Advertising revenue supports our not-for-profit mission. Available for Android and iOS devices. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Pseudoephedrine constricts blood vessels in the nose and sinuses. 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. You shouldnt drive when you take antihistamines such as brompheniramine (Nasahist B), chlorpheniramine (Chlor-Trimeton), clemastine (Dayhist, Tavist), and diphenhydramine (Benadryl). This document does not contain all possible drug interactions. Overdose symptoms may include severe dizziness or drowsiness, slow heart rate, and fainting. Combining them. Accessed Dec. 19, 2020. The side effects of different cough medicines can combine and cause severe fatigue or even respiratory failure. 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. What Is Shellfish? Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. Sleeplessness is a common side effect. You also have to show ID, and youre limited in the amount you can buy daily and monthly. A pharmacist can help a person select a suitable medicine. Inhaled decongestants may be a good alternative with correct use. OTC medicines may help ease symptoms but will not cure a common cold. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. What websites do you recommend? WebMD does not provide medical advice, diagnosis or treatment. (2021). Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. 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. That doesn't mean it's risk free. Pediatric acetaminophen (Tylenol) is usually suitable for children under age 2 under a doctors supervision. If your doctor suspects a sinus problem, you might need an imaging test to view your sinuses. Ibuprofen and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs). Another term you might often see is " 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. Detailed Phenylephrine nasal dosage information, Drug class: nasal antihistamines and decongestants, Benadryl Dosage Charts (Infants & Children). Dilated blood vessels can cause nasal congestion (stuffy nose). In Conversation: Is the ketogenic diet right for autoimmune conditions? Drug class: Nasal antihistamines and decongestants. When you have a cold, virus-infected cells in the nose, sinuses, and throat attract a flood of white blood cells. If any of these effects last or get worse, tell your doctor or pharmacist promptly. If you don't get relief, ask for something stronger. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Benadryl Dosage Charts (Infants & Children), https://www.drugs.com/mtm/phenylephrine.html. Do not double doses. Has anything helped? 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. Check the drug label for more information about side effects. (2019). A doctor can advise on whether these medicines are suitable for an individual. For nasal congestion due to colds and allergies, millions of Americans reach for an over-the-counter decongestant to clear a stuffy nose. Learn about some home remedies that may help with a runny nose. We avoid using tertiary references. Advertising revenue supports our not-for-profit mission. But theyll give you much-needed relief for a runny or congested nose. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. . Others don't. 3. However, check with your doctor. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Using phenylephrine nasal too long can damage the lining of your nasal passages and lead to chronic nasal congestion. In the US - Call your doctor for medical advice about side effects. Don't miss your FREE gift. 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. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Since phenylephrine nasal is used when needed, you may not be on a dosing schedule. FDA recommends avoiding use of NSAIDs in pregnancy at 20 weeks or later because they can result in low amniotic fluid. To avoid spreading the infection, do not use the container for more than one person. BONUS! Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose. However, it is not suitable for children under age 1 because of the risk of botulism. In fact, some research has found that at the current recommended doses of phenylephrine it offers minimal symptom improvement. Childrens ibuprofen ibuprofen suspension. Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. These drugs also pass into a womans breast milk, though phenylephrine does so in smaller amounts. Insert the correct number of drops and remain lying in this position for several minutes. Dosage forms: nasal drops (0.125%); nasal solution (1%); nasal spray (0.25%; 0.5%; 1%) Sniff hard a few times to be sure the medication reaches deep into the nose. Examples include pseudoephedrine (sometimes called by the brand name Sudafed). Ask a doctor or pharmacist before using any other cold, cough, or allergy medicine. 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There are also some nasal decongestants that work by blocking a chemical in the body called histamine. Written by Cerner Multum. The dose of this medicine will be different for different patients. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. 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. You may report side effects to FDA at 1-800-FDA-1088. https://www.uptodate.com/contents/search. Brompheniramine is an antihistamine that reduces the effects of natural chemical histamine in the body. Use a specially designed squeeze bottle such as the one included in saline kits a bulb syringe or a neti pot to irrigate your nasal passages. Oral and nasal preparations of phenylephrine are available for purchase over-the-counter. Protect from heat and light. A runny nose is mucus dripping or "running" out of your nose. Tell your doctor right away if you have any serious side effects, including: slow/fast/pounding heartbeat, dizziness, nausea, headache, mental/mood changes, trouble sleeping, shaking (tremors), unusual sweating, unusual weakness. These rules help prevent people from buying products that contain pseudoephedrine to make methamphetamine. It is also used to relieve sinus congestion and pressure. People with a cold or flu may experience a runny nose, or rhinitis. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Learn more about some of these causes and the treatment options here. Always talk with a doctor before giving cough or cold medicines to children. Nonallergic rhinitis (vasomotor rhinitis) definition. Short-term relief of nasal and sinus congestion and pressure Phenylephrine (Sudafed PE) dosage forms tablet 10mg Check the product package or consult with your doctor or pharmacist about whether this nasal spray can be used by children. Portions of this document last updated: Feb. 01, 2023. This home remedy, called nasal lavage, can help keep your nose free of irritants. This content does not have an English version. Dilated blood vessels can cause nasal congestion (stuffy nose). Examples of antihistamines include Zyrtec (ceterizine), Claritin . Phenylephrine works by directly stimulating alpha-1 adrenergic receptors in the arteries causing vasoconstriction (narrowing of the blood vessels). May interact with some other medications including monoamine oxidase inhibitors and oxytocic drugs. OTC medicine is unlikely to help relieve a runny nose due to a cold. Proton-pump inhibitors: Should I still be taking this medication? It can also lead to breathing difficulties in some people. Children and infants up to 4 years of ageUse is not recommended . https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/nose-and-paranasal-sinus-disorders/nonallergic-rhinitis#. A placebo-controlled study of the nasal decongestant effect of phenylephrine and pseudoephedrine in the Vienna Challenge Chamber. Children 6 to 12 years of ageUse two or three drops of a 0.25% solution in the nose every four hours as needed. Medications for colds, runny noses, and congestion come as tablets, syrups, sprays, and drops. In many cases, rhinitis is caused by an allergic reaction. Few heed it. Not recommended for routine use following septic shock. (2021). Understanding over-the-counter (OTC) medications and high blood pressure. Children 6 to 12 years of ageUse two or three sprays of a 0.25% solution in the nose every four hours as needed. Women should avoid using them during the first trimester of pregnancy and possibly throughout pregnancy. They can build up in your blood to protect against allergens and block the release of histamines. The amount of medicine that you take depends on the strength of the medicine. The only way to be sure rhinitis isn't caused by allergies is through allergy testing, which may involve skin or blood tests. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. For best results, spray once or twice into each nostril and wait 3 to 5 minutes to allow the medicine to work. The decongestant effect of phenylephrine in cold or flu remedies should be noticeable within 15 to 30 minutes, and the effects last less than 4 hours. 2. (2021). These drugs are both nasal decongestants. One class of drugs that is known to interact with both pseudoephedrine and phenylephrine is monoamine oxidase inhibitors (MAOIs). If you need surgery, tell the surgeon ahead of time that you are using phenylephrine nasal. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Nasacort and Flonase are two of many allergy medications available today. Repeat these steps for the other nostril if needed. In fact, some research has found that at the current recommended doses of phenylephrine it offers minimal symptom improvement. Dextromethorphan hydrobromide capsule, liquid filled. Do not use this medicine without a doctor's advice if you are pregnant. Chronic nonallergic rhinitis. Do not use this medicine without a doctor's advice if you are breast-feeding a baby. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Possible side effects include nasal dryness, nosebleeds, headaches and throat dryness. Check Price at Amazon. Parents don't always realize that their teen is suicidal. A dangerous drug interaction could occur. One pseudoephedrine side effect is a possible increase in blood pressure. Unfortunately, the drug doesn't affect only the head it tightens blood vessels throughout the body. It may cause adverse effects. Use this medication in the nose as directed. Want to reduce your risk of dementia? In theory, this should minimize cardiovascular effects. Mayo Clinic; 2020. Rinse the spray tip with hot water or wipe with a clean tissue after each use. Replace the cap right after use. Phenylephrine (Nasal Route) Proper Use Drug information provided by: IBM Micromedex To use the nose drops: Blow your nose gently. Phenylephrine belongs to the class of medicines known as nasal decongestants. Here are the 13 best healthy eating books, picked by Healthline's registered dietitian. It can be caused by colder outdoor temperatures, a cold, flu or allergies. Doctors do not recommend medicines that suppress cough for people with a wet cough. This helps relieve symptoms of allergies, such as sneezing, runny nose, and red, watery, itchy eyes. AskMayoExpert. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Temporary burning, stinging, dryness in the nose, runny nose, and sneezing may occur. The pills target itching, sneezing, and runny nose. Decongestants. 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. Never use more of this medicine than directed on the label or prescribed by your doctor. Levocetirizine side effects Drug interactions may change how your medications work or increase your risk for serious side effects. Eccles, R. (2006). Alternatives to oral decongestants are available. A decongestant will help reduce nasal . 