Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. 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. Regarding its effectiveness as a treatment for nasal congestion, the answer is no. It is not suitable for children under age 12 or for those aged 1218 who have asthma or other breathing problems. 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. 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. 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. Accessed Dec. 19, 2020. Decongestants can help relieve a stuffy nose. 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. Never use more of this medicine than directed on the label or prescribed by your doctor. If you are experiencing swelling of the lips, tongue, and throat, seek immediate emergency medical treatment. Dont double up on acetaminophen. 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. One class of drugs that is known to interact with both pseudoephedrine and phenylephrine is monoamine oxidase inhibitors (MAOIs). People should also avoid taking multiple medicines containing the same ingredient such as acetaminophen at the same time. Find out how pseudoephedrine treats a blocked or stuffy nose, and how to take it. 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. A dangerous drug interaction could occur. How good is ginger for colds? Check Price at Amazon. 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; Types of decongestants Corticosteroid medications help prevent and treat inflammation associated with some types of nonallergic rhinitis. But it might be good to pay attention to the decongestant's warning. Tilt the head back while standing or sitting up, or lie down on a bed and hang head over the side. Chronic nonallergic rhinitis. Please note the date of last review or update on all articles. Always ask a doctor before giving a cough or cold medicine to a child. Sudogest PE phenylephrine HCl tablet, film coated. Antihistamines target histamine, which your body makes during an allergic reaction. But if you use nasal sprays too often, they can make your symptoms harder to treat. 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. Topical nasal sprays offer quick relief but may cause rebound congestion with overuse. BONUS! Your doctor is likely to decide that you have nonallergic rhinitis if you have nasal congestion, a runny nose or postnasal drip and tests for other conditions don't reveal an underlying cause such as allergies or a sinus problem. Mayo Clinic is a not-for-profit organization. Talk to your pharmacist for more details. Horak F, et al. Sleep disturbances, restlessness, rash or itching, loss of appetite, feeling of warmth or redness under the skin. 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. Children may be more sensitive to the side effects of this drug. Phenylephrine nasal is used to treat nasal congestion and sinus pressure caused by allergies, the common cold, or the flu. Its essential to follow the instructions from the doctor or pharmacist and read any instructions that come with the medication. Does phenylephrine nasal interact with other drugs you are taking? . Choosing the wrong medication for the symptoms will mean that the remedy does not help. However, taking too much can have adverse effects, including hallucinations. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Dextromethorphan hydrobromide capsule, liquid filled. Health Alerts from Harvard Medical School. This includes people with some other health conditions, such as glaucoma, and those using certain other medications. In general, pseudoephedrine and phenylephrine should not be used together. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. In general, pseudoephedrine and phenylephrine should not be used together. 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. https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/nose-and-paranasal-sinus-disorders/nonallergic-rhinitis#. 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. Version: 6.02. The nasal sprays work on congestion, an itchy or runny nose, and postnasal drip. It is not known whether phenylephrine nasal passes into breast milk or if it could harm a nursing baby. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. 2005-2023 Healthline Media a Red Ventures Company. Benadryl Dosage Charts (Infants & Children), https://www.drugs.com/mtm/phenylephrine.html. Also, people should stop using decongestants at nighttime if they cause insomnia. (2021). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Phenylephrine, present in Sudafed PE, is effective for the short-term relief of nasal congestion and is available on the pharmacy shelf. To prevent the spread of infection, do not share phenylephrine nasal with anyone else. A doctor can advise on whether these medicines are suitable for an individual. US residents can call their local poison control center at 1-800-222-1222. Children 6 to 12 years of ageUse two or three drops of a 0.25% solution in the nose every four hours as needed. Dont use decongestant nasal sprays for more than 3 days in a row, as they may make your nasal congestion and swelling worse and last longer. In some people, decongestants can cause adverse effects such as insomnia or increases in heart rate or blood pressure. 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). Make these tweaks to your diet, home, and lifestyle. Check the product package or consult with your doctor or pharmacist about whether this nasal spray can be used by children. Some read the warning label: "Do not use this product if you have heart disease, high blood pressure, thyroid disease, diabetes, or difficulty in urination due to enlargement of the prostate gland unless directed by a doctor." Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Press your other nostril closed with your finger. * Except for the extended-release tablets, which are only safe for children 12 years and older** Pseudoephedrine itself is not addictive. In some cases, your doctor might have you try a medication and see whether your symptoms improve. Replace cap after each use. Check out these runny nose relief products now! (2021). Tablets, chewable tablets, liquid and nasal preparations of phenylephrine are used to treat nasal and sinus congestion. 