Strictly speaking, Levomycetin is an eye drop; there is no point in using ear drops. And they do not contain alcohol. Therefore, they cannot be used to treat ear problems; they simply will not have the desired effect. However, in order to cope with ear pain and inflammatory processes during otitis media, you can use a solution of chloramphenicol, which is suitable for this case as well. In the article, we will look at the features of using an alcohol solution of Levomycetin for the treatment of ears, find out how to use the product, how much it costs, and what are its advantages.
Pharmacological properties of this medication
The solution "Levomycetin" is intended for use exclusively for ophthalmic pathologies. However, to date, clinical trials and studies have proven that this medication is also quite effective in the treatment of otitis media of bacterial origin.
For otolaryngological diseases, it is advisable to use alcohol based on chloramphenicol. However, the use of such a solution must be carried out under the supervision of a specialist, since various side effects may develop.
Levomycetin ear drops contain the active antibacterial element chloramphenicol. It is as a result of its influence that the use of the drug is more effective.
An alcohol solution in the ears has a detrimental effect on the following types of bacterial infections:
- streptococcal;
- staphylococcal;
- pneumococcal;
- enterococcal.
In addition, this medical product suppresses the proliferation of gram-negative bacteria, therefore, in case of pain in the ear caused by this type of pathogenic flora, in some cases it is even necessary to instill it.
Treatment of ear pathologies with this drug alone is impossible, since complex treatment is required. And even if the medicine “Levomycetin” in the ear for otitis and purulent inflammation is prescribed by a specialist, it will be only one of the components of the treatment regimen.
Allergy to chloramphenicol
Levomycetin tablets and drops
Among antimicrobial drugs, one of the most common drugs is Levomittin. The drug, produced in the form of tablets, ointments and drops, has a positive effect on the body, fighting foci of infection.
However, it can also be the source of a severe allergic reaction. As a result of exposure to the chemical element chloramphenicol, an allergy to Levomycetin occurs. The result of the influence is a serious blow to the human immune system.
In particularly severe cases, the reaction can be fatal.
Who is indicated and contraindicated for using drops?
Levomycetin eye drops are used for various eye infections caused by bacteria. Ophthalmologists recommend their use when:
- conjunctivitis;
- keratitis;
- blepharitis;
- keratoconjunctivitis;
- neuroparalytic keratitis.
Drops actively influence the source of bacterial damage, killing microorganisms. However, the use of a strong local antibiotic is prohibited for patients in the following cases:
- hypersensitivity to the components of the drug;
- presence of intermittent porphyria;
- glucose deficiency;
- insufficient functioning of the liver and kidneys;
- the presence of skin lesions of various etiologies (psoriasis, eczema, fungal diseases).
It is also noted that the drug is not recommended for the treatment of bacterial lesions in pregnant women, as the drops can affect the fetus. When treating children, it is better to avoid the use of the drug to avoid negative reactions.
However, not everyone follows the rules specified in the instructions. Therefore, various complications often arise.
In people suffering from allergic reactions, Levomycetin can cause severe allergies.
Therefore, it is important to know what symptoms may occur when using the drug and what to do if the body is affected.
An allergy to Levomycetin manifests itself quite quickly. After a person uses drops or tablets, a reaction is possible after 30 minutes. In this case, allergy symptoms are serious. When using drops, a person may notice the appearance of some alarming symptoms. Signs of the disease vary in severity. The disease goes through three stages of development.
initial stage
At the first stage of the lesion, severe acute symptoms occur. After Levomycetin drops are used, the following may occur:
- hyperemia of the skin, spreading over large surfaces;
- small rash on the skin;
- a feeling of itching affecting the upper layer of the epidermis;
- dryness of the lips and the area around them, peeling of their surface;
- changes in the color of the mucous membrane of the eye to yellow.
Subacute stage
At the subacute stage, symptoms may intensify with continued use of the medication. The appearance of other signs of damage is also noted in the form of:
- colic in the abdomen;
- sensations of bitterness in the mouth;
- severe headaches;
- swelling of the eyes;
- strong flow of tears;
- the appearance of mucous discharge from the nose, turning into a watery consistency.
Protracted stage
If allergies are left untreated, symptoms of a protracted stage occur. This period is characterized by:
- gastrointestinal disorders in the form of constipation, light-colored diarrhea;
- violation of the number of leukocytes and neutrophils in the blood, which leads to aplastic anemia (creating the risk of death);
- destruction of liver cells;
- tumors and swelling of blood vessels, protrusion of veins;
- increased blood pressure;
- spasms and pain in the muscles.
