Xylometazoline for nasal congestion
Otrivine, Sudafed
مراجعة من قبل Sid Dajaniآخر تحديث بواسطة Michael Stewart, MRPharmSLast updated 18 يناير 2024
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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.
At a glance
Xylometazoline is a nasal decongestant used for blocked noses.
It helps by narrowing blood vessels in the nose, which reduces swelling.
You can buy it without a prescription, as nose drops or nasal spray.
Use it only for short periods to avoid rebound congestion.
Speak to a doctor or pharmacist before use if you have certain health conditions or are taking other medicines.
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تابع القراءة أدناه
About xylometazoline
نوع الدواء | A nasal decongestant |
يستخدم لـ | Nasal congestion (a blocked nose) |
يُعرف أيضًا باسم | Otrivine®; Sudafed® |
متوفر كـ | 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.
Before using xylometazoline
العودة إلى المحتوياتTo 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:
إذا كنت حاملاً أو مرضعة. وذلك لأنك أثناء الحمل أو الرضاعة يجب أن تتناولي الأدوية فقط بناءً على توصية الطبيب.
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.
إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.
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 ليست use xylometazoline if you have taken a medicine known as a monoamine-oxidase inhibitor (MAOI), within the previous two weeks.
تابع القراءة أدناه
Recommended doses of xylometazoline nose drops and nasal spray
العودة إلى المحتوياتRecommended 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.
تحقيق أقصى استفادة من علاجك
العودة إلى المحتوياتBefore 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.
تابع القراءة أدناه
Can xylometazoline cause problems?
العودة إلى المحتوياتبالإضافة إلى فوائدها، يمكن أن تسبب معظم الأدوية آثارًا جانبية غير مرغوب فيها، على الرغم من أن ليس الجميع يعاني منها. عادةً ما تتحسن هذه الآثار مع تكيف جسمك مع الدواء الجديد، ولكن تحدث مع طبيبك أو الصيدلي إذا استمرت أي من الآثار الجانبية التالية أو أصبحت مزعجة.
Xylometazoline side-effects - these are generally mild and occur infrequently | ماذا يمكنني أن أفعل إذا واجهت هذا؟ |
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 |
الشعور بالغثيان (الغثيان) | Avoid rich or spicy foods |
صداع | 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.
How to store xylometazoline
العودة إلى المحتوياتاحفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.
احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.
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.
معلومات هامة عن جميع الأدوية
العودة إلى المحتوياتمعلومات هامة عن جميع الأدوية
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.
إذا كنت ستخضع لعملية جراحية أو علاج أسنان، أخبر الشخص الذي يقوم بالعلاج عن الأدوية التي تستخدمها.
إذا اشتريت أي أدوية، تحقق مع الصيدلي من أنها آمنة لتناولها مع الأدوية الأخرى التي تتناولها.
لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.
إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.
MHRA - الإبلاغ عن التفاعلات الضارة
أبلغ عن الآثار الجانبية المشتبه بها للأدوية واللقاحات والسجائر الإلكترونية وحوادث الأجهزة الطبية والمنتجات المعيبة أو المزيفة (المزورة) إلى وكالة تنظيم الأدوية ومنتجات الرعاية الصحية لضمان الاستخدام الآمن والفعال.

غير متأكد من خلط الأدوية؟
تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.
الأسئلة الشائعة
Can I use xylometazoline to relieve a blocked nose if I don't have a cold?
Yes, a stuffy nose can occur due to sensitivity to changes in the atmosphere like temperature and humidity. Xylometazoline can be useful in these cases to reduce the thickness of the nasal lining and relieve the blocked feeling.
Are there natural ways to relieve a blocked nose in addition to using xylometazoline?
Yes, you may find that inhaling warm, moist air can help clear a blocked nose. Many people find having a hot steamy shower or steam inhalation helpful before considering a decongestant like xylometazoline.
What is 'rebound congestion' and how can I avoid it with xylometazoline?
Rebound congestion is when nasal stuffiness returns or worsens after you stop using a decongestant. To prevent this, xylometazoline preparations should only be used for short periods – no more than seven days for adults and children over 12, and no more than five days for children aged 6-12 years.
Can different family members use the same bottle of xylometazoline nose drops or spray?
No, nose drops and nasal sprays should only be used by one person. This is important to prevent the spread of infection from one person to another. Do not share the same bottle or spray with other people.
What should I do if I accidentally use more than the recommended dose of xylometazoline?
If you suspect that someone has accidentally swallowed some of the medicine, it's advised to go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
How should I properly dispose of leftover or expired xylometazoline?
You should not keep out-of-date or unwanted medicines at home. You can take them to your local pharmacy, which will safely dispose of them for you.
What should I do if I experience side-effects from xylometazoline like a headache?
If you experience a headache, you should drink plenty of water. If the headache continues, it's best to stop using the product and ask your pharmacist for advice on other treatments.
قراءة إضافية ومراجع
- Manufacturer's PIL, Otrivine® Adult Nasal drops; Haleon UK Trading Ltd, The electronic Medicines Compendium. Dated February 2023.
- الأدوية كاملة BNF الطبعة 89; الجمعية الطبية البريطانية والجمعية الملكية الصيدلانية لبريطانيا العظمى، لندن.
تابع القراءة أدناه
About the authorView full bio

مايكل ستيوارت، MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

سيد داجاني
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
تاريخ المقال
تمت كتابة المعلومات على هذه الصفحة ومراجعتها من قبل أطباء مؤهلين.
المراجعة التالية مستحقة: 17 يناير 2027
18 يناير 2024 | أحدث إصدار

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