What it is used for
- Short-term relief of a blocked or stuffy nose
- Nasal congestion from colds, flu, or hay fever
- Sinus congestion
- Easing breathing through the nose for a few days
How it works
Xylometazoline narrows the blood vessels in the lining of the nose, which reduces swelling and quickly clears a blocked nose so you can breathe more easily.
How it is taken
Comes as a nasal spray or drops applied directly into the nose. It is intended only for short-term use, usually no more than a few days, because longer use can cause rebound congestion. Use it exactly as your pharmacist or the label directs, and do not exceed the recommended duration.
No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.
Common side effects
- Stinging, burning, or dryness in the nose
- Sneezing
- A blocked nose returning worse after stopping (rebound congestion) with overuse
- Headache
Serious effects — get help
- Fast or irregular heartbeat
- Severe headache or raised blood pressure
- Signs of a severe allergic reaction
- Worsening congestion despite continued use
If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.
Interactions to watch
- Some antidepressants (MAOIs in particular)
- Other decongestants
- Medicines for blood pressure or the heart (tell your pharmacist)
Who should take care
- Do not use for longer than the recommended few days, to avoid rebound congestion
- Caution with high blood pressure, heart disease, an overactive thyroid, diabetes, or an enlarged prostate
- Tell your clinician if you are pregnant, planning pregnancy, or breastfeeding
- Do not share the spray or drops, to avoid spreading infection