However, the FDA does not recommend NSAIDs from week 20 onward, as these medicines may lead to low amniotic fluid. Not suitable for children under four. Prostate cancer: How often should men on active surveillance be evaluated? Chronic nonallergic rhinitis. Copyright 2023 IBM Watson Health. Sometimes, a runny nose is a symptom of an allergic reaction. The only way to be sure rhinitis isn't caused by allergies is through allergy testing, which may involve skin or blood tests. Mucinex Products and Covid-19: Learn More. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Brompheniramine is an antihistamine that reduces the effects of natural chemical histamine in the body. Use of this container by more than one person may spread infection. Overdose symptoms may include severe dizziness or drowsiness, slow heart rate, and fainting. Always talk with a doctor before giving cough or cold medicines to children. Sudafed pseudoephedrine hydrochloride tablet, coated. Fearing that customers will shy away from asking a pharmacist or clerk for these products, some drug companies are replacing pseudoephedrine with another over-the-counter decongestant called phenylephrine. Do not keep outdated medicine or medicine no longer needed. Product. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. If you have prostate problems that make it hard to pee, these drugs can make the problem worse. Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum). The drugs are also available in several combinations with other over-the-counter cough and cold medications. American Family Physician. Tell your doctor if your condition gets worse or lasts after 3 days. We avoid using tertiary references. In fact, some research has found that at the current recommended doses of phenylephrine it offers minimal symptom improvement. Tablets, chewable tablets, liquid and nasal preparations of phenylephrine are used to treat nasal and sinus congestion. After each use, clean the tip of the spray bottle with a clean tissue or rinse it with hot water, making sure that no water gets into the medicine bottle. Ask your doctor about other treatment options. Do not use more often, use more sprays, or use longer than directed because doing so may increase the risk of side effects. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. To use the nasal drops, lie on your back with your head tilted back. Does anything seem to improve your symptoms? What should I know regarding pregnancy, nursing and administering phenylephrine nasal to children or the elderly? Tilt the head back while standing or sitting up, or lie down on a bed and hang head over the side. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. It is available without a prescription in many states, but there are restrictions on how much a person can buy because of the risk of dependency and adverse effects. They work by reducing the swelling of the blood vessels in your nose, which helps to open the airways. drinking plenty of fluids, especially water, to prevent dehydration, avoiding smoking or exposure to tobacco smoke. That relieves swollen nasal passages and congestion. Children 6 to 12 years of ageUse two or three sprays of a 0.25% solution in the nose every four hours as needed. You can learn more about how we ensure our content is accurate and current by reading our. This medication is suitable only for those aged 6 years and over. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. There's no reason to think that it's a safer compound than pseudoephedrine or one with fewer side effects - if you can get enough of it into your blood, you'll probaby have a rather similar profile. Anyone who is pregnant or planning to become pregnant may wish to consider getting a flu vaccine. Side effects can include nosebleeds and drying of the inside of your nose. Otherwise, call a poison control center right away. 2005 - 2023 WebMD LLC. Most nasal decongestants, therefore, cause vasoconstriction (cause the blood vessels to shrink). Check out these runny nose relief products now! Stop using phenylephrine nasal and call your doctor at once if you have: severe sneezing, runny or stuffy nose, redness or swelling in your nose, or other worsening nasal symptoms (may be a sign of overuse of phenylephrine nasal); severe stinging, burning, or irritation inside your nose; Read this article to, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. People with a cold or flu may experience a runny nose, or rhinitis. If your symptoms aren't easily controlled by decongestants or antihistamines, your doctor might suggest a nonprescription corticosteroid nasal spray, such as fluticasone (Flonase Allergy Relief) or triamcinolone (Nasacort Allergy 24 Hour). 2020; doi:10.1007/s40521-020-00243-1. Do not share this medication with others. Here are some answers to questions people often ask about colds and a runny nose. During pregnancy, people should speak with a doctor before taking oral decongestants. Some people swear by spicy foods, and we would be remiss if we did not mention chicken soup. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Examples of antihistamines include Zyrtec (ceterizine), Claritin . Injectable forms may also be used to increase blood pressure. 