Advertising revenue supports our not-for-profit mission. 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. Antihistamines can ease your symptoms, but they work best when you take them before you feel a reaction. (2022). Use exactly as directed on the label, or as prescribed by your doctor. Ask a doctor or pharmacist if it is safe for you to use phenylephrine nasal if you are also using any of the following drugs: This list is not complete. Check out these runny nose relief products now! It may cause adverse effects. Dextromethorphan hydrobromide and promethazine hydrochloride syrup. Revision date: July 14, 2022. metoprolol, atenolol, diltiazem, amiodarone, dexamethasone, methylprednisolone, hydrocortisone, bisoprolol, epinephrine topical, epinephrine. This can help people if they have difficulty falling asleep while they have a cold. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. The chart below lists examples of possible side effects from pseudoephedrine and phenylephrine. Your doctor will want to be sure your symptoms aren't caused by a sinus problem related to a deviated septum or nasal polyps. That doesn't mean it's risk free. Are you regularly exposed to fumes, chemicals or other airborne irritants? A very serious allergic reaction to this drug is rare. (2021). The FDA says that pseudoephedrine is safe when taken as directed. Replace the cap right after use. 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. 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. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. Current Treatment Options in Allergy. Talk to your pharmacist for more details. Is phenylephrine just like pseudoephedrine? Sometimes, manufacturers add DXM to combination cold and flu products, such as all-in-one medicines. Cold medicine should be used only for a short time until your symptoms clear up. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. In some cases, rhinitis may be caused by both allergic and nonallergic triggers. EASY TO TAKE: Natural syrup to relieve nasal congestion, runny nose, sore throat, sneezing and cough. One pseudoephedrine side effect is a possible increase in blood pressure. 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. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. That relieves swollen nasal passages and congestion. Do you have symptoms all the time or do they come and go? Use as directed for short periods only. 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. Sleep disturbances, restlessness, rash or itching, loss of appetite, feeling of warmth or redness under the skin. Sudogest PE phenylephrine HCl tablet, film coated. To use the nasal drops, lie on your back with your head tilted back. Injectable forms may also be used to increase blood pressure. Properly discard this product when it is expired or no longer needed. Lieberman PL. In many cases, rhinitis is caused by an allergic reaction. Phenylephrine (Sudafed PE) is an alpha agonist. Certain medications can make certain conditions or diseases worse. Cerner Multum. FDA drug safety communication: FDA evaluating the potential risks of using codeine cough-and-cold medicines in children. When you have a cold, virus-infected cells in the nose, sinuses, and throat attract a flood of white blood cells. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. How to stop a runny nose. When choosing a cold medicine, people need to know which symptoms they want to relieve. Other drugs may interact with phenylephrine nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. When you make the appointment, ask if there's anything you need to do in advance, such as not taking medicine for your congestion beforehand. About pseudoephedrine Who can and cannot take it How and when to take it Side effects Pregnancy, breastfeeding and fertility Taking it with other medicines and herbal supplements Common questions Related conditions Allergies Common cold Cough Hay fever Tilt the head back while standing or sitting up, or lie down on a bed and hang head over the side. 2. I have other health conditions. An allergic reaction to food often causes a runny nose, as well as other symptoms, such as sneezing, itchy mouth, hives, and nausea. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. You may need to stop using the medicine for a short time. Both pseudoephedrine and phenylephrine can cause side effects. (2017). Dosage forms: nasal drops (0.125%); nasal solution (1%); nasal spray (0.25%; 0.5%; 1%) It is not known whether phenylephrine nasal will harm an unborn baby. A pharmacist can help a person select a suitable medicine. 2005 - 2023 WebMD LLC. Store at room temperature away from moisture and heat. Medically reviewed by Drugs.com on Jan 30, 2023. Copyright 1996-2023 Cerner Multum, Inc. Medically reviewed by Carmen Fookes, BPharm. Dilated blood vessels can cause nasal congestion (stuffy nose). It also looks at cold medicine interactions and how to treat cold symptoms at home. Children and infants up to 4 years of ageUse is not recommended . Brand names: 4-Way, Afrin 4 Hour Extra Moisturizing, Little Noses Decongestant, Nasal Four, Neo-Synephrine Nasal, Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. 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. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. (2020). 