By using drops, an allergic person risks not only his own health, but also his life. The number of deaths with this type of allergic reaction is several times higher than with allergies to other irritants.
Therefore, at the first symptoms, it is necessary to carry out emergency diagnostics to identify the irritant. Patients are prohibited from carrying out procedures to get rid of allergies on their own. After all, there is a high probability that coping with the disease will be difficult.
It is important that the person’s condition is monitored by a doctor.
Diagnosis of reaction
Identifying an allergic reaction to Levomycetin is not difficult. The irritant is determined by the detection of specific IgE antibodies. The analysis is available as:
- application tests;
- scarification tests;
- prick tests;
- intradermal tests.
Before the study, the patient must adhere to certain rules.
- 3-4 days before testing, it is necessary to avoid drinking alcoholic beverages.
- Before the analysis, smoking is prohibited for 2 hours.
- Be sure to take the test on an empty stomach.
- It is prohibited to take medications before the study. This applies not only to antihistamines, but also to other medications.
During the test, a small amount of allergen is dripped onto the inside of the forearm. Histamine and saline are also applied to help monitor the body's response. After a few minutes, the result is assessed. If blisters form on the skin, then it is likely that the body is susceptible to a reaction to Levomycetin.
What to do if a reaction occurs?
If symptoms of damage appear, it is necessary to urgently exclude exposure to Levomycetin. The drops must be immediately discontinued, and the body must be cleansed of chloramphenicol.
Antihistamines of the 1st, 2nd and 3rd generation.
After examination by a doctor, antihistamines are usually prescribed. They help remove the allergen from the body faster and also stop the negative reaction. When taking antihistamines, histamine, which is a mediator of allergies, is blocked. Patients may be advised to:
- Suprastina;
- Tavegila;
- Diazolina;
- Claritina;
- Erius.
It is best to use new generation drugs, since they not only have an effective effect, but also do not cause adverse reactions in the body.
The drug Eeterosgel
A prerequisite for damage to the body by chroramphenicol is the normalization of upset stools. The doctor must find out what changes have occurred in the gastrointestinal tract.
Based on these data, the medicine is prescribed. For diarrhea, Imodium, Smecta, Enterosgel are prescribed.
The last two medications not only normalize stools, but also fight toxins.
For constipation, Gutalax and Glycerin have a beneficial effect.
The drug Gutalax
In case of skin lesions, after consultation with a doctor, one of the effective traditional medicines can be prescribed. To get rid of dryness and itching, 2 tablespoons of chamomile are poured with boiling water and infused for half an hour.
After the strained solution, gauze is moistened and applied to the affected areas. If the allergy has not progressed to stage 3, home treatment is possible. If a blood test reveals an imbalance of leukocytes and neutrophils, treatment can only be done in an inpatient setting.
If treatment of the underlying disease needs to be continued, you can replace Levomycetin with other effective antibiotics without chloramphenicol. These include Syntomycin and Liniment.
An allergic reaction to Levomycetin drops can be very dangerous for humans.
Often, if negative changes in the body are ignored, a person dies. Therefore, at the first symptoms, an emergency visit to a medical facility is necessary.
Source: https://minecraftym.ru/allergiya/allergiya-na-levomitsetin
Features of application
If the drug is used for self-medication, you must carefully follow the instructions for its use.
An alcohol solution of "Levomycetin" in the ear for otitis is sold in glass bottles without a special dispenser, so it must be introduced into the ear cavity using a pipette. Dosages for children and adults are practically the same, but methods of proper administration should still be considered separately.
For the treatment of ear diseases in adults, a 3% drug in the form of drops is used. Thus, according to the instructions, Levomycetin should be instilled 1-2 times a day, two drops. The medication should be administered using a sterile pipette, and only into the diseased ear canal. It is not recommended to use Levomycetin ear drops for preventive purposes - this can greatly harm a healthy organ.
If the patient has pain in both ears, the prescribed dosage of the drug must be administered into each of them. After treating one ear canal, it is recommended to lie on one side for 1–2 minutes, and then begin treating the second (if necessary).
After instilling the medicinal solution into the ear canal, it is necessary to insert a small piece of cotton wool into the auricle, which will help retain heat and will help keep the medicine in the ear for the maximum period.
