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ZerinoDek Nasal Decongestant 1 mg/ml nasal spray, solution
Xylometazoline hydrochloride
What it is and what it is used for
ZerinoDek Nasal Decongestant contains xylometazoline, which has decongestant properties and is indicated for the treatment of rhinitis, common cold, and sinusitis.
Please consult your doctor if you do not feel better or if you feel worse after 4 days of treatment.
What you need to know before taking the medicine
Do not use ZerinoDek Nasal Decongestant
- if you are allergic to xylometazoline hydrochloride or any of the other ingredients of this medicine (listed in paragraph 6);
- if you suffer from severe heart conditions (e.g., long QT syndrome) and severe hypertension (high blood pressure);
- if you have glaucoma, especially closed-angle glaucoma (a condition characterised by increased pressure in the eye);
- if you suffer from prostatic hypertrophy (enlargement of the prostate) and hyperthyroidism (increased thyroid activity);
- if you have undergone brain surgery via the nasal route;
- during and within two weeks after therapy with antidepressant medicines (see “Other medicines and ZerinoDek Nasal Decongestant”);
- if the child to be treated is under 12 years of age.
Warnings and precautions
Consult your doctor or pharmacist before using ZerinoDek Nasal Decongestant.
Use this medicine only after consulting your doctor:
- if you suffer from hypertension (high blood pressure), even if not severe;
- if you suffer from diabetes;
- if you have heart problems;
- if you have a tumour of the adrenal glands, called pheochromocytoma;
- if you are elderly, due to the risk of urinary retention (difficulty urinating).
The use, especially if prolonged, of products applied to the mucous membranes (for local use) can give rise to allergic phenomena (sensitisation) and produce undesirable effects; in this case, stop the treatment and consult your doctor.
Do not use for prolonged treatments as nasal congestion might worsen. Repeated use of the medicine for long periods can be harmful. Prolonged use can alter the normal function of the nasal mucosa and nasal cavities (paranasal sinuses), also inducing addiction (reduced efficacy) to the medicine.
Benzalkonium chloride (BAC), contained as a preservative in this medicine, is irritating and can cause local skin reactions; especially when used for long periods, it can cause swelling of the nasal mucosa. If you suspect such a reaction (persistent nasal congestion), you should consult your doctor to choose another medicine (see ZerinoDek Nasal Decongestant contains benzalkonium chloride).
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The side effects associated with ZerinoDek Nasal Decongestant are listed below:
Uncommon frequency (may affect up to 1 in 100 people):
Nosebleed (epistaxis).
Frequency not known (frequency cannot be estimated from the available data):
allergic reactions (hypersensitivity),
headache (cephalalgia),
difficulty sleeping (insomnia),
high blood pressure (hypertension),
accelerated heart rate (tachycardia),
perception of heartbeat (palpitations),
reduced heart rate (bradycardia),
nasal discomfort,
nasal congestion,
nausea,
difficulty urinating (micturition disorder).
Adhering to the instructions in the package leaflet reduces the risk of side effects.
Reporting of side effects
If you get any side effects, including any 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.


