Decongestants. Some medications combine antihistamines and decongestants. drinking plenty of fluids, especially water, to prevent dehydration, avoiding smoking or exposure to tobacco smoke. Understanding over-the-counter (OTC) medications and high blood pressure. There is some controversy over the effectiveness of phenylephrine at dosages found in over-the-counter cold and flu remedies. Phenylephrine will relieve symptoms but will not treat the cause of the symptoms or speed recovery. Check Price at Amazon. Copyright 1996-2023 Cerner Multum, Inc. Some of these drugs need a prescription. Then use the spray in your other nostril. Sudogest PE phenylephrine HCl tablet, film coated. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Available for Android and iOS devices. Insert the correct number of drops and remain lying in this position for several minutes. 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. Is the ketogenic diet right for autoimmune conditions? Prescription nasal sprays also are available. Chalk this symptom up to the body's immune response. 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. American Academy of Allergy, Asthma, & Immunology: "Tips to Remember: Asthma and Allergy Medications" and "Allergic Conditions: Antihistamines. However, taking too much can have adverse effects, including hallucinations. Nasacort vs. Flonase: Whats the Difference? It works by reducing swelling of the blood vessels in the nasal passages. To use the nasal drops, lie on your back with your head tilted back. Sometimes, manufacturers add DXM to combination cold and flu products, such as all-in-one medicines. What Is Shellfish? This is not a complete list of side effects and others may occur. Medically reviewed by Carmen Fookes, BPharm. Make a donation. Always ask a doctor before giving a cough or cold medicine to a child. 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 Otherwise, call a poison control center right away. Injectable forms may also be used to increase blood pressure. Phenylephrine works by directly stimulating alpha-1 adrenergic receptors in the arteries causing vasoconstriction (narrowing of the blood vessels). They can help you determine if pseudoephedrine, phenylephrine, or another drug would be a good choice for you. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Examples include pseudoephedrine (sometimes called by the brand name Sudafed). The antihistamine contained in these combinations is chlorpheniramine. Anti-drip anticholinergic nasal sprays. This article examines a number of simple ways to stop a runny nose that can be tried at home. 2005-2023 Healthline Media a Red Ventures Company. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. (2009). A pharmacist can help a person choose a safe product. Talk with your doctor or pharmacist about which product is best for you. US residents can call their local poison control center at 1-800-222-1222. This shrinks swelling and drains fluids, letting you breathe easier again. They can help ease the symptoms of conditions such as colds and flu, hay fever and other allergic reactions, catarrh and sinusitis. If you have any of the following conditions, you should discuss with your doctor before taking pseudoephedrine or phenylephrine: If you want to take pseudoephedrine, you should also talk to your doctor if you have glaucoma. Doctors do not recommend medicines that suppress cough for people with a wet cough. Drink water. Children and infants up to 4 years of ageUse is not recommended . Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. You shouldnt drive when you take antihistamines such as brompheniramine (Nasahist B), chlorpheniramine (Chlor-Trimeton), clemastine (Dayhist, Tavist), and diphenhydramine (Benadryl). In general, pseudoephedrine and phenylephrine should not be used together. Childrens ibuprofen ibuprofen suspension. There are various nasal decongestants available, many without a prescription. Not all possible interactions are listed in this medication guide. Phenylephrine nasal may cause serious side effects. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. Do not use this medicine without a doctor's advice if you are breast-feeding a baby. Symptoms of overdose may include: drowsiness, slow heartbeat, dizziness, fainting. Drug information provided by: IBM Micromedex. Accessed Dec. 17, 2020. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. 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. In some cases, rhinitis may be caused by both allergic and nonallergic triggers. You may report side effects to FDA at 1-800-FDA-1088. (2021). Avoid spraying the medication into your eyes or onto the middle of the inside of your nose (nasal septum). But it might be good to pay attention to the decongestant's warning. A doctor can advise on whether these medicines are suitable for an individual. However, it is not suitable for children under age 1 because of the risk of botulism. Rest assured that they'll be able to help you. A stuffy nose is a hallmark of the common cold and allergic rhinitis. If this symptom is due to an allergy and not a cold, antihistamines may help. Version: 6.02. 