Xylometazolin för nästäppa
Otrivine, Sudafed
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 18 Jan 2024
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There are two strengths of xylometazoline nose drops. There is an adult strength of 0.1%, and a child strength of 0.05% which is suitable for children aged 6 years or over.
A nasal spray is available for adults and for children over 12 years of age.
Do not use xylometazoline drops or spray for longer periods of time than is recommended on the label.
Överblick
Xylometazoline is a nasal decongestant used for a blocked nose.
It works by narrowing blood vessels in the nose, reducing congestion.
It is available as nose drops and nasal spray without a prescription.
Use xylometazoline for short periods only to avoid rebound congestion.
Do not use for children under 6 years old.
Talk to a doctor or pharmacist before use if you have certain health conditions or are pregnant.
Possible side-effects include nasal irritation, nausea, and headache.
About xylometazoline
Typ av medicin | A nasal decongestant |
Används för | Nasal congestion (a blocked nose) |
Även kallad | Otrivine®; Sudafed® |
Tillgänglig som | Nose drops and nasal spray |
A common symptom of a cold is a blocked (congested) nose. A stuffy, blocked-up feeling in your nose can also occur in the absence of a cold. This is because the inside lining of your nose is sensitive to changes in the atmosphere (such as temperature and humidity changes) and this also can lead to symptoms of nasal congestion.
You may find a hot steamy shower or a steam inhalation will help to clear a blocked nose but, where this does not provide sufficient relief, a decongestant such as xylometazoline may be useful. Xylometazoline causes the small blood vessels in your nose to become narrower. This reduces the thickness of the lining of your nose which is causing the congestion, and relieves the blocked-up feeling.
You can buy preparations containing xylometazoline from retail outlets, without a prescription. They should be used for short periods of time only. There is a nasal spray which is available for adults and for children over 12 years of age. There are two strengths of xylometazoline nose drops available. The adult strength is 0.1%, which is suitable for adults and for children over 12 years of age. The 0.05% strength drops are suitable for children aged 6-12 years. Children aged 6-12 years should not use xylometazoline for longer than five days at a time, but adults and children over 12 years of age can use it for up to seven days if needed. Xylometazoline must not be given to children under 6 years of age.
Before using xylometazoline
To make sure this is the right treatment for you, before you start using xylometazoline it is important that you speak with a doctor or pharmacist:
Om du är gravid eller ammar. Detta beror på att när du väntar eller matar ett barn, bör du endast ta mediciner på rekommendation av en läkare.
If you have diabetes, high blood pressure, or heart disease.
If you have an overactive thyroid gland, or any problems with your prostate gland or kidneys.
If you have increased pressure in your eyes, a condition called glaucoma.
If you have been told you have a tumour on your adrenal gland, called phaeochromocytoma.
Om du någonsin har haft en allergisk reaktion mot en medicin.
If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines. You must inte use xylometazoline if you have taken a medicine known as a monoamine-oxidase inhibitor (MAOI), within the previous two weeks.
Recommended doses of xylometazoline nose drops and nasal spray
Recommended dose for adults and for children over 12 years of age using 0.1% drops: use two or three drops into each nostril two or three times a day when required. Do not use the drops for periods of more than seven days. The drops are not suitable for children under 12 years of age.
Recommended dose for children over 6 years of age using 0.05% drops: use one or two drops into each nostril one or two times a day when required. Do not use the drops for periods of more than five days. The drops are not suitable for children under 6 years of age.
Recommended dose for adults and for children over 12 years of age using nasal spray: use one spray into each nostril one to three times a day if needed. Do not use the spray for periods of more than seven days. The spray is not suitable for children under 12 years of age.
Få ut det mesta av din behandling
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. This will give you a step-by-step guide of how to use the drops or spray, and will also provide you with a full list of the side-effects which you may experience.
Preparations containing xylometazoline should be used for short periods of time only. This is because the downside of using such preparations is that nasal congestion can often recur when you stop using them. This is called rebound congestion, and it can lead to cycles of further problems with congestion. Using the spray/drops for only a few days when necessary will help to prevent this from becoming a problem.
Nose drops and nasal sprays should only be used by one person. This is to avoid spreading infection from one person to another. Do not share the same bottle or spray with other people.
Nasal congestion can be eased by inhaling warm moist air. Many people find that having a hot shower is often the best way to relieve their symptoms.
Can xylometazoline cause problems?
Förutom sina nyttiga effekter kan de flesta läkemedel orsaka oönskade biverkningar, även om inte alla upplever dem. Dessa förbättras vanligtvis när din kropp anpassar sig till det nya läkemedlet, men tala med din läkare eller apotekare om någon av följande biverkningar fortsätter eller blir besvärliga.
Xylometazoline side-effects - these are generally mild and occur infrequently | Vad kan jag göra om jag upplever detta? |
Irritation in your nose such as burning, soreness, dryness, stinging, itching or sneezing | These should soon pass. If any become troublesome, ask your pharmacist for advice |
Känner dig illamående (nausea) | Avoid rich or spicy foods |
Huvudvärk | Drink plenty of water. If the headaches continue, stop using the product and ask your pharmacist for advice on other treatments |
If you experience any other symptoms which you think may be due to xylometazoline, speak with your pharmacist for further advice.
How to store xylometazoline
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
To avoid contamination, do not keep part-used bottles of nose drops or nasal sprays to use later. Throw away the container after each course of treatment.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Never use more than the recommended dose. If you suspect that someone has swallowed some of the medicine by accident, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
Om du ska genomgå en operation eller tandbehandling, informera den som utför behandlingen om vilka mediciner du använder.
Om du köper några mediciner, kontrollera med en apotekare att de är säkra att ta tillsammans med dina andra mediciner.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
MHRA - Rapportera biverkningar
Rapportera misstänkta biverkningar av läkemedel, vacciner, e-cigaretter, medicintekniska händelser, defekta eller förfalskade (falska) produkter till Läkemedelsverket för att säkerställa säker och effektiv användning.

Osäker på att blanda mediciner?
Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.
Vanliga frågor
What is the difference between the adult and children's strengths of xylometazoline?
There are two strengths available in drops: 0.1% for adults and children over 12 years, and 0.05% for children aged 6-12 years. The nasal spray is 0.1% strength, suitable for adults and children over 12 years.
Can xylometazoline be used if I am taking other regular medications?
It is important to speak with a doctor or pharmacist before using xylometazoline if you are taking any other medicines, including those available without a prescription, herbal, and complementary medicines. You must not use xylometazoline if you have taken a monoamine-oxidase inhibitor (MAOI) within the previous two weeks.
Why is it important for nose drops and nasal sprays to be used by only one person?
Nose drops and nasal sprays should only be used by one person to prevent the spread of infection from one person to another. You should not share the same bottle or spray with other people.
What should I do with leftover xylometazoline once my congestion clears?
To avoid contamination, you should not keep part-used bottles of nose drops or nasal sprays to use later. It's best to throw away the container after each course of treatment. You can take out-of-date or unwanted medicines to your local pharmacy for disposal.
Is there a recommended way to use the drops or spray for the first time?
Before you start the treatment, you should always read the manufacturer's printed information leaflet found inside the pack. This leaflet will provide a step-by-step guide on how to properly use the drops or spray.
Vidare läsning och referenser
- Manufacturer's PIL, Otrivine® Adult Nasal drops; Haleon UK Trading Ltd, The electronic Medicines Compendium. Dated February 2023.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Next review due: 17 Jan 2027
18 Jan 2024 | Senaste versionen

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