Components:
Method of action:
Treatment option:
Medically reviewed by Militian Inessa Mesropovna, PharmD. Last updated on 20.03.2022
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symptomatic treatment of rhinitis (runny nose) of allergic and / or infectious-inflammatory etiology,
sinusitis,
evstahiit,
hay fever.
The intranasal route. Before each use, it is necessary to shake the spray bottle vigorously. Before the first application of the nasal spray, it is necessary to calibrate it by pressing the spray head several times.
Adults and children over 6 years of age — 2-3 injections in each nasal passage at intervals of 10-12 hours. The frequency of use can be increased up to 3 times a day in adults. It is not recommended to exceed the specified dose.
hypersensitivity to sympathomimetic agents, any component of the drug,
atrophic rhinitis,
concomitant use of MAO inhibitors (including a period of 14 days after their withdrawal),
children under 6 years of age.
With caution: coronary artery disease, arrhythmias, chronic heart failure, severe atherosclerosis, hypertension, hyperthyroidism, diabetes mellitus, chronic renal failure, angle-closure glaucoma,prostatic hyperplasia with clinical symptoms, pregnancy, lactation.
In general, the drug is well tolerated, and possible adverse events are usually mild and transient.
Transient dryness and burning of the nasal mucosa, dry mouth and throat, sneezing, increased blood pressure, increased anxiety, nausea, dizziness, headache, insomnia, palpitations, sleep disorders. With prolonged use — tachyphylaxis, reactive hyperemia and atrophy of the nasal mucosa. Benzalkonium chloride, which is part of the drug, can cause local skin reactions.
Symptoms: with a significant overdose or accidental ingestion, nausea, vomiting, cyanosis, fever, tachycardia, arrhythmia, increased blood pressure, shortness of breath, mental disorders, central nervous system depression (drowsiness, decreased body temperature, bradycardia, decreased blood pressure, respiratory arrest and coma) are possible.
Treatment: symptomatic, with accidental ingestion-gastric lavage, activated charcoal. Vasopressor medications are contraindicated.
Alpha-given tool for local application. It has a vasoconstrictive effect. Oxymetazoline causes vasoconstriction of the mucous membranes of the nose, paranasal sinuses and Eustachian tube, which leads to a decrease in their edema and the release of nasal breathing in allergic and / or infectious-inflammatory rhinitis (runny nose).
Due to the presence of excipients in the composition of the drug (MCC, sodium carmellose and povidone K29–32) Afrin® extra nasal spray does not flow out of the nose and does not flow down the throat, because after being injected into the nasal passages, the spray becomes more viscous and is held on the nasal mucosa more effectively than a standard aqueous solution.
Based on published clinical studies, intranasal administration of an aromatic composition similar to that of a drug containing levomentol (also known as menthol), cineol (also known as eucalyptus), and camphor causes a temporary sensation of cooling of the nasal mucosa as a result of interaction with the cold receptors of the trigeminal nerve on the surface of the mucosa.
According to clinical studies, the drug begins to act within 1 min, and the action lasts up to 12 hours.
When used as a nasal spray, oxymetazoline is practically not detected in the blood plasma.
- Alpha-adrenergic agonist
- Anti-congregants
Slows the absorption of local anesthetic drugs, lengthens the time of their action.
Concomitant use with other vasoconstrictor drugs increases the risk of side effects.
With the simultaneous use of MAO inhibitors (including a period of 14 days after their withdrawal), maprotilin and tricyclic antidepressants-an increase in blood pressure.
At a temperature not exceeding 25 °C.
Keep out of reach of children.
Shelf life of the drug Afrin extra2 года.Do not use after the expiration date indicated on the package.
| Nasal spray | 1 ml |
| active substance: | |
| oxymetazoline hydrochloride | 0.5 mg |
| excipients: MCC and carmellose sodium (avicel RC 591) — 30 mg, sodium hydrophosphate — 0.975 mg, sodium dihydrogen phosphate monohydrate — 5.525 mg, disodium edetate dihydrate — 0.3 mg, macrogol 1450 — 50 mg, povidone K29–32 — 30 mg, benzyl alcohol — 3 mg, cineol — 0.2 mg, camphor — 0.2 mg, levomentol — 0.6 mg, benzalkonium chloride solution of 17% — 1,471 mg, polypropylene glycol — 5 mg, purified water — q.s. up to 1 ml |
Nasal spray, 0.05%. In a hermetically sealed plastic opaque bottle with a capacity of 23 ml with a fine spray dispenser and a protective cap covered with a shrink wrap to control the first opening with the company's logo, 15 ml. 1 fl. in a cardboard pack.
The safety of the drug in pregnant women and during lactation is not established, so the drug should be prescribed to pregnant or breast-feeding women only on the recommendation of a doctor if the expected benefit from the use of the drug for the mother exceeds the potential risk to the fetus or infant.
Without a prescription.
With prolonged use (more than 1 week), the symptoms of nasal congestion may resume. If you need to continue treatment for more than 5 days, you need to consult a doctor.
It is necessary to avoid contact with the drug in the eyes.
Influence on the ability to drive vehicles and work with mechanisms. The drug, when used correctly and in the recommended doses, does not affect driving and working with mechanisms, but if side effects such as dizziness occur, you should refrain from these types of activities.
R01AA05 Oxymetazoline
- H68 Inflammation and blockage of the auditory [Eustachian] tube
- J00 Acute nasopharyngitis [common cold a]
- J01 Acute sinusitis
- J30 Vasomotor and allergic rhinitis
- J30. 1 Allergic rhinitis caused by plant pollen
- J32 Chronic sinusitis
Spray: white or almost white gel-like suspension with a characteristic smell.