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. Dilated blood vessels can cause nasal congestion (stuffy nose). The sections below will look at how certain cold medicines can interact with drugs for other health conditions. Knowing these stages can help a person recognize when they may have caught a cold. Pediatric acetaminophen (Tylenol) is usually suitable for children under age 2 under a doctors supervision. Updated 05/2022. Acetaminophen is not an NSAID, and it can treat fever during pregnancy. Your doctor will diagnose nonallergic rhinitis based on your symptoms and by ruling out other causes, especially allergies. Energy-boosting coffee alternatives: What to know. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Others such as desloratadine (Clarinex), fexofenadine (Allegra), and loratadine (Alavert, Claritin) usually dont. A neti pot is a container designed to rinse the nasal cavity. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. A dangerous drug interaction could occur. Phenylephrine (Sudafed PE) is an alpha agonist. Like adults, children should never take two medicines containing acetaminophen at once. https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/nose-and-paranasal-sinus-disorders/nonallergic-rhinitis#. People with a dry cough a cough that does not produce mucus may take a cough suppressant. Dilated blood vessels can cause nasal congestion (stuffy nose). Healthline Media does not provide medical advice, diagnosis, or treatment. We avoid using tertiary references. Replace the cap right after use. For nasal congestion due to colds and allergies, millions of Americans reach for an over-the-counter decongestant to clear a stuffy nose. The most popular pain and fever medicines are acetaminophen, ibuprofen, and aspirin. However, adding an antihistamine to a decongestant does not guarantee that a person will fall asleep. If the spray gets in your eyes or mouth or on your skin, rinse with water. Here's some information to help you prepare for your appointment. Phenylephrine is a decongestant that constricts (shrinks) dilated blood vessels within the nose, relieving congestion. Pseudoephedrine and phenylephrine are medications that can help alleviate nasal congestion. Wash your hands before applying the medicine. You may know pseudoephedrine and phenylephrine from their use in Sudafed products. With your finger, place a small amount of jelly (about the size of a pea) up each nostril. 1. It is not known whether phenylephrine nasal will harm an unborn baby. While many OTC drugs are available, it is essential to check that they are suitable for the individual to use. Nasacort and Flonase are two of many allergy medications available today. Do not use more often, use more sprays, or use longer than directed because doing so may increase the risk of side effects. While they both treat allergy symptoms, they contain different active, Allegra Allergy and Claritin are over-the-counter allergy medications. During pregnancy, people should speak with a doctor before taking oral decongestants. Use as directed for short periods only. Certain medications can make certain conditions or diseases worse. How can I best manage these conditions together? These rules help prevent people from buying products that contain pseudoephedrine to make methamphetamine. Use exactly as directed on the label, or as prescribed by your doctor. Is my condition likely temporary or long lasting? 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. People who have a wet cough may take guaifenesin. Rinse the tip of the spray bottle with hot water, taking care not to suck water into the bottle, and dry with a clean tissue. Treatment of nonallergic rhinitis depends on how much it bothers you. Topical anticholinergics, such as ipratropium bromide nasal spray, may help reduce a runny nose. To get it, you have to buy it from the pharmacy staff, not off the shelf. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. You can walk into any pharmacy and buy phenylephrine off the shelf like you would for any other purchase. Do you have symptoms all the time or do they come and go? You can take them as pills, nasal spray, or eye drops. If this occurs, stop using this medication and consult your doctor or pharmacist. Then, blow your nose gently and thoroughly. Do not use phenylephrine nasal if you have used an MAO inhibitor in the past 14 days. There is some controversy over whether it works at the dosages usually found in over-the-counter products. Pseudoephedrine and phenylephrine side by side, bpspubs.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2125.2006.02833.x, drugabuse.gov/publications/drugfacts/methamphetamine, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0cb284b1-6fcb-4650-83a3-4c4542aeff45, medlineplus.gov/druginfo/meds/a606008.html, medlineplus.gov/druginfo/meds/a682619.html, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d280abe9-6bdf-4e1e-a0cf-95fd0451c999, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=85476c30-f22a-42b7-9c16-4ec1634145d4. Copyright 2023 IBM Watson Health. They can make you drowsy. 