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Xilometazolin Vp

Xilometazolin Vp

Ask a doctor about a prescription for Xilometazolin Vp

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 Xilometazolin Vp

Leaflet attached to the packaging: patient information

Xylometazolin VP, 0.5 mg/g, nasal drops, solution
Xylometazolini hydrochloridum

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 advised by a doctor or pharmacist.

  • 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 or pharmacist. See section 4.
  • If there is no improvement after 5 days or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

  • 1. What is Xylometazolin VP and what is it used for
  • 2. Important information before using Xylometazolin VP
  • 3. How to use Xylometazolin VP
  • 4. Possible side effects
  • 5. How to store Xylometazolin VP
  • 6. Package contents and other information

1. What is Xylometazolin VP and what is it used for

Xylometazolin VP contains the active substance xylometazoline hydrochloride, which acts on receptors, including those found in the blood vessels of the nasal mucosa. The medicine constricts the blood vessels of the nasal mucosa and throat, reducing congestion, swelling, and discharge. It clears the nasal passages and the passages leading from the nasal cavity to the paranasal sinuses, reduces nasal discharge, and facilitates breathing through the nose.
The effect of the medicine starts within 5-10 minutes after administration and lasts for several hours (up to 10 hours).
Xylometazolin VP is used:

  • in nasal congestion caused by swelling of the nasal mucosa, in the course of acute rhinitis (e.g., in colds and flu),
  • in sinusitis,
  • in allergic rhinitis (hay fever).

2. Important information before using Xylometazolin VP

When not to use Xylometazolin VP:

  • if the patient is allergic to xylometazoline, other nasal decongestants, or any of the other ingredients of this medicine (listed in section 6),
  • if the patient has chronic atrophic rhinitis,
  • if the patient has narrow-angle glaucoma,
  • in children under 2 years of age.

Warnings and precautions

Before starting to use Xylometazolin VP, discuss it with your doctor or pharmacist.
Be particularly cautious when using Xylometazolin VP:

  • if the patient has diabetesor hyperthyroidism,
  • if the patient has heart disease, e.g., ischemic heart disease, long QT syndrome, or hypertension,
  • if the symptoms persist for several days, as the medicine should not be used for more than 5 days.

For hygiene reasons (risk of infection transmission), the packaging of the medicine should only be used by one patient.

Xylometazolin VP and other medicines

Tell your doctor or pharmacist about all medicines the patient is taking, has recently taken, or plans to take.
Do not use Xylometazolin VP at the same time as medicines belonging to the group of:

  • monoamine oxidase inhibitors (e.g., selegiline, phenelzine),
  • tricyclic antidepressants (e.g., imipramine, amitriptyline), due to the risk of increased blood pressure.

Using Xylometazolin VP with food, drink, and alcohol

The medicine is administered nasally - food and drink do not affect its action.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor before using this medicine.
The medicine should not be used during pregnancy, unless the doctor considers it absolutely necessary.
Xylometazolin VP (0.5 mg/g) is intended for use in children from 2 to 12 years of age.

Driving and using machines

Xylometazolin VP does not affect the ability to drive or operate machinery if used as recommended and for a short period (up to 5 days). However, using too high a dose and taking the medicine for too long may impair these abilities (causing nausea, headache, palpitations, arrhythmias, insomnia).

3. How to use Xylometazolin VP

This medicine should always be used exactly as described in the patient leaflet or as advised by a doctor or pharmacist. If in doubt, consult a doctor or pharmacist.
Usually, the recommended dose of Xylometazolin VP (0.5 mg/g) is:
Children from 2 to 12 years of age: locally, 1 to 2 drops of the medicine into each nostril 1 or 2 times a day.
Children over 12 years of age and adults: a higher concentration of xylometazoline hydrochloride (1 mg/g) should be used.
If you feel that the effect of the medicine is too strong or too weak, consult your doctor.

Using a higher than recommended dose of Xylometazolin VP

Very rarely, overdose or accidental ingestion of the medicine (mainly in children) has been observed. Symptoms of overdose include: lowered body temperature, slowed heart rate, sweating, slowed movement, drowsiness, and even coma (especially in children).
In case of overdose, consult a doctor. Symptomatic treatment is used.

