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Doctor insights on: Oxymetazoline Allergy In Children

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Is afrin (oxymetazoline) allergy ok for kids?

Is afrin (oxymetazoline) allergy ok for kids?

Afrin (oxymetazoline): Afrin should only be used for 2 to 3 days. Longer use can cause rebound nasal congestion due to down regulation of the number of Alpha receptors in the nasal tissue. Avoid using afrin in children under the age of 6. ...Read more

Dr. John Chiu
2,638 doctors shared insights

Allergies (Definition)

Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more


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Will I be able to breathe through my nostrils with oxymetazoline, if I've been stuffed with allergies?

Will I be able to breathe through my nostrils with oxymetazoline, if I've been stuffed with allergies?

Probably: This is a nasal decongestant so most people with congestion whatever the reason, experience some benefit. The problem is that you became reliant on this decongestant effect and if you try to quit you can get "rebound" with even more congestion. I really try to have my patients avoid otc nasal decongestants and if they really insist, use for at most 3 days. ...Read more

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Allergy tested (none) daytime clear. Night stuffy, afrin (oxymetazoline) works wonderful. Does this mean no or slight deviated septum? The fact that afrin (oxymetazoline) helps lots

Allergy tested (none) daytime clear. Night stuffy, afrin (oxymetazoline) works wonderful. Does this mean no or slight deviated septum? The fact that afrin (oxymetazoline) helps lots

NonAllergic Rhinitis: It sounds like you have non-allergic rhinitis. You may also have medication related nasal congestion from Enalapril and afrin (if you have been using it frequenly). Stop afrin (oxymetazoline). Deviated septum may be playing a role depending on the extent. ...Read more

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Any helpful ideas for how to more comfortably wean down from chronic afrin (oxymetazoline) during allergy season? The rebound rhinitis is tough!

Any helpful ideas for how to more comfortably wean down from chronic afrin (oxymetazoline) during allergy season?  The rebound rhinitis is tough!

Afrin (oxymetazoline) overuse: Topical decongestants, like afrin, reduce nasal congestion by constricting blood vessels in the nasal membranes and reducing blood flow. While they help reduce nasal congestion temporarily, after 3-5 days, the membranes can become even more swollen after they wear off. The answer is using other medications during a pollen season, such as nasal steroids, oral and topical antihistamines, etc. ...Read more

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Can I take zyrtec (cetirizine) together with nose spray containing oxymetazoline hci? Not sure if I can take the 2 together while they both say for allergies

Yes: Zyrtec (cetirizine) is an antihistamine and blocks histamine receptors, while oxymetazoline is a decongestant. There is no interaction and effects will be additive. However, prolonged use of oxymetazoline could lead to dependence. ...Read more

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I took Sudafed, Flonase and Afrin (oxymetazoline) but getting no relief for allergy congestion, can I take Claritin on top of the other meds?

Afrin (oxymetazoline)?: You need to see an expert to determine the cause of the congestion and confirm that it is related to allergy. If you have been taking Afrin (oxymetazoline) for more than 5 days consecutively, then the persistent congestion is most likely now caused by the Afrin (oxymetazoline) (it causes sensitization and "rebound congestion"). Claritin can be added safely, but it may not be effective if underlying issue not addressed ...Read more

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Cushingoid face swelling this week. No allergy/infection. Have CSF shunt leak- collect there? Or Afrin (oxymetazoline) strong enough steroid? NSAIDs ineffective. Way to treat?

Cushingoid face swelling this week. No allergy/infection. Have CSF shunt leak- collect there? Or Afrin (oxymetazoline) strong enough steroid? NSAIDs ineffective. Way to treat?

Cushingoid: Chronic steroid use will cause a Cushing type face. A leaking CSF shunt will lead to a focal swelling under the skin and not around the whole face. Steroid therapy is required when other anti inflammatory medications are not sufficient. Talk to your medical doctor about the best medications for you and ask what are the alternatives. ...Read more

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Chronic post nasal drip=can't sleep even on incline! Rare eustachian draining. Manage reflux, no allergies. Afrin works but anything better long term?

Yes: Afrin should not be used daily for more than a few days else you end up getting more severe nasal symptom. Assuming that you have already been worked up by a board-certified allergist, your next bet would be an ENT doctor. There are many nasal medications other than afrin to control your symptoms once the cause is known. ...Read more

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Can expired afrin (oxymetazoline) still be used?

Can expired afrin (oxymetazoline) still be used?

Agree w Dr. Klein: Recommend that expired oxymetazoline not be used. After the episode that oxymetazoline has been used for passes – toss the container (to avoid contamination). ...Read more

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What can I do if I overdosed on afrin (oxymetazoline)?

What can I do if I overdosed on afrin (oxymetazoline)?

Cold turkey: Technically, you don't overdose on afrin, you become addicted to it due to the rebound swelling of your nasal membranes after using it for more than a few days. Your physician can prescribe a nasal spray that is not addicting and add a steroid tablet if severe. ...Read more

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Would oxymetazoline HCl show on tox screen?

Not sure: Unlikely if used in recommended amounts. Depends on how much is used. If much used can elevate blood pressure so it can get into the system. Could call poison control center and find out. ...Read more

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What are the side effects of oxymetazoline hydrochloride?

Afrin (oxymetazoline): Hello. Oxymetazoline is the active ingredient in afrin nasal spray. If it is used beyond 5 days, it could cause rhinitis medicamentosa. This is a condition where your nose needs to continue to use the spray just to be able to breath in and out of your nose. This ingredient can also be linked to increased heart rate and blood pressure, insomnia and urinary incontinance. ...Read more

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Is afrin (oxymetazoline) safe in pregnancy?