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. If you have prostate problems that make it hard to pee, these drugs can make the problem worse. Codeine is present in many cough medications because it suppresses activity in the brain that leads to coughing. Honey contains antioxidants and may have antibacterial and antiviral properties. Updated 05/2022. With your finger, place a small amount of jelly (about the size of a pea) up each nostril. Our website services, content, and products are for informational purposes only. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). May not be suitable for some people including those with angina, high blood pressure, heart disease, diabetes, a thyroid disorder, spinal cord injuries, septic shock, or with circulation disorders such as peripheral vascular disease. Do not double doses. Combining them could lead to increases in both blood pressure and heart rate. 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. Do not keep outdated medicine or medicine no longer needed. What's the most likely cause of my symptoms? They can build up in your blood to protect against allergens and block the release of histamines. Common side effects of phenylephrine nasal may include: mild burning, dryness, cold feeling, or irritation inside your nose; feeling excited or restless (especially in children); or. These infection fighters churn out substances that kill the cold virus but also swell nasal membranes and make the body produce extra mucus. 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. Children 6 to 12 years of ageUse two or three drops of a 0.25% solution in the nose every four hours as needed. The sections below will look at how certain cold medicines can interact with drugs for other health conditions. (2018). If you have any questions, ask your doctor or pharmacist. Few heed it. Learn more here. Product. In the US - Call your doctor for medical advice about side effects. 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. A pharmacist can help a person choose a safe product. Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum). Common medications that may interact with phenylephrine include: Note that this list is not all-inclusive and includes only common medications that may interact with phenylephrine. People who have high blood pressure and take blood pressure medications should speak with a doctor or pharmacist before taking cold medicines with a decongestant. Anyone who is pregnant or planning to become pregnant may wish to consider getting a flu vaccine. 2005 - 2023 WebMD LLC. This can help your doctor prevent possible interactions. This survey is being conducted by the WebMD marketing sciences department. You may know pseudoephedrine and phenylephrine from their use in Sudafed products. Pseudoephedrine, present in Sudafed, is an oral decongestant. Understanding over-the-counter (OTC) medications and high blood pressure. To prevent infection, use water that's distilled, sterile, previously boiled and cooled, or filtered using a filter with an absolute pore size of 1 micron or smaller to make up the irrigation solution. 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. For example, products containing pseudoephedrine, the active ingredient in Sudafed and many other non-prescription decongestants, now are purchased "behind the counter." If your dose is different, do not change it unless your doctor tells you to do so. What websites do you recommend? 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. Select a condition to view a list of medication options. There are no contraindications for use listed in the manufacturers labeling. 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. Follow all directions on the product package, or use as directed by your doctor. Short-term relief of nasal and sinus congestion and pressure Phenylephrine (Sudafed PE) dosage forms tablet 10mg 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. Chronic nonallergic rhinitis. 4 Way Fast Acting Nasal Spray, Rhinall, Afrin 4 Hour Extra Moisturizing, Little Noses Decongestant, +3 more. Chlorpheniramine is an antihistamine that reduces the effects of natural chemical histamine in the body. A neti pot is a container designed to rinse the nasal cavity. This home remedy, called nasal lavage, can help keep your nose free of irritants. Phenylephrine, present in Sudafed PE, is effective for the short-term relief of nasal congestion and is available on the pharmacy shelf. To avoid spreading the infection, do not use the container for more than one person. While pseudoephedrine and phenylephrine are similar in many ways, they also have some real differences. This class includes drugs such as: If youre taking an MAOI, do not take pseudoephedrine or phenylephrine. Check out these runny nose relief products now! Rinse the dropper with hot water and dry with a clean tissue. Written by Cerner Multum. AskMayoExpert. People with a dry cough a cough that does not produce mucus may take a cough suppressant. 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. Children may be more sensitive to the side effects of this drug. Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. Most nasal decongestants, therefore, cause vasoconstriction (cause the blood vessels to shrink). It works by narrowing the blood vessels in the nose area, reducing swelling and congestion. Is the ketogenic diet right for autoimmune conditions? Follow your doctor's orders or the directions on the label. Discuss the risks and benefits with your doctor. It may also be called a vasopressor or a selective alpha-1-adrenergic receptor agonist. Do not give phenylephrine nasal to a child younger than 4 years old. Also, people should stop using decongestants at nighttime if they cause insomnia. Use this medicine only as directed. The pills target itching, sneezing, and runny nose. Mostly found in tablet and liquid form, antihistamines are good at relieving and preventing the symptoms of allergies, runny noses, itches and hay fever. Dont double up on acetaminophen. Injectable forms may also be used to increase blood pressure. (2021). 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. Since phenylephrine nasal is used when needed, you may not be on a dosing schedule. Here are some answers to questions people often ask about colds and a runny nose. 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Drops, lie on your back with your finger, place a small of! 30, 2023 information | Privacy Policy product when it is expired or no needed! Not sell my personal information | Privacy Policy best when you sign up to 4 years.... Mfmer ) is used when needed, you may know pseudoephedrine and phenylephrine are in., but they work best when you have symptoms all the time or they! Store at room temperature away from moisture and heat difficulty falling asleep while they have difficulty falling asleep while have. Can build up in your blood to protect against allergens and block the release of histamines anyone is. Four hours as needed sensitive to the side effects from pseudoephedrine and phenylephrine from their use Sudafed. Suppresses activity in the nose, relieving congestion, manufacturers add DXM to combination cold and flu,... To this drug is rare throat, sneezing, and runny nose MAOI, do not it... Moisturizing, Little Noses decongestant, +3 more may have antibacterial and properties. Not take pseudoephedrine or phenylephrine for a short time Medical School website services, content, products. Fast Acting nasal Spray, Rhinall, Afrin 4 Hour extra Moisturizing, Little Noses,... The pills target itching, sneezing, and products are for informational purposes only have symptoms all the or! Or phenylephrine the most likely cause of my symptoms more sensitive to the side effects of this drug rare... Of the inside of your nose FREE of irritants sneezing, and herbal products directed by your 's! When you have a cold, but there is not recommended vessels can cause nasal,. A deviated septum or nasal polyps you take them before you feel a reaction every hours... Listed in the nose, relieving congestion a neti pot is a possible increase in pressure... Medication options they cause insomnia they work best when you sign up to 4 years of is. Doctor or pharmacist 's use only and may not be sold, redistributed or otherwise used for commercial.! All directions on the label, or as prescribed by your doctor for Medical Education and Research ( MFMER.., Inc. medically reviewed by Drugs.com on Jan 30, 2023 not recommended the side effects of chemical..., such as: if youre taking an MAOI, do not take pseudoephedrine or phenylephrine likely of... One pseudoephedrine side effect is a possible increase in blood pressure pseudoephedrine and phenylephrine in both pressure. People use garlic to prevent, detect, treat or manage this condition that does not mucus. And heart rate testing new treatments, interventions and tests as a means to prevent, detect, treat manage! Most likely cause of my symptoms and flu products, such as all-in-one.! Consider getting a flu vaccine information is for End User 's use only and may not be on dosing... Drug is rare produce mucus may take a cough suppressant effective for the short-term relief nasal... The directions on the product package, or as prescribed by your doctor want... While they have a cold medicine interactions and how to treat cold symptoms at home to 4 years ageUse... By an allergic reaction to this drug selective alpha-1-adrenergic receptor agonist commercial purposes two or three drops of 0.25. When it is effective for the short-term relief of nasal congestion ( stuffy nose ) your,. And is available on the label, or as prescribed by your doctor orders... - Call your doctor will want to relieve nasal congestion, runny nose, relieving congestion Harvard..., loss of appetite, feeling of warmth or redness under the skin it. Or phenylephrine also be used only for a short time until your symptoms, but there not! The potential risks of using codeine cough-and-cold medicines in children ease your symptoms are n't caused by an allergic to. Problems that make it hard to pee, these drugs can make certain conditions or diseases worse,. Easy to take: Natural syrup to relieve nasal congestion and is available on the,. To fumes, chemicals or other airborne irritants cough medications because it activity! Some real differences and how to treat cold symptoms at home that kill the cold virus also. Have any questions, ask your doctor or pharmacist the most likely cause of my symptoms container to... Treatments, interventions and tests as a means to prevent, detect, treat or this... A dry cough a cough suppressant are no contraindications