Accessed Dec. 19, 2020. If you have high blood pressure and need to take pseudoephedrine you should have your blood pressure checked more often. They, Both cool-mist humidifiers and steam vaporizers add helpful moisture to the air. Pseudoephedrine and phenylephrine can both affect pregnancy and breastfeeding. Children 6 to 12 years of ageUse two or three drops of a 0.25% solution in the nose every four hours as needed. All rights reserved. DXM and decongestants may interact with certain antidepressants, such as monoamine oxidase inhibitors (MAOIs). He or she might recommend certain tests, although there are no definite tests for nonallergic rhinitis. 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. Phenylephrine nasal is used to treat nasal congestion and sinus pressure caused by allergies, the common cold, or the flu. The reason for these requirements is that pseudoephedrine is used to make illegal methamphetamine, which is highly addictive. These are more commonly used as oral medications than as nasal sprays. First try an over-the-counter brand. AdultsUse a small amount in the nose every three or four hours as needed. Please note the date of last review or update on all articles. 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. Ask your doctor if you should start taking allergy medicine a couple of weeks before you usually have symptoms. Is the ketogenic diet right for autoimmune conditions? A dangerous drug interaction could occur. (2018). They can help ease the symptoms of conditions such as colds and flu, hay fever and other allergic reactions, catarrh and sinusitis. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. A stuffy nose is a hallmark of the common cold and allergic rhinitis. In fact, some research has found that at the current recommended doses of phenylephrine it offers minimal symptom improvement. People who have chronic health conditions, are pregnant, or are taking other medications should speak with a doctor or pharmacist before taking any OTC medicines. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. Indeed, millions of people use it each year without any dire consequences. Diphenhydramine is an antihistamine, which means it reduces your body's natural reaction to irritants and pathogens, which may help if your runny nose is because your body is releasing. Decongestants. Merck Manual Professional Version. Some OTC medicines may be harmful to children and babies, and some can interact with other medicines and supplements. Purple vegetables and tubers may have superior anti-diabetic properties. Nonallergic rhinitis (vasomotor rhinitis) definition. However, it is not suitable for children under age 1 because of the risk of botulism. When you have a cold, virus-infected cells in the nose, sinuses, and throat attract a flood of white blood cells. Crisci CD, et al. Ask a doctor or pharmacist before using phenylephrine nasal if you are also using any other drugs, including prescription and over-the-counter medicines, vitamins, and herbal products. However, some may be unsuitable for people who are pregnant or have chronic health conditions and for young children. There are various nasal decongestants available, many without a prescription. Usual Pediatric Dose for Nasal Congestion: Phenylephrine nasal 0.125% drops:2 to 6 years: Instill 2 to 3 drops in each nostril not more than every 4 hours under adult supervision.Phenylephrine nasal 1% spray: 6 years or older: 2 to 3 sprays in each nostril every 4 hours. Ibuprofen and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs). What, if anything, appears to worsen your symptoms? It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. For example, pseudoephedrine may cause irritability and sleep changes in the child. Short-term relief of nasal and sinus congestion and pressure Phenylephrine (Sudafed PE) dosage forms tablet 10mg However, this medicine requires a prescription from a doctor. A single copy of these materials may be reprinted for noncommercial personal use only. Mayo Clinic is a not-for-profit organization. This is not a complete list of possible side effects. Not suitable for children under four. Injectable forms may also be used to increase blood pressure. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Follow all directions on the product package, or use as directed by your doctor. Is my condition likely temporary or long lasting? Regarding its effectiveness as a treatment for nasal congestion, the answer is no. Copyright 1996-2023 Cerner Multum, Inc. Both DXM and codeine can cause drowsiness. However, adding an antihistamine to a decongestant does not guarantee that a person will fall asleep. Over the years, there have been reports of heart attacks, strokes, disturbed heart rhythms, and other cardiovascular problems linked with use of pseudoephedrine. This home remedy, called nasal lavage, can help keep your nose free of irritants. Afrin original - oxymetazoline hydrochloride spray. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. 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. It can also lead to breathing difficulties in some people. These include: If youre trying to decide which option might be better for you, talk with your doctor or pharmacist. You should refer to the prescribing information for phenylephrine for a complete list of interactions. All rights reserved. Learn more about home remedies for a common cold. Phenylephrine nasal may cause serious side effects. Discuss the risks and benefits with your doctor. 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. How good is ginger for colds? In some people, decongestants can cause adverse effects. What websites do you recommend? We comply with the HONcode standard for trustworthy health information. People should also avoid mixing different cough suppressants. A doctor can advise on whether these medicines are suitable for an individual. Replace the cap right after use. Mayo Clinic does not endorse companies or products. Allegra vs. Claritin: What's the Difference? 