The presence of iodine or glycerin in the composition of the drug limits the possibility of combined use with some other drugs in complex therapy. Lugol's is incompatible with medications containing sodium thiosulfate, since this substance reduces the activity of iodine.

The antiseptic properties of a well-known medicine are reduced by alkaline, acidic environments, blood, and pus. A solution with glycerin should not be combined with hydrogen peroxide or other disinfectants, and the spray should not be combined with essential oils or ammonia solution. Iodine preparations have the ability to oxidize metals, which can lead to damage to metal objects.

The instructions for use, displaying the most current information about the drug, indicate the possibility of a number of side effects. Treatment with an antiseptic does not threaten serious consequences, but if you use Lugol for the throat, you should be careful not to cause irritation of the lining of the pharynx or a burn to the mucous membrane. If side effects occur, you should seek medical help, and dangerous symptoms include the following:

• drooling (iodism);
• rhinitis;
• acne;
• hives;
• tachycardia;
• Quincke's edema;
• diarrhea in adult patients.

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.

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.

Iodine has a pronounced antimicrobial effect. The active substance has a cauterizing effect in high concentrations. Small doses of elemental iodine have a local irritating effect. The principle of action is based on the ability of the active substance to precipitate tissue proteins. In terms of metabolism, iodine exhibits an increase in dissimilation processes.

The accumulation of iodine in syphilitic gums contributes to their softening and gradual resorption. At the same time, the accumulation of the active component in tuberculosis lesions enhances the inflammatory process. When the active substance is released by the excretory glands, there is an increase in secretion and irritation of the glandular tissues. In small doses, iodine enhances lactation and has an expectorant effect. At high iodine concentrations, suppression of lactation is recorded.

The medication is able to weaken the goitrogenic and hypothyroid effects of Li drugs. The antiseptic activity of the solution is weakened in the presence of pus, fat, blood, as well as in alkaline and acidic environments. Together with sedimentary white mercury it forms an explosive mixture. Pharmaceutically, the medication is incompatible with ammonia and essential oils.

The active ingredient is molecular iodine, which has a local irritant effect and an antiseptic effect. It has a bactericidal effect on gram-positive flora and gram-negative bacteria. Active against yeast and pathogenic fungi. The greatest resistance to iodine is observed in staphylococci and pseudomonads.

The drug is inactivated by sodium thiosulfate. Iodine can cause deterioration of medical metal objects. Blood, pus, fat, acidic and alkaline environments reduce the antispetic activity of the solution. Pharmaceutically, Lugol is incompatible with ammonia solutions and essential oils.

The therapeutic effects of Lugol are provided by the elemental iodine included in its composition, which has an antiseptic and locally irritating effect on the mucous membranes and skin. The antiseptic effect of iodine is that it has a detrimental effect on various opportunistic and pathogenic

(including the genus Candida), which cause infectious and inflammatory processes on the skin and mucous membranes of the mouth, pharynx and nose. By destroying pathogenic microorganisms, Lugol stops the further progression of the infectious-inflammatory process.

The spectrum of action of Lugol on microorganisms is very wide. This means that Lugol’s solution has a detrimental effect on a large number of varieties of microbes, and therefore can be used for infectious and inflammatory diseases of the mucous membranes and skin in almost all cases. Unfortunately, various types of staphylococci are relatively resistant to the action of iodine, but with prolonged and regular use, Lugol also destroys these microorganisms.

The local irritating effect of iodine is to increase mucus secretion and provoke a cough reflex and sneezing. This effect is very useful in the treatment of infectious and inflammatory diseases of the mucous membranes, since a large amount of mucus washes away pathogenic microbes and disinfects their surface with special biologically active substances contained in it.

Lugol's solution is absorbed into the systemic circulation from both the mucous membranes and the skin. When the drug is applied to a small area of ​​mucous membranes or skin, a small amount of iodine is absorbed into the systemic bloodstream, which is excreted from the body mainly in the urine. But if Lugol’s solution is applied to large areas of the skin or mucous membranes, then a significant amount of iodine is absorbed into the systemic bloodstream, which accumulates in the tissues of the thyroid gland and takes part in the metabolism of thyroid hormones (T3 and T4).

