It is not known whether phenylephrine nasal will harm an unborn baby. 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. There are also some nasal decongestants that work by blocking a chemical in the body called histamine. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. A steamy shower or a hot towel wrapped around the face can relieve congestion. 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. 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. Blow your nose gently. Nasal sprays deliver a decongestant right where you need it. 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. If you have any questions, ask your doctor or pharmacist. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. This article examines a number of simple ways to stop a runny nose that can be tried at home. 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. People should also avoid taking multiple medicines containing the same ingredient such as acetaminophen at the same time. Adults and children 12 years of age and olderUse two or three sprays of a 0.25 to 0.5% solution in the nose every four hours as needed. The pills target itching, sneezing, and runny nose. If you are on a schedule, use the missed dose as soon as you remember. In fact, some research has found that at the current recommended doses of phenylephrine it offers minimal symptom improvement. If youre pregnant or breastfeeding, talk with your doctor before using either of these drugs. 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. This is not a complete list of side effects and others may occur. Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. For best results, spray once or twice into each nostril and wait 3 to 5 minutes to allow the medicine to work. All rights reserved. Over the years, there have been reports of heart attacks, strokes, disturbed heart rhythms, and other cardiovascular problems linked with use of pseudoephedrine. Accessed Dec. 19, 2020. Also, do not use this medication for more than 3 days or it may cause a condition called rebound congestion. It is not known whether phenylephrine nasal passes into breast milk or if it could harm a nursing baby. Current Treatment Options in Allergy. DXM may not be safe during pregnancy or for children aged 4 years and under. 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. RELIEF OF COMMON COLD: Naturally relieves the symptoms of the common cold including nasal and chest congestion, runny nose, sore throat, sneezing and cough in children ages 2-12. Some products have ingredients that could raise your heart rate or blood pressure. What should I know regarding pregnancy, nursing and administering phenylephrine nasal to children or the elderly? However, anticholinergics may not be safe for everyone to use. Your doctor will diagnose nonallergic rhinitis based on your symptoms and by ruling out other causes, especially allergies. Many combination medicines contain pseudoephedrine. Other treatments, such as oxymetazoline or the nasal form of phenylephrine, may be better options for you when youre breastfeeding. 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. 3. To do so may make your runny or stuffy nose worse and may also increase the chance of side effects. If your doctor has prescribed this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Shift work can harm sleep and health: What helps? Canada residents can call a provincial poison control center. To get it, you have to buy it from the pharmacy staff, not off the shelf. Nonallergic rhinitis. OTC medicine is unlikely to help relieve a runny nose due to a cold. 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. (2018). Decongestants can help relieve a stuffy nose. 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. 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. Indeed, millions of people use it each year without any dire consequences. Get the latest in health news delivered to your inbox! A decongestant will help reduce nasal . A doctor can advise on whether these medicines are suitable for an individual. Do not keep outdated medicine or medicine no longer needed. The sections below will look at how certain cold medicines can interact with drugs for other health conditions. 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. Learn more here. It can also lead to breathing difficulties in some people. To use the nasal drops, lie on your back with your head tilted back. Portions of this document last updated: Feb. 01, 2023. You should refer to the prescribing information for phenylephrine for a complete list of interactions. Product. There is some controversy over the effectiveness of phenylephrine at dosages found in over-the-counter cold and flu remedies. In some cases, rhinitis may be caused by both allergic and nonallergic triggers. 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. Afrin original - oxymetazoline hydrochloride spray. A cold will typically run its course within 12 weeks. 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. Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. What conditions does phenylephrine nasal treat. Horak F, et al. (2020). Tell your doctor if your condition gets worse or lasts after 3 days. Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum). Do not share this medication with others. A single copy of these materials may be reprinted for noncommercial personal use only. Written by Cerner Multum. If your dose is different, do not change it unless your doctor tells you to do so. If you don't get relief, ask for something stronger. Antihistamines can ease your symptoms, but they work best when you take them before you feel a reaction. Do not give phenylephrine nasal to a child younger than 4 years old. In Conversation: Is the ketogenic diet right for autoimmune conditions? Are there brochures or other printed materials I can have? 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. Inhaled decongestants may be a good alternative with correct use. (2017). Chronic nonallergic rhinitis. For more-bothersome symptoms, certain medications may provide relief, including: Corticosteroid nasal sprays. 2005-2023 Healthline Media a Red Ventures Company. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. These drugs are both nasal decongestants. Death can occur from the misuse of cough and cold medicines in very young children. Phenylephrine. The most popular pain and fever medicines are acetaminophen, ibuprofen, and aspirin. Last medically reviewed on November 28, 2022. Lieberman PL. For mild cases, home treatment and avoiding triggers might be enough. Use as directed for short periods only. There are a number of reasons why a child may have a dry cough. This survey is being conducted by the WebMD marketing sciences department. Eccles, R. (2006). In general, pseudoephedrine and phenylephrine should not be used together. This can be harmful or prevent the drug from working well. When used daily, this is one of the most effective treatments for nonallergic rhinitis. A runny nose is mucus dripping or "running" out of your nose. The pills target itching, sneezing, and runny nose. Ginger can also ease the symptoms of a sore throat. Sometimes, doctors in neonatal intensive care units may administer ibuprofen to newborns. But theyll give you much-needed relief for a runny or congested nose. Antihistamines target histamine, which your body makes during an allergic reaction. When you have a cold, virus-infected cells in the nose, sinuses, and throat attract a flood of white blood cells. Children 6 to 12 years of ageUse two or three sprays of a 0.25% solution in the nose every four hours as needed. Legal requirements for the sale and purchase of drug products containing pseudoephedrine, ephedrine, and phenylpropanolamine. Short-term relief of nasal and sinus congestion and pressure Phenylephrine (Sudafed PE) dosage forms tablet 10mg They can irritate your nasal passages and make congestion worse. Discuss the risks and benefits with your doctor. A pharmacist can help a person select a suitable medicine. Ask a doctor or pharmacist before using any other cold, cough, or allergy medicine. Acetaminophen is not an NSAID, and it can treat fever during pregnancy. 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. The FDA does not recommend many OTC cold medicines for children under age 2, and labels often state that drugs are not suitable for those under age 4. These drugs are category C drugs, which means theres the possibility of birth defects. A precision medicine approach to rhinitis evaluation and management. Then, blow your nose gently and thoroughly. Selected from data included with permission and copyrighted by First Databank, Inc. Last medically reviewed on September 14, 2022. That means these drugs may have side effects in a child who is breastfed by someone who takes these drugs. Make these tweaks to your diet, home, and lifestyle. Do not use phenylephrine nasal if you have used an MAO inhibitor in the past 14 days. That relieves swollen nasal passages and congestion. Topical anticholinergics, such as ipratropium bromide nasal spray, may help reduce a runny nose. Temporary burning, stinging, dryness in the nose, runny nose, and sneezing may occur. There are various nasal decongestants available, many without a prescription. Boiron ColdCalm Tablets for Relief of Common Cold Symptoms Such as Sneezing, Runny Nose, Sore Throat, and Nasal Congestion - Non-Drowsy - 60 Count 4.7 out of 5 stars 5,674 12 offers from $9.99 ", UpToDate: Patient information: Allergic rhinitis (seasonal allergies).. What treatments are available, and which do you recommend for me? Follow your doctor's orders or the directions on the label. Talk to your doctor or pharmacist before using any other cold or flu remedies because they may also contain phenylephrine or another decongestant. In the mother, both drugs may decrease milk production. Follow the directions on the medicine label. Do not use this medicine without a doctor's advice if you are breast-feeding a baby. Before starting pseudoephedrine or phenylephrine, tell your doctor about all medications, vitamins, or herbs youre taking. Combining them could lead to increases in both blood pressure and heart rate. Phenylephrine works by directly stimulating alpha-1 adrenergic receptors in the arteries causing vasoconstriction (narrowing of the blood vessels). Cough syrups often contain sugar. decongestant ingredients work by dilating your blood vessels to . And each medication works slightly differently. Generic name: phenylephrine nasal [FEN-il-EFF-rin] Levocetirizine side effects As a service to our readers, Harvard Health Publishing provides access to our library of archived content. The injectable form of phenylephrine contains sodium metabisulfite, a sulfite that may cause allergic-type reactions in susceptible people. The prescription drug ipratropium is often used as an asthma inhaler medication. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. American Academy of Allergy, Asthma, & Immunology: "Tips to Remember: Asthma and Allergy Medications" and "Allergic Conditions: Antihistamines. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. This medication is suitable only for those aged 6 years and over. Phenylephrine (Nasal Route) Proper Use Drug information provided by: IBM Micromedex To use the nose drops: Blow your nose gently. But it might be good to pay attention to the decongestant's warning. 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. We avoid using tertiary references. What Is Shellfish? Some may also cause side effects. (2021). This is an expectorant that manufacturers claim can help loosen mucus and phlegm. 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. There are many options for non-narcotic pain medications. Prescription nasal sprays also are available. We also provide tips on how to cope with a runny nose. A pharmacist can help a person choose a safe product. 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. 2005 - 2023 WebMD LLC. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. 1. Both DXM and codeine can cause drowsiness. Many of your favorite products containing a decongestant are no longer so easily available on pharmacy shelves. Oral decongestants can raise blood pressure and may be harmful for people with hypertension. This site complies with the HONcode standard for trustworthy health information: verify here. 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, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. If this symptom is due to an allergy and not a cold, antihistamines may help. People can also try the following strategies: Some research suggests that honey can soothe coughs. Consult your pharmacist or local waste disposal company. Dextromethorphan hydrobromide capsule, liquid filled. In fact, some research has found that at the current recommended doses of phenylephrine it offers minimal symptom improvement. Stay on top of latest health news from Harvard Medical School. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The nasal sprays work on congestion, an itchy or runny nose, and postnasal drip. American Family Physician. Nasacort and Flonase are two of many allergy medications available today. This helps relieve symptoms of allergies, such as sneezing, runny nose, and red, watery, itchy eyes. 