Phenylephrine nasal prep

Indications

Phenylephrine nasal prep is used for: Nasal Congestion

Adult Dose

Nasal Congestion Instill 2-3 sprays or 2-3 gtt q4hr of 0.25-0.1% solution PRN; not to exceed 3 days

Child Dose

Nasal Congestion <2 years Consult a physician 2-6 years 1-3 gtt intranasally q2-4hr of 0.125% solution PRN; not to exceed 3 days 6-12 years 2-3 gtt intranasally q4hr of 0.25% solution PRN; not to exceed 3 days >12 years old Instill 1-2 sprays or 1-2 gtt intranasally q4hr of 0.25-0.1% solution PRN; not to exceed 3 days

Renal Dose

Administration

Contra Indications

Cardiac disease (hypertension, HR, palpitations) Nonselective MAO inhibitors: Risk of hypertensive reaction

Precautions

Rebound congestion may occur Use caution in DM and hypertension

Pregnancy-Lactation

Interactions

Adverse Effects

Side effects of Phenylephrine nasal prep : Frequency Not Defined Stinging Dryness Rebound congestion Sneezing Burning

Mechanism of Action

Alpha adrenergic agonist; stimulates alpha-adrenergic receptors in nasal conjunctiva and arterioles to produce vasoconstriction that results in nasal decongestion