Afrin (oxymetazoline) is FDA: Pregnancy category c. Thus, it has not been established if it will cause harm to unborn child in humans. This should be discussed with your obstetrician/ physician to determine if benefits outweigh risks. ...Read more

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Can a pregnant woman take afrin (oxymetazoline)?

Can a pregnant woman take afrin (oxymetazoline)?

Yes, but . . .: Taken in the third trimester, there appears to be no problem. There are adverse events reported sporadically after high dose/prolonged use, especially in the first two trimesters. My recommendation is use saline nasal spray. Works very well and all it is salt water. ...Read more

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What is the treatment for oxymetazoline overdose?

Steroids: The immediate cessation of the nasal spray and the use of oral steroid for several weeks may reverse this condition known as rhinitis medicamentosa. The main thing to do once this condition, hopefully is reversed, is to obtain a specific diagnosis such as nasal allergy or hypertrophy (enlargement) of the inferior turbinates. Surgery to reduce the size of the inferior turbinates may be curative. ...Read more

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Can I use afrin (oxymetazoline) and sudafed together?

Can I use afrin (oxymetazoline) and sudafed together?

Yes, but: I recommend that my patients use afrin for an absolute maximum of 5 days if indicated. Sudafed is ok to use at the same time, as long as you have no medical contraindications to using it (heart problems, high blood pressure, etc). See your doctor if your nasal congestion symptoms are not improved within 5 days of use of either medication. ...Read more

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What is the treatment for afrin (oxymetazoline) overdose?

What is the treatment for afrin (oxymetazoline) overdose?

Stop Afrin (oxymetazoline): First, stop afrin, then tapered steroids, and prescription nasal spray, oral decongestants if cardiac status allows, sometimes saline drops or spray. ...Read more

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Can problems with the nasals (oxymetazoline) cause bad breath?

Can problems with the nasals (oxymetazoline) cause bad breath?

Yes: Infected sinuses can cause bad breath, but also have tonsils checked and ask your dentist to make sure there are no infections in your mouth. ...Read more

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I have etd can you use both afrin (oxymetazoline) and Flonase together?

Yes: Afren is an antihistaminic and Flonase is a nasal steroid. Mechanism of action of both drugs is different so they don't interfere with each other.
While Flonase can be used for extended periods (2 weeks or more), afrin is not recommended to use more than 5-7 days because of risk of rebound phenomenon. ...Read more

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Hi! Do you know if I can take afrin (oxymetazoline) and FloNase together?

Yes: Afrin typically should not be used for more than 5 or so consecutive days. Tolerance develops at that point and congestion can worsen. There are studies that suggest nasal steroid blocks development of tolerance, so some patients can actually tolerate Afrin longer. Ask your physician about this before extending use of Afrin and always consult physician before using either of these. Good luck! ...Read more

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Is afrin (oxymetazoline) safe to use in the second trimester? I've used it atleast twice a day for the last two weeks? Is the baby ok?

Is afrin (oxymetazoline) safe to use in the second trimester? I've used it atleast twice a day for the last two weeks?  Is the baby ok?

Don't overuse it: Pregnancy causes congestion from swelling of the nasal membranes. Afrin shrinks the lining but should only be used for a couple of days; any longer causes severe "rebound" congestion. It is also a vasoconstrictor (tightens blood vessels), and while the risk is low, it may affect blood flow to your baby. Check with your doctor for safer and better options to treat your congestion. ...Read more

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My 3 y.o. son had tonsil/adnoid surgery today and was given generic afrin (oxymetazoline)...he ingested some while given this. Is this harmful?

My 3 y.o. son had tonsil/adnoid surgery today and was given generic afrin (oxymetazoline)...he ingested some while given this. Is this harmful?

Not likely: To determine risk in accidental ingestions, the quantity, contents and duration of ingestion are important factors to be considered before determining the risk of injury from the ingestion. Please call the local Poison Control to help clarify if your son is at risk of any harm. Take care. ...Read more

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I think I overdose with afrin (oxymetazoline) lub (oximetazolina .050% spray) I took more than 14 applications by mistake in the same moment. That happened 30 minutes ago?

I think I overdose with afrin (oxymetazoline) lub (oximetazolina .050% spray) I took more than 14 applications by mistake in the same moment. That happened 30 minutes ago?

Decongestant spray: Many folks are addicted to decongestant nasal sprays due to instant results. Do not use it for more than 3 days! See an ENT doctor for treatment. ...Read more

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Oxymetazoline nasal solution considered an antihistamine?

Oxymetazoline: No, Oxymetazoline is a decongestant. It temporarily helps with nasal congestion by constricting the local blood vessels and reducing swelling and congestion. If used more than 3 days, it can cause a rebound effect and worsen symptoms. Antihistamines are a separate class of medications. They block the effects histamine, which help reduce the watery eyes and runny nose. ...Read more

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I used too much oxymetazoline hydrocloride (0.05%) nasal spray?

Limit use of spray: Use this nasal spray only every 12 hours or so to prevent "rebound dryness" and refractory congestion. ...Read more

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Should I use expired afrin (oxymetazoline)?

Recommend: Use within expiration date. If it has been used previously — would definitely recommend throwing it away. ...Read more

Dr. Heidi Fowler
190 doctors shared insights

Oxymetazoline (Definition)

Oxymetazoline is a nasal preparation which is a kind of ...Read more


Dr. Heidi Fowler
197 doctors shared insights

Afrin (Definition)

Afrin is a nasal preparation which is a kind of ...Read more