What to Do If You Accidentally Apply Ointment Inside Your Nose? - Pharmacology

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Medication issues


Hello, I accidentally applied a topical ointment into my nostrils.
My nose is bleeding and inflamed, and I feel like the ointment has flowed into my mouth and stomach.
What might happen?

Xiao Yu, 20~29 year old female. Ask Date: 2017/11/20

Dr. Chen Yuemei reply Pharmacology


Hello: Neomycin and Bacitracin Zinc ointment (containing 5 mg of Neomycin and 12.5 mg of Bacitracin Zinc per gram) is an antibiotic ointment.
A small amount is applied each time, and the quantity used is minimal.
Even if it accidentally gets ingested, it will not have any adverse effects on the body.

Reply Date: 2017/11/20

More Info


If you accidentally apply ointment inside your nose and experience symptoms such as bleeding or inflammation, it is important to take the situation seriously. The nose is a sensitive area, and any foreign substance can potentially cause irritation or an allergic reaction. Here’s what you should do:
1. Assess the Situation: First, try to determine the type of ointment you applied. If it is a topical ointment meant for skin use, it may not be safe for mucosal surfaces like the inside of the nose. Some ointments contain ingredients that can be irritating or harmful if absorbed through the nasal mucosa.

2. Rinse Your Nose: If you have not done so already, gently rinse your nasal passages with saline solution. This can help to remove any residual ointment and soothe irritation. You can use a saline nasal spray or make a saline solution at home (1 teaspoon of salt in 2 cups of warm water) and use a bulb syringe or neti pot to rinse your nose.

3. Monitor Symptoms: Keep an eye on your symptoms. If you notice persistent bleeding, increased pain, swelling, or if the ointment has a strong odor or unusual color, it may indicate a more serious reaction.
4. Avoid Further Irritation: Do not attempt to remove the ointment forcefully or insert any objects into your nose, as this could cause further injury or push the ointment deeper.

5. Consult a Healthcare Professional: If you experience significant discomfort, persistent bleeding, or if you feel that the ointment has entered your mouth or stomach, seek medical attention immediately. A healthcare provider can evaluate your symptoms and may perform a nasal examination to ensure there is no damage to the nasal mucosa.

6. Potential Ingestion Concerns: If you feel that the ointment has reached your stomach, monitor for any gastrointestinal symptoms such as nausea, vomiting, or abdominal pain. Depending on the ingredients of the ointment, ingestion could lead to various side effects. If you experience any of these symptoms, contact a poison control center or seek emergency medical care.

7. Follow-Up Care: If you have been prescribed any medications for nasal inflammation or bleeding, follow your healthcare provider's instructions carefully. They may recommend topical treatments or nasal sprays to help reduce inflammation and promote healing.

In summary, while accidental application of ointment inside the nose can be concerning, taking prompt and appropriate action can help mitigate any potential complications. Always consult with a healthcare professional if you have any doubts or if your symptoms worsen. Remember, it is crucial to keep all medications and ointments out of reach of children and to use them only as directed to avoid similar incidents in the future.

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