Page last updated: 2024-11-02

oxymetazoline and Hypertension

oxymetazoline has been researched along with Hypertension in 10 studies

Oxymetazoline: A direct acting sympathomimetic used as a vasoconstrictor to relieve nasal congestion. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1251)
oxymetazoline : A member of the class of phenols that is 2,4-dimethylphenol which is substituted at positions 3 and 6 by 4,5-dihydro-1H-imidazol-2-ylmethyl and tert-butyl groups, respectively. A direct-acting sympathomimetic with marked alpha-adrenergic activity, it is a vasoconstrictor that is used (generally as the hydrochloride salt) to relieve nasal congestion.

Hypertension: Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.

Research Excerpts

ExcerptRelevanceReference
" In the first 3 h after administration of PPA, there was a dose-response increase in the systolic and diastolic blood pressures, which then returned to baseline."2.69Effects of sustained-release oral phenylpropanolamine on the nasal mucosa of healthy subjects. ( Graf, P; Hallén, H; Palm, J; Toll, K, 1999)
" Given its vasoconstrictive properties, it can have cardiovascular adverse effects when systemically absorbed."1.62Topical Nasal Decongestant Oxymetazoline: Safety Considerations for Perioperative Pediatric Use. ( Cartabuke, R; Jatana, KR; Tobias, JD, 2021)
"Oxymetazoline nasal spray is a potent alpha 1-adrenergic agonist commonly used to vasoconstrict blood vessels in the nasal mucosa."1.29Cardiac arrest after oxymetazoline nasal spray. ( Thrush, DN, 1995)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19901 (10.00)18.7374
1990's5 (50.00)18.2507
2000's0 (0.00)29.6817
2010's3 (30.00)24.3611
2020's1 (10.00)2.80

Authors

AuthorsStudies
Cartabuke, R1
Tobias, JD1
Jatana, KR1
Bellew, SD1
Johnson, KL1
Nichols, MD1
Kummer, T1
Latham, GJ1
Jardine, DS1
Schechtman, SA1
Wertz, AP1
Shanks, A1
Thompson, A1
Tremper, K1
Pynnonen, MA1
Healy, DW1
Thrush, DN1
Le Jossec, M1
Cloix, JF1
Dausse, JP1
Sprung, J1
Alhaddad, ST1
Graf, P1
Toll, K1
Palm, J1
Hallén, H1
Remie, R1
Van Rossum, JX1
Coppes, RP1
Zaagsma, J1
Schmitt, H1
Fénard, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect of Intranasal Vasoconstrictor Medications on Hemodynamic Parameters: A Randomized Double-blind, Placebo-controlled Trial.[NCT02285634]68 participants (Actual)Interventional2014-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Diastolic Blood Pressure

Change from baseline in diastolic blood pressure. (NCT02285634)
Timeframe: baseline, 30 minutes

InterventionmmHg (Mean)
Oxymetazoline 0.05%5.7
Phenylephrine 0.25%7.9
Lidocaine 1% Plus Epinephrine 1:100,0006.2
Bacteriostatic 0.9% NaCL9.3

Change in Heart Rate

Change from baseline in heart rate. (NCT02285634)
Timeframe: baseline, 30 minutes

Interventionbeats/min (Mean)
Oxymetazoline 0.05%2.8
Phenylephrine 0.25%5.2
Lidocaine 1% Plus Epinephrine 1:100,0007.5
Bacteriostatic 0.9% NaCL6.8

Change in Mean Arterial Blood Pressure

Change in mean arterial blood pressure from the baseline measurement (NCT02285634)
Timeframe: baseline, 30 minutes

InterventionmmHg (Mean)
Oxymetazoline 0.05%5.1
Phenylephrine 0.25%6.4
Lidocaine 1% Plus Epinephrine 1:100,0004.6
Bacteriostatic 0.9% NaCL6.5

Change in Systolic Blood Pressure

Change from baseline in systolic blood pressure. (NCT02285634)
Timeframe: baseline, 30 minutes

InterventionmmHg (Mean)
Oxymetazoline 0.05%7.5
Phenylephrine 0.25%8.2
Lidocaine 1% Plus Epinephrine 1:100,0003.5
Bacteriostatic 0.9% NaCL8.9

Trials

2 trials available for oxymetazoline and Hypertension

ArticleYear
Effect of Intranasal Vasoconstrictors on Blood Pressure: A Randomized, Double-Blind, Placebo-Controlled Trial.
    The Journal of emergency medicine, 2018, Volume: 55, Issue:4

    Topics: Administration, Intranasal; Anesthetics, Local; Blood Pressure; Double-Blind Method; Emergency Servi

2018
Effects of sustained-release oral phenylpropanolamine on the nasal mucosa of healthy subjects.
    Acta oto-laryngologica, 1999, Volume: 119, Issue:7

    Topics: Administration, Intranasal; Administration, Oral; Adult; Aerosols; Blood Pressure; Cross-Over Studie

1999

Other Studies

8 other studies available for oxymetazoline and Hypertension

ArticleYear
Topical Nasal Decongestant Oxymetazoline: Safety Considerations for Perioperative Pediatric Use.
    Pediatrics, 2021, 11-01, Volume: 148, Issue:5

    Topics: Age Factors; Child; Child, Preschool; Female; Heart Rate; Humans; Hypertension; Intraoperative Compl

2021
Oxymetazoline and hypertensive crisis in a child: can we prevent it?
    Paediatric anaesthesia, 2013, Volume: 23, Issue:10

    Topics: Administration, Inhalation; Administration, Intranasal; Blood Pressure; Child; Child, Preschool; Dru

2013
Preoperative β-blockade and hypertension in the first hour of functional endoscopic sinus surgery.
    The Laryngoscope, 2017, Volume: 127, Issue:7

    Topics: Administration, Topical; Adrenergic beta-Antagonists; Adult; Anesthetics, Local; Chronic Disease; Dr

2017
Cardiac arrest after oxymetazoline nasal spray.
    Journal of clinical anesthesia, 1995, Volume: 7, Issue:6

    Topics: Anti-Arrhythmia Agents; Atropine; Bradycardia; Cardiopulmonary Resuscitation; Child, Preschool; Endo

1995
[Evidence for two alpha 2B-adrenoreceptor isoforms in the renal cortex of salt-sensitive and salt resistant Sabra rats. Effect of salt loading].
    Archives des maladies du coeur et des vaisseaux, 1995, Volume: 88, Issue:8

    Topics: Adrenergic alpha-Antagonists; Animals; Antihypertensive Agents; Binding, Competitive; Guanabenz; Hyp

1995
Use of anticholinergics to treat bradycardia caused by alpha1-adrenergic agonist overdose is not safe.
    Journal of clinical anesthesia, 1996, Volume: 8, Issue:5

    Topics: Administration, Inhalation; Adrenergic alpha-Agonists; Bradycardia; Child, Preschool; Cholinergic An

1996
Dysfunctional presynaptic alpha 2-adrenoceptors expose facilitatory beta 2-adrenoceptors in the vasculature of spontaneously hypertensive rats.
    European journal of pharmacology, 1992, Feb-11, Volume: 211, Issue:2

    Topics: Animals; Cocaine; Fenoterol; Hypertension; In Vitro Techniques; Male; Muscle, Smooth, Vascular; Nore

1992
[Effect of sympathomimetics on the vasomotor centers].
    Archives internationales de pharmacodynamie et de therapie, 1971, Volume: 190, Issue:2

    Topics: Animals; Blood Pressure; Bradycardia; Cats; Hemodynamics; Hypertension; Hypotension; Isoproterenol;

1971