Composition and pharmacological actions
This clear solution consists of active chloramphenicol and excipients: boric acid and distilled water.
Important! According to the content of chloramphenicol, the drug is of two types: with a proportion of the active substance of 25.0 mg/ml and 12.5 mg/ml. You need to pay attention to this when buying medicine at the pharmacy. The bubbles indicate 0.25% and 0.125%, respectively.
The pharmacological action of this drug is directed against a wide range of pathogenic bacteria, that is, it fights strains of both gram-positive and gram-negative bacteria. The action is based on a bacteriostatic effect, that is, stopping the development and reproduction of these microbes. This occurs due to the suspension of the reproduction of proteins in bacteria, which are destroyed due to a lack of “building material”. Microbes resistant to penicillin, sulfonamides and streptomycin are sensitive to the action of Levomycetin. Their adaptation to Levomycetin occurs very slowly. And at the same time, this drug is ineffective against bacteria resistant to acidic environments. When instilled into the conjunctival sac of the eye (the cavity between the eyeball and the eyelid), the active substance is concentrated in the cornea, eye mucosa, vitreous body and iris, but does not penetrate the crystal. The half-life of chloramphenicol is 1.5-4 hours, but in newborns it is slightly prolonged. It is excreted in urine, bile, feces, and is also inactivated in the liver.
For children
How to instill "Levomycetin" in a child's ear? When treating children with medications, the age of the patient must be taken into account. According to the instructions for this medication, dripping it into the ears is only allowed for children over 1 year of age. The solution administration regimen is the same as for adults, but only the dosage differs.
Thus, the alcohol solution “Levomycetin” is instilled into the ears of children 1-2 times a day, 2 drops. If there is copious discharge of purulent contents from the ear during otitis media, the dosage can be increased to 4 drops. It is advisable to use the medicine at regular intervals. This helps to control the treatment regimen and avoid overdose.
The medicine "Levomycetin" can be administered into the child's ear not directly, but through the use of cotton swabs. It is necessary to make turundas from pieces of cotton wool, which should be moistened in a 3% medicinal solution, and then insert such tampons into the ears for 20 minutes.
Diagnostics
Most often, it is enough for a doctor to even visually examine the patient and collect an anamnesis to diagnose an allergic reaction when taking antibacterial agents, including Levomycetin.
In some cases, specific tests are performed that will help determine the presence of an allergy and differentiate it from individual hypersensitivity to antibacterial drugs.
The most important of these analyzes include:
- general urine analysis;
- general blood analysis;
- blood biochemistry;
- specific allergy tests;
- Ultrasound.
Before taking antibacterial and other drugs for the first time, if there are concomitant pathologies or a predisposition to allergic reactions, specific tests should be performed.
Such a test is done quite simply: the patient is given one or another antibacterial drug in the minimum permissible dose and the body’s reaction to the allergen is observed. If no changes occur within 24 hours, then it is considered possible to use the drug in the required “therapeutic” dosage.
Contraindications
When using the drug "Levomycetin" in the form of alcohol for ear instillation, you must pay attention to the contraindications contained in the instructions. This medication should not be used for ear pain in the following cases:
- individual intolerance to the drug;
- pregnancy, lactation period;
- fungal or infectious diseases of the skin of the ears (in this case, the medication can cause severe itching and burning);
- liver dysfunction;
- impaired renal function;
- damage to the eardrum;
- age less than 1 year.
Allergy to chloramphenicol eye drops symptoms
Levomycetin (chloranfenicol) is a broad-spectrum antibiotic. It is actively used not only in medicine, but also in animal husbandry or veterinary medicine. The drug is colorless crystals and has a very bitter taste. Often used to treat gastrointestinal infections, typhoid fever and the like.
When prescribing an antibiotic, the doctor must make sure that the patient has previously taken it and has no side effects/allergies. Further use of the drug must be carried out under the close supervision of the attending physician. Chloranfenicol is a serious medicine, it acts quickly, and if the process is started, it is difficult to prevent.
The reason for an allergy to chloramphenicol is very simple: taking the drug without the knowledge of the doctor, overdose or the presence of allergic reactions in the body. Sometimes the medicine only worsens the allergy in the body.
Self-medication, especially with the drug in drops, can lead to disastrous consequences. A slight intake of them triggers the dormant allergy mechanism, which will affect the entire body with rashes, headaches and swelling.
