Xylométazoline pour la congestion nasale
Otrivine, Sudafed
Revu par Sid DajaniDernière mise à jour par Michael Stewart, MRPharmSLast updated 18 janv. 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.
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About xylometazoline
Type de médicament | A nasal decongestant |
Utilisé pour | Nasal congestion (a blocked nose) |
Aussi appelé | Otrivine®; Sudafed® |
Disponible sous forme de | 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
Retour au sommaireTo 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:
If you are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
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.
Si vous avez déjà eu une réaction allergique à un médicament.
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 pas use xylometazoline if you have taken a medicine known as a monoamine-oxidase inhibitor (MAOI), within the previous two weeks.
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Recommended doses of xylometazoline nose drops and nasal spray
Retour au sommaireRecommended 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.
Tirer le meilleur parti de votre traitement
Retour au sommaireBefore 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.
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Can xylometazoline cause problems?
Retour au sommaireEn plus de leurs effets bénéfiques, la plupart des médicaments peuvent provoquer des effets secondaires indésirables, bien que tout le monde ne les ressente pas. Ceux-ci s'améliorent généralement à mesure que votre corps s'adapte au nouveau médicament, mais parlez à votre médecin ou à votre pharmacien si l'un des effets secondaires suivants persiste ou devient gênant.
Xylometazoline side-effects - these are generally mild and occur infrequently | Que puis-je faire si je ressens cela ? |
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 |
Sensation de malaise (nausée) | Avoid rich or spicy foods |
Maux de tête | 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
Retour au sommaireGardez tous les médicaments hors de la portée et de la vue des enfants.
Conserver dans un endroit frais et sec, à l'abri de la chaleur et de la lumière directes.
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.
Informations importantes sur tous les médicaments
Retour au sommaireInformations importantes sur tous les médicaments
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.
Si vous subissez une opération ou un traitement dentaire, informez la personne effectuant le traitement des médicaments que vous utilisez.
Si vous achetez des médicaments, vérifiez avec un pharmacien qu'ils sont sûrs à prendre avec vos autres médicaments.
Ne gardez pas de médicaments périmés ou indésirables. Apportez-les à votre pharmacie locale qui s'en débarrassera pour vous.
Si vous avez des questions concernant ce médicament, demandez à votre pharmacien.
MHRA - Signaler des réactions indésirables
Signalez les effets secondaires suspectés des médicaments, vaccins, cigarettes électroniques, incidents liés aux dispositifs médicaux, produits défectueux ou falsifiés (contrefaits) à l'Agence de Régulation des Médicaments et Produits de Santé pour garantir une utilisation sûre et efficace.

Vous n'êtes pas sûr de mélanger des médicaments ?
Vérifiez les interactions possibles entre les médicaments, les compléments et les aliments avant de les prendre ensemble.
Lectures complémentaires et références
- Manufacturer's PIL, Otrivine® Adult Nasal drops; Haleon UK Trading Ltd, The electronic Medicines Compendium. Dated February 2023.
- Médicaments Complets BNF 89e Édition; Association Médicale Britannique et Société Royale Pharmaceutique de Grande-Bretagne, Londres.
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Historique de l'article
Les informations sur cette page sont rédigées et examinées par des cliniciens qualifiés.
Prochaine révision prévue : 17 janv. 2027
18 janv. 2024 | Dernière version

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