Managing children with frequent respiratory infections and associated wheezing: a preliminary randomized study with a new multicomponent nasal spray

Allergol Immunopathol (Madr). 2024 May 1;52(3):22-30. doi: 10.15586/aei.v52i3.1040. eCollection 2024.

Abstract

Background: Preschoolers frequently have respiratory infections (RIs), which may cause wheezing in some subjects. Type 2 polarization may favor increased susceptibility to RIs and associated wheezing. Non-pharmacological remedies are garnering increasing interest as possible add-on therapies. The present preliminary study investigated the efficacy and safety of a new multi-component nasal spray in preschoolers with frequent RIs and associated wheezing.

Methods: Some preschoolers with these characteristics randomly took this product, containing lactoferrin, dipotassium glycyrrhizinate, carboxymethyl-beta-glucan, and vitamins C and D3 (Saflovir), two sprays per nostril twice daily for 3 months. Other children were randomly treated only with standard therapy. Outcomes included the number of RIs and wheezing episodes, use of medications, and severity of clinical manifestations.

Results: Preschoolers treated add-on with this multicomponent product experienced fewer RIs and used fewer beta-2 agonists than untreated children (P = 0.01 and 0.029, respectively).

Conclusions: This preliminary study demonstrated that a multicomponent product, administered add-on as a nasal spray, could reduce the incidence of RIs and use of symptomatic drugs for relieving wheezing in children.

Keywords: beta-glucans; glycyrrhetic acid; lactoferrin; medications’ use; preschoolers; respiratory infections; symptoms; vitamin C; vitamin D3; wheezing.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Ascorbic Acid / administration & dosage
  • Child, Preschool
  • Cholecalciferol / administration & dosage
  • Female
  • Glycyrrhizic Acid / administration & dosage
  • Humans
  • Infant
  • Lactoferrin / administration & dosage
  • Male
  • Nasal Sprays*
  • Respiratory Sounds* / drug effects
  • Respiratory Tract Infections* / diagnosis
  • Respiratory Tract Infections* / drug therapy
  • Respiratory Tract Infections* / epidemiology
  • Treatment Outcome
  • beta-Glucans / administration & dosage

Substances

  • Nasal Sprays
  • Ascorbic Acid
  • Lactoferrin
  • Glycyrrhizic Acid
  • beta-Glucans
  • Cholecalciferol