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; Revision date: July 14, 2022. metoprolol, atenolol, diltiazem, amiodarone, dexamethasone, methylprednisolone, hydrocortisone, bisoprolol, epinephrine topical, epinephrine. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 2020; doi:10.1007/s40521-020-00243-1. Do not share this medication with others. Advertising revenue supports our not-for-profit mission. show all 15 brands Could a monthly antibody injection be a promising endometriosis treatment? There is some controversy over whether it works at the dosages usually found in over-the-counter products. Symptoms of rebound congestion include long-term redness and swelling inside the nose and increased runny nose. Generic name: phenylephrine nasal [FEN-il-EFF-rin] Phenylephrine (Sudafed PE) is an alpha agonist. They can make you drowsy. Many over-the-counter (OTC) products can relieve cold and flu symptoms. People can also try the following strategies: Some research suggests that honey can soothe coughs. Shake the oral suspension well before measuring out the correct dose. Always check with a doctor or pharmacist before using medicine containing codeine for cough, and follow the instructions on the package. 1. 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. Are there brochures or other printed materials I can have? When choosing a cold medicine, people need to know which symptoms they want to relieve. But it's now available as a nasal spray and can be helpful if a runny, drippy nose is your main complaint. Use exactly as directed on the label, or as prescribed by your doctor. It acts on parts of the brain to stop a person from coughing. Do not blow your nose for at least a few minutes after using the nasal spray. A neti pot is a container designed to rinse the nasal cavity. Call your doctor if you have any serious side effects when using these drugs. A cold can be uncomfortable, but it will usually resolve on its own with time. * Except for the extended-release tablets, which are only safe for children 12 years and older** Pseudoephedrine itself is not addictive. A very serious allergic reaction to this drug is rare. In the drug realm, antihistamines such as diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton), cetirizine (Zyrtec), and loratadine (Claritin) can help with a stuffy nose are safe for the heart. If you are on a schedule, use the missed dose as soon as you remember. Rest assured that they'll be able to help you. Last medically reviewed on November 28, 2022. Do you have symptoms all the time or do they come and go? Last medically reviewed on September 14, 2022. In some people, decongestants can cause adverse effects such as insomnia or increases in heart rate or blood pressure. Antihistamines can ease your symptoms, but they work best when you take them before you feel a reaction. Cold medicine should be used only for a short time until your symptoms clear up. Do not start, stop, or change the dosage of any medicines without your doctor's approval. In some cases, rhinitis may be caused by both allergic and nonallergic triggers. Make sure that water does not get inside the container. Insert the correct number of drops and remain lying in this position for several minutes. Codeine is present in many cough medications because it suppresses activity in the brain that leads to coughing. The prescription drug ipratropium is often used as an asthma inhaler medication. You may know pseudoephedrine and phenylephrine from their use in Sudafed products. 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. 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. Cold symptoms in toddlers under 2 years of age may seem alarming to parents and caregivers, but they typically disappear on their own with time. 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. (2017). Decongestants can also cause side effects, such as: You shouldnt take decongestants if you have certain health issues, including high blood pressure or heart problems. Nasacort and Flonase are two of many allergy medications available today. Sudafed (pseudoephedrine) Sudafed PE (phenylephrine) Afrin and other nasal sprays (oxymetazoline) Nasal sprays work faster than oral decongestants. Prostate cancer: How often should men on active surveillance be evaluated? Dilated blood vessels can cause nasal congestion (stuffy nose). Not all possible interactions are listed in this medication guide. People with a cold, flu, or runny nose or nasal congestion should seek medical advice if they have: Cold and flu medicines do not cure a common cold or flu, but some preparations may help relieve a runny nose, stuffy nose, and cough. Breathe Right nasal strips may help you breathe better at night. 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. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. Call your doctor for medical advice about side effects. Larger studies are needed. Drug class: Nasal antihistamines and decongestants. Read this article to, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. 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. Dire consequences nose and increased runny nose ipratropium is often used as oral than. Single copy of these materials may be unsuitable for people who are pregnant or have chronic health and! Have your blood pressure and need to take pseudoephedrine you should have your blood pressure of Harvard College, not... 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Dilated blood vessels can cause nasal congestion and sinus pressure caused by allergies, the cold. Which is highly addictive the flu of conditions such as insomnia or increases in heart or! On a schedule, use the missed dose as soon as you remember able to help you the air nonallergic!, Brighton, UK, a Red Ventures Company reason for these requirements is that is! Pot is a decongestant that shrinks blood vessels in the nose every four hours as....