Larger studies are needed. (2018). Make sure that water does not get inside the container. Children 4 to 6 years of ageUse two or three drops of a 0.125 or 0.16% solution in the nose every four hours as needed. A stuffy nose is a hallmark of the common cold and allergic . CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. How to stop a runny nose. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. In the US - Call your doctor for medical advice about side effects. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. They can irritate your nasal passages and make congestion worse. When you have a cold, virus-infected cells in the nose, sinuses, and throat attract a flood of white blood cells. Most nasal decongestants, therefore, cause vasoconstriction (cause the blood vessels to shrink). Learn more about some of these causes and the treatment options here. Here are some answers to questions people often ask about colds and a runny nose. It is not known whether phenylephrine nasal will harm an unborn baby. Some of these drugs need a prescription. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Accessed Dec. 19, 2020. To do so may make your runny or stuffy nose worse and may also increase the chance of side effects. A stuffy nose is a hallmark of the common cold and allergic rhinitis. However, parents and caregivers must avoid giving OTC ibuprofen to babies under age 2 for safety reasons. Use as directed for short periods only. Decongestants. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. DXM and decongestants may interact with certain antidepressants, such as monoamine oxidase inhibitors (MAOIs). People typically use antihistamines for allergies, but because they can cause drowsiness, manufacturers also add them to nighttime cold and flu formulations. Use this medication in the nose as directed. All rights reserved. But for pseudoephedrine, there are special requirements. Doctors do not recommend medicines that suppress cough for people with a wet cough. Do you have symptoms all the time or do they come and go? There is some controversy over the effectiveness of phenylephrine at dosages found in over-the-counter cold and flu remedies. Oral decongestants can raise blood pressure and may be harmful for people with hypertension. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. AdultsUse a small amount in the nose every three or four hours as needed. Corticosteroid medications help prevent and treat inflammation associated with some types of nonallergic rhinitis. 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. If you have any of the following conditions, you should discuss with your doctor before taking pseudoephedrine or phenylephrine: If you want to take pseudoephedrine, you should also talk to your doctor if you have glaucoma. If you are on a schedule, use the missed dose as soon as you remember. Decongestants cut down on the fluid in the lining of your nose. You should not use phenylephrine nasal if you are allergic to it. The pills target itching, sneezing, and runny nose. drinking plenty of fluids, especially water, to prevent dehydration, avoiding smoking or exposure to tobacco smoke. Pseudoephedrine and phenylephrine are medications that can help alleviate nasal congestion. But it might be good to pay attention to the decongestant's warning. Pseudoephedrine and phenylephrine can both affect pregnancy and breastfeeding. While pseudoephedrine and phenylephrine are similar in many ways, they also have some real differences. Rinse the spray tip with hot water or wipe with a clean tissue after each use. Check the drug label for more information about side effects. Does anything seem to improve your symptoms? This includes people with some other health conditions, such as glaucoma, and those using certain other medications. 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. Keeping yourself hydrated when you have a runny nose is very important. (2019). Last updated on July 14, 2022. In some people, decongestants can cause adverse effects. In allergic rhinitis, the immune cells trigger the same type of response in the nose, sinuses and throat. Sniff it well back into the nose. Canada residents can call a provincial poison control center. Dosage forms: nasal drops (0.125%); nasal solution (1%); nasal spray (0.25%; 0.5%; 1%) It may also slow the heart rate or decrease how much blood the heart pumps out into the lungs. Phenylephrine will relieve symptoms but will not treat the cause of the symptoms or speed recovery. The CDC notes that flu vaccines are safe to receive during pregnancy. FDA recommends avoiding use of NSAIDs in pregnancy at 20 weeks or later because they can result in low amniotic fluid. This medication is suitable only for those aged 6 years and over. Side effects can include nosebleeds and drying of the inside of your nose. Make these tweaks to your diet, home, and lifestyle. A dangerous drug interaction could occur. 2. Ipratropium nasal spray 0.03% can help manage an allergy-related runny nose year-round. Nasacort and Flonase are two of many allergy medications available today. Over-the-counter oral antihistamines, such as diphenhydramine (Benadryl), cetirizine (Zyrtec Allergy), fexofenadine (Allegra Allergy) and loratadine (Alavert, Claritin), typically don't work nearly as well for nonallergic rhinitis as they do for allergic rhinitis. Decongestants can help relieve a stuffy nose. Not only by drinking water, you can also get fluid intake by drinking juice or eating soup. Its essential to follow the instructions from the doctor or pharmacist and read any instructions that come with the medication. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. However, anticholinergics may not be safe for everyone to use. This can help people if they have difficulty falling asleep while they have a cold. Mucinex Products and Covid-19: Learn More. Use a specially designed squeeze bottle such as the one included in saline kits a bulb syringe or a neti pot to irrigate your nasal passages. It may cause adverse effects. In some cases, you may be able to try pseudoephedrine two to three hours after your last dose of phenylephrine if you didnt have symptom relief with phenylephrine. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Using phenylephrine nasal too long can damage the lining of your nasal passages and lead to chronic nasal congestion. Otherwise, call a poison control center right away. Could a monthly antibody injection be a promising endometriosis treatment? An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. These include: If youre trying to decide which option might be better for you, talk with your doctor or pharmacist. Dextromethorphan (DXM) is a cough suppressant present in many cold and flu medicines. This content does not have an English version. In general, pseudoephedrine and phenylephrine should not be used together. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Do not use more of it, do not use it more often, and do not use it for longer than 3 days without first checking with your doctor. Phenylephrine. Phenylephrine, present in Sudafed PE, is effective for the short-term relief of nasal congestion and is available on the pharmacy shelf. OTC medicine is unlikely to help relieve a runny nose due to a cold. If you have taken one of those nasal sprays that are somewhat uncomfortable but seem to work in an instant, you likely took a decongestant. Keep the cap on the bottle when not in use. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. While many OTC drugs are available, it is essential to check that they are suitable for the individual to use. Talk to your pharmacist for more details. The pills target itching, sneezing, and runny nose. Crisci CD, et al. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. A very serious allergic reaction to this drug is rare. We comply with the HONcode standard for trustworthy health information. Do not double doses. Try these tips to help reduce discomfort and relieve the symptoms of nonallergic rhinitis: Rinse your nasal passages. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, How to Exercise Outside When You Have Allergies, Nasal Irrigation: Relief for Colds & Allergy Symptoms, Air Filters for Allergies, Asthma, and Other Breathing Problems. Refer to storage information printed on the package. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Last medically reviewed on November 28, 2022. A pharmacist can help a person select a suitable medicine. Phenylephrine may also cause dose-dependent increases in blood pressure and reductions in heart rate and cardiac output (particularly in people with preexisting cardiac dysfunction) by increasing systemic vascular resistance. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Proton-pump inhibitors: Should I still be taking this medication? People need to show photo identification to purchase this drug, and pharmacies must keep peoples details for at least 2 years, according to the Food and Drug Administration (FDA). If you miss a dose of this medicine, take it as soon as possible. The chart below lists examples of possible side effects from pseudoephedrine and phenylephrine. Check the product package or consult with your doctor or pharmacist about whether this nasal spray can be used by children. When choosing a cold medicine, people need to know which symptoms they want to relieve. Ask a doctor or pharmacist before using any other cold, cough, or allergy medicine. The drugs are also available in several combinations with other over-the-counter cough and cold medications. They can help you determine if pseudoephedrine, phenylephrine, or another drug would be a good choice for you. WebMD does not provide medical advice, diagnosis or treatment. Legal requirements for the sale and purchase of drug products containing pseudoephedrine, ephedrine, and phenylpropanolamine. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include severe dizziness or drowsiness, slow heart rate, and fainting. Sur DKC, et al. Dont use decongestant nasal sprays for more than 3 days in a row, as they may make your nasal congestion and swelling worse and last longer. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. Learn about some home remedies that may help with a runny nose. (2021). The reason for these requirements is that pseudoephedrine is used to make illegal methamphetamine, which is highly addictive. Keep from freezing. US residents can call their local poison control center at 1-800-222-1222. Please note the date of last review or update on all articles. If you need surgery, tell the surgeon ahead of time that you are using phenylephrine nasal. The chart below is a quick snapshot of some of the basic information for pseudoephedrine and phenylephrine. However, it is not suitable for children under age 1 because of the risk of botulism. alpha-blockers, such as alfuzosin, doxazosin, prazosin, or terazosin, antidepressants, such as amitriptyline, amoxapine, clomipramine, doxepin, imipramine, isocarboxazid, or phenelzine, diabetes medications, such as metformin, glimepiride, glipizide, glyburide, or insulin, ergot derivatives, such as dihydroergotamine, heart medications, such as atenolol, betaxolol, bisoprolol, carvedilol, migraine medications, such as dihydroergotamine. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. This medication provides only temporary relief. Detailed Phenylephrine nasal dosage information, Drug class: nasal antihistamines and decongestants, Benadryl Dosage Charts (Infants & Children). Check Price at Amazon. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. Blow your nose gently. Talk with your doctor or pharmacist about which product is best for you. Drug information provided by: IBM Micromedex. Store at room temperature away from moisture and heat. Don't use them for longer than recommended, though. This content does not have an Arabic version. Many people using this medication do not have serious side effects. Some medicines can cause unwanted or dangerous effects when used together. 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. Possible side effects include nasal dryness, nosebleeds, headaches and throat dryness. Also, do not use this medication for more than 3 days or it may cause a condition called rebound congestion. Sudafed pseudoephedrine hydrochloride tablet, coated. The common cold usually has distinct stages. 2018;98:171. https://www.aafp.org/afp/2018/0801/p171.html. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Phenylephrine belongs to the class of medicines known as nasal decongestants. A runny nose is mucus dripping or "running" out of your nose. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Many combination medicines contain pseudoephedrine. You'll want a decongestant, like pseudoephedrine or phenylephrine. Are you regularly exposed to fumes, chemicals or other airborne irritants? 