Medication for adenoid hypertrophy Adrenocorticotropic hormone 1. Adrenocorticotropic hormone is the basic medication for the treatment of adenoid hypertrophy. It can be used alone or in combination with other drugs (antibiotics, anti-allergic drugs, anti-leukotriene drugs or mucus thinners, etc.). 2. Topical application (nasal spray) is the basic use of adrenocorticosteroids. The more common intranasal adrenocorticotropic hormones at present are Rayocort (budesonide), Fosfomycin (fluticasone hydrochloride) and Endosulfan (U-methasone furoate). The safety of coleus (no age limit in the instructions) and endosulfan (domestic instructions stipulate that it can be used above 3 years old, most foreign countries are above 2 years old) is comparable, and the ryanocort is slightly worse (it can be used above 6 years old). 3. The course of topical adrenocorticotropic hormone use in sufficient quantity (taking Cozulan and Nesuna as examples): 1 spray per side of the nose twice a day (i.e. 4 sprays per day). If symptoms disappear within 2 weeks, apply until at least 4 weeks. If more than 2 weeks, it is used until 4 weeks after the symptoms have completely disappeared, and the longest full dose is used continuously for no more than 3 months, otherwise surgery should be considered. 4. Dose reduction: Most patients require dose reduction at the end of the full course of medication. The significance of dose reduction is to understand the degree of inflammation in the respiratory tract and to avoid recurrence of symptoms due to too rapid withdrawal of medication. The method is: the first two weeks of dose reduction: once a day, once on each side (each nostril) The usage of the third to fourth weeks of dose reduction is: once every other day, once on each side (each nostril) The usage of the fifth to sixth weeks of dose reduction is: once every two days, once on each side (each nostril) The usage of the seventh to eighth weeks of dose reduction is: once every three days, once on each side (each nostril) 5. Discontinuation: and so on, generally to 5-6 days after a trial discontinuation. 6, the use of the post-surgical course of treatment: generally after surgery should be adhered to the full amount (2 times a day, each time each side of the nasal spray 1, that is, 4 times a day) for 8 weeks, that is, two months. If the symptoms do not disappear completely, you can also extend the use time. If there is no allergic rhinitis or sinusitis, there is no need to reduce the dose can be directly stopped; if combined with allergic rhinitis or sinusitis, it is necessary to reduce the dose in accordance with Article 4. 7. Safety and side effects: The most common side effects are nasal dryness, discomfort, nasal mucosa erosion and bleeding, which can generally disappear after stopping the drug but within it. It can also be prevented by using drugs that protect the nasal mucosa at the same time: for example, nasal drops with vitamin AD drops. The systemic side effects are mainly on growth and development, which are generally related to the type of drug, among which the systemic side effects of Cochlearia and Nesuna are relatively small, and some data show that the full amount of continuous use for 12 months has not seen any significant effect on the growth and development of children. 8, other common problems: (1) did not adhere to the regular, quantitative spray: the medicine should be placed at the head of the bed, easy to remember, after waking up and before going to bed each spray, not easy to forget. (2) the wrong method of spraying: spray the medicine bottle must be upright, do not place the bottle horizontally or upside down, otherwise the liquid level of the bottle of medicine may be placed below the mouth of the straw, thus causing the medicine can not be sprayed or sprayed out the amount is not enough. (3) after the spray is not timely nasal aspiration: nasal spray is sprayed with water mist, encountering the mucous membrane of the nasal cavity quickly into small droplets, sometimes flowing out of the nostrils. Therefore, you should use your index finger to press the opposite nostril in time after spraying, and do a quick and deep inhalation action to inhale the liquid that will soon flow out of the nasal cavity. (4) Not knowing when the medication in the bottle is used up: This is mainly seen in children who use Percocet and Nezona. These two types of medications are in plastic bottles and are not transparent, so sometimes they do not know when the medication has been used up. Therefore, the correct way to count is to write the word “positive”. That is, every time you spray (every time you press the nozzle, regardless of whether it is sprayed in the nasal cavity or outside the body), you write a stroke on the box with a ballpoint pen, every five times is a “positive” character, 12 “positive” characters represent 60 sprays, a bottle of medicine for 60 sprays of Neshu Take will be used up. Even if you can still spray water mist, or shake when you can still hear the sound of liquid, should be discarded.