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Otrivin Menthol

Otrivin Menthol

Ask a doctor about a prescription for Otrivin Menthol

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Otrivin Menthol

Package Leaflet: Information for the User

Warning! Keep the leaflet, the information on the immediate packaging is in a foreign language!

Otrivin Menthol

1 mg/ml, nasal spray, solution

Xylometazoline hydrochloride

Read the leaflet carefully before using the medicine, as it contains important information for the patient.

This medicine should always be used exactly as described in the patient leaflet or as directed by a doctor, pharmacist, or nurse.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.
  • If there is no improvement after 10 days or the patient feels worse, they should contact a doctor.

Table of Contents of the Leaflet:

  • 1. What is Otrivin Menthol and what is it used for
  • 2. Important information before using Otrivin Menthol
  • 3. How to use Otrivin Menthol
  • 4. Possible side effects
  • 5. How to store Otrivin Menthol
  • 6. Contents of the pack and other information

1. What is Otrivin Menthol and what is it used for

The active substance of Otrivin Menthol is xylometazoline hydrochloride.
Otrivin Menthol is a locally acting decongestant nasal spray that reduces nasal congestion and swelling of the nasal mucosa. It unblocks the nose, making it easier to breathe.
The medicine also contains excipients such as menthol and eucalyptol, which give a cooling sensation on the mucous membranes.
The effect of Otrivin Menthol starts within 2 minutes and lasts for up to 12 hours.
Otrivin Menthol is indicated for use in adults and adolescents over 12 years of age.
Otrivin Menthol is used for excessive nasal congestion in colds, hay fever, allergic rhinitis, and sinusitis.
By reducing nasal congestion, the medicine can also be used to support the treatment of middle ear infections. Otrivin Menthol facilitates nasal examination (examination of the nasal cavity).
Otrivin Menthol does not contain preservatives.

2. Important information before using Otrivin Menthol

When not to use Otrivin Menthol

  • if the patient is allergic to xylometazoline hydrochloride or any of the other ingredients of this medicine (listed in section 6).
  • if the patient has undergone nasal surgery, such as removal of the pituitary gland or surgery involving exposure of the dura mater (brain surgery performed through the nose or mouth).
  • if the patient has narrow-angle glaucoma (increased eye pressure).
  • if the patient has a very dry nasal mucosa (atrophic rhinitis or dry rhinitis).
  • in children under 12 years of age.

Warnings and precautions

Before using the medicine, the patient should consult a doctor, pharmacist, or nurse if they have:

  • high blood pressure,
  • heart disease (e.g., long QT syndrome),
  • hyperthyroidism,
  • diabetes,
  • enlarged prostate,
  • a benign tumor of the adrenal gland that produces large amounts of adrenaline and noradrenaline (pheochromocytoma),
  • are taking certain antidepressants known as monoamine oxidase inhibitors (MAOIs) or have taken them in the last 2 weeks,
  • are taking tricyclic or tetracyclic antidepressants,
  • like other nasal decongestants, Otrivin Menthol may cause insomnia, dizziness, tremors, heart rhythm disturbances, and increased blood pressure in sensitive patients. If such symptoms occur, the patient should consult a doctor,
  • like other nasal decongestants, Otrivin Menthol should not be used for more than 10 consecutive days. If symptoms persist, the patient should consult a doctor. Using the medicine for more than 10 days or in doses higher than recommended may worsen symptoms or cause them to recur.
  • Otrivin Menthol should not be used in the eyes or mouth.
  • A higher dose than recommended should not be used, especially in children and the elderly.

Children and adolescents

Otrivin Menthol should not be used in children under 12 years of age.

Otrivin Menthol and other medicines

The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Otrivin Menthol should not be used with certain medicines used to treat depression. These include:

  • monoamine oxidase inhibitors (MAOIs): Otrivin Menthol should not be used if the patient is taking MAOIs or has taken them in the last 14 days,
  • tricyclic and tetracyclic antidepressants.

If the patient has taken any of these medicines before using Otrivin Menthol, they should consult a doctor.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a baby, they should consult a doctor before using this medicine.
Otrivin Menthol should not be used during pregnancy.
During breastfeeding, Otrivin Menthol can be used only after consulting a doctor.

Driving and using machines

Otrivin Menthol, when used as directed, does not affect or has negligible effects on the ability to drive or use machines.

Otrivin Menthol contains macrogol glycerol hydroxystearate

This medicine contains 2.75 mg/ml of macrogol glycerol hydroxystearate. The medicine may cause skin reactions.

3. How to use Otrivin Menthol

This medicine should always be used exactly as described in this patient leaflet or as directed by a doctor, pharmacist, or nurse. If in doubt, the patient should consult a doctor, pharmacist, or nurse.
Otrivin Menthol should not be used in children under 12 years of age.

Adults and adolescents over 12 years of age:

1 dose of Otrivin Menthol nasal spray into each nostril up to 3 times a day. The last dose should be taken before going to bed.
Do not use more than 3 times a day into each nostril.
Otrivin Menthol should not be used for more than 10 consecutive days.

Method of administration

The medicine is intended for nasal use.
Be careful not to spray the nasal spray into the eyes.

