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Xylometazoline 0,1%

Rigshospitalet, Denmark · FDA-approved active Small molecule

Xylometazoline is a selective alpha-1 adrenergic receptor agonist that causes vasoconstriction of nasal blood vessels, reducing nasal congestion.

Xylometazoline is a selective alpha-1 adrenergic receptor agonist that causes vasoconstriction of nasal blood vessels, reducing nasal congestion. Used for Nasal congestion due to common cold, Nasal congestion due to allergic rhinitis, Nasal congestion due to sinusitis.

At a glance

Generic nameXylometazoline 0,1%
Also known asZymelin
SponsorRigshospitalet, Denmark
Drug classAlpha-1 adrenergic agonist (nasal decongestant)
TargetAlpha-1 adrenergic receptor
ModalitySmall molecule
Therapeutic areaOtolaryngology / Respiratory
PhaseFDA-approved

Mechanism of action

By stimulating alpha-1 adrenergic receptors on vascular smooth muscle in the nasal mucosa, xylometazoline induces vasoconstriction that decreases blood flow to nasal tissues and reduces swelling and congestion. This provides rapid symptomatic relief of nasal obstruction associated with colds, allergies, and sinusitis. The effect is topical and localized to the nasal cavity when administered as a nasal spray or solution.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results