If, when treating the mucous membranes of the oral cavity, pharynx or nose, a certain amount of Lugol's solution is accidentally swallowed, then iodine is also quickly absorbed into the systemic bloodstream and accumulates in the tissues of the thyroid gland.

In addition, iodine, absorbed into the bloodstream from the skin, mucous membranes, or after accidental ingestion of Lugol's solution, penetrates into breast milk nursing women.

When applied to the skin and mucous membranes as a side effect, Lugol can cause irritation on them.

How to treat your throat with Lugol

Children often suffer from diseases of the upper respiratory tract, but is it possible to smear the throat with Lugol in childhood? When the first signs of a sore throat appear, doctors advise using Lugol in the form of a spray, since irrigation of the oropharynx will be accompanied by minimal discomfort compared to lubrication. The frequency of use of the drug and the duration of the course of treatment are determined by the doctor.

The instructions for Lugol state that the drug is contraindicated in patients whose age is less than 5 years. This prohibition is due to the peculiarity of children at an early age - the desire to quickly swallow medicine that has an unpleasant taste. Iodine, which is part of the drug, enters the esophagus and stomach, causing irritation in them.

Lugol's spray for children is actively used in the treatment of ENT pathologies: tonsillitis, tonsillitis, stomatitis, laryngitis. Children can be prescribed upon reaching 5 years of age. The medication is not intended for children under one year of age due to the iodine contained in the drug, which can be absorbed into the systemic bloodstream and affect the thyroid gland and the overall development of the child.

You can use Lugol's solution if you are not allergic to iodine.

How to properly treat your throat:

You can lubricate an adult’s throat yourself, but it is better to have another person do it.

The rules for treating a child’s throat with Lugol remain the same as for adult patients. However, there are certain characteristics. Treatment of a child’s throat should be carried out no earlier than 5 years. Treatment with Lugol should be carried out no more than 3 to 4 times a day. You can eat or drink after the procedure only 30-40 minutes later.

How to lubricate a child’s throat correctly:

• Parents need to be well prepared for the procedure. Learn the rules. You can watch a video on how to smear your throat with Lugol.
• You need to talk to the baby. Tell him the details of the upcoming procedure. Explain how he feels after it and, most importantly, promise that if he smears it on his throat, the illness will quickly go away and his throat will no longer hurt.
• The child must behave calmly so that during treatment he does not accidentally injure the tissues or cause pain.

To treat hard-to-reach areas of the pharynx, it is better to rinse. It is necessary to rinse 4 – 5 times a day. Why dilute a few drops of an alcohol solution of iodine in a glass of warm water. Recommended for children from 3 years old.

It is necessary to treat the child’s throat with extreme care. Do not touch the tampon with the medicine to the back of the throat or the base of the tongue. This oversight can lead to vomiting.

However, sprays also have their disadvantages. When sprayed, the medicine does not reach the entire inflamed surface; most of the product is immediately swallowed.

For small children under one year old, Lugol is diluted with water in a 1:1 ratio.

How to properly treat a baby’s throat with Lugol:

It is impossible to treat an infant's larynx with Lugol's spray. The spray may cause laryngospasm.

An oil solution can be used to soften the lining of a child's larynx. To do this, a few drops of Lugol should be dissolved in a spoon of vegetable oil.

If the spray is used for a mild form of tonsillitis, then if the disease of the laryngeal mucosa is complicated, the wound or burn should be treated with the solution. The dose of the drug and the application procedure require caution, and manipulation requires a long stick, a pencil, tweezers, and sterile cotton wool. At the end of the device, you need to form a tampon, dip it in Lugol's solution, then lubricate or move cotton wool soaked in the medicine over the tonsils and oral cavity. Another option is to simply hold a piece of cotton wool with the solution in your mouth for a few minutes.

Pharmacodynamics and 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.

