Phenylephrine nasal may also be used for purposes not listed in this medication guide. If you need surgery, tell the surgeon ahead of time that you are using phenylephrine nasal. Should you give kids medicine for coughs and colds? Do not use in larger or smaller amounts or for longer than recommended. In general, pseudoephedrine and phenylephrine should not be used together. It works by reducing swelling of the blood vessels in the nasal passages. Copyright 1996-2023 Cerner Multum, Inc. What's the most likely cause of my symptoms? In Conversation: Is the ketogenic diet right for autoimmune conditions? There are various nasal decongestants available, many without a prescription. If this occurs, stop using this medication and consult your doctor or pharmacist. OTC medicines may help ease symptoms but will not cure a common cold. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. Dextromethorphan hydrobromide capsule, liquid filled. But it's now available as a nasal spray and can be helpful if a runny, drippy nose is your main complaint. 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. Rinse the dropper with hot water and dry with a clean tissue. 4 Way Fast Acting Nasal Spray, Rhinall, Afrin 4 Hour Extra Moisturizing, Little Noses Decongestant, +3 more. People typically use antihistamines for allergies, but because they can cause drowsiness, manufacturers also add them to nighttime cold and flu formulations. These include: If youre trying to decide which option might be better for you, talk with your doctor or 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. Do not blow your nose for at least a few minutes after using the nasal spray. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Wonder which healthy eating books are worth a read? This can help people if they have difficulty falling asleep while they have a cold. Wash your hands before applying the medicine. In allergic rhinitis, the immune cells trigger the same type of response in the nose, sinuses and throat. A stuffy nose is a hallmark of the common cold and allergic rhinitis. However, the illegal methamphetamine that it can be used to make is highly addictive. Spray the medication into the open nostril as you breathe in through your nose. Call your doctor for medical advice about side effects. Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum). Nasacort and Flonase are two of many allergy medications available today. All rights reserved. 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; Dilated blood vessels can cause nasal congestion (stuffy nose). 2005 - 2023 WebMD LLC. What conditions does phenylephrine nasal treat. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Sleeplessness is a common side effect. The dose of this medicine will be different for different patients. Store at room temperature away from moisture and heat. Blow your nose gently. Phenylephrine is in a class of medications called nasal decongestants. Theyre used for short-term relief of congestion and pressure in the sinuses and nasal passages caused by the common cold, hay fever, or other allergies. Neo-Synephrine Cold and Sinus Extra Strength phenylephrine hydrochloride spray. Find out how pseudoephedrine treats a blocked or stuffy nose, and how to take it. Both pseudoephedrine and phenylephrine can cause side effects. Repeat until the complete dose is used. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. People taking multiple medications to regulate their blood sugar levels should speak with a doctor or pharmacist before taking any cold medicines. Rest assured that they'll be able to help you. Since phenylephrine nasal is used when needed, you may not be on a dosing schedule. For instance, people with a dry cough should not take medications for a productive cough, as they may make symptoms worse. 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. Nasal sprays deliver a decongestant right where you need it. Legal requirements for the sale and purchase of drug products containing pseudoephedrine, ephedrine, and phenylpropanolamine. However, the FDA does not recommend NSAIDs from week 20 onward, as these medicines may lead to low amniotic fluid. If the spray gets in your eyes or mouth or on your skin, rinse with water. The sections below will look at how certain cold medicines can interact with drugs for other health conditions. Tell your doctor if your condition gets worse or lasts after 3 days. 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. Medicines containing codeine are not suitable for those under age 12 or those aged 1218 with breathing problems. (2020). Want to reduce your risk of dementia? Sometimes, a runny nose is a symptom of an allergic reaction. Do not double doses. When used daily, this is one of the most effective treatments for nonallergic rhinitis. People with a dry cough a cough that does not produce mucus may take a cough suppressant. In theory, this should minimize cardiovascular effects. There are a number of reasons why a child may have a dry cough. This article reviews different types of shellfish, their. Most nasal decongestants, therefore, cause vasoconstriction (cause the blood vessels to shrink). Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. (2019). Sometimes, doctors in neonatal intensive care units may administer ibuprofen to newborns. To get it, you have to buy it from the pharmacy staff, not off the shelf. EASY TO TAKE: Natural syrup to relieve nasal congestion, runny nose, sore throat, sneezing and cough. Advertising revenue supports our not-for-profit mission. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Possible side effects include nasal dryness, nosebleeds, headaches and throat dryness. Do not use this medicine without a doctor's advice if you are pregnant. Over the years, there have been reports of heart attacks, strokes, disturbed heart rhythms, and other cardiovascular problems linked with use of pseudoephedrine. This is not a complete list of possible side effects. Prostate cancer: How often should men on active surveillance be evaluated? 2020; doi:10.1007/s40521-020-00243-1. 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; severe dizziness, restless feeling, nervousness, or insomnia; mood changes, unusual thoughts or behavior; Side effects may be more likely in older adults. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. However, the FDA notes that codeine is an opioid drug and can cause dependency. Use as directed for short periods only. Antihistamines work by preventing the effects of a substance called histamine, which is produced by the body. Examples of antihistamines include Zyrtec (ceterizine), Claritin . Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. Their names usually end with -D.. Children 6 to 12 years of ageUse two or three sprays of a 0.25% solution in the nose every four hours as needed. Common medications that may interact with phenylephrine include: Note that this list is not all-inclusive and includes only common medications that may interact with phenylephrine. WebMD does not provide medical advice, diagnosis or treatment. However, taking too much can have adverse effects, including hallucinations. To use the nasal drops, lie on your back with your head tilted back. The FDA says that pseudoephedrine is safe when taken as directed. Larger studies are needed. Pediatric ibuprofen is also likely safe for children under age 2, but only under a doctors supervision. Lieberman PL. Chronic nonallergic rhinitis. Don't miss your FREE gift. Few heed it. People with a cold or flu may experience a runny nose, or rhinitis. We take a look at how both compare on a number of different levels, Shellfish, such as shrimp, clams, scallops, and lobster, are highly nutritious powerhouses. These are more commonly used as oral medications than as nasal sprays. The chart below lists examples of possible side effects from pseudoephedrine and phenylephrine. Some small studies have shown that repeated applications of capsaicin the ingredient responsible for the heat in hot peppers to the inside of the nose can ease nasal congestion. This medication is used for temporary relief of congestion in the nose caused by various conditions including the common cold, sinusitis, hay fever, and allergies. Consult your pharmacist or local waste disposal company. Not only by drinking water, you can also get fluid intake by drinking juice or eating soup. Thanks for visiting. Medically reviewed by Drugs.com on Jan 30, 2023. For nonallergic rhinitis, some basic questions to ask your doctor include: Your doctor is likely to ask you questions, including: Mayo Clinic does not endorse companies or products. Written by Cerner Multum. Make a donation. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Learn more here. Has anything helped? There is some controversy over whether it works at the dosages usually found in over-the-counter products. Never use more of this medicine than directed on the label or prescribed by your doctor. If you are on a schedule, use the missed dose as soon as you remember. Overdose symptoms may include severe dizziness or drowsiness, slow heart rate, and fainting. Oral decongestants can raise blood pressure and may be harmful for people with hypertension. The decongestant effect of phenylephrine in cold or flu remedies should be noticeable within 15 to 30 minutes, and the effects last less than 4 hours. What websites do you recommend? 3. While they both treat allergy symptoms, they're not identical medications. 2. However, this medicine requires a prescription from a doctor. Horak F, et al. Choosing the wrong medication for the symptoms will mean that the remedy does not help. It also looks at cold medicine interactions and how to treat cold symptoms at home. When you have a cold, virus-infected cells in the nose, sinuses, and throat attract a flood of white blood cells. Some medications combine antihistamines and decongestants. Energy-boosting coffee alternatives: What to know. Anyone who is pregnant or planning to become pregnant may wish to consider getting a flu vaccine. Corticosteroid medications help prevent and treat inflammation associated with some types of nonallergic rhinitis. * Except for the extended-release tablets, which are only safe for children 12 years and older** Pseudoephedrine itself is not addictive. Accessed Dec. 17, 2020. 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. These drugs also pass into a womans breast milk, though phenylephrine does so in smaller amounts. Topical nasal sprays offer quick relief but may cause rebound congestion with overuse. OTC medications will not stop a runny nose, but a doctor may prescribe ipratropium nasal spray 0.06% for people aged 5 years and over with a cold or seasonal allergy. 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. Copyright 1996-2023 Drugs.com. Some people swear by spicy foods, and we would be remiss if we did not mention chicken soup. Always talk with a doctor before giving cough or cold medicines to children. Properly discard this product when it is expired or no longer needed. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Always check with a doctor or pharmacist before using medicine containing codeine for cough, and follow the instructions on the package. 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. Drug interactions may change how your medications work or increase your risk for serious side effects. 