Pharmacy Guide
Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
Pharmacy Guide
Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray
⚠ This medicine appears to have been discontinued
The electronic medicines compendium (emc) no longer publishes a Summary of Product Characteristics for this product, which usually means it is no longer marketed in the UK. The patient leaflet below is kept for reference, but the product may not be available.
If you were prescribed this medicine, other products containing Xylometazoline hydrochloride may still be available. Do not stop your treatment — ask your pharmacist or GP what to use instead.
What it is and what it is used for
for Otrivine Sinusitis Relief 0.1% w/v Nasal Spray is for application in the nose to give relief from:
- nasal congestion (blocked nose, including colds)
- perennial and allergic rhinitis (recurring inflammation of the nasal mucous membranes, including hay fever)
- sinusitis. Otrivine Sinusitis Relief 0.1% w/v Nasal Spray contains the active ingredient xylometazoline hydrochloride which helps to open up and clear the nasal passages by reducing the excessive nasal secretions and returning the swollen blood vessels to their normal size.
What you need to know before you take it
e Otrivine Sinusitis Relief 0.1% w/v Nasal Spray DO NOT use the spray if you:
- are allergic to xylometazoline hydrochloride or any of the other ingredients in the spray (see Section 6)
- have had recent neurosurgery
- have narrow angle glaucoma
- have chronic nasal inflammation with very dry nasal passages (rhinitis sicca or atrophic rhinitis)
- have an enlarged prostate gland
- have a rare tumour of the adrenal gland that produces high amounts of adrenaline and noradrenaline (phaeochromocytoma)
- are taking monoamine oxidase inhibitors (MAOIs) or have stopped taking them in the last 14 days Do not use this spray for children under 12 years old. Take special care Before using the spray tell your doctor if you:
- have an overactive thyroid gland (hyperthyroidism)
- have diabetes mellitus
- have heart or circulatory disease (e.g. long QT syndrome)
- are pregnant or breastfeeding
- have hypertension
- are taking tri and tetra-cyclic antidepressant treatment Like other products for the relief of blocked nose, Otrivine may give rise to sleep disturbances, dizziness, tremor in very sensitive patients. Consult your doctor if such signs prove troublesome. Do not take decongestants for more than 7 days in a row. Prolonged or excessive use may cause stuffiness to return or worsen. Using other medicines: Please tell your doctor or pharmacist before using this product if you are taking or have recently taken any medicines (especially monoamine oxidase inhibitors or other antidepressants) including those obtained without a prescription. Pregnancy or breastfeeding: If you are pregnant or breastfeeding, consult your doctor before using Otrivine. Ask your doctor or pharmacist for advice before taking any medicine. Driving and using machines: Otrivine has no effect on the ability to drive and use machines. Important information about some of the other ingredients: Otrivine contains benzalkonium chloride which may cause nasal irritation.
How to take it
Otrivine Sinusitis Relief 0.1% w/v Nasal Spray Dosage: For adults and children over 12 years of age: 1 spray in each nostril up to 3 times daily. Do not exceed 3 applications daily into each nostril. Administration:
- Remove protective cap.
- Before using for the first time, prime the pump by actuating 5 times. Once primed, the pump will normally remain charged throughout regular daily treatment periods. If the spray is not ejected during the full actuation stroke, or if the product has not been used for longer than 7 days, the pump will need to be re-primed with 2 actuations. 62000000210287
Remove cap. Be careful not to spray in the eyes. 1. Clear the nose. 2. Hold the bottle with thumb on the actuation button. 3. For a no dripping effect, stay upright and insert the short nozzle into a nostril. 4. Press on the button to spray and breathe in gently through the nose at the same time. Repeat this procedure (steps 2 to 4) in the other nostril. 5. After each use, clean and dry the nozzle 6. Put the protective cap back on until an audible "click" is heard.