The drug is quite difficult to tolerate in children and elderly patients. It is prescribed extremely rarely. Women who take the drug during lactation should stop breastfeeding for a while. Allergic reactions manifest themselves in the form of itching, rashes, urticaria, dermatoses, and Quincke's edema.
According to the intensity of manifestation, an allergic reaction is divided into:
- Acute, it manifests itself within half an hour after taking the drug. The symptoms are as follows: redness of the upper integument of the skin; rashes and itching of the outer layers of the epidermis; some areas on the face peel (around the lips, between the eyebrows, in the ears); The mucous membrane of the eyes may acquire a yellowish tint.
- “Under” acute, it manifests itself within a day or after a few hours. The symptoms are as follows: bitter taste in the mouth; heaviness in the hypochondrium; throbbing headache; profuse tearing.
- Protracted, it begins after a day or after a few days. Symptoms are as follows: severe gastrointestinal upset with loose stools or constipation; increased blood pressure; venous outflow may be impaired; periodic muscle pain; the blood formula changes (increased leukocytes and neutrophils). Severe cases lead to acute irreversible anemia (aplastic, with a progressive effect).
Usually, before prescribing, the doctor conducts some diagnostics for allergies. A few days before the procedure, you should not drink alcohol and smoke two hours before the session. The procedure is carried out on an empty stomach. They take chloramphenicol in liquid form, that is, drops. A few drops are applied to a soft area (elbow), and the result is determined after at least 5 minutes.
If mild redness appears, the drug is prescribed for a short period. If the area is very red, then it is prescribed carefully under the strict supervision of a doctor. If a blister appears, then the person is allergic to chloramphenicol and it is contraindicated to take it.
What to do if treatment was prescribed and an allergic reaction occurs?
- Stop taking the medicine immediately. If the treatment is not completed, it is replaced with a more gentle drug.
- Now we need to remove the toxin from the body as quickly as possible. They resort to the help of antigestamines such as Suprastin, Tavegil, Diazolin, Citrine, Claritin, Erius. They are designed to block the substance that triggers the allergy.
- Restore the digestive system. If the stool has become liquid, then Enterosgel, Imodium, Smecta are prescribed. But the doctor should prescribe treatment only after receiving test results. If the patient has constipation, then mild laxatives in the form of Guttalax or Glycerin are prescribed. Be sure to combine it with a sorbent preparation (Sorbex, White/Black carbon, activated carbon, and so on).
- Skin rashes are treated with conventional emollient or antibacterial creams (Children's, Chamomile, Calendula, Boro-Plus). Decoctions of chamomile or calendula also help greatly. If the lesions are too severe, then treatment is prescribed exclusively by a dermatologist.
- Quincke's edema occurs when a person already has allergens to something in the body. After taking chloramphenicol, the process occurs in a more severe form. Swelling and swelling are observed on the body and mucous membranes. Very rapid swelling is provoked by histamine after an allergen enters the body.
If a serious malfunction of leukocytes and neutrophils has occurred in the blood test, then the body must be restored only on an outpatient basis until the clinical picture returns to normal.
Experts note that the most dangerous for humans are droplets. They produce an immediate effect, especially on the mucous membranes, are very quickly absorbed and enter the bloodstream. If a person ignores the negative manifestations of the body, the toxin can accumulate so much that it will lead to death.
source
As often happens, you start taking some banal and familiar, seemingly simplest drug. You don’t expect a catch, but instead of relief you get an allergic reaction.
Levomycetin is a drug that has been familiar since childhood. Well, who among us hasn’t treated diarrhea after eating unripe apples with it or put it in our eyes for conjunctivitis? But such familiar medications often give unexpected and unpleasant reactions.
What kind of drug is this? What are the indications for its use? And how does drug intolerance manifest itself?
Levomycetin belongs to the drug group “Antibiotics”. The main active ingredient is chloramphenicol.
There are several dosage forms of the drug that are used to treat various organs and systems.
What do pharmacy chains offer:
- tablet form "Levomycetin" with 250, 500 mg of the main component;
- extended-release capsules – 650 mg chloramphenicol;
- eye drops – 2.5 mg of active substance per 1 ml;
- ointment for external use – 1%, 5%;
- solution for intramuscular and intravenous administration;
- alcohol solution containing chloramphenicol 0.25%, 1%, 3 and 5%.
