Xylometazoline

Source: Wikipedia, the free encyclopedia.

Xylometazoline
Clinical data
Pronunciation/ˌzaɪloʊˌmɛtəˈzoʊliːn/
ZY-lo-MET-ə-ZOH-leen
Trade namesOtrivin, Otrivine, others
AHFS/Drugs.comMonograph
MedlinePlusa608026
License data
Pregnancy
category
  • C
Adrenergic receptor agonist,
Decongestant
ATC code
Legal status
Legal status
Pharmacokinetic data
Elimination half-life>10 seconds
ExcretionUrinary
Identifiers
  • 2-[(4-tert-butyl-2,6-dimethylphenyl)methyl]-
    4,5-dihydro-1H-imidazole
JSmol)
  • N\1=C(\NCC/1)Cc2c(cc(cc2C)C(C)(C)C)C
  • InChI=1S/C16H24N2/c1-11-8-13(16(3,4)5)9-12(2)14(11)10-15-17-6-7-18-15/h8-9H,6-7,10H2,1-5H3,(H,17,18) checkY
  • Key:HUCJFAOMUPXHDK-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Xylometazoline, also spelled xylomethazoline, is a medication used to reduce symptoms of nasal congestion, allergic rhinitis, and sinusitis.[2] Use is not recommended for more than seven days.[3] Use is also not recommended in those less than three months of age and some say not less than 6 years of age.[3][4] It is used directly in the nose as a spray or drops.[3]

Side effects include trouble sleeping, irritation of the nose, nausea, nosebleed (3%), period pain (10%) and headache (3%).[5][2][3] Long term use (> 10 days) is not recommended due to a rhinitis medicamentosa when stopped.[5][6] Use is not recommended during pregnancy.[2] Xylometazoline is in the decongestant and alpha-adrenergic agonist families of medication.[6][7]

One study classified it with selectivity ratios in alpha 2 adrenergic receptors of 151 for a2A vs a2B, 4.5 a2A vs a2C, and 33.9 a2B vs a2C.  Making it a highly selective a2A agonist.[8]

Xylometazoline was patented in 1956 and came into medical use in 1959.

generic medication.[3]

Mechanism of action

The drug works by stimulating

adrenergic receptors on the lamina propria of blood vessels in the nose. The decongestant effect is due to constriction of large veins in the nose which swell up during the inflammation of any infection or allergy of the nose. The smaller arteries are also constricted and this causes the colour of the nasal epithelium
to be visibly paler after dosage.

Xylometazoline is an

sympathomimetic effects, it should not be used by people with high blood pressure, or other heart
problems.

Extended usage of xylometazoline can result in decreased effectiveness or a buildup of tolerance against the drug.[13] The number of receptors decreases, and when the administration of the drug is ceased, chronic congestion can occur; this is called rhinitis medicamentosa, commonly referred to as rebound congestion. Moreover, long-term overdosing can cause degenerative changes in nasal mucous membranes that pose another health problem.[citation needed]

Society and culture

Brand names

The most common name for over-the-counter products containing xylometazoline internationally is "Otrivin" (used in Australia,[14] Canada, Estonia, Finland, Greece, Hungary, India,[15] Israel, Jordan, Netherlands, New Zealand, Norway, Poland, South Africa, Sweden, Vietnam, Hong Kong), "Otrivine" (United Kingdom, Ireland, Turkey, Belgium), or "Otriven" (Germany). A product marketed as "Otrivin Oxy" contains oxymetazoline instead of xylometazoline.

