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Printable Version 4-Way Fast Acting Nasal Spray

Active Ingredients: Phenylephrine Nasal
Other Names: 4-Way Fast Acting Nasal Spray, 4-Way Nasal Spray, Equaline Nasal Four Fast Acting Nasal Spray, Equate Nasal Four Nasal Spray, Neo-Synephrine Mild Formula Nasal Spray, Neo-Synephrine Regular Strength Nasal Spray, Phenylephrine Hydrochloride Nasal Spray, Wal-Four Nasal Spray
Drug Class: Nasal Decongestants
Rx Status: Available over-the-counter (OTC)
Generic Available: Yes
Product Images & Descriptions:

What is/are 4-Way Fast Acting Nasal Spray?
What should I tell my health care providers before I take this medicine?
How should I use this medicine?
What if I miss a dose?
What may interact with this medicine?
What side effects may I notice from this medicine?
What should I watch for while using this medicine?
Where should I keep this medicine?

What is/are 4-Way Fast Acting Nasal Spray? (Back to top)
PHENYLEPHRINE is a decongestant. It is used to relieve a stuffy nose from allergies, colds, or sinus problems. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.


What should I tell my health care providers before I take this medicine? (Back to top)
They need to know if you have any of the following conditions:

  • diabetes
  • heart disease
  • high blood pressure
  • prostate problems
  • thyroid disease
  • trouble passing urine or change in the amount of urine
  • an unusual or allergic reaction to phenylephrine, sulfites, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I use this medicine? (Back to top)
This medicine is for use in the nose. Follow the directions on the package label. Make sure that you are using the nasal spray correctly. Use your doses at regular intervals. Do not use your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.


What if I miss a dose? (Back to top)
If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.


What may interact with this medicine? (Back to top)
Do not take this medicine with any of the following:

  • bromocriptine
  • cocaine
  • ergot alkaloids like dihydroergotamine, ergonovine, ergotamine, methylergonovine
  • MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
  • other stimulant medicines

This medicine may also interact with the following:
  • anesthesia
  • medicines for blood pressure
  • medicines for mental depression

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.


What side effects may I notice from this medicine? (Back to top)
Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • breathing problems
  • chest pain
  • fast, irregular heartbeat
  • feeling faint or lightheaded, falls
  • swelling inside the nose

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
  • burning, stinging, dryness inside the nose
  • headache
  • nervousness
  • sneezing or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What should I watch for while using this medicine? (Back to top)
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse. Do not use this medicine for more than 3 days. Overuse will cause nasal congestion to come back or get worse.

Do not share this bottle with anyone else.


Where should I keep this medicine? (Back to top)
Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. Protect from light. Do not use if solution is brown or has solid pieces. Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.


Last Updated:July 24, 2007

COPYRIGHT© Gold Standard, An Elsevier Company


Note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It should not be construed to indicate that the use of the product is safe, appropriate, or effective for you. Consult your healthcare professional before taking the product.

  Additional Information

  Check Drug Interactions with 4-Way Fast Acting Nasal Spray

  Learn how 4-Way Fast Acting Nasal Spray is/are used to treat:
  • Allergy

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