A general indication for the use of these drugs is damage by pathogenic flora that is sensitive to the main active ingredient - Shigella, Salmonella, Streptococcus, Staphylococcus, strains of Proteus, Neisseria, Rickettsia, Chlamydia, Leptospira, Klebsiella. Actively works against gram-negative and gram-positive microorganisms, including spirochetes and clostidia. Pathogen resistance to chloramphenicol is extremely rare.
The drug is toxic, therefore, the use of Levomycetin is indicated only in cases where other more gentle antibiotics have not given an effect or when the sensitivity of pathogenic microorganisms has been confirmed only to chloramphenicol.
The drug is characterized by high bioavailability. The maximum concentration in blood plasma is achieved within 1 hour after injection or oral administration. Metabolites are excreted through the urinary system, in small quantities with feces.
There are few contraindications to the use of Levomycetin.
Chloramphenicol preparations are not prescribed in the following cases:
- individual intolerance;
- disorders in the hematopoietic system;
- acute intermittent porphyria;
- proven resistance of the pathogen to the main active substance;
- disturbances in the production of digestive enzymes;
- liver or kidney failure in the active phase.
Pregnancy, lactation, infancy or childhood are not a contraindication to the drug. But in these cases, Levomycetin should be used only as directed, under the supervision of a doctor, and only for health reasons.
The main component of the drug penetrates the placental barrier and is excreted in breast milk. Therefore, it is recommended to interrupt feeding for the duration of treatment.
Ointments containing chloramphenicol are not prescribed for the treatment of fungal infections of the skin, psoriasis of any origin, or eczema.
Chloramphenicol preparations are absolutely incompatible with ethyl alcohol. When taking alcohol and Levomycetin at the same time, a disulfaram reaction develops. These are pronounced signs of a hangover syndrome - nausea, vomiting, dizziness, a sharp increase in blood pressure, and heart rhythm disturbances.
A hypersensitivity reaction to the main active ingredient of the drug develops in a short time. The first signs of the pathological process appear within 30 minutes after taking the tablet form.
There are 3 stages of development of an allergic reaction. Each of them is accompanied by characteristic symptoms:
- Acute process – there is hyperemia of the skin, a rash and itching appears. The skin of the lips becomes dry and may crack. The sclera takes on a yellow tint.
- Subacute stage – bitterness in the mouth, cramping abdominal pain. A headache develops, swelling of the eyes and lacrimation are observed. Signs of allergic rhinorrhea appear - the discharge of clear fluid from the nose, which is difficult to treat with vasoconstrictor drops.
- Chronic stage. This is a serious condition, as it is characterized by clear signs of multiple organ failure.
In the chronic form of allergies, the following manifestations are observed:
- Indigestion and the production of digestive enzymes develop.
- The blood formula changes. Increased leukocytosis is noted, the number of eosinophils indicates a severe allergic reaction. Hemoglobin synthesis is disrupted and anemia develops.
- There is active necrosis of areas of the liver. Large vascular lines swell, and phenomena similar to signs of thrombosis of the veins of the extremities develop.
- Blood pressure drops sharply. When the main symptoms are blurred, the pressure can decrease smoothly, but remain at a low level for a long time.
At the first sign of an allergic reaction to the drug, you should stop taking it and call a doctor. You should not wait for the onset of stage 3.
When using local forms of the drug, the forms of the allergic reaction may differ from system-wide phenomena. They are often less aggressive.
When using Levomycetin eye drops, local allergic reactions are observed.
They are characterized by:
- itching;
- hyperemia of the sclera, the eyeball as a whole, and the skin of the eyelids;
- increased lacrimation is observed;
- photophobia;
- peeling of the skin of the eyelids;
- sensation of a foreign body in the orbit;
- swelling of the eyeball, eyelids;
- headache;
- eye pain;
- conjunctival irritation;
- hives;
- rash;
- due to increased lacrimation, allergic rhinorrhea develops.
The external form in the form of an ointment rarely contributes to the development of individual intolerance. If an allergic reaction develops, it is only at the site where the ointment is applied. Ointment or gel with chloramphenicol does not cause system-wide reactions.
Typical skin reactions:
- itching;
- hyperemia of the skin at the site of application;
- dryness;
- hives.
When the first signs of intolerance to the drug "Levomycetin" appear, you should urgently stop using all forms of the drug.