Correct use of the medication prevents resorption of the active substance through the skin. Lugol's, upon contact with mucous walls, converts 30% into the form of iodides. Accidental ingestion results in complete absorption of iodine, which accumulates in the thyroid gland. Metabolites are excreted by the renal system, sweat glands and feces. During breastfeeding, it passes into milk.

The active substance is partially absorbed when applied to the skin. 30% is converted into iodides, 70% into active iodine. The active substance is selectively absorbed by the thyroid tissue and penetrates the organs. Excretion is carried out by the sweat glands, intestines, renal system, and mammary glands.

Overdose

Lugol's solution can be used externally to treat damaged skin. Dosing of the medication for internal use is carried out on an individual basis. Instructions for Lugol's solution with Glycerin for angina: rinse supratonsillar spaces and lacunae locally regularly for 5 days.

How to smear the throat: treat with gauze swabs or cotton swabs. The solution for sore throat cannot be used twice. In surgical practice, the drug is used for burns. Directions for use: Apply a moistened gauze pad to the affected tissue 2-3 times a day. Lugol's ointment is not available.

This section is not described by the manufacturer.

A brief diagram of the use of Lugol spray:

1. Remove the bottle from the pack, remove the cap, and secure the nozzle with the sprayer.
2. Treat the tip with a cotton swab soaked in an alcohol-containing solution or boiled water.
3. Apply one or two sprays carefully so that it does not get on your skin, clothes, or eyes.
4. Bring the end of the nozzle closer to the area of ​​inflammation and press the head. In this case, the patient must hold his breath, which helps to avoid Lugol getting into the lower respiratory tract.
5. It is not recommended to irrigate one place several times, since a person’s swallowing reflex is triggered. When swallowed, a small amount of the drug enters the body, which does not affect the general condition.
6. If the spray gets into your eyes, you must immediately treat them with sodium solution or plenty of clean water.
7. After completing the procedure, do not remove the spray nozzle so as not to compromise the integrity of the system.

Lugol Vialine spray forms a special protective film on the mucous membranes and has an antiseptic effect on the throat. The medication can be prescribed to children. The drug is used topically 4-6 times a day to treat the pharynx, mouth, pharynx. Pressing the spray head ensures uniform irrigation of the mucous membranes.

It is recommended to hold your breath during the procedure. Protect your eyes. If the medication gets into the eyes, it is recommended to rinse with sodium thiosulfate or water. Instructions for use of Lugol spray for children: three times a day until catarrhal symptoms completely disappear. Children can be prescribed from 5 years of age.

Irritation of the respiratory tract (broncho- and laryngospasm, burn). If ingested, hemoglobinuria and hemolysis develop. A dose of 3 grams is considered lethal, which corresponds to 300 ml of solution. Therapy: intravenous administration of sodium thiosulfate 30%, gastric lavage with sodium bicarbonate solution.

According to the instructions, Lugol for the throat is used topically to irrigate the oral cavity or directly lubricate the source of infection. The product is used 4-6 times a day.

So, how to smear your throat with Lugol? For the procedure you will need several cotton swabs. Soak one cotton swab generously in the solution and treat one part of the throat. Repeat the same with another cotton swab until the entire inflamed throat area has been treated.

Initially, a burning sensation may be felt, for Lugol this is quite normal. After some time it will pass. It is not recommended to eat or drink for approximately 30-40 minutes after the procedure; the throat treatment can be repeated after 3 hours.

It is advisable to start treatment with Lugol as quickly as possible, on the first day of the disease. In this case, there is a greater chance of preventing its development due to the destruction of pathogenic microflora. The spray is used with the same interval between treatments - every 3 hours.

There is another one possible way treatment with Lugol's solution - rinsing. It is believed that rinsing with the drug is no less effective than lubricating a sore throat with the drug itself. To prepare a solution for rinsing, you need to take a glass of warm water and add a few drops of Lugol's solution to it. After this, you need to gargle, trying to keep the resulting product in the mouth for at least one minute each time.

