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Overview
Axcel Oxymetazoline 0.05% Nasal Spray contains Oxymetazoline Hydrochloride 0.05% and is presented as a nasal spray. It is supplied in a pack size of 10ml.
It is classified as a non-prescription medicine, so no prescription is needed to order it. Under Malaysian rules for medicine information, this page carries product, safety and handling information only.
You can consult a doctor or pharmacist online on DoctorOnCall about this product before or after you order. Every order is checked by a registered pharmacist before it is delivered. Always read the label and the leaflet supplied with the pack.
Directions for Use
Before use, gently blow the nose to clear it, then tilt the head slightly forward and insert the spray nozzle into one nostril, spraying while breathing in gently through the nose, then repeat for the other nostril as directed on the label. The spray should only be used in the nose, the nozzle should be wiped clean after each use, and this product should not be used for longer than the maximum number of consecutive days stated on the packaging.
Dosage
The usual adult and adolescent dose is one to two sprays into each nostril, generally not more than two to three times a day, and no more often than every 10 to 12 hours as indicated on the label. This product should not be used for more than 3 consecutive days unless otherwise advised by a doctor or pharmacist, as prolonged use can lead to rebound congestion that is harder to treat.
Shelf Life
Axcel Oxymetazoline 0.05% Nasal Spray should be used within the shelf-life period printed on the packaging when stored unopened and correctly. Once opened, the bottle should generally be used within the period recommended by the pharmacist, and should not be used past its expiry date.
Storage Instructions
Store this nasal spray at room temperature below 30°C, away from direct sunlight and excessive heat, and keep the bottle tightly capped when not in use. Keep out of reach and sight of children at all times.
Side Effects
- Temporary burning or stinging in the nose
- Sneezing
- Runny nose
- Dryness in nasal passages
- Headache
- Nervousness or dizziness (rare)
Contraindications
- Known hypersensitivity to oxymetazoline or any other ingredient in the formulation
- Use with caution in patients with high blood pressure, heart disease, or an overactive thyroid gland
- Use with caution in patients with diabetes mellitus
- Not recommended for children below the age stated on the product label
- Should not be used for longer than the recommended number of days due to the risk of rebound congestion (rhinitis medicamentosa)
Drug / Food Interactions
- Monoamine oxidase inhibitors (MAOIs) taken within the past two weeks may interact with oxymetazoline and increase blood pressure effects
- Other decongestants, including oral formulations, may increase the risk of side effects such as raised blood pressure or a fast heartbeat when combined
- Tricyclic antidepressants may enhance the vasoconstrictor effect of oxymetazoline
- Inform the pharmacist if you are taking medicines for blood pressure, heart conditions, or depression before using this product
Quick Tips
- Do not use for more than 3 consecutive days to avoid rebound nasal congestion
- Avoid sharing the nasal spray bottle with other people to reduce the risk of spreading infection
- Seek medical advice if nasal congestion does not improve or worsens after a few days of use
- Use exactly as directed on the label; do not exceed the recommended number of sprays or frequency
- Store away from children, as accidental ingestion can be harmful
Frequently Asked Questions
Do I need a prescription to buy Axcel Oxymetazoline 0.05% Nasal Spray?
No. Axcel Oxymetazoline 0.05% Nasal Spray is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.
What does Axcel Oxymetazoline 0.05% Nasal Spray contain?
Axcel Oxymetazoline 0.05% Nasal Spray is a nasal spray containing Oxymetazoline Hydrochloride 0.05%. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.
What pack sizes does Axcel Oxymetazoline 0.05% Nasal Spray come in?
It is supplied in a pack size of 10ml. Choose the pack size you need from the options shown on this page before adding the item to your cart.
Why is there no information here about what Axcel Oxymetazoline 0.05% Nasal Spray is for?
This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.
How should I use Axcel Oxymetazoline 0.05% Nasal Spray?
Use it exactly as stated on the pack label, without changing the amount or how often you use it. If anything on the label is unclear, check with a pharmacist before the first use, and read the Directions for Use section on this page.
Can I speak to a doctor or pharmacist about Axcel Oxymetazoline 0.05% Nasal Spray before I buy it?
Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.
How should I store Axcel Oxymetazoline 0.05% Nasal Spray?
Store this nasal spray at room temperature below 30°C, away from direct sunlight and excessive heat, and keep the bottle tightly capped when not in use. Keep out of reach and sight of children at all times. Keep it in its original pack and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects after using Axcel Oxymetazoline 0.05% Nasal Spray?
Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Axcel Oxymetazoline 0.05% Nasal Spray be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Axcel Oxymetazoline 0.05% Nasal Spray registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Oxymetazoline Hydrochloride 0.05%
Related Health Conditions
Safety Advice
Pregnancy
Limited information is available regarding use during pregnancy. Use only if clearly needed.
Breastfeeding
Limited data on excretion in breast milk. Consult a doctor before use.
Kidney
Generally safe, but caution may be required in some patients.
Liver
Generally safe, but caution may be required in some patients.
Alcohol
Consuming alcohol with this medicine is generally safe, but moderate intake is advised.
Driving
This medicine is generally safe and should not impair your driving ability.
Relevant Information
Axcel Oxymetazoline 0.05% Nasal Spray is intended only for short-term, occasional relief of nasal congestion and is not suitable as a long-term daily treatment, since extended use can cause the nasal lining to become dependent on the medicine, worsening congestion once it is stopped. Anyone with congestion lasting more than a week, or accompanied by facial pain, fever, or coloured nasal discharge, should see a doctor to rule out a sinus infection or other underlying cause.
Medical Review
Reviewed by:
Doctor of Medicine (MD), University of Mansoura - Manchester