For minor skin reactions, it is recommended to thoroughly rinse the application area with clean water. Then take any usual antihistamine - Loratadine, Cetrin, Eden, Zodak drops for children. In severe cases, it is recommended to use ointments with corticosteroids as prescribed by a doctor for a short course.
If an allergic reaction develops after using eye drops with Levomycetin, you should consult an ophthalmologist . This will eliminate other inflammatory processes in the eye system and assess the extent of damage. Once the diagnosis is confirmed, the doctor will prescribe systemic and local antihistamines and antibacterial drops.
If a system-wide reaction develops after taking a tablet or injecting form of Levomycetin, you should contact emergency services.
When symptoms appear in children, urgent hospitalization is indicated, since excess or intolerance to chloramphenicol negatively affects the child’s myocardium.
In children of the first year of life, death due to an overdose or allergy to a drug occurs in 2 out of five cases.
In hospital settings, the use of enterosorbents orally, gastric and intestinal lavage, and antihistamines in severe cases by drip are indicated. The patient must be under the supervision of a physician.
Levomycetin is an effective but toxic drug. It has many advantages. This includes low resistance of pathogenic microorganisms, a wide spectrum of action, the availability of various dosage forms, and a very affordable price. But you should not prescribe this antibiotic to yourself, much less to your own child.
After all, even if Levomycetin helped in the last episode of diarrhea, this does not mean that further use will be without complications.
Chumachenko Olga, doctor, medical observer
12,238 8
source
Levomycetin tablets and drops
Among antimicrobial drugs, one of the most common drugs is Levomittin. The drug, produced in the form of tablets, ointments and drops, has a positive effect on the body, fighting foci of infection.
However, it can also be the source of a severe allergic reaction. As a result of exposure to the chemical element chloramphenicol, an allergy to Levomycetin occurs. The result of the influence is a serious blow to the human immune system.
In particularly severe cases, the reaction can be fatal.
Source: https://club-sante.ru/levomitsetin/allergiya-na-glaznye-kapli-levomitsetin-simptomy/
Side effects
The most common side effect of this medication is itching after instillation into the ear. If the medicine "Levomycetin" is administered correctly, no adverse reactions should occur. However, to avoid this, you should follow your doctor's recommendations and not increase the dosage of the medication.
When using Levomycetin solution, the following side effects may be observed:
- itching;
- irritation;
- burning;
- peeling of the skin of the ears;
- allergic reactions that are accompanied by skin rashes;
- swelling of the ear tissues;
- hyperemia of the ear epidermis.
If any negative reactions occur when instilling the medicinal solution "Levomycetin", you must stop using this drug and consult a specialist. In case of adverse reactions, symptomatic treatment is carried out.
The essence of the disease
Allergic reactions to various antibacterial agents are a common occurrence in clinical practice. This is easily explained by the physiological characteristics of human immunity.
Often antibacterial agents, as well as other medications, are regarded by our immune system as a threat to the body. Protecting itself from the effects of substances that pose a threat, the immune system produces specific antibodies, which causes an allergic reaction.
Important! Any allergic reactions are rather an individual feature of the body, but only a specialist is able to distinguish individual intolerance to drugs from allergies, and even then only after conducting a series of clinical studies.
For this reason, if you experience any allergic reaction or other change in your general condition, you should consult your doctor. The specialist will be able to assess the clinical picture and draw certain conclusions, after which adequate therapy will be prescribed.
Uncontrolled use of antibiotics can lead to the patient not only experiencing allergic reactions, but also quite serious complications, including anaphylactic shock and death. For this reason, you should not hesitate to go to the hospital.
Levomycetin is an antibacterial drug that has been used in medicine for decades. Although today there are more modern antibiotics, Levomycetin is a fairly effective drug for some pathological conditions and is used in medical practice to treat various pathologies.
Levomycetin is often prescribed in cases where the use of other antibacterial therapy for one reason or another becomes impossible. These may also be allergic reactions to penicillin or cephalosporin drugs.
It is worth noting that the drug Levomycetin itself can sometimes cause an allergic reaction. Such cases do not occur often, but one cannot deny the fact that this drug can cause an allergic reaction.
Special recommendations for the use of the drug
During the period of use of this medication, systematic monitoring of the peripheral blood picture is required, since the active elements tend to be absorbed into the systemic bloodstream. When used simultaneously with ethanol, disulfiram-like effects may occur, which manifest themselves in the form of vomiting, nausea, convulsions, reflex cough, skin hyperemia, and tachycardia.