Missing a dose of Xylometazolin VP

If a dose of the medicine is missed, it should be used as soon as possible. However, if it is almost time for the next dose, skip the missed dose. Do not use a double dose to make up for the missed dose.

Stopping the use of Xylometazolin VP

Stopping the use of Xylometazolin VP may cause the symptoms for which it is used to worsen.
If you have any further doubts about using this medicine, consult your doctor or pharmacist.

4. Possible side effects

Like all medicines, Xylometazolin VP can cause side effects, although not everybody gets them.
Uncommon side effects (less than 1 in 100 people):

  • nasal bleeding.

The frequency of the following side effects is not known (cannot be estimated from the available data):

  • local burning sensation (may occur after prolonged use of xylometazoline), irritation,
  • dryness of the nasal mucosa, secondary swelling of the nasal mucosa (drug-induced rhinitis), sneezing (these symptoms may occur after prolonged use of xylometazoline),
  • headache and dizziness,
  • insomnia,
  • palpitations, arrhythmias,
  • nausea,
  • blurred vision,
  • increased blood pressure.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in the leaflet, inform your doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, Website: https://smz.ezdrowie.gov.pl.
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help gather more information on the safety of the medicine.

5. How to store Xylometazolin VP

Store below 25°C.
Store in the original packaging to protect from light.
Keep the medicine out of the 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.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Package contents and other information

What Xylometazolin VP contains

  • The active substance of the medicine is xylometazoline hydrochloride. 1 g of nasal drops contains 0.5 mg of xylometazoline hydrochloride.
  • The other ingredients of the medicine are: disodium phosphate dodecahydrate, sodium dihydrogen phosphate dihydrate, sodium chloride, benzalkonium bromide (10% solution), purified water.

What Xylometazolin VP looks like and what the package contains

Xylometazolin VP is a solution. The carton contains a polyethylene bottle with a dosing device and a screw cap with a tamper-evident ring, containing 10 ml of solution, and a patient leaflet.

Marketing authorization holder

PharmaSwiss Česká republika s.r.o.
Jankovcova 1569/2c
170 00 Prague 7
Czech Republic

Manufacturer

ICN Polfa Rzeszów S.A.
ul. Przemysłowa 2
35-959 Rzeszów
Poland

Date of last revision of the leaflet:

Alternatives to Xilometazolin Vp in other countries

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Alternative to Xilometazolin Vp in Ukraine

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Active substance: xylometazoline
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Active substance: xylometazoline
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Active substance: xylometazoline
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Active substance: xylometazoline
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Alternative to Xilometazolin Vp in Spain

Dosage form: NASAL PRODUCT, Xylometazoline hydrochloride 0.1%
Active substance: xylometazoline
Manufacturer: Kern Pharma S.L.
Prescription not required
Dosage form: NASAL PRODUCT, 1 mg
Active substance: xylometazoline
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Active substance: xylometazoline
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Dosage form: NASAL PRODUCT, 0.5 mg/ml
Active substance: oxymetazoline
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Active substance: oxymetazoline
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Online doctors for Xilometazolin Vp

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Xilometazolin Vp – subject to medical assessment and local rules.

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Karina Travkina

Otolaryngology (ENT)16 years of experience

Dr Karina Travkina is an ENT specialist providing online consultations for adults with acute and chronic conditions affecting the ears, nose and throat. She takes a structured and personalised approach to each consultation, beginning with a thorough review of symptoms and medical history, followed by diagnostic interpretation and a tailored treatment plan.

Common reasons for consultation include:

  • chronic pharyngitis and recurrent tonsillitis
  • allergic, vasomotor and medication-induced rhinitis
  • sinusitis, nasal obstruction, and postnasal drip
  • nosebleeds, earwax build-up, or foreign bodies in the ear, nose, or throat
  • Eustachian tube dysfunction and related complaints
Dr Travkina follows evidence-based guidelines and ensures patients receive clear explanations and follow-up recommendations. Whether you need help with ENT symptoms, clarification of test results, or guidance on next steps – she offers expert medical advice in a convenient online format.
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Tetiana Fursenko

Otolaryngology (ENT)4 years of experience

Dr. Tetiana Fursenko is an ENT (ear, nose, and throat) specialist offering online consultations for both adults and children. She focuses on diagnosing and treating conditions of the upper respiratory tract using evidence-based medical guidelines and personalised treatment plans.

Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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