1. Clear nose
2. Thumb on button
3. Insert in nose
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4. Press button
5. Clean and dry
6. Replace cap
To avoid possible spread of infection, this pack should only be used by one person. Do not exceed the recommended dosage, especially in children and the elderly If you use more Otrivine Sinusitis Relief 0.1% w/v Nasal Spray than you should, consult your doctor or pharmacist. If you forget to use Otrivine Sinusitis Relief 0.1% w/v Nasal Spray Do not take a double dose to make up for a forgotten one. 4. Possible side effects Like all medicines, Otrivine Sinusitis Relief 0.1% w/v Nasal Spray can cause side effects, although not everybody gets them. Stop using Otrivine Sinusitis Relief 0.1% w/v Nasal Spray and seek medical help immediately if you experience:
- Allergic reactions, which may include difficulty breathing or swallowing, swelling of the face, lips, tongue and throat, severe itching of the skin, with a red rash or raised bumps. Common (may affect up to 1 in 10 people):
- Headache
- Nasal dryness
- Nasal discomfort
- Nausea
- Local irritation after using the spray Uncommon (may affect up to 1 in 100 people):
- Nosebleeds Very rare (may affect up to 1 in 10,000 people):
- Hypersensitivity including rash and pruritus
- Disturbances of vision
- Palpitations and increased heart rate Other side effects include:
- A burning sensation in the nose and throat
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting
Possible side effects
you can help provide more information on the safety of this medicine.
How to store it
Otrivine Sinusitis Relief 0.1% w/v Nasal Spray Keep this medicine out of the sight and reach of children. Do not use after the expiry date which is stated on the bottle after "EXP". The expiry date refers to the last day of that month. Do not store above 30 °C. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Contents of the pack and other information
What Otrivine Sinusitis Relief 0.1% w/v Nasal Spray contains The active ingredient is xylometazoline hydrochloride (0.1% w/v). The other ingredients are benzalkonium chloride, sodium phosphate, disodium edetate, sodium acid phosphate, sodium chloride, sorbitol, hypromellose and purified water. What Otrivine Sinusitis Relief 0.1% w/v Nasal Spray looks like and the contents of the pack Clear aqueous solution in a 10 ml bottle. Marketing Authorisation Holder: Haleon UK Trading Limited, Weybridge, KT13 0NY, U.K. Manufacturer: Haleon UK Trading Services Limited, Weybridge, KT13 0NY, U.K. This leaflet was last revised in April 2024. Trade Marks are owned by or licensed to the Haleon group of companies.
62000000210287
Frequently asked questions about Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray
How do I take Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray?
Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray comes as nasal spray. Always follow the dose your doctor or pharmacist has given you, and read the leaflet that comes with the medicine.
What is the active substance in Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray?
The active substance in Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray is xylometazoline hydrochloride.
Are there equivalent medicines to Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray?
Medicines with the same active substance, strength and form include: Otrivine Adult Nasal Drops, Otrivine Allergy Relief 0.1% Nasal Spray with Khone Spray, Otrivine Blocked Nose Relief, 0.1% w/v Nasal Spray, Solution. In total there are 6 equivalent products. They are interchangeable only if your prescriber or pharmacist says so.
Where does this information come from?
This leaflet reproduces the patient information leaflet approved for Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray, as published on the electronic medicines compendium (emc). The version printed inside your medicine’s packaging is the one that applies to you.
Can I get Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray without a prescription?
Whether a medicine is available over the counter or on prescription only depends on its licence. Check the leaflet, or ask your pharmacist — they can tell you straight away.
About this leaflet
The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.
- Source: electronic medicines compendium (emc), Datapharm
- Active substance: xylometazoline hydrochloride
- Official document: view the original leaflet on emc →
⚕For healthcare professionals — Summary of Product Characteristics (SmPC)Full SmPC: dosage, interactions, contraindications, warnings+
4.1. Therapeutic indications
For the symptomatic relief of nasal congestion, perennial and allergic rhinitis (including hay fever), sinusitis.
4.2. Posology and method of administration
Adults and elderly: One application in each nostril up to 3 times daily. Do not exceed 3 applications daily into each nostril.
Not suitable for children under 12 years.
Route of administration: Application to the nasal passages.
Laterally actuated pump (Khone): The laterally actuated metered-dose spray ensures that the solution is well distributed over the surface of the nasal mucosa by spraying a fine mist.
Before using for the first time, prime the pump by actuating 5 times. Once primed, the pump will normally remain charged throughout regular daily treatment periods. If the spray is not ejected during the full actuation stroke, or if the product has not been used for longer than 7 days, the pump will need to be re-primed with 2 actuations.
Vertically actuated pump (Freepod): Before the first application, prime the pump by actuating 4 times. Once primed, the pump will normally remain charged throughout regular daily treatment periods. If the spray is not ejected during the full actuation stroke, or if the product has not been used for longer than 7 days, the pump will need to be reprimed with 4 actuations.