How to be treated with chloramphenicol solution
If the doctor has prescribed treatment for purulent otitis with chloramphenicol, then it is instilled with a pipette into the external auditory canal.
The dosage of alcohol is 2-3 drops in each sore ear in the morning and evening. If a severe form of the disease is observed, it is possible to increase the number of procedures up to 4 times a day. After using alcohol, close the ear with a cotton swab; it is recommended to lie down for a while after the procedure.
The otolaryngologist, as a rule, prescribes complex treatment: external procedures with chloramphenicol and taking antimicrobial tablets.
The duration of treatment with alcohol is determined by the doctor individually. If ear pain occurs suddenly, there is no way to urgently consult a doctor; you can relieve the pain with ibuprofen. Then examine the diseased ear. If there is slight redness and no purulent discharge, then it is possible to use alcohol for treatment. To do this, a cotton wool turunda is moistened in alcohol and inserted inside the ear canal. After a few hours it dries and is removed.
Reviews about the drug
The drug has been known for a long time. Many patients did not even know that it was used for ear drops in case of ear pain and the development of otitis media, but after the doctor prescribed this medication, they began to use it successfully.
Reviews contain very contradictory information about this drug. Some patients use it constantly, for any ear pathologies, and they say that the Levomycetin solution is a fairly effective remedy in the fight against ear diseases. Despite the fact that it is not recommended to use it for preventive purposes, many patients still do it, for example, when discomfort occurs, which often becomes a harbinger of the disease. During use in this category of patients, practically no adverse reactions were observed, and people tolerated the effects of the medication well.
Another category of patients left negative reviews about this pharmacological agent. They consider this medicine to be sufficiently outdated to be used at modern stages of medical development. They prefer to use newer medications developed specifically for the treatment of ear diseases, which also contain antibiotics and anti-inflammatory substances.
We reviewed the instructions for use of Levomycetin in the ear.
What to do
Treatment of allergic reactions to antibacterial drugs, including Levomycetin, primarily involves discontinuing the drug or replacing it with analogues. Sometimes it is enough to simply change the manufacturer of the medicine, and all allergies disappear without a trace. In addition, it is customary to prescribe symptomatic therapy. It includes the following items:
- antihistamines;
- enterosorbents;
- hormonal therapy.
The choice of treatment option is carried out under the strict supervision of a doctor. Self-medication is strictly not recommended in order to avoid quite serious consequences for the patient’s health.
Among the analogues that can replace Levomycetin are the following antibacterial drugs:
- cephalosporins - Ceftriaxone, Cefazolin, Cefix and others;
- penicillin series - Oxacillin, Penicillin, Amoxicillin;
- tetracycline series - Doxycycline, Tetracycline, etc.
The choice of a drug that replaces Levomycetin should be made exclusively by the attending physician. Otherwise, you may not only not solve, but also aggravate the existing problem.
How to use according to the instructions for use
Let's find out how to properly instill Levomycetin solution for otitis media.
For adults and children over one year old, if purulent otitis media occurs, there is a single dosage of the drug: once or twice a day, two to three drops of solution.
It is not advisable to increase the dosage on your own; you should discuss this issue with your doctor.
The solution is injected with a pipette into the affected ear canal. If both ears hurt, then each of them should receive its own, separate portion of the product in the specified dosage. After introducing the solution into the ear canal, the drug retains the ability to act on microorganisms for 6-12 hours. After instillation, the ear canal is filled with cotton wool for warmth and preservation of the medicine.
Instill the product 1-2 times a day. But if the discharge from the ear is profuse, you can increase the frequency of administration of the medicine to 3-4 times a day.
If otitis is accompanied by severe infectious inflammation, then antimicrobial drugs must be used simultaneously with the Levomycetin solution.
Method of introducing the drug "Levomycetin" into the ear
Remember that purulent otitis media has a lot of complications .
It can not only invade nearby tissues and damage the bone tissue of the temporal region, but also provoke the appearance of meningitis and other dangerous diseases.
Therefore, treatment of otitis with purulent discharge is necessary only under the supervision of an ENT doctor.
In most cases, with purulent otitis media, the integrity of the tympanic area is compromised. Therefore, have your ear examined by a doctor to identify perforations.