Systematic (IUPAC) name
Clinical data
Trade names Otrivin
AHFS/Drugs.com Micromedex Detailed Consumer Information
Pregnancy cat.  ?
Legal status  ?
Routes Intranasal spray or drops
Pharmacokinetic data
Half-life very short
CAS number 526-36-3 YesY
ATC code R01AA07 S01GA03
PubChem CID 5709
IUPHAR ligand 517
DrugBank DB06694
ChemSpider 5507 YesY
KEGG D08684 YesY
Chemical data
Formula C16H24N2 
Mol. mass 244.37516 g/mol
SMILES eMolecules & PubChem
 N(what is this?)  (verify)

Xylometazoline (also known as xylomethazoline) is a drug which is used as a topical nasal decongestant.[1] It is applied directly into the nose, either as a spray or as drops.

Xylometazoline is marketed under many brand names (see below), with the typical adult dose being 0.1% w/v xylometazoline, and the dose for children under 12 being 0.05%.[citation needed]


Mechanism of action

The drug works by constricting the blood vessels in the nose. The vasoconstriction means that there is less pressure in the capillaries and less water can filter out, thus less discharge is made. (If the colour of the nasal passage is observed, it is visibly paler after dosage.)

Xylometazoline is an imidazole derivative which is designed to mimic the molecular shape of adrenaline. It binds to alpha-adrenergic receptors in the nasal mucosa.[2] Due to its sympathomimetic effects, it should not be used by people with high blood pressure, or other heart problems.

Extended usage of xylometazoline can result in decreased effectiveness or a build up of tolerance against the drug.[3] The number of receptors decreases, and when the administration of the drug is ceased, chronic congestion can occur; this is called rhinitis medicamentosa, commonly referred to as rebound congestion. Moreover long-term overdosing can cause degenerative changes in nasal mucous membranes that pose another health problem.

Brand names

Xylometazoline is sold under a number of brand names worldwide, including: Xylomet(Opsonin,BD)Cirovin, Klarigen (in Denmark), Nasolin, Neo-Rinoleina, Novorin, Olynth, Otrinoz, Otriven, Otrivin, Otrivine, Otrix, Sinutab Nasal Spray, Snup akut, Sudafed, Xylo-COMOD, Xylovit, Zolynd (in Serbia), Xynosine (in Pakistan), Xymelin and Zymelin.


Xylometazoline synthesis.png

See also


  1. ^ Eccles, R.; Eriksson, M.; Garreffa, S.; Chen, S. (2008). "The nasal decongestant effect of xylometazoline in the common cold". American journal of rhinology 22 (5): 491–496. doi:10.2500/ajr.2008.22.3202. PMID 18655753.  edit
  2. ^ Haenisch, B.; Walstab, J.; Herberhold, S.; Bootz, F.; Tschaikin, M.; Ramseger, R.; Bönisch, H. (2009). "Alpha-adrenoceptor agonistic activity of oxymetazoline and xylometazoline". Fundamental & clinical pharmacology 24 (6): 729–739. doi:10.1111/j.1472-8206.2009.00805.x. PMID 20030735.  edit
  3. ^ Gold Standard Clinical Pharmacology

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