NARHIMED BLOCKED NOSE*NASAL DROPS

Narhimed Naso Chiuso 1 mg/ml nasal drops, solution
Narhimed Naso Chiuso 1 mg/ml nasal spray, solution
Xylometazoline hydrochloride

What it is and what it is used for
Narhimed Naso Chiuso contains the active ingredient xylometazoline hydrochloride, which belongs to the class of nasal decongestant drugs that act by constricting blood vessels in the nasal mucosa, reducing swelling (edema) that makes breathing difficult.
Narhimed Naso Chiuso is used for nasal congestion due to the common cold, hay fever, other allergic rhinitis, and sinusitis.

Consult your doctor if you do not feel better or if you feel worse after 7 days.

What you need to know before taking the medicine
Do not use Narhimed Naso Chiuso
• if you are allergic to xylometazoline or any of the other ingredients of this medicine (listed in section 6);
• if you suffer from long-term nasal irritation (chronic rhinitis), with scanty or absent discharge (rhinitis sicca) or with crust formation (atrophic rhinitis);
• if you suffer from increased pressure inside the eye (angle-closure glaucoma);
• if you have undergone brain surgery such as surgical removal of the pituitary gland (transsphenoidal hypophysectomy) or other major skull surgeries;
• if you are under 12 years of age;
• if you are pregnant (see the section Pregnancy and breastfeeding).

Warnings and precautions
Talk to your doctor or pharmacist before using Narhimed Naso Chiuso.

Before using Narhimed Naso Chiuso, consult your doctor if:
• you have had a strong reaction to other medicines containing adrenergic substances, such as those contained in other nasal decongestants, which manifests with signs of insomnia, dizziness, tremor, altered heartbeat, or high blood pressure;
• you have recently undergone nasal surgery;
• you suffer or have suffered from a benign tumor of the adrenal gland (pheochromocytoma);
• you suffer or have suffered from high blood pressure;
• you suffer from heart problems (e.g., long QT syndrome) and vascular problems;
• you suffer from a thyroid disease (hyperthyroidism);
• you suffer from diabetes;
• you suffer from an enlarged prostate (prostatic hypertrophy);
• you are taking antidepressants (monoamine oxidase inhibitors, tricyclic or tetracyclic antidepressants) or have taken them in the last two weeks (see "Other medicines and Narhimed Naso Chiuso").

Do not exceed the indicated doses and do not use Narhimed Naso Chiuso for more than 7 consecutive days: prolonged or excessive use can cause nasal congestion to reappear and can alter the normal function of the nasal mucosa, leading to a reduction in the effectiveness of the medicine and thinning of the nasal mucosa and reduction in the number and size of mucus-producing glands.

Children and adolescents
The medicine should not be used in children under 12 years of age (see "Do not use Narhimed Naso Chiuso").

Elderly
Elderly patients are more susceptible to side effects associated with Narhimed Naso Chiuso: inform your doctor in case of unusual symptoms.

Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects can be minimized by using the lowest effective dose for the shortest necessary duration of treatment.

Immediately inform your doctor and stop taking the medicine if you experience the following symptoms:
• severe allergic reactions, which include: swelling of the face, throat or tongue, difficulty breathing, wheezing, rhinitis and skin rashes;
• severe skin rashes, itching, hives, bruises, pain in reddened areas, rashes with blisters or peeling skin, giant wheals (swollen skin accompanied by itching and burning). These conditions can also affect the lips, eyes, nose and genitals.

Common side effects (may affect up to 1 in 10 people)
• headache
• nasal dryness or discomfort
• nausea
• burning in the nose

Uncommon side effects (may affect up to 1 in 100 people)
• nosebleed (epistaxis)

Very rare side effects (may affect up to 1 in 10,000 people)
• transient visual disturbances
• irregular heartbeat and increased heart rate

Other side effects
• increased blood pressure
• slowed heartbeat
• difficulty urinating
• insomnia
• restlessness

Reporting of side effects
If you get any side effects, including those not listed in this leaflet, talk to your doctor or pharmacist. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse.
By reporting side effects you can help provide more information on the safety of this medicine.