• Temporary relief of nasal congestion due to:
      • Common cold
      • Allergic rhinitis
      • Sinusitis
      • Upper respiratory tract infections
    • Also used in eye drops for relief of eye redness due to minor irritation
  • Dosage (Nasal spray):
  • Adults and children ≥6 years: 2–3 sprays in each nostril every 10–12 hours
    • Max: 2 doses in 24 hours
  • Children <6 years: Use only under medical advice
  • Nasal spray: 0.05% solution (typical OTC formulation)
  • Ophthalmic solution: 0.025% for eye redness relief
  • Blow nose before use
  • Tilt head slightly forward, insert nozzle, spray while breathing in gently
  • Do not use for more than 3 consecutive days (risk of rebound congestion)
  • Clean nozzle after each use
  • Do not share the bottle to prevent spread of infection
  • Class: Topical α1-adrenergic agonist with partial α2 activity
  • Mechanism: Causes vasoconstriction of blood vessels in nasal mucosa → reduces swelling and nasal congestion
  • Onset: Within 5–10 minutes
  • Duration: Up to 12 hours
  • Local: Burning, stinging, dryness, sneezing, nasal irritation
  • Rebound congestion (rhinitis medicamentosa): Common if used >3 days
  • Systemic (rare): Hypertension, palpitations, tremors, nervousness (if overused or absorbed systemically)
  • Hypersensitivity to oxymetazoline
  • Narrow-angle glaucoma (especially with ophthalmic form)
  • Use in children <6 years (unless prescribed)
  • Recent nasal surgery or injury (use with caution)
  • Hypersensitivity to oxymetazoline
  • Narrow-angle glaucoma (especially with ophthalmic form)
  • Use in children <6 years (unless prescribed)
  • Recent nasal surgery or injury (use with caution)

                                   Drug Status

Availability OTC
Pregnancy
  •  May be used with caution if benefits outweigh risks
Breastfeeding ; topical nasal use generally considered low risk
Schedule NO
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Iliadin Baby Nose Drops 0.1mg/ml Nasal Drops 5mL Merck Ltd Imperial Managed
Iliadin Kids Nose Drops 0.25mg/ml Nasal Spray 10mL Merck Ltd Imperial Managed
Nazolin 25mcg/act Nasal Spray 200D Beximco Pharma Madawa Pharma
Xylocon 0.025% w/v Nasal Spray 10mL*5 Square Pharma Ace Pharma
Xylocon 0.05% w/v Nasal Spray 10mL*6 Square Pharma Ace Pharma