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. Examples of antihistamines include Zyrtec (ceterizine), Claritin . Then use the spray in your other nostril. What websites do you recommend? The amount of medicine that you take depends on the strength of the medicine. Do not give phenylephrine to children without talking to a doctor first. This product may contain inactive ingredients, which can cause allergic reactions or other problems. (2021). Proton-pump inhibitors: Should I still be taking this medication? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Pseudoephedrine, present in Sudafed, is an oral decongestant. A cold can be uncomfortable, but it will usually resolve on its own with time. Histamine can cause itching, sneezing, runny nose, and watery eyes. However, parents and caregivers must avoid giving OTC ibuprofen to babies under age 2 for safety reasons. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Phenylephrine only provides symptom relief, it does not cure a cold. 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. Keep all medications away from children and pets. Examples include pseudoephedrine (sometimes called by the brand name Sudafed). The following information includes only the average doses of this medicine. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Is phenylephrine just like pseudoephedrine? Decongestants cut down on the fluid in the lining of your nose. Follow all directions on the product package, or use as directed by your doctor. Sur DKC, et al. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. One class of drugs that is known to interact with both pseudoephedrine and phenylephrine is monoamine oxidase inhibitors (MAOIs). Treatment of nonallergic rhinitis depends on how much it bothers you. AskMayoExpert. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Not recommended for routine use following septic shock. Doctors do not recommend medicines that suppress cough for people with a wet cough. Detailed Phenylephrine nasal dosage information, Drug class: nasal antihistamines and decongestants, Benadryl Dosage Charts (Infants & Children). This site complies with the HONcode standard for trustworthy health information: verify here. Drinking plenty of fluids, especially hot beverages, keeps mucus moist and flowing. Children 4 to 6 years of ageUse and dose must be determined by your doctor. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Like adults, children should never take two medicines containing acetaminophen at once. In general, this increase is minimal in people with controlled high blood pressure. You can walk into any pharmacy and buy phenylephrine off the shelf like you would for any other purchase. 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. A placebo-controlled study of the nasal decongestant effect of phenylephrine and pseudoephedrine in the Vienna Challenge Chamber. Always check with a doctor or pharmacist before using medicine containing codeine for cough, and follow the instructions on the package. He or she might recommend certain tests, although there are no definite tests for nonallergic rhinitis. This drug also helps relieve itching caused by hives. There is some controversy over whether it works at the dosages usually found in over-the-counter products. Phenylephrine nasal may also be used for purposes not listed in this medication guide. 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. If you need surgery, tell the surgeon ahead of time that you are using phenylephrine nasal. These infection fighters churn out substances that kill the cold virus but also swell nasal membranes and make the body produce extra mucus. Blow your nose gently. In many cases, rhinitis is caused by an allergic reaction. Anti-drip anticholinergic nasal sprays. 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. The chart below is a quick snapshot of some of the basic information for pseudoephedrine and phenylephrine. An illogical way to control methamphetamine abuse. Also, people should stop using decongestants at nighttime if they cause insomnia. Consult your doctor before breast-feeding. However, some may be unsuitable for people who are pregnant or have chronic health conditions and for young children. Blow your nose gently. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Children may be more sensitive to the side effects of this drug. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Wash your hands before applying the medicine. OTC medicines may help ease symptoms but will not cure a common cold. All rights reserved. Call your doctor for medical advice about side effects. 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). Some medicines can cause unwanted or dangerous effects when used together. Combination products like Tylenol Sinus, Advil Cold & Sinus, and Aleve Cold . A wet or productive cough is one that produces mucus. Do your symptoms worsen when you eat spicy foods, drink alcohol or take certain medications? All rights reserved. What, if anything, appears to worsen your symptoms? With your finger, place a small amount of jelly (about the size of a pea) up each nostril. Sleeplessness is a common side effect. While they both treat allergy symptoms, they're not identical medications. Learn more about home remedies for a common cold. 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. Refer to storage information printed on the package. However, the illegal methamphetamine that it can be used to make is highly addictive. Understanding over-the-counter (OTC) medications and high blood pressure. Replace the cap right after use. Medically reviewed by Carmen Fookes, BPharm. Sudogest PE phenylephrine HCl tablet, film coated. Most nasal decongestants, therefore, cause vasoconstriction (cause the blood vessels to shrink). These rules help prevent people from buying products that contain pseudoephedrine to make methamphetamine. Sudafed (pseudoephedrine) Sudafed PE (phenylephrine) Afrin and other nasal sprays (oxymetazoline) Nasal sprays work faster than oral decongestants. Drug interactions may change how your medications work or increase your risk for serious side effects. Energy-boosting coffee alternatives: What to know. But if you use nasal sprays too often, they can make your symptoms harder to treat. Benadryl Dosage Charts (Infants & Children), https://www.drugs.com/mtm/phenylephrine.html. Wipe the tip of the tube with a clean, damp tissue and replace the cap right after 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. The no-frills phenylephrine formula is comparable to the dosage you .