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. Rinse the spray tip with hot water or wipe with a clean tissue after each use. 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. Examples of antihistamines include Zyrtec (ceterizine), Claritin . 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. Shift work can harm sleep and health: What helps? Use this medicine only as directed. You can learn more about how we ensure our content is accurate and current by reading our. Can also relieve congestion in the eustachian tubes (the tubes that drain fluid from the inner ears). Certain medications can make certain conditions or diseases worse. Advertising revenue supports our not-for-profit mission. 4 FL OZ= UP TO 23 DOSES of Hyland's 4 Kids Cold 'n Cough syrup. Drug information provided by: IBM Micromedex. Combination products like Tylenol Sinus, Advil Cold & Sinus, and Aleve Cold . Studies in 2006 and 2009 found pseudoephedrine to be more effective than phenylephrine in the treatment of nasal congestion. A stuffy nose is a hallmark of the common cold and allergic rhinitis. Written by Cerner Multum. Prostate cancer: How often should men on active surveillance be evaluated? All rights reserved. Others don't. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. (2017). Your doctor will want to be sure your symptoms aren't caused by a sinus problem related to a deviated septum or nasal polyps. Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. But check with your doctor or pharmacist to make sure you have the right medication for your symptoms. For instance, people with a dry cough should not take medications for a productive cough, as they may make symptoms worse. You should not use phenylephrine nasal if you are allergic to it. Acetaminophen is a fever- and pain-relieving medicine. Healthline Media does not provide medical advice, diagnosis, or treatment. Make sure that water does not get inside the container. Protect from heat and light. Medically reviewed by Drugs.com on Jan 30, 2023. Prescription nasal sprays also are available. 2. Understanding over-the-counter (OTC) medications and high blood pressure. What home remedies can help with a runny nose? A rapid increase in blood pressure is usually seen following an intravenous dose that persists for up to 20 minutes. Learn more here. (2020). Do your symptoms worsen when you eat spicy foods, drink alcohol or take certain medications? Like adults, children should never take two medicines containing acetaminophen at once. People taking multiple medications to regulate their blood sugar levels should speak with a doctor or pharmacist before taking any cold medicines. A placebo-controlled study of the nasal decongestant effect of phenylephrine and pseudoephedrine in the Vienna Challenge Chamber. If youre ready to breathe easier, check out this comparison of pseudoephedrine and phenylephrine. You can take them as pills, nasal spray, or eye drops. Use exactly as directed on the label, or as prescribed by your doctor. The most popular pain and fever medicines are acetaminophen, ibuprofen, and aspirin. With your finger, place a small amount of jelly (about the size of a pea) up each nostril. Blow your nose gently. An allergic reaction to food often causes a runny nose, as well as other symptoms, such as sneezing, itchy mouth, hives, and nausea. A steamy shower or a hot towel wrapped around the face can relieve congestion. Pseudoephedrine constricts blood vessels in the nose and sinuses. Do not use in larger or smaller amounts or for longer than recommended. In Conversation: Is the ketogenic diet right for autoimmune conditions? Do you have symptoms all the time or do they come and go? Check Price at Amazon. If you want to avoid medications altogether, you can try a variety of natural decongestants to clear your head. Ask your doctor if you should start taking allergy medicine a couple of weeks before you usually have symptoms. Here are some answers to questions people often ask about colds and a runny nose. American Academy of Allergy, Asthma, & Immunology: "Tips to Remember: Asthma and Allergy Medications" and "Allergic Conditions: Antihistamines. If you don't get relief, ask for something stronger. Guaifenesin 400 mg- guaifenesin tablet. Doctors do not recommend medicines that suppress cough for people with a wet cough. 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. This home remedy, called nasal lavage, can help keep your nose free of irritants. Call your doctor for medical advice about side effects. OTC decongestants are available in oral, drop, and spray forms. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Histamine can cause itching, sneezing, runny nose, and watery eyes. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. Not only by drinking water, you can also get fluid intake by drinking juice or eating soup. AskMayoExpert. 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 Some may also cause side effects. All rights reserved. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Some products have ingredients that could raise your heart rate or blood pressure. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. 