1. Pseudoephedrine, present in Sudafed, is an oral decongestant. Sinex Nasal Spray, Alconefrin-12, Nostril Nasal Decongestant, Rhinall, Neo-Synephrine Extra Strength Nasal, Neo-Synephrine Mild Nasal, 4-Way Menthol, Neo-Synephrine Cold and Sinus Regular Strength, Neo-Synephrine Cold and Sinus Extra Strength, Neo-Synephrine Cold and Sinus Mild Strength This can be harmful or prevent the drug from working well. Phenylephrine must never be given to children under the age of four. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others. The sections below will look at how certain cold medicines can interact with drugs for other health conditions. Repeat until the complete dose is used. Then use the spray in your other nostril. This site complies with the HONcode standard for trustworthy health information: verify here. Call your doctor if your symptoms have not improved within seven days of treatment, or if you develop a fast, pounding, or uneven heartbeat, severe dizziness or anxiety, severe headache, fever, or rash. Portions of this document last updated: Feb. 01, 2023. 4 Way Fast Acting Nasal Spray, Rhinall, Afrin 4 Hour Extra Moisturizing, Little Noses Decongestant, +3 more. This document does not contain all possible drug interactions. Some may also cause side effects. Blow your nose gently. Rhinitis is the . This content does not have an Arabic version. Use exactly as directed on the label, or as prescribed by your doctor. A stuffy nose is a hallmark of the common cold and allergic . Medicines that interact with phenylephrine may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with phenylephrine. Over the years, there have been reports of heart attacks, strokes, disturbed heart rhythms, and other cardiovascular problems linked with use of pseudoephedrine. It is not known whether this drug passes into breast milk. Dilated blood vessels can cause nasal congestion (stuffy nose). A dangerous drug interaction could occur. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Things to remember when you fill your prescription. You should not use phenylephrine nasal if you are allergic to it. All rights reserved. For example, pseudoephedrine may cause irritability and sleep changes in the child. Consult your pharmacist or local waste disposal company. What conditions does phenylephrine nasal treat. With your finger, place a small amount of jelly (about the size of a pea) up each nostril. People who have high blood pressure and take blood pressure medications should speak with a doctor or pharmacist before taking cold medicines with a decongestant. Common side effects of phenylephrine nasal may include: mild burning, dryness, cold feeling, or irritation inside your nose; feeling excited or restless (especially in children); or. Revision date: July 14, 2022. metoprolol, atenolol, diltiazem, amiodarone, dexamethasone, methylprednisolone, hydrocortisone, bisoprolol, epinephrine topical, epinephrine. If youre pregnant or breastfeeding, talk with your doctor before using either of these drugs. Food allergies can be very serious, potentially leading to anaphylactic shock. That doesn't mean it's risk free. (2020). DXM may not be safe during pregnancy or for children aged 4 years and under. This is not a complete list of side effects and others may occur. American Academy of Allergy, Asthma & Immunology. Combination products like Tylenol Sinus, Advil Cold & Sinus, and Aleve Cold . Pseudoephedrine and phenylephrine side by side, bpspubs.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2125.2006.02833.x, drugabuse.gov/publications/drugfacts/methamphetamine, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0cb284b1-6fcb-4650-83a3-4c4542aeff45, medlineplus.gov/druginfo/meds/a606008.html, medlineplus.gov/druginfo/meds/a682619.html, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d280abe9-6bdf-4e1e-a0cf-95fd0451c999, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=85476c30-f22a-42b7-9c16-4ec1634145d4. Get your hearing checked today. A single copy of these materials may be reprinted for noncommercial personal use only. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Inhaled decongestants may be a good alternative with correct use. Nonallergic rhinitis. May not be suitable for some people including those with angina, high blood pressure, heart disease, diabetes, a thyroid disorder, spinal cord injuries, septic shock, or with circulation disorders such as peripheral vascular disease. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. Hyland's 4 Kids Stuffy Nose & Sinus Cold and Allergy Medicine for Children Ages 2+ Headache Relief. These rules help prevent people from buying products that contain pseudoephedrine to make methamphetamine. But be that as it may: the fact remains that its alleged replacement, phenylephrine, is of no real use and does not deserve its FDA listing. A rapid increase in blood pressure is usually seen following an intravenous dose that persists for up to 20 minutes. In the mother, both drugs may decrease milk production. Accessed Dec. 19, 2020. Injectable forms may also be used to increase blood pressure. Phenylephrine nasal 1% spray: 2 to 3 sprays in each nostril every 4 hours. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Not all possible interactions are listed in this medication guide. Make sure that water does not get inside the container. Phenylephrine, present in Sudafed PE, is effective for the short-term relief of nasal congestion and is available on the pharmacy shelf. Phenylephrine (Nasal Route) Proper Use Drug information provided by: IBM Micromedex To use the nose drops: Blow your nose gently. https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/nose-and-paranasal-sinus-disorders/nonallergic-rhinitis#. Crisci CD, et al. They, Both cool-mist humidifiers and steam vaporizers add helpful moisture to the air. This is because theyre both decongestants, so theyd have too much of an effect if taken together. (2017). Use these dosage charts for infants and children under 12 years old: epinephrine topical, pseudoephedrine, phenylephrine, sodium chloride nasal, Afrin, doxylamine. Prescription nasal sprays also are available. (2009). Drinking plenty of fluids, especially hot beverages, keeps mucus moist and flowing. Dextromethorphan hydrobromide and promethazine hydrochloride syrup. Sudogest PE phenylephrine HCl tablet, film coated. However, nasal decongestant sprays should be used only for several days because it can lead to rebound nasal congestion. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use phenylephrine only for the indication prescribed. Both DXM and codeine can cause drowsiness. After an IM dose, it may take 10 to 15 minutes for a blood pressure increase to be seen which will last 1 to 2 hours. Our website services, content, and products are for informational purposes only. However, adding an antihistamine to a decongestant does not guarantee that a person will fall asleep. If you are on a schedule, use the missed dose as soon as you remember. Sur DKC, et al. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Ask a doctor or pharmacist if it is safe for you to use this medicine if you have other medical conditions, especially: an enlarged prostate or urination problems. The chart below lists examples of possible side effects from pseudoephedrine and phenylephrine. decongestant ingredients work by dilating your blood vessels to . Brand names: 4-Way, Afrin 4 Hour Extra Moisturizing, Little Noses Decongestant, Nasal Four, Neo-Synephrine Nasal, Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Adults and children 12 years of age and olderUse two or three drops of a 0.25 to 0.5% solution in the nose every four hours as needed. Their names usually end with -D.. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Many combination medicines contain pseudoephedrine. Rebound congestion (congestion that occurs from overuse of nasal decongestants) may also develop if nasal phenylephrine is used more times in one day or for more days than indicated on the label. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Childrens ibuprofen ibuprofen suspension. Copyright 1996-2023 Cerner Multum, Inc. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, nonsteroidal anti-inflammatory drugs (NSAIDs), https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=89c165ba-3ad5-49b5-a5bb-423dc8e15bad, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a83bb037-2e72-42e3-9d59-4ab828f18492, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1984374e-7639-4a4f-bf96-a614e663e0c4, https://hereforyouhampshire.nhs.uk/ColdOrFlu.html, https://www.nhs.uk/conditions/common-cold/, https://www.aafp.org/pubs/afp/issues/2019/0901/p281.html, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c155b478-c04d-47e5-891b-408d09a5acf3, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ac4d581b-4f09-40a0-a75f-d23d9c6fc0b9, https://www.fda.gov/consumers/consumer-updates/dont-double-acetaminophen, https://www.aafp.org/afp/2012/0715/p153.html, https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-evaluating-potential-risks-using-codeine-cough-and-cold-medicines, https://www.fda.gov/drugs/fda-drug-safety-podcasts/fda-recommends-avoiding-use-nsaids-pregnancy-20-weeks-or-later-because-they-can-result-low-amniotic, https://www.cdc.gov/flu/highrisk/pregnant.htm, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6cd11814-c707-1b74-e053-2991aa0a0619, https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=ac641027-929e-694d-80cd-bf770dc51aa6, https://medlineplus.gov/druginfo/meds/a618013.html, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377061/, https://www.fda.gov/drugs/information-drug-class/legal-requirements-sale-and-purchase-drug-products-containing-pseudoephedrine-ephedrine-and, https://clinmedjournals.org/articles/ijam/international-journal-of-allergy-medications-ijam-3-024.pdf, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513626/, https://www.ncbi.nlm.nih.gov/books/NBK538216/, https://www.fda.gov/consumers/consumer-updates/when-give-kids-medicine-coughs-and-colds, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d280abe9-6bdf-4e1e-a0cf-95fd0451c999, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3121056/, https://www.ncbi.nlm.nih.gov/books/NBK458286/, https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/understanding-overthecounter-otc-medications-and-high-blood-pressure, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023220/, Common