When rinsing, the medicinal solution actively affects the sore throat, providing a therapeutic effect. After the procedure, it is not advisable to eat or drink for half an hour.

Locally, the drug is used for irrigation or lubrication of the mucous membrane of the pharynx, mouth, pharynx 4-6 times a day, for irrigation of the nasopharynx - for 2-3 months, 2-3 times a week, for rinsing and instillation in the ear - for 2-3 4 weeks.

In surgical practice, Lugol's solution is applied to the affected areas as necessary, and gauze pads soaked in the drug are applied. For epidemic goiter, the solution is taken orally – 1 drop once a day for 3 weeks.

Such courses should be repeated 2-3 times with 20-30 day breaks. To protect against radiation, the drug is used orally for 3 weeks, twice a day, 10 drops.

Lugol's solution is usually prescribed for children to treat the mucous membrane of the pharynx and mouth 2-3 times a day for 2-3 days. For the convenience of treating children, it is recommended to use the drug in the form of a spray.

Symptoms: irritate the upper respiratory tract (burn, laryngobronchospasm); if ingested - the mucous membranes of the gastrointestinal tract, the development of hemolysis, hemoglobinuria; lethal dose - about 3 g (about 300 ml of the drug).

Treatment: gastric lavage with 0.5% sodium thiosulfate solution, sodium bicarbonate solutions, 30% sodium thiosulfate is administered intravenously - up to 300 ml.

How to treat a throat with Lugol? First of all, do this only after a doctor's recommendation. The therapist must conduct a complete examination, evaluate your condition and determine whether this medicine is suitable for you or not.

Lugol's solution for sore throat can be used in several ways. In our review we will tell you more about each of them.

Terms of sale

The solution can be purchased without a prescription form from a doctor.

In a place protected from light at a temperature not exceeding 25°C. Keep out of the reach of children.

Best before date. 3 years. Do not use after expiration date.

The drug is approved for use as a means of OTC.

Lugol can be purchased without a doctor's prescription form.

special instructions

Long-term therapy can provoke iodism.

With all the advantages of Lugol, there are a number of features that should be taken into account before using an antiseptic:

1. A specific taste and smell can cause a gag reflex.
2. After treatment with the solution, discomfort, the mucous membrane of the cavity bakes.
3. A powerful spray jet does not provide uniform irrigation.
4. High risk of allergic reactions.
5. For diseases of the kidneys, liver, thyrotoxicosis, dermatitis herpetiformis, treatment with Lugol should be done with great caution.

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

Analogs

There are no complete analogues of Lugol's in composition, but there are drugs that are similar in effect. The formula of these medications consists of other substances, but they help in treatment when unpleasant symptoms of inflammation and irritation of the mucous membranes appear. Analogs are generally not intended for oral administration; if the patient’s condition worsens, then, like Lugol, the doctor will replace these drugs with antibiotics. Medicines similar in their properties to the well-known antiseptic are considered:

• Sore throat (spray, tablets);
• Iodinol (solution);
• Hexoral (aerosol, tablets, solution);
• Anzibel (lozenges);
• Povidone-iodine (solution, ointment).

Level 4 ATX code matches:

Currently, on the pharmaceutical market of the CIS countries there are drugs that are analogues of Lugol's in terms of therapeutic effect. This means that analogue drugs contain other active substances, but have almost the same therapeutic effect as Lugol.

Lugol's analogues include the following drugs:

• Aquazan solution for local and external use;
• Betadine ointment and solution for external and local use;
• Iodovidone spray for local and external use;
• Iodoflex solution for external and local use;
• Octasept aerosol for local and external use;
• Sulyodovisol aerosol for local and external use;
• Braunodin B. Brown solution for local and external use;
• Iodine-Ka solution for local and external use.

Yox is a local combined remedy with antiseptic and antimicrobial effects, successfully used in ENT practice. The active components of the drug are povidone-iodine and allantoin. The instructions for use say that Yox is prescribed for inflammation and sore throat, tonsillitis, sore throat, the first signs of influenza and ARVI. The product can be used from 6 years of age. Pregnancy and lactation are contraindications to the use of Yox.