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. Do not use this medicine without a doctor's advice if you are breast-feeding a baby. Blow your nose gently. Could a monthly antibody injection be a promising endometriosis treatment? A steamy shower or a hot towel wrapped around the face can relieve congestion. Decongestants can help relieve a stuffy nose. Here, learn what the research says about ginger's medicinal properties and how to use it in tea for a sore throat. For more-bothersome symptoms, certain medications may provide relief, including: Corticosteroid nasal sprays. Childrens ibuprofen ibuprofen suspension. "Rhinorrhea," a term often used alongside the phrase "runny nose," is the thin, mostly clear discharge you might see. Gently blow your nose before using this drug. This shrinks swelling and drains fluids, letting you breathe easier again. (2021). Here are the 13 best healthy eating books, picked by Healthline's registered dietitian. Ipratropium nasal spray 0.03% can help manage an allergy-related runny nose year-round. Blow your nose gently. You can walk into any pharmacy and buy phenylephrine off the shelf like you would for any other purchase. In fact, some research has found that at the current recommended doses of phenylephrine it offers minimal symptom improvement. It works by making the blood vessels around your nose and sinus more narrow, which helps to relieve congestion and pressure. 1. Rinse the tip of the spray bottle with hot water, taking care not to suck water into the bottle, and dry with a clean tissue. Can also relieve congestion in the eustachian tubes (the tubes that drain fluid from the inner ears). 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. 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 drug also helps relieve itching caused by hives. This medication is used for temporary relief of congestion in the nose caused by various conditions including the common cold, sinusitis, hay fever, and allergies. They work by reducing the swelling of the blood vessels in your nose, which helps to open the airways. However, some may be unsuitable for people who are pregnant or have chronic health conditions and for young children. Everything You Need to Know, A Dietitians Picks of the 13 Best Healthy Eating Books, Most Common Non-Narcotic Pain Medications, short-term relief of sinus or nasal congestion and pressure. Learn about some home remedies that may help with a runny nose. Brompheniramine is an antihistamine that reduces the effects of natural chemical histamine in the body. A runny nose is mucus dripping or "running" out of your nose. American Academy of Allergy, Asthma & Immunology. Do not use extra medicine to make up the missed dose. There are many options for non-narcotic pain medications. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. Do not use phenylephrine if you are pregnant or breastfeeding unless under a doctor's advice. Chalk this symptom up to the body's immune response. Protect from heat and light. Like adults, children should never take two medicines containing acetaminophen at once. Ask your doctor if you should start taking allergy medicine a couple of weeks before you usually have symptoms. Cough syrups often contain sugar. In some cases, rhinitis may be caused by both allergic and nonallergic triggers. But theyll give you much-needed relief for a runny or congested nose. These drugs work by constricting blood vessels within the nose and sinuses, which allow people to . Your doctor will want to be sure your symptoms aren't caused by a sinus problem related to a deviated septum or nasal polyps. Children 4 to 6 years of ageUse and dose must be determined by your doctor. Dilated blood vessels can cause nasal congestion (stuffy nose). Sudogest PE phenylephrine HCl tablet, film coated. Use this medicine only as directed. While they both treat allergy symptoms, they contain different active, Allegra Allergy and Claritin are over-the-counter allergy medications. You can take these by mouth in pills or liquids, like pseudoephedrine. Before starting pseudoephedrine or phenylephrine, tell your doctor about all medications, vitamins, or herbs youre taking. Then, blow your nose gently and thoroughly. Phenylephrine nasal may cause serious side effects. Phenylephrine for injection may be used in the treatment of low blood pressure, shock, or supraventricular tachycardia. What treatments are available, and which do you recommend for me? Healthline Media does not provide medical advice, diagnosis, or treatment. Make sure that water does not get inside the container. All rights reserved. Mucinex Products and Covid-19: Learn More. An allergic reaction to food often causes a runny nose, as well as other symptoms, such as sneezing, itchy mouth, hives, and nausea. 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. Symptoms of overdose may include: drowsiness, slow heartbeat, dizziness, fainting. May be used off-label for ischemic priapism that persists following aspiration or irrigation or for low blood pressure in people with obstructive hypertrophic cardiomyopathy. It works by narrowing the blood vessels in the nose area, reducing swelling and congestion. The pills target itching, sneezing, and runny nose. What, if anything, appears to worsen your symptoms? Can diet help improve depression symptoms? If your dose is different, do not change it unless your doctor tells you to do so. Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Fitness vs. This content does not have an English version. Side effects can include nosebleeds and drying of the inside of your nose. In some cases, your doctor might have you try a medication and see whether your symptoms improve. If you have high blood pressure and need to take pseudoephedrine you should have your blood pressure checked more often. All rights reserved. Types of decongestants But if you use . "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. Decongestant effects beyond the nose. Do not give phenylephrine to children without talking to a doctor first. 