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Pronunciation |
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(oks
i met AZ oh
leen) |
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U.S. Brand
Names |
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Afrin® Children's Nose Drops [OTC];
Afrin® Sinus [OTC]; Allerest® 12 Hour Nasal Solution
[OTC]; Chlorphed®-LA Nasal Solution [OTC]; Dristan® Long
Lasting Nasal Solution
[OTC]; Duramist® Plus [OTC]; Duration® Nasal Solution [OTC];
Nostrilla®[OTC]; NTZ® Long Acting Nasal Solution
[OTC]; OcuClear® Ophthalmic [OTC]; Sinarest® 12 Hour Nasal
Solution; Sinex® Long-Acting [OTC]; Twice-A-Day® Nasal [OTC];
Visine® L.R. Ophthalmic [OTC]; 4-Way® Long Acting Nasal
Solution
[OTC] |
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Generic
Available |
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Yes |
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Synonyms |
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Oxymetazoline Hydrochloride |
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Pharmacological Index |
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Adrenergic Agonist Agent; Vasoconstrictor |
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Use |
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Dental: Symptomatic relief of nasal mucosal congestion
Medical:
Adjunctive therapy of middle ear infections, associated with acute or chronic
rhinitis, the common cold, sinusitis, hay fever, or other allergies
Ophthalmic: Relief of redness of eye due to minor eye irritations
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Pregnancy Risk
Factor |
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C |
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Contraindications |
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Hypersensitivity to oxymetazoline or any component |
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Warnings/Precautions |
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Rebound congestion may occur with extended use (>3 days); use with caution
in the presence of hypertension, diabetes, hyperthyroidism, heart disease,
coronary artery disease, cerebral arteriosclerosis, or long-standing bronchial
asthma |
|
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Adverse
Reactions |
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>10%:
Local: Transient burning, stinging
Respiratory: Dryness of the nasal mucosa, sneezing
1% to 10%:
Cardiovascular: Hypertension, palpitations
Respiratory: Rebound congestion with prolonged use |
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Drug
Interactions |
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Increased toxicity with MAO inhibitors |
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Stability |
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Do not use if solution changes colors or becomes cloudy |
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Mechanism of
Action |
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Stimulates alpha-adrenergic receptors in the arterioles of the nasal mucosa
to produce vasoconstriction |
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Pharmacodynamics/Kinetics |
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Onset of effect: Intranasal: Within 5-10 minutes
Duration: 5-6 hours |
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Usual Dosage |
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Intranasal (therapy should not exceed 3-5 days):
Children greater than or equal to 6 years and Adults: 0.05% solution: Instill
2-3 drops or 2-3 sprays into each nostril twice daily |
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Dietary
Considerations |
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No data reported |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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Should not be used for self-medication for longer than 3 days, if symptoms
persist, drug should be discontinued and a physician consulted; notify physician
of insomnia, tremor, or irregular heartbeat; burning, stinging, or drying of the
nasal mucosa may occur |
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Nursing
Implications |
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Spray/drops should not be used for >3 days without direct physician
supervision |
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Dosage Forms |
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Solution, nasal:
Drops, pediatric: 0.025% (20 mL)
Spray: 0.05% (15 mL, 30 mL) |
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