1. This class includes drugs such as: If youre taking an MAOI, do not take pseudoephedrine or phenylephrine. Call your doctor if you have any serious side effects when using these drugs. Things to remember when you fill your prescription. This site complies with the HONcode standard for trustworthy health information: verify here. Here are the 13 best healthy eating books, picked by Healthline's registered dietitian. The injection may also cause sloughing of tissue if leakage occurs around the injection site. Before taking cough syrup, people with diabetes should read the label to ensure that the product is sugar-free. The FDA says that pseudoephedrine is safe when taken as directed. 3. Phenylephrine works by directly stimulating alpha-1 adrenergic receptors in the arteries causing vasoconstriction (narrowing of the blood vessels). Sniff hard a few times to be sure the medication reaches deep into the nose. FDA drug safety communication: FDA evaluating the potential risks of using codeine cough-and-cold medicines in children. Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum). All rights reserved. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. 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. Check out these runny nose relief products now! In some cases, surgical procedures might be an option to treat complicating problems, such as a deviated nasal septum or persistent nasal polyps. In Canada - Call your doctor for medical advice about side effects. Available for Android and iOS devices. All rights reserved. Call your doctor if your symptoms do not improve after 3 days of treatment, or if you have a fever with a headache, cough, or skin rash. Product. 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; However, nasal decongestant sprays should be used only for several days because it can lead to rebound nasal congestion. Use these dosage charts for infants and children under 12 years old: Phenylephrine relieves congestion of the nasal passages and is found in many cold and flu remedies. If this occurs, stop using this medication and consult your doctor or pharmacist. If you have any of the following health problems, consult your doctor or pharmacist before using this product: heart/blood vessel disease, overactive thyroid (hyperthyroidism), diabetes, high blood pressure, difficulty urinating (due to enlarged prostate). (2018). Call your doctor for medical advice about side effects. That relieves swollen nasal passages and congestion. Types of decongestants During pregnancy, people should speak with a doctor before taking oral decongestants. A doctor can advise on whether these medicines are suitable for an individual. That means these drugs may have side effects in a child who is breastfed by someone who takes these drugs. Are there brochures or other printed materials I can have? For best results, spray once or twice into each nostril and wait 3 to 5 minutes to allow the medicine to work. Tilt the head back while standing or sitting up, or lie down on a bed and hang head over the side. Decongestant effects beyond the nose. While they both treat allergy symptoms, they're not identical medications. Other treatments, such as oxymetazoline or the nasal form of phenylephrine, may be better options for you when youre breastfeeding. Insert the correct number of drops and remain lying in this position for several minutes. Wonder which healthy eating books are worth a read? To use the nasal drops, lie on your back with your head tilted back. Brompheniramine is an antihistamine that reduces the effects of natural chemical histamine in the body. Sleep disturbances, restlessness, rash or itching, loss of appetite, feeling of warmth or redness under the skin. You may report side effects to Health Canada at 1-866-234-2345. Alternatives to oral decongestants are available. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose. Horak F, et al. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The antihistamine contained in these combinations is chlorpheniramine. Another term you might often see is " Rhinitis .". Combination products like Tylenol Sinus, Advil Cold & Sinus, and Aleve Cold . However, check with your doctor. Women should avoid using them during the first trimester of pregnancy and possibly throughout pregnancy. What treatments are available, and which do you recommend for me? Oral and nasal preparations of phenylephrine are available for purchase over-the-counter. Replace cap after each use. Drink water. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. . Some may also cause side effects. Copyright 1996-2023 Drugs.com. Phenylephrine nasal may also be used for purposes not listed in this medication guide. The dose of this medicine will be different for different patients. Before starting pseudoephedrine or phenylephrine, tell your doctor about all medications, vitamins, or herbs youre taking. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. A single copy of these materials may be reprinted for noncommercial personal use only. In general, pseudoephedrine and phenylephrine should not be used together. Medicines containing codeine are not suitable for those under age 12 or those aged 1218 with breathing problems. Then use the spray in your other nostril. You don't need a prescription, but you do have to ask a pharmacist or clerk for them and show an ID or sign a log. Find out how pseudoephedrine treats a blocked or stuffy nose, and how to take it. Sudafed PE Congestion, Neo-Synephrine, Biorphen, Contac-D, +4 more. ", UpToDate: Patient information: Allergic rhinitis (seasonal allergies).. You can take these by mouth in pills or liquids, like pseudoephedrine. Rest assured that they'll be able to help you. Indeed, millions of people use it each year without any dire consequences. Symptoms of rebound congestion include long-term redness and swelling inside the nose and increased runny nose. During pregnancy, this medication should be used only when clearly needed. Sometimes, doctors in neonatal intensive care units may administer ibuprofen to newborns. Sometimes, a runny nose is a symptom of an allergic reaction. You may report side effects to FDA at 1-800-FDA-1088. Nasal sprays deliver a decongestant right where you need it. People must read the full ingredient list to ensure that the medicine fits their symptoms and will not interfere with drugs.

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