Other product names used include Antazol (Square, in Bangladesh), Xylomet (Opsonin, Bangladesh), Cirovin, Klarigen (in Denmark), Nasolin, Neo-Rinoleina, Novorin, Olynth, Otrinoz, Galazolin[16] (Russia, Ukraine, Belarus), Nasomist-X, Otrix, Rhinoset, Zenfresh, Naphthyzinium, Xymelyn (in Latvia), Sinutab Nasal Spray, Snup akut, Sudafed, Xylo-COMOD, Xylolin (in the United Abar Emirates), Xylovit, Olynth (in Serbia, the Czech Republic and Slovakia), Meralys (in Croatia) Xynosine (in Pakistan, Afghanistan, Kyrgyzstan and Kazakhstan), Xymelin, Zymelin, Xylostar, Xylorin (in Poland), Nasobol, Xylo Mepha and others (Switzerland), Decozal (in Jordan), Nasic, Orinox (Romania), Narhimed (Italy), nasa Rhinathiol (Belgium) and Zolinol,[17] Nasorhinathiol[18] and Vibrocil[19] (Portugal].

As of 2021, a number of consumer products containing xylometazoline are marketed in the United States.[20]

Formulations

The standard adult solution strength is 0.1% w/v xylometazoline (or 1 mg per 1 mL solution), and the dose for children under 12 is usually 0.05% (0.5 mg/mL).[21]

See also

References

  1. ^ {{Fulga, Ana, Andrei Zenovia, Doriana Cristea Ene, Constantin Stan, Dorel Firescu, and Iuliu Fulga. 2021. “Addiction to Nasal Decongestants Based on Α-Adrenoceptor Agonists Case Series and Literature Review: Array”. EuroEconomica 40 (2). https://dj.univ-danubius.ro/index.php/EE/article/view/1455}}
  2. ^ a b c "Otrivine Adult Measured Dose Sinusitis Spray - Summary of Product Characteristics (SPC) - (eMC)". www.medicines.org.uk. 13 April 2016. Archived from the original on 29 December 2016. Retrieved 28 December 2016.
  3. ^
    ISBN 978-0-85711-156-2
    .
  4. ^
    hdl:10665/325771
    . WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  5. ^
    S2CID 34728458
    .
  6. ^
    S2CID 72326981
    .
  7. ^ "Xylometazoline nasal medical facts from Drugs.com". www.drugs.com. Archived from the original on 29 December 2016. Retrieved 28 December 2016.
  8. PMID 36101495
    .
  9. ISBN 978-3-527-60749-5. Archived
    from the original on 29 December 2016.
  10. ^ US patent 2868802A, Hüni, Albrecht, "2-(γ-TERT-BUTYL-O,O'-DIMETHYL-PHENYL-METHYL)-IMIDAZOLINE AND SALTS", issued 1959-01-13, assigned to Ciba Pharmaceutical Products Inc., Summit, N. J. 
  11. hdl:10665/345533
    . WHO/MHP/HPS/EML/2021.02.
  12. S2CID 25064699
    .
  13. ^ Gold Standard Clinical Pharmacology Archived 2008-05-25 at the Wayback Machine
  14. ^ "xylometazoline". Healthdirect Australia. Retrieved 25 October 2019.
  15. ^ "Otrivin | GSK Consumer Healthcare INDIA". Retrieved 17 June 2018.
  16. ^ "Галазолин (Galazolin) - инструкция по применению, состав, аналоги препарата, дозировки, побочные действия". rlsnet.ru. Retrieved 5 August 2019.
  17. ^ "Zolinol® - Edol". edol.pt. Retrieved 16 January 2024.
  18. ^ "Nasorhinathiol, 0,5 mg/mL-15 mL x 1 sol pulv nasal". farmaciasportuguesas.pt. Retrieved 16 January 2024.
  19. ^ "Vibrocil Actilong Mentol". vibrocil.pt. Retrieved 16 January 2024.
  20. ^ "FDA Drug Safety Communication: Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays". FDA. July 2021.
  21. ^ "Xylometazoline nasal Uses, Side Effects & Warnings". Archived from the original on 22 February 2015. Retrieved 22 February 2015.

External links

Retrieved from "https://en.wikipedia.org/w/index.php?title=Xylometazoline&oldid=1218342303"