The recommended dose should not be exceeded, especially in children and the elderly.
4.3. Contraindications
Known hypersensitivity to xylometazoline.
Patients with trans-sphenoidal hypophysectomy or surgery exposing the dura mater.
Narrow-angle glaucoma.
Rhinitis sicca or atrophic rhinitis.
Otrivine 0.1% is contraindicated in children aged less than 12 years.
Use in people with phaeochromocytoma, prostatic hypertrophy or those receiving monoamine oxidase inhibitors (MAOI) treatment or who have received them in the last two weeks.
4.4. Special warnings and precautions for use
Patients are advised not to take decongestants for more than seven consecutive days, prolonged or excessive use may cause rebound congestion and/or atrophy of the nasal mucosa.
Otrivine, like other preparations belonging to the same class of active substances, should be used only with caution in patients showing a strong reaction to sympathomimetic agents as evidenced by signs of insomnia, dizziness, tremor, cardiac arrhythmias or elevated blood pressure.
Caution is recommended in patients with hypertension, cardiovascular disease, hyperthyroidism, diabetes mellitus or tri and tetra-cyclic antidepressant treatment (see Interactions).
Patients with long QT syndrome treated with xylometazoline may be at increased risk of serious ventricular arrhythmias.
Keep medicines out of the sight and reach of children.
Information concerning excipients
Otrivine contains benzalkonium chloride. This may cause irritation of the nasal mucosa.
4.5. Interaction with other medicinal products and other forms of interaction
The concomitant use of xylometazoline with monoamine oxidase (MAO) inhibitors or tri- and tetra-cyclic antidepressants, may cause an increase in blood pressure due to the cardiovascular effects of these substances (see Contraindications).
4.6. Fertility, pregnancy and lactation
No foetal toxicity or fertility studies have been carried out in animals. In view of its potential systemic vasoconstrictor effect, it is advisable to take the precaution of not using Otrivine during pregnancy.
No evidence of any adverse effect on the breast-fed infant. However, it is not known if xylometazoline is excreted in breast milk, therefore caution should be exercised and Otrivine should be used only on the advice of a doctor whilst breastfeeding.
4.7. Effects on ability to drive and use machines
Otrivine has no or negligible influence on the ability to drive and use machines.
4.8. Undesirable effects
The adverse effects listed below are classified by system organ class and frequency according to the following convention: very common (≥1/10), common (≥1/100 to <1/10), uncommon (≥1/1,000 to <1/100), rare (≥1/10,000 to <1/1,000) or very rare (<1/10,000).
MeDRA SOC
Adverse reaction
Frequency
Immune System Disorders
Hypersensitivity reaction (angioedema, rash, pruritus)
Very rare
Nervous System Disorders
Headache
Common
Eye Disorders
Transient visual impairment
Very rare
Cardiac Disorders
Heart rate irregular
Heart rate increased
Very rare
Very rare
Respiratory, thoracic and mediastinal disorders
Nasal Dryness
Nasal Discomfort
Epistaxis
Common
Common
Uncommon
Gastrointestinal disorders
Nausea
Common
General disorders and administration site
Application site burning
Common
Other side effects include:
• A burning sensation in the nose and throat
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App store.
4.9. Overdose
Symptoms and Signs
Excessive administration of topical xylometazoline hydrochloride or accidental ingestion may cause severe dizziness, perspiration, severely lowered body temperature, headache, bradycardia, hypertension, respiratory depression, coma and convulsions. Hypertension may be followed by hypotension. Small children are more sensitive to toxicity than adults.
Treatment
Appropriate supportive measures should be initiated in all individuals suspected of an overdose, and urgent symptomatic treatment under medical supervision is indicated when warranted. This would include observation of the individual for several hours.
💬 Ask about this leaflet
Ask anything about Otrivine Sinusitis Relief, 0.1% w/v Nasal Spray, Solution with Khone Spray. The assistant answers only from this leaflet — if the leaflet does not cover it, it will say so. It does not give medical advice.
Answers come from the patient leaflet published on the electronic medicines compendium (emc). They are not medical advice. Ask a pharmacist or your GP if you are unsure. For urgent help call NHS 111, or 999 in an emergency.