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Xylometazoline for nasal congestion

Otrivine, Sudafed

There are two strengths of xylometazoline nose drops. There is an adult strength of 0.1%, and a child strength of 0.05% which is suitable for children aged 6 years or over.

A nasal spray is available for adults and for children over 12 years of age.

Do not use xylometazoline drops or spray for longer periods of time than is recommended on the label.

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About xylometazoline

Tipo de medicamento

A nasal decongestant

Usado para

Nasal congestion (a blocked nose)

También llamado

Otrivine®; Sudafed®

Disponible como

Nose drops and nasal spray

A common symptom of a cold is a blocked (congested) nose. A stuffy, blocked-up feeling in your nose can also occur in the absence of a cold. This is because the inside lining of your nose is sensitive to changes in the atmosphere (such as temperature and humidity changes) and this also can lead to symptoms of nasal congestion.

You may find a hot steamy shower or a steam inhalation will help to clear a blocked nose but, where this does not provide sufficient relief, a decongestant such as xylometazoline may be useful. Xylometazoline causes the small blood vessels in your nose to become narrower. This reduces the thickness of the lining of your nose which is causing the congestion, and relieves the blocked-up feeling.

You can buy preparations containing xylometazoline from retail outlets, without a prescription. They should be used for short periods of time only. There is a nasal spray which is available for adults and for children over 12 years of age. There are two strengths of xylometazoline nose drops available. The adult strength is 0.1%, which is suitable for adults and for children over 12 years of age. The 0.05% strength drops are suitable for children aged 6-12 years. Children aged 6-12 years should not use xylometazoline for longer than five days at a time, but adults and children over 12 years of age can use it for up to seven days if needed. Xylometazoline must not be given to children under 6 years of age.

To make sure this is the right treatment for you, before you start using xylometazoline it is important that you speak with a doctor or pharmacist:

  • If you are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.

  • If you have diabetes, high blood pressure, or heart disease.

  • If you have an overactive thyroid gland, or any problems with your prostate gland or kidneys.

  • If you have increased pressure in your eyes, a condition called glaucoma.

  • If you have been told you have a tumour on your adrenal gland, called phaeochromocytoma.

  • Si alguna vez has tenido una reacción alérgica a un medicamento.

  • If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines. You must reportado use xylometazoline if you have taken a medicine known as a monoamine-oxidase inhibitor (MAOI), within the previous two weeks.

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Recommended dose for adults and for children over 12 years of age using 0.1% drops: use two or three drops into each nostril two or three times a day when required. Do not use the drops for periods of more than seven days. The drops are not suitable for children under 12 years of age.

Recommended dose for children over 6 years of age using 0.05% drops: use one or two drops into each nostril one or two times a day when required. Do not use the drops for periods of more than five days. The drops are not suitable for children under 6 years of age.

Recommended dose for adults and for children over 12 years of age using nasal spray: use one spray into each nostril one to three times a day if needed. Do not use the spray for periods of more than seven days. The spray is not suitable for children under 12 years of age.

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. This will give you a step-by-step guide of how to use the drops or spray, and will also provide you with a full list of the side-effects which you may experience.

  • Preparations containing xylometazoline should be used for short periods of time only. This is because the downside of using such preparations is that nasal congestion can often recur when you stop using them. This is called rebound congestion, and it can lead to cycles of further problems with congestion. Using the spray/drops for only a few days when necessary will help to prevent this from becoming a problem.

  • Nose drops and nasal sprays should only be used by one person. This is to avoid spreading infection from one person to another. Do not share the same bottle or spray with other people.

  • Nasal congestion can be eased by inhaling warm moist air. Many people find that having a hot shower is often the best way to relieve their symptoms.

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Junto con sus efectos útiles, la mayoría de los medicamentos pueden causar efectos secundarios no deseados, aunque no todos los experimentan. Estos generalmente mejoran a medida que su cuerpo se adapta al nuevo medicamento, pero hable con su médico o farmacéutico si alguno de los siguientes efectos secundarios persiste o se vuelve problemático.

Xylometazoline side-effects - these are generally mild and occur infrequently

¿Qué puedo hacer si experimento esto?

Irritation in your nose such as burning, soreness, dryness, stinging, itching or sneezing

These should soon pass. If any become troublesome, ask your pharmacist for advice

Sentirse mal (náuseas)

Avoid rich or spicy foods

Dolor de cabeza

Drink plenty of water. If the headaches continue, stop using the product and ask your pharmacist for advice on other treatments

If you experience any other symptoms which you think may be due to xylometazoline, speak with your pharmacist for further advice.

  • Mantenga todos los medicamentos fuera del alcance y la vista de los niños.

  • Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.

  • To avoid contamination, do not keep part-used bottles of nose drops or nasal sprays to use later. Throw away the container after each course of treatment.

Información importante sobre todos los medicamentos

Never use more than the recommended dose. If you suspect that someone has swallowed some of the medicine by accident, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

Si vas a someterte a una operación o tratamiento dental, informa a la persona que realiza el tratamiento sobre los medicamentos que estás usando.

Si compras algún medicamento, consulta con un farmacéutico que sea seguro tomarlo junto con tus otros medicamentos.

No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.

Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.

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Lecturas adicionales y referencias

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • Próxima revisión: 17 Ene 2027
  • 18 Ene 2024 | Última versión

    Última actualización por

    Michael Stewart, MRPharmS

    Revisado por pares por

    Sid Dajani
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