Oxymetazoline is an imidazole derivative and a potent, direct-acting alpha (α)-adrenergic agonist with affinity to both α<sub>1</sub>- and α<sub>2</sub>-adrenoceptors.[A215542] Oxymetazoline is available in various formulations with a wide variety of clinical implications. The topical formulation of the drug is used to treat persistent facial redness in adults.[L15062] As an effective decongestant, oxymetazoline is available in over-the-counter intranasal sprays used to relieve nasal and sinus congestion caused by a wide variety of conditions, such as common cold, hay fever, and upper respiratory allergies.[A215587, L15092] In dentistry, oxymetazoline and tetracaine combination intranasal spray (Kovanaze) is used for regional anesthesia during dental procedures in children and adults.[L15057] In July 2020, the FDA approved the use of an ophthalmic formulation of oxymetazoline (Upneeq) in adults with acquired blepharoptosis, or ptosis, making it the first FDA-approved medical treatment for this medical condition.[L15042, L15067]
Vicks Sinex 12 Hour Nasal Decongestant Ultra Fine Mist Moisturizing
Nasal D Original
CVS Original Nasal Mist
7 Select Original Nasal
Family Wellness Oxymetazoline Sinus Severe
Rhofade
Breaze Nasal Moisturizing
Nasal Decongestant Sinus Premier Value
Topcare Nasal
Afrin Severe Congestion
Sound Body Nasal
Nasal 12 Hour
Quality Choice
Quality Choice Nasal Maximum Strength
CVS Health Sinus
EQUALINE Oxymetazoline HCl Nasal Decongestant No Drip
Afrin No Drip Severe Congestion
MUCINEX SINUS-MAX SEVERE NASAL CONGESTION RELIEF CLEAR and COOL NASAL
No Drip Premier Value
Kovanaze
Nafrine Pediatric Nasal Spray/drops 0.025%
Zicam Congestion Relief
Nasalub Nasal Relief
Preferred Plus 12 Hour Nasal Original
Sound Body 12 Hour Nasal Original
Mucinex Sinus-action Moisture Smart Nasal Spray
SinuFrin NeilMed
Vicks Sinex 12 Hour Decongestant Ultra Fine Mist Moisturizing
Nasal Decongestant Original
Decongestant Nasal Mist Long Lasting
Publix Maximum Strength
Up and Up Nasal Extra Moisturizing
Assured Severe Congestion Nasal Relief
Upneeq
Leader Original Nasal
Maximum Strength Nasal Decongestant
Children Afrin No Drip Extra Moisturizing Stuffy Nose Pump Mist Stuffy Nose Pump Mist
Zicam
Breaze Nasal Sinus Colds and Allergies
Afrin No Drip Extra Moisturizing
Leader Extra Moisturizing Nasal
Family Dollar
DG Health Clear Time
Rhinase D Gel Moisturizing Nasal Decongestant
CVS Severe Nasal Congestion Relief Clear and Cool
Good Sense Nasal
Oxymetazoline Hydrochloride Nasal Spray 0.05% With Moisturizers
Nasal D
No More Nosebleed
Todays Health Nasal Relief Original
Vicks Sinex SEVERE MOISTURIZING ULTRA FINE MIST
Preferred Plus 12 Hour Nasal Extra Moisturizing
Up and up nasal
Claritin Eye Allergy Relief
Oxymetazoline Hydrochloride 12-Hour
Afrin
Drixoral Decongestant Nasal Spray
Indication
Oxymetazoline is indicated for the topical treatment of persistent facial erythema associated with rosacea in adults.[L15062] Ophthalmic oxymetazoline is indicated for the treatment of acquired blepharoptosis in adults.[L15067] When used in combination with tetracaine intranasally, oxymetazoline is indicated for regional anesthesia when performing a restorative procedure on Teeth 4-13 and A-J in adults and children who weigh 40 kg or more.[L15057] Oxymetazoline can be found in over-the-counter nasal products as a nasal decongestant.[L15092] For off-label uses, oxymetazoline has been used during nasal intubation and during ear, nose, and throat surgery to improve visualization of the airway and to minimize post-operative bleeding.[A215542]
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
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