neobookRx
DrugsLevel 4 LocalisationN/AOTHEML

Phenylephrine (oral)

Alpha-adrenergic agonistNot available as a single agent preparation

Cautions

Contraindications

  • Hypersensitivity to the active ingredient or any of its excipients
  • Cardiovascular disease
  • Diabetes mellitus
  • Closed angle glaucoma
  • Hyperthyroidism
  • Prostatic enlargement
  • Phaeochromocytoma

Cautions

  • Pregnancy
  • Breastfeeding
  • Renal impairment
  • Hepatic impairment
  • Occlusive vascular disease
  • Raynaud's phenomenon
  • Prolonged use

Special populations

Pregnancy

  • Caution
  • Safety for use in pregnancy has not been established. This product should only be used during pregnancy if it is considered to be essential

Breastfeeding

  • Caution
  • It is unknown if phenylephrine is secreted in breast milk. Safety for use in breastfeeding women has not been established

Renal Impairment

Hepatic Impairment

Elderly

Adverse reactions

Cardiovascular Disorders

  • Tachycardia
  • Palpitations
  • Extrasystoles
  • Arrhythmias
  • Myocardial infarction
  • Hypertension

Immune, Blood and Lymphatic System Disorders

  • Hypersensitivity reactions

Sensory Disorders

  • Eye pain
  • Eye irritation
  • Blurred vision
  • Photophobia
  • Allergic conjunctivitis

Interactions

  • Antihypertensives
  • Tricyclic antidepressants
  • Monoamine oxidase inhibitors
  • Reversible inhibitors of monoamine oxidase
  • Inhalational anaesthetics
  • Cardiac glycosides
  • Quinidine
  • Alcohol

Mechanism of action

Phenylephrine is a sympathomimetic agent which acts directly on adrenoreceptors. It has predominantly alpha adrenergic activity and does not cause stimulation of the central nervous system. It produces vasoconstriction which relieves nasal congestion.

Dosage forms

  • Other

References

1. SmPC: Boots Blocked Nose Relief 12 mg Capsules, THE BOOTS COMPANY PLC: Last updated on eMC: 21 Apr 2015; Downloaded online; 2 Aug 2018 https://www.medicines.org.uk/emc/medicine/11868 2. U2D: Phenylephrine (systemic): Drug information; Uptodate; Downloaded online; 2 Aug 2018 https://www.uptodate.com/contents/phenylephrine-systemic-drug-information source=search_result&search=phenylephrine&selectedTitle=1~142 3. SmPC: Sudafed Blocked Nose Capsules, McNeil Products Ltd: Last updated on eMC: 05 Oct 2018; Downloaded online; 7 Nov 2018 https://www.medicines.org.uk/emc/product/2242/smpc

Medical aid coverage

data not yet integrated
Discovery Health
not yet integrated
  • Comprehensive Series—
  • Executive Plan—
  • KeyCare Series—
  • Priority Series—
  • Saver Series—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

NeoHealth® ID 16180 · updated 7/12/2022