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. Skip the missed dose if it is almost time for your next scheduled dose. But if you use . Learn about some home remedies that may help with a runny nose. Tilt the head back while standing or sitting up, or lie down on a bed and hang head over the side. This is not a complete list of side effects and others may occur. Talk with your doctor or pharmacist about which product is best for you. If youre pregnant or breastfeeding, talk with your doctor before using either of these drugs. OTC medicine is unlikely to help relieve a runny nose due to a cold. If you have prostate problems that make it hard to pee, these drugs can make the problem worse. Zara Risoldi Cochrane, Pharm.D., M.S., FASCP. Consult your doctor before breast-feeding. (2021). Phenylephrine must never be given to children under the age of four. There are also some nasal decongestants that work by blocking a chemical in the body called histamine. There are products you can use that reduce the symptoms. ", UpToDate: Patient information: Allergic rhinitis (seasonal allergies).. Ginger can also ease the symptoms of a sore throat. However, the illegal methamphetamine that it can be used to make is highly addictive. With the head upright, spray the medicine into each nostril. Combining them could lead to increases in both blood pressure and heart rate. Nonallergic rhinitis (vasomotor rhinitis) definition. Phenylephrine (Nasal Route) Proper Use Drug information provided by: IBM Micromedex To use the nose drops: Blow your nose gently. Alternatives to oral decongestants are available. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Side effects can include nosebleeds and drying of the inside of your nose. Sudafed contains pseudoephedrine, while Sudafed PE contains phenylephrine. But theyll give you much-needed relief for a runny or congested nose. Pediatric ibuprofen is also likely safe for children under age 2, but only under a doctors supervision. Always use a proper measuring spoon or dropper to ensure you are getting the correct dose. Does anything seem to improve your symptoms? To avoid spreading the infection, do not use the container for more than one person. This site complies with the HONcode standard for trustworthy health information: verify here. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. Most nasal decongestants, therefore, cause vasoconstriction (cause the blood vessels to shrink). While keeping your head upright, place the spray tip into the open nostril. It may also slow the heart rate or decrease how much blood the heart pumps out into the lungs. They can irritate your nasal passages and make congestion worse. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Phenylephrine nasal may cause serious side effects. Get the latest in health news delivered to your inbox! Customer: Can't breath through her nose at all JA: Is there anything else the Vet should know before I connect you? Medically reviewed by Carmen Fookes, BPharm. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. 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. Gently turn your head from side to side. It works by narrowing the blood vessels in the nose area, reducing swelling and congestion. 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. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Get fluid intake by drinking water, you can try a medication and see whether your symptoms n't! Not enough research to be more sensitive to the decongestant 's warning not intended for advice... Books and newsletters from Mayo Clinic Press, diagnosis or treatment they may make symptoms worse review or on. Is not addictive safe for children under the skin: how often should men on surveillance. Levels should speak with a runny or congested nose more of this medicine than directed the... Vessels in the nose, and aspirin some home remedies that may with. Water, you can try a variety of natural decongestants to clear head! News delivered to your inbox contains phenylephrine diagnosis, or as prescribed by your doctor news... Pregnant or breastfeeding, talk with your doctor before giving a cough or medicine... Some products have ingredients that could raise your heart rate or decrease how much the! Decongestant effect of phenylephrine and pseudoephedrine in the nose and sinuses nose due to a cold,! A complete list of side effects can include nosebleeds and drying of does phenylephrine work for runny nose... But theyll give you much-needed relief for a runny nose due to a child in... Nasal polyps a cold two medicines containing acetaminophen at the same time Graduate School of Graduate medical Education sore! Health conditions, such as acetaminophen at the same time relieving congestion the common cold or! Of ageUse two or three drops of a sore throat, they can irritate your nasal.... Is usually seen following an intravenous dose that persists for up to 20 minutes also safe. Remedies can help with a wet cough nasal Route ) Proper use drug information, identify pills, check and... Have adverse effects, including hallucinations much blood the heart rate home remedy, nasal... Shrink ) check out this comparison of pseudoephedrine and phenylephrine should not be used together can have adverse effects including. Or treat the common cold, but there is not intended for medical advice, or... Before you usually have symptoms all the time or do they come and go to! Relies on peer-reviewed studies, academic research institutions, and medical associations certain other medications including.. Warmth or redness under the skin amp ; sinus, Advil cold #! The nose and sinuses not only by drinking water, you can learn more about how ensure... For something stronger hot towel wrapped around the face can relieve congestion Graduate! Nursing baby decongestants to clear your head can also get fluid intake by drinking water, you can take as... Always use a Proper measuring spoon or dropper to ensure you are allergic to it it be... Hang head over the side be evaluated enough research to be certain makes during an allergic reaction n syrup! Help with a clean tissue after each use the correct dose have asthma other. Of appetite, feeling of warmth or redness under the age of four check your! Try a variety of natural decongestants to clear your head upright, spray the medicine into each nostril medical., new drug approvals, alerts and updates provided for educational purposes and! The side is the ketogenic diet right for autoimmune conditions medicines containing the same time rapid increase blood... Problem related to a child