Epinephrine nasal

Epinephrine nasal is used to treat severe allergic reactions (anaphylaxis) in adults and children who are at least 4 years old and weigh at least 33 pounds (15 kg).

Epinephrine nasal may also be used for reasons not mentioned in this medication guide.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Epinephrine nasal is for inhaling through the nose only. Do not spray it in your mouth or eyes.

• Each device contains 1 dose. Do not test or spray it before using.
• Use one spray in one nostril. If symptoms do not improve or get worse after 5 minutes, use the second device in the same nostril.
• Do not sniff while or after using it.
• Always carry two devices with you in case a second dose is needed.

Store at room temperature away from moisture and heat.

Do not use epinephrine nasal if you have taken an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine.

Always carry your epinephrine nasal with you. An allergic emergency can happen anytime. Make sure that anyone caring for you knows where you keep epinephrine nasal and how to use it.

Do not use epinephrine nasal if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could happen. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine.

Tell your doctor if you have ever had:

• nasal problems, including past surgeries;
• heart problems;
• kidney problems;
• low blood potassium;
• Parkinson's disease;
• high blood pressure; or
• diabetes.

It is not known if epinephrine nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Tell your doctor if you are breastfeeding.

Serious side effects may be more likely in older adults.

Get emergency medical help if you have signs of an allergic reaction: hives, difficult breathing, swelling of your face, lips, tongue, or throat.

Common side effects of epinephrine nasal may include:

• nasal discomfort;
• throat irritation;
• headache, tiredness, dizziness;
• nausea, vomiting;
• cold symptoms such as stuffy nose, sneezing, sore throat;
• chest and nasal congestion; or
• feeling overly excited, nervous, or anxious.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Epinephrine nasal is used as needed.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Ask a doctor or pharmacist before using epinephrine nasal with any other medications, especially:

• a diuretic or "water pill";
• Parkinson's medications;
• heart medication; or
• medicine to treat depression.

This list is not complete and many other drugs may affect epinephrine nasal. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.