Axcel Oxymetazoline 0.05% Nasal Spray

Brand Axcel
Manufacturer Axcel
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

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

Ingredients / Active Ingredients

  • Oxymetazoline Hydrochloride 0.05%

Safety Advice

Pregnancy

Limited Data

Limited information is available regarding use during pregnancy. Use only if clearly needed.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Generally Safe

Generally safe, but caution may be required in some patients.

Alcohol

Generally Safe

Consuming alcohol with this medicine is generally safe, but moderate intake is advised.

Driving

Generally Safe

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.

Frequently Asked Questions

Product Specifications

BrandAxcel
ManufacturerAxcel
ClassificationNon-prescription
Ingredients / Active IngredientsOxymetazoline
Volume10ml

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Important Medical Information

💊 Recommended 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.

🛑 Contraindications (Do not use if):
  • 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)
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Temporary burning or stinging in the nose
  • Sneezing
  • Runny nose
  • Dryness in nasal passages
  • Headache
  • Nervousness or dizziness (rare)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.