Phenylephrine Nasal

Phenylephrine Nasal is an over-the-counter (OTC) product used to treat nasal congestion.

• Phenylephrine Nasal is available under the following different brand names: NeoSynephrine Nasal and Neo-Synephrine Cold & Sinus Mild Strength Spray.

Nasal Spray

• 0.125%
• 0.25%
• 0.5%
• 1%

Nasal Congestion

• Adults: Instill 2-3 sprays or 2-3 drops every 4 hours of 0.25-0.1% solution as needed; not to exceed 3 days
• Children over 12 years: Instill 1-2 sprays or 1-2 drops intranasally every 4 hours of 0.25-0.1% solution as needed; not to exceed 3 days
• Children 6-12 years: 2-3 drops intranasally every 4 hours of 0.25% solution as needed; not to exceed 3 days
• Children 2-6 years: 1-3 drops intranasally every 2-4 hours of 0.125% solution as needed; not to exceed 3 daysv
• Children under 2 years: Consult a physician

Side effects of Phenylephrine Nasal may include.

• Stinging
• Dryness
• Rebound congestion
• Sneezing
• Burning

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.

If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider, or pharmacist first.

• Phenylephrine nasal has no listed severe interactions with other drugs.
• Phenylephrine nasal has no listed serious interactions with other drugs.
• Moderate interactions of phenylephrine nasal include:
  • nicotine intranasal
  • safinamide

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Check with your physician if you have health questions or concerns.

Warnings

• This medication contains phenylephrine nasal. Do not take NeoSynephrine Nasal or Neo-Synephrine Cold ∧ Sinus Mild Strength Spray if you are allergic to phenylephrine nasal or any ingredients contained in this drug.
• Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.

Contraindications

• Cardiac disease (hypertension, HR, palpitations)
• Nonselective MAO inhibitors: Risk of a hypertensive reaction

Effects of Drug Abuse

• No information is available.

Short-Term Effects

• See "What Are Side Effects Associated with Using Phenylephrine Nasal?"

Long-Term Effects

• See "What Are Side Effects Associated with Using Phenylephrine Nasal?"

Cautions

• Rebound congestion may occur
• Use caution in diabetes mellitus and high blood pressure (hypertension)

Pregnancy and Lactation

• Use phenylephrine nasal with caution during pregnancy if benefits outweigh risks. Animal studies show risk and human studies are not available or neither animal nor human studies were done.
• It is not known if phenylephrine nasal is excreted in breast milk. Consult your doctor before breastfeeding.