sweetener erythritol tied to higher risk of stroke and heart attack, Skipping breakfast and fasting may compromise the immune system. Keep the cap on the bottle when not in use. All rights reserved. Parents don't always realize that their teen is suicidal. I have other health conditions. The amount of medicine that you take depends on the strength of the medicine. Do not use phenylephrine nasal if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. Symptoms of overdose may include: drowsiness, slow heartbeat, dizziness, fainting. These drugs work by constricting blood vessels within the nose and sinuses, which allow people to . Not be safe during pregnancy, nursing and administering phenylephrine nasal if you have prostate problems make! Other health Conditions through allergy testing, which can cause nasal congestion ( stuffy nose ) hard pee! Pregnant may wish to consider getting a flu vaccine person may spread infection a will. You can learn more about how we ensure our content is accurate and current by our... Week 20 onward, as these medicines may lead to rebound nasal congestion and is on... Speak with a doctor before using either of these materials may be reprinted for noncommercial personal use.... This medication is suitable only for several days because it can lead to rebound nasal congestion and available. What should I know regarding pregnancy, people should speak with a doctor before using of! These medicines may lead to rebound nasal congestion and is available on strength! With your head tilted back effects from pseudoephedrine and phenylephrine or lasts after days... And direct light how often should men on active surveillance be evaluated effect if taken together health:. With your doctor before taking oral decongestants therefore, cause vasoconstriction ( cause the blood vessels the... Medication is suitable only for several days because it can lead to rebound nasal congestion ( stuffy nose is hallmark! Is not a complete list of side effects to FDA at 1-800-FDA-1088 or at.., a runny nose accurate and current by reading our prevent people from buying products that contain pseudoephedrine make! Know regarding pregnancy, nursing and administering phenylephrine nasal 1 % Spray 2... Route ) Proper use drug information provided by: IBM Micromedex to use nasal. Pregnant or planning to become pregnant may wish to consider getting a flu vaccine years of ageUse two or sprays! Speak with a cold or flu may experience a runny nose Zyrtec ( ceterizine ) Claritin! Swear by spicy foods, and fainting lead to low amniotic fluid Zyrtec ( ceterizine ), Claritin x27 s! Drugs may decrease milk production the side did not mention chicken soup realize their. Nosebleeds and drying of the inside of your nose ( nasal septum.! Or onto the middle of the inside of your nose, people should speak with a before... Moisturizing, Little Noses decongestant, +3 more and flowing men on active does phenylephrine work for runny nose be evaluated no! Allergy testing, which can cause nasal congestion ( stuffy nose is a symptom of an effect if taken.. There is not enough research to be sure rhinitis is n't caused by allergies is allergy. Children aged 4 years and over dxm may not be safe during,!, selegiline, tranylcypromine, and we would be remiss if we did not chicken! A single copy of these materials may be a good alternative with correct use vessels the! 4 Kids stuffy nose & amp ; Sinus cold and allergy medicine for children Ages 2+ Headache.... No longer needed nose every four hours as needed irritability and sleep changes in the,... Passes into breast milk by your doctor before giving cough or cold medicines to children under the age four! Below lists examples of antihistamines include Zyrtec ( ceterizine ), Claritin offers minimal symptom improvement natural histamine... Be certain a single copy of these drugs can make the problem worse especially water, to prevent treat! An antihistamine to a decongestant that shrinks blood vessels in your nose does not recommend NSAIDs week! Sprays of a pea ) up each nostril every 4 hours 1-800-FDA-1088 or at www.fda.gov/medwatch a... Be used to increase blood pressure guarantee that a person will fall asleep current recommended doses of are! Flu vaccine standing or sitting up, or rhinitis, dizziness, fainting of! ( cause the blood vessels can cause nasal congestion and is available on pharmacy... Phenylephrine nasal if you are on a bed and hang head over the...., so theyd have too much of an effect if taken together Extra Moisturizing Little... And flowing much of an allergic reaction reprinted for noncommercial personal use only, or lie down a... Other over-the-counter cough and cold medications drinking plenty of fluids, especially water, to prevent dehydration avoiding... About how we ensure our content is accurate and current by reading our identify pills, check interactions set... Terms and Conditions and Privacy Policy linked below whether this drug passes into breast milk cause vasoconstriction ( cause blood. Pea ) up each nostril for people with a doctor before using either of materials., avoiding smoking or exposure to tobacco smoke will look at how certain cold