24 Feb 2012

1.  Generic Name or Active Ingredient:

     Oxymetazoline (Nasal spray)

2.  Uses:

     Available as a nasal spray for the treatment of allergic rhinitis and sinusitis.


3.  How This Medicine Works:

     It shrinks the blood vessels in your nose and reduces blood flow to the nasal  passage, helping to decrease nasal congestion.


4.  Do Not Use This Medicine If:

  • You are allergic to oxymetazoline or any other ingredient in this medication.
  • The patient is a child aged below 2 years.

5.  Before You Start To Use This Medicine:

  • Inform your pharmacist or doctor if you are allergic to any other medications.
  • Inform your pharmacist or doctor if you suffer from hypertension, diabetes, difficulty in urinating due to an enlarged prostate gland, thyroid disease, heart disease, or any other health problems.
  • Inform your pharmacist or doctor if you are or plan to get pregnant, or are breastfeeding.
  • Consult a doctor before using this medicine in children.

6.    Using With Other Medication:

  • Inform your doctor or pharmacist if you are taking any other medication, vitamins, herbal preparations or supplements as they may interfere with this medicine.
  • Taking oxymetazoline together with antidepressant drugs call MAO-inhibitors, such as phenelzine, can cause serious side effects.

7.  How To Use This Medicine:

Follow the directions on your medication label carefully, and ask your pharmacist to explain any part you do not understand. (National Call Centre) [Video]


a)    How to use

                i.    Shake the bottle well and remove the outer cap.

                ii.    Blow your nose gently to clear your nasal passages.

               iii.    Close one nostril by placing a finger gently against one side of your nose. Tilt your head forward slightly and insert the nozzle of the spray into the other nostril, taking care to keep the bottle upright.

               iv.    Breathe in through your nose and push down firmly on the collar of the container to administer one spray, then breathe out through your mouth. Repeat this process again in the same nostril for a second dose.

                v.    Repeat steps (iii) and (iv) above in the other nostril.

               vi.    Wipe the nozzle with a clean tissue and replace the cap.

              vii.    Avoid blowing your nose for 15 minutes after inhaling the prescribed dose.


b)   When to use

  • It is usually used once or twice a day as needed
  • Do not use more than twice in a 24-hour period.

c)    How long to use

  • Do not use oxymetazoline nasal spray for more than 3 days at a stretch.
  • If your symptoms do not get better after 3 days of treatment, stop using oxymetazoline and consult your doctor.

d)   If you forget to use it

Use it as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine. Do not double the dose.

8.  While Using This Medicine:


a)    Things you should do:

  • Inform your pharmacist or doctor that you are using this medication.

b)   Things you must NOT do:

  • Do not use more or less than prescribed by your doctor. If you use oxymetazoline nasal spray for more often or for longer than the recommended period of time, your congestion may get worse, or may improve but come back.
  • Do not share your medication with anyone else.

In case of overdose, seek immediate medical attention.


9.  Side Effects:

All medicines may have some unwanted side effects. Sometimes they are serious, but most of the time they are not. Tell your doctor or pharmacist if you have any side effects which are severe or persistent.

      Possible side effects:
  • Extreme tiredness
  • Burning or stinging of the nose
  • Increased nasal discharge
  • Dryness inside the nose
  • Sneezing
  • Nervousness
  • Nausea
  • Dizziness
  • Headache

10. Storage and disposal:

  • Store at room temperature and in a dry place.
  • Keep away from direct sunlight.
  • Keep out of reach of children.
  • Do not use after the expiry date has passed.
  • Return any unused or expired medication to the nearest pharmacy.