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). Revision date: July 14, 2022. metoprolol, atenolol, diltiazem, amiodarone, dexamethasone, methylprednisolone, hydrocortisone, bisoprolol, epinephrine topical, epinephrine. It is not known whether phenylephrine nasal will harm an unborn baby. Ipatropium bromide ipatropium bromide spray. (2021). 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Phenylephrine nasal is used to treat nasal congestion and sinus pressure caused by allergies, the common cold, or the flu. Drink water. One class of drugs that is known to interact with both pseudoephedrine and phenylephrine is monoamine oxidase inhibitors (MAOIs). This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Combining them. Canada residents can call a provincial poison control center. And each medication works slightly differently. All rights reserved. Sudafed pseudoephedrine hydrochloride tablet, coated. Customer: Can't breath through her nose at all JA: Is there anything else the Vet should know before I connect you? If you notice other effects not listed above, contact your doctor or pharmacist. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. A doctor can advise on whether these medicines are suitable for an individual. 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. It may also be called a vasopressor or a selective alpha-1-adrenergic receptor agonist. Most experts say that histamine isn't the major cause of a runny nose when you have a cold. A decongestant will help reduce nasal . Cold medicines that address specific symptoms can be helpful. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Children and infants up to 4 years of ageUse is not recommended . Before using this nasal decongestant, tell your doctor or pharmacist if you are allergic to it; or to other sympathomimetics (such as pseudoephedrine); or if you have any other allergies. Knowing these stages can help a person recognize when they may have caught a cold. Dilated blood vessels can cause nasal congestion (stuffy nose). MNT is the registered trade mark of Healthline Media. A pharmacist can help a person choose a safe product. That relieves swollen nasal passages and congestion. Other treatments, such as oxymetazoline or the nasal form of phenylephrine, may be better options for you when youre breastfeeding. A dangerous drug interaction could occur. 3. Check out these runny nose relief products now! Drug class: Nasal antihistamines and decongestants. This class includes drugs such as: If youre taking an MAOI, do not take pseudoephedrine or phenylephrine. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Things to remember when you fill your prescription. Accessed Dec. 19, 2020. 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. (2017). Replace cap after each use. The chart below is a quick snapshot of some of the basic information for pseudoephedrine and phenylephrine. Shift work can harm sleep and health: What helps? How can I best manage these conditions together? While keeping your head upright, place the spray tip into the open nostril. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Ask a doctor or pharmacist before using any other cold, cough, or allergy medicine. Ask a doctor or pharmacist if it is safe for you to use phenylephrine nasal if you are also using any of the following drugs: This list is not complete. (2020). bloody nose: Antihistamines: sneezing and runny nose: . Should not be used by women who are pregnant or breastfeeding unless under a doctor's advice. Call your doctor if you have any serious side effects when using these drugs. Some medicines can cause unwanted or dangerous effects when used together. You shouldnt drive when you take antihistamines such as brompheniramine (Nasahist B), chlorpheniramine (Chlor-Trimeton), clemastine (Dayhist, Tavist), and diphenhydramine (Benadryl). The amount of medicine that you take depends on the strength of the medicine. Nonallergic rhinitis (vasomotor rhinitis) definition. The antihistamine contained in these combinations is chlorpheniramine. It is also used to relieve sinus congestion and pressure. Advertising revenue supports our not-for-profit mission. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. If you have any questions, ask your doctor or pharmacist. Always use a proper measuring spoon or dropper to ensure you are getting the correct dose. WebMD does not provide medical advice, diagnosis or treatment. With the head upright, spray the medicine into each nostril. We avoid using tertiary references. Regarding its effectiveness as a treatment for nasal congestion, the answer is no. This helps relieve symptoms of allergies, such as sneezing, runny nose, and red, watery, itchy eyes. Do not give phenylephrine nasal to a child younger than 4 years old. . Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. OTC decongestants are available in oral, drop, and spray forms. 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. Sudafed PE Congestion, Neo-Synephrine, Biorphen, Contac-D, +4 more. It is not known whether this drug passes into breast milk. However, check with your doctor. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Rest assured that they'll be able to help you. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. But prior studies found a small percent of people had marked increases in blood pressure. Decongestants cut down on the fluid in the lining of your nose. Available for Android and iOS devices. Is the ketogenic diet right for autoimmune conditions? They can build up in your blood to protect against allergens and block the release of histamines. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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