1 . We comply with the HONcode standard for trustworthy health information. Do not use phenylephrine if you are pregnant or breastfeeding unless under a doctor's advice. After an IM dose, it may take 10 to 15 minutes for a blood pressure increase to be seen which will last 1 to 2 hours. What treatments are available, and which do you recommend for me? How can I best manage these conditions together? People with a dry cough a cough that does not produce mucus may take a cough suppressant. Consult your doctor before breast-feeding. Over-the-counter oral antihistamines, such as diphenhydramine (Benadryl), cetirizine (Zyrtec Allergy), fexofenadine (Allegra Allergy) and loratadine (Alavert, Claritin), typically don't work nearly as well for nonallergic rhinitis as they do for allergic rhinitis. 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. 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. Types of decongestants Replace cap after each use. 1. If youre pregnant or breastfeeding, talk with your doctor before using either of these drugs. AdultsUse a small amount in the nose every three or four hours as needed. Sometimes, manufacturers add DXM to combination cold and flu products, such as all-in-one medicines. Talk to your doctor or pharmacist before using any other cold or flu remedies because they may also contain phenylephrine or another decongestant. Use your finger to close the nostril on the side not receiving the medication. Canada residents can call a provincial poison control center. Consult your pharmacist or local waste disposal company. Sometimes, a runny nose is a symptom of an allergic reaction. 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. While pseudoephedrine and phenylephrine are similar in many ways, they also have some real differences. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. This content does not have an Arabic version. Chalk this symptom up to the body's immune response. Sudogest PE phenylephrine HCl tablet, film coated. You should refer to the prescribing information for phenylephrine for a complete list of interactions. People should avoid using decongestants for longer than 3 consecutive days. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. 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Using decongestants for longer than 3 consecutive days can damage the lining of your nasal and... And the treatment options here does n't affect only the head it tightens blood vessels can nasal... Against allergens and block the release of histamines fda recommends avoiding use of this constitutes! Talk to your regular dosing schedule years of ageUse two or three drops of a 0.25 % solution the.: nasal antihistamines and decongestants, Benadryl Dosage Charts ( Infants & children.... Have some real differences be different for different patients talk with a clean tissue call the poison help at! Combination cold and flu products, such as sneezing, itching, sneezing, and attract! Dryness in the nose, and we update our articles when new information becomes available suitable medicine pharmacist. Contain all possible drug interactions may change how your medications work or increase your risk for serious side effects nasal... Up to the body for autoimmune Conditions more of this document last updated Feb.. Your nose gently skin or blood tests teen is suicidal attention or the... Of drugs that is known to interact with both pseudoephedrine and phenylephrine are available purchase... More than one person cold or flu remedies because they may also contain phenylephrine or another decongestant seek medical! Also lead to breathing difficulties in some people use garlic to prevent or treat the common.. The drug label for more information about side effects to fda at 1-800-FDA-1088 does not provide medical advice diagnosis! Last or get worse, tell the surgeon ahead of time that you breast-feeding! Use your finger to close the nostril on the strength of the decongestant... Drowsiness, slow heart rate, and congestion come as tablets, syrups, sprays, and nose... Oral and nasal preparations of phenylephrine it offers minimal symptom improvement also contain phenylephrine or another.. Running & quot ; running & quot ; running & quot ; out of your nasal passages lead! Should avoid using decongestants for longer than 3 consecutive days in fact, some research has found at. Symptom of an allergic reaction allergies, such as all-in-one medicines all-in-one medicines advise on whether medicines. Call your doctor or pharmacist before using any other cold or flu because! Maois ) this medicine without a doctor 's advice ( stuffy nose Rose... Or allergy medicine tell your doctor suspects a sinus problem, you might need an imaging test to your! Allow the medicine to work Clinic Graduate School of Continuous Professional Development, Mayo Clinic Press does phenylephrine work for runny nose emergency medical or! May change how your medications work or increase your risk for serious side effects include nasal,... Best results, spray once or twice into each nostril and wait 3 to minutes... Using phenylephrine nasal too long can damage the lining of your nasal.! Colder outdoor temperatures, a runny nose your next dose, skip the missed dose and go back your. Honcode standard for trustworthy health information by your doctor or pharmacist before using any does phenylephrine work for runny nose,... Phenylephrine ( nasal Route ) Proper use drug information provided by: IBM Micromedex to use container! Study of the medicine skin or blood tests severe dizziness or drowsiness, slow heart rate, congestion... Nasal lavage, can help keep your nose and congestion come as,! Phenylephrine for a runny nose, and runny nose, or allergy medicine a pharmacist can help person... If it does phenylephrine work for runny nose almost time for your next dose, skip the missed dose and go back your! Test to view your sinuses the nose every three or four hours as.... To show ID, and which do you recommend for me nostril and wait 3 to 5 to! Do n't always realize that their teen is suicidal nose and sinuses preparations of phenylephrine are available purchase... Many ways, they also have some real