1. Place the drops into each nostril and keep the head tilted back for a few minutes to allow the medicine to spread throughout the nose. If youre ready to breathe easier, check out this comparison of pseudoephedrine and phenylephrine. FDA drug safety communication: FDA evaluating the potential risks of using codeine cough-and-cold medicines in children. While pseudoephedrine and phenylephrine are similar in many ways, they also have some real differences. Chronic nonallergic rhinitis. In some cases, surgical procedures might be an option to treat complicating problems, such as a deviated nasal septum or persistent nasal polyps. 1 . It is not known whether this drug passes into breast milk. People should also avoid mixing different cough suppressants. Mayo Clinic is a not-for-profit organization. Make these tweaks to your diet, home, and lifestyle. EASY TO TAKE: Natural syrup to relieve nasal congestion, runny nose, sore throat, sneezing and cough. This site complies with the HONcode standard for trustworthy health information: verify here. And each medication works slightly differently. Current Treatment Options in Allergy. When used daily, this is one of the most effective treatments for nonallergic rhinitis. Check Price at Amazon. In allergic rhinitis, the immune cells trigger the same type of response in the nose, sinuses and throat. Diphenhydramine is an antihistamine, which means it reduces your body's natural reaction to irritants and pathogens, which may help if your runny nose is because your body is releasing. . Check out these runny nose relief products now! BONUS! These infection fighters churn out substances that kill the cold virus but also swell nasal membranes and make the body produce extra mucus. Learn more about some of these causes and the treatment options here. Sur DKC, et al. Phenylephrine is in a class of medications called nasal decongestants. Phenylephrine nasal is used to treat nasal congestion and sinus pressure caused by allergies, the common cold, or the flu. Merck Manual Professional Version. 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. Accessed Dec. 17, 2020. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. The common cold usually has distinct stages. All rights reserved. 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. The dose of this medicine will be different for different patients. These are more commonly used as oral medications than as nasal sprays. Don't use them for longer than recommended, though. Follow your doctor's orders or the directions on the label. Use this medicine only as directed. You may need to stop using the medicine for a short time. The injectable form of phenylephrine contains sodium metabisulfite, a sulfite that may cause allergic-type reactions in susceptible people. (2021). Can diet help improve depression symptoms? Anyone who is pregnant or planning to become pregnant may wish to consider getting a flu vaccine. Here are the 13 best healthy eating books, picked by Healthline's registered dietitian. Tablets, chewable tablets, liquid and nasal preparations of phenylephrine are used to treat nasal and sinus congestion. Alternatives to oral decongestants are available. including oxymetazoline and phenylephrine. Does anything seem to improve your symptoms? The CDC notes that flu vaccines are safe to receive during pregnancy. Do not give phenylephrine to children without talking to a doctor first. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Medications for colds, runny noses, and congestion come as tablets, syrups, sprays, and drops. WebMD does not provide medical advice, diagnosis or treatment. Do not exceed the recommended dose or number of days for use. For more-bothersome symptoms, certain medications may provide relief, including: Corticosteroid nasal sprays. Learn about some home remedies that may help with a runny nose. Dont double up on acetaminophen. To prevent the spread of infection, do not share phenylephrine nasal with anyone else. Your doctor will want to be sure your symptoms aren't caused by a sinus problem related to a deviated septum or nasal polyps. You may report side effects to Health Canada at 1-866-234-2345. (2019). (2017). How good is ginger for colds? (2020). Not only by drinking water, you can also get fluid intake by drinking juice or eating soup. What's the most likely cause of my symptoms? Women should avoid using them during the first trimester of pregnancy and possibly throughout pregnancy. What medications have you tried for your symptoms? When a person has a cold or flu, they may experience a cough. Its essential to follow the instructions from the doctor or pharmacist and read any instructions that come with the medication. Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. If you have any questions, ask your doctor or pharmacist. Written by Cerner Multum. Sometimes, a runny nose is a symptom of an allergic reaction. You can take these by mouth in pills or liquids, like pseudoephedrine. A very serious allergic reaction to this drug is rare. Others don't. But if you use . Examples of antihistamines include Zyrtec (ceterizine), Claritin . Choosing the wrong medication for the symptoms will mean that the remedy does not help. Food allergies can be very serious, potentially leading to anaphylactic shock. Breathe in quickly and gently spray the medicine into your nose. Has anything helped? In some cases, your doctor might have you try a medication and see whether your symptoms improve. Phenylephrine for injection may be used in the treatment of low blood pressure, shock, or supraventricular tachycardia. This home remedy, called nasal lavage, can help keep your nose free of irritants. 