Abstract | BACKGROUND: METHODS: A double-blind, placebo-controlled, parallel group study was performed. Patients with a common cold (n = 61) were treated with xylometazoline 0.1% (n = 29) or placebo ( saline solution; n = 32; 1 spray three times a day for up to 10 days). The primary objective was to determine the decongestant effect (nasal conductance); the secondary objectives were to determine the peak subjective effect (visual analog scale), duration of relief of nasal congestion, total and individual cold symptoms and general well-being (patients' daily diary), and adverse events (AEs). RESULTS: The decongestant effect of xylometazoline was significantly greater than placebo, as shown by the nasal conductance at 1 hour (384.23 versus 226.42 cm(3)/s; p <or= 0.0001) and peak subjective effect (VAS, 20.7 mm versus 31.5 mm; p = 0.0298). Nasal conductance was significantly superior for up to 10 hours (p = 0.0009) and there was a trend in favor of xylometazoline for up to 12 hours (not statistically significant). Xylometazoline significantly improved total and some individual common cold symptoms scores (p < 0.05), leading to significantly greater patient general evaluation and satisfaction with treatment (p < 0.05). Nineteen AEs were reported: 8 with xylometazoline (all mild-moderate) and 11 with placebo (1 severe). CONCLUSION:
Xylometazoline is an effective and well-tolerated decongestant nasal spray that significantly relieved nasal congestion compared with placebo in the common cold and provided long-lasting relief with just 1 spray, helping patients to breathe more easily for a longer period of time.
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Authors | Ronald Eccles, Margareta Eriksson, Steve Garreffa, Shirley C Chen |
Journal | American journal of rhinology
(Am J Rhinol)
2008 Sep-Oct
Vol. 22
Issue 5
Pg. 491-6
ISSN: 1050-6586 [Print] United States |
PMID | 18655753
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Adrenergic alpha-Agonists
- Imidazoles
- Nasal Decongestants
- xylometazoline
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Topics |
- Administration, Intranasal
- Adrenergic alpha-Agonists
- Adult
- Common Cold
(drug therapy)
- Dose-Response Relationship, Drug
- Double-Blind Method
- Female
- Follow-Up Studies
- Humans
- Imidazoles
(administration & dosage)
- Male
- Nasal Decongestants
(administration & dosage)
- Patient Satisfaction
- Retrospective Studies
- Treatment Outcome
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