[Gentleness in ENT: optimalization of drug therapy]

Presentation of 5 drug strategies relating to the realm of E.N.T. permitting a therapeutic approach both effective and comfortable. 1. Avoidance of oto-toxic antibiotics and antiseptics, especially in case of underlying pathology. 2. Reasoning for endonasal administration of topical (corticoids, vaso-constrictors, anticholinergics) and systemic (Suprefact, Minrin, Miacalcic, Diergo) drugs. 3. Importance of oral administration of a new mucolytic, Surbronc which improves the muco-ciliary clearance by means of an increased synthesis of the "Surface Tension Lowering Substance". 4. Avoidance of abusive tonsillectomies in recurrent pharyngo-tonsillitis failing to penicillin treatment, due to the "indirect pathogenic phenomenon". 5. Optimalization of nonmorphinic oral analgesics with acetaminophen (in monotherapy or in association) and morphinic ones by anticipative and repetitive administration.