Nasal Congestion

Question 1

What are oral treatment options for nasal congestion?

Answer 1

Phenylephrine and pseudoephedrine

Question 2

Pseudoephedrine

(1) Dose
(2) Side effects
(3) P/BF
(4) Minimum age

Answer 2

(1) 60mg q4-6h –> max 240mg daily
(2) Increased BP, disturb BGL control, insomnia, restlessness, tachycardia
(3) No
(4) >12 years

Question 3

Phenylephrine

(1) Dose
(2) Side effects
(3) P/BF
(4) Minimum age

Answer 3

(1) 10mg q4h (6-12y/o: 2.5-5mg q4h)
(2) Increased BP, disturb BGL control, insomnia, restlessness, tachycardia
(3) No
(4) >6 years

Question 4

What are topical treatment options for nasal congestion?

Answer 4

Oxymetazoline, phenylephrine and xylometazoline nasal sprays.

Question 5

Oxymetazoline

(1) Brand
(2) Dose
(3) Side effects
(4) P/BF
(5) Minimum age

Answer 5

(1) Drixine
(2) 1-2 sprays into each nostril up to TDS
(3) transient sting, burn, increased nasal discharge
(4) safe
(5) >6 years

Question 6

Phenylephrine

(1) Brand
(2) Dose
(3) Side effects
(4) P/BF
(5) Minimum age

Answer 6

(1) Nyal
(2) 1-2 sprays into each nostril up to QID
(3) transient sting, burn, increased nasal discharge
(4) safe
(5) >6 years

Question 7

Xylometazoline

(1) Brand
(2) Dose
(3) Side effects
(4) P/BF
(5) Minimum age

Answer 7

(1) Otrivin
(2) 0.1%: 1 spray/2-3 drops up to TDS. 0.05%: 2 sprays/ 2-3 drops up to tds
(3) Transient sting, burn, increased nasal discharge
(4) Safe
(5) > 6 years