> Western Medicines > Xylometazoline


Used for: Nasal congestion
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What is Xylometazoline for?

Xylometazoline belongs to a class of medication called sympathomimetics in a subclass of alpha agonists. It is indicated for treating nasal congestion.

How to use it?

Xylometazoline can be taken through the intranasal route.


Nasal congestion
Adult and elderly
Metered dose nasal spray: 1 spray in each nostril every 8 to 10 hours
Nasal drops: 2 to 3 drops in each nostril every 8 to 10 hour
Nasal spray: 1 or 2 sprays in each nostril every 8 to 10 hours

What are the side effects of Xylometazoline?

Common side effects of xylometazoline include dry nose, nasal discomfort, application site burning, nausea and headache.

Who should not take Xylometazoline?

  • People who are allergic to Xylometazoline or any component of the formulation
  • Patients with transsphenoidal hypophysectomy or surgery exposing the dura mater
  • Patients with narrow angle glaucoma
  • Patients with rhinitis sicca or atrophic rhinitis

Pharmacist Tips:

  • Blow nose to clear nostrils before use
  • Shake thoroughly before use
  • For nasal spray, spray once into the air before first use to ensure a fine mist is produced
  • For nasal spray, tilt head forward upon use
  • For nasal drops, tilt head backward upon use
  • Inhale deeply after application
  • The device should not be used by more than one person
  • Keep out of reach of children

Common dosing schedule:

  • For metered dose nasal spray, 1 spray of Xylometazoline should be taken in each nostril every 8 to 10 hours.
  • For nasal spray, 1 to 2 sprays of Xylometazoline should be taken in each nostril every 8 to 10 hours.
  • For nasal drops 2 to 3 drops in each nostril every 8 to 10 hour.
  • Consider applying before and after work.

This schedule is for reference only, adjustments may be made according to individual needs.


Some common medications Xylometazoline may interact with:

Xylometazoline may interact with many other medications. Please notify your doctor or pharmacist if you are taking the above medication, dosage adjustments might be needed.

Where to buy Xylometazoline in Hong Kong?

In Hong Kong, Xylometazoline is an over-the-counter medicine and can be purchased without a prescription from any retail outlet in Hong Kong. This includes grocery stores, convenience stores, medicine shops, and pharmacies. It can also be obtained from doctors. To find a pharmacy near you, refer to the list of pharmacies (“Authorized Sellers of Poisons”) from the Hong Kong Department of Health.


For more information about drug names and ingredients, you can visit Hong Kong’s Drug Office at https://www.drugoffice.gov.hk

Need more information?

For detailed information about the use of Xylometazoline in children, pregnancy and breastfeeding, and for questions about drug interactions, please check with your pharmacist or doctor.

Disclaimer: our goal is to provide you with the most relevant drug information and common dosage for Hong Kong. This information does not constitute medical advice. For specific treatment recommendations and advice, always discuss with your doctor or pharmacist, and follow the instructions included with your specific medicine.

Brands in Hong Kong
Available dosage
  • 0.05% (Nasal Spray)
  • 0.05% / 0.1% (Nasal Drops)
  • 0.10% (Nasal Spray)
Drug class
Sub class
Alpha Agonists
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