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Otrivine Adult Menthol Nasal Spray – patient leaflet, side effects, dosage

Text from the MHRA, as of · About this document

Medicine status: No longer supplied Details

Medicine strength:
1 mg/ml
Still supplied:
The same active substance, strength and form in the NHS Dictionary of Medicines and Devices (dm+d). Ask your pharmacist or doctor before changing to another make.
Contains active substance:

Patient leaflet - Otrivine Adult Menthol nasal spray

1. WHAT OTRIVINE ADULT MENTHOL SPRAY IS AND WHAT IT IS USED FOR

Otrivine Adult Menthol Nasal Spray is for application in the nose to give relief from:

  • nasal congestion (blocked nose, including colds)
  • perennial and allergic rhinitis (recurring inflammation of the nasal mucous membranes, including hay fever)
  • sinusitis.

Otrivine Adult Menthol Nasal Spray contains the active ingredient xylometazoline hydrochloride which helps to open up and clear the nasal passages by reducing the excessive nasal secretions and returning the swollen blood vessels to their normal size.

2. BEFORE YOU USE OTRIVINE ADULT MENTHOL NASAL SPRAY

DO NOT use the spray if you:

  • are allergic to xylometazoline hydrochloride or any of the other ingredients in the spray (see

    Section 6)

  • are allergic to other decongestants
  • have had recent neurosurgery.
  • Have narrow angle glaucoma
  • Have chronic nasal inflammation with very dry nasal passages (rhinitis sicca or atrophic rhinitis)
  • Have an enlarged prostate gland
  • Have a rare tumour of the adrenal gland that produces high amounts of adrenaline and noradrenaline (phaeochromocytoma)
  • Are taking monoamine oxidase inhibitors (MAOIs) or have stopped taking them in the last 14 days.

Do not use this spray for children under 12 years old.

Take special care

Before using the spray tell your doctor if you:

  • have an overactive thyroid gland (hyperthyroidism)
  • have diabetes mellitus
  • have heart or circulatory disease (e.g. long QT syndrome)
  • are pregnant or breast-feeding
  • have hypertension
  • are taking tri and tetra-cyclic antidepressant treatment

Like other products for the relief of blocked nose, Otrivine may give rise to sleep disturbances, dizziness, tremor in very sensitive patients. Consult your doctor is such signs prove troublesome.

Do not take decongestants for more than 7 days in a row, prolonged or excessive use may cause stuffiness in the nose to return.

Using other medicines

Please tell your doctor or pharmacist before using this product if you are taking or have recently taken any medicines (especially monoamine oxidase inhibitors or other antidepressants) including those obtained without a prescription.

Pregnancy or breast-feeding

If you are pregnant or breast-feeding, consult your doctor before using Otrivine. Ask your doctor or pharmacist for advice before taking any medicine.

Driving and using machines

Otrivine has no effect on the ability to drive and use machines.

Important information about some of the other ingredients

This medicine contains benzalkonium chloride which may cause nasal irritation.

3. HOW TO USE OTRIVINE ADULT MENTHOL NASAL SPRAY

Dosage:

For Adults and Children over 12 years of age: 1

spray in each nostril up to 3 times daily. Do not

exceed 3 applications daily into each nostril

Administration:

  1. 1. Clear your nose.
  2. 2. Lean forward slightly and insert the nozzle into a nostril (see diagram).
  3. 3. Squeeze the bottle once and sniff at the same time.
  4. 4. Remove the nozzle before releasing the pressure on the bottle.
  5. 5. Repeat for the other nostril.

To avoid possible spread of infection, this pack should only be used by one person. For reasons of hygiene do not use this bottle for more than 28 days after opening it.

This medicine should not be used for more than seven consecutive days.

If you use more Otrivine Adult Menthol Nasal Spray than you should, consult your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, Otrivine Adult Menthol Nasal Spray can cause side effects, although not everybody gets them.

Stop using Otrivine Adult Menthol Nasal Spray and seek medical help immediately if you experience:

  • Allergic reactions, which may include difficulty breathing or swallowing, swelling of the face, lips, tongue and throat, severe itching of the skin, with a red rash or raised bumps.

Common (may affect up to 1 in 10 people):

  • Headache
  • Nasal Dryness
  • Nasal discomfort
  • Nausea
  • Local irritation after using the spray

Uncommon (may affect up to 1 in 100 people):

  • Nosebleeds

Very rare (may affect up to 1 in 10,000 people):

  • Hypersensitivity including rash and pruritus
  • Disturbances of vision
  • Palpitations and increased heart rate

Other side effects include: Do not exceed the recommended dosage, especially in children and the elderly.

  • A burning sensation in the nose and throat

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report

side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in Google Play or Apple App store. By reporting side effects you can help provide more information on the safety of this medicine.

5. HOW TO STORE OTRIVINE ADULT MENTHOL NASAL SPRAY

Keep this medicine out of the sight and reach of children.

Do not use after the expiry date which is stated on the bottle after “EXP”. The expiry date refers to the last day of that month.

Store below 25°C.

Do not use this bottle for more than 28 days after opening it.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. FURTHER INFORMATION

What Otrivine Adult Menthol Nasal Spray contains

The active ingredient is xylometazoline hydrochloride (0.1% w/v).

The other ingredients are benzalkonium chloride, disodium phosphate dodecahydrate, disodium edetate, sodium dihydrogen phosphate dihydrate, sodium chloride, menthol, eucalyptol, sorbitol, macrogol glycerol hydroxystearate and purified water.

What Otrivine Adult Menthol Nasal Spray looks like and the contents of the pack

Otrivine Adult Menthol Nasal Spray is a clear, colourless aqueous solution packed in 10ml bottles.

Marketing Authorisation Holder

Haleon UK Trading Limited, Weybridge, KT13 0NY, U.K.

Manufacturer:

Haleon UK Trading Services Limited, Weybridge, KT13 0NY, U.K.

This leaflet was last approved in February 2024.

Trade Marks are owned by or licensed to the Haleon group of companies.

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 44673/0152

MHRA data as of 13 October 2026

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Otrivine Adult Menthol nasal spray

Active substance Xylometazoline
Strength 1 mg/ml
Pharmaceutical form Spray
How is it taken Nasal
Is it available? No, all its packs are listed as discontinued (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Drug group (ATC)
  1. R Respiratory system drugs
    1. R01 Nasal preparations
      1. R01A Decongestants and other nasal preparations for topical use
        1. R01AA Sympathomimetics, plain
          1. R01AA07 xylometazoline
Marketing authorisation PL 44673/0152
Codes BNF 12020200

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 10.1.0 of 12 October 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.