Oxymetazoline

Oxymetazoline
Black Box Warning
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Deepika Beereddy, MBBS [2]

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Black Box Warning

ConditionName: See full prescribing information for complete Boxed Warning. ConditionName: Content

Overview

Oxymetazoline is a nasal decongestant, opthalmic agent that is FDA approved for the treatment of nasal congestion, ocular irritation in conjunctivitis. There is a Black Box Warning for this drug as shown here. Common adverse reactions include headache, insomnia, feeling nervous, rebound nasal congestion, dry nasal mucosa , nasal stinging/burning, sneezing.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Conjunctivitis, Ocular irritation

• Dosing Information

• For CONJUNCTIVITIS, the usual adult dose of oxymetazoline for adults and children 6 years old or greater is 1 to 2 drops of 0.025% ophthalmic solution instilled into the affected eye(s) every 6 hours.
• Contact lens wear during ophthalmic use is not recommended

Nasal congestion

• Dosing Information

• For RHINITIS, the usual intranasal dose of oxymetazoline in adults and children 6 years old or greater is 2 to 3 drops or sprays of 0.05% solution in each nostril twice a day for up to 3 days

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

Condition1

• Developed by:

• Class of Recommendation:

• Strength of Evidence:

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Oxymetazoline in adult patients.

Non–Guideline-Supported Use

Condition1

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Oxymetazoline in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

Conjunctivitis, Ocular irritation

Nasal congestion

• Dosing Information

• For RHINITIS, the usual dose of oxymetazoline in children 2 to 5 years old is 2 to 3 drops of a 0.025% solution in each nostril twice a day for up to 3 days. Drops are preferred to spray dosage forms since dosage can be more easily controlled with the former.
• Use should be limited to less than 5 days to minimize occurrence of rebound congestion.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

Condition1

• Developed by:

• Class of Recommendation:

• Strength of Evidence:

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Oxymetazoline in pediatric patients.

Non–Guideline-Supported Use

Condition1

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Oxymetazoline in pediatric patients.

Contraindications

• Condition1

Warnings

ConditionName: See full prescribing information for complete Boxed Warning. ConditionName: Content

• Description

Precautions

• Description

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Clinical Trial Experience of Oxymetazoline in the drug label.

Body as a Whole

Cardiovascular

Digestive

Endocrine

Hematologic and Lymphatic

Metabolic and Nutritional

Musculoskeletal

Neurologic

Respiratory

Skin and Hypersensitivy Reactions

Special Senses

Urogenital

Miscellaneous

Postmarketing Experience

There is limited information regarding Postmarketing Experience of Oxymetazoline in the drug label.

Body as a Whole

Cardiovascular

Digestive

Endocrine

Hematologic and Lymphatic

Metabolic and Nutritional

Musculoskeletal

Neurologic

Respiratory

Skin and Hypersensitivy Reactions

Special Senses

Urogenital

Miscellaneous

Drug Interactions

• Drug

• Description

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA):

• Pregnancy Category

Pregnancy Category (AUS):

• Australian Drug Evaluation Committee (ADEC) Pregnancy Category

There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Oxymetazoline in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Oxymetazoline during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Oxymetazoline with respect to nursing mothers.

Pediatric Use

There is no FDA guidance on the use of Oxymetazoline with respect to pediatric patients.

Geriatic Use

There is no FDA guidance on the use of Oxymetazoline with respect to geriatric patients.

Gender

There is no FDA guidance on the use of Oxymetazoline with respect to specific gender populations.

Race

There is no FDA guidance on the use of Oxymetazoline with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Oxymetazoline in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Oxymetazoline in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Oxymetazoline in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Oxymetazoline in patients who are immunocompromised.

Administration and Monitoring

Administration

• Oral

• Intravenous

Monitoring

There is limited information regarding Monitoring of Oxymetazoline in the drug label.

• Description

IV Compatibility

There is limited information regarding IV Compatibility of Oxymetazoline in the drug label.

Overdosage

Acute Overdose

Signs and Symptoms

• Description

Management

• Description

Chronic Overdose

There is limited information regarding Chronic Overdose of Oxymetazoline in the drug label.

Pharmacology

There is limited information regarding Oxymetazoline Pharmacology in the drug label.

Mechanism of Action

Structure

File:Oxymetazoline01.png

This image is provided by the National Library of Medicine.

Pharmacodynamics

There is limited information regarding Pharmacodynamics of Oxymetazoline in the drug label.

Pharmacokinetics

There is limited information regarding Pharmacokinetics of Oxymetazoline in the drug label.

Nonclinical Toxicology

There is limited information regarding Nonclinical Toxicology of Oxymetazoline in the drug label.

Clinical Studies

There is limited information regarding Clinical Studies of Oxymetazoline in the drug label.

How Supplied

Storage

There is limited information regarding Oxymetazoline Storage in the drug label.

Images

Drug Images

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Package and Label Display Panel

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Patient Counseling Information

There is limited information regarding Patient Counseling Information of Oxymetazoline in the drug label.

Precautions with Alcohol

• Alcohol-Oxymetazoline interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

• ®

Look-Alike Drug Names

• A® — B®

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

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