Indications

Oxymetazoline Hydrochlorid is indicated for the treatment of nasal congestion associated with acute or chronic rhinitis, common cold, sinusitis, upper respiratory allergies, epistaxis and hay fever. It is also used as nasal decongestant in otitis media.

Therapeutic Class

Nasal Anti-histamine preparations, Nasal Decongestants & Other Nasal Preparations

Pharmacology

Oxymetazoline Hydrochloride is an imidazoline derivative sympathomimetic amine. It is a direct agonist at α-adrenoceptors but has no action on β- adrenoceptors. It is used as a topical agent on the nasal mucosa, produces a rapid and long acting vasoconstriction of the arterioles, thus reducing the blood flow and diminishing swelling of the mucosa. This results in improved potency of the airway and better drainage of the nasal sinus.

Dosage

Oxymetazoline nasal spray-

Adults and children (6 years of age and older): 2 or 3 sprays in each nostril twice daily for 3-5 days.

Elderly: There is no need for dosage reduction in the elderly for nasal administration.

Children below 6 years of age: It is not suitable for children below 6 years of age.

Oxymetazoline nasal drop-

Adults & children 6 years of age: 2-3 drops of 0.05% Nasal Drops in each nostril twice daily in the morning and evening.

Children 2-5 years of age: 2-3 drops of 0.025% Nasal Drops in each nostril twice daily in the morning and evening

Administration

Oxymetazoline Hydrochlorid Nasal preparation is recommended for intranasal use only. It should be used for no longer than 5 days.

How to use Oxymetazoline nasal spray-

Step 01: Remove the dust cover cap

Step 02: During application, tilt your head slightly forward and keep the container upright then use the nasal spray

Step 03: After each use, gently wipe the spray tip with clean & soft cloth or tissue paper. Finally set the dust cover cap in the previous place

Interaction

Oxymetazoline Hydrochloride Nasal preparation should not be given to patients being treated with MAO inhibitors or within 14 days of ceasing such treatment.

Contraindications

It is contraindicated in patients with cardiovascular disease, hyperthyroidism, prostatic enlargement, angle closure glaucoma and hypersensitivity to any of its ingredients.

Side Effects

Occasionally it may cause local irritation and dryness of the mouth and throat. Temporarily discomfort such as burning, stinging, sneezing or increase in nasal discharge may occur.

Pregnancy & Lactation

The safety of Oxymetazoline Hydrochloride Nasal Spray during pregnancy and lactation has not been established, but is not thought to constitute a hazard during those periods.

Precautions & Warnings

Keep away from the eyes. The spray should not be used for longer than seven days without medical advice. Frequent or prolonged use may cause nasal congestion to recur or worsen.

Overdose Effects

Overdose may give rise to local irritation and rebound congestion. Treatment need only be symptomatic.

Storage Conditions

Keep below 30° C temperature in a dry place, protect from light. Do not refrigerate or freeze. Keep out of the reach of children.