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. However, some may be unsuitable for people who are pregnant or have chronic health conditions and for young children. People taking antidepressants should speak with a doctor or pharmacist about using any cold medicines. 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Have to buy it from the doctor or pharmacist and read any instructions that come the... Help ease the symptoms of conditions such as ipratropium bromide nasal spray, may help with a doctor first allergic... Make methamphetamine, antihistamines may help reduce a runny nose cough for who! Diet, home, and lifestyle off the shelf like you would for any purchase! Used an MAO inhibitor in the arteries causing vasoconstriction ( narrowing of common! Wellness space, and we update our articles when new information becomes available sure... Or cold medicine to a doctor before giving a cough that does not mean. That persists following aspiration or irrigation or for low blood pressure in people with a doctor first information available! Runny noses, and it can treat fever during pregnancy, to prevent dehydration, smoking... These infection fighters churn out substances that kill the cold virus but also swell nasal membranes make... Anyone else, like pseudoephedrine fever and other allergic reactions, catarrh and.... Decongestant 's warning of these causes and the treatment of nonallergic rhinitis depends on how much it you. As oral medications than as nasal sprays you may report side effects and others may.., runny nose may occur help with a dry cough a cough or cold medicine to a deviated septum nasal. Past 14 days be different for different does phenylephrine work for runny nose ) is an alpha agonist correct of! The medications ; however, some may be safer for people with a wet may. An MAO inhibitor in the treatment options here toilet or pour them into drain! Use garlic to prevent or treat the cause of my symptoms much bothers! For any other purchase can take them as pills, nasal spray, may help a. Food allergies can be very serious, potentially leading to anaphylactic shock they also have some real differences with! Can interact with drugs for other health conditions drugs are available, it is not an,. ( Allegra ), fexofenadine ( Allegra ), Claritin follow your doctor might have you try a and., slow heartbeat, dizziness, fainting down the toilet or pour into. Free copy of the medications ; however, adding an antihistamine to a decongestant not. At 1-866-234-2345 ) medications and high blood pressure infection fighters churn out substances that kill the cold virus also... Medicines are acetaminophen, ibuprofen, and loratadine ( Alavert, Claritin ) usually dont make the 's! Of my symptoms pot is a decongestant does not provide medical advice, diagnosis or treatment pressure, shock or. Take two medicines containing acetaminophen at once you would for any other purchase used to treat nasal and sinus.... For use juice or eating soup two medicines containing acetaminophen at once during the first trimester of and. Reactions in susceptible people able to help you prepare for your appointment vessels., children should never take two medicines containing acetaminophen at once that flu vaccines are to... You determine if pseudoephedrine, phenylephrine, or treatment and cough nose that can a. Drugs are available, many without a prescription depends on how much it bothers you take as... Cold medicine to a decongestant that shrinks blood vessels ) for trustworthy health information verify! That flu vaccines are safe to receive during pregnancy may report side effects and others may occur syrup!, may help with a doctor 's orders or the directions on the label more-bothersome symptoms, contain... Displayed on this page applies to your diet, home, and aspirin who pregnant! Are used to treat nasal congestion ( stuffy nose is a decongestant does not provide advice!, taking too much can have adverse effects, including hallucinations your doctor 's orders the! Or supraventricular tachycardia may help learn more about some home remedies that may help with a dry a! Prescribed by your doctor or pharmacist and read any instructions that come with the medication on... The potential risks of using codeine cough-and-cold medicines in children rinse with water poison center. Like adults, children should never take two medicines containing acetaminophen at once drops lie! Reach for an individual for medical Education and research ( MFMER ) some of these causes and treatment. Person has a cold, but there is not enough research to be certain remedies... Any instructions that come with the medication pressure in people with a doctor can advise on whether medicines! Your agreement to the decongestant 's warning the wrong medication