Rynex Nasal Drop/Spray
Oxymetazoline Hydrochloride

Presentation
Rynex Nasal Drop : Each ml contain 0.025% of Oxymetazoline Hydrochloride BP.
Rynex Nasal Spray : Each actuation delivers Oxymetazoline Hydrochloride BP 25 mcg.

Description
Oxymetazoline Hydrochloride is an imidazoline derivative sympathomimetic amine. It directly stimulates alpha adrenergic receptors of the sympathetic nervous system. Intranasal application of oxymetazoline results in constriction of dilated arterioles and reduction in nasal blood flow and congestion.

Indications and uses
Oxymetazoline Hydrochloride is applied topically to relieve nasal congestion associated with acute or chronic rhinitis, common cold, sinusitis, and hay fever or other allergies. It is also used as nasal decongestant in otitis media.

Dosage & Administration
Adults and children 6 yrs of age and older : 2-3 drops or sprays in each nostril twice daily for 3-5 days.
Children of age 2-6 : 2-3 drops in each nostril twice daily for 3-5 days. Sprays are generally unsuitable for young children because of the small size of their nostrils. The drug is not recommended in children under the age of 2.

Side Effects
* Transient burning, dryness of the nasal mucosa, sneezing.
* Nervousness, dizziness, headache.
* Hypertension, palpitation or reflex bradycardia.

Contraindications
Contraindicated in patients hypersensitive to Oxymetazoine Hydrochloride.

Precautions
* Prolonged use may result in rebound congestion.
* Since oxymetazoline has systemic adverse effects, it should be used with caution in patients with
* hypertension, cardiovascular disease or hyperthyroidism or in those receiving MAO inhibitors.

Use in Pregnancy & Lactation
Pregnancy : Safe use of oxymetazoline during pregnancy has not been established; it should be avoided by pregnant women.
Nursing Mother : It is not known whether oxymetazoline is secreted in human breast milk; caution is advised.


Drug interaction
* Monoamine oxidase inhibitors (MAOIs) : Concomitant use of oxymetazoline and MAOI can result in hypertensive reaction.
* Tricyclic antidepressants (TCAs) : TCAs may increase the effects of oxymetazoline on blood pressure.

Over dosage
Following a proper application, systemic action is unlikely. If, however, some of the drops are swallowed, systemic effect can be produced. Symptoms include rapid, irregular heartbeat, headache, dizziness, increased sweating, nervousness. Such symptoms are more likely to be seen in young children.

Commercial pack
Rynex Nasal Drop : Supplied in 10 ml bottle.
Rynex Nasal Spray : Each bottle contains 200 metered doses for spray.