You may report side effects to Health Canada at 1-866-234-2345. Then use the spray in your other nostril. However, the FDA does not recommend NSAIDs from week 20 onward, as these medicines may lead to low amniotic fluid. Many over-the-counter (OTC) products can relieve cold and flu symptoms. Phenylephrine nasal is usually used every 4 hours. Generic name: phenylephrine nasal [FEN-il-EFF-rin] A decongestant will help reduce nasal . Make sure that water does not get inside the container. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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. 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; Are you regularly exposed to fumes, chemicals or other airborne irritants? One class of drugs that is known to interact with both pseudoephedrine and phenylephrine is monoamine oxidase inhibitors (MAOIs). Certain medications can make certain conditions or diseases worse. Please note the date of last review or update on all articles. Replace the cap right after use. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. There are a number of reasons why a child may have a dry cough. Many people using this medication do not have serious side effects. Your doctor will diagnose nonallergic rhinitis based on your symptoms and by ruling out other causes, especially allergies. Call your doctor if your symptoms do not improve after 3 days of treatment, or if you have a fever with a headache, cough, or skin rash. In some people, decongestants can cause adverse effects such as insomnia or increases in heart rate or blood pressure. Sudafed (pseudoephedrine) Sudafed PE (phenylephrine) Afrin and other nasal sprays (oxymetazoline) Nasal sprays work faster than oral decongestants. To avoid spreading the infection, do not use the container for more than one person. Sometimes, a runny nose is a symptom of an allergic reaction. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Topical nasal sprays offer quick relief but may cause rebound congestion with overuse. Ask your doctor if you should start taking allergy medicine a couple of weeks before you usually have symptoms. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, How to Exercise Outside When You Have Allergies, Nasal Irrigation: Relief for Colds & Allergy Symptoms, Air Filters for Allergies, Asthma, and Other Breathing Problems. The chart below is a quick snapshot of some of the basic information for pseudoephedrine and phenylephrine. There are no contraindications for use listed in the manufacturers labeling. If you have high blood pressure and need to take pseudoephedrine you should have your blood pressure checked more often. 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. 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. Rinse the spray tip with hot water or wipe with a clean tissue after each use. You can take these by mouth in pills or liquids, like pseudoephedrine. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. 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. 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. Nasacort vs. Flonase: Whats the Difference? However, it is not suitable for children under age 1 because of the risk of botulism. (2021). Do not use more of it, do not use it more often, and do not use it for longer than 3 days without first checking with your doctor. The common cold usually has distinct stages. Your doctor will want to be sure your symptoms aren't caused by a sinus problem related to a deviated septum or nasal polyps. Its essential to follow the instructions from the doctor or pharmacist and read any instructions that come with the medication. Do not use extra medicine to make up the missed dose. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. (2018). You shouldnt drive when you take antihistamines such as brompheniramine (Nasahist B), chlorpheniramine (Chlor-Trimeton), clemastine (Dayhist, Tavist), and diphenhydramine (Benadryl). What is phenylephrine (Sudafed PE) used for? Consult your pharmacist or local waste disposal company. Phenylephrine works by directly stimulating alpha-1 adrenergic receptors in the arteries causing vasoconstriction (narrowing of the blood vessels). Can also relieve congestion in the eustachian tubes (the tubes that drain fluid from the inner ears). Gently turn your head from side to side. They, Both cool-mist humidifiers and steam vaporizers add helpful moisture to the air. All rights reserved. Overdose symptoms may include severe dizziness or drowsiness, slow heart rate, and fainting. A single copy of these materials may be reprinted for noncommercial personal use only. This site complies with the HONcode standard for trustworthy health information: verify here. Histamine can cause itching, sneezing, runny nose, and watery eyes. Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. Phenylephrine only provides symptom relief, it does not cure a cold. What's the most likely cause of my symptoms? A precision medicine approach to rhinitis evaluation and management. Treatment of nonallergic rhinitis depends on how much it bothers you. The liquids you drink help thin mucus to reduce pressure in the sinuses, which reduces irritation and inflammation. FDA drug safety communication: FDA evaluating the potential risks of using codeine cough-and-cold medicines in children. Pediatric ibuprofen is also likely safe for children under age 2, but only under a doctors supervision. Phenylephrine for injection may be used in the treatment of low blood pressure, shock, or supraventricular tachycardia. In general, pseudoephedrine and phenylephrine should not be used together. Store at room temperature away from moisture and heat. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. (2017). This is not a complete list of side effects and others may occur. This drug also helps relieve itching caused by hives. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. This article examines a number of simple ways to stop a runny nose that can be tried at home. In theory, this should minimize cardiovascular effects. Sudafed contains pseudoephedrine, while Sudafed PE contains phenylephrine. Ipratropium nasal spray 0.03% can help manage an allergy-related runny nose year-round. American Academy of Allergy, Asthma, & Immunology: "Tips to Remember: Asthma and Allergy Medications" and "Allergic Conditions: Antihistamines. Many combination medicines contain pseudoephedrine. A pharmacist can help a person choose a safe product. You can learn more about how we ensure our content is accurate and current by reading our. First try an over-the-counter brand. Some people swear by spicy foods, and we would be remiss if we did not mention chicken soup. Dosage forms: nasal drops (0.125%); nasal solution (1%); nasal spray (0.25%; 0.5%; 1%) You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Decongestants. Merck Manual Professional Version. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Make these tweaks to your diet, home, and lifestyle. Do not use this medicine without a doctor's advice if you are pregnant. (2021). Don't let a runny nose ruin your day! You should refer to the prescribing information for phenylephrine for a complete list of interactions. What websites do you recommend? Other treatments, such as oxymetazoline or the nasal form of phenylephrine, may be better options for you when youre breastfeeding. This can help people if they have difficulty falling asleep while they have a cold. American Family Physician. Can diet help improve depression symptoms? Ipatropium bromide ipatropium bromide spray. Talk to your pharmacist for more details. What Is Shellfish? Keep the cap on the bottle when not in use. 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. It can be caused by colder outdoor temperatures, a cold, flu or allergies. (2020). While they both treat allergy symptoms, they're not identical medications. Customer: Can't breath through her nose at all JA: Is there anything else the Vet should know before I connect you? (2018). Many of your favorite products containing a decongestant are no longer so easily available on pharmacy shelves. Injectable forms may also be used to increase blood pressure. Medically reviewed by Drugs.com on Jan 30, 2023. Available for Android and iOS devices. It may also be called a vasopressor or a selective alpha-1-adrenergic receptor agonist. Studies in 2006 and 2009 found pseudoephedrine to be more effective than phenylephrine in the treatment of nasal congestion. If you have any of the following health problems, consult your doctor or pharmacist before using this product: heart/blood vessel disease, overactive thyroid (hyperthyroidism), diabetes, high blood pressure, difficulty urinating (due to enlarged prostate). FDA recommends avoiding use of NSAIDs in pregnancy at 20 weeks or later because they can result in low amniotic fluid. This medication provides only temporary relief. 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. Death can occur from the misuse of cough and cold medicines in very young children. However, anticholinergics may not be safe for everyone to use. Written by Cerner Multum. Use this medication in the nose as directed. You can take them as pills, nasal spray, or eye drops. Oral decongestants can raise blood pressure and may be harmful for people with hypertension. Always use a proper measuring spoon or dropper to ensure you are getting the correct dose. Advertising revenue supports our not-for-profit mission. 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. 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. "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. Sur DKC, et al. Drinking plenty of fluids, especially hot beverages, keeps mucus moist and flowing. Shift work can harm sleep and health: What helps? Some products have ingredients that could raise your heart rate or blood pressure. And each medication works slightly differently. Temporary burning, stinging, dryness in the nose, runny nose, and sneezing may occur. Things to remember when you fill your prescription. Here, learn what the research says about ginger's medicinal properties and how to use it in tea for a sore throat. Guaifenesin 400 mg- guaifenesin tablet. Horak F, et al. Cold medicine should be used only for a short time until your symptoms clear up. A placebo-controlled study of the nasal decongestant effect of phenylephrine and pseudoephedrine in the Vienna Challenge Chamber. Drug class: Nasal antihistamines and decongestants. "Rhinorrhea," a term often used alongside the phrase "runny nose," is the thin, mostly clear discharge you might see. Call your doctor for medical advice about side effects. 3. Decongestants can help relieve a stuffy nose. Keep your head upright and insert the tip of the bottle into one nostril. Rhinitis is the . Both pseudoephedrine and phenylephrine can cause side effects. Learn more here. However, check with your doctor. 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. Phenylephrine, present in Sudafed PE, is effective for the short-term relief of nasal congestion and is available on the pharmacy shelf. The nasal sprays work on congestion, an itchy or runny nose, and postnasal drip. View complete list of side effects. 2020; doi:10.1007/s40521-020-00243-1. * Except for the extended-release tablets, which are only safe for children 12 years and older** Pseudoephedrine itself is not addictive. However, parents and caregivers must avoid giving OTC ibuprofen to babies under age 2 for safety reasons. Dilated blood vessels can cause nasal congestion (stuffy nose). They work by reducing the swelling of the blood vessels in your nose, which helps to open the airways. (2022). However, the FDA notes that codeine is an opioid drug and can cause dependency. You may need to stop using the medicine for a short time. These drugs also pass into a womans breast milk, though phenylephrine does so in smaller amounts. Nasacort and Flonase are two of many allergy medications available today. Few heed it. A stuffy nose is a hallmark of the common cold and allergic . You should not use phenylephrine nasal if you are allergic to it. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Blow your nose gently. Corticosteroid medications help prevent and treat inflammation associated with some types of nonallergic rhinitis. Sudogest PE phenylephrine HCl tablet, film coated. (2020). How good is ginger for colds? Legal requirements for the sale and purchase of drug products containing pseudoephedrine, ephedrine, and phenylpropanolamine. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. 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. Do not use phenylephrine nasal if you have used an MAO inhibitor in the past 14 days. Do not double doses. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. We also provide tips on how to cope with a runny nose. Talk with your doctor or pharmacist about which product is best for you. 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. Sometimes, manufacturers add DXM to combination cold and flu products, such as all-in-one medicines. But for pseudoephedrine, there are special requirements. Shake the oral suspension well before measuring out the correct dose. Others such as desloratadine (Clarinex), fexofenadine (Allegra), and loratadine (Alavert, Claritin) usually dont. Childrens ibuprofen ibuprofen suspension. An illogical way to control methamphetamine abuse. If you have any questions, ask your doctor or pharmacist. Medicines containing codeine are not suitable for those under age 12 or those aged 1218 with breathing problems. Since phenylephrine nasal is used when needed, you may not be on a dosing schedule. A cold will typically run its course within 12 weeks. There are also some nasal decongestants that work by blocking a chemical in the body called histamine. Both DXM and codeine can cause drowsiness. 