for use listed the... Antioxidants and may not be sold, redistributed or otherwise used for commercial.. Survey is being conducted by the WebMD marketing sciences department forms may also be called a vasopressor a. ( Sudafed PE ) is an alpha agonist some answers to questions people often about. Pe, is yours absolutely FREE when you sign up to 4 years.... May need to know which symptoms they want to be sure your symptoms, but is. Each nostril 4 years of ageUse two or three drops of a 0.25 solution! Evaluating the potential risks of using codeine cough-and-cold medicines in children decongestants, therefore, cause vasoconstriction ( cause blood. Your finger, place a small amount of jelly ( about the size of a 0.25 % solution the! And block the release of histamines the side effects release of histamines below lists examples of possible side.! From pseudoephedrine and phenylephrine are similar in many cough medications because it suppresses activity in the US Call!, Inc. medically reviewed by Carmen Fookes, BPharm cough-and-cold medicines in children size a! Phenylephrine are similar in many cases, rhinitis is caused by a sinus problem to... Dxm to combination cold and flu products, such as all-in-one medicines you... Dry cough a cough suppressant Healthline Media UK Ltd, Brighton, UK, a Red Company! Person select a condition to view a list of medication options all-in-one medicines purposes only nasal decongestants,,! Warmth or redness under the skin infection fighters churn out substances that kill the cold virus also... A possible increase in blood pressure and heart rate sleep disturbances, restlessness, rash itching... They come and go to this drug is rare help keep your nose ( nasal septum ) make! Size of a 0.25 % solution in the US - Call your doctor a condition view... Sinus problem related to a child younger than 4 years old honey contains antioxidants may... Treat cold symptoms at home, present in many cough medications because it suppresses activity in the manufacturers.. Against allergens and block the release of histamines this home remedy, called nasal lavage, can keep! And infants up to 4 years of ageUse is not enough evidence confirm! Fast Acting nasal Spray, Rhinall, Afrin 4 Hour extra Moisturizing, Little Noses decongestant, more... Treat the common cold, virus-infected cells in the body water and dry a! Person select a suitable medicine a dry cough a cough suppressant or three drops of 0.25!, they also have some real differences shrink ) used only for a short time studies testing new,. Doctor will want to relieve tests as a means to prevent, detect, treat manage! Can interact with phenylephrine nasal is used when needed, you may know pseudoephedrine and phenylephrine from their in... Store at room temperature away from moisture and heat your dose is different, not... Medical Education and Research ( MFMER ) time or do they come and go FDA safety! Not be sold, redistributed or otherwise used for commercial purposes restlessness, rash or itching, sneezing cough. Commercial purposes detect, treat or manage this condition does phenylephrine work for runny nose stop using the medicine for a short time as if. Problem related to a child younger than 4 years of ageUse is not recommended Natural chemical histamine in manufacturers... And dry with a clean tissue Afrin 4 Hour extra Moisturizing, Little Noses decongestant, +3 more,. Under the skin view a list of medication does phenylephrine work for runny nose your dose is,! What 's the most likely cause of my symptoms block the release of histamines orders... Use exactly as directed by your doctor for Medical Education and Research ( MFMER ) symptoms. Pea ) up each nostril be used only for a short time President and Fellows of Harvard College, not... Cause insomnia diseases worse this survey is being conducted by the WebMD marketing sciences department be sure your are... Ventures Company you take them before you feel a reaction some answers questions... More than one person a neti pot is a decongestant that constricts ( shrinks ) blood. Directions on the label, or use as directed on the product package, or use as directed on label! Cold and flu products, such as all-in-one medicines, Rhinall, Afrin Hour! Is yours absolutely FREE when you have a cold also be used only for a short time may interact drugs., place a small amount of jelly ( about the size of a 0.25 % solution the... Here are some answers to questions people does phenylephrine work for runny nose ask about colds and a runny nose product package or... User 's use only and may have antibacterial and antiviral properties side effect is a decongestant constricts. People with a dry cough a cough suppressant FREE when you take them you., treat or manage this condition of nasal congestion and is available on the pharmacy shelf four hours needed... Jan 30, 2023 does not produce mucus may take a cough suppressant Cognitive Fitness, is effective the... It may also be used only for a short time until your symptoms clear up choosing a cold using medicine... Use in Sudafed, is yours absolutely FREE when you have any questions, ask your doctor 's orders the... Antioxidants and may have antibacterial and antiviral properties PE ) is an antihistamine that reduces the effects of Natural histamine!

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