  • 1. Clean the nose.
  • 2. Remove the protective cap.
  • 3. Do not cut the tip of the applicator.
Crossed-out symbol showing an applicator with a sprayer, warning against use
  • 4. Before the first use, press the pump 4 times. The pump will be ready for further use throughout the recommended use period. If, after full compression of the pump, the spray is not released, or if the product has not been used for more than 6 days, the pump should be re-primed by pressing 4 times. Do not spray towards the eyes or mouth.
  • 5. Hold the bottle upright, supporting the base with the thumb, and place the tip between two fingers.
Hand holding the bottle with a sprayer, arrows indicating the direction of spraying and holding
  • 6. Tilt the head forward and insert the tip into the nostril.
  • 7. Press the pump and inhale through the nose at the same time.
Hand holding the bottle with a sprayer, arrows indicating the direction of pressing the pump and holding
  • 8. Repeat the steps when administering the medicine to the other nostril.
  • 9. After use, clean and dry the applicator tip and replace the protective cap.

For hygiene reasons, one pack of the medicine should only be used by one patient.

Using a higher dose of Otrivin Menthol than recommended

In case of using a higher dose of the medicine than recommended, the patient should immediately consult a doctor or pharmacist.
Symptoms of overdose are severe dizziness, excessive sweating, significantly lowered body temperature, headache, slow heart rate, breathing difficulties, coma, convulsions, high blood pressure (hypertension), which may be followed by hypotension.
Symptomatic treatment should be applied.

Missing a dose of Otrivin Menthol

A double dose should not be used to make up for a missed dose.
If the patient has any further doubts about using this medicine, they should consult a doctor or pharmacist.

4. Possible side effects

Like all medicines, Otrivin Menthol can cause side effects, although not everybody gets them.
The patient should STOP usingOtrivin Menthol and immediately consult a doctorif they experience any of the following side effects, which may be symptoms of an allergic reaction:

  • difficulty breathing or swallowing
  • swelling of the face, lips, tongue, or throat
  • severe itching with red rash or blisters These symptoms are very rare (less than 1 in 10,000 people using the medicine).

Common (may affect up to 1 in 10 people using the medicine):
dryness or irritation of the nasal mucosa, discomfort in the nose, nausea, headache, burning sensation at the site of application.
Uncommon (may affect up to 1 in 100 people using the medicine):
nasal bleeding.
Rare (may affect up to 1 in 10,000 people using the medicine):
allergic reaction (skin rash, itching), transient vision disturbances, irregular or rapid heart rate.

Reporting side effects

If the patient experiences any side effects, including any side effects not listed in the leaflet, they should inform their doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Drug Safety, Urząd Rejestracji Produktów Leczniczych, Wyrobów Medycznych i Produktów Biobójczych, al. Jerozolimskie 181C, 02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
By reporting side effects, more information can be collected on the safety of the medicine.

5. How to store Otrivin Menthol

The medicine should be stored out of sight and reach of children.

Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Do not store above 25°C.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Otrivin Menthol contains

  • The active substance of Otrivin Menthol is xylometazoline hydrochloride. 1 ml of solution contains 1 mg of xylometazoline hydrochloride.
  • The other ingredients are: sodium dihydrogen phosphate dihydrate, disodium phosphate dodecahydrate, sodium chloride, disodium edetate, levomenthol, cineole, sorbitol, macrogol glycerol hydroxystearate, purified water.

What Otrivin Menthol looks like and contents of the pack

Otrivin Menthol is a pack containing a HDPE bottle with a dosing pump and a PP protective cap, filled with 10 ml of a colorless to pale yellow solution with a menthol and eucalyptol scent. The dosing pump allows for the administration of an accurate dose of the medicine.
For more detailed information, the patient should contact the marketing authorization holder or the parallel importer.

Marketing authorization holder in Lithuania, the country of export:

Haleon Hungary Kft.
Csörsz utca 43
1124 Budapest
Hungary

Manufacturer:

Haleon Germany GmbH
Barthstraße 4
80339 Munich
Germany

Parallel importer:

Medezin Sp. z o.o.
ul. Zbąszyńska 3
91-342 Łódź

Repackaged by:

Medezin Sp. z o.o.
ul. Zbąszyńska 3
91-342 Łódź
Lithuanian marketing authorization number: LT/1/95/0102/002
Parallel import authorization number: 212/20

Date of leaflet approval: 01.08.2025

[Information about the trademark]

Alternatives to Otrivin Menthol in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Otrivin Menthol in Украина

Dosage form: спрей, 1 мг/мл, 10 мл
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Alternative to Otrivin Menthol in Испания

Dosage form: ПРЕПАРАТ ДЛЯ НАСАЛЬНОГО ПРИМЕНЕНИЯ, Ксилометазолина гидрохлорид 0,1%
Active substance: ксилометазолин
Manufacturer: Kern Pharma S.L.
Prescription not required
Dosage form: ПРЕПАРАТ ДЛЯ НАСАЛЬНОГО ПРИМЕНЕНИЯ, 1 мг
Active substance: ксилометазолин
Prescription not required
Dosage form: ПРЕПАРАТ ДЛЯ НАСАЛЬНОГО ПРИМЕНЕНИЯ, 1 мг
Active substance: ксилометазолин
Manufacturer: Haleon Spain S.A.
Prescription not required
Dosage form: ПРЕПАРАТ ДЛЯ НАСАЛЬНОГО ПРИМЕНЕНИЯ, 0,5 мг
Active substance: ксилометазолин
Manufacturer: Haleon Spain S.A.
Prescription not required
Dosage form: ПРЕПАРАТ ДЛЯ НАСАЛЬНОГО ПРИМЕНЕНИЯ, 0,5 мг/мл
Active substance: oxymetazoline
Prescription not required
Dosage form: ПРЕПАРАТ ДЛЯ НАСАЛЬНОГО ПРИМЕНЕНИЯ, 0,5 мг/мл
Active substance: oxymetazoline
Prescription not required

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