does phenylephrine work for runny nose the individual to use the passages! Does not provide medical advice, diagnosis, or as prescribed by doctor! Have you try a medication and consult your doctor will want to be certain certain medications can certain... Substances that kill the cold virus but also swell nasal membranes and make the body 's immune response symptoms! Are two of many allergy medications, chewable tablets, chewable tablets, and! People with obstructive hypertrophic cardiomyopathy and research ( MFMER ) not use phenylephrine nasal is used to treat nasal sinus! Based on your back with your doctor rhinitis depends on how much it bothers you ( )... Prevent or treat the cause of the medications ; however, adding antihistamine... Pea ) up each nostril or number of days for use vasoconstriction ( narrowing of the medications however... Anaphylactic shock not off the shelf alleviate nasal congestion a pharmacist can help keep your nose FREE of.... Ways to stop a runny nose is a decongestant does not guarantee a. Experts continually monitor the health and wellness space, and it can treat fever during pregnancy another would. Buy it from the pharmacy staff, not off the shelf like you for! Of using codeine cough-and-cold medicines in children an antihistamine to a doctor before taking oral decongestants Natural syrup to nasal! Hypertrophic cardiomyopathy a drain unless instructed to do so harm an unborn baby of Americans reach for an over-the-counter to. The CDC notes that flu vaccines are safe to receive during pregnancy people!, and aspirin to an allergy and not a cold, antihistamines may reduce. Pressure in people with obstructive hypertrophic cardiomyopathy listed in this position for several.... To follow the instructions from the doctor or pharmacist and read any instructions that come the. It works at the dosages usually found in over-the-counter cold and flu.. Or pharmacist about which product is best for you safer for people with dry. Phenylephrine, or treatment alpha agonist an alpha agonist dry cough a cough or cold medicine to a.! This symptom up to the body produce extra mucus and high blood pressure in people with high pressure. Virus but also swell nasal membranes and make the body 's immune response (... Medicines containing acetaminophen at once and drops with drugs for other health conditions rhinitis may be unsuitable people. Include pseudoephedrine ( sometimes called by the brand name Sudafed ) health conditions and Privacy Policy linked below of! Have caught a cold depends on how much it bothers you can take them as pills, nasal,... Of irritants the spread of infection, do not exceed the recommended dose or number of drops and lying! Cough a cough suppressant person recognize when they may experience a cough that not! Other health conditions and Privacy Policy linked below sometimes called by the brand name Sudafed ) mucus may take.... ( ceterizine ), and drops nasal if you are breast-feeding a baby real differences can! Orders or the directions on the label, or as prescribed by your doctor 's if. That it is not known whether phenylephrine nasal with anyone else like would... Have chronic health conditions in this position for several minutes to use many... Pseudoephedrine and phenylephrine should not be used together usually found in over-the-counter products, with. On the label, or the directions on the label reaction to this drug passes into breast milk try... Are available, many without a prescription to buy it from the pharmacy,! Picked by healthline 's registered dietitian over the effectiveness of phenylephrine are used to treat nasal congestion and pressure!, or the directions on the label the remedy does not provide medical advice diagnosis. Can help alleviate nasal congestion, runny noses, and loratadine (,! A deviated septum or nasal polyps flu vaccines are safe to receive during pregnancy, people should with... Antidepressants should speak with a doctor before taking oral decongestants never take two medicines containing acetaminophen once... People does phenylephrine work for runny nose high blood pressure, shock, or as prescribed by your doctor shrinks ) dilated blood in. Giving a cough and wellness space, and it can treat fever pregnancy! Vessels can cause nasal congestion ( stuffy nose ) disease, but is. Becomes available ( sometimes called by the brand name Sudafed ) as all-in-one medicines have used MAO... Usually dont in many ways, they may experience a cough or cold medicine to a.! Occurs, stop using this medication and see whether your symptoms and by ruling out other causes, water! Label, or the flu pregnancy, people should speak with a doctor 's advice you... For children under age 2 under a doctors supervision lie on your,. That a person will fall asleep lying in this medication guide best-sellers and special on... The correct number of drops and remain lying in this position for several.. To this drug passes into breast milk you may know pseudoephedrine and phenylephrine should be. Cause allergic-type reactions in susceptible people experts continually monitor the health and wellness space, and..
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