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. That means these drugs may have side effects in a child who is breastfed by someone who takes these drugs. Check the product package or consult with your doctor or pharmacist about whether this nasal spray can be used by children. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose. 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. This shrinks swelling and drains fluids, letting you breathe easier again. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Use your finger to close the nostril on the side not receiving the medication. 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. Do not keep outdated medicine or medicine no longer needed. Decongestants also come in nasal sprays, including oxymetazoline and phenylephrine. Sniff hard a few times to be sure the medication reaches deep into the nose. A very serious allergic reaction to this drug is rare. A stuffy nose is a hallmark of the common cold and allergic rhinitis. Dextromethorphan hydrobromide and promethazine hydrochloride syrup. 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. The sections below will look at how certain cold medicines can interact with drugs for other health conditions. They can help you determine if pseudoephedrine, phenylephrine, or another drug would be a good choice for you. You can walk into any pharmacy and buy phenylephrine off the shelf like you would for any other purchase. I have other health conditions. Keep from freezing. 2. Use this medicine only as directed. This can help your doctor prevent possible interactions. These drugs are both nasal decongestants. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Parents don't always realize that their teen is suicidal. This medication is suitable only for those aged 6 years and over. Our website services, content, and products are for informational purposes only. Replace the cap right after use. There is some controversy over whether it works at the dosages usually found in over-the-counter products. It works by narrowing the blood. Purple vegetables and tubers may have superior anti-diabetic properties. Otherwise, call a poison control center right away. Crisci CD, et al. However, nasal decongestant sprays should be used only for several days because it can lead to rebound nasal congestion. Refer to storage information printed on the package. Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. 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. Afrin original - oxymetazoline hydrochloride spray. Medications for colds, runny noses, and congestion come as tablets, syrups, sprays, and drops. People taking multiple medications to regulate their blood sugar levels should speak with a doctor or pharmacist before taking any cold medicines. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. There are many options for non-narcotic pain medications. Blow your nose gently. Talk to your doctor or pharmacist before using any other cold or flu remedies because they may also contain phenylephrine or another decongestant. Also, people should stop using decongestants at nighttime if they cause insomnia. The drugs are also available in several combinations with other over-the-counter cough and cold medications. But theyll give you much-needed relief for a runny or congested nose. 1. When choosing a cold medicine, people need to know which symptoms they want to relieve. This helps relieve symptoms of allergies, such as sneezing, runny nose, and red, watery, itchy eyes. Drug information provided by: IBM Micromedex. However, this medicine requires a prescription from a doctor. If the spray gets in your eyes or mouth or on your skin, rinse with water. Breathe Right nasal strips may help you breathe better at night. Health Alerts from Harvard Medical School. 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. Canada residents can call a provincial poison control center. Is my condition likely temporary or long lasting? A pharmacist can help a person select a suitable medicine. All rights reserved. Don't use them for longer than recommended, though. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Available for Android and iOS devices. Phenylephrine (Sudafed PE) is an alpha agonist. The chart below lists examples of possible side effects from pseudoephedrine and phenylephrine. Antihistamines and decongestants won't cure your allergies. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Prescription nasal sprays also are available. Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum). The amount of medicine that you take depends on the strength of the medicine. Always check with a doctor or pharmacist before using medicine containing codeine for cough, and follow the instructions on the package. The pills target itching, sneezing, and runny nose. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. 4 FL OZ= UP TO 23 DOSES of Hyland's 4 Kids Cold 'n Cough syrup. The pills target itching, sneezing, and runny nose. If youre ready to breathe easier, check out this comparison of pseudoephedrine and phenylephrine. Keep all medications away from children and pets. Sudafed pseudoephedrine hydrochloride tablet, coated. People with a cold or flu may experience a runny nose, or rhinitis. Gently blow your nose before using this drug. If your dose is different, do not change it unless your doctor tells you to do so. Some may also cause side effects. We avoid using tertiary references. Do not use this medicine without a doctor's advice if you are breast-feeding a baby. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. People must read the full ingredient list to ensure that the medicine fits their symptoms and will not interfere with drugs. This site complies with the HONcode standard for trustworthy health information: verify here. Decongestants cut down on the fluid in the lining of your nose. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. In the US - Call your doctor for medical advice about side effects. What treatments are available, and which do you recommend for me? For mild cases, home treatment and avoiding triggers might be enough. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

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