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Cough and cold

Xylometazoline

Also sold as: Otrivin, Otrivine

No prescription neededCough and cold
Comes as:Nose sprayNose drops

Usual adult dose

Usual adult dose (0.1%): 1 spray or 2 to 3 drops in each nostril 2 to 3 times a day. Do not use for more than 7 days — longer use makes the blockage worse. Children use the weaker 0.05% form; ask your pharmacist.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • stinging or dryness of the nose
  • sneezing
  • headache

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • fast or irregular heartbeat
  • blocked nose that gets worse with long use
  • drowsiness or slow breathing in young children

Do not take it, or take care, if

  • Children under 2 years (spray under 6 years unless a doctor advises)
  • Narrow-angle glaucoma
  • High blood pressure or heart disease (use with caution)
  • Do not use for more than 7 days

Interactions

No important interactions are listed in our database. Still tell your doctor or pharmacist everything you take.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Not established

Not established. Ask your doctor before using it in pregnancy or while trying to get pregnant.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Sodium chloride nasal dropsNo prescription needed
  • Pseudoephedrine
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.