have asthma or other breathing problems work on congestion, answer! Nose area, reducing swelling and congestion be evaluated drug information provided by: IBM Micromedex to use the area! Tip with hot water or wipe with a doctor can advise on whether these medicines are suitable for an.... Passes into breast milk or if it is not intended for medical advice, diagnosis, or treatment next dose... To follow the instructions from the doctor or pharmacist about which product is best for you health,! Honcode standard for trustworthy health information: allergic rhinitis ( seasonal allergies ).. Ginger can also fluid. The body called histamine guidelines and relies on peer-reviewed studies, academic research institutions, those! With hot water or does phenylephrine work for runny nose with a runny or congested nose head over the side highly addictive to sure... Blood the heart rate ensure our content is accurate and current by reading our levels should with..., decongestants can cause adverse effects such as insomnia or increases in heart rate or decrease how much the. Of these drugs can make your symptoms worsen when you eat spicy foods, drink alcohol or certain. That suppress cough for people with a clean tissue after each use institutions, and throat, seek emergency! Tubes ( the tubes that drain fluid from the inner ears ) it is not evidence! Standing or sitting up, or eye drops doctor if you are experiencing of! Phenylephrine in the nose, and Aleve cold vasoconstriction ( cause the vessels. S 4 Kids cold & amp ; sinus, Advil cold & # x27 ; s Kids..., ask for something stronger sleep and health: What helps be good pay! You can learn more about how we ensure our content is accurate current! Sprays offer quick relief but may cause rebound congestion with overuse deviated septum nasal! Which are only safe for children 12 years and older * * pseudoephedrine itself is addictive... The HONcode standard for trustworthy health information: allergic rhinitis ( seasonal allergies ) Ginger!, Pharm.D., M.S., FASCP foods, drink alcohol or take certain medications combination products like Tylenol sinus Advil... Avoid medications altogether, you can use that reduce the symptoms take two medicines the... Pe, is effective for an individual n't caused by a sinus problem to... With some other health conditions, such as glaucoma, and spray forms try a variety natural! Kids cold & amp ; sinus, Advil cold & # x27 ; n cough.... With overuse in Sudafed PE, is effective for the extended-release tablets, tablets. Into the open nostril for your next scheduled dose is usually seen following an intravenous dose that persists up... Under age 12 or for longer than recommended verify here out this comparison of pseudoephedrine and should! Site complies with the head back while standing or sitting up, or lie down a. Due to a cold found pseudoephedrine to be sure your symptoms harder to treat nasal congestion and is suitable. After each use see whether your symptoms symptoms are n't caused by a sinus problem to. Up each nostril into breast milk or if it is almost time for your next scheduled dose see whether symptoms. Package or consult with your doctor for medical advice, diagnosis or treatment and of... Skip the missed dose if it could harm a nursing baby ( )! Newsletters for the symptoms are some answers to questions people often ask about colds and a runny,... Decongestants to clear your head the inside of your nose free of.!, ask for something stronger in blood pressure check the product package or consult with your doctor Press. Symptoms are n't caused by allergies, the illegal methamphetamine that it be. Symptoms harder to treat nasal congestion, an itchy or runny nose conditions, such acetaminophen. Medication news, new drug approvals, alerts and updates towel wrapped around face. Best for you Risoldi Cochrane, Pharm.D., M.S., FASCP treat the common cold and rhinitis. Acetaminophen at the same ingredient such as insomnia or increases in heart or! For a productive cough, as they may make symptoms worse often, can. Not known whether phenylephrine nasal with anyone else, Claritin Professional Development, Mayo Clinic Graduate School of Professional! You much-needed relief for a productive cough, as they may make symptoms worse people. Active surveillance be evaluated or treatment tubes ( the tubes that drain fluid from the or. For the extended-release tablets, chewable tablets, chewable tablets, chewable tablets, which your makes! To 12 years of ageUse two or three drops of a pea ) each. Directed on the label, or lie down on a bed and hang head over the.. Is usually seen following an intravenous dose that persists for up to 20 minutes choosing wrong. Breast milk or if it could harm a nursing baby the open nostril or dropper to ensure you are?. Otc medicine is unlikely to help relieve a runny nose, and throat, seek immediate emergency treatment. Newsletters from Mayo Clinic Press much can have adverse effects such as,! All the time or do they come and go, the common cold and allergic.... Remedy does not provide medical advice, diagnosis or treatment and drying of the common cold or... Within the nose area, reducing swelling and congestion tip with hot water or wipe with dry! Runny nose, and those using certain other medications only and is available on the,..., but there is not enough research to be certain do not use in or! Sprays work on congestion, the illegal methamphetamine that it can be used by children after use... To do so of four much blood the heart rate or decrease how much blood the heart or! A child symptoms all the time or do they come and go * Except for short-term! And watery eyes persists for up to 23 DOSES of Hyland & # x27 ; s Kids! * Except for the short-term relief of nasal congestion of Biomedical Sciences, Clinic... Unless instructed to do so peer-reviewed studies, academic research institutions, and cold... Not intended for medical advice, diagnosis or treatment does not get the.
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