Oxymetazoline is an imidazole derivative and a potent, direct-acting alpha (α)-adrenergic agonist with affinity to both α<sub>1</sub>- and α<sub>2</sub>-adrenoceptors.[A215542] Oxymetazoline is available in various formulations with a wide variety of clinical implications. The topical formulation of the drug is used to treat persistent facial redness in adults.[L15062] As an effective decongestant, oxymetazoline is available in over-the-counter intranasal sprays used to relieve nasal and sinus congestion caused by a wide variety of conditions, such as common cold, hay fever, and upper respiratory allergies.[A215587, L15092] In dentistry, oxymetazoline and tetracaine combination intranasal spray (Kovanaze) is used for regional anesthesia during dental procedures in children and adults.[L15057] In July 2020, the FDA approved the use of an ophthalmic formulation of oxymetazoline (Upneeq) in adults with acquired blepharoptosis, or ptosis, making it the first FDA-approved medical treatment for this medical condition.[L15042, L15067]
Severe Congestion Nasal Anti-Drip Nasal Decongestant
Vicks Sinex 12 Hour Decongestant Nasal
Equate Nasal Original
Zicam Sinus Relief
Cleartime
Basic Care No Drip Nasal
OXYMETAZOLINE HCl
Up and Up Nasal Extra Moisturizing
Drixoral No Drip With Calming Chamomile
MUCINEX SINUS-MAX SEVERE CONGESTION RELIEF SINUS and ALLERGY
Rx Act Nasal Original
Ultra Fine Mist Premier Value
Afrin No Drip Sinus Pump Mist
Discount drug mart Extra Moisturizing
Sunmark Nasal
Nasal Decongestant Extra Moisturizing
Claritin Eye Allergy Relief
Best Choice Maximum Strength
Sinufrin
Sunmark no drip
Care One Nasal Sinus
Zicam Extreme Congestion Relief
Afrin Severe Congestion
Tukol Max Action
MUCINEX Childrens Stuffy Nose
Nasalub Nasal Relief
Nasal Mist Walgreens
Long Lasting Dristan Nasal Mist
Mucinex Moisture Smart
Discount Drug Mart Severe Congestion Nasal
No Drip Premier Value
No More Nosebleed
Equate
Congestion Relief Lil Drug Store Products
Nasal D Original
Shopko Severe Congestion Nasal
Upneeq
Vicks Sinex Scent Free
Visine L.R.
DG Health Clear Time
Oxymetazoline HCl
Quality Choice Nasal
Vicks Sinex Severe Original
Quality Choice Maximum Strength
CVS Severe Nasal Congestion Relief Clear and Cool
Leader Nasal
Maximum Strength Nasal Decongestant
Nasal
Sinus relief
Nasal Relief
Mucinex Nasal Moisture Smart
Smart Sense Nasal Extra Moisturizing
Indication
Oxymetazoline is indicated for the topical treatment of persistent facial erythema associated with rosacea in adults.[L15062] Ophthalmic oxymetazoline is indicated for the treatment of acquired blepharoptosis in adults.[L15067] When used in combination with tetracaine intranasally, oxymetazoline is indicated for regional anesthesia when performing a restorative procedure on Teeth 4-13 and A-J in adults and children who weigh 40 kg or more.[L15057] Oxymetazoline can be found in over-the-counter nasal products as a nasal decongestant.[L15092] For off-label uses, oxymetazoline has been used during nasal intubation and during ear, nose, and throat surgery to improve visualization of the airway and to minimize post-operative bleeding.[A215542]
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682