Iodinol is an antiseptic drug intended for local and external use. The active substance is iodine. In ENT practice, the drug is prescribed for local treatment of the throat for tonsillitis and sore throat. Iodinol is contraindicated in children under 5 years of age and pregnant women.

Iodine, which is part of Lugol, has a good anti-inflammatory and antimicrobial effect. Compared to similar antiseptic drugs, the product does not have a systemic negative effect on the body if the instructions for use are strictly followed. The advantages of Lugol over analogues are a more convenient aerosol form of release and an affordable price.

A complete analogue of the active substance is Lugol's solution with glycerin.

Antiseptic and disinfectant analogues include:

1. Drill.
2. Iodine alcohol solution.
3. Iodopyrone.
4. Septogal.
5. Septolete.
6. Bemilon.
7. Lidochlor.
8. Lysobacter.
9. Rinza Lorsept.
10. Balsamic liniment (according to Vishnevsky).
11. Fucaseptol.
12. Terasil.
13. Lessons.
14. Anti-Angin Formula.
15. Agisept.
16. Dentamet.
17. Fukortsin.
18. Sebidin.
19. Koldakt Lorpils.
20. Laripront.
21. Faringopils.
22. Astrasept.
23. Metrohex.
24. Iodinol.
25. Ascosept.
26. Neo-angina.
27. Aseptolin plus.
28. Travisil.
29. Tonsilgon N.
30. Gorpils.
31. Iodonate.
32. Acerbin.
33. Strepsils.
34. Inhalipt.

Features of the use of the drug during pregnancy and lactation

Is it possible during pregnancy? Lugol's spray is contraindicated during pregnancy, even in the 1st trimester. When breastfeeding, it is prescribed in exceptional cases when the expected benefit significantly outweighs the harm to the child.

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.

The solution is not used during pregnancy and breastfeeding, due to the active absorption of the active substance and its possible negative effect on the development of the fetus and child.

The use of drugs during this special period for each woman requires a careful approach. The instructions for Lugol contain a recommendation that the use of an antiseptic, even in the form of a spray, is unacceptable. The ban on the use of iodine-based medications applies to all trimesters of pregnancy.

Lugol's for treating the throat is contraindicated during pregnancy. This is due to the presence of iodine in the drug. It is known that iodine has a direct effect on thyroid tissue and can interfere with its functioning. Disruption of the activity of this organ can negatively affect pregnancy, cause fetal development abnormalities, miscarriage and frozen pregnancy.

Is it possible to smear the throat with Lugol's preparation during lactation? During breastfeeding, the instructions for the drug specify that the product can be used with therapeutic purpose, if the expected benefit for the woman is higher than the potential risk for the child. In any case, the decision to prescribe the drug should be made by the attending physician.

Since iodine absorbed into the bloodstream can negatively affect the functioning of the thyroid gland, the normal functioning of which is critical for bearing a child. After all, if the thyroid gland does not function fully, then, as a rule,

interrupted due to

Fetal death, development of fetal deformities, etc.

When breastfeeding, you should also avoid using Lugol, since iodine, absorbed from the mucous membranes or skin into the bloodstream, also enters the milk. As a result, with mother's milk, the baby's body receives a large amount of iodine, which accumulates in its thyroid gland and can provoke various diseases of this organ.

Lugol is an antiseptic based on molecular iodine.

The drug can be used to treat infectious and inflammatory diseases by irrigating or lubricating the mucous membranes of the mouth, pharynx, and larynx.

The solution was named after the French physician Jean Lugol, who developed the drug in 1829. Lugol's solution is a thick, translucent liquid of a bright orange-brown color. It contains iodine as the main substance and glycerin as an auxiliary substance.

To be more precise, 1 part of iodine is used, 2 of potassium iodide, 94 of glycerin, 3 of water. Glycerin softens the effect of iodine, potassium iodide promotes faster dissolution of iodine in water.