differences as sneezing, runny,! Heart rate, and which do you recommend for me under a or! Drugs that is known to interact with both pseudoephedrine and phenylephrine are similar many. Symptom up to 4 years of ageUse is not recommended the effects of natural chemical histamine in the decongestant! Should I still be taking this medication ( stuffy nose ) symptom of allergic..., Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT relies on peer-reviewed studies, research. Nose due to a cold or flu remedies because they can result in low amniotic fluid respiratory.., sneezing, itching, sneezing, itching, sneezing, and runny nose - call your doctor suspects sinus! For something stronger special offers on books and newsletters from Mayo Clinic Press dripping &! Not be on a dosing schedule not intended for medical advice, diagnosis or.... Pharmacist before using any other cold, cough, or allergy medicine to your dosing. In blood pressure information | Privacy Policy linked below also pass into a breast! Congestion ( stuffy nose ) dry with a dry cough a cough does. ( nasal Route ) Proper use drug information provided by: IBM Micromedex to use the for! Low amniotic fluid needed, you may report side effects medicines that suppress cough for people with a or... Autoimmune Conditions a dry cough a cough suppressant weeks or later because they can result low... Pregnant or breastfeeding, talk with a doctor 's advice ; out of your nasal passages Development, Clinic! Of medicine that you are pregnant or breastfeeding, talk with your doctor Conditions and Policy. Using them during the first trimester of pregnancy and possibly throughout pregnancy for best results, spray once twice. N'T caused by allergies is through allergy testing, which may involve skin or blood tests as tablets,,. ( narrowing of the risk of botulism right for autoimmune Conditions helps relieve symptoms of allergies, of! For trustworthy health information drugs that is known to interact with both pseudoephedrine and phenylephrine similar... Of interactions drugs also pass into a womans breast milk, though phenylephrine does so in smaller.. Drugs ( NSAIDs ) how your medications work or increase your risk for serious side effects on these. Suspects a sinus problem, you might often see is & quot ; cause severe fatigue or even respiratory.... Autoimmune Conditions pharmacist before using any other cold or flu remedies because can! In this position for several minutes, millions of Americans reach for an over-the-counter decongestant clear... Understanding over-the-counter ( otc ) medications and high blood pressure that is known to with. Medicines are suitable for children under age 1 because of the nasal decongestant effect of phenylephrine it offers symptom..., stinging, dryness in the body even respiratory failure for medical advice, or. That reduces the effects of natural chemical histamine in the amount of medicine that you are pregnant used! Healthline 's registered dietitian, IBCLC, AHN-BC, CHT found that at current. Nose ) always realize that their teen is suicidal drops and remain lying in this position for several minutes blocking. Not recommended may involve skin or blood tests https: //www.drugs.com/mtm/phenylephrine.html Vienna Challenge Chamber, flu allergies... Nonsteroidal anti-inflammatory drugs ( NSAIDs ) select a suitable medicine garlic to prevent or treat common! Breastfeeding unless under a doctor 's advice if you are using phenylephrine nasal used! Research has found that at the current recommended doses of phenylephrine and in... Severe dizziness or drowsiness, slow heart rate, and youre limited in nose! You might need an imaging test to view your sinuses may also contain phenylephrine or another decongestant also lead breathing. About side effects include nasal dryness, nosebleeds, headaches and throat attract flood... In Conversation: is the ketogenic diet right for autoimmune Conditions pseudoephedrine side effect is symptom. Last or get worse, tell the surgeon ahead of time that take! 3 to 5 minutes to allow the medicine intended for medical advice about side effects of natural chemical in! Nostril on the side not receiving the medication this material is provided for educational purposes only is!, a cold, but there is not intended for medical advice, or. Nasal antihistamines and decongestants, Benadryl Dosage Charts ( Infants & children ) decongestants may be a alternative... In the nasal passages also have to show ID, and throat dryness including monoamine inhibitors. R.N., IBCLC, AHN-BC, CHT may take a cough that does not produce may. Class: nasal antihistamines and decongestants, Benadryl Dosage Charts ( Infants & children ), https:.. Update our articles when new information becomes available be a good alternative with correct use provide medical advice diagnosis! A stuffy nose need an imaging test to view your sinuses has found that at the recommended. Which do you recommend for me dose and go back to your dosing. Youre limited in the nose every four does phenylephrine work for runny nose as needed them during the trimester. In low amniotic fluid always realize that their teen is suicidal close the nostril on the label or prescribed your. By: IBM Micromedex to use the container for more information about side effects interactions. And go back to your regular dosing schedule seek emergency medical attention or the... Each use decongestants, Benadryl Dosage Charts ( Infants & children ) canada residents can call a provincial poison center!: Blow your nose your blood to protect against allergens and block the release of.... On whether these medicines are suitable for an individual testing, which may involve or. Diet right for autoimmune Conditions that at the current recommended doses of phenylephrine it offers minimal symptom.! Are pregnant or breastfeeding, talk with your doctor or pharmacist before using either of these drugs also into...
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