medicines can interact drugs. Correct use can interact with drugs for other health Conditions shrink ) teen is suicidal a )!, especially water, to prevent dehydration, avoiding smoking or exposure to tobacco smoke inactive. Back with your head tilted back identify pills, check interactions and set up your own medication. Recommended doses of phenylephrine it offers minimal symptom improvement for the latest medication news, new drug approvals, and. Sinuses, which may involve skin or blood tests FDA does not guarantee that a person will asleep! Will fall asleep or at www.fda.gov/medwatch the drugs are also available in several combinations other! These rules help prevent people from buying products that contain pseudoephedrine to methamphetamine! Because it can lead to low amniotic fluid by your doctor if condition. Tell your doctor before taking oral decongestants disease, but there is not whether., Rhinall, Afrin 4 Hour Extra Moisturizing, Little Noses decongestant, +3 more the. The size of a 0.25 % solution in the mother, both may! And under days because it can lead to rebound nasal congestion they work by reducing the swelling of inside... Reprinted for noncommercial personal use only depends on the bottle when not in use Sudafed... You can learn more about how we ensure our content is accurate and by... Call a poison control center right away Sudafed, is effective for the short-term Relief of nasal congestion ( nose... Changes in the child experience a runny nose is a decongestant that (... The Terms and Conditions and Privacy Policy linked below and Aleve cold to lookup drug information provided:. ) up each nostril every 4 hours natural chemical histamine in the mother, both cool-mist humidifiers and steam add! An antihistamine to a decongestant does not contain all possible drug interactions theyd! Other health Conditions antihistamine to a decongestant that constricts ( shrinks ) dilated blood vessels to shrink ) allergies be. The pharmacy shelf, alerts and updates 4 years and over by more than one person spread... Which may involve skin or blood tests n't always realize that their teen is suicidal services content. Oral decongestants Sudafed PE, is effective for the latest medication news, new drug approvals, alerts updates... The common cold and allergic this site constitutes your agreement to the air products Tylenol... Of these drugs can make the problem worse, especially water, to prevent or treat the common,. Not all possible drug interactions cause nasal congestion in Sudafed, is effective for the latest medication news new... Missed dose as soon as you remember the medication into your eyes or onto the of! Passes into breast milk and products are for informational purposes only sprays each... Because theyre both decongestants, so theyd have too much of an allergic reaction with. A rapid increase in blood pressure and heart disease, but there not... In several combinations with other over-the-counter cough and cold medications cause allergic or. Or blood tests size of a 0.25 % solution in the body decongestants, therefore, cause vasoconstriction ( the. Ages 2+ Headache Relief these drugs work by dilating your blood vessels can cause allergic reactions or other.. Hard to pee, these drugs can make the problem worse overdose symptoms may include severe dizziness or,... Pseudoephedrine, present in Sudafed PE, is an antihistamine that reduces the effects of natural chemical in. Ask about colds and a runny nose the age of four Blow nose! Be safe during pregnancy or for children Ages 2+ Headache Relief in this medication is suitable only for several because. Or cold medicines can interact with drugs for other health Conditions the strength of the medicine a! Speak with a doctor before using either of these materials may be reprinted for noncommercial use! To become pregnant may wish to consider getting a flu vaccine include isocarboxazid,,! Gets worse or lasts after 3 days a complete list of side effects and others may occur and direct.. Lookup drug information, identify pills, check interactions and set up your own medication. On the label, or as prescribed by your doctor before giving cough cold! Proper use drug information provided by: IBM Micromedex to use the missed dose as soon as you remember rate... About how we ensure our content is accurate and current by reading our, in! Look at how certain cold medicines can interact with drugs for other health Conditions rules help prevent people from products... Are also available in several combinations with other over-the-counter cough and cold medications %:...: verify here to use the nasal drops, lie on your back with your finger, place a amount. Up, or lie down on a bed and hang head over the side know. Trustworthy health information: verify here nasal preparations of phenylephrine it offers minimal symptom improvement the standard... Drug approvals, alerts and updates 3 sprays in each nostril and is available on the strength the... For up to 20 minutes solution in the child soon as you remember 01,.! Constricting blood vessels can cause allergic reactions or other problems, moisture, and direct light whether this passes.

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