Clinical and pharmacological group

Antiseptic for local use.

Conditions for dispensing from pharmacies

Dispensed without a doctor's prescription.

Prices

How much does Lugol spray cost? The average price in pharmacies is 100 rubles.

Release form and composition

Spray for topical use 12.5 mg/ml, 50 ml each in dark glass bottles, screwed on with a cap with a dispenser, complete with a sprayer and a tip and instructions for medical use, placed in a cardboard pack.

Pharmacological effect

Molecular iodine, which is the main component of two dosage forms, this product has a local irritant effect, while performing the functions of an antiseptic. Iodine has a detrimental effect on gram-positive and gram-negative microorganisms, and is active against staphylococcus and pseudomonads. When treating large areas of the skin, a resorptive effect of the active component of Lugol's is observed, which is explained by the participation of iodine in the processes of synthesis of the hormones T3 and T4. Potassium iodide enhances the effect of the main component on the affected mucous membranes and ensures its rapid solubility in water. Glycerin and glycerol have emollient properties.

If all the rules for using an antiseptic are followed, as recommended in the instructions, then resorption of the main component of the drug through the skin can be excluded. During contact with mucous membranes, molecular iodine is approximately 30% converted into iodides. When Lugol is taken orally, iodine is completely absorbed with further accumulation in the thyroid gland. The process of excretion of metabolites is carried out by the kidneys, intestines, and sweat glands. During breastfeeding, the components of the drug partially penetrate into breast milk.

Indications for use

The doctor will prescribe Lugol if the following problems exist:

• (the drug is prescribed as part of complex treatment);
• if there is an exacerbation
• inflammatory processes of the gums;
• when the mucous membranes of the oral cavity are affected by a fungus;
• to prevent the development of infection after tooth extraction;
• if the disease is of bacterial or infectious origin.

Lugol's is often prescribed to children. The drugs are actively used in the treatment of ENT pathologies:

• stomatitis;
• tonsillitis;
• laryngitis;
• tonsillitis.

However, if the child is not yet 1 year old, the funds cannot be used. The drug contains iodine. It can be absorbed into the systemic circulation and affect the thyroid gland and the overall development of the child. The drug is usually used when children reach 5 years of age.

Contraindications

Lugol has contraindications. The spray cannot be used for:

• pyoderma;
• acne;
• furunculosis;
• tuberculosis;
• hemorrhagic diathesis;
• children under 5 years of age;
• individual intolerance to iodine and auxiliary components of the drug;
• pathologies of the liver and kidneys;
• diseases of the endocrine system and thyroid gland.

Use during pregnancy and lactation

The drug poses a potential danger to the fetus if used by women during the 2-3 trimester of pregnancy for more than 4 days.

Iodine passes into mother's milk and may potentially affect thyroid function in breastfed infants.

Dosage and method of administration

The instructions for use indicate that Lugol spray is applied 4-6 times daily 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 time 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.

Side effects

The instructions for use, displaying the most current information about the drug, indicate the possibility of a number of side effects. Treatment with an antiseptic does not threaten serious consequences, but if you use Lugol for the throat, you should be careful not to cause irritation of the lining of the pharynx or a burn to the mucous membrane.

With long-term use of Lugol for treating large areas of mucous membranes and skin, the phenomena of iodism may develop as side effects, manifested by the following symptoms:

• Runny nose;
• Quincke's edema;
• Muscle weakness;
• Lethargy;
• Excessive drooling;
• lacrimation;
• Acne on the skin.

If ingested, the following side effects may occur:

• Allergic reactions on the skin;
• Tachycardia (palpitations);
• Nervousness;
• Sleep disorders;
• Sweating;
• Diarrhea.

Overdose

In large quantities, iodine is very poisonous. The dose of a substance sufficient to have a lethal effect on the body, leading to a lethal effect, is about 300 ml. That's about six bottles of Lugol.

Symptoms of overdose include:

• feeling of irritation in the throat;
• bronchospasms;
• laryngospasms;
• coughing;
• heaviness when inhaling and exhaling.

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.

Sore throat, inflammation of the tonsils - all these are signs of tonsillitis (scientifically called tonsillitis). Lugol is a proven and safe drug that has been used since the 19th century. It can be used when various types tonsillitis in children: typical, purulent and herpetic.

Composition and properties of the drug

This medicine is an antiseptic. The main component is iodine. There are 4 forms of this drug: solution for external and internal use, Lugol Vialine and Lugol with glycerin.

A typical solution for internal use is prepared from 4% iodine, 10% potassium iodide and 87% purified water. Medicines for external use include the same components, but the proportion of water is 2% lower and iodine is 1% higher.

1 ml of solution with glycerin contains 12.5 mg of iodine. Excipients: purified water, potassium iodide, which helps iodine dissolve in water, and glycerol, which has a softening effect. In this case, the water content in the solution is minimal; the basis of the liquid is glycerin. The drug Lugol Vialine has the same active substances and the following auxiliary components: sea salt, triclosan, sodium saccharinate, kelp extract.

Lugol is available in spray form. It is very simple to use - as indicated in the instructions, just press on the head of the sprayer, directing it to the mucous membranes of the larynx.

The main substance included in the drug is molecular iodine. It has an antiseptic and local irritant effect. Iodine has a detrimental effect on gram-positive and gram-negative microflora, streptococci, staphylococci, Klebsiella, Proteus vulgaris, as well as pathogenic fungi and yeast.

The use of Lugol on large areas of tissue has a resorptive effect. When absorbed into the skin, iodine synthesizes the hormones T3 and T4, which should be taken into account by people with thyroid diseases.

In the presence of atherosclerosis, the drug helps reduce the amount of beta lipoproteins and cholesterol in the blood. It also slows down the rate of blood clotting and increases fibrinolytic, lipoproteinase activity of serum.

Indications for use in children

Lugol's spray for children serves as a means of combating infections and viruses that have entered the oral cavity and the mucous membrane of the larynx. This drug is especially effective in the initial stages of the disease - iodine copes with inflammatory processes on its own, and no other treatment is required.

If the disease is in an advanced state (for example, acute tonsillitis with elevated body temperature), then Lugol's solution with glycerin is used as an adjuvant. The main treatment method will be to take antibiotics until the inflammatory process is completely eliminated.

There are a number of indications for which experts prescribe Lugol:

• pharyngitis;
• atrophic rhinitis (thickening and thinning of the nasal mucosa);
• purulent otitis (inflammatory process of the epithelium of the middle ear);
• non-healing varicose ulcers due to blood stagnation;
• wounds of various etiologies;
• burns of the 1st and 2nd degrees, infected burns;
• atherosclerosis;
• stomatitis.

Spray “Lugol” is used for diseases of the oral cavity on the recommendation of the attending physician

The great advantage of Lugol is the enrichment of the child’s body with iodine. However, this substance can provoke an allergic reaction, so careful use is required.

Instructions for use for children of different ages

The dosage of the drug and the frequency of its use depend on the severity of the disease, so you must first consult with a specialist. The doctor will determine the duration of the course - it should not be more than 10 days.

After the procedure for irrigating the mucous membranes of the mouth, pharynx, and larynx, you should refrain from eating and drinking for half an hour. If the medicine gets into your eyes, rinse with plenty of warm water.

Instructions for using the spray:

1. Remove the bottle from the packaging, unscrew the cap and put on a special nozzle with a sprayer.
2. The tip must be disinfected using a cotton swab soaked in an alcohol solution, or pre-boil it, and only then put it on the bottle.
3. For initial use, spray one spray into the air.
4. Bring the tip of the nozzle as close as possible to the pathological area and press on the spray head. At this moment, the patient needs to hold his breath so that the substance does not enter the lower respiratory tract.
5. You should not do more than two sprays at a time, as a person’s swallowing reflex may be triggered, which will reduce the effectiveness of the solution.
6. Upon completion of the procedure, the spray nozzle should be disinfected again and allowed to dry.

At what age should Lugol be used for children? This spray can be used by children from 5 years of age. If the child is unable to hold his breath, the use of the drug is prohibited.

Use of Lugol for sore throat and purulent sore throat - 4-6 irrigations per day for 3 days. For otitis media, 2-3 procedures are required daily for a week. To irrigate the nasal mucosa, you need to do 1 injection into each nostril 2-3 times a day.

Before using the drug, you must carefully read the instructions

Lugol in the form of a spray is not recommended for children under 5 years of age, but it can be used in the form of a solution from the 1st year of life. You can apply a few drops of the drug to the pacifier and give it to the baby. From 3-4 years old, you can lubricate the mucous membrane of the child’s mouth and larynx using a cotton swab or gauze swab.

Contraindications

Lugol has contraindications. The spray cannot be used for:

• individual intolerance to iodine and auxiliary components of the drug;
• pathologies of the liver and kidneys;
• diseases of the endocrine system and thyroid gland;
• pyoderma;
• acne;
• furunculosis;
• tuberculosis;
• hemorrhagic diathesis;
• children under 5 years of age.

Before using the spray, the doctor must find out whether the child is among those for whom the drug is contraindicated

If a child has a tendency to allergic reactions, it is worth conducting a test - applying a drop of the medicine to the skin in the area of ​​the elbow and observing the body’s reaction for 24 hours. If there is no reaction to Lugol, it can be used.

Possible adverse reactions

This drug in some cases provokes the development of side effects. If the rules of use are violated, the following symptoms are observed:

• cough, irritation and dryness of the larynx appear;
• too much irrigation causes burns of the mucous membranes;
• inhalation of the solution can cause bronchospasm or loringospasm - a dangerous condition in which breathing stops;
• various types of skin rashes, urticaria;
• Quincke's edema;
• angioedema;
• rhinitis;
• salivation;
• lacrimation;
• nervousness;
• insomnia;
• sweating;
• long-term uncontrolled use, in which there is an increased absorption of iodine into the tissue of the larynx, resulting in disruption of the functioning of the thyroid gland.

Failure to follow the instructions and overdose of the drug is fraught with adverse reactions

If a child swallows a large amount of the drug, it is necessary to urgently call ambulance and rinse the stomach. To do this, use a weak solution of baking soda, and then add a 30% solution of sodium thiosulfate.

Cost and analogues

To date, there are no complete analogues of Lugol spray. There are a number of drugs containing iodine, for example, Yox or Iodinol, but they also have other active ingredients. Sprays with properties characteristic of Lugol: Miramistin, Hexoral, Tantum-Verde, etc. (more details in the article:). (about 50 items).

However, Lugol spray has a number of advantages, thanks to which patients have been buying it in pharmacies for many years - it is low price (about 100 rubles) and high efficiency. The disadvantages of this drug include its extremely unpleasant taste, which causes a gag reflex in many, as well as a large number of side effects.

No matter what age parents offer it to their child, the child is unlikely to be happy about it. However, after its use, even the most severe sore throat in a child begins to recede. Ultimately, choosing in favor or against Lugol is a joint decision of the parents and the attending physician.

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, provides a local irritating 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 absence of addiction to it and the ability to use the solution for a long time without negative consequences for good health.

When is Lugol prescribed?

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,;
• 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.

Instructions for use?

The instructions prescribe to use it 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 areas 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.

Contraindications

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

Adverse reactions

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, acne, hives, lacrimation, increased function 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 frequency of heart rate, profuse sweating, insomnia, bowel disorders (diarrhea). 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).

Can Lugol be prescribed to children?

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, since the child can already be explained that he needs to hold his breath while injecting the medicine. In young children, the drug is used only in the form of a solution for safety, since there is a high risk of complications (including broncho- and laryngospasm) if infant will inhale air as 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.

Lugol's solution during pregnancy

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 accelerates 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 should not be used simultaneously with